scholarly journals The COVID-19 Pandemic: The Role of Childbirth Educators in Promoting and Protecting Breastfeeding

2020 ◽  
Vol 29 (3) ◽  
pp. 120-122 ◽  
Author(s):  
Diane L. Spatz
Keyword(s):  
United States ◽  
Human Milk ◽  
Healthcare System ◽  
International Organizations ◽  
The United States ◽  
Medical Intervention ◽  
Evidence Based

The healthcare system is being challenged in the United States and worldwide due to the pandemic of coronavirus disease 2019 (COVID-19). However, all through this pandemic, families will continue to birth children. Childbirth educators play a particularly important role in ensuring that families receive appropriate evidence-based information about human milk and breastfeeding as a lifesaving medical intervention. In the current COVID-19 crisis, breastfeeding and the provision of human milk remains recommended by national and international organizations.

scholarly journals Evaluation of United States chiropractic professional subgroups: a survey of randomly sampled chiropractors

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jordan A. Gliedt ◽  
Stephen M. Perle ◽  
Aaron A. Puhl ◽  
Sarah Daehler ◽  
Michael J. Schneider ◽  
...  
Keyword(s):  
United States ◽  
Clinical Practice ◽  
Healthcare System ◽  
Large Scale ◽  
Multinomial Logistic Regression ◽  
The United States ◽  
Chiropractic Profession ◽  
Practice Characteristic ◽  
And Behaviors

Abstract Background Professional subgroups are common and may play a role in aiding professional maturity or impeding professional legitimization. The chiropractic profession in the United States has a long history of diverse intra-professional subgroups with varying ideologies and practice styles. To our knowledge, large-scale quantification of chiropractic professional subgroups in the United States has not been conducted. The purpose of this study was to quantify and describe the clinical practice beliefs and behaviors associated with United States chiropractic subgroups. Methods A 10% random sample of United States licensed chiropractors (n = 8975) was selected from all 50 state regulatory board lists and invited to participate in a survey. The survey consisted of a 7-item questionnaire; 6 items were associated with chiropractic ideological and practice characteristics and 1 item was related to the self-identified role of chiropractic in the healthcare system which was utilized as the dependent variable to identify chiropractic subgroups. Multinomial logistic regression with predictive margins was used to analyze which responses to the 6 ideology and practice characteristic items were predictive of chiropractic subgroups. Results A total of 3538 responses were collected (39.4% response rate). Respondents self-identified into three distinct subgroups based on the perceived role of the chiropractic profession in the greater healthcare system: 56.8% were spine/neuromusculoskeletal focused; 22.0% were primary care focused; and 21.2% were vertebral subluxation focused. Patterns of responses to the 6 ideologies and practice characteristic items were substantially different across the three professional subgroups. Conclusions Respondents self-identified into one of three distinct intra-professional subgroups. These subgroups can be differentiated along themes related to clinical practice beliefs and behaviors.

scholarly journals International participation in the resolution of the Nagorno-Karabakh conflict in 1990–2020

2021 ◽  
Vol 21 (3) ◽  
pp. 365-378
Author(s):  
Vachagan A. Cholakhyan ◽  
Keyword(s):  
United States ◽  
Russian Federation ◽  
International Organizations ◽  
The United States ◽  
Peaceful Settlement ◽  
International Participation ◽  
The Russian Federation ◽  
Regional Factor

The article analyzes the mediation activities of international organizations in the Nagorno-Karabakh conflict from 1992 to 2020. The positions of the OSCE, the United States, Russia, as well as Armenia, Azerbaijan and Nagorno-Karabakh regarding the plans for a peaceful settlement of the conflict are examined. The key role of the Russian Federation as a major regional factor in the reconciliation of the warring parties and the resolution of the Nagorno-Karabakh problem is considered.

