Smoke and Mirrors: One Case for Ethical Obligations of the Physician as Public Role Model

2009 ◽  
Vol 18 (1) ◽  
pp. 95-100 ◽  
Author(s):  
JACOB M. APPEL
Keyword(s):  
United States ◽  
Medical Students ◽  
Role Model ◽  
Healthcare Providers ◽  
The United States ◽  
Healthcare Organizations ◽  
The Public ◽  
Public Role ◽  
Quit Smoking ◽  
Clean Air

As a result of workplace clean air regulations and strict guidelines imposed by the Joint Commission on Accreditation of Healthcare Organizations in 1993, most hospitals in the United States are now virtually smoke free. Although evidence suggests that these restrictions both cause smoking employees to consume fewer cigarettes per day and induce some employees to quit smoking entirely, the policies have also driven many healthcare providers—including physicians—onto the public sidewalks for their cigarette breaks. Patients entering many hospitals pass white-coated medical students and residents puffing away at the curbside.

scholarly journals Tick and Tickborne Pathogen Surveillance as a Public Health Tool in the United States

2020 ◽  
Author(s):  
Rebecca J Eisen ◽  
Christopher D Paddock
Keyword(s):  
Public Health ◽  
United States ◽  
Healthcare Providers ◽  
The United States ◽  
Human Pathogens ◽  
Public Health Importance ◽  
Tick Abundance ◽  
The Public ◽  
Host Seeking ◽  
Surveillance Programs

Abstract In recent decades, tickborne disease (TBD) cases and established populations of medically important ticks have been reported over expanding geographic areas, and an increasing number of tickborne bacteria, viruses, and protozoans have been recognized as human pathogens, collectively contributing to an increasing burden of TBDs in the United States. The prevention and diagnosis of TBDs depend greatly on an accurate understanding by the public and healthcare providers of when and where persons are at risk for exposure to human-biting ticks and to the pathogens these ticks transmit. However, national maps showing the distributions of medically important ticks and the presence or prevalence of tickborne pathogens are often incomplete, outdated, or lacking entirely. Similar deficiencies exist regarding geographic variability in host-seeking tick abundance. Efforts to accurately depict acarological risk are hampered by lack of systematic and routine surveillance for medically important ticks and their associated human pathogens. In this review, we: 1) outline the public health importance of tick surveillance; 2) identify gaps in knowledge regarding the distributions and abundance of medically important ticks in the United States and the presence and prevalence of their associated pathogens; 3) describe key objectives for tick surveillance and review methods appropriate for addressing those goals; and 4) assess current capacity and barriers to implementation and sustainability of tick surveillance programs.

Religion's Very Public Presence

1985 ◽  
Vol 480 (1) ◽  
pp. 142-153 ◽  
Author(s):  
PEGGY L. SHRIVER
Keyword(s):  
United States ◽  
Religious Diversity ◽  
The United States ◽  
Religious Groups ◽  
Proper Place ◽  
The Public ◽  
Public Role ◽  
Religious Convictions ◽  
Role Of Religion

The 1984 election emphasized the public role of religion in both parties; much uneasiness about the proper place of religion in politics was revealed. The United States was originally envisioned by some religious groups as a voluntary Christian commonwealth. Although that dream is less persuasive today, religion supplies a continuing definition and critique of the public good. Growing religious diversity produces conflicting views, necessitating rethinking by mainline Protestants. A major difference is between those who nourish nationalism and an individualistic religion and those with a world-encompassing vision and a communal faith. Religion provides sustaining hope and a commitment to wholeness, and it contributes politically, often through coalitions. The role of the religious convictions of politicians was heatedly debated with modest resolution in the 1984 campaign. American democratic ideals are being tested, and religion, in dialogue with science, is challenged to help shape the nation's future.

scholarly journals Perceptions of the IQOS Heated Tobacco Product on Twitter in the United States

