Global Health Nursing Imperative: Using Competency-Based Analysis to Strengthen Accountability for Population Based Practice, Education and Research

Learning Objectives: Discuss the unique challenges of developing a collaborative global nursing workforce. Compare three sets of competencies for public health nursing. Analyze the results of the comparison of the three sets of competencies. Discuss how the analysis can be used to guide community/public health nursing education, practice and research to encompass local, national and global emphasis. Presentation presented at 2017 AHPA conference in Atlanta Georgia

The Global Health interactive Curricula Experience (iCE) Platform & App : Technology that Enables Inter-professional Innovation

Global Health Initiatives Committee (GHIC) Serves the Jefferson community as the premier point of engagement for students & faculty interested in medical and public health issues that transcend national boundaries Creates an institutional focus on preparing students for public service careers in population health and public policy at local, national, and global levels To enable all TJU faculty to: - Deliver global health education, in a friendly, interactive format - Does not require an expert to deliver - Can be used in very small or large pieces depending on your need

Building Interprofessional Global Health Infrastructure at a University and Health System: Navigating Challenges and Scaling Successes

Mission: Global Jefferson will create sustainable programs of global distinction through collaboration that position Jefferson as a local and international destination and resource for education, research, and clinical activities. Global Jefferson is supported by the Associate Provost for Global Affairs, part of the Office of the Provost. Global activity at Jefferson includes: Global Health Initiatives Committee (GHIC) Service Learning Global Research & Exchange between institutions Pre-clinical, translational, clinical, and applied research Poster presented at: 8th Annual Global Health Conference of the Consortium of Universities for Global Health (CUGH)https://jdc.jefferson.edu/globalhealthposters/1000/thumbnail.jp

DNA Nucleobase Synthesis at Titan Atmosphere Analog by Soft X-rays

Titan, the largest satellite of Saturn, has an atmosphere chiefly made up of N2 and CH4 and includes traces of many simple organic compounds. This atmosphere also partly consists of haze and aerosol particles which during the last 4.5 gigayears have been processed by electric discharges, ions, and ionizing photons, being slowly deposited over the Titan surface. In this work, we investigate the possible effects produced by soft X-rays (and secondary electrons) on Titan aerosol analogs in an attempt to simulate some prebiotic photochemistry. The experiments have been performed inside a high vacuum chamber coupled to the soft X-ray spectroscopy beamline at the Brazilian Synchrotron Light Source, Campinas, Brazil. In-situ sample analyses were performed by a Fourier transform infrared spectrometer. The infrared spectra have presented several organic molecules, including nitriles and aromatic CN compounds. After the irradiation, the brownish-orange organic residue (tholin) was analyzed ex-situ by gas chromatographic (GC/MS) and nuclear magnetic resonance (1H NMR) techniques, revealing the presence of adenine (C5H5N5), one of the constituents of the DNA molecule. This confirms previous results which showed that the organic chemistry on the Titan surface can be very complex and extremely rich in prebiotic compounds. Molecules like these on the early Earth have found a place to allow life (as we know) to flourish.Comment: To appear in Journal of Physical Chemistry A.; Number of pages: 6; Number of Figures: 5; Number of Tables: 1; Number of references:49; Full paper at http://pubs.acs.org/doi/abs/10.1021/jp902824

How often does the Unruh-DeWitt detector click? Regularisation by a spatial profile

We analyse within first-order perturbation theory the instantaneous transition rate of an accelerated Unruh-DeWitt particle detector whose coupling to a massless scalar field on four-dimensional Minkowski space is regularised by a spatial profile. For the Lorentzian profile introduced by Schlicht, the zero size limit is computed explicitly and expressed as a manifestly finite integral formula that no longer involves regulators or limits. The same transition rate is obtained for an arbitrary profile of compact support under a modified definition of spatial smearing. Consequences for the asymptotic behaviour of the transition rate are discussed. A number of stationary and nonstationary trajectories are analysed, recovering in particular the Planckian spectrum for uniform acceleration.Comment: 30 pages, 1 figure. v3: Added references and minor clarification

The Global Health Interactive Curricula Experience (iCE) Platform & App : Technology that Enables Inter-professional Innovation

17 slide PowerPoint presentation. Presented at APHA in Chicago Illinois

Randomised controlled trial of the clinical and cost-effectiveness of a peer delivered self-management intervention to prevent relapse in crisis resolution team users: study protocol

