Building Safe Didactic Dialogues for Action Model: Mobilizing
Community with Micronesian Islanders

Background: Despite mandates by the United States (U.S.) government to ensure the inclusion of women and minorities in federally funded research, communities of color continue to participate less frequently than non-Latinx Whites. There is limited research that examines maternal health outcomes and early childhood resources. Pacific Islanders (PI) have grown substantially in a county in the Pacific Northwest region of the U.S. (from 4,419 to 9,248, of which 52% are female). About 62.7% of PI women are not accessing prenatal care in the first trimester, and this is substantially higher than the national target of 22.1%. Researchers found that PI children are leaving school to take care of family obligations. The purpose of the educational innovative project, Building Safe Didactic Dialogues for Action model, was to respond to Micronesian Islanders (MI) parent leaders’ need to feel safe and to build a close kinship to encourage dialogue about difficult topics regarding access and utilization of early education systems and prenatal/perinatal health for community-driven model for action planning and solutions. Approach: Popular education tenets were used in the project to be culturally sensitive to the human experience. The MI community health worker outreached to MI parent leaders in an urban area in the Pacific Northwest region of the U.S. Eight partners participated in this project: parent leaders from the MI community-at-large, community partners from the MI Community organization, and academic nurse researchers. Didactic dialogues lasted two hours per session for four. Topics included: collaborative agreements, MI parent leaders’ identified needs and existing resources regarding preschool and immunization, parent–child relationship (stress and trauma, adverse childhood experiences), and MI experience regarding prenatal care access and postpartum depression. Group discussion on reflection was used to evaluate utility. Outcomes: Building Safe Didactic Dialogues for Action model was foundational via mobilizing community with MI, trust and rapport building, and engaging in a safe and courageous space for dialogues for action planning and solutions as community and academic partners as stakeholders. Conclusion: Many previously unspoken issues such as abuse, language, and cultural beliefs including barriers were openly shared among all partners. Dynamic thoughts towards identifying needs for change and then planning steps toward creating positive change created an atmosphere of empowerment for change.

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Cultural Narratives of Micronesian Islander Parent Leaders: Maternal and Children's Health, the School System, and the Role of Culture

Asian/Pacific Island Nursing Journal ◽

10.31372//20190404.1078 ◽

2020 ◽

Vol 4 (4) ◽

pp. 173-182

Author(s):

Connie Kim Yen Nguyen-Truong ◽

Jacqueline Leung ◽

Kapiolani Micky

Keyword(s):

Pacific Northwest ◽

School System ◽

The United States ◽

Pacific Islanders ◽

Children's Health ◽

Children’S Health ◽

Care Providers ◽

The Pacific ◽

Parent Leaders ◽

The U.S

Background: In Oregon in the United States’ Pacific Northwest, Native Hawaiians/ Pacific Islanders including Micronesian Islanders (MI) substantially grew by 68%; however, research is sparse. This is often due to data aggregation as Asian and Pacific Islanders and community members’ reluctance and wariness to participate in research due to a history of unethical research in the Pacific. The MI community experienced miscarriages, stillbirths, and mental intellectual and developmental disabilities. Organizational MI community leaders expressed a need to explore the voices of MI parent leaders. The purpose of the qualitative descriptive pilot study was to explore the perceptions and experiences of Micronesian Islander parent leaders (MIPL) with maternal and children’s health, the school system, and the influence of culture. Methods: A trained MI community health worker recruited eight MIPL from an urban area of the Pacific northwest in the U.S. A group level assessment included illustrative storytelling and is a participant-driven qualitative method that guided data collection and analysis in real-time with MIPL. The discussions lasted for 90 minutes. MIPL shared stories by writing and drawing pictures onto the flip chart papers, transcribed main points, and analyzed the data with researchers. Researchers recorded field notes of the interactions. Researchers debriefed with MIPL to assure trustworthiness and credibility of the findings. Findings: MIPL are Compact of Free Association citizens. Their age ranged from 26 to 42 years, have lived in the U.S. an average of 12.63 years, and most reported having less than $15,000 total household income before taxes. Four main themes were identified: MI cultural identity, English language and MI culture disharmony, zero or delayed prenatal care, and uncertainty for the future of MI children who have disabilities or developmentally delayed as they progress through the school system. Conclusion: Health care providers including nurses and school officials need to have a culturally specific understanding of the MI community and must consider their needs, culture, and language barriers.

