Nisbett's (1972) model of obesity implies that individual differences in relative deprivation (relative to set-point weight) within obese and normal weight groups should produce corresponding within-group differences in eating behavior. Normal weight subjects were separated into hypothetically deprived (high restraint) and non-deprived (low restraint) groups. The expectation that high restraint subjects' intake would vary directly with preload size while low restraint subjects would eat in inverse proportion to preload size, was confirmed. It was concluded that relative deprivation rather than obesity per se may be the cirtical determinant of individual differences in eating behavior. Consideration was given to the concept of "restraint" as an important behavioral mechanism affecting the expression of physiologically-based hungar.
The expansion of coyotes (Canis latrans) into the northeastern United States is a major challenge to wildlife professionals, especially in suburban and urban areas where reports of human—coyote interaction (HCI) are on the rise. To assist wildlife professionals in identifying potential hot spots of interaction and homeowners in evaluating their risk of a backyard encounter, we used the techniques of citizen science to build a landscape model of HCI for suburban residential properties in Westchester County, New York, USA. We distributed surveys via school children (kindergarten to grade 12) as part of a voluntary class assignment, to maximize the number of homeowners participating in our study and to provide learning experiences for students. Of 6,000 surveys distributed to schools, >1,500 students interviewed their parents on whether a coyote had been seen or heard on their property from 2003 to 2006. Although surveys could not be distributed randomly owing to the participatory process of individual schools, we did receive responses from across Westchester County, representing the spectrum from the most rural to the most urban towns. Homeowners who encountered (i.e., seen or heard) a coyote on their property were on average 50% closer to forest, 36% closer to grassland, and 66% farther from medium‐ to high‐intensity development, complementing existing knowledge on urban coyote habitat use. Our model seemed robust in predicting an independent set of coyote observations (r = 0.88). Based on this model, we generated a map describing the probability of HCI that can be used by both wildlife professionals and homeowners. Regarding the former, state wildlife agencies could more precisely target education campaigns on how to live with coyotes where the possibility of HCI was greatest. Homeowners, in turn, could evaluate their own risk and modify behaviors that would make their property less attractive to coyotes. Furthermore, in creating a descriptive model of HCI from citizen‐generated data, we demonstrated how citizen science can be a useful exploratory tool, generating a wealth of data over a large geographic area in a short period, especially when the inquest is appropriate to stakeholder participation in data collection.
Purpose: To provide contemporary estimates of pain by level of cognitive impairment among US nursing home residents without cancer. Methods: Newly admitted US nursing home residents without cancer assessed with the Minimum Data Set 3.0 at admission (2010-2016) were eligible (n=8,613,080). The Cognitive Function Scale was used to categorize level of cognitive impairment. Self-report or staff-assessed pain was used based on a 5-day look-back period. Estimates of adjusted prevalence ratios (aPR) were derived from modified Poisson models. Results: Documented prevalence of pain decreased with increased levels of cognitive impairment in those who self-reported pain (68.9% no/mild, 32.9% severe) and those with staff-assessed pain (50.6% no/mild, 37.2% severe staff-assessed pain). Relative to residents with no/mild cognitive impairment, pharmacologic pain management was less prevalent in those with severe cognitive impairment (self-reported: 51.3% severe vs 76.9% in those with no/mild; staff assessed: 52.0% severe vs 67.7% no/mild). Conclusion: Pain was less frequently documented in those with severe cognitive impairment relative to those with no/mild impairments. Failure to identify pain may result in untreated or undertreated pain. Interventions to improve evaluation of pain in nursing home residents with cognitive impairment are needed.
In nursing home residents with cancer, pain was less frequently documented in those with severe cognitive impairment, which may lead to less frequent use of treatments for pain. Techniques to improve documentation and treatment of pain in nursing home residents with cognitive impairment are needed.
Background and Objectives Nursing homes remain subjected to institutional racial segregation in the United States. However, a standardized approach to measure segregation in nursing homes does not appear to be established. A systematic review was conducted to identify all formal measurement approaches to evaluate racial segregation among nursing home facilities, and to then identify the association between segregation and quality of care in this context. Research Design and Methods PubMed, Scopus, and Web of Science databases were searched (January 2018) for publications relating to nursing home segregation. Following the PRISMA guidelines, studies were included that formally measured racial segregation of nursing homes residents across facilities with regional-level data. Results Eight studies met the inclusion criteria. Formal segregation measures included the Dissimilarity Index, Disparities Quality Index, Modified Thiel’s Entropy Index, Gini coefficient, and adapted models. The most common data sources were the Minimum Data Set (MDS; resident-level), the Certification and Survey Provider Enhanced Reporting data (CASPER; facility-level), and the Area Resource File/ U.S. Census Data (regional-level). Most studies showed evidence of racial segregation among U.S. nursing home facilities and documented a negative impact of segregation on racial minorities and facility-level quality outcomes. Discussion and Implications The measurement of racial segregation among nursing homes is heterogeneous. While there are limitations to each methodology, this review can be used as a reference when trying to determine the best approach to measure racial segregation in future studies. Moreover, racial segregation among nursing homes remains a problem and should be further evaluated.
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