Improving informed consent by enhancing the role of nurses

2020 ◽  
pp. 096973302095637
Author(s):  
Daniel A Wilkenfeld ◽  
Grace Campbell
Keyword(s):  
United States ◽  
Informed Consent ◽  
The United States ◽  
Medical Intervention ◽  
Epistemic State ◽  
Minimal Time ◽  
Legal Perspective ◽  
Asking Questions ◽  
Trust In Physicians

From a legal perspective, before a physician engages in a serious medical intervention they must obtain informed consent. In this paper, we argue that there are serious deficits in our processes of obtaining informed consent; it is often seen as just a bureaucratic hurdle, and people agree to interventions without being in an appropriate epistemic state. We explore some possible reasons for this, including ignorance, trust in physicians’ authority, and the minimal time physicians spend with patients. We trace many of these issues to one central cause, which is that in the United States obtaining informed consent is the purview of physicians. We argue that a simple shift in how we obtain informed consent can help to ameliorate these issues. Specifically, we argue that obtaining informed consent should be the responsibility of nurses rather than physicians. While there are several reasons for this, the central ideas are that (1) since nurses are the ones who know the patient, they will be in better position to tell when patients are genuinely informed, and (2) patients will be more comfortable asking questions and admitting ignorance to nurses rather than physicians. While we focus on US law, our conclusions are more broadly applicable.

United States National Security Policy and International Organizations: A Critical View of the Literature

1969 ◽  
Vol 23 (3) ◽  
pp. 755-765 ◽  
Author(s):  
David A. Kay
Keyword(s):  
United States ◽  
National Security ◽  
International Organizations ◽  
Security Policy ◽  
Political System ◽  
The United States ◽  
Security Strategy ◽  
National Security Strategy ◽  
The Impact

This review essay will focus on four central questions which the author believes to be closely related to the problem of progress in the study of international organizations. These questions, narrowed to fit the scope of this essay, are the following: 1) What has been the role of international organizations in the national security strategy of the United States; 2) what has been the impact of the United States in the international organizations of which it is a member; 3) what has been the impact of participation in international organizations on the range of United States choices and methods in the foreign policy area; 4) what impact have changes in the shape of the international political system had upon United States participation in international organizations and upon those organizations' impact on the United States. This analysis will concentrate only on studies relevant to these themes.

scholarly journals US Leadership and the International Refugee Regime

Refuge ◽  
2017 ◽  
Vol 33 (1) ◽  
pp. 18-28 ◽  
Author(s):  
Susan F. Martin ◽  
Elizabeth Ferris
Keyword(s):  
United States ◽  
Foreign Policy ◽  
International Organizations ◽  
The United States ◽  
Us Foreign Policy ◽  
Strong Link ◽  
The Us ◽  
Us Government ◽  
International Refugee Regime

This article examines the role of the United States in the international refugee regime. It argues that the United States generally leads in assistance and protection of refugees and displaced persons when three conditions are present: a strong link to US foreign policy; clear and highly visible humanitarian needs and important domestic constituencies in support of action; and strong congressional support. The United States manifests its leadership through its financial contributions, as the largest donor to the array of international organizations with responsibilities in this area; resettlement of the refugees; and the use of the convening power of the US government. Nevertheless, there are reasons to be cautious about US leadership. While it is unlikely that the United States will soon lose its status as principal donor and principal strategist on tackling displacement, its ability to generate new resettlement offers is less clear, as is its ability to increase its own resettlement levels. The asylum system still has significant gaps, making it difficult for the United States to lead by example.

Examining the policies of paroling authorities in the United States to support evidence-based practices

2020 ◽  
Vol 12 (3) ◽  
pp. 182-199
Author(s):  
Erin Harbinson ◽  
Ebony Ruhland
Keyword(s):  
United States ◽  
The United States ◽  
Community Supervision ◽  
Evidence Based ◽  
Supporting Evidence ◽  
Evidence Based Practices ◽  
Survey Results ◽  
Selection Of ◽  
Support Evidence

While much research in community corrections examines ways in which direct supervision can reduce recidivism, less is known about the role of paroling authorities in using or supporting evidence-based practices. This study presents a selection of results from a survey of paroling authorities across the United States conducted in 2015. We analyze and discuss survey results on the following three topics: (1) What is the structure and power/authority of the paroling authorities? (2) What are the appointments and requirements of paroling authorities? and (3) What evidence-based practices are paroling authorities utilizing? These results demonstrate the state of evidence-based practices in parole decision-making and illustrate ways in which paroling authorities can implement policies and practices that promote sustainability of evidence-based practices in community supervision. The findings indicate that many paroling authorities have adopted policies supportive of evidence-based practices; however, there are some areas in which parole can create continuity and promote better application of them.

440: Barriers to the Practice of Evidence Based Urology in the United States

2007 ◽  
Vol 177 (4S) ◽  
pp. 147-148
Author(s):  
Philipp Dahm ◽  
Hubert R. Kuebler ◽  
Susan F. Fesperman ◽  
Roger L. Sur ◽  
Charles D. Scales ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Evidence Based
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