Phillips Community College of the University of Arkansas

The Affordable Care Act of 2010 builds on earlier efforts to expand home and community-based alternatives to institutional long-term care. Identifying people living in the community who have unmet long-term care needs and who may be at risk for entering nursing homes may be crucial to these efforts. The Arkansas Community Connector Program used specially trained community health workers to identify such people in three disadvantaged counties and connect them to Medicaid home and community-based services. The result was a 23.8 percent average reduction in annual Medicaid spending per participant during the period 2005-08. Net three-year savings to the Arkansas Medicaid program equaled $2.619 million. Similar interventions may help other localities achieve cost-saving and equitable access to publicly funded long-term care options other than institutional care.

An abscission agent (5-chloro-3-methyl-4-nitro-1 H -pyrazole [CMNP]) at 300 mg·L –1 in a volume of 2810 L·ha –1 was applied to Valencia orange trees [ Citrus sinensis (L.) Osb.] on 22 May 2004. At this time, immature and mature fruit were present on the tree simultaneously. Three days after application, fruit were mechanically harvested using a trunk-shake-and-catch system. The power to the shaker head was operated at full- or half-throttle (FT or HT, respectively), and the duration of trunk shaking was 2 seconds at FT or 4 seconds at FT and HT. Mature fruit removal percentage and number of immature fruit removed, and fruitlet weight and diameter were determined. Mature fruit removal percentage with 2 seconds at FT or 4 seconds at FT harvesting ±CMNP, or 4 seconds at HT + CMNP was not significantly different and ranged between 89% to 97%. Harvesting at 4 seconds HT without CMNP removed significantly less mature fruit than any treatment. CMNP did not affect immature fruit removal by the trunk shaker. Harvesting at 4 seconds at HT removed significantly less immature fruit than 2 seconds at FT or 4 seconds at FT. No significant difference in fruitlet weight or diameter was measured between any trunk shaker harvest operation and CMNP treatment. Trunk shaking frequency was estimated to be 4.8 and 8.0 Hz at HT and FT, respectively. Yield in 2005 was determined on the same trees used for harvest treatments in 2004. CMNP did not impact yield. No significant difference in yield was seen between the hand-picked control and 4 seconds at HT, whereas yield in the remaining treatments was lower. The results demonstrate that CMNP application combined with low frequency trunk shaker harvesting can achieve high percentage of mature fruit removal with no significant impact on return yield of the following crop.

The governmental change which took place in Portugal after 2011 was far more than just a new episode in the typical rotation between the two major political parties given that it occurred whilst the country was initiating a three year period of external financial control. As such the three political forces actively engaged in this rough transition have consistently pursued a stern austerity strategy imposed by creditors. This uneven platform (shaped by submission rather than by accord) has been the breeding ground for a discourse centred on the existence of a broad national consensus in support of the adopted draconian austerity measures. Irruptions of dissent have been met with contempt and have been dismissed as self-interested opinions or even as anti-patriotic. This article has four main parts. In the first one, the fundamental features of the economic and financial crisis and its consequences will be presented. In the second part, the political impacts and challenges of the crisis will be scrutinised. The political and economic impact is closely articulated with the current situation of mainstream media that is presented in the third part of the paper. As we will see in the last part of this article, a particular combination of factors in a country without financial sovereignty has created the perfect conditions for media reproduction of the government and creditors' discourses.

Too often, populations experiencing the greatest burden of disease and disparities in health outcomes are left out of or ineffectively involved in academic-led efforts to address issues that impact them the most. Community-based participatory research (CBPR) is an approach increasingly being used to address these issues, but the science of CBPR is still viewed by many as a nascent field. Important to the development of the science of CBPR is documentation of the partnership process, particularly capacity building activities important to establishing the CBPR research infrastructure. This paper uses a CBPR Logic Model as a structure for documenting partnership capacity building activities of a long-term community-academic partnership addressing public health issues in Arkansas, U.S. Illustrative activities, programs, and experiences are described for each of the model's four constructs: context, group dynamics, interventions, and outcomes. Lessons learned through this process were: capacity building is required by both academic and community partners; shared activities provide a common base of experiences and expectations; and creating a common language facilitates dialogue about difficult issues. Development of community partnerships with one institutional unit promoted community engagement institution-wide, enhanced individual and partnership capacity, and increased opportunity to address priority issues.

Devastating health-related disparities driven by an entanglement of factors disproportionately impact the underserved, low-wealth, and minority community of Phillips county (PC) in the Arkansas Delta Region (ADR). Cardiovascular disease continues to increase with widespread consequences on the local economy, health care systems, and population. Health care and community-based systems have been unsuccessful in reducing out-of-hospital cardiac death, particularly in the ADR, for many reasons. Herein, we share the strategy behind, planning, and goals of The Arkansas Lincoln Project, a novel neighborhood-based strategy bridging the gap between residents, social resources, and health care services in PC.

