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There is a growing recognition of the need for Americans who are proficient in languages other than English; however, there is a great disconnect between these needs, state English-only education policies, and current federal education policy as realized through the No Child Left Behind Act (NLCB) of 2001. These policies are moving the country in the opposite direction in terms of the needs for heritage language programs which can address students' and the country's linguistic needs. Drawing on eight years of research, this article presents the cases of a variety of in-school and after school Heritage language programs serving Khmer (Cambodian), Spanish, and Native American heritage language learners from California, Arizona, and Texas which have been eliminated or substantially weakened due to current federal and state language and education policies. The article concludes with a discussion of the implications for needed changes to policy which will encourage, rather than discourage, quality heritage language programs. (Contains 4 notes.)

Adult volunteers (17 healthy, 14 asthmatic) were exposed in a controlled environmental chamber to concentrated ultrafine particles (UFP) collected in a Los Angeles suburb with substantial motor vehicle pollution. Exposures lasted 2 h with intermittent exercise. Inhaled particle counts (mean 145,000/cm3, range 39,000-312,000) were typically 7-8 times higher than ambient levels. Mass concentrations (mean 100 μg/m3, range 13-277) were not highly correlated with counts. Volunteers were evaluated for lung function, symptoms, exhaled nitric oxide (eNO), Holter electrocardiography, and inflammatory markers in peripheral blood and induced sputum. Relative to control (filtered air) studies, UFP exposures were associated with a 0.5% mean fall in arterial O2 saturation estimated by pulse oximetry (p < .01), a 2% mean fall in forced expired volume in 1 sec (FEV1) the morning after exposure (p < .05), and a transient slight decrease in low-frequency (sympathetic) power in Holter recordings during quiet rest (p < .05). Healthy and asthmatic subjects were not significantly different across most endpoints. Thus, this initial experimental study of human volunteers exposed to concentrated Los Angeles area ambient UFP showed some acute deleterious cardiopulmonary responses, which, although generally small and equivocal as in previous studies of larger sized concentrated ambient particles, might help to explain reported adverse health effects associated with urban particulate pollution. [ABSTRACT FROM AUTHOR]

Along the Santa Clara River in California, populations of the federally and state-listed Least Bell's Vireo (Vireo bellii pusillus) are recovering from near extirpation. Habitat protection and restoration, as well as controlling rates of brood parasitism, are thought to be the primary drivers of this recovery. Continuing successful management of this population faces multiple challenges due to the highly dynamic and unpredictable nature of the system, lack of clearly defined and measurable recovery criteria, parametric and stochastic uncertainty, and data limitations. Many of these management challenges are not unique to Least Bell's Vireo and require careful balancing of limited resources into the future. We developed a decision support tool as a user interface for exploring the underlying uncertainty in a population viability analysis under an array of different management scenarios. The tool was designed to assist with the planning and coordination between conservation partners in the region in three distinct aspects of the decision-making process: defining the problem and setting clear goals and objectives, exploring the consequences of potential alternative actions, and identifying criteria for ongoing evaluation and monitoring. The general framework for the design of this decision support tool is broadly applicable to many management and decision-making scenarios that share these common challenges. [ABSTRACT FROM AUTHOR]

Background The natural cycle of large-scale wildfires is accelerating, increasingly exposing both rural and populous urban areas to wildfire emissions. While respiratory health effects associated with wildfire smoke are well established, cardiovascular effects have been less clear. Methods and Results We examined the association between out-of-hospital cardiac arrest and wildfire smoke density (light, medium, heavy smoke) from the National Oceanic Atmospheric Association's Hazard Mapping System. Out-of-hospital cardiac arrest data were provided by the Cardiac Arrest Registry to Enhance Survival for 14 California counties, 2015-2017 (N=5336). We applied conditional logistic regression in a case-crossover design using control days from 1, 2, 3, and 4 weeks before case date, at lag days 0 to 3. We stratified by pathogenesis, sex, age (19-34, 35-64, and ≥65 years), and socioeconomic status (census tract percent below poverty). Out-of-hospital cardiac arrest risk increased in association with heavy smoke across multiple lag days, strongest on lag day 2 (odds ratio, 1.70; 95% CI, 1.18-2.13). Risk in the lower socioeconomic status strata was elevated on medium and heavy days, although not statistically significant. Higher socioeconomic status strata had elevated odds ratios with heavy smoke but null results with light and medium smoke. Both sexes and age groups 35 years and older were impacted on days with heavy smoke. Conclusions Out-of-hospital cardiac arrests increased with wildfire smoke exposure, and lower socioeconomic status appeared to increase the risk. The future trajectory of wildfire, along with increasing vulnerability of the aging population, underscores the importance of formulating public health and clinical strategies to protect those most vulnerable.

Background: Wildfire smoke is known to exacerbate respiratory conditions; however, evidence for cardiovascular and cerebrovascular events has been inconsistent, despite biological plausibility., Methods and Results: A population-based epidemiologic analysis was conducted for daily cardiovascular and cerebrovascular emergency department (ED) visits and wildfire smoke exposure in 2015 among adults in 8 California air basins. A quasi-Poisson regression model was used for zip code-level counts of ED visits, adjusting for heat index, day of week, seasonality, and population. Satellite-imaged smoke plumes were classified as light, medium, or dense based on model-estimated concentrations of fine particulate matter. Relative risk was determined for smoky days for lag days 0 to 4. Rates of ED visits by age- and sex-stratified groups were also examined. Rates of all-cause cardiovascular ED visits were elevated across all lags, with the greatest increase on dense smoke days and among those aged ≥65 years at lag 0 (relative risk 1.15, 95% confidence interval [1.09, 1.22]). All-cause cerebrovascular visits were associated with smoke, especially among those 65 years and older, (1.22 [1.00, 1.49], dense smoke, lag 1). Respiratory conditions were also increased, as anticipated (1.18 [1.08, 1.28], adults >65 years, dense smoke, lag 1). No association was found for the control condition, acute appendicitis. Elevated risks for individual diagnoses included myocardial infarction, ischemic heart disease, heart failure, dysrhythmia, pulmonary embolism, ischemic stroke, and transient ischemic attack., Conclusions: Analysis of an extensive wildfire season found smoke exposure to be associated with cardiovascular and cerebrovascular ED visits for all adults, particularly for those over aged 65 years., (© 2018 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.)

The Orange County Department of Mental Health developed a code of ethics to give its variety of employees a single set of standards for patient care and professional behavior in a community mental health program. The need for the code grew from problems of role definition and interdisciplinary collaboration that repeatedly arose during the program's development. General principles for the code were extracted from various professional codes, from issues arising in the day-to-day workings of the program, and from existing laws. The code, presented here, defines principles related to confidentiality, professional conduct, quality of service, moral and legal standards, clients' rights, and therapist-client relationships.