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What Families Need to Know about How to Safely Store Firearms at Home
Guns have been identified as the leading cause of death for children in the United States, making ongoing discussions about firearm safety especially important. Kerri Raissian, an associate professor of public policy at the University of Connecticut, and Jennifer Necci Dineen, associate director of the ARMS Center for Gun Injury Prevention, recently co-authored an very important piece for The Conversation titled detailing what families need to know about safely storing firearms at home. There were 2,571 children age 1 to 17 who died in shootings in the U.S. in 2021, 68% more than the 1,531 that occurred in 2000. To help reduce the number of firearm-related deaths and injuries among children, Secretary of Education Miguel Cardona in January 2024 called upon school and district administrators to talk with parents and guardians about safe firearm storage practices. As experts on the safe storage of firearms – and as leaders of the University of Connecticut’s ARMS Center for Gun Injury Prevention – we often get questions about the best ways to keep guns out of the hands of children. We offer the following tips: 1: Safely store all of your firearms 2. Don’t assume you can hide your guns 3. Store ammunition separately 4. Learn to talk about firearm safety 5. Know the law 6. Invest in a quality safe and/or locking device The full piece is available here from The Conversation. Kerri Raissian is an associate professor in the School of Public Policy at the University of Connecticut, director of the University of Connecticut's UConn’s Center for Advancing Research, Methods, and Scholarship (ARMS) in Gun Violence Prevention, and co-director of the Institute for Collaboration on Health, Intervention, and Policy (InCHIP) Gun Violence Prevention Research Interest Group. Her research focuses on child and family policy, with an emphasis on understanding how policies affect fertility, family formation, and family violence. She is available to speak to media about this important topic - simply click on her icon now to arrange an interview today.
Turning the City Green! Georgia Southern celebrates Savannah's 200th St. Patrick's Day Parade
Savannah’s St. Patrick’s Day Parade is one of the largest in America, right behind New York City and Chicago. Comprised of Irish heritage, marching bands, traditional dancers and elaborate floats, people come to Savannah from all over the world to participate in the local parade. And as the city looks to commemorate the 200th St. Patrick’s Day Celebration this year, Dr. Howard Keeley, the director of Georgia Southern University's Center for Irish Research, is a crucial member of the global Irish community. Notably, he said the fact that St. Patrick’s Day celebrations are still prevalent and evolving come down to several things. Firstly- he says that people with Irish heritage in Savannah have such a hyper-local pride. There were three main neighborhoods the Irish settled in- East Savannah, Yamacraw, and Frogtown - and a lot of local Irish people now can trace their lineage back to one of those neighborhoods. He also says that Irish immigrants were received very well into the Savannah community unlike in some other places, such as the Northeast. That cultural integration has allowed Irish pride to be woven into the fabric of Savannah and he says that Irish people also love to share their heritage with others. So, it’s only natural that St. Patrick’s Day celebrations have continued on for this long. ”It’s the Irish and everybody else. There’s a phrase that has come into being, I think it was coined by the Irish government, but when you think about the phrase it makes so much sense. And that is ‘affinity diaspora’, so diaspora referring to the Irish that live abroad, but affinity meaning anyone can be Irish. That you align with certain values that Ireland wants to stand for, values of inclusion, values of cultural vibrancy, and you know, Ireland is welcoming,” said Keeley. Keeley was recently in the news for receiving the 2023 Presidential Distinguished Service Award for the Irish Abroad from the Government of Ireland. It is the highest honor the country of Ireland can give to a person who is a non-resident. This will be an exciting event, and if you're looking to speak to Howard Keeley simply click on his icon now or contact Georgia Southern's Director of Communications Jennifer Wise at jwise@georgiasouthern.edu to arrange an interview today.
Municipalities around the world have invested significant resources to develop connected smart cities that use the Internet of Things (IoT) to improve sustainability, safety and efficiency. With this increased demand for IoT experience, the VCU College of Engineering formed the OpenCyberCity testbed in 2022. The 1:12 scale model city provides a realistic, small-scale cityscape where students and researchers can experiment with new and existing smart city technology. Sherif Abdelwahed, Ph.D., electrical and computer engineering professor, is director of OpenCyberCity. He recently answered some questions about new developments within the testbed. The OpenCyberCity is a smart city testbed, but are there any real-life cities that one could call a smart city? Several real-life locales are considered smart cities due to their extensive use of technology and data-driven initiatives to optimize infrastructure and services. Dubai is one of the most notable. They have implemented smart transportation systems, buildings and artificial intelligence to transform the city’s operations and make them more efficient. Other reputable smart cities include Singapore and Seoul, which utilize smart energy management, smart transportation and comprehensive data analytics for improved urban planning and services. Seoul, in particular, has an initiative with smart grids and connected street lights, which VCU Engineering’s own OpenCyberCity test bed is working to implement. How does the OpenCyberCity address privacy? With so much technology related to monitoring, how are individual citizens protected from these technologies? Privacy is a major concern for smart cities and it is one of the main research directions for VCU Engineering’s OpenCyberCity. We are developing several techniques to prevent unwanted surveillance of personal information. Sensitive data is protected by solid protocols and access restrictions that only allow authorized users to view the