Background: To address the high prevalence of health disparities and lack of research opportunities among rural and minority communities, the University of Arkansas for Medical Sciences (UAMS) developed the Rural Research Network in January 2020. Aim: The aim of this report is to describe our process and progress in developing a rural research network. The Rural Research Network provides a platform to expand research participation opportunities to rural Arkansans, many of whom are older adults, low-income individuals, and underrepresented minority populations. Methods: The Rural Research Network leverages existing UAMS Regional Programs family medicine residency clinics within an academic medical center. Results: Since the inception of the Rural Research Network, research infrastructure and processes have been built within the regional sites. Twelve diverse studies have been implemented with recruitment and data collection from 9248 participants, and 32 manuscripts have been published with residents and faculty from the regional sites. Most studies were able to recruit Black/African American participants at or above a representative sample. Conclusions: As the Rural Research Network matures, the types of research will expand in parallel with the health priorities of Arkansas. Relevance to Patients: The Rural Research Network demonstrates how Cancer Institutes and sites funded by a Clinical and Translational Science Award can collaborate to expand research capacity and increase opportunities for research among rural and minority communities.

Students at a state university (N = 583) and a nearby community college (N = 229) in a Southeastern state rated the ethicality and reported the occurrence of 15 behaviors related to student‐faculty sexual intimacy. The overt, covert, and ambiguous sexual behaviors were phrased in a nonpersonalized or a personalized manner. Students from both schools offered similar ethicality ratings and occurrence reports. The women's reports of personal sexual involvement with faculty members were consistent with previously reported incidence rates. However, the men's reports of such involvement were considerably higher than those reported in the literature. Limited participant gender differences were found in the ethicality ratings and the occurrence reports. Both ethicality ratings and occurrence reports were significantly related to the manner of questioning. An ethicality hierarchy for student‐faculty sexual intimacy was found, with overt behaviors perceived as most ethically inappropriate and ambiguous behaviors as least ethically inappropriate. The results have serious implications for both students and faculty and learning opportunities.

Abstract Many public two‐year colleges have established off‐campus programs in the past decade to serve the changing educational needs of their constituencies. Because existing literature lacks descriptive data about such expansions, this study was undertaken to provide a broad view of off‐campus programs across the country. Questionnaires were returned by 439 institutions representing all 50 states. Data were supplied about student characteristics, program locations, types of curricula, funding support, and locus of program administration. Colleges supplying enrollment figures served nearly 700,000 off‐campus students in 1981‐82. Most state legislatures endorse and, to varying degrees, fund off‐campus programs. Community college administrators are urged to monitor such responses. Further data collection and research are recommended.

1Director of Nursing, Phillips County Community College, Helena, Arkansas 2Instructor, Phillips County Community College, Helena, Arkansas

El desarrollo de la Sociedad de la Información ha propiciado en los últimos años, la continuidad de cambios de paradigmas con respecto la gestión de documentos, condicionado por el propio desarrollo de las organizaciones y las exigencias del entorno económico y social. La gestión de documentos, resulta una oportunidad de alto valor para cualquier organización, ante la necesidad de ejercer la toma de decisiones y acometer procesos de la administración, basados en la evidencia documental, con la garantía de una mayor transparencia y credibilidad. En el cumplimiento de este propósito, se reconocen los esfuerzos de investigación, en la búsqueda de diversas soluciones para atender las exigencias de la gestión documental en los escenarios de la administración pública y de los negocios. El presente trabajo, pone a consideración algunas ideas acerca del desarrollo de un modelo para la gestión documental para la empresa estatal cubana, en respuesta a las exigencias de la actualización del modelo económico cubano actual.

The cosmic microwave background polarization is rich of cosmological information complementary to those from temperature anisotropies. Linear polarization can be decomposed uniquely in two components of opposite parities, called E and B. While E mode allows measurement of cosmological parameters in a way independent from temperature, B mode allows to detect the primordial gravitational waves produced during inflation, and thus to determine its energy scale. However, measuring CMB polarization is complicated by foregrounds, whose polarization is poorly known, and by systematic effects, which mainly affects B mode measurement because of its low level. As an example, we show here the effect of beams uncertainty on polarization measurement in the case of the Planck HFI instrument, and how we can correct for it.

