Identifying Volunteer Core Competencies: Regional Differences

The study reported here surveyed direct service volunteers and agents in 12 states and identified 32 competencies for volunteers who deliver 4-H Youth Development programs and activities. Twenty of the 32 competencies were different when stratified by Extension region, illustrating that volunteer competencies have greater regional differences than previously thought. Volunteer competencies were statistically most different in the Southern region, while competencies in the North Central and Western regions were most similar. A national curriculum that focuses upon the 12 competencies that were not found to be significantly different between regions could be developed

The Challenges Associated with Change in 4-H/Youth Development

This article discusses a study documenting the beliefs about proactive change among volunteers and Extension staff who develop policy for local Indiana 4-H Programs. Data analysis indicated that volunteers believe in the core values of the 4-H Program; recommend that the 4-H Program should reach more and different youth; and believe that the program\u27s rural image inhibits progress in these areas. Staff interactions with volunteers, lack of parental involvement, policy-making group organization and structure, and youth representation were cited as barriers to a more open, inclusive organization. The article makes recommendations based on the study\u27s findings and suggests topics for further research

Perceptions of Retinal Imaging Technology for Verifying the Identity of 4-H Ruminant Animals

The purpose of the study reported here was to determine the perceptions of 4-H members and volunteers regarding the retinal imaging process as an innovative method to verify the identity of 4-H animals. Participants were surveyed to determine the perceived strengths and weaknesses of the retinal imaging process and to determine whether participants consider retinal imaging to be beneficial to the Indiana 4-H program. Retinal imaging was perceived to be an accurate and efficient method of livestock identification by both 4-H members and adult volunteers. Volunteers determined that their ability to capture a retinal image requires skill and practice

An Exploratory Study of the Five Cs Model of Positive Youth Development Among Indiana 4-H Youth

The purpose of this study was to explore the levels of positive youth development (PYD) among Indiana 4-H club participants. Questionnaires were collected from a convenience sample of [State] youth (n = 453). Findings indicated that youth who participated in the 4-H program reported significantly higher total positive youth development than those who had never participated in 4-H. Youth who participated in the 4-H program also reported significantly higher scores on four of the Five Cs of PYD (Confidence, Connection, Character, and Caring). The findings of this study contribute to the Developmental Systems Theory by confirming the role that 4-H has in contributing to positive youth development. Recommendations are provided to guide future research related to the Five Cs aspect of positive youth development among 4-H youth

Highlights From the Annual Meeting of the American Epilepsy Society 2022

With more than 6000 attendees between in-person and virtual offerings, the American Epilepsy Society Meeting 2022 in Nashville, felt as busy as in prepandemic times. An ever-growing number of physicians, scientists, and allied health professionals gathered to learn a variety of topics about epilepsy. The program was carefully tailored to meet the needs of professionals with different interests and career stages. This article summarizes the different symposia presented at the meeting. Basic science lectures addressed the primary elements of seizure generation and pathophysiology of epilepsy in different disease states. Scientists congregated to learn about anti-seizure medications, mechanisms of action, and new tools to treat epilepsy including surgery and neurostimulation. Some symposia were also dedicated to discuss epilepsy comorbidities and practical issues regarding epilepsy care. An increasing number of patient advocates discussing their stories were intertwined within scientific activities. Many smaller group sessions targeted more specific topics to encourage member participation, including Special Interest Groups, Investigator, and Skills Workshops. Special lectures included the renown Hoyer and Lombroso, an ILAE/IBE joint session, a spotlight on the impact of Dobbs v. Jackson on reproductive health in epilepsy, and a joint session with the NAEC on coding and reimbursement policies. The hot topics symposium was focused on traumatic brain injury and post-traumatic epilepsy. A balanced collaboration with the industry allowed presentations of the latest pharmaceutical and engineering advances in satellite symposia

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

Beliefs about change in the Indiana 4-H/Youth Development Program: A case study analysis

This three-phase study utilized both qualitative and quantitative methods to document and interpret current beliefs of staff and volunteers involved in determining policy for the local 4-H Program toward the possibility of encouraging proactive change in the county level 4-H/Youth Development Program. The quantitative phase of the study involved each of the 97 4-H/Youth Educators completion of the Organizational Change Orientation Scale ©. This scale provided an assessment of the tendencies of individuals to behave in predictable ways in response to change. The qualitative phases of the study involved selected staff members and volunteers with whom they worked. Nine 4H/Youth staff members who represented three distinct categories of responses on the OCOS© scale each participated in a semi-structured, in-depth interview designed to gain a better understanding of their change practices as they related to the local 4-H/Youth Development Program. Focus group interviews were conducted with volunteer members of the local 4-H policy-making groups (i.e., 4-H Council) with which the nine selected staff members worked. A case study approach was utilized to present the data. Data analysis indicated that in general, volunteers believed in the core values of the 4-H Program; recommended that the 4-H Program should reach more and different youth; and that the program\u27s rural image inhibits progress in these areas. Staff tendencies or attitudes toward change did not appear to greatly influence the thinking of the local volunteers interviewed. Several reasons for the 4-H/Youth Development Program not being more open to change and innovation were discovered. Staff interactions with volunteers, lack of parental involvement, the 4-H Program\u27s rural image, lack of awareness of policy-making groups, policy-making group organization and structure, and youth representation were cited as barriers to a more open and inclusive organization