2021 ◽  
Vol 6 ◽  
Author(s):  
Canruo Zou ◽  
Xueting Wang ◽  
Zidian Xie ◽  
Dongmei Li
Keyword(s):  
United States ◽  
Social Media ◽  
Health Risks ◽  
Public Perception ◽  
The United States ◽  
Public Perceptions ◽  
The Public ◽  
Enforcement Policy ◽  
Quit Smoking ◽  
Twitter Users

After the approval of the sales of IQOS in the United States market, discussions about IQOS have become active on social media. Twitter is a popular social media platform to understand public opinions toward IQOS. This study aims to explore public perceptions toward IQOS on Twitter in the United States. IQOS-related tweets from the United States between November 19, 2019, and August 24, 2020, were collected using a Twitter streaming application programming interface (API). Sentiment analysis was performed to determine whether the public perceptions toward IQOS were positive, neutral, or negative. In addition, topics discussed in these tweets were manually coded. From November 2019 to August 2020, the number of tweets discussing IQOS was relatively constant except for a peak starting from July 7, 2020, which lasted for 4 days. Among IQOS tweets with positive sentiments, the most popular topic is “IQOS is safer than cigarettes,” followed by “IQOS helps quit smoking.” Among tweets with negative sentiments, the most popular topic is “illegal marketing/selling to youth,” followed by “health risks/fire hazards.” “FDA approval/regulation” is the most popular topic for tweets with neutral sentiments. After the announcement of the United States Food and Drug Administration (FDA) enforcement policy on unauthorized flavored e-cigarette products on January 2, 2020, the proportion of tweets with positive attitudes toward IQOS significantly increased, while the proportion of negative tweets significantly decreased. Our study showed that the public perception of IQOS in the United States became more positive after the FDA enforcement policy on flavored e-cigarettes. While many Twitter users thought IQOS is safer than cigarettes and helps quit smoking, some Twitter users complained about the illegal marketing and health risks of IQOS. These findings provide useful information on future tobacco regulations.

scholarly journals Categorizing IQOS-Related Twitter Discussions

2021 ◽  
Vol 18 (9) ◽  
pp. 4836
Author(s):  
Joshua O. Barker ◽  
Julia Vassey ◽  
Julia C. Chen-Sankey ◽  
Jon-Patrick Allem ◽  
Tess Boley Cruz ◽  
...  
Keyword(s):  
United States ◽  
News Media ◽  
The United States ◽  
Tobacco Product ◽  
Online Marketing ◽  
Tobacco Policy ◽  
Tobacco Products ◽  
Quit Smoking ◽  
Philip Morris ◽  
Clean Air

(1) Background: The heated tobacco product IQOS, by Philip Morris International, is now available in over 55 countries, including the United States. Social media sites such as Twitter are often used to promote or discuss tobacco products, though prior research has not examined how IQOS is presented on Twitter. (2) Methods: This study collected and categorized Twitter conversations involving IQOS. A manual content analysis was performed on N = 3916 English tweets related to IQOS published internationally between 1 January 2020 and 30 June 2020. (3) Results: Most tweets were either online marketing for IQOS (32.3%) or personal testimonials related to IQOS use (34.2%). Personal testimonial tweets made harm reduction claims about IQOS either as an avenue to quit smoking/tobacco use (3.4%), or in comparison to combustible cigarettes (2.0%). Tobacco policy-related tweets were detected (13.9%), split between discussions of United States (4.9%) and international (4.4%) policies. News media tweets (14.2%) were also detected. (4) Conclusions: Our study suggests IQOS may be understood as a less harmful alternative to vaping and combustible cigarettes. Discussions also suggest IQOS is likely to be used to avoid clean air policies or used in areas in which smoking is restricted.