data. Our aim is to find a reasonable middle ground between technological progress and privacy rights, staying within legal and ethical bounds. Some techniques to address privacy concerns include: Data Anonymization: This makes it difficult to trace back information to individual identities. Within the testbed, we will evaluate how to protect individual privacy while maintaining data utility and assess the impact on data quality. Secure Data Storage and Transmission: Encrypt data to protect it from unauthorized access. In the smart city testbed, these access control mechanisms will be implemented within the testbed’s infrastructure. We will also test different data handling processes and access control models to determine their ability to safeguard sensitive data. Privacy Impact Assessments: Regularly evaluate potential privacy risks of new smart city projects in order to mitigate them and ensure the ethical handling of data by those with access. Policy and Regulation Development: Data and insights generated from OpenCyberCity experiments can inform the development of cybersecurity policies and regulations for smart cities. How is the College of Engineering’s OpenCyberCity test bed different from similar programs at other institutions? While other universities have similar smart-city-style programs, each has their own specialty. The VCU College of Engineering’s OpenCyberCity test bed focuses on real-world contexts, creating a physical space where new technologies, infrastructure, energy-efficient transportation and other smart city services can be tested in a controlled environment. Our lab monitors real-time data and develops smart buildings, smart hospitals and smart manufacturing buildings to enhance the city’s technologies. Recent additions to the OpenCyberCity allow for expanded research opportunities like: Advanced Manufacturing: Students can apply advanced manufacturing techniques in a controlled environment. They can also test new materials, processes and automation technologies to improve efficiency and product quality. Energy Efficiency Testing: Environmental engineers and sustainability experts can evaluate energy consumption patterns within the smart manufacturing unit to implement energy-saving measures and assess their impact on sustainability. Production Optimization: Manufacturers can use real-time data from the smart manufacturing unit to optimize production schedules, minimize downtime and reduce waste. Predictive maintenance algorithms also help prevent equipment breakdowns. Education and Training: Hands-on experience with state-of-the-art manufacturing technologies helps train the workforce of the future. Integration with Smart City Services: Data generated by the manufacturing unit can be integrated with smart city services. For example, production data can inform supply chain management and energy consumption data can contribute to overall city energy efficiency initiatives. How has the OpenCyberCity changed in the last year? Is the main focus still data security? What started with research examining, analyzing and evaluating the security of next-generation (NextG) applications, smart city operations and medical devices has expanded. Data security is now only one aspect of OpenCyberCity. Its scope has grown to encompass more expansive facets of cybersecurity like automation and data analytics in the domain of smart manufacturing systems. The implementation of a smart manufacturing system in 2023 is something students really enjoy. Thanks to the vendor we used, undergraduate students had the option to develop functionality for various features of the manufacturing plant. Graduate students were also able to research communications protocols and cybersecurity within the smart manufacturing system. What does the smart manufacturing system entail and what kind of work is occurring within that system? An automated system is there for students to work with. Robot arms, microcontrollers, conveyor belts, ramps, cameras and blocks to represent cargo form an environment that emulates a real manufacturing setting. We’re currently brainstorming an expansion of the smart manufacturing system in collaboration with the Commonwealth Cyber Initiative (CCI). We plan to set up two building models, one for manufacturing and one for distribution, linked by a sky bridge conveyor system that moves items between the locations. Students work to leverage convolutional neural networks that use images to facilitate machine learning. When paired with the advanced cameras, it forms a computer vision system that can accurately place blocks in a variety of lighting conditions, which can be a challenge for other systems. By having to optimize the communication protocols that command the smart manufacturing system’s robotic arms, students also get a sense for real-world constraints . The Raspberry Pi that functions as the controller for the system is limited in power, so finding efficiencies that also enable stability and precision with the arms is key. Is there an aspect of cybersecurity for these automated systems? Yes. Devices, sensors and communication networks integral to the IoT found in smart manufacturing systems and smart cities generate and share vast amounts of data. This makes them vulnerable to cybersecurity threats. Some of the issues we look to address include: Data Privacy: Smart systems collect and process vast amounts of data, including personal and sensitive information. Protecting this data from unauthorized access and breaches is a top priority. Device Vulnerabilities: Many IoT devices used in smart systems have limited computational resources and may not receive regular security updates, making them vulnerable to exploitation. Interconnectedness: The interconnected nature of smart city components increases the attack surface. A breach in one system can potentially compromise the entire network. Malware and Ransomware: Smart systems are susceptible to malware and ransomware attacks, which can disrupt services and extort organizations for financial gain. Insider Threats: Employees with malicious intent or negligence can pose significant risks to cybersecurity. Potential solutions to these problems include data encryption, frequent software updates, network segmentation with strict access controls, real-time intrusion detection (with automated responses to detected threats), strong user authentication methods, security training for users and the development of well-designed incident response plans.