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Understanding Decision Making by Families About Youth Football Participation Postconcussion

Health Promotion Practice ◽

10.1177/1524839920945255 ◽

2020 ◽

pp. 152483992094525

Author(s):

Emily Kroshus ◽

Deborah Bowen ◽

Douglas Opel ◽

Sara P. D. Chrisman ◽

Frederick P. Rivara

Keyword(s):

Pacific Northwest ◽

Decision Aid ◽

Sports Participation ◽

The United States ◽

Football Players ◽

Contact Sport ◽

Sample Mean ◽

Youth Football ◽

The Pacific ◽

Northwest Region

Many families are concerned about their child’s risk of concussion, and some seek counsel from clinicians about whether or not to return to contact sports participation postinjury. The present study sought to identify factors that parents weight most heavily in forming their preferences regarding whether their child should return to contact sport after recovering from a concussion. Survey data were collected from 568 parents of youth football players (aged 7–14 years) in the Pacific Northwest region of the United States (73% response rate). Approximately two thirds (63%) of parents preferred that their child retire from football after one or two concussions. Multivariable linear regression indicated parents above the sample mean in terms of how strongly they valued football participation preferred their child stop after more concussions than parents below the sample mean (β = .44, standard error [SE] = 0.06, p < .001). Factors endorsed by the most parents as making them “much more likely” to want their child to stop playing football included the belief that their child will experience cognitive issues later in life as a result of concussions (65.0%) and that their child will get another concussion while playing football (43.5%). Within the context of a clinical visit postconcussion, physicians may need to help families clarify their values related to football participation and provide information about the potential outcomes of returning to contact sport. A formalized shared decision aid could help support consistent implementation of this potentially challenging conversation.

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Mapping “At Risk” Snow in the Pacific Northwest

Journal of Hydrometeorology ◽

10.1175/jhm543.1 ◽

2006 ◽

Vol 7 (5) ◽

pp. 1164-1171 ◽

Cited By ~ 138

Author(s):

Anne W. Nolin ◽

Christopher Daly

Keyword(s):

At Risk ◽

Snow Cover ◽

Pacific Northwest ◽

Climate Warming ◽

The United States ◽

Cold Climate ◽

Temperature Threshold ◽

Precipitation Regime ◽

The Pacific ◽

Northwest Region

Abstract One of the most visible and widely felt impacts of climate warming is the change (mostly loss) of low-elevation snow cover in the midlatitudes. Snow cover that accumulates at temperatures close to the ice-water phase transition is at greater risk to climate warming than cold climate snowpacks because it affects both precipitation phase and ablation rates. This study maps areas in the Pacific Northwest region of the United States that are potentially at risk of converting from a snow-dominated to a rain-dominated winter precipitation regime, under a climate-warming scenario. A data-driven, climatological approach of snow cover classification is used to reveal these “at risk” snow zones and also to examine the relative frequency of warm winters for the region. For a rain versus snow temperature threshold of 0°C the at-risk snow class covers an area of about 9200 km2 in the Pacific Northwest region and represents approximately 6.5 km3 of water. Many areas of the Pacific Northwest would see an increase in the number of warm winters, but the impacts would likely be concentrated in the Cascade and Olympic Ranges. A number of lower-elevation ski areas could experience negative impacts because of the shift from winter snows to winter rains. The results of this study point to the potential for using existing datasets to better understand the potential impacts of climate warming.

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Outlier-resistant estimators for Poisson sampling: a note

Canadian Journal of Forest Research ◽

10.1139/x98-050 ◽

1998 ◽

Vol 28 (5) ◽

pp. 794-797 ◽

Cited By ~ 3

Author(s):

Michael S Williams ◽

Hans T Schreuder

Keyword(s):

Pacific Northwest ◽

The United States ◽

Small Population ◽

Usual Estimator ◽

The Pacific ◽

Realistic Situation ◽

Data Points ◽

Generalized Regression Estimator ◽

Northwest Region ◽

Standing Timber

Poisson (3P) sampling is a commonly used method for generating estimates of timber volume. The usual estimator employed is the adjusted estimator, Y hata. The efficiency of this estimator can be greatly influenced by the presence of outliers. We formalize such a realistic situation for high-value timber estimation for which Y hata is inefficient. Here, yi approx beta xi for all but a few units in a population for which yi is large and xi very small. This situation can occur when estimating the net volume of high-value standing timber, such as that found in the Pacific Northwest region of the United States. A generalized regression estimator and an approximate Srivastava estimator are not affected by such data points. Simulations on a small population illustrate these ideas.