Esta investigación ofrece un ejemplo de la presentación de la teoría de Erving Goffman de sí mismo y el análisis de la crisis de identidad en los personajes de Home Fire (2017). Esta investigación describe la realidad de la sociedad moderna y el problema de identidad, a través de la novela de Kamila Shamsie. Los personajes luchan en este mundo materialista por su identidad y se discute cómo adoptan diferentes personajes para sus presentaciones, cambiando de situación a situación y de audiencia a audiencia. Esta investigación analiza el proceso de adopción de personajes que luchan por tallar su verdadero yo para presentarlo perfecto en el escenario, donde tienen que complacer al público presente, olvidando y ocultando su verdadero yo en las máscaras adoptadas.

s Translations: Abstracts from the 16th Pediatric Critical Care Colloquium: Oral Abstract Presentations

In recent months, institutional efforts to promote diversity, equity, and inclusion in the United States have faced severe challenges. A series of executive orders [1,2] containing inflammatory, misleading, and outright false language have been issued, instructing government agencies to terminate “all discriminatory programs including illegal DEI and ‘diversity, equity, inclusion, and accessibility” (DEIA) mandates, policies, programs, preferences, and activities in the Federal Government under whatever name they appear. Here, we discuss the immediate and anticipated impacts on planetary science in the US. Despite the language of [1], DEIA is not inherently discriminatory, illegal, or wasteful. DEIA does not involve preferential hiring of unqualified persons simply because of identities; rather, DEIA is a tool to mitigate discrimination on the basis of identity or disability that is currently occurring, and to prevent future discrimination. DEI promotes the fair treatment and full participation of all people. It improves and advances science by broadening participation and prevents individuals from being excluded because of their identity. Moreover, DEIA has been shown to produce better scientific results in less time while using fewer resources. In short, DEIA initiatives serve the very goals stated in [1]. Nevertheless, there have been very tangible effects of the termination of DEIA work on the planetary science community. In January, the various Analysis and Assessment Groups (AGs) were directed to stand down. A planned meeting of the Mercury Exploration AG was canceled just days before it was to begin, and several other AG meetings have since been canceled or postponed. The AGs are the primary vehicle for collecting community input and sharing scientific priorities with NASA. While the AGs have recently been permitted to restart meetings and operations, the Planetary Advisory Committee, the mechanism by which the AGs report to NASA, has been shut down. Additional restrictions on NASA have hampered DEI work in planetary sciences. A multi-year effort to standardize the implementation of inclusion plans in mission proposals has been terminated. The program supporting Topical Workshops, Symposia, and Conferences (TWSC) has been eliminated, and workshops that had already been approved and funded under this program have been canceled, including workshops on EDIA for leaders in planetary science [3] and Culturally Inclusive Planetary Engagement [4]. The Here-to-Observe (H2O) program, which embeds undergraduate students as observers on mission teams has also been terminated. More broadly, existing research grants are being reviewed for DEIA activities and holders of those grants are instructed to discontinue those efforts, and there are threats that the grants may be terminated altogether. These orders have also caused massive disruption to the grant application process. The annual solicitation for Research Opportunities for Space and Earth Sciences (ROSES) is normally released in February. However, this years’ solicitation was withheld, ostensibly in order to revise the language in the program for consistency with the orders on DEI. As of the time of submission of this abstract, ROSES is nearly three months overdue, and is a source of considerable stress for US researchers. ROSES grants are the foundation of planetary research. Researchers at “soft-money” institutions may be wholly dependent on grant funding. Academics depend on grant funding to support students and for their own summer salary. Some PhD programs in planetary science are recruiting and admitting graduate students at far lower than baseline levels because of uncertain funding. Because scientific institutions are dependent on federal contracts and grants for the bulk of their research funding, compliance with these executive orders has cascaded into non-governmental institutions as well. Recipients of federal funds have been directed to certify that they are not conducting DEIA work [2]. Although the legality of such orders is dubious, the fear of such funding loss has led many organizations to cease their own DEI activities. There has been censorship of official records. Abstracts and even entire sessions have been removed from the programs of meetings that have already occurred. This removal of presentations from the meeting records is an erasure of individuals’ work and identities, and constitutes a form of academic theft. The motivation is that such pre-emptive compliance will prevent the institutions from becoming targets. Historically, this tactic is generally unsuccessful, and simply leads to additional demands being placed on the potential recipient [5]. The brunt of these impacts is being borne by the most vulnerable members of the community, and early career researchers struggle more than others [6]. In the absence of government support, grassroots efforts must take on the role of supporting the community. Open letters [e.g., 7] on the value of EDIA to Planetary Science have garnered thousands of signatures. Independent groups, such as the Choir Collaboration, have openly established mutual aid programs [8]; others are keeping their efforts underground. Some societies with strong advocacy networks, such as the American Astronomical Society and the American Geophysical Union, are making statements [9,10] and actively lobbying Congress to reverse harmful cuts and advocate. Finally, there are actions that individuals can take. Any resident can contact their legislators to support the science community. Any person can participate in DEI work on their own, even if not supported by an institutional effort. Anyone can act as an ally [11] and live the way we like. Even if NASA cannot read our inclusion plans, we can still write them and make sure that our own teams are just and equitable. [1] Trump, DJ (2025), Ending Radical And Wasteful Government DEI Programs And Preferencing, EO 14151[2] Trump, DJ (2025), Ending Illegal Discrimination and Restoring Merit-Based Opportunity, EO 14173[3] Workshop for Leaders in Planetary Science, https://edialps.psi.edu/[4] Shulpa, C. et al. (2025) Planetary REACH, https://www.lpi.usra.edu/planetary-reach/workshops/[5] Kipling, R. (1911), Dane-geld, in Rudyard Kipling's Verse, Garden City, NY: Doubleday. pp. 716.[6] Langin, K. (2025), Science, 387, doi: 10.1126/science.z2m2kue[7] Rathbun, J. et al. (2025) The value of EDIA to Planetary Science: A letter from the PWIDE Community Alliance, https://sites.google.com/view/the-value-of-edia[8] https://www.gofundme.com/f/mutual-aid-for-astronomy-and-space-sciences[9] American Astronomical Society Public Policy, https://aas.org/advocacy/policy-blog[10] American Geophysical Union From the Prow, https://fromtheprow.agu.org/[11] Huang, H.-C. et al. (2025), Nature Human Behavior, 9, 426–428.