The Public Psychiatrist as Educator

2020 ◽  
pp. 149-168
Author(s):  
Sarah E. Baker ◽  
Adam Brenner
Keyword(s):  
United States ◽  
Medical Student ◽  
Medical Students ◽  
Public Sector ◽  
The United States ◽  
The Public ◽  
Academic Medical ◽  
The Many ◽  
Training Opportunities

Among the many important educator roles of the public psychiatrist is that of teacher for the medical students, residents, and fellows who rotate through her public sector clinic or hospital. Using a case study as its basis, this chapter describes how a public psychiatrist can engage with an academic medical center’s department of psychiatry in order to offer training opportunities in the public sector. It also describes the process for developing medical student clerkships and resident rotations and includes examples from clerkships and resident rotations from throughout the United States.

Verán ustedes las chozas más humildes. El discurso de pobreza en la diplomacia pública cardenista dirigida a Estados Unidos

2019 ◽  
Vol 35 (2) ◽  
pp. 255-281
Author(s):  
Sylvia Dümmer Scheel
Keyword(s):  
United States ◽  
New Deal ◽  
Public Diplomacy ◽  
The United States ◽  
The Public ◽  
The Poor ◽  
The Face ◽  
The Government ◽  
Lazaro Cardenas ◽  
The New Deal

El artículo analiza la diplomacia pública del gobierno de Lázaro Cárdenas centrándose en su opción por publicitar la pobreza nacional en el extranjero, especialmente en Estados Unidos. Se plantea que se trató de una estrategia inédita, que accedió a poner en riesgo el “prestigio nacional” con el fin de justificar ante la opinión pública estadounidense la necesidad de implementar las reformas contenidas en el Plan Sexenal. Aprovechando la inusual empatía hacia los pobres en tiempos del New Deal, se construyó una imagen específica de pobreza que fuera higiénica y redimible. Ésta, sin embargo, no generó consenso entre los mexicanos. This article analyzes the public diplomacy of the government of Lázaro Cárdenas, focusing on the administration’s decision to publicize the nation’s poverty internationally, especially in the United States. This study suggests that this was an unprecedented strategy, putting “national prestige” at risk in order to explain the importance of implementing the reforms contained in the Six Year Plan, in the face of public opinion in the United States. Taking advantage of the increased empathy felt towards the poor during the New Deal, a specific image of hygienic and redeemable poverty was constructed. However, this strategy did not generate agreement among Mexicans.

Interaction of Ukrainian Diaspora and the USA Government Regarding Celebration of Ukrainian Independence Day on January 22

2018 ◽  
Vol 1 (47) ◽  
pp. 136-145
Author(s):  
Halyna Shchyhelska
Keyword(s):  
United States ◽  
House Of Representatives ◽  
The United States ◽  
100Th Anniversary ◽  
Totalitarian Regime ◽  
The Public ◽  
Us Congress ◽  
The Us ◽  
Public Consciousness ◽  
The Usa

2018 marks the 100th anniversary of the proclamation of Ukrainian independence. OnJanuary 22, 1918, the Ukrainian People’s Republic proclaimed its independence by adopting the IV Universal of the Ukrainian Central Rada, although this significant event was «wiped out» from the public consciousness on the territory of Ukraine during the years of the Soviet totalitarian regime. At the same time, January 22 was a crucial event for the Ukrainian diaspora in the USA. This article examines how American Ukrainians interacted with the USA Government institutions regarding the celebration and recognition of the Ukrainian Independence day on January 22. The attention is focused on the activities of ethnic Ukrainians in the United States, directed at the organization of the special celebration of the Ukrainian Independence anniversaries in the US Congress and cities. Drawing from the diaspora press and Congressional Records, this article argues that many members of Congress participated in the observed celebration and expressed kind feelings to the Ukrainian people, recognised their fight for freedom, during the House of Representatives and Senate sessions. Several Congressmen submitted the resolutions in the US Congress urging the President of United States to designate January 22 as «Ukrainian lndependence Day». January 22 was proclaimed Ukrainian Day by the governors of fifteen States and mayors of many cities. Keywords: January 22, Ukrainian independence day, Ukrainian diaspora, USA, interaction, Congress

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