Rape myth acceptance is an important determinant of sexual assault behaviors. This study explored country and gender differences in rape myth acceptance among undergraduate students in the United States, Japan, and India. Male and female college students (N = 637) in these three countries participated in a self-administered survey in the fall of 2012 (the United States, n = 206; Japan, n = 215; and India, n = 216). The order of the countries arranged in increasing order of likelihood of disbelieving rape claim was as follows: the United States, Japan, and India. U.S. and Japanese students were less likely to disbelieve rape claims (p < .01) while U.S. students also were less likely to believe that victims are responsible for rape (p < .01). Overall, female participants were less likely to believe in the rape myth acceptance, disbelief of rape claim and victims are responsible for rape (p < .05). Acceptance of rape myth also varied by whether a participant knew about an organization or who do not believe they would seek help for sexual assault. Non-help seeking is associated with rape myth acceptance. This study, which used the same survey and data collection methods, provides comparative information on rape myth acceptance among college students in the United States, Japan, and India, which is not otherwise available, and contributes to providing fundamental knowledge to develop country-specific prevention programs.

Obesity is associated with a number of chronic health problems such as cardiovascular disease, diabetes and cancer. While common prevention and treatment strategies to control unhealthy weight gain tend to target behaviors and lifestyles, the psychological factors which affect eating behaviors among underserved populations also need to be further addressed and included in practice implementations. The purpose of this study is to examine positive and negative emotional valence about food among underserved populations in a primary care setting. Uninsured primary care patients (N = 621) participated in a self-administered survey from September to December in 2015. Higher levels of perceived benefits of healthy food choice were associated with lower levels of a negative emotional valence about food while higher levels of perceived barriers to healthy food choice are related to higher levels of a negative emotional valence about food. Greater acceptance of motivation to eat was associated with higher levels of positive and negative emotional valence about food. Spanish speakers reported greater acceptance of motivation to eat and are more likely to have a negative emotional valence about food than US born or non-US born English speakers. The results of this study have important implications to promote healthy eating among underserved populations at a primary care setting. Healthy food choice or healthy eating may not always be achieved by increasing knowledge. Psychological interventions should be included to advance healthy food choice.

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The ‘hospital at night’ concept was developed at a joint conference of the London Deanery and Clinical Staff in 2002, as an issue for education and service provision. At the start of the project, our trust had issues with both the structure of the hospital at night handover and the working practices overnight. The vision was to improve team working out of hours, expedite review of sick patients and reorganise care to seek a reduction in bleeps to medical junior doctors overnight in a way that all patients had access to the right person with the right skills for their needs at the right time. The hospital at night project at our hospital was started in 2019 by a multidisciplinary working group. We tried bleep filtering for 4 months and this was later followed on by the development of an electronic out of hour’s task list as part of our hospital at night set-up. The bleep analysis data showed an improved distribution of workload but the process was dependent on individuals. The electronic task management system was built in pre-existing online software. The system helped prioritise and review tasks requested by nurses on medical wards. But it was not without its limitations. We worked with the local information technology (IT) team to improve speed and proposed developing an IT solution that is fast and not desktop based to ensure tasks can be assigned and viewed while on the go. The project was overall a success as it demonstrated positive feedback from junior doctors, improved perception of teamwork and ability to take rest breaks. It also demonstrated a drop in ward-based cardiac arrest rates. The hospital at night project at our trust remains a work in progress, but a lot of positive changes have been delivered.