Serious health-related disparities continue to disproportionately impact underserved, low-wealth, and minority communities driven by an entanglement of factors. Studies show cardiovascular disease (CVD) prevalence in rural areas is advancing with widespread consequences on the local economies, health care systems, and population. Previous efforts in healthcare and community-based systems to impact rural CVD and CVD-related outcomes have been mostly unsuccessful for various reasons. The Lincoln Project (TLP) in Arkansas was conceived in response to this serious unmet need and with historical shortcomings in mind. TLP adopts a novel community health worker-led neighborhood-based strategy, bridging the gap between social resources, health care services and the rural communities they serve with the goal of rebalancing CVD-based health equity in areas of Arkansas with the most severe health disparities.

Background: Palliative care for patients with cancer focuses on relieving pain, managing symptoms, and improving quality of life. It addresses physical, emotional, psychological, and spiritual needs. This care is provided alongside curative treatments or as primary care when treatments are no longer effective. Aim: To assess nurses’ awareness regarding palliative care of patient with cancer. Research Design: Descriptive research design used to achieve the aim of this study. Setting: This study was conducted at outpatient clinic for palliative care and home care for oncology in Makkah hospitals, Saudia Arabia. Tools: An interview questionnaire: It consisting of four parts as the following: 1st part: Demographic characteristics, 2nd part: Nurses' knowledge, 3rd part: Attitude of nurses, 4th part: Nurses' reported practices regarding palliative care of patient with cancer. Results: 58.3 % of the studied nurses had poor knowledge regarding palliative care of patient with cancer. Also, 25.0 % of them had average knowledge regarding palliative care of patient with cancer.While, 54.70 % of them had negative total attitude regarding palliative care of patient with cancer and 68.55 % of them had unsatisfactory total reported practices regarding palliative care of patient with cancer. Conclusion: There was highly statistically significant relation between studied nurses’ total knowledge, attitude, and reported practices regarding palliative care of patient with cancer. Recommendations: Apply health educational program for nurses’ awareness regarding palliative care of patient with cancer in other hospital to generalize the results.

RESUMEN El presente articulo tiene como proposito evaluar la importancia que tiene el vinculo Universidad-Empresa-Gobierno en la generacion de procesos para el desarrollo economico a nivel regional y local. Se analiza el impacto que tiene la educacion superior en el contexto socio-economico e industrial de estos tiempos a partir de la propuesta de indicadores para su medicion. Se reflexiona sobre la necesidad de establecer estrategias de desarrollo que contribuyan al fomento de una universidad innovadora. ABSTRACT The purpose of this article is to evaluate the importance of the University-Business-Government link in generating processes for economic development at the regional and local level. The impact of higher education in the socio-economic and industrial context of these times is analyzed based on the proposal of indicators for its measurement. Reflect on the need to establish development strategies that contribute to the promotion of an innovative university.

It's time for the laboratorian to emerge from the lab and become an integral part of the healthcare team. We must make others aware of our skills in critical thinking, decision making, quality assurance, and total quality management.