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Oral immunotherapy (OIT) emerged into clinical practice, and its delivery highlights the multifaceted expertise of registered nurses (RN) as central to allergy/immunology interprofessional collaborative teams. The allergist‐RN model of clinical evidenced‐based OIT provision is presented. RN competencies, role components, and intervention examples are included to assist RNs and allergists in maximizing RN capabilities. RNs’ patient-centered focus, and the ability to evaluate and incorporate physical, psychological, and sociological patient aspects are assets to OIT teams. RNs can establish best practices, initiate scholarly inquiry, and disseminate new knowledge to interdisciplinary colleagues. RNs also implement allergist-prescribed standing protocols within their legal practice scope by using their clinical judgment during evaluation of a patient receiving OIT. The same RN may serve as a nurse clinician, patient and family educator, case manager, research collaborator, and OIT program manager. Allergy/immunology practices use diverse staffing models, which thus require adaptation of presented descriptions per clinical team needs and resources.

In the modern multicultural Russian society, the preservation of ethnocultural continuity, the formation of modern-day understanding of history, and the integration of ethnic and civic identities in the Indigenous peoples of the Far North and the Arctic, which are currently characterized by the intensification of ethnic processes, are becoming increasingly relevant. When describing the contemporary Russian North, we should note that it is characterized by highly contradictory processes, which combine both the integration of the Indigenous population and newcomers and the separation of different ethnic groups. Trying to understand this highly contradictory situation, we have conducted an empirical study of ethnic and personal identity in adolescents, as described below. Within the study, we have focused on the Nenets and the Sami communities as representative of the Indigenous peoples of the Russian Far North.

Background: U.S. national emergency was declared in mid-March 2020 due to the coronavirus disease 2019 (COVID-19) pandemic. Subsequently, a period of stay-at-home orders, regulatory changes, evolving medical recommendations, and food supply chain disruptions occurred. There is little published research on how such changes affected food allergy management for children with this diagnosis. Objective: The study goal was to identify parent perspectives with regard to if and/or how pandemic-related regulatory changes and evolving medical recommendations have affected food allergy management. Methods: A survey was distributed to parents of children with food allergy. An electronic Internet forms survey link was available for completion during July 2020. Data were presented as descriptive statistics, cleaned, and coded into a spreadsheet before analysis . Frequencies and percentage were calculated to describe participants’ characteristics and responses. Results: Of 377 responses, 359 met inclusion criteria. Concerns about COVID-19 exposure were expressed in 65.7% about accessing an emergency department and 73.6% had school reentry concerns; 66% had not discussed recommended anaphylaxis management algorithm changes with a provider; 85.8% had not discussed the temporary U.S. Food and Drug Administration food labeling policy with a provider. Most (62%) reported shortages of preferred safe food brands. 62% spent more time cooking safe foods from scratch. With regard to the recommendation by the U.S. Centers for Disease Control and Prevention (CDC) for classroom dining, 57.7% planned to request modifications. With regard to the CDC’s recommendation to use inhalers versus nebulizers, 37.7% had not discussed the topic with a provider. Ninety-two written comments were analyzed and grouped into seven themes. Conclusion: New pandemic-related regulations, food supply chain disruptions, and evolving medical recommendations resulted in intensified burdens for respondents, including the increased time needed to complete food allergy management and school reentry concerns. Study results can inform clinical team members (e.g., physicians, nurses, dieticians) of effects that pandemic-related changes may have on this patient population, with subsequent consideration of patient-specific screening, education, and shared decision-making with regard to risk mitigation needs.

In the recent linguistic literature, an increasing attention has been devoted to the role of force dynamics in natural language. The present paper argues that the concept of force plays an important role in the Finnish case system. Translative case in this language is conventionally associated with change of state and the illative and allative cases, with change of location. Unexpectedly under such an approach, these forms are sometimes acceptable (and even required) in sentences that do not entail a change and superficially seem to be stative. This paper argues that translative, illative and allative are licensed by predicates that entail force exertion. While in many instances, force exertion results in a change, this is not an obligatory configuration, which explains the distribution of the cases under discussion.