Introduction: Crisis resolution teams (CRTs) provide assessment and intensive home treatment in a crisis, aiming to offer an alternative for people who would otherwise require a psychiatric inpatient admission. They are available in most areas in England. Despite some evidence for their clinical and cost-effectiveness, recurrent concerns are expressed regarding discontinuity with other services and lack of focus on preventing future relapse and readmission to acute care. Currently evidence on how to prevent readmissions to acute care is limited. Self management interventions, involving supporting service users in recognising and managing signs of their own illness and in actively planning their recovery, have some supporting evidence, but have not been tested as a means of preventing readmission to acute care in people leaving community crisis care. We thus proposed the current study to test the effectiveness of such an intervention. We selected peer support workers as the preferred staff to deliver such an intervention, as they are well-placed to model and encourage active and autonomous recovery from mental health problems. Methods and analysis: The CORE (CRT Optimisation and Relapse Prevention) self management trial compares the effectiveness of a peer provided self-management intervention for people leaving CRT care, with treatment as usual supplemented by a booklet on self-management. The planned sample is 440 participants, including 40 participants in an internal pilot. The primary outcome measure is whether participants are readmitted to acute care over 1 year of follow-up following entry to the trial. Secondary outcomes include self-rated recovery at 4 and at 18 months following trial entry, measured using the Questionnaire on the Process of Recovery. Analysis will follow an intention to treatment principle. Random effects logistic regression modelling with adjustment for clustering by peer support worker will be used to test the primary hypothesis

Letting the Right Ones In: Whitelists, Jurisdictional Reputation, and the Racial Dynamics of Online Gambling Regulation.

Using a case study of a recent UK whitelist intended to regulate online gambling, I examine the affective politics of listing. I pay particular attention to the racial dynamics of black and white listing. By charting how the gambling whitelist worked and failed to work as a tool in the designation of jurisdictional reputation, I argue that the use and subsequent abandonment of the whitelist shows the centrality of racial dynamics to listing practices, particularly in relation to how the list was deployed in debates about the trustworthiness of the Kahnawá:ke territory and Antigua and Barbuda. In section 5 I examine what happened after the demise of the online gambling whitelist. Although non-listing techniques of governance look to be expanding, in the form of increased surveillance of individual gamblers, lists continue to play a key role in the UK government’s new model of gambling regulation. I suggest that this confirms the co-constitutive and mutually reinforcing nature of black and white lists as techniques of governance, and the value of exploring them and their racialized implications together

Ionisation and dissociation of cometary gaseous organic molecules by solar wind particles I: Formic Acid

In order to simulate the effects of energetic charged particles present in the solar wind colliding with the cometary gaseous formic acid molecule (HCOOH), laboratory experiments have been performed. The absolute ionisation and dissociation cross sections for this molecule interacting with solar wind particles were measured employing fast electrons in the energy range of 0.5 to 2 keV and energetic protons with energies varying from 0.128 to 2 MeV. Despite the fact that both projectiles lead to a very similar fragmentation pattern, differences in the relative intensities of the fragments were observed. Formic acid survives about 4-5 times more to the proton beam than to the energetic electron collision.The minimum momentum transfer in the electron impact case was estimated to be 3-38% larger than the minimum momentum transfer observed with the equivelocity protons. The UV photodissociation rates and half-lives for HCOOH are roughly closer to the values obtained with energetic electrons. It is consequently important to take electron impact data into account when developing chemical models to simulate the interplanetary conditions.Comment: 11 pages, 7 figures, 5 tables, Accepted to be published in MNRA

Telephone delivered incentives for encouraging adherence to supervised methadone consumption (TIES): study protocol for a feasibility study for an RCT of clinical and cost effectiveness

The majority of people receiving treatment for their heroin addiction, are prescribed methadone; for which there is an extensive evidence base. When treatment starts, people take their daily dose of methadone under supervision at a community pharmacy. Supervision guarantees methadone is taken as directed by the individual for whom it has been prescribed, helps to ensure individuals take their correct dose every day, and safeguards against diversion and overdose. However, individuals often fail to attend the pharmacy to take their methadone. Each missed dose is of concern. If a patient misses their daily dose of methadone, they will start to experience opiate withdrawal and cravings and are more likely to use heroin. If they miss three days dose, there are concerns that they may lose tolerance to the drug and may be at risk of overdose when the next dose is taken. Hence there is an urgent need to develop effective interventions for medication adherence. Research suggests that incentive-based medication adherence interventions may be very effective, but there are few controlled trials and the provision of incentives requires time and organisational systems which can be challenging in pharmacies. The investigators have developed the technology to deliver incentives by mobile telephone. This cluster randomised trial will test the feasibility of conducting a future trial evaluating the clinical and cost effectiveness of using telephone delivered incentives (praise and modest financial rewards via text messaging) to encourage adherence with supervised consumption of methadone in community pharmacies. Three drug services (each with two or three community pharmacies supervising methadone consumption that will enrol 20 individuals, a total of 60 participants) will be recruited and randomly allocated to deliver either i) telephone delivered incentives, ii) telephone delivered reminders or iii) no telephone system. Acceptability, recruitment, follow-up, and suitable measures of clinical and cost effectiveness will be assessed. Findings from this feasibility study will be assessed against stated progression criteria and used to inform a future confirmatory trial of the clinical and cost effectiveness of telephone delivered incentives to encourage medication adherence. ISRCTN58958179 (retrospectively registered). [Abstract copyright: © 2019 Published by Elsevier Inc.