Time to Medical Help-Seeking for Adults Who Experience Symptoms of Stroke in a California-Mexico Border Region

2021 ◽  
Author(s):  
◽  
Jean Rockwell
2016 ◽  
Vol 106 (1) ◽  
pp. 119-127 ◽  
Author(s):  
Guilherme Borges ◽  
Cheryl J. Cherpitel ◽  
Ricardo Orozco ◽  
Sarah E. Zemore ◽  
Lynn Wallisch ◽  
...  

2017 ◽  
Vol 16 (5) ◽  
pp. 520-527 ◽  
Author(s):  
Eunjeong Ko ◽  
Jaehoon Lee ◽  
Carlos Ramirez ◽  
Denicka Lopez ◽  
Stephanie Martinez

AbstractObjective:Family caregivers play an important role in end-of-life (EoL) decision making when the patient is unable to make his/her own decisions. While communication about EoL care between patients and family is perhaps a first step toward advance care planning (ACP)/EoL decisions, not every culture puts great value on open communication about this topic. The aims of the present study were to explore EoL communication and the aspects of communication among caregivers of Latino patients in the rural United States (U.S.)–Mexico border region.Method:This study analyzed data from a hospice needs assessment collected from 189 family caregivers of Latino patients at a home health agency in a rural U.S.–Mexico border region. Bivariate tests and logistic regression were used to address our aims.Results:About half of the family caregivers (n = 96, 50.8%) reported to have ever engaged in EoL discussion with patients. Significant predictors of EoL discussion included life-sustaining treatment preference (odds ratio [OR] = 0.44, p < 0.05); knowledge of an advance directive (AD) (OR = 5.50, p < 0.01); and distrust of physicians (OR = 0.29, p < 0.01). Caregivers who preferred extending the life of their loved one even if he/she had to rely on life supports were less likely to engage in EoL communication. Also, caregivers who worried that physicians might want to stop treatments (i.e., “pull the plug”) too soon were less likely to do so. Conversely, caregivers who had knowledge about ADs were more likely to engage in EoL communication.Significance of Results:EoL communication is a complex process influenced by individual, social, and cultural values and the beliefs of both the patient and his/her family. Inclusion of family caregivers in the ACP process and facilitating culturally tailored EoL communication between patients and family caregivers is important.


2010 ◽  
Vol 1278 ◽  
Author(s):  
L. E. Rendon ◽  
M. E. Lara ◽  
S. K. Rendon ◽  
M. Rendon ◽  
X. Li

AbstractConcrete biodeterioration is defined as the damage that the products of microorganism metabolism, in particular sulfuric acid, do to hardened concrete. In Canada and in the northern part of the United States, sewer failures from concrete biodeterioration are almost unknown. In the southern part of the United States and in Mexico, however, it is a serious and expensive problem in sewage collection systems, which rapidly deteriorate. Also, leaking sewage systems result in the loss of groundwater resources particularly important in this arid region. Almost every city in the Mexican-American border region, who's combined population is more than 15 million people, faces this problem. The U.S. cities have made some provision to face these infrastructure problems, but the Mexican cities have made less effort. We recommend here the Mexican norm (NMX-C-414-ONNCCE-2004) [1] to be reviewed, or at least that a warning be issued as a key measure to avoid concrete biodeterioration.


2020 ◽  
Vol 11 (7) ◽  
pp. 1011-1021
Author(s):  
Daniel N. Jones ◽  
Adon L. Neria ◽  
Farzad A. Helm ◽  
Reza N. Sahlan ◽  
Jessica R. Carré

Agentic self-enhancement consists of self-protective and self-advancing tendencies that can lead to aggression, especially when challenged. Because self-enhancers often endorse aggression to defend or enhance the self-concept, religious self-enhancement should lead to endorsing aggression to defend or enhance one’s religion. We recruited three samples ( N = 969) from Mechanical Turk ( n = 409), Iran ( n = 351), and the U.S.–Mexico border region ( n = 209). We found that religious (but not secular) self-enhancement in the form of religious overclaiming predicted support for, and willingness to engage in, religious aggression. In contrast, accuracy in religious knowledge had mostly negative associations with aggression-relevant outcomes. These results emerged across two separate religions (Christianity and Islam) and across three different cultures (the United States, Iran, and the U.S.–Mexico border region). Thus, religious overclaiming is a promising new direction for studying support for religious aggression and identifying those who may become aggressive in the name of God.


