Patient assessment of engagement with students in an interprofessional student-run free clinic for individuals experiencing homelessness

The development and validation of a patient exit interview tool, the Interprofessional Clinic Homeless Satisfaction with Student Engagement Survey (ICHSES), and its incorporation in the administration of an interprofessional, co-curricular program, the Community Homeless Interprofessional Program (CHIP) is described. Incorporation of patient satisfaction with student engagement during interprofessional training experiences serving individuals who are homeless has not been previously published. At CHIP, medical, pharmacy and social work students engage with individuals experiencing homelessness in a church and faculty-supervised environment. The students provide basic health assessment, education, and referrals to community resources. Once the interaction with the students is complete, patients are asked to participate in an exit-interview using the ICHSES. Questions in the ICHSES focus on engagement with the students and the patient’s perception of the assistance they received. Based on survey responses by 220 patients, the 5 question ICHSES showed high reliability (Cronbach’s alpha?=?0.77). The ICHSES survey could be utilized in similar clinics engaged in serving the homeless.     

Has immigration affected Spanish presidential elections results?

Between 1998 and 2008, the immigrant share in Spain jumped from less than 3 % to more than 13 %. We provide bounds on the effect of immigration inflows on natives’ election outcomes by considering alternative assumptions about nationalized immigrants’ participation rates and voting behavior. We find that Latin-American immigration increased natives’ participation rate and their support for the major leftist party (Socialist Workers’ Party) over the major conservative party (People’s Party (PP)). Conversely, African immigration only increased natives’ support for anti-immigration formations relative to the PP while leaving unaffected their participation rate. The estimated effects are of modest size in all cases. We provide suggestive evidence that economic factors cannot account for such a heterogeneity in the effects of interest by immigrants’ ethnic groups. We argue that Spanish natives’ attitudes towards immigrants are mainly driven by noneconomic factors like dissimilarities between natives and immigrants in language, religion, and race.     

The Negative Effects of Populism on Gay and Lesbian Rights*

Objective. The objective of this article is to examine the degree to which populist features of state governments affect minority interests, particularly gays, lesbians, and bisexuals (GLB) Method. We examine the effects of specific institutional features that affect state government responsiveness to majority preferences on GLB policies: bans on same‐sex marriage and hate crime. We also control for variations in political environment. Results. Features that increase popular control over policy making and policymakers advance anti‐GLB policies but have little effect on pro‐GLB policies; however, legislative term limits have the opposite effect. Further, constituency size and senators' term length increases both types of policies. Conclusions. The findings indicate that an unpopular minority is likely to be harmed by populist features that increase the role of citizens and may be helped by features that shield legislators from majoritarian preferences.     

Predictors of suspension and negative school outcomes: a longitudinal investigation

Research suggests that suspension is not an effective deterrent and that more should be done to meet the needs of those who are continually suspended.     

Probabilistic Health Risk Assessment for Exposures to Estuary Sediments and Biota Contaminated with Polychlorinated Biphenyls, Polychlorinated Terphenyls and Other Toxic Substances

A Latin Hypercube probabilistic risk assessment methodology was employed in the assessment of health risks associated with exposures to contaminated sediment and biota in an estuary in the Tidewater region of Virginia. The primary contaminants were polychlorinated biphenyls (PCBs), polychlorinated terphenyls (PCTs), polynuclear aromatic hydrocarbons (PAHs), and metals released into the estuary from a storm sewer system. The exposure pathways associated with the highest contaminant intake and risks were dermal contact with contaminated sediment and ingestion of contaminated aquatic and terrestrial biota from the contaminated area. As expected, all of the output probability distributions of risk were highly skewed, and the ratios of the expected value (mean) to median risk estimates ranged from 1.4 to 14.8 for the various exposed populations. The 99th percentile risk estimates were as much as two orders of magnitude above the mean risk estimates. For the sediment exposure pathways, the stability of the median risk estimates was found to be much greater than the stability of the expected value risk estimates. The interrun variability in the median risk estimate was found to be +/-1.9% at 3000 iterations. The interrun stability of the mean risk estimates was found to be approximately equal to that of the 95th percentile estimates at any number of iterations. The variation in neither contaminant concentrations nor any other single input variable contributed disproportionately to the overall simulation variance. The inclusion or exclusion of spatial correlations among contaminant concentrations in the simulation model did not significantly effect either the magnitude or the variance of the simulation risk estimates for sediment exposures.     

Parallel Process of Posttraumatic Stress and Externalizing Problems Among Youth at High Risk for Victimization

Research shows comorbidity between posttraumatic stress symptoms (PTSS) and externalizing problems among polyvictimized youth. However, the impact of polyvictimization on the longitudinal co-development of PTSS and distinct forms of externalizing problems remains unclear. Growth trajectory modeling was used to address this gap. At ages 8, 12, and 16, polyvictimization was measured using youth, caregiver, and official records; whereas youth self-reported PTSS and caregivers reported aggression and delinquency. Results demonstrate that changes in PTSS and each externalizing domain were independent. Further, polyvictimization and PTSS/aggression were only associated at concurrent time points. In contrast, polyvictimization and delinquency were generally associated at concurrent and distal time points, suggesting that polyvictimization may have a more enduring impact on youths' delinquent behaviors than other symptoms.