scholarly journals Ketamine in the Prehospital Environment: A National Survey of Paramedics in the United States

2017 ◽  
Vol 33 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Daniel M. Buckland ◽  
Remle P. Crowe ◽  
Rebecca E. Cash ◽  
Stephen Gondek ◽  
Patrick Maluso ◽  
...  
Keyword(s):  
United States ◽  
National Survey ◽  
The United States ◽  
Prehospital Setting ◽  
Rapid Sequence Intubation ◽  
Future Research ◽  
Study Cohort ◽  
Primary Role ◽  
Cross Sectional Survey ◽  
Publication Type

AbstractBackgroundUse of ketamine in the prehospital setting may be advantageous due to its potent analgesic and sedative properties and favorable risk profile. Use in the military setting has demonstrated both efficacy and safety for pain relief. The purpose of this study was to assess ketamine training, use, and perceptions in the civilian setting among nationally certified paramedics (NRPs) in the United States.MethodsA cross-sectional survey of NRPs was performed. The electronic questionnaire assessed paramedic training, authorization, use, and perceptions of ketamine. Included in the analysis were completed surveys of paramedics who held one or more state paramedic credentials, indicated “patient care provider” as their primary role, and worked in non-military settings. Descriptive statistics were calculated.ResultsA total of 14,739 responses were obtained (response rate=23%), of which 10,737 (73%) met inclusion criteria and constituted the study cohort. Over one-half (53%) of paramedics reported learning about ketamine during their initial paramedic training. Meanwhile, 42% reported seeking ketamine-related education on their own. Of all respondents, only 33% (3,421/10,737) were authorized by protocol to use ketamine. Most commonly authorized uses included pain management (55%), rapid sequence intubation (RSI; 72%), and chemical restraint/sedation (72%). One-third of authorized providers (1,107/3,350) had never administered ketamine, with another 32% (1,070/3,350) having administered ketamine less than five times in their career. Ketamine was perceived to be safe and effective as the vast majority reported that they were comfortable with the use of ketamine (94%) and would, in similar situations (95%), use it again.ConclusionThis was the first large, national survey to assess ketamine training, use, and perceptions among paramedics in the civilian prehospital setting. While training related to ketamine use was commonly reported among paramedics, few were authorized to administer the drug by their agency’s protocols. Of those authorized to use ketamine, most paramedics had limited experience administering the drug. Future research is needed to determine why the prevalence of ketamine use is low and to assess the safety and efficacy of ketamine use in the prehospital setting.BucklandDM, CroweRP, CashRE, GondekS, MalusoP, SirajuddinS, SmithER, DangerfieldP, ShapiroG, WankaC, PanchalAR, SaraniB. Ketamine in the prehospital environment: a national survey of paramedics in the United States. Prehosp Disaster Med. 2018;33(1):23–28.

scholarly journals Public Libraries and Internet Access across the United States: A Comparison by State 2004–2006

2007 ◽  
Vol 26 (2) ◽  
pp. 4 ◽  
Author(s):  
Paul T. Jaeger ◽  
John Carlo Bertot ◽  
Charles R. McClure ◽  
Miranda Rodriguez
Keyword(s):  
United States ◽  
National Survey ◽  
Public Libraries ◽  
Internet Access ◽  
The United States ◽  
Future Research ◽  
Geographic Regions

Drawing upon findings from a national survey of U.S. public libraries, this paper examines trends in Internet and public computing access in public libraries across states from 2004 to 2006. Based on library-supplied information about levels and types of Internet and public computing access, the authors offer insights into the network-based content and services that public libraries provide. Examining data from 2004 to 2006 reveals trends and accomplishments in certain states and geographic regions. This paper details and discusses the data, identifies and analyzes issues related to Internet access, and suggests areas for future research.

scholarly journals Perspectives of Canadian and American Cat Owners on Provision of Uncontrolled Outdoor Access for Owned Domestic Cats

2021 ◽  
Vol 8 ◽  
Author(s):  
Sarah M. L. Tan ◽  
Sarah Jajou ◽  
Anastasia C. Stellato ◽  
Lee Niel
Keyword(s):  
United States ◽  
Online Survey ◽  
Random Effect ◽  
The United States ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Attitudes And Practices