Ambiguity of different types contributes significantly to humor creation, as predicted by incongruity theory This holds for homonymy, polysemy, structural and scope ambiguity, as well as any multiplicity of meanings that arises due to pragmatic factors. A consideration of languages with rich inflectional morphology, such as Russian, further reveals that linguistic humor may be based on the semantic indeterminacy of certain grammatical phenomena. The present paper provides evidence in favor of this claim by taking the imperfective aspect, genitive case-assignment and instrumental case-assignment into account. It is demonstrated that the ambiguity / indeterminacy associated with these phenomena gives rise to the creation of humorous effects. We further generalize that the core functions of case and aspect correlate with the less salient readings of ambiguous sentences (often the absurd, non-bona-fide ones). In contrast, the more peripheral and even idiomatic functions give rise to the salient, bona-fide readings. A functional explanation is put forward for this apparent discrepancy: the prototypical, easily accessible functions of case and aspect make it easier for the hearer to process a sentence in its non-salient interpretation.

This article investigates the intercultural competence and identities of undergraduate heritage language learners (HLLs) studying abroad under the auspices of the U.S. Flagship Program. Based on su...

The paper argues for the existence of the (NP-level) mass-count distinction in Tashkent Uzbek, an obligatory classifier dialect. Evidence is provided based on the distribution and interpretation of modifiers, classifiers and quantificational suffixes of different types, as well as properties of flexible and object mass nouns. A formal analysis is further provided that treats classifiers as sensitive to the mass-count distinction but not uniformly serving as “individuators” of otherwise mass nouns. Sortal classifiers are argued to differ from mensural ones in that only the latter contribute a measure function.

Nurses are continually innovating to fill gaps or inefficiencies within healthcare. This was particularly evident during the COVID-19 pandemic, when a burst in nurse-led innovation in all areas of healthcare and across the lifespan necessitated an innovation ecosystem to realize nurses' full potential. New ways of thinking and leading the future of nursing have been echoed by the National Academy of Medicine’s Future of Nursing Report 2020-2030, the American Nurses Association (ANA) innovation task force, and the American Nurses Credentialing Center (ANCC). Nurse-led hackathons, incubators, and accelerators have emerged to meet the need for a more intentional and formal pathway for nurses to add value to health and healthcare within an innovation and design thinking framework. This article describes a brief historical background of hackathons, innovation incubators, and innovation accelerators and considers their evolution within the nursing profession, including implications for practice and education.

The COVID-19 pandemic continues to reveal unique patient needs that require innovative problem-solving approaches. While a meeting of collaborative experts to solve problems is not novel, the formal inclusion of nurses as content experts at these types of events is less typical. To date, no reports of outcomes related to the inclusion of registered nurses (RNs) with any level of education and certification and in any role at an interprofessional hackathon are found in the extant literature. This article discusses participation of nurses as content experts in hackathon events, with information about principles of innovation, characteristics of innovators, hackathons, and the iterative process. We report methods, results, and include discussion about a descriptive survey study that considered perceptions of interprofessional participants in two hackathons held in 2020. Our analysis adds preliminary information about participants perceptions regarding collaboration with consulting nurses as content experts.

The phenomenon of case has long been a central topic of study in linguistics. While the majority of the literature so far has been on the syntax of case, semantics also has a crucial role to play in how case operates. This book investigates the relationship between semantics and case-marking in the languages of the world, exploring a range of phenomena in which case-assignment is affected by (or affects) meaning. By bringing together data from a wide range of languages, representing different language families, a cross-linguistic picture emerges of the correlation between case and meaning. Different approaches to the phenomena are considered, including both syntactic and semantic analyses, and the question is raised as to whether case can be treated as meaningful, ultimately helping us shed light on the broader connections between grammar and meaning and, moreover, grammar and the human cognition.

Since at the turn of the twenty-first century heritage language (HL) research and education was a new field emerging, this research timeline traces the complete history of the field in the US through 2016. It highlights how theories and perspectives have changed, been challenged, and widely accepted. The field's roots are in Spanish since, as the language of the most numerous immigration group, it has long been a commonly taught language in the US.

