Journal articles on the topic 'Nutrition – United States – Social aspects'

An anencephalic infant, who came to be known as Baby K, was born at Fairfax Hospial in Falls Church, Virginia, on October 13, 1992. From, the moment of birth and repeatedly thereafter, the baby's mother insisted that aggressive measures be pursued, including cardiopulmonary resuscitation and ventilator support, to keep the baby alive as long as possible. The physicians complied. However, following the baby's second admission for respiratory failure, the hospital sought declaratory relief from the court permitting it to forgo emergency life support on the grounds that “a requirement to provide respiratory assistance would exceed the prevailing standard of medical care,” and that “because any treatment of their condition is futile, the prevailing standard of medical care for infants with anencephaly is to provide warmth, nutrition, and hydration.” The United States Court of Appeals for the Fourth Circuit ruled in favor of the baby's mother, citing the federal Emergency Medical Treatment and Active Labor Act (popularly known as the “anti-dumping” act), which contained no “standard of care” exception to the requirement to provide “treatment necessary to prevent the material deterioration of the individual's condition.” An appeal to the United States Supreme Court was rejected. The baby died some two and one-half years later of cardiac arrest during her sixth visit to the emergency department of Fairfax Hospital for respiratory failure.

Abstract Objectives The USAID's Strengthening Multisectoral Nutrition Programming through Implementation Science Activity (MSNP) in Bangladesh gathered local knowledge to augment national data to ensure nutrition programming delivery was appropriately targeted. Such knowledge allowed MSNP's social protection conditional cash transfer (CCT) activity to reach most at-risk individuals. Methods Using structured field observation forms, six trained staff documented nutrition programming decision-making processes and MSNP project activities regarding appropriate beneficiary targeting in six districts. Numerous project documents were reviewed and site visits conducted to evaluate CCT implementation in action. Data were coded into three aspects of learning (challenges and methods to alleviate them, successes, and recommendations for future programming) and analyzed according to themes identified in research utilization literature. Results CCT, an incentive-based delivery mechanism targeting women based on locally collected data, positively influenced household decision-makers, including women, to provide effective health and nutrition care for themselves and their children. CCT, received upon completion of antenatal care visits and participation in nutrition education sessions, effectively supported the uptake of MSNP community workers’ nutrition advice led to improve water, sanitation, and hygiene practices in remote areas. Requiring CCT beneficiaries to open bKash accounts to ensure financial transparency and that funds reached the intended participants helped establish women as nutrition decision makers, improving financial inclusion for extreme-poor women. Conclusions CCT stimulates use of nutrition and health services, increasing household resources for nutrition-related behaviors and allowing women to exercise financial freedom. To improve evidence utilization in nutrition programming, national indicators must be complemented with local knowledge gathering processes, with local stakeholders and beneficiaries involved to ensure appropriate targeting and to transform knowledge into practice. Funding Sources United States Agency for International Development (USAID).

(1) Background: The influence of food culture on eating behavior and obesity risk is poorly understood. (2) Methods: In this qualitative study, 25 adults in France with or without overweight/obesity participated in semi-structured interviews (n = 10) or focus groups (n = 15) to examine attitudes to food consumption and external pressures that influence eating behavior and weight management. Results were compared to an equivalent study conducted in the United States, thereby contrasting two countries with markedly different rates of obesity. Emerging key themes in the French data were identified through coding using a reflexive approach. (3) Results: The main themes identified were: (1) influence of commensality, social interactions, and pleasure from eating on eating behavior, (2) having a balanced and holistic approach to nutrition, (3) the role of environmental concerns in food consumption, (4) relationship with “natural” products (idealized) and food processing (demonized), (5) perceptions of weight status and management. Stress and difficulties in hunger cue discernment were viewed as important obstacles to weight management in both countries. External pressures were described as a major factor that explicitly influences food consumption in the U.S., while there was an implicit influence of external pressures through eating-related social interactions in France. In France, products considered “natural” where idealized and juxtaposed against processed and “industrial” products, whereas this was not a salient aspect in the U.S. (4) Conclusions: This first comparative qualitative study assessing aspects of food culture and eating behaviors across countries identifies both common and divergent attitudes to food and eating behavior. Further studies are needed to inform the development of effective behavioral interventions to address obesity in different populations.

Increased body mass index (BMI) in today's world has become one of the most common and extremely dangerous to humanity diseases. The expansion of fast food chains, high-calorie food, sedentary lifestyle, stress, accumulation of population in cities – the main causes of overweight. In the twenty-first century, in scientific literature introduced a new term "globesity", reflecting the global nature of global problems. However, studies in recent years, several break this logic: "overweight – obesity – the risk of chronic diseases – the risk of premature death." Often, those with elevated BMI have a greater life expectancy than patients with normal or decreased BMI. The latter causes the appearance of a new term "obesity paradox". Indeed, increased BMI significantly reduces the quality of life, increases the risk of social problems. Persons suffering from increased BMI, harder to find a job and to arrange his personal life. In the United States of America the presence of increased body mass index (BMI) results in a significant rise in the cost of health insurance. Reducing excess weight is completely dependent on patients who need along with medication to live a healthy lifestyle. An important direction of minimize obesity and its consequences seem to be a diet, refusal of personal transport, leisure, vacation travel. American society of specialists in the field of metabolic and bariatric surgery define obesity as a chronic, relapsing, multifactorial neurobehavioral disorder in which the increase of fat in the body contributes to the dysfunction of adipose tissue with the development of threat for physical and psychological health of the metabolic and psychosocial consequences.