While uncontrolled outdoor access can increase opportunities for cat physical and mental stimulation, it can also increase risks of injury and illness, and result in predation of wild birds and small animals. In Canada and the United States, it is often recommended to keep cats indoors, but many owners still provide some level of outdoor access. The objectives of this study were to use a cross-sectional survey to explore the attitudes and practices of cat owners in Canada and the United States toward outdoor access and to identify factors that influence the provision of uncontrolled outdoor access. A convenience sample of cat owners (N = 7,838) were recruited to complete an online survey, and a mixed logistic regression model was used to examine associations between cat and owner-related factors, and uncontrolled outdoor access for cats, with province/state included as a random effect. In total, 57% of owners kept their cats indoors, and 43% provided some form of outdoor access, with 21% of total owners providing uncontrolled outdoor access. Provision of uncontrolled outdoor access was associated with factors related to cat characteristics (e.g., sex, breed, presence of health, and behavioral issues), the home environment (e.g., living with other pets, types of enrichment provided), owner perspectives on outdoor access (e.g., level of agreement with potential benefits and consequence of outdoor access), and owner demographics (e.g., gender, education, area of residence). For cats with uncontrolled outdoor access, few owners reported their cats having a collar or a microchip, suggesting a need to increase education about precautionary measures to protect the welfare of outdoor cats. Results reveal how owners are caring for their cats in terms of providing outdoor access and generate hypotheses for future research to examine the influence of the owner-pet bond and educational programs on owner practices around providing outdoor access.

scholarly journals Utilization of Routine Medical Checkup and Factors Influencing Use of Routine Medical Checkup among Saudi Students Studying in the USA in 2019

2021 ◽  
Vol 1 (1) ◽  
pp. 16-25
Author(s):  
Ali Mohammed A. Alzahrani ◽  
Holly C. Felix ◽  
M. Kate Stewart ◽  
James P. Selig ◽  
Taren Swindle ◽  
...  
Keyword(s):  
United States ◽  
Primary Care ◽  
The United States ◽  
Individual Characteristics ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical Checkup ◽  
Saudi Students ◽  
Factors Influencing

Introduction: The few studies that have investigated patterns of routine checkup (hereafter routine checkups) among Saudis have found overall low rates of use. Those studies focused mainly on understanding the influence of individual characteristics on use of routine checkup. Aims: The main purpose of this study was to consider a wider array of factors beyond individual characteristics, including system-based factors, beliefs, attitudes, and satisfaction, and to examine their influence on use of routine checkup among Saudi students studying in the United States. Methods: A cross-sectional survey targeting Saudi students studying in the United States aged 19 years or older was conducted to gather information about their sociodemographic characteristics, needs for healthcare, use of routine checkup and satisfaction with access to primary care services. Descriptive statistics and logistic regression analysis were conducted to determine factors influencing use of routine checkup among Saudis. Results: 381 surveys were eligible to be included in the analyses. Among the included participants, only 25.5% had a routine checkup after the age of 18 years. The likelihood of having routine checkup after the age of 18 was significantly higher among those who trusted provided primary care, believed in the importance of routine checkup, had health insurance, had chronic conditions and were physically active, and was significantly lower among married individuals. Conclusions: The use of routine checkup is low among Saudis and this study has laid the foundation for future research that can inform policy and decision-making related to improving use of routine care in Saudi Arabia.

Fragments of the American Dream: Immigration, Race, and Medical Care in the Segregated South, 1929

Public Voices ◽  
2016 ◽  
Vol 13 (2) ◽  
pp. 1
Author(s):  
John R Phillips
Keyword(s):  
United States ◽  
American Dream ◽  
Black Population ◽  
The United States ◽  
Single Woman ◽  
Future Research ◽  
Legal Doctrine ◽  
Quarter Century ◽  
History Of ◽  
Sunflower County

The cover photograph for this issue of Public Voices was taken sometime in the summer of 1929 (probably June) somewhere in Sunflower County, Mississippi. Very probably the photo was taken in Indianola but, perhaps, it was Ruleville. It is one of three such photos, one of which does have the annotation on the reverse “Ruleville Midwives Club 1929.” The young woman wearing a tie in this and in one of the other photos was Ann Reid Brown, R.N., then a single woman having only arrived in the United States from Scotland a few years before, in 1923. Full disclosure: This commentary on the photo combines professional research interests in public administration and public policy with personal interests—family interests—for that young nurse later married and became the author’s mother. From the scholarly perspective, such photographs have been seen as “instrumental in establishing midwives’ credentials and cultural identity at a key transitional moment in the history of the midwife and of public health” (Keith, Brennan, & Reynolds 2012). There is also deep irony if we see these photographs as being a fragment of the American dream, of a recent immigrant’s hope for and success at achieving that dream; but that fragment of the vision is understood quite differently when we see that she began a hopeful career working with a Black population forcibly segregated by law under the incongruously named “separate but equal” legal doctrine. That doctrine, derived from the United States Supreme Court’s 1896 decision, Plessy v. Ferguson, would remain the foundation for legally enforced segregation throughout the South for another quarter century. The options open to the young, white, immigrant nurse were almost entirely closed off for the population with which she then worked. The remaining parts of this overview are meant to provide the following: (1) some biographical information on the nurse; (2) a description, in so far as we know it, of why she was in Mississippi; and (3) some indication of areas for future research on this and related topics.