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Coast-to-coast spread of SARS-CoV-2 in the United States revealed by genomic epidemiology

10.1101/2020.03.25.20043828 ◽

2020 ◽

Cited By ~ 12

Author(s):

Joseph R. Fauver ◽

Mary E. Petrone ◽

Emma B. Hodcroft ◽

Kayoko Shioda ◽

Hanna Y. Ehrlich ◽

...

Keyword(s):

United States ◽

Pacific Northwest ◽

The United States ◽

International Travel ◽

Viral Genomes ◽

Genomic Epidemiology ◽

The Pacific ◽

Travel Restrictions ◽

Novel Coronavirus ◽

The U.S

SummarySince its emergence and detection in Wuhan, China in late 2019, the novel coronavirus SARS-CoV-2 has spread to nearly every country around the world, resulting in hundreds of thousands of infections to date. The virus was first detected in the Pacific Northwest region of the United States in January, 2020, with subsequent COVID-19 outbreaks detected in all 50 states by early March. To uncover the sources of SARS-CoV-2 introductions and patterns of spread within the U.S., we sequenced nine viral genomes from early reported COVID-19 patients in Connecticut. Our phylogenetic analysis places the majority of these genomes with viruses sequenced from Washington state. By coupling our genomic data with domestic and international travel patterns, we show that early SARS-CoV-2 transmission in Connecticut was likely driven by domestic introductions. Moreover, the risk of domestic importation to Connecticut exceeded that of international importation by mid-March regardless of our estimated impacts of federal travel restrictions. This study provides evidence for widespread, sustained transmission of SARS-CoV-2 within the U.S. and highlights the critical need for local surveillance.

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Television for the Peace Arch Country: Transnational Broadcasting History in the Pacific Northwest

Television & New Media ◽

10.1177/1527476418824299 ◽

2019 ◽

Vol 21 (5) ◽

pp. 510-529

Author(s):

Helen Morgan Parmett

Keyword(s):

Pacific Northwest ◽

Liberal Democracy ◽

Television Station ◽

Cross Border ◽

International Broadcasting ◽

The Pacific ◽

Northwest Region ◽

The U.S

This article contributes to international broadcasting history through a case study of a local, independent television station in the Pacific Northwest. KVOS-TV was one of a few stations on the U.S./Canadian border that sought out a cross-border audience, but it is unique in its efforts to produce programming to bridge these audiences into a unified viewing public that it termed the Peace Arch Country. The station’s international programming constituted its viewing public as translocal citizens in ways that supported the broader global ambitions of the Pacific Northwest region, as well as responded to and promoted the global ambitions of western liberal democracy and capitalism in the fight against Communism. KVOS-TV’s constitution of Peace Arch citizenship shows how television was a tool for creating translocal citizens, educating and governing them from a distance.

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Professional Development Opportunities Provided by Consortia

Adult and Continuing Education ◽

10.4018/978-1-4666-5780-9.ch084 ◽

2014 ◽

pp. 1475-1495 ◽

Cited By ~ 1

Author(s):

Tami Echavarria Robinson

Keyword(s):

Professional Development ◽

Continuing Education ◽

Pacific Northwest ◽

The United States ◽

Time Period ◽

The Pacific ◽

Inland Northwest ◽

Long Time ◽

History Of ◽

Northwest Region

Continuing education for librarians and library staff is a need all libraries must consider for the effective professional development of their human resources and the functioning of their libraries. Similar concerns regarding the needs and barriers to obtaining ongoing continuing education are found across different types of libraries and in different regions of the country. Although studied separately and in different regions of the country, among concerns of library school media specialists documented in studies, results are similar to those revealed in a survey of Inland Northwest Library Council (INCOL) librarians in public, academic, and special libraries. Consortia offering continuing education are not well documented in the literature, but examples that exist reveal a feasible, collaborative, effective resource as a means to provide for these needs in member libraries. The history of these consortia is not only important as a means of documentation of their existence, but more so of their value and usefulness proven over a long time period. INCOL, in the Inland Northwest region of the Pacific Northwest of the United States, is a model of such a consortium that continues to be relevant after more than 30 years of offering ongoing continuing education to its constituency.

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