Abstract Objectives To assess the relationship between perceived level of anxiety and concern with giving birth during COVID-19 and level of prenatal breastfeeding self-efficacy among a sample of pregnant persons in the United States. Methods A sample of 849 pregnant persons, representing all 50 states and 5 US territories, were recruited via social media advertisements to take a 78-item web-based survey between May and December of 2020. The survey items assessed prenatal breastfeeding self-efficacy using the valid PREP to BF scale, breastfeeding intention, anxiety with giving birth during COVID-19, concern for the baby being exposed at birth, and confusion with pregnancy recommendations during COVID-19. Results The sample, mean age 28.9 years, had a relatively high mean PREP to BF score (308.52 ± 62.74; range 39–390). Over 95% indicated a plan to incorporate breastmilk into their infant feeding routine either exclusively (68.96%) or in combination (26.5%). Seventy-one % were not confused by safe pregnancy recommendations, while 50.7% were “concerned” or “very concerned” their baby would be exposed to COVID-19 at birth, and 63.3% indicated they were “anxious” or “very anxious” about giving birth during the pandemic. One-way ANOVAs revealed persons with higher perceived anxiety (P = .024), more confusion over recommendations (P < .001), and more concern for their baby's exposure (P = .002) had significantly lower PREP to BF scores than their counterparts. Conclusions A pregnant person's anxiety, confusion over recommendations, and concern for their baby's safety had significant negative effects on prenatal self-efficacy for successful breastfeeding after birth during COVID-19. Prenatal healthcare teams should aim to discuss these aspects and reassure of proven safety protocols with pregnant patients to ease anxiety, confusion, or fear while helping to maintain or improve self-efficacy for the intended infant feeding method. Funding Sources This material is based upon work supported by the National Institute of Food and Agriculture, US Department of Agriculture, Hatch project LAB94426.

Multimorbidity affects 75% of older adults (aged 65 years and older) in the United States and increases risk of poor medical outcomes, especially among the poor and underserved. The creation of a Medicaid option allowing states to establish health homes under the Affordable Care Act was intended to enhance coordinated care for Medicaid beneficiaries with multimorbidity. The Community-Based Health Home (CBHH) model uses the infrastructure of the Adult Day Health Center (ADHC) to serve as a health home to improve outcomes for medically complex vulnerable adults. Between 2017 and 2018, we used a sequential explanatory mixed-methods approach to (a) quantitatively examine changes in depression, fall risk, loneliness, cognitive function, nutritional risk, pain classification, and health care utilization over the course of 12 months in the program and (b) qualitatively explore the perspectives of key stakeholders (registered nurse navigators, participants, ADHC administrators, and caregivers) to identify the most effective components of CBHH. Using data integration techniques, we identified components of CBHH that were most likely driving outcomes. After 12 months in CBHH, our racially diverse sample ( N = 126), experienced statistically significant ( p < .05) reductions in loneliness, depression, nutritional risk, poorly controlled pain, and emergency department utilization. Stakeholders who were interviewed ( n = 40) attributed positive changes to early clinical intervention by the registered nurse navigators, communication with providers across settings, and a focus on social determinants of health, in conjunction with social stimulation and engagement provided by the ADHC. CBHH positions the ADHC as the locus of an effective health home site and is associated with favorable results. CBHH also demonstrates the unique capacity and skill of registered nurses in integrating health and social services across community settings. Continued exploration of CBHH among diverse populations with multimorbidity is warranted.

Methadone Maintenance Treatment (MMT) in the United States has recently adopted an approach based on the principles of the Recovery movement — a view of treatment informed by addiction-as-disease models but also incorporating social, psychological, and spiritual components. Although organizations that administer drug treatment services claim that the shift represents a more client-centered, individualistic approach, it may not meet the needs of the many individuals who use MMT to reduce the harms of drug use, like overdose, rather than as a way to become abstinent. In this article, I use interview data from treatment providers to argue against institutional claims of Recovery as an individualistic model. My research demonstrates how — despite the wide variety of treatment goals among people on MMT — the Recovery discourse positions and organizes treatment strictly as abstinence-based, self-help. Moreover, I show how the Recovery model serves as the justification for an expansion of clinics’ ability to surveil and intervene in aspects of people’s lives which had previously been seen as outside of MMT’s purview, including nutrition, public service, and spirituality. In conclusion, I argue that Recovery restricts MMT’s ability to reduce harms, like overdose, in the lives of people who use drugs, and recommend that MMT adopt a more open-ended, low-threshold approach to treatment.

The article looks at the problems of preserving social health and individuality in the context of realizing gender stereotypes. The author suggests the results of social research, which was conducted at the laboratory of applied social research of the department of social science and political science of NTU "KhPI" in 2020. Relevance is stipulated by the need to protect human resources in all forms, so that the shosty riches protect sovereignty and territoriality of Ukraine. The personnel of military formations in Ukraine is composed mainly of men, so it is extremely important to support and preserve the health of men. The problem lies in the fact that social media ideology is often panicky, often sponing people to take away the strategy of special behaviors is not a problem for social health. At the middle of the twentieth century, science at large turned out to be a huge respect for the nutrition of healthy’s health and social problems of complicity. In fact, even more than one studio in the United States has earned respect for up to date realization of masculine and ideological ideas for individual health. Віччнінії науковіці долуджудували вкмі Aspects of the flood of masculine ideology, ale better understanding of the context of the social protection of the form of Ukraine in Ukraine on the cob of the 21st table was not carried out. The author has added to the behavior of those stereotypes such as “do not cry”, “say that you are strong but strong”, “say that you’re the mother of the year of birth” to bring back the negative effects. The results of the previous show showed that ideological masculine formук stereotypes, which can be negatively attributed to a healthy person. Namaganiya cholіkіv, so as not to have more than one resource, follow stereotypes of masculine and ideological ideas to negative insights. That, to the author’s thought, is necessary to formulate more critical criticism to sound stereotypes about the “reference person”.

Although the principles of refrigeration have been understood for thousands of years, the widespread use of mechanical refrigeration in the processing, shipping, and storing of perishable commodities began only in the 1890s. Because refrigeration facilitated the hygienic handling and storage of perishables, it promoted output growth, consumption, and nutrition through the spatial and temporal integration of markets for perishables. We estimate the impact of mechanical refrigeration on output and consumption, and hence on human nutrition, concentrating on the contribution from refrigerated dairy products, an important source of nutrients, particularly proteins and calcium. We conclude that the adoption of refrigeration in the late-nineteenth-century United States increased dairy consumption by 1.7% and overall protein intake by 1.25% annually after the 1890s. The increase in protein consumption was particularly important to the growth of the human organism. According to our lower-bound estimates, refrigeration directly contributed at least 5.1% of the increase in adult stature of the postrefrigeration cohorts, and combined with the indirect effects associated with improvements in the quality of nutrients and the reduction in illness, the overall impact was considerably larger.