Questions

2018 ◽  
Author(s):  
James L. Gibson ◽  
Michael J. Nelson
Keyword(s):  
United States ◽  
African Americans ◽  
Supreme Court ◽  
Legal System ◽  
Public Support ◽  
The United States ◽  
Future Research ◽  
White Americans ◽  
Two Factors ◽  
The U.S

We have investigated the differences in support for the U.S. Supreme Court among black, Hispanic, and white Americans, catalogued the variation in African Americans’ group attachments and experiences with legal authorities, and examined how those latter two factors shape individuals’ support for the U.S. Supreme Court, that Court’s decisions, and for their local legal system. We take this opportunity to weave our findings together, taking stock of what we have learned from our analyses and what seem like fruitful paths for future research. In the process, we revisit Positivity Theory. We present a modified version of the theory that we hope will guide future inquiry on public support for courts, both in the United States and abroad.

Introduction

2017 ◽  
Author(s):  
Travis D. Stimeling
Keyword(s):  
United States ◽  
The United States ◽  
Country Music ◽  
Future Research ◽  
Music Culture ◽  
Rich Variety ◽  
Ethnographic Studies ◽  
Folklore Studies ◽  
History Of ◽  
The Rich

This chapter offers a historiographic survey of country music scholarship from the publication of Bill C. Malone’s “A History of Commercial Country Music in the United States, 1920–1964” (1965) to the leading publications of the today. Very little of substance has been written on country music recorded since the 1970s, especially when compared to the wealth of available literature on early country recording artists. Ethnographic studies of country music and country music culture are rare, and including ethnographic methods in country music studies offers new insights into the rich variety of ways in which people make, consume, and engage with country music as a genre. The chapter traces the influence of folklore studies, sociology, cultural studies, and musicology on the development of country music studies and proposes some directions for future research in the field.

Secular Living as a Context for Moral Development

2020 ◽  
pp. 612-628
Author(s):  
Phil Zuckerman ◽  
Kyle Thompson
Keyword(s):  
United States ◽  
Moral Development ◽  
Empirical Data ◽  
The United States ◽  
Future Research ◽  
Philosophical Discussion

Despite widespread suspicion to the contrary, secular living can and does serve as an adequate, or even excellent, context for moral development. In this chapter, the authors present the contours of contemporary anti-atheist prejudice, with an emphasis on the United States. Next, they explore the empirical data showing that individual atheists and highly secularized societies, such as Sweden and Denmark, are often quite moral, which serves to counter and debunk anti-atheist prejudice. Then, the authors move to a philosophical discussion centering around secular morality itself, outlining general merits of atheistic morality specifically while simultaneously pointing out various problematic assumptions of theistic morality. Finally, the authors conclude and make recommendations for future research.

scholarly journals Mathematical pattern of Kessler psychological distress distribution in the general population of the U.S. and Japan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shinichiro Tomitaka ◽  
Toshiaki A. Furukawa
Keyword(s):  
United States ◽  
General Population ◽  
National Survey ◽  
Goodness Of Fit ◽  
Quadratic Function ◽  
The United States ◽  
Depression Screening ◽  
Distribution Model ◽  
Epidemiological Surveys ◽  
Screening Scale

Abstract Background Although the 6-item Kessler psychological scale (K6) is a useful depression screening scale in clinical settings and epidemiological surveys, little is known about the distribution model of the K6 score in the general population. Using four major national survey datasets from the United States and Japan, we explored the mathematical pattern of the K6 distributions in the general population. Methods We analyzed four datasets from the National Health Interview Survey, the National Survey on Drug Use and Health, and the Behavioral Risk Factor Surveillance System in the United States, and the Comprehensive Survey of Living Conditions in Japan. We compared the goodness of fit between three models: exponential, power law, and quadratic function models. Graphical and regression analyses were employed to investigate the mathematical patterns of the K6 distributions. Results The exponential function had the best fit among the three models. The K6 distributions exhibited an exponential pattern, except for the lower end of the distribution across the four surveys. The rate parameter of the K6 distributions was similar across all surveys. Conclusions Our results suggest that, regardless of different sample populations and methodologies, the K6 scores exhibit a common mathematical distribution in the general population. Our findings will contribute to the development of the distribution model for such a depression screening scale.

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