Sleep Better, Live Better: Improving Sleep Quality Can Lead to Less Stress and Improved Cognition
Research has demonstrated that increased stress and all-night study sessions can lead to lower cognitive functioning and test scores, adding even more pressure on college students. Baylor sleep expert Michael K. Scullin, Ph.D., director of Baylor University’s Sleep Neuroscience and Cognition Laboratory and associate professor of psychology and neuroscience, studies how cognitive and behavioral processes are affected by sleep. “Sleep deprivation makes life worse. And it makes the person not getting enough sleep worse at life,” Scullin said. “However, if we focus on improving our sleep, life will get better, and we will get better at life.” Poor sleep is particularly common when students are studying for exams or working on major projects for classes. The combination of staying up late, cramming for tests, increased stress and bright light exposure late at night can lead to variable sleep durations and higher stress levels. “We know that as you accumulate sleep debt, whether it's from a single all-nighter or from weeks of variable sleep durations, it can exacerbate any pre-existing vulnerability a person may have to stress,” Scullin said. “For instance, if someone has a predisposition to panic attack disorder, sleep deprivation can increase panic attacks by about 40%. This applies to virtually any clinical or subclinical condition, whether it’s stress-related or not – sleep deprivation makes it worse.” Scullin added that even with a slight sleep deficit, any sort of negative event, such as a bad grade on a test, will feel much worse than it would for someone who is well-rested. “It becomes a cycle, and the individual begins to focus on what is worse instead of calming down at night and getting ready to fall asleep,” Scullin said. So how can a student – or any individual – break this cycle? It all starts with developing healthy sleep habits, which reduce stress and improve academic performance. Scullin suggests students try three Challenges to improve their sleep, mood and stress regulation. 1. Illuminate! Challenge One class activity that Scullin has used with students for years is called the Illuminate! Challenge, which focuses on students adding more natural sunlight to their lives in the morning hours. “About 90% of students do not know that we need natural sunlight daily in the morning to tell our internal biological clock when to start ticking. When our biological clock knows it's time to start ticking, it will make us feel more alert, which helps improve our mood,” Scullin said. Specifically, he suggests: Spending 20 minutes daily outdoors in natural daylight during the morning hours. Be intentional with this time as something aside from walking to class or other daily routines. Take the time when you would normally be inside studying or eating breakfast to go outside instead. “Almost every one of my students who has taken this challenge has said their mood and alertness improved,” Scullin said. 2. Deluminator Challenge The Deluminator Challenge eliminates light in your bedroom for a night of better sleep. Scullin said this challenge works by: Turning off all the lights and counting the number of artificial lights that exist in your environment. How many of your plugs have lights? How much light is coming in through your curtains? Cover up every light source (except fire alarms and other safety devices), including any light coming through windows. Blackout curtains are a good investment, or even using blankets to cover windows will help reduce light at night. It’s easy to adopt this challenge as it is sustainable once it is set. You will find that you can fall asleep easier and enjoy sleeping later in the morning because of the darker environment. “What normally happens is students see their devices are emitting unnatural light, and it is not nearly as dark as it should be,” Scullin said. “A lot of students in my classes report that this is their favorite challenge because it led to the biggest impact on sleep quality.” 3. Anti-Rumination Challenge Lying in bed thinking about everything you need to do the next day can increase stress levels and interrupt sleep. In a recent study, Scullin found that taking five minutes to write a “to-do” list at bedtime helped student participants fall asleep about 10 minutes faster than others who used that time to chronicle completed activities: Take five minutes to write down a to-do list of everything that needs to be done the next day. The to-do list offloads stress, gives you a good action plan for the next day and helps you feel accomplished as you check off the goals. When people get more sleep – even just one more hour of sleep per night – “they literally become happier,” Scullin said. That extra hour of sleep can improve social relationships, emotional reactions and cognitive functioning. With improved cognitive functioning comes improved academic performance. “Adding more sleep to your life makes life better, and it's going to make you better at life. It's going to resolve some of the stress, and you're going to better handle events that are inherently stressful. You're going to enjoy life while you're also taking classes. And you know what? Your grades are probably going to improve.”
Baylor Expert: Don't Lose Focus on Spiritual and Mental Well-being
Baylor Social Work professor shares tips and resources during stressful half-way mark of semester Holly Oxhandler, Ph.D., LMSW., associate dean for research and faculty development and associate professor in the Diana R. Garland School of Social Work. October marks the halfway point to the fall semester and can carry all the excitement, stress and anxiety of another academic term winding to a close. The month also typically marks one of the busiest times of the year for university counseling centers across the nation. With unique challenges in 2020 related to COVID-19, the University has acknowledged those hardships for all in the Baylor Family by taking the initiative to focus on mental health throughout October. Baylor University’s Holly Oxhandler, Ph.D., LMSW, associate dean for research and faculty development and associate professor in the Diana R. Garland School of Social Work, is an expert on mental health, primarily anxiety and depression, as well as religion and spirituality in clinical practice. In this Q&A, she shares tips and resources to students, faculty and staff who are facing all of the typical challenges of another mid-term while also navigating a global health crisis. Q: The 2020 fall semester provided challenges and obstacles never seen before in higher education. Why has COVID-19 been a uniquely stressful influence on the mental and spiritual well-being of students, faculty and staff? There are a number of reasons COVID-19 has been a uniquely stressful influence on the mental and spiritual well-being