Abstract Food insecurity is an under-recognized geriatric syndrome that has extensive implications in the overall health and well-being of older adults. Understanding the impact of food insecurity in older adults is a first step in identifying at-risk populations and provides a framework for potential interventions in both hospital and community-based settings. This symposium will provide an overview of current prevalence rates of food insecurity using large population-based datasets. We will present a summary indicator that expands measurement to include the functional and social support limitations (e.g., community disability, social isolation, frailty, and being homebound), which disproportionately impact older adults, and in turn their rate and experience of food insecurity and inadequate food access. We will illustrate using an example of at-risk seniors the association between sarcopenia, the age-related loss of muscle mass and function, with rates of food security in the United States. The translational aspect of the symposium will then focus on identification of psychosocial and environmental risk factors including food insecurity in older veterans preparing for surgery within the Veterans Affairs Perioperative Optimization of Senior Health clinic. Gaining insights into the importance of food insecurity will lay the foundation for an intervention for food insecurity in the deep south. Our discussant will provide an overview of the implications of these results from a public health standpoint. By highlighting the importance of food insecurity, such data can potentially become a framework to allow policy makers to expand nutritional programs as a line of defense against hunger in this high-risk population.

As a child of immigrants, I have always been interested in issues facing the foreign-born, particularly to the United States. Being exposed to immigrants from around the world helped me understand the different factors that motivated my parents' migration to the United States while realizing that others throughout the world were also heavily impacted by ineffectual home governments. As I delved into political attitudes, international relations, and public policy, my attention continued to turn back to the ways in which policies and attitudes in the United States affect the lives of immigrants. Identifying aspects of social policy that enhance immigrant life in the United States became central to my research interests.

Previous research has shown that many college students in the United States post content to social networking sites that they know would be considered inappropriate by employers and other authority figures. However, the phenomenon has not been extensively studied in cross-cultural context. To address this knowledge gap, a survey of college students in Australia, Denmark, the United Kingdom, and the United States was conducted. The study found a universal tendency among the four groups: students knew the content they were posting would be considered inappropriate by employers and other authority figures, but they chose to post it anyway. The article also reports on differences in the way this tendency was manifested and on related aspects of social networking across cultures, including decisions about privacy and information disclosure.

Subject. The article addresses the tax reform of 2017, initiated by D. Trump. Objectives. The aim is to determine the relationship between the total volume of tax revenues to the budget of the U.S. Government and the growth of U.S. GDP in the long run. Methods. To identify the impact of the tax reform on the investment climate in the country and the subsequent GDP growth, we formulate a hypothesis and propose a regression model. The quarterly data from 04.01.1960 to 07.01.2019 serve as a statistical sampling, published by financial departments of the U.S. Office of Management and Budget and the U.S. Bureau of Economic Analysis. The study rests on the econometric analysis enabling to identify the impact of the volume of tax revenues from the corporate income tax and individual income taxes on the level of the GDP of the United States. Results. In the short term, we observe a decrease in tax revenues and a subsequent increase in the budget deficit, in the long term – an increase in business activity of the country, a growth in foreign direct investment, and, consequently, an increase in the GDP. The paper offers a model for assessing the economic growth of the GDP of the United States, in which tax predictors were used in combination with macroeconomic indicators. Conclusions. The experience of the United States and the results of this study may be used by the governments of developing countries and experts in the field of taxation for tax policy development.

In 1959, the Conlon report, a presentation of United States government policies in relation to Asian cultures, stated the following about Japanese culture (in a section titled ‘Social change’):Developments within and among the various Japanese social classes suggest the dynamic, changing quality of modern Japan … No area of Japan, moreover, is beyond the range of the national publications, radio, and even TV. New ideas can be quickly and thoroughly disseminated; it is in this sense that Japanese culture can become more standardised even as it is changing. Many of the changes look in the direction of the United States; in such diverse fields as gadgets, popular music, and fashions. American influence is widespread. And this is but one evidence of the general desire to move away from the spartan, austere past toward a more comfortable, convenient future.

Based on the integrative concept of social support, we investigated the effects of quantitative, structural, and functional aspects of social relationships on the level of depressive symptoms among elderly Korean immigrants, taking into account their level of acculturation and life stress. Korean elders having more close persons and more frequent contacts with them exhibited fewer depressive symptoms. Networks providing instrumental support consisted mainly of family ties; networks for emotional support included diverse relationships as well as family members. Emotional support was found to moderate the harmful effect of life stress, and thus to be more relevant than instrumental support to the mental health of Korean elderly.

NHS Blood and Transplant (NHSBT) is responsible for the procurement and allocation of human organs in the United Kingdom. Its main role is to “ensure that organs donated for transplant are matched and allocated to patients in a fair and unbiased way.” NHSBT’s liver allocation policies are underpinned by the National Liver Transplant Standards, a document published by the Department of Health in 2005 to oversee patient care, patient assessment, liver allocation and transplantation, education and training, and research and development. NHSBT has developed its own liver allocation protocols under the powers assigned to it by the Department of Health, which include a “super-urgent” liver allocation policy, a Liver Allocation Sequence, and pediatric candidate liver allocation protocols.

The purpose of this research is to investigate the effects of different residential environments on informal and formal caregiving provided to older people. The author uses two kinds of evidence to address this central concern. First, recent demographic trends are examined to ascertain the availability of informal caregivers among older people living in different places of residence. This line of inquiry focuses on the supply of potential caregivers. Second, previous research on rural/urban patterns of informal and formal caregiving for older people is reviewed. In conjunction with these two lines of inquiry, the author discusses past, present, and future trends in aging and caregiving. Because little direct evidence exists with which to examine particular aspects of rural/urban patterns of caregiving, the author discusses needed areas of future research.

