The role of culturally competent communication in reducing ethnic and racial healthcare disparities.

Promoting culturally competent communication at the provider, care institution, health plan, and national levels is likely to contribute to success in reducing racial and ethnic disparities in the receipt of high quality care. Although some health plans recently have shown interest in addressing racial and ethnic disparities in care, very few have addressed how health plans can improve their cultural competency to reduce disparities. This commentary summarizes the importance of culturally competent communication across several levels of the healthcare system and details concrete steps that managed care organizations can take to maximize their ability to provide culturally competent communication and care

Conservation Assessment and Habitat Notes for Three Rare Alabama Crayfishes: Cambarus cracens, Cambarus scotti, and Cambarus unestami

Over seventy percent of the world\u27s freshwater crayfish species are found within the United States, and much of this diversity is concentrated in the southeastern United States. Yet many of these species remain understudied. Of particular interest is the conservation status of these understudied taxa. We conducted fieldwork in 2011 across northeastern Alabama and northwestern Georgia to review the occurrence, habitat, and in sonic cases, local population densities of three crayfish species (Cambarus scotti, C. unestami, and C. cracens) to determine current distributions in relation to historical surveys. All three species occur in flowing small to medium-sized streams with firm substrates of gravel, cobble, and bedrock. Two species (C. scotti and C. unestami) have stable populations, occurring at 79% and 90% of sites surveyed, respectively. In contrast, surveys for the third crayfish species (C. cracens) indicated a need for conservation action, with this species occurring at a single site

Emerging Regulatory Experiments in Permit Process Coordination for Endangered Species and Aquatic Resources in California

The interconnected relationship between California’s wetlands and endangered species has spurred recent efforts to coordinate endangered species permitting under federal and state endangered species laws with freshwater aquatic resource permits under the federal Clean Water Act and analogous state laws. The University of California, Irvine School of Law Center for Land, Environment, and Natural Resources surveyed these emerging permit coordination efforts among several proposed and existing California Habitat Conservation Plans/Natural Community Conservation Plans. This Article explores these nascent initiatives, including the coordinating tools they have tested, the anticipated benefits, and the already observed challenges. Preliminary evidence suggests that clearer guidance from federal agency headquarters, building on recent Presidential interagency initiatives in infrastructure permitting, would likely provide the best opportunity to promote beneficial permit coordination while minimizing potential drawbacks

An evidence map of the effect of Tai Chi on health outcomes.

BackgroundThis evidence map describes the volume and focus of Tai Chi research reporting health outcomes. Originally developed as a martial art, Tai Chi is typically taught as a series of slow, low-impact movements that integrate the breath, mind, and physical activity to achieve greater awareness and a sense of well-being.MethodsThe evidence map is based on a systematic review of systematic reviews. We searched 11 electronic databases from inception to February 2014, screened reviews of reviews, and consulted with topic experts. We used a bubble plot to graphically display clinical topics, literature size, number of reviews, and a broad estimate of effectiveness.ResultsThe map is based on 107 systematic reviews. Two thirds of the reviews were published in the last five years. The topics with the largest number of published randomized controlled trials (RCTs) were general health benefits (51 RCTs), psychological well-being (37 RCTs), interventions for older adults (31 RCTs), balance (27 RCTs), hypertension (18 RCTs), fall prevention (15 RCTs), and cognitive performance (11 RCTs). The map identified a number of areas with evidence of a potentially positive treatment effect on patient outcomes, including Tai Chi for hypertension, fall prevention outside of institutions, cognitive performance, osteoarthritis, depression, chronic obstructive pulmonary disease, pain, balance confidence, and muscle strength. However, identified reviews cautioned that firm conclusions cannot be drawn due to methodological limitations in the original studies and/or an insufficient number of existing research studies.ConclusionsTai Chi has been applied in diverse clinical areas, and for a number of these, systematic reviews have indicated promising results. The evidence map provides a visual overview of Tai Chi research volume and content.Systematic review registrationPROSPERO CRD42014009907

University Choir Men\u27s Glee Club

Stroud Auditorium Friday Evening November 1, 1991 8:00p.m

Understanding Technology Fit Among People with HIV Based on Intersections of Race, Sex, and Sexual Behavior: An Equitable Approach to Analyzing Differences Across Multiple Social Identities

HIV disproportionately impacts individuals based on intersecting categories (e.g. gender, race/ethnicity, behavior), with groups most at-risk deemed priority populations. Using weighted effects coding to account for differential group sizes, this study used multilevel mixed logistic models to investigate differences in eHealth use and willingness to use eHealth for HIVrelated information among priority populations. Compared to the sample average, Black men who had sex with women were less likely to use all technologies except cellphones with text-messaging and less likely to be willing to use computers and tablets. White and Hispanic men who had sex with men were more likely to use all technologies. No significant differences existed for use or willingness to use cellphones with text-messaging. Future research should consider approaches used here to account for equity and multiple intersecting social identities; practitioners may use these findings or similar local data to ensure fit between eHealth programs and priority populations

The Role of Moral Philosophies, Operational Criteria and Operational Strategies in Determining Equitable Allocation of Resources for Leisure Services in the United States

ABSTRACT This paper revises an earlier taxonomy of equity models that was published in this jou