of those in higher education. First, there are the unanticipated layers and learning curves of new considerations and adjustments to course delivery, safety protocols, dining, campus activities and communication, to name a few, on top of the typical adjustments and emotions we all navigate at the beginning of each fall semester. Second, those in higher education entered fall 2020 without the “typical” summer that’s needed to reset, make adjustments and plan for the upcoming year’s activities. For example, many administrators, faculty and staff spent the summer not only planning for the usual upcoming academic year but also reconfiguring classes to be hybrid or online or simultaneously include both in-person and online students, in addition to modifying student activities and faculty research project timelines and plans. For degree programs that include internships, like social work, there have also been additional layers of consideration in order to comply with our professional accreditation standards. Third, we recognize that many students, their family members, as well as Baylor faculty and staff members’ loved ones, have been affected by the economic impact of COVID-19, adding a layer of financial stress. Fourth, many within the Baylor community – staff, faculty and students – have needed to juggle childcare and homeschooling their children as they continue to engage in their own work and/or educational expectations. Finally, the fear of contracting COVID-19, especially among the most vulnerable and high-risk populations, has been constantly present. Not only are we adjusting to this academic year with new ways of being and new protocols that keep us and one another safe, we’re also facing unexpected waves of fear and layers of grief for the missed events, opportunities and connections we had hoped to experience. As resilient as our community is, I think it’s important to remember we cannot “operate as usual” because things aren’t usual. Instead, we must allow ourselves and one another the time, margin, flexibility and grace needed to sit with and move through the rising emotions, grief, stress, loneliness, fear and uncertainty as they come. We cannot skip or bypass these emotions, but instead, must move through them, often with the support of loved ones and/or a trained mental health care provider. Q: Mental and spiritual health are challenging during even a typical semester experience. What are some of the effects and reactions you’ve witnessed to these circumstances among students, faculty and staff compared to a non-COVID-19 semester? As human beings navigating a global pandemic to the best of our ability, our mental and spiritual health have all been impacted to some degree this semester as we have individually and collectively faced a number of unexpected difficulties. I have also seen a beautiful response to the reality of this collective struggle in my interactions with Baylor faculty, staff and students that includes deep empathy for one another and an increase in valuing authenticity as we engage in the high-quality, meaningful work we each do. It has been a gift to witness Baylor community members holding space for colleagues’ and students’ vulnerability as we admit this is hard for various reasons and recognize that we cannot just push our way through this season. When we admit this isn’t easy and that we are all juggling so much to the best of our ability through thick layers of uncertainty, it gives those around us permission to admit their experiences, too. In fact, I think when we create space for that shared vulnerability and empathy in our interactions with others, we can better assess the current situation, remain present to one another and discern what steps are needed to move forward together, particularly because we’re not carrying an additional layer of effort pretending that everything is fine. That said, the Garland School of Social Work conducted a couple of well-being surveys since this summer to internally check in on how our faculty and staff are coping with this season and identify the biggest stressors they’re facing and sources of support. Our faculty and staff have also been continually checking in on our students through this season. Not only do we see many noting the same stressors that we’re all facing these days, normalizing how difficult this is for each of us, but the act of nonjudgmentally holding that space for ourselves and one another has been a tangible step of offering the care we know is uniquely woven into the Baylor experience. Q: How can individuals within the campus community tend to their spiritual health to close out the semester? I would invite readers to take a moment to pause and identify a few spiritual practices that uniquely support them well, even if that means thinking back to less stressful seasons. The key to note here is that these are practices which require regular engagement, similar to if we were to practice a new instrument or sport. Spiritual practices can vary based on our faith tradition and may include praying; meditating; centering prayer; reading our religious text; walking a labyrinth; journaling; practicing gratitude; listening to a sermon or faith-based podcast; praying over and contemplating scripture; engaging in creativity; practicing daily examen; or listening to spiritual music. Some practices may involve other individuals that can be done safely, including seeking spiritual direction, participating in a Bible or faith-based book study with others or engaging in worship (even virtually!). These practices can offer a sense of groundedness and a reminder that God is with us, including through this season. As we continue to navigate this season of uncertainty, it is critical that we intentionally weave in spiritual practices that offer rhythms, routines and a grounded faith that can support us well through the waves of difficulty. Especially on campus, I would encourage Baylor community members to follow along with Spiritual Life’s resources and events, or check out Better Together BU, a partnership supported by both Spiritual Life and Multicultural Affairs. Q: How can individuals within the campus community tend to their mental health to close out the semester? Tending to our mental health in this last stretch of the semester will be so important as we move into the stress of finals, the complex emotions tied to the holidays, grief with upcoming celebrations looking different this year (including how we celebrate holidays, who we celebrate with and the reality of many having lost loved ones to COVID-19) and the reality of seasonal affective disorder on the horizon. In fact, in a typical year, about 5% of U.S. adults have seasonal affective disorder (SAD), with another 10-20% having mild forms of it. In light of all of the added transition, uncertainty, complexity of caregiving and homeschooling while working/studying at home, layers of loneliness and grief, I do hope our Baylor students, staff and faculty will actively prioritize taking good care of their mental health and supporting others’ mental health care, too. One way I highlight this with my social work students is by recommending creating a self-care plan that pays attention to our physical health, mental health, social support and spiritual health. If we can identify some strategies to holistically care for ourselves well and be mindful of potential barriers to navigate, we may have more resilience and practices to draw from to cope with challenges and stressors that arise. Finally, although NAMI highlights that 1 in 5 of us are currently facing a mental health struggle, some studies have shown that over 80% of us will meet criteria for a mental illness by young adulthood or middle-age. Therefore, I highly recommend that anyone who is noticing any changes in their mood, diet, sleep habits, behaviors or overall well-being immediately reach out for help. Students are encouraged to reach out to Baylor’s Counseling Center, CARE team or the BARC. Faculty and staff also have resources available through Baylor’s employee assistance program. Other resources for finding a mental health provider include HelpPRO, Psychology Today, Low Cost Help or these additional resources. For those who are deeply struggling, please reach out to the Suicide Prevention Lifeline at 1-800-273-8255 or text ‘HOME’ to 741-741 for the Crisis Text Line. As part of my faith and my social work values, I believe that each of us are worth caring for ourselves, including caring for our mental health alongside our spiritual and physical health. Q: What successes or bright spots have you seen within your campus experience that offer encouragement to how the Baylor Family has handled the crisis throughout the semester? I am regularly amazed by the Baylor students, faculty and staff, the ways we have navigated the crisis together this semester, and I am especially grateful for President Livingstone’s and Provost Brickhouse’s leadership since March. This semester, some bright spots have included Dr. Deborah Birx’s reflections on Baylor’s efforts to keep everyone safe from COVID-19, the Fall Faculty meeting and Dr. Peter Hotez’s appreciation of how Baylor leaders have kept the Baylor and Waco community safe and following along when Baylor students take over Baylor’s Instagram account (like Brandon Nottingham’s takeover on World Mental Health Day!). As the Garland School of Social Work’s associate dean for research and faculty development, I have also loved learning about the ways so many Baylor faculty are offering their unique research expertise and wisdom to serve others through this difficult time, such as Dr. Emily Smith’s “Friendly Neighbor Epidemiologist” Facebook page to explain COVID-19 information. I’ve also been reminded of what a gift it is to be a part of the Garland School of Social Work (GSSW) and this community of faculty, staff and students. The resilience, creativity, love for serving others, dedication to the social work profession and care for our students is so apparent within the GSSW. I have especially seen how my faculty and staff colleagues have adapted courses and assignments, creatively considered students’ needs and juggled their research responsibilities while extending grace to themselves and one another as we navigate this season together as a school to the best of our ability. Similarly, seeing our students’ resilience, flexibility, support of one another, commitment to the profession and heart for the clients and communities they serve is truly inspiring. Finally, Dean Jon Singletary’s servant-leader heart for the GSSW and the ways he has supported our school through so much transition over the last five years has been a gift. One example of this includes the two hours of weekly well-being time he extends for all GSSW staff and faculty to use in support of our spiritual and mental health care. Q: What gives you hope for the spring semester and beyond as students continue through their academic endeavors? Truthfully, our students’ presence and their enthusiasm over the fields of study they are dedicating their lives to gives me hope. As a professor, there is nothing like watching a student become fully alive in the work they are passionate about and feel as though they were made to do. Our students’ willingness to fully participate in the transformational education that Baylor offers, especially in this difficult season of COVID-19, is an honor to witness as a professor and certainly gives me hope. Further, seeing the ways our students are empathically caring for their neighbor by following Baylor’s safety guidelines, growing in their faith, checking in on one another, understanding faculty and staff are doing their very best and continuing to demonstrate their determination to learn and grow is an inspiration. My hope and prayer for our students as well as our staff and faculty colleagues as we move through the remainder of the fall semester and into the spring is that they rest as they need to and prioritize taking good care of their mental and spiritual health. I also pray that we recognize as a community that by caring for our spiritual and mental health, by taking this season one day at a time, by trusting we are doing our best and by reaching out for help when needed, we give others permission to do the same.
Improving Care for Black Patients With Heart Failure and Hypertension
ChristianaCare’s Center for Heart & Vascular Health has dramatically improved the clinical outcomes of Black patients living with heart failure and hypertension by using a digital hybrid platform that provides patients with a dedicated health coach to ensure their care plan is followed and treatment goals are achieved. Through this innovative approach, ChristianaCare achieved a significant improvement in the number of Black patients adhering to prescribed doses of guideline-directed medical therapy (GDMT) for heart failure. “At ChristianaCare, we are deeply committed to eliminating disparities and achieving health equity in the communities we serve,” said Kirk Garratt, M.D., medical director of the Center for Heart & Vascular Health. “We are proud that we have been able to significantly improve the health outcomes of our patients, especially addressing health disparities in the Black population for patients with heart failure and hypertension.” Approximately 32% of ChristianaCare’s heart failure patient population identify as Black, which is a higher percentage compared to the Black population nationally (12.4%). Historically, Black Americans have experienced racial disparities in heart failure treatment and experience worse patterns of adherence to guideline-directed medical therapy (GDMT) . Additionally, Black Americans have a 30% greater risk of death from heart disease than white Americans. Combining technology and human-powered guidance This novel approach to care is powered by Story Health, a leading health technology services company. Its digital platform and health coaches have been able to deliver superior outcomes for ChristianaCare’s patients regardless of race. Black patients in particular have made remarkable gains: 6 times improvement on target doses of beta blockers (76%). 7 times improvement on target doses ACE/ARB/ARNIs (54%). 2 times improvement on target doses of MRAs (57%). ChristianaCare was also able to achieve improvement in Black patients taking SGLT2 inhibitors, rising from a 32% baseline to 74%. Despite their vital role in treating heart failure, SGLT2 inhibitors are historically underprescribed and see lower adherence – largely due to affordability challenges, as costs can be $500 per month or more. Helping patients overcome cost barriers is critical, which is why the health coaches directly engage with patients to identify those who may need assistance and will work on their behalf to qualify for prescription assistance programs. “Along with their digital platform, the health coaches from Story Health understand the unique needs of our patients and have helped us create deeper, more accessible relationships with our patients to help improve their health and outcomes,” said Sourin Banerji, M.D., medical director of Advanced Heart Failure and Mechanical Circulatory at ChristianaCare. The health coaches serve as an extension of the clinician to identify and resolve challenges such as medication adherence, lab work coordination, transportation arrangement and even prescription assistance that cause disruptions in a patient’s care journey and lead to negative outcomes. Improved control of hypertension In addition to heart failure patients, ChristianaCare’s collaboration with Story Health supported patients with hypertension, delivering significant reductions in blood pressure for those enrolled regardless of race. Among Black patients specifically, there were significant decreases in average absolute systolic and diastolic blood pressure levels (17 mm Hg and 8 mm Hg, respectively) after 120 days, compared to 8 mm Hg and 5 mm Hg decreases for uncontrolled hypertensives in another digital program after 12 months. As a result of this initial success, ChristianaCare’s Center for Virtual Health is expanding the use of this care model beyond cardiology to support all patients in the population. Many of these patients struggle to manage high blood pressure, and the use of a continuous care program will be an important tool to help with medication management and addressing social barriers. “Health equity is an incredibly important initiative, and we see our mission as critical to helping specialty and primary care providers drive more equitable care,” said Story Health Co-founder and President Nita Sommers. “As an industry leader, ChristianaCare understands that every individual deserves compassionate care that is accessible, so we are honored to be working with its cardiology team and now the Center for Virtual Health to improve the health of patients.” ChristianaCare has been recognized numerous times for high-quality heart care. Among the many achievements are the American College of Cardiology HeartCARE National Distinction of Excellence Award for three consecutive years (2020-2023) and being named among Healthgrades top 100 hospitals for heart care in the U.S. for the past two years (2022-2023).
The arrival of a leap year brings with it myths, legends and superstitions about its origin. John Gizis, professor of physics and astronomy at the University of Delaware, takes part in a Q&A to share the truth and science behind this “extra” day added to the Gregorian calendar every four years. Why do we have leap day? Unfortunately, the amount of time the earth takes to go around the sun is not exactly 365 days. It’s off by about ¼ of a day each year. It would be hard to have a calendar for 365 ¼ days. When was the extra day added to the calendar? Julius Caesar introduced the Julian calendar in 46 B.C., which added one extra day every four years. Of course, the year is not exactly 365 ¼ days either, so after a while, that extra time built up. Pope Gregory XIII established the Gregorian calendar [the current calendar] in 1582 to correct the fact that the calendar had gotten off by about 12 days, enough that it was noticeable. How was it noticeable? The seasons were gradually shifting, so that what we think of as summertime in the northern hemisphere had gradually become more like autumn. The shortest day of the year is Dec. 21. Basically, the shortest day of the year drifted and eventually was in early December. How did they institute the reforms? First, they skipped a couple of weeks, so they returned to the original calendar lining up with the sun and stars as it’s supposed to. Then they instituted a couple of rules to keep this from happening again. Leap year happens in years divisible by four, but every 100 years, there is not a leap year. However, every 400 years, you do have a leap year. This happened in the year 2000. And the next time it will happen most of us won’t be around — 2100 will not be a leap year. What would happen if the extra day had not been introduced? If we didn’t have it at all, we would be off by ¼ of a day every year. The seasons would completely shift through the calendar and anything that ties to the seasons would be affected, like farming. It would create havoc with the time to plant and to harvest crops, for example. You also would lose the meaning behind sayings such as “April showers bring May flowers.” Multiply the 2,000 years since it was introduced by ¼ day per year, and that would be 500 days we would have shifted over history. In the northern hemisphere January would have become summer, then gone back to being winter, then shifted off again. Does adding the extra day make up the difference exactly and keep the astral year in sync with the calendar year? Yes, but this relates to a bigger issue. Astronomers want time to match up so that the positions of the stars match up year after year. Because the length of day changes slightly over time, astronomers sometimes would like to add an extra “leap second” to keep the stars in sync with our time system. But adding a second is an annoyance for computer and tech systems. Did you know that people born on leap day are sometimes called “leaplings?” According to Google, in 2020, there were about 5 million people with Feb. 29 birthdays. Do you think they have any advantages or disadvantages to being born on this day? No, I didn’t know that, and I know someone who refused to be induced on that day because she didn’t want confusion for her child, although I think it might be cool. After all, in this day and age, everyone always knows how old they are. To set up an interview with Gizis, visit his profile and click on the contact button.
Ask the expert: What an earlier primary means for Michigan and the 2024 election
The 2024 presidential election is underway with the first contests being Iowa and New Hampshire. While Iowa holds caucuses, New Hampshire holds an open primary — illustrating that the way states assign their delegates isn’t always the same. For this election, Michigan’s contests are now sooner, on Feb. 27 and March 2 — with Michigan Republicans now holding both a primary and caucus. So, how does it all work? Matt Grossmann is the director of Michigan State University’s Institute for Public Policy and Social Research, as well as a professor in the Department of Political Science in the College of Social Science. Grossmann is an expert in both state and national politics. He answers questions about how to understand different systems and the role Michigan will play in 2024. How do the presidential primaries work for Republicans and Democrats? Officially, Democrats and Republicans select their nominees at national conventions this summer. The presidential nomination process evolved out of reforms to the delegate selection process for those conventions, which now means delegates are overwhelmingly selected based on presidential primary results. From the voter’s perspective, it often looks like any other election where you select your preferred candidate. But the parties still have power to coordinate their rules and selection procedures. That means there are still party differences, such as which states are allowed to go earlier in the process and whether the state winner gets all of the delegates from that state. Usually, the winner is determined when all other candidates drop out after it becomes infeasible for them to gain enough delegates to win. Officially, the winner needs to accumulate a majority of delegates. But the winners will likely be clear after most states vote early in the process. How does a caucus work? A caucus is a party meeting that can include the selection of delegates. The Iowa caucuses evolved out of a three-round process for selecting delegates to county conventions to select delegates to the state convention, who select delegates to the national convention. Caucuses now play a smaller role in the process, with most delegates selected by primaries. How delegates are awarded differs by state. How is a general primary different from a caucus and why does format vary by state? A primary is a normal election to select a party nominee, but the presidential primaries officially select delegates affiliated with the candidates. To organize a primary for delegate selection, a state party has to coordinate with the rules of their state and their national party. States often like to go early in the process (while several candidates are still in the race and they might influence other states), but the national parties set the rules on whether those voting early are selecting delegates to the national convention. This year, the Democratic Party approved Michigan moving earlier in the process and the Michigan Legislature (controlled by Democrats) moved our election date earlier in the process. But there is not really a contest on the Democratic side. Republicans had to adapt to this process because their national party did not approve a move earlier in the process. Why do Michigan Republicans have a hybrid caucus this election and how does it work? Michigan Republicans are trying to adapt to their national party rules and the state government-held election (coordinated by Democrats). There are also parts of the party that would like voters to have less of a role in nominating candidates compared to those more involved in party organizing and activism. The idea behind a hybrid system is to have a meaningful election where voters have a role in selecting the nominee, but official delegate selection can still conform to national rules and enable party activists to have a role in the process. What are the important dates in Michigan’s voting process? Both parties will hold their primaries on Tuesday, Feb. 27 and the Republicans will have their caucus on Saturday, March 2, which awards most of the party’s delegates. Michigan voters who want to participate must ensure they are registered for the primary by Monday, Feb. 12. Absentee ballots requested by mail must be done so by Friday, Feb. 23. It is also important to know that Michigan now has early in-person voting, which communities must start by Saturday, Feb. 17. Will Michigan’s earlier primary date have a significant effect on the presidential race? On the Democratic side, there is not much of a race against the incumbent president. But Michigan has an opportunity to set the terms for future elections, showing that it can become engaged, with diverse interests, and earn the right to vote early in the process in 2028. On the Republican side, it will depend on whether candidates other than Donald Trump remain in the process and how viable they are by the time Michiganders vote. Since Michigan does not have party registration, voters will be able to participate in the primary of their choice, which has provided an incentive for individuals to vote in the contest that presents the most uncertainty. What are some fun facts about previous presidential primaries? Barak Obama was not on the primary ballot in 2008 because Michigan jumped in line, holding a primary before national party rules allowed it on the Democratic side. Eventually, the delegates were still seated — but only after it was clear that they would not put Hillary Clinton over Obama. In 2016, Bernie Sanders unexpectedly defeated Hillary Clinton in the Michigan primary, prolonging the Democratic contest, in part because many Democratic-leaning voters decided to vote in the Republican contest. John McCain won the 2000 Michigan Republican primary over George W. Bush — Michigan was one of only seven states where McCain won over Bush. Election season is here - and if you have any questions about primaries and the long road to November's election - then let us help. Matt Grossman is available to speak with media regarding this interesting and important topic - simply connect with Jack Harrison, Public Relations Coordinator today.
Ask the expert: 2024 economic outlook
Although the economy has improved since the COVID-19 pandemic, inflation has been a challenge for many Americans throughout 2023 and the economy remains a top issue ahead of the 2024 election. Experts are already making predictions about interest rates, inflation and the market for next year. Antonio Doblas Madrid is an associate professor in the Department of Economics in Michigan State University’s College of Social Science. He reflects on the economy this past year and answers questions about what you can anticipate about the economy in 2024. What are a few of the most memorable economic events of 2023? The economy in 2023 reminds me of Rocky Balboa, the boxer with a strong chin from the Rocky films who, despite getting hit over and over, keeps moving forward. A year ago, the consensus prediction among investors and professional forecasters was slower growth and higher unemployment. Inflation was still above 6%, the Federal Reserve increased interest rates to one of the highest rates in 40 years, and the stock market ended 2022 in the red. Many observers said a ‘soft landing’ was a pipe dream and a recession inevitable. The year 2023 brought its own set of challenges. To name a few, a debt ceiling standoff started in January and continued until May, bringing the government dizzyingly close to default and causing a ratings downgrade. In March, the failure of Silicon Valley Bank started a crisis that, had it not been contained by a historic expansion of deposit guarantees, would have spread through the system and taken down the economy. A war broke out in Gaza. A large-scale auto workers strike temporarily shut down large parts of the sector. And the economy of China, a major trading partner, decelerated. Given all this, it is remarkable how good the numbers look right now. Inflation has steadily fallen to around 3% and is now within striking distance of the 2% target. The most recent gross domestic product, or GDP, report shows a robust 3% year-on-year growth rate, the unemployment rate remains at 3.7%, and the stock market has made a roaring comeback. The numbers look stronger than those of other major advanced economies, such as the eurozone, the United Kingdom, Japan or Canada. However, it is too early for a victory parade. The fight against inflation is not over, monetary policy has long and variable lags and, even in a strong economy, many people are struggling. But, thus far, it is hard to imagine a softer landing than 2023. What’s expected to happen with the economy in 2024? With the usual caveat that even the best predictions have a margin of error, professional forecasters see the economy still growing in 2024, albeit more slowly. The numbers hover around 1.5% for real GDP growth and 4% for the rate of unemployment. This paints a picture of moderate growth, and a labor market that, while no longer crushing records, is still within the range of what can be called full employment. What’s predicted to happen with inflation? Forecasters and market-based measures of expectations both predict that inflation is likely to continue falling gradually in 2024, to about 2.5%. Thus, the inflation shock that hit the economy is expected to continue fading, although it may take some time to go that last mile from 3% to 2%. The Fed also appears to be quite optimistic on inflation, given its latest forward guidance. What will happen with interest rates in the new year? The Fed expects inflation to fall quickly, so quickly, in fact, that it has started to reverse the hawkish policy of the last two years in its forward guidance. This means that, although the Fed has not lowered interest rates yet, it has started talking about the possibility of rate cuts — three of them — in 2024. With the economy still at full employment, this clearly means that the Fed is expecting inflation to continue to fall. How could the presidential election affect the economy? There is a popular belief that election uncertainty is detrimental to the economy, but we do not really see that in the GDP data. Growth rates in presidential election years are not lower than average. On average over the last few decades, there is a small negative effect on the stock market in election years, but it disappears in the 12 months following the election, regardless of which party is elected. What economic words of wisdom can you share for 2024? It seems to me that the perception of the economy is worse than the reality. So, I would recommend stepping away from the noise and looking at the data for some objective measures. As far as saving for retirement goes, I think mainstream financial advice is solid. So, listen to your financial advisor if you have one. If you don’t, that’s okay, it is not that hard. There are many free tools, like retirement calculators, to help you figure out how much to set aside monthly. Take advantage of employer-provided and tax incentives. Invest mostly in stocks when young, gradually switching to fixed income as you age. For equities, follow a passive strategy. Buy and hold index funds. Do not try to pick stocks or time the market. If you are at the fixed-income stage, you may want to open a high-interest CD to lock in a high rate before the Fed starts cutting rates again. Finally, set up your contributions automatically draw, stop thinking about money for a few months and invest instead in nonfinancial assets, like relationships and health. Looking to know more about the economic outlook for 2024 or do you want to connect with Antonio Doblas Madrid? To schedule an interview - simply contact Jack Harrison, Public Relations Coordinator today.
Leap year: Tips for using extra day on career and professional development
Having an extra day in a leap year provides you with a unique opportunity to invest time in your career and professional development. Jill Gugino Panté, director of the Lerner Career Services Center at the University of Delaware, offers six ideas to maximize the day. Dedicate time to enhance your skills. It is easy to find free courses, workshops and training videos on just about anything. Take five minutes to reflect on a skill you wish you had or were better, such as, say, Excel. YouTube, TikTok and LinkedIn Learning have hundreds of thousands of videos that can teach shortcuts, visual design, formulas and more. Use the day for networking. Reach out to professionals in your industry and schedule informational interviews. Reconnect with old classmates, former bosses or colleagues from another department and invite them to meet for coffee or lunch. Spend the day talking with someone about your career/professional development goals. Reflect on your career goals. Many of us do not take the time to articulate where we want to be this time next year or even four years from now. Start with three months, then move to six months, then a year. Do you want to learn a new skill? Meet with someone whose career you’ve admired? Change jobs? Ask for a raise? Career development can be thought of as a series of projects because thinking four years ahead can seem a little daunting. However, making goals for the next six months makes the process more manageable and tangible. Update your career documents. This means not only your resume but your LinkedIn profile and professional bio. If you don’t have access to a Career Coach, use Generative AI (like Chat GPT) to help you write better bullet points or update your “About” section on LinkedIn. Keep in mind that AI should be viewed as a supportive tool rather than a replacement for your active involvement in the process. Maintain a personal touch and let your unique personality shine through in your application materials and interviews. Focus on your well-being. How often do we get an extra day to focus on ourselves? And on this particular leap year, you may be feeling stressed and overwhelmed so focusing on career goals isn’t an option. Take the opportunity for self-care – go for a leisurely walk, engage in meditation or stretching exercises, or schedule an online session with a therapist or counselor. Investing time in personal wellness is important to address before you leap into professional development. Make deliberate choices that not only contribute to your career growth but also foster a sense of well-being. Here's a pro tip: mark a "professional/personal development boost" block on your calendar for each leap year, ensuring you fully capitalize on the extra day. This strategic scheduling will serve as a reminder to prioritize both your professional growth and personal wellness. To set up an interview with Gugino Panté, visit her profile and click on the contact button.