This article discusses ideas that will likely figure prominently in the development of the field of heritage language (HL) studies over the next five decades. Drawing on the ideals that prompted the launch of the Heritage Language Initiative 20 years ago and building on the accomplishments of the field since then, we make several proposals for advancing research and instruction to better serve the needs of HL-speaking youth and communities, as well as the nation at large. With this overarching goal, we focus in particular on the ways to institutionalize HL education in foreign language departments and mainstream it in the larger U.S. educational system

Objective: Food allergies are on the rise in the U.S. Factors associated with willingness and readiness to act in a food allergic emergency on a college campus are currently unknown. Participants: College students in one Catholic college enrolled during spring of 2017. Methods: A previously piloted survey was distributed by e-mail. Results: Four hundred seventy-four individuals responded. All readiness components correlated, and all willingness components correlated with each other. Age, having children, college major had statistically significant correlations with readiness and willingness to act. Readiness was highly predictive of willingness to act in an FAE. Thirty-five percent of variability in willingness to act was explained by age, being health professions students, desire to be trained, social desirability, and readiness. Students in nonhealth related majors expressed high willingness, but low readiness. Conclusion: A pool of willing, trained to act individuals should be considered on college campuses including availability of unassigned epinephrine auto-injector.

Our analysis examines the conservation of multiprotein complexes among metazoa through use of high resolution biochemical fractionation and precision mass spectrometry applied to soluble cell extracts from 5 representative model organisms Caenorhabditis elegans, Drosophila melanogaster, Mus musculus, Strongylocentrotus purpuratus, and Homo sapiens. The interaction network obtained from the data was validated globally in 4 distant species (Xenopus laevis, Nematostella vectensis, Dictyostelium discoideum, Saccharomyces cerevisiae) and locally by targeted affinity-purification experiments. Here we provide details of our massive set of supporting biochemical fractionation data available via ProteomeXchange (http://www.ebi.ac.uk/pride/archive/projects/PXD002319-http://www.ebi.ac.uk/pride/archive/projects/PXD002328), PPIs via BioGRID (185267); and interaction network projections via (http://metazoa.med.utoronto.ca) made fully accessible to allow further exploration. The datasets here are related to the research article on metazoan macromolecular complexes in Nature [1]. Keywords: Proteomics, Metazoa, Protein complexes, Biochemical, Fractionation

The study presented here has three goals: (1) to identify types of errors in the noun inflectional morphology in Russian as a heritage language among Russian-speaking adolescents in Israel (n=11), the United States (n=11), Finland (n=14), and Germany (n=9), (2) to compare errors in speech production between these groups, and (3) to investigate the impact of Russian language use at home and in educational settings (formal bilingual education versus after-school classes) on the preservation of Russian noun morphology. The participants’ speech was elicited through retelling of Mayer and Mayer’s (1978) picture book 'Frog, Where Are You?' Case and gender errorsin speech production were analyzed qualitatively and quantitatively. The groups were found to be clustered at the opposite ends of a proposed continuum of noun morphology knowledge, with Russian German and Russian Finish bilinguals outperforming their counterparts in Israel and the U.S. The results of the study indicate the advantage of predominantly Russian use at home and formal bilingual schooling for the acquisition of Russian morphology.

This study analyzes data from the questionnaires and online tests administered to 94 heritage speakers of Russian who took placement tests at UCLA between 2013 and 2016.

Background Food allergy affects up to 8% of children in the U.S. There is minimal research to date on food allergy policies that are currently in place in schools and the opinions of parents of children with food allergy on the effectiveness of or need for these policies. Methods An electronic survey was disseminated to parents of children with food allergy. Frequencies were calculated to describe respondent characteristics and responses. Chi-square tests were performed to examine associations between school and child characteristics and outcomes. Results Of the 289 parent respondents, 27.4% were unsure or felt school was unsafe for their child with food allergy. While the majority felt that the polices in their child’s school were helpful, most also believed that implementation of additional polices was necessary, including availability of stock epinephrine (94.2%), lunch menus with allergen information (86%), ingredient labels on food items (81%), and direct food allergy education for students (86%). There were significant differences in school food allergy policy depending on the age of the student body, private versus public school, and geographic location. Conclusions While most schools reportedly have one or more food allergy policies in place, many parents have concerns over the safety of their child at school and feel that additional policies are necessary to improve the safety of the school environment for children with food allergy. The availability of stock epinephrine, improved allergen labeling of food and menus and increased food allergy education may be key policy areas on which to focus.

The present paper investigates the impact of structural ambiguity on humor creation in Russian. A range of jokes is analyzed which are based on the possibility of assigning two distinct structures to the same sentence, which, in turn, results in the emergence of two opposed scripts / scenarios / readings, as is necessary for the creation of a humorous effect. We consider several types of structural ambiguity, as well as the ways in which they interact with additional linguistic phenomena, such as homonymy, polysemy and the complement / adjunct distinction.