Social media has evolved over the last decade to become an important driver for acquiring and spreading information in different domains such as business, entertainment, crisis management, and politics. The increasing popularity of social media raises a number of questions regarding why we use it so much and what aspects influence this activity. What about gender? What about education, income, age or social status? This paper answers some of these questions using statistical analyses and by dividing overall social media use into selected social media, i.e., Facebook, Instagram, Snapchat, YouTube, and Twitter. The analysis used a dataset that contains information related to 2002 respondents from the U.S. and their social media activity. The results show that people with high household incomes and high education use social media the most. As age increases, social media use decreases, while bigger household income means that social media are used more. Overall, understanding where and at what frequency users are on social media can be a key competitive advantage. When using social networks correctly for marketing, companies can significantly improve their brand awareness, customer satisfaction, quality, reach, and profit.

SummaryThis paper evaluates the influence of breast-feeding on infectious and allergic diseases in infants and children through an analysis of data from a large national sample of US children. It controls for a large number of maternal and child health, demographic, and socioeconomic variables which have been shown to affect feeding patterns, and it includes several aspects of the feeding pattern in addition to breast-feeding. The results suggest that breast-feeding provides some protection against pneumonia and otitis media in the United States while early introduction of formula may have a separate and negative effect.

Abstract We study Chinese attitudes toward the United States, and secondarily toward Japan, Russia, and Vietnam, by analyzing social media discourse on the Chinese social media site, Weibo. We focus separately on a general analysis of attitudes and on Chinese responses to specific international events involving the United States. In general, we find that Chinese netizens are much more interested in US politics than US society. Their views of the United States are characterized by deep ambivalence; they have remarkably favorable attitudes toward many aspects of US influence, whether economic, political, intellectual, or cultural. Attitudes toward the United States become negative when the focus turns to US foreign policy – actions that Chinese netizens view as antithetical to Chinese interests. On the contrary, attitudes toward Japan, Russia, and Vietnam vary a great deal from one another. The contrast between these differentiated Chinese views toward the United States and other countries, on the one hand, and the predominant anti-Americanism in the Middle East, on the other, is striking.

Scholars of differing political affiliation and the President's Council on Bioethics have called for regulation of assisted reproductive technology (ART) that would emulate many aspects of the regulatory system of the United Kingdom, in particular that of the Human Fertilisation and Embryology Authority. Specifically, scholars and the Council have argued that research in the U.S. involving gametes and human embryos lacks consistent oversight. While the Centers for Disease Control and Prevention (CDC) produces an annual ART success rate report, submission of data is guaranteed only by the promise that non-responders will be noted as such in the appendix of CDC's report, and most ART clinics publish success rates on the Internet in a much more recognized forum: website advertising. Moreover, U.S. law does not require licensing or accreditation of infertility programs and few regulations govern embryo research. While the large majority of clinics report their success rate data, and many follow practice standards and apply for accreditation from private agencies, these practices are strictly voluntary. Clinics failing to report their success rates face no legal consequence.

In this article I construct a feminist notion of social citizenship from early twentieth-century feminism in the United States. Arguing that there are four aspects to the interconnection between women's citizenship and social democracy—new modes of citizenship, a socialized view of rights, new spaces for participation, and a female-privikged definition of gender equality—I suggest that such a concept could help us move from a welfare state to a feminist social democracy.

With the “forward march of labor halted”, and labor movements everywhere in retreat, T.H. Marshall's state-based emphasis on social welfare as “social right” has reminded those interested in reform that appeals to membership in a national community, the essence of citizenship, have served to rally groups to successful struggles for reform. Those aspects of Marshall's ideas, best summarized in his classic 1949 address, “Citizenship and Social Class”, with the greatest resonance for modern social theorists revolve around the relationship between citizenship, rights and markets. For Marshall, “the universal status of citizenship” was a plane of equality such that “all who possess the status (of citizenship) are equal with respect to the rights and duties with which the status is endowed”. Rights were embodied in a common culture and enforced by state power. Marshall believed that, gradually, one particular kind of rights, “social rights”, would come to limit the power of the market. While markets would continue to exist and to generate social inequality, government redistribution would increasingly expand the plane of equality to include the most important aspects of material and cultural life. The distinctive feature of these social rights according to Marshall is that they were not exemptions, privileges or paternalistic solicitude for those excluded from what he labels the “national community”, but social rights were benefits given to members of the community to encourage and facilitate their continued participation.

This paper examines the relationship between degree of acculturation and depression among Puerto Ricans in the United States, controlling for other personal and socio-economic variables. The data analyzed came from the Hispanic Health and Nutrition Examination Survey (HHANES), 198284. For this study a sample of 1,519 of Puerto Ricans 20 years old or older was analyzed using regression (OLS) procedures. The findings of this study did not confirm the assumption that the higher the degree of acculturation among Puerto Ricans the higher the degree of social behavioral adjustment. Rather the data showed that socioeconomic variables such as poverty status and unemployment have a much stronger impact on depression symptoms than acculturation.

Research on Mexican migration to the United States has long noted how the characteristics of sending communities structure individuals’ opportunities for international movement. This literature has seldom considered the concentration of indigenous residents (those with origins in pre-Hispanic populations) in migrant-sending communities. Drawing on data from 143 communities surveyed by the Mexican Migration Project, and supplemented with data from the Mexican Census, this article uses multilevel models to describe how the share of indigenous residents in a migrant-sending community relates to different aspects of the migratory process. We focus on (1) the decision to migrate to the United States, and (2) the documentation used on migrants’ first U.S. trip. We do not find that the concentration of indigenous residents in a sending community is associated with the decision to migrate to the United States. However, we do find that people in communities with relatively high indigenous populations are more likely to migrate as undocumented rather than documented migrants. We conclude that the concentration of indigenous peoples in communities likely indicates economic and social disadvantage, which limits the residents’ possibilities for international movement.

