Municipal Ethical Standards: The Need for a New Approach Report

The New York State Commission on Government Integrity investigated numerous situations throughout the state that revealed just how bad the current law is. Our findings and a pro- posed municipal ethics act that we drafted to correct the law\u27s deficiencies are contained in the following report, Municipal Ethical Standards: The Need for a New Approach. Our pro- posed Act would set out the minimum ethical standards that should be observed in every municipality throughout the state. The premise here is that there are certain basic features to good government that make sense for all governments, no matter what their size or location - rural or suburban, upstate or downstate. If the proposed Act became law, localities would be able to enact more stringent regulations if they wanted to, but no local government could have standards that fell below the floor put in place by the Act. The Governor has had a bill introduced in the Legislature that is patterned after the law we proposed. The State Assembly has held public hearings on the bill and it is hopeful that in the 1990 legislative session, New Yorkers will get the strong municipal ethics law they need and deserve

Better than nothing? Patient-delivered partner therapy and partner notification for chlamydia: the views of Australian general practitioners

<p>Abstract</p> <p>Background</p> <p>Genital chlamydia is the most commonly notified sexually transmissible infection (STI) in Australia and worldwide and can have serious reproductive health outcomes. Partner notification, testing and treatment are important facets of chlamydia control. Traditional methods of partner notification are not reaching enough partners to effectively control transmission of chlamydia. Patient-delivered partner therapy (PDPT) has been shown to improve the treatment of sexual partners. In Australia, General Practitioners (GPs) are responsible for the bulk of chlamydia testing, diagnosis, treatment and follow up. This study aimed to determine the views and practices of Australian general practitioners (GPs) in relation to partner notification and PDPT for chlamydia and explored GPs' perceptions of their patients' barriers to notifying partners of a chlamydia diagnosis.</p> <p>Methods</p> <p>In-depth, semi-structured telephone interviews were conducted with 40 general practitioners (GPs) from rural, regional and urban Australia from November 2006 to March 2007. Topics covered: GPs' current practice and views about partner notification, perceived barriers and useful supports, previous use of and views regarding PDPT.</p> <p>Transcripts were imported into NVivo7 and subjected to thematic analysis. Data saturation was reached after 32 interviews had been completed.</p> <p>Results</p> <p>Perceived barriers to patients telling partners (patient referral) included: stigma; age and cultural background; casual or long-term relationship, ongoing relationship or not. Barriers to GPs undertaking partner notification (provider referral) included: lack of time and staff; lack of contact details; uncertainty about the legality of contacting partners and whether this constitutes breach of patient confidentiality; and feeling both personally uncomfortable and inadequately trained to contact someone who is not their patient. GPs were divided on the use of PDPT - many felt concerned that it is not best clinical practice but many also felt that it is better than nothing.</p> <p>GPs identified the following factors which they considered would facilitate partner notification: clear clinical guidelines; a legal framework around partner notification; a formal chlamydia screening program; financial incentives; education and practical support for health professionals, and raising awareness of chlamydia in the community, in particular amongst young people.</p> <p>Conclusions</p> <p>GPs reported some partners do not seek medical treatment even after they are notified of being a sexual contact of a patient with chlamydia. More routine use of PDPT may help address this issue however GPs in this study had negative attitudes to the use of PDPT. Appropriate guidelines and legislation may make the use of PDPT more acceptable to Australian GPs.</p

Genomic epidemiology of SARS-CoV-2 in a UK university identifies dynamics of transmission

AbstractUnderstanding SARS-CoV-2 transmission in higher education settings is important to limit spread between students, and into at-risk populations. In this study, we sequenced 482 SARS-CoV-2 isolates from the University of Cambridge from 5 October to 6 December 2020. We perform a detailed phylogenetic comparison with 972 isolates from the surrounding community, complemented with epidemiological and contact tracing data, to determine transmission dynamics. We observe limited viral introductions into the university; the majority of student cases were linked to a single genetic cluster, likely following social gatherings at a venue outside the university. We identify considerable onward transmission associated with student accommodation and courses; this was effectively contained using local infection control measures and following a national lockdown. Transmission clusters were largely segregated within the university or the community. Our study highlights key determinants of SARS-CoV-2 transmission and effective interventions in a higher education setting that will inform public health policy during pandemics.</jats:p

Boreal Bird Ecology, Management and Conservation

The circumpolar boreal forest covers approximately 12,000,000 km2 and is one of the world’s most extensive biomes [...