2007 ◽  
Vol 5 (1) ◽  
pp. 39-54 ◽  
Author(s):  
Melinda J. Ickes ◽  
Manoj Sharma

A variety of environmental health issues occur within homes along the US/Mexico border region. Individuals living in this region are often not aware that specific issues, including pesticide safety, occur in their homes and may not understand the potential adverse effects of pesticide use on their families’ health. The Environmental Health/Home Safety Education Project created by the Southern Area Health Education Center at New Mexico State University, utilizes promotoras (community health workers) to educate clients on pesticide safety issues. Data from 367 pre/post tests and home assessments were collected from 2002-2005. The data were analyzed to detect changes in clients’ knowledge or behavior as they related to protecting themselves and their families against unsafe pesticide use and storage. Statistically significant changes occurred with both knowledge and behavior in regards to safe pesticide use. Through this culturally appropriate intervention, the promotoras provide practical information allowing clients to make their homes safer.


2021 ◽  
Author(s):  
James Callegary ◽  
Anne-Marie Matherne ◽  
Sandra Owen-Joyce ◽  
Elia Tapia Villaseñor ◽  
Amy Rosebrough ◽  
...  

&lt;p&gt;Four US and six Mexican border states share significant interconnections in terms of trade, jobs, energy production, manufacturing, and natural resources such as water. The border states have a mutual interest in characterizing groundwater resources shared between the US and Mexico, a task made difficult by scarcity of information. To address this challenge, a number of US and Mexican federal agencies and universities via the Transboundary Aquifer Assessment Program (TAAP) have come together to jointly study the shared groundwater resources of the border region, and to develop the information needed by cities, states, industries and local communities to support decision making and land management.&lt;/p&gt;&lt;p&gt;Investigations of four binational aquifers selected in the first phase of TAAP are in progress. Carrying out these investigations has created a cohesive binational multi-institutional team of social and physical scientists and established relationships with a broad network of stakeholders. Completed products relevant to the present work include: (1) analysis of the availability and integration potential of binational data sets, (2) aquifer assessments including a review of US-Mexico aquifer classifications (3) development of water-balance models, (4) analysis of aquifer vulnerability to contamination, and (5) a set of protocols and agreements that address the specific physical, legal, cultural, and institutional setting of the US-Mexico border.&lt;/p&gt;&lt;p&gt;Additional aquifers along the border (estimates of the total range from of 8 to 38) could be investigated, but there are questions as to how to define them, which to choose, and what types of studies are needed. To help answer these questions, we developed a pilot project to investigate and develop methods and tools to assist decision makers and land managers in prioritizing additional aquifers for investigation along the US-Mexico border. First is an approach for rapid assessment of additional aquifers using existing data, published literature, and simple analytical tools including conceptual hydrogeologic model development and precipitation-groundwater lag-correlation analysis. Second, a groundwater modeling platform was developed for use by stakeholders for both learning and planning. Third, in preparation for stakeholder ranking of aquifers for investigation, we conducted a review of multicriteria decision analysis (MCDA) as applied to coupled human-natural resource systems and a review of real-world examples of aquifer prioritization schemes used by governmental entities. Finally, an assessment of uncertainty with respect to knowledge about and trajectory of the coupled human-biophysical system was carried out to aid in stakeholder discussions of prioritization criteria and weighting schemes. These results and tools can be used to support prioritization of any set of aquifers. However, some are specifically designed to address transboundary aquifers and will be used to inform binational discussions regarding prioritization of future aquifer investigations along the US-Mexico border.&lt;/p&gt;


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