The ArgumentEugenics is the paradigmatic case of the conflict between biology and medicine over social influence. Commenting on as essay by Debora Kamrat–Lang(1995), the paper reconstructs the historical roots of eugenics as a form of preventive medicine. A comparision between the development of some crucial aspects of eugenics between Germany and the United States reveals that the prevalence of the value placed on the individual over hereditary health of a population ultimately determined the outcome of the conflict but collective concepts may be revived by new biological knowledge

Experimental evidence from several investigators suggests that carnitine is a conditionally essential nutrient for neonates. If camitine is a conditionally essential nutrient for the neonate, most neonates on total parenteral nutrition in the United States are not receiving adequate nutritional support. The metabolic functions of carnitine are varied and important in sev eral aspects of neonatal physiology. All neonates receiving breast milk receive dietary carnitine and most neonates receiv ing enteral infant formulas receive dietary carnitine at a level similar to that of the breast-fed neonate. However, most neonates on total parenteral nutrition receive no dietary carnitine. Investigators have been testing the working hypothesis that carnitine is a conditionally essential nutrient for the neonate for many years. This review discusses (1) data support ing the hypothesis, (2) reasons why it has not been either proved or disproved by now, and (3) the author's view of a prudent approach to dietary camitine supplementation of neonates. (J Child Neurol 1995;10(Suppl):2525-2531).

Introduction:Homeless individuals may be dependent on social services for nutrition, shelter, and protection. These services are susceptible to disruption in disasters. Individuals are often frequent utilizers of emergency health care services, and an increase in emergency medical services utilization may be predictable. Disaster planners should anticipate and plan for the needs of these special populations.1Methods:A review of disaster planning in US cities with high rates of homelessness was conducted. Utilizing homelessness census data, the five cities with the largest homeless population were chosen for analysis. Publicly available disaster plans specifically targeting at homeless were identified. Planning for nutritional support, shelter, protection, and emergency healthcare utilization was identified.Results:Planning specifically addressing the needs of the homeless was variable. Planning items surrounding nutrition and shelter were identified, but those around protection and use of emergency services were more limited.Discussion:Recent disasters in the United States have demonstrated the increased vulnerability of populations with high utilization of emergency services during a disaster.2 Homelessness is common throughout the United States, and appear to be underrepresented at the city disaster planning level.3 Resources to assist planners are available, but increased adoption is indicated.

Recent estimates indicate that over 40,000 children die annually in the United States and a majority have life-limiting conditions. Children at end of life require extensive healthcare resources, including multiple hospital readmissions and emergency room visits. Yet, many children still suffer from symptoms at end of life—including fatigue, pain, dyspnea, and anxiety—with less than 10% of these children utilizing hospice care services. A critical barrier to pediatric hospice use was the original federal regulations associated with the hospice care that required a diagnosis of 6 months to live and the discontinuation of all curative treatments. The Concurrent Care Provision of the United States’ Affordable Care Act eliminated the need to forgo curative therapies in order to enroll in hospice for children in Medicaid or Children’s Health Insurance Program. Concurrent care for children can help mitigate the tension families experience in choosing between essential forms of care, as well as contribute to improved end-of-life outcomes for the child and possibly bereavement outcomes for the family. Understanding concurrent care for children from a social justice perspective has important advocacy and research implications for hospice and palliative care clinicians providing care for children and their families. We apply Powers and Faden’s theory of social justice “as the moral foundation of public health and health policy” to the provision of concurrent care to children near end of life and families in the United States. The goals of applying this theory are to explore additional insights and perspectives into concurrent care policy may provide and to assess the usefulness of this theory when applied to end-of-life health policy. We argue that concurrent care policy is socially just since it has potential to promote well-being in vulnerable children and families and can limit the inequity children at end-of-life experience in access to high-quality hospice care.

Resilience planning is increasingly employed as a means for cities to anticipate and plan for environmental and social challenges. Children’s perspectives are underrepresented in this domain. Through drawings, murals, photographs, videos, and dialogues, children shared their perspectives on resilience in two disparate cities—Boulder, Colorado, USA, and Mexico City, Mexico. Elements that support and negate resilience were consistent between cities. However, the negative aspects of physical and social safety were more acutely felt in Mexico City. While children were clear about what composes a resilient city, integration of these ideas into resilience planning was more challenging, especially in Mexico City.

Interest is increasing in what information companies disclose regarding the social aspects of their operations. This research therefore develops an index to analyze the social disclosure of companies from various countries and geographical regions including Latin America, Europe, Africa, Asia, and the United States. Using categorical principal component analysis and partial triadic analysis, we build a numerical value for a specific social individual index by firm. Then, we analyze the extent to which this disclosure follows the Global Reporting Initiative 400 social standards, which became effective on 1 July 2018. In addition to considering geographical aspects, we also analyze social disclosure based on industry, which facilitates firms’ decision-making and policy formation in social disclosure.

Studying the United Slates is a traditional part of the upper-elementary social studies curriculum. A common approach is for students to acquire facts about regions, states, capitals, natural resources, industries, agriculture, and tourist attractions and to work individually or in pairs to study one state in depth and to prepare a written or oral report. Despite these efforts, we continually hear that the people of the United States have a weak understanding of geography as well as of their responsibilities as citizens. A more effective approach to studying various aspects of the United States is needed.

AbstractCyberbullying at school has emerged as a new, electronic form of bullying and harassment and is recognised as a growing problem all over the world. The ability to use cyberspace to bully others means that harassment, rumours and intimidation can reach a much wider audience. Although research has not as yet explored fully the consequences of either cyber-victimisation or cyberbullying, it would appear that they may be detrimental to the health of young people, suggesting the need for policies and interventions, which some European countries (e.g., Germany, Luxemburg, Belgium and the United Kingdom) have attempted to undertake. Currently, however, only the United States has implemented specific laws that treat cyberbullying as a criminal offence per se. After briefly considering the literature on cyberbullying this article will focus on the legal, regulatory and good practice frameworks for controlling cyberbullying in UK educational contexts.

Abstract Objectives This research investigated the experience of household food insecurity among Syrian refugees resettled in the US using the lens of family resilience. The objectives were to understand how refugee families create resilience to food insecurity in the US, how they construct the meaning of food insecurity as a source of stress in comparison to other stressors, and what are the family's capabilities that have played a role in their efforts to reduce food insecurity. Methods This qualitative case study was conducted with 9 Syrian refugee families who lived in the Washington metropolitan area for 8 years or less. An Arabic semi-structured interview guide was developed. A maximum of three separate interviews were conducted in each family, one with each of two adults (usually parents) and one with the child. Demographics, information about their network of family and friends in the US, and the Arab Family Food Security Scale were collected. Arabic data from 17 in-depth interviews were analyzed using the family adaptation and adjustment response model. Results All 9 families were using food assistance programs (SNAP and/or WIC), and 3 of them were food insecure at the time of the interviews. Although experiences of food insecurity varied between families and over time, most families reported greater food insecurity immediately after arriving in the US with food security improving as additional resources (e.g., SNAP) were accessed. However, being food insecure was not perceived as a stressor to most families because they had lived a difficult life in the country from which they escaped. Their major stressors were fear of losing their jobs and of being unable to pay their bills and rent. Each family had a unique capability, with their own combination of resources and strategies, for maintaining household income and food availability, but social networks consistently played an important role in families’ efforts to reduce food insecurity. Conclusions Food insecurity was not perceived as a major stressor because families experienced a broad range of insecurities including finances, housing, and employment. The social network was one of the most important resources that supported families’ capabilities to improve their food status. Funding Sources The research is partially funded by a University of South Carolina doctoral research award.

Assisted suicide is a tragic issue, one of those for which the tools of mere logic are inadequate and in which the power of the individual case is compelling and seductive but not necessarily clarifying. Meaningful dialogue is difficult. Persuasion is limited because the resolution of the issue, on a moral level, must be founded upon fundamental notions of what it means to be human, especially in the midst of suffering or disability or at the point of death.

In speculating on the motives for government, English philosopher Thomas Hobbes identified the pervasive role of fear and the danger of violent death, holding famously that where no government prevails to secure physical safety and property, there can also be no enduring knowledge, art, or civilization—leaving human lives “solitary, poore [sic], nasty, brutish and short.”

Racial disparities in health are persistent and pervasive in the United States. Researchers and policymakers have known for decades that access to health care is not sufficient for addressing health disparities because of the socially situated roots of the disparities. We argue that the lack of progress in alleviating health disparities is the result of a lack of overarching framework to guide both policymakers and researchers in their efforts. We propose Amartya Sen’s capabilities approach as a theoretical framework that is expansive enough to address both the social context in which health occurs as well as the quality of health care provided. In this article, we use a subset of veterans receiving care from the Veterans Health Administration to review the theoretical concepts that link social inequalities with health disparities. Next, we provide empirical evidence of disparities in health based on race within the Veterans Health Administration, and we then provide a theoretical explanation for those disparities that exist at a system level. We close with a detailed examination of the applicability of the capabilities approach in addressing health disparities in the United States.

Mexican women gain weight with increasing duration in the United States. In the United States, body dissatisfaction tends to be associated with depression, disordered eating, and incongruent weight evaluations, particularly among white women and women of higher socioeconomic status. However, it remains unclear how being overweight and obesity are interpreted by Mexican women. Using comparable data of women aged 20–64 from both Mexico (the 2006 Encuesta Nacional de Salud y Nutricion; N = 17,012) and the United States (the 1999–2009 National Health and Nutrition Examination Surveys; N = 8,487), we compare weight status evaluations among Mexican nationals, Mexican immigrants, US-born Mexicans, US-born non-Hispanic whites, and US-born non-Hispanic blacks. Logistic regression analyses, which control for demographic and socioeconomic variables and measured body mass index and adjust for the likelihood of migration for Mexican nationals, indicate that the tendency to self-evaluate as overweight among Mexicans converges with levels among non-Hispanic whites and diverges from blacks over time in the United States. Overall, the results suggest a US integration process in which Mexican-American women's less critical self-evaluations originate in Mexico but fade with time in the United States as they gradually adopt US white norms for thinner body sizes. These results are discussed in light of prior research about social comparison and negative health assimilation.

In response to the 2019 novel coronavirus (COVID-19) pandemic, many aspects of day-to-day life were considerably altered. Professional sports leagues, educational institutions, public worship, and workplace closures were commonplace. Quarantines and lockdowns put public life on hold due to social distancing requirements. As a result, internet users increased their web activity as a way of staying connected and passing the time. In this manuscript, streaming activity on Facebook Gaming, YouTube Gaming, Mixer, and Twitch is analyzed to discover changes in consumption. It is compared to school closures and stay-at-home orders in US states to better understand changes in social media platform utilization during the global pandemic. This helps to provide insights into user patterns that firms can consider in planning their future social media efforts.

Social innovations are activities aiming at implementation of social objectives, including mainly the improvement of life of individuals and social groups, together with public policy and management objectives. The essay indicates and discusses the most important contemporary problems, solving of which requires social innovations. Social innovations precondition the progress of civilisation. The world needs not only new technologies, but also new solutions of social and institutional nature that would be conducive to achieving social goals. Social innovations are experimental social actions of organisational and institutional nature that aim at improving the quality of life of individuals, communities, nations, companies, circles, or social groups. Their experimental nature stems from the fact of introducing unique and one-time solutions on a large scale, the end results of which are often difficult to be fully predicted. For example, it was difficult to believe that opening new labour markets for foreigners in the countries of the European Union, which can be treated as a social innovation aiming at development of the international labour market, will result in the rapid development of the low-cost airlines, the offer of which will be available to a larger group of recipients. In other words, social innovations differ from economic innovations, as they are not about implementation of new types of production or gaining new markets, but about satisfying new needs, which are not provided by the market. Therefore, the most important distinction consists in that social innovations are concerned with improving the well-being of individuals and communities by additional employment, or increased consumption, as well as participation in solving the problems of individuals and social groups [CSTP, 2011]. In general, social innovations are activities aiming at implementation of social objectives, including mainly the improvement of life of individuals and social groups together with the objectives of public policy and management [Kowalczyk, Sobiecki, 2017]. Their implementation requires global, national, and individual actions. This requires joint operations, both at the scale of the entire globe, as well as in particular interest groups. Why are social innovations a key point for the progress of civilisation? This is the effect of the clear domination of economic aspects and discrimination of social aspects of this progress. Until the 19th century, the economy was a part of a social structure. As described by K. Polanyi, it was submerged in social relations [Polanyi, 2010, p. 56]. In traditional societies, the economic system was in fact derived from the organisation of the society itself. The economy, consisting of small and dispersed craft businesses, was a part of the social, family, and neighbourhood structure. In the 20th century the situation reversed – the economy started to be the force shaping social structures, positions of individual groups, areas of wealth and poverty. The economy and the market mechanism have become independent from the world of politics and society. Today, the corporations control our lives. They decide what we eat, what we watch, what we wear, where we work and what we do [Bakan, 2006, p. 13]. The corporations started this spectacular “march to rule the world” in the late 19th century. After about a hundred years, at the end of the 20th century, the state under the pressure of corporations and globalisation, started a gradual, but systematic withdrawal from the economy, market and many other functions traditionally belonging to it. As a result, at the end of the last century, a corporation has become a dominant institution in the world. A characteristic feature of this condition is that it gives a complete priority to the interests of corporations. They make decisions of often adverse consequences for the entire social groups, regions, or local communities. They lead to social tensions, political breakdowns, and most often to repeated market turbulences. Thus, a substantial minority (corporations) obtain inconceivable benefits at the expense of the vast majority, that is broad professional and social groups. The lack of relative balance between the economy and society is a barrier to the progress of civilisation. A growing global concern is the problem of migration. The present crisis, left unresolved, in the long term will return multiplied. Today, there are about 500 million people living in Europe, 1.5 billion in Africa and the Middle East, but in 2100, the population of Europe will be about 400 million and of the Middle East and Africa approximately 4.5 billion. Solving this problem, mainly through social and political innovations, can take place only by a joint operation of highly developed and developing countries. Is it an easy task? It’s very difficult. Unfortunately, today, the world is going in the opposite direction. Instead of pursuing the community, empathic thinking, it aims towards nationalism and chauvinism. An example might be a part of the inaugural address of President Donald Trump, who said that the right of all nations is to put their own interests first. Of course, the United States of America will think about their own interests. As we go in the opposite direction, those who deal with global issues say – nothing will change, unless there is some great crisis, a major disaster that would cause that the great of this world will come to senses. J.E. Stiglitz [2004], contrary to the current thinking and practice, believes that a different and better world is possible. Globalisation contains the potential of countless benefits from which people both in developing and highly developed countries can benefit. But the practice so far proves that still it is not grown up enough to use its potential in a fair manner. What is needed are new solutions, most of all social and political innovations (political, because they involve a violation of the previous arrangement of interests). Failure to search for breakthrough innovations of social and political nature that would meet the modern challenges, can lead the world to a disaster. Social innovation, and not economic, because the contemporary civilisation problems have their roots in this dimension. A global problem, solution of which requires innovations of social and political nature, is the disruption of the balance between work and capital. In 2010, 400 richest people had assets such as the half of the poorer population of the world. In 2016, such part was in the possession of only 8 people. This shows the dramatic collapse of the balance between work and capital. The world cannot develop creating the technological progress while increasing unjustified inequalities, which inevitably lead to an outbreak of civil disturbances. This outbreak can have various organisation forms. In the days of the Internet and social media, it is easier to communicate with people. Therefore, paradoxically, some modern technologies create the conditions facilitating social protests. There is one more important and dangerous effect of implementing technological innovations without simultaneous creation and implementation of social innovations limiting the sky-rocketing increase of economic (followed by social) diversification. Sooner or later, technological progress will become so widespread that, due to the relatively low prices, it will make it possible for the weapons of mass destruction, especially biological and chemical weapons, to reach small terrorist groups. Then, a total, individualized war of global reach can develop. The individualisation of war will follow, as described by the famous German sociologist Ulrich Beck. To avoid this, it is worth looking at the achievements of the Polish scientist Michał Kalecki, who 75 years ago argued that capitalism alone is not able to develop. It is because it aggressively seeks profit growth, but cannot turn profit into some profitable investments. Therefore, when uncertainty grows, capitalism cannot develop itself, and it must be accompanied by external factors, named by Kalecki – external development factors. These factors include state expenses, finances and, in accordance with the nomenclature of Kalecki – epochal innovations. And what are the current possibilities of activation of the external factors? In short – modest. The countries are indebted, and the basis for the development in the last 20 years were loans, which contributed to the growth of debt of economic entities. What, then, should we do? It is necessary to look for cheaper solutions, but such that are effective, that is breakthrough innovations. These undoubtedly include social and political innovations. Contemporary social innovation is not about investing big money and expensive resources in production, e.g. of a very expensive vaccine, which would be available for a small group of recipients. Today’s social innovation should stimulate the use of lower amounts of resources to produce more products available to larger groups of recipients. The progress of civilisation happens only as a result of a sustainable development in economic, social, and now also ecological terms. Economic (business) innovations, which help accelerate the growth rate of production and services, contribute to economic development. Profits of corporations increase and, at the same time, the economic objectives of the corporations are realised. But are the objectives of the society as a whole and its members individually realised equally, in parallel? In the chain of social reproduction there are four repeated phases: production – distribution – exchange – consumption. The key point from the social point of view is the phase of distribution. But what are the rules of distribution, how much and who gets from this “cake” produced in the social process of production? In the today’s increasingly global economy, the most important mechanism of distribution is the market mechanism. However, in the long run, this mechanism leads to growing income and welfare disparities of various social groups. Although, the income and welfare diversity in itself is nothing wrong, as it is the result of the diversification of effectiveness of factors of production, including work, the growing disparities to a large extent cannot be justified. Economic situation of the society members increasingly depends not on the contribution of work, but on the size of the capital invested, and the market position of the economic entity, and on the “governing power of capital” on the market. It should also be noted that this diversification is also related to speculative activities. Disparities between the implemented economic and social innovations can lead to the collapse of the progress of civilisation. Nowadays, economic crises are often justified by, indeed, social and political considerations, such as marginalisation of nation states, imbalance of power (or imbalance of fear), religious conflicts, nationalism, chauvinism, etc. It is also considered that the first global financial crisis of the 21st century originated from the wrong social policy pursued by the US Government, which led to the creation of a gigantic public debt, which consequently led to an economic breakdown. This resulted in the financial crisis, but also in deepening of the social imbalances and widening of the circles of poverty and social exclusion. It can even be stated that it was a crisis in public confidence. Therefore, the causes of crises are the conflicts between the economic dimension of the development and its social dimension. Contemporary world is filled with various innovations of economic or business nature (including technological, product, marketing, and in part – organisational). The existing solutions can be a source of economic progress, which is a component of the progress of civilisation. However, economic innovations do not complete the entire progress of civilisation moreover, the saturation, and often supersaturation with implementations and economic innovations leads to an excessive use of material factors of production. As a consequence, it results in lowering of the efficiency of their use, unnecessary extra burden to the planet, and passing of the negative effects on the society and future generations (of consumers). On the other hand, it leads to forcing the consumption of durable consumer goods, and gathering them “just in case”, and also to the low degree of their use (e.g. more cars in a household than its members results in the additional load on traffic routes, which results in an increase in the inconvenience of movement of people, thus to the reduction of the quality of life). Introduction of yet another economic innovation will not solve this problem. It can be solved only by social innovations that are in a permanent shortage. A social innovation which fosters solving the issue of excessive accumulation of tangible production goods is a developing phenomenon called sharing economy. It is based on the principle: “the use of a service provided by some welfare does not require being its owner”. This principle allows for an economic use of resources located in households, but which have been “latent” so far. In this way, increasing of the scope of services provided (transport, residential and tourist accommodation) does not require any growth of additional tangible resources of factors of production. So, it contributes to the growth of household incomes, and inhibition of loading the planet with material goods processed by man [see Poniatowska-Jaksch, Sobiecki, 2016]. Another example: we live in times, in which, contrary to the law of T. Malthus, the planet is able to feed all people, that is to guarantee their minimum required nutrients. But still, millions of people die of starvation and malnutrition, but also due to obesity. Can this problem be solved with another economic innovation? Certainly not! Economic innovations will certainly help to partially solve the problem of nutrition, at least by the new methods of storing and preservation of foods, to reduce its waste in the phase of storage and transport. However, a key condition to solve this problem is to create and implement an innovation of a social nature (in many cases also political). We will not be able to speak about the progress of civilisation in a situation, where there are people dying of starvation and malnutrition. A growing global social concern, resulting from implementation of an economic (technological) innovation will be robotisation, and more specifically – the effects arising from its dissemination on a large scale. So far, the issue has been postponed due to globalisation of the labour market, which led to cheapening of the work factor by more than ten times in the countries of Asia or South America. But it ends slowly. Labour becomes more and more expensive, which means that the robots become relatively cheap. The mechanism leading to low prices of the labour factor expires. Wages increase, and this changes the relationship of the prices of capital and labour. Capital becomes relatively cheaper and cheaper, and this leads to reducing of the demand for work, at the same time increasing the demand for capital (in the form of robots). The introduction of robots will be an effect of the phenomenon of substitution of the factors of production. A cheaper factor (in this case capital in the form of robots) will be cheaper than the same activities performed by man. According to W. Szymański [2017], such change is a dysfunction of capitalism. A great challenge, because capitalism is based on the market-driven shaping of income. The market-driven shaping of income means that the income is derived from the sale of the factors of production. Most people have income from employment. Robots change this mechanism. It is estimated that scientific progress allows to create such number of robots that will replace billion people in the world. What will happen to those “superseded”, what will replace the income from human labour? Capitalism will face an institutional challenge, and must replace the market-driven shaping of income with another, new one. The introduction of robots means microeconomic battle with the barrier of demand. To sell more, one needs to cut costs. The costs are lowered by the introduction of robots, but the use of robots reduces the demand for human labour. Lowering the demand for human labour results in the reduction of employment, and lower wages. Lower wages result in the reduction of the demand for goods and services. To increase the demand for goods and services, the companies must lower their costs, so they increase the involvement of robots, etc. A mechanism of the vicious circle appears If such a mass substitution of the factors of production is unfavourable from the point of view of stimulating the development of the economy, then something must be done to improve the adverse price relations for labour. How can the conditions of competition between a robot and a man be made equal, at least partially? Robots should be taxed. Bill Gates, among others, is a supporter of such a solution. However, this is only one of the tools that can be used. The solution of the problem requires a change in the mechanism, so a breakthrough innovation of a social and political nature. We can say that technological and product innovations force the creation of social and political innovations (maybe institutional changes). Product innovations solve some problems (e.g. they contribute to the reduction of production costs), but at the same time, give rise to others. Progress of civilisation for centuries and even millennia was primarily an intellectual progress. It was difficult to discuss economic progress at that time. Then we had to deal with the imbalance between the economic and the social element. The insufficiency of the economic factor (otherwise than it is today) was the reason for the tensions and crises. Estimates of growth indicate that the increase in industrial production from ancient times to the first industrial revolution, that is until about 1700, was 0.1-0.2 per year on average. Only the next centuries brought about systematically increasing pace of economic growth. During 1700- 1820, it was 0.5% on an annual average, and between 1820-1913 – 1.5%, and between 1913-2012 – 3.0% [Piketty, 2015, p. 97]. So, the significant pace of the economic growth is found only at the turn of the 19th and 20th century. Additionally, the growth in this period refers predominantly to Europe and North America. The countries on other continents were either stuck in colonialism, structurally similar to the medieval period, or “lived” on the history of their former glory, as, for example, China and Japan, or to a lesser extent some countries of the Middle East and South America. The growth, having then the signs of the modern growth, that is the growth based on technological progress, was attributed mainly to Europe and the United States. The progress of civilisation requires the creation of new social initiatives. Social innovations are indeed an additional capital to keep the social structure in balance. The social capital is seen as a means and purpose and as a primary source of new values for the members of the society. Social innovations also motivate every citizen to actively participate in this process. It is necessary, because traditional ways of solving social problems, even those known for a long time as unemployment, ageing of the society, or exclusion of considerable social and professional groups from the social and economic development, simply fail. “Old” problems are joined by new ones, such as the increase of social inequalities, climate change, or rapidly growing environmental pollution. New phenomena and problems require new solutions, changes to existing procedures, programmes, and often a completely different approach and instruments [Kowalczyk, Sobiecki, 2017].