Rusty Blackbird (<i>Euphagus carolinus</i>) Foraging Habitat and Prey Availability in New England: Implications for Conservation of a Declining Boreal Bird Species

The Rusty Blackbird (Euphagus carolinus) is an imperiled migratory songbird that breeds in and near the boreal wetlands of North America. Our objective was to investigate factors associated with Rusty Blackbird wetland use, including aquatic invertebrate prey and landscape features, to better understand the birds’ habitat use. Using single-season occupancy modeling, we assessed breeding Rusty Blackbird use of both active and inactive beaver-influenced wetlands in New Hampshire and Maine, USA. We conducted timed, unlimited-radius point counts of Rusty Blackbirds at 60 sites from May to July 2014. Following each point count, we sampled aquatic invertebrates and surveyed habitat characteristics including percent mud cover, puddle presence/absence, and current beaver activity. We calculated wetland size using aerial imagery and calculated percent conifer cover within a 500 m buffer of each site using the National Land Cover Database 2011. Percent mud cover and invertebrate abundance best predicted Rusty Blackbird use of wetlands. Rusty Blackbirds were more likely to be found in sites with lower percent mud cover and higher aquatic invertebrate abundance. Sites with Rusty Blackbird detections had significantly higher abundances of known or likely prey items in the orders Amphipoda, Coleoptera, Diptera, Odonata, and Trichoptera. The probability of Rusty Blackbird detection was 0.589 ± 0.06 SE. This study provides new information that will inform habitat conservation for this imperiled species in a beaver-influenced landscape

Rusty Blackbird (Euphagus carolinus) Foraging Habitat and Prey Availability in New England: Implications for Conservation of a Declining Boreal Bird Species

The Rusty Blackbird (Euphagus carolinus) is an imperiled migratory songbird that breeds in and near the boreal wetlands of North America. Our objective was to investigate factors associated with Rusty Blackbird wetland use, including aquatic invertebrate prey and landscape features, to better understand the birds’ habitat use. Using single-season occupancy modeling, we assessed breeding Rusty Blackbird use of both active and inactive beaver-influenced wetlands in New Hampshire and Maine, USA. We conducted timed, unlimited-radius point counts of Rusty Blackbirds at 60 sites from May to July 2014. Following each point count, we sampled aquatic invertebrates and surveyed habitat characteristics including percent mud cover, puddle presence/absence, and current beaver activity. We calculated wetland size using aerial imagery and calculated percent conifer cover within a 500 m buffer of each site using the National Land Cover Database 2011. Percent mud cover and invertebrate abundance best predicted Rusty Blackbird use of wetlands. Rusty Blackbirds were more likely to be found in sites with lower percent mud cover and higher aquatic invertebrate abundance. Sites with Rusty Blackbird detections had significantly higher abundances of known or likely prey items in the orders Amphipoda, Coleoptera, Diptera, Odonata, and Trichoptera. The probability of Rusty Blackbird detection was 0.589 ± 0.06 SE. This study provides new information that will inform habitat conservation for this imperiled species in a beaver-influenced landscape

Competence and Care: Signature Pedagogies in Nursing Education

A registered nurse should exercise sound, compassionate clinical judgment; demonstrate deep and broad knowledge of health and illness; and be a technically skilled health care provider, who works effectively with patients and families in a complex medical, ethical, legal, and professional landscape. The nursing profession has periodically reflected on the nature of nursing education and has proposed new directions in the teaching of nursing. The Goldmark Report (1923), funded by the Rockefeller Foundation, paved the way for college- and university-based nursing programs; prompted by the success for the World War II cadet nurse program, the Montag Report (1951) initiated the movement toward associate degree nursing programs; the National Commission for the Study of Nursing and Nursing Education\u27s Lysaught Report (1970) prompted research-based education of nurses and research into nursing education. Now the Carnegie Foundation for the Advancement of Teaching has funded another watershed study: Educating Nurses: A Call for Radical Transformation (Benner, Sutphen, Leonard, & Day, 2010) finds that, although the U.S. nurse educators are very effective in teaching ethics and professionalism and are often successful when they integrate theory and clinical courses, they are not generally effective in teaching nursing science, natural sciences, social sciences, technology, and humanities (p. 12). At each turning point in the history of nursing education, nurse educators, have assessed learning outcomes and the methods used to achieve them with the same critical eyes that they apply to evidence-based clinical nursing practice. Today nurse educators are examining the field\u27s signature pedagogies, like clinical rotations and simulation, and are turning to new approaches, like narrative and problem-based pedagogies or study-abroad experiences