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Background: Public libraries in the United States have experienced increases in opioid-related substance use in their communities and on their premises. This includes fatal and non-fatal overdose events. Some libraries have adopted response measures in their branches to deter substance use or prevent overdose. A small number of libraries around the nation have decided to stock the opioid antagonist naloxone (Narcan) for staff to administer to patrons who experience overdose. This response measure has generated extensive media attention. Although Ohio ranks fourth in age-adjusted drug mortality rate in the United States, there has been no investigation of whether Ohio libraries are observing opioid-related transactions, consumption, and/or overdose events, or which measures they have adopted in response to these activities. We conducted a multimethod survey with Ohio public library directors to identify the response measures they have adopted. We present descriptive findings from the quantitative and qualitative items in our survey., Methods: We conducted a cross-sectional 54-item multimethod survey of public library system directors (one per system) in Ohio. Directors of each of Ohio's public library systems were invited to participate via email., Results: Of 251 library systems, 56 responded (22.3% response rate), with 34 respondents (60.7%) indicating awareness of opioid-related transactions, consumption, and/or overdose on their premises. Most (n = 43, 76.8%) did not stock naloxone in their buildings. Over half (n = 34, 60.7%) reported implementing one or more non-naloxone response measures. These measures focus on improving security for staff and patrons, deterring opioid-related transactions (purchases and exchanges) and consumption, and providing educational events on substance use. Nearly half (n = 25, 47.2%) partner with community organizations to provide opioid response measures. A similar proportion reported adequate funding to respond to opioid-related substance use (n = 23, 45.1%), and most (n = 38, 74.5%) reported adequate support from their boards and communities. Few respondents have implemented evaluations of their response measures., Conclusions: Ohio public libraries are responding to evidence of opioid-related transactions, consumption, and/or overdose on their premises with a range of measures that focus on substance use prevention and deterrence. Most Ohio library systems do not stock naloxone. Respondents indicated they prefer to call 911 and let first responders handle overdose events. The majority of respondents indicated their library systems have political capacity to respond to evidence of opioid-related substance use on their premises, but have limited operational and functional capacity. Findings suggest the need to revisit assumptions that public libraries are willing to stock naloxone to respond to overdose events, and that libraries have the resources to respond robustly to opioid-related transactions, consumption, and/or overdose on their premises., (© 2024. The Author(s).)

Continuing education offerings for nurses are essential to ensure competency of staff practicing in a changing health care environment. Fiscal constraint, coupled with staff shortages, has led institutions to examine carefully administrative support for continuing education. This study describes current trends in midwestern institutions' continuing education policy and budget support. Knowledge gained is useful to administrators in education departments who oversee a facility's budget development, to those who administer procedures based on established policy, and to academic settings as they plan outreach continuing education offerings.

Using health information videos is a common way to teach hospitalized patients. This article describes a study of medical and surgical patients in an acute care hospital. In Phase I, patients' frequency of Patient Health Information Television use and their knