scholarly journals Role of Pharmacists in Hormonal Contraceptive Access: A Survey of North Carolina Pharmacists

Pharmacy ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 191
Author(s):  
Gwen J Seamon ◽  
Allison Burke ◽  
Casey R Tak ◽  
Amy Lenell ◽  
Macary Weck Marciniak ◽  
...  
Keyword(s):  
North Carolina ◽  
Rural Areas ◽  
Hormonal Contraception ◽  
Community Pharmacists ◽  
The United States ◽  
The State ◽  
Public Health Issue ◽  
Future Research ◽  
Potential Barriers

The role of pharmacy in healthcare continues to evolve as pharmacists gain increased clinical responsibilities in the United States, such as the opportunity to prescribe hormonal contraception. Currently, North Carolina (NC) pharmacists do not have this ability. While previous research focused on the perceptions of community pharmacists surrounding this practice, no previous research surveyed all pharmacists in a state. This cross-sectional, web-based survey was distributed to all actively licensed pharmacists residing in the state of NC in November 2018. The primary objective was to determine the likelihood of NC community pharmacists to prescribe hormonal contraception. Secondary outcomes included: evaluation of all respondent support and perceptions of this practice as advocacy occurs on the state organization level and unified support is critical; opinions regarding over-the-counter (OTC) status of contraception; and potential barriers to prescribing. Overall, 83% of community pharmacists were likely to prescribe hormonal contraception. No differences in likelihood to prescribe were detected between geographic settings. Community pharmacists reported that the most common barriers to impact prescribing were added responsibility and liability (69.8%) and time constraints (67.2%). Fewer than 10% of respondents felt that hormonal contraception should be classified as OTC (7.9%). Noncommunity pharmacists were significantly more likely to agree that prescribing hormonal contraception allows pharmacists to practice at a higher level, that increased access to hormonal contraception is an important public health issue, and that rural areas would benefit from pharmacist-prescribed hormonal contraception. Overall, this study found a willingness to prescribe and support from the majority of both community and noncommunity pharmacists. Limitations of the study included a low response rate and potential nonresponse bias. Future research is needed to address solutions to potential barriers and uptake of this practice, if implemented.

scholarly journals Regenerating Places outside the Metropolis. A Reading of Three Global Art-Related Processes and Development Trajectories

2021 ◽  
Vol 13 (22) ◽  
pp. 12359
Author(s):  
Ludovico Centis ◽  
Ezio Micelli
Keyword(s):  
United States ◽  
Rural Areas ◽  
The United States ◽  
Global Scale ◽  
Future Research ◽  
Practical Implementation ◽  
Industrialized Countries ◽  
Art And Culture ◽  
Urban And Rural Areas

The aim of the paper is to reflect on the intersection of two relevant phenomena that unfolded in recent decades in all the most industrialized countries and economies—from the United States to Europe and Japan—as the shrinkage of vast urban and rural areas and the increasing role of culture as a driver for economic growth and social development. The attention is focused on the role of art as one of the main engines of territorial regeneration. Three case studies—Verzegnis in Italy, the Seto Islands in Japan, Marfa in the United States—have been selected to open a reflection on the relation between culture, art and regeneration on a global scale. To measure these effects, the research intertwined field explorations, access to primary and secondary texts, an original mapping of the sites and a series of targeted interviews through an extensive questionnaire. The research addresses the role played by art and culture both in the reuse of abandoned buildings and spaces and in the activation, involvement and self-empowerment of the inhabitants. The aim is not the definition of an immediately generalizable model but to reach the first synthesis, identifying general characters and opening future research paths that engage with the theoretical and practical implementation of politics related to heritage, culture and innovative regeneration processes.

The Energy Politics of the United States

2020 ◽  
pp. 371-405
Author(s):  
Juliann Emmons Allison ◽  
Srinivas Parinandi
Keyword(s):  
Energy Policy ◽  
The United States ◽  
Political Polarization ◽  
Future Research ◽  
Future Research Agenda ◽  
Production And Consumption ◽  
Energy Politics ◽  
Climate Action ◽  
Subnational Governance

This chapter examines the development and politics of US energy policy, with an emphasis on three themes: the distribution of authority to regulate energy between national (or federal) and subnational governments, the relationship between energy and environmental policy and regulation, and the role of climate action in energy politics. It reviews patterns of energy production and consumption; provides an overview of national energy politics; and reviews literatures on federalism and energy politics and policy, the increasing integration of energy and environmental policies, and the politics of energy and climate action. The chapter concludes with a discussion of a future research agenda that underscores the significance of political polarization, subnational governance, and technological innovation for understanding US energy policy.

scholarly journals Qualitative perspectives of the North Carolina healthy food small retailer program among customers in participating stores located in food deserts

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lindsey Haynes-Maslow ◽  
Stephanie B. Jilcott Pitts ◽  
Kathryn A. Boys ◽  
Jared T. McGuirt ◽  
Sheila Fleischhacker ◽  
...  
Keyword(s):  
North Carolina ◽  
Low Income ◽  
Rural Areas ◽  
Food Access ◽  
Qualitative Interviews ◽  
Food Deserts ◽  
State Legislature ◽  
Healthy Food ◽  
The State ◽  
The North

Abstract Background The North Carolina Healthy Food Small Retailer Program (NC HFSRP) was established through a policy passed by the state legislature to provide funding for small food retailers located in food deserts with the goal of increasing access to and sales of healthy foods and beverages among local residents. The purpose of this study was to qualitatively examine perceptions of the NC HFSRP among store customers. Methods Qualitative interviews were conducted with 29 customers from five NC HFSRP stores in food deserts across eastern NC. Interview questions were related to shoppers’ food and beverage purchases at NC HFSRP stores, whether they had noticed any in-store efforts to promote healthier foods and beverages, their suggestions for promoting healthier foods and beverages, their familiarity with and support of the NC HFSRP, and how their shopping and consumption habits had changed since implementation of the NC HFSRP. A codebook was developed based on deductive (from the interview guide questions) and inductive (emerged from the data) codes and operational definitions. Verbatim transcripts were double-coded and a thematic analysis was conducted based on code frequency, and depth of participant responses for each code. Results Although very few participants were aware of the NC HFSRP legislation, they recognized changes within the store. Customers noted that the provision of healthier foods and beverages in the store had encouraged them to make healthier purchase and consumption choices. When a description of the NC HFSRP was provided to them, all participants were supportive of the state-funded program. Participants discussed program benefits including improving food access in low-income and/or rural areas and making healthy choices easier for youth and for those most at risk of diet-related chronic diseases. Conclusions Findings can inform future healthy corner store initiatives in terms of framing a rationale for funding or policies by focusing on increased food access among vulnerable populations.

Сonceptual assessment of the implementation of the principles of inclusive rural areas development with the participation of agroholding integrated formations

Ekonomika APK ◽  
2021 ◽  
Vol 317 (3) ◽  
pp. 97-111
Author(s):  
Oleksandr Shpykuliak ◽  
Mykola Ihnatenko ◽  
Andrii Shvets
Keyword(s):  
Rural Areas ◽  
Agricultural Sector ◽  
Inclusive Development ◽  
Practical Significance ◽  
Future Research ◽  
Socially Responsible ◽  
Responsible Management ◽  
Analysis And Synthesis ◽  
Methodological Assessment

The purpose of the article is to make conceptual assessments of the implementation of the principles of inclusive rural areas development with the participation of agroholding integrated formations. Research methods. In the course of the research a number of general scientific and special methods were used, in particular: system-structural analysis and synthesis as the main methodological tool (in the analysis of directions of social responsibility and inclusive development of agroholding integrated formations); monographic (in determining the essence and methodological assessment of the role of agroholding integrated formations as integrated structures in the inclusive development of Ukraine's economy); extrapolations (with substantiation of potential and possibilities of strengthening of inclusive orientation in development of agroholding integrated formations for the future). Research results. The methodological context of inclusiveness in the effects of management in the agricultural sector of the economy in the formation of the concept of sustainability is outlined. Institutional and organizational-economic characteristics are revealed and priority roles of agroholding integrated formations in realization of principles of inclusive development of rural territories are identified. The emphasis on the direction of development of agroholding integrated formations on realization of projects of socially responsible management which will consider features of development of rural territories is defined as effective and methodically expedient. Scientific novelty. The methodological context of inclusiveness in the effects of management in the agricultural sector of the economy in the formation of the concept of sustainability is outlined. Institutional and organizational-economic characteristics are revealed and priority roles of agroholding integrated formations in realization of principles of inclusive development of rural territories are identified. The emphasis on the direction of development of agroholding integrated formations on realization of projects of socially responsible management which will consider features of development of rural territories is defined as effective and methodically expedient. Practical significance. Methodological substantiation of organizational and economic characteristics and conceptualization of the role of agroholding integrated formations in the implementation of the principles of inclusive rural areas development with proof of the need for stimulating involvement of this type of structures in the implementation of socially responsible management with projection to achieve sustainability through inclusiveness. Tabl.: 2. Refs.: 50.

scholarly journals Uniola paniculata (Poaceae, Chloridoideae, Unioliinae), nuevo registro para la flora de la Península de Yucatán, México

2020 ◽  
Author(s):  
Daniel Alexis Tovar-Montalvo ◽  
Monserrat Medina-Acevedo ◽  
Miguel Angel García-Bielma ◽  
Jesús Jaime Guerra-Santos
Keyword(s):  
United States ◽  
United States Of America ◽  
The United States ◽  
The State ◽  
Ecological Role ◽  
Uniola Paniculata ◽  
The Family ◽  
Sea Grass ◽  
The Caribbean

Resumen: Antecedentes y Objetivos: La avena de mar, Uniola paniculata, se distribuye en el Caribe, los Estados Unidos de América y México. El objetivo de este trabajo es reportar su presencia y registro en el estado de Campeche, México. Métodos: Se colectaron ejemplares de la familia Poaceae creciendo en una duna frontal al suroeste del estado de Campeche, específicamente en la Isla del Carmen. Las colectas fueron procesadas y herborizadas, para su conservación e identificación.Resultado clave: Con la identificación de ejemplares, y después de hacer una revisión de su distribución, se registra por primera vez la presencia de Uniola paniculata (Poaceae) en la Península de Yucatán, representando una contribución al conocimiento florístico de la región y a la flora de México.Conclusiones: Esta especie solo había sido reportada para la costa del Golfo de México, en los estados de Tamaulipas, Veracruz y Tabasco. Este registro adquiere relevancia por el papel ecológico de este pasto en las dunas costeras.Palabras clave: avena de mar, conocimiento florístico, dunas costeras, flora de Campeche.Abstract: Background and Aims: The oat sea grass, Uniola paniculata, is distributed in the Caribbean, the United States of America and Mexico. The aim of this work is to report its occurrence and record in the state of Campeche, Mexico.Methods: Individuals of the family Poaceae were collected growing in a coastal dune in the southwest of the state of Campeche, particularly on the Isla del Carmen. The collections were processed and herborized for their conservation and classification.Key results: With the individuals’ identification and after reviewing its distribution, this is the first report of the presence of Uniola paniculata (Poaceae) on the Yucatan Peninsula, representing a contribution to the floristic knowledge of the region and the flora of Mexico.Conclusions: This species had only been reported from the coast of the Gulf of Mexico in the states of Tamaulipas, Veracruz and Tabasco. This record is relevant because of the ecological role of this oat sea grass in the coastal dunes.Key words: Campeche flora, coast dunes, floristic knowledge, sea oat.

scholarly journals The Value of Citizen Science in Increasing Our Knowledge of Under-Sampled Biodiversity: An Overview of Public Documentation of Auchenorrhyncha and the Hoppers of North Carolina

2021 ◽  
Vol 9 ◽  
Author(s):  
Kyle D. Kittelberger ◽  
Solomon V. Hendrix ◽  
Çağan Hakkı Şekercioğlu
Keyword(s):  
North Carolina ◽  
Citizen Science ◽  
Spatial Scales ◽  
The United States ◽  
Undescribed Species ◽  
The Past ◽  
Global Biodiversity ◽  
Temporal And Spatial

Due to the increasing popularity of websites specializing in nature documentation, there has been a surge in the number of people enthusiastic about observing and documenting nature over the past 2 decades. These citizen scientists are recording biodiversity on unprecedented temporal and spatial scales, rendering data of tremendous value to the scientific community. In this study, we investigate the role of citizen science in increasing knowledge of global biodiversity through the examination of notable contributions to the understanding of the insect suborder Auchenorrhyncha, also known as true hoppers, in North America. We have compiled a comprehensive summary of citizen science contributions—published and unpublished—to the understanding of hopper diversity, finding over fifty previously unpublished country and state records as well as dozens of undescribed and potentially undescribed species. We compare citizen science contributions to those published in the literature as well as specimen records in collections in the United States and Canada, illuminating the fact that the copious data afforded by citizen science contributions are underutilized. We also introduce the website Hoppers of North Carolina, a revolutionary new benchmark for tracking hopper diversity, disseminating knowledge from the literature, and incorporating citizen science. Finally, we provide a series of recommendations for both the entomological community and citizen science platforms on how best to approach, utilize, and increase the quality of sightings from the general public.

Urbanization and The Dynamics of Change in the Sahel

2021 ◽  
pp. 708-728
Author(s):  
Florence Boyer ◽  
David Lessault
Keyword(s):  
Population Growth ◽  
Rural Areas ◽  
Demographic Transition ◽  
School Health ◽  
The State ◽  
Future Research ◽  
Rapid Urbanization ◽  
The City ◽  
Contemporary Context

Since independence, Sahelian cities have been experiencing continuous and increasingly strong population growth, linked to migration and to an unfinished demographic transition. In contexts of rapid urbanization, facilities, infrastructure, and services (school, health, sanitation, etc.) are deficient, and a transfer of poverty from rural areas to cities takes place. Sahelian cities are also marked by the youthfulness of their populations, and an important area for research are the questions of what the city does to youth, and what youth does to the city. Knowledge of Sahelian cities remains fragmented. If the dynamics and challenges of capitals such as Dakar, Ouagadougou, or Bamako are fairly well known, those of N’Djamena, Niamey, or Nouakchott are less so. There are few studies of small and medium-sized cities, and these are in need of updating in the contemporary context of decentralization. This chapter surveys the state of knowledge of urbanization in the Sahel, and suggests directions for future research.

Education and the University of North Carolina Pre-Flight School

Home Front ◽  
2017 ◽  
Keyword(s):  
United States ◽  
North Carolina ◽  
Military Training ◽  
The United States ◽  
Colleges And Universities ◽  
The State ◽  
Chapel Hill ◽  
Trained Teachers ◽  
The University ◽  
The U.S

Primary and secondary schools were hard hit by the war, with a dearth of supplies and trained teachers. Many colleges and universities, vacated by men off to war, would have had to close were it not for the U.S. military training units at the schools. Each institution in the state had some sort of government activity on their campuses, but the preeminent center was the Navy Pre-Fight School at UNC-Chapel Hill, where two future presidents of the United States, George H. W. Bush and Gerald Ford trained.

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