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Interviews with 15 Community Ambassadors, 15 health centers leaders, and 7 KP Mid-Atlantic States staff members revealed that Community Ambassadors improved patient access, clinic capacity, and care quality. Ambassadors also exported KP best practices and supported KP's community relations. Challenges included patient acuity, clinic resources, staff turnover, and long-term sustainability. CONCLUSION The Community Ambassador Program achieved its goals and had clear benefits, offering a model for large health care systems wanting to collaborate with community-based clinics. Careful planning is needed to ensure that positive results are sustained.We analyzed 2 clusters of 12 patients in Vietnam with severe acute respiratory syndrome coronavirus 2 infection during January-February 2020. Analysis indicated virus transmission from a traveler from China. One asymptomatic patient demonstrated virus shedding, indicating potential virus transmission in the absence of clinical signs and symptoms.During January 26-February 10, 2020, an outbreak of 2019 novel coronavirus disease in an air-conditioned restaurant in Guangzhou, China, involved 3 family clusters. The airflow direction was consistent with droplet transmission. To prevent the spread of the virus in restaurants, we recommend increasing the distance between tables and improving ventilation.Objective College students who are members of groups in which appearance and alcohol norms are highly salient may be at particular risk for engaging in food and alcohol disturbance (FAD) behaviors. This study compared demographically-matched sorority- and non-sorority members on FAD and associated behaviors. Participants College women who self-identified as being in a sorority (n = 95) were matched with non-sorority peers (n = 95) on age, body mass index (BMI), ethnicity, and race. Methods Participants completed an online survey assessing alcohol use, eating disorder symptoms, appearance-related peer pressure, FAD behaviors, and demographic information. Mann-Whitney U tests and generalized linear models tested hypotheses. Results Sorority members reported more alcohol use and FAD behaviors; however, after controlling for year in school, alcohol use, and eating disorder symptoms, Greek status no longer predicted FAD behaviors. Conclusions Differences in FAD behaviors across sorority- and non-sorority women were due to differences in alcohol consumption.Objective Half of new human papilloma virus ( (HPV)) infections occur between the ages of 15 and 24. As preventive measures are underutilized globally; international university students are at particular risk for HPV infection and sequelae. The study aim was to explore HPV knowledge and preventive behaviors in this population. Participants Eighty-one undergraduate and graduate international university students (49 females, 32 males) at a southeastern university. Methods Exploratory sequential mixed methods guided by the Health Belief Model. Results Integrated qualitative/quantitative data revealed four themes mapped to relevant HBM constructs Perceived susceptibility to HPV; Perceived benefits/Perceived barriers to HPV prevention; Cues to Action; and Likelihood of Engaging in Health-Promoting Behavior. Over half believed they were not at risk for HPV/sequelae. Only a quarter had received HPV vaccination. Conclusions International university students represent an important catch-up population for HPV screening/vaccination. Results can be used to design and tailor interventions for this vulnerable population.A new duck Tembusu-related flavivirus, Baiyangdian virus (BYDV), caused duck egg-drop syndrome in China. The rapid spread, unknown transmission routes, and zoonotic nature, raise serious concern about BYDV as a potential threat to human health. The study provides the first evaluation on the vector competence of Culex and Aedes mosquitoes to transmit BYDV in China. The results show that Culex tritaeniorhynchus, Culex pipiens pallens, Culex pipiens quinquefasciatus, and Aedes albopictus can become infected with BYD-1 virus (BYDV-1) on different days after oral infection. Although the viral copies in Ae. albopictus was higher than that in Cx. p. quinquefasciatus at 13 days postinfection (χ2 = 10.385, p = 0.016), there was no significant differences between infection rates of four mosquito species (χ2 = 3.98, p = 0.137). In transmission experiment, healthy ducks were infected after being bitten by virus-positive mosquitoes and BYDV-1 disseminated to and replicated in the duck brains. These findings verified the potential role of Cx. p. quinquefasciatus and Cx. tritaeniorhynchus as vectors of BYDV-1. BYDV-1 was also detected in salivary gland of Cx. p. pallens, which indicated that this virus could be transmitted by mosquitoes. These results provide evidence for the role of Culex mosquitoes in the transmission cycles involving BYDV-1 and avian hosts in China.Objective Assess nutrition knowledge of Division I college athletes.Participants 128 student-athletes (n = 70 female) from eight sports completed the survey in June 2018. METHODS The survey by Calella et al (2017) was used to assess both general and sport nutrition knowledge.Results Cases with more than 20% of responses missing were excluded (n = 3). Overall average score was 57.6% ± 18.6%. Females scored significantly (p  less then  0.001) better than the males (66.5% ± 16.4% versus 46.2% ± 14.7%). Participants were divided into revenue (football, ice hockey, male's basketball, women's basketball; n = 63) and non-revenue sports (field hockey, golf, rowing, soccer; n = 62) to address differences in knowledge between sports with greater versus lesser nutrition resource access. Revenue sports scored significantly (p  less then  0.001) worse than non-revenue sports (45.7% ± 15.2% versus 69.7% ± 13.1%).Conclusions Athletes appear to have low nutrition knowledge, putting them at risk for inappropriate dietary choices that could decrease ability to optimally perform and increase risk of injury.Caring for dying patients is often a new experience for ICU residents. End-of-life and palliative training in medical schools is lacking. Many residents experience troublesome emotions during residency. Literature establishes that residents show lower well-being scores than similar populations. To make emotional wellness a priority for residents, monthly mandatory Palliative Care Rounds (PCR) were established in the ICU. The role of the Palliative Care Social Worker (PCSW) is central in planning and implementing PCR. Social workers have unique skills well-suited to this type of activity in an acute care setting. Residents present cases and the PCSW facilitates discussion to explore complex emotions helping residents process their feelings. Forty-five residents responded to a seven-item questionnaire, out of 70 potential resident respondents (64% response rate). Only 60% said they learned about end-of-life and its emotional aspects in medical school. BMS-935177 inhibitor Ninety-eight percent reported the PCR helped them be more aware of their feelings, and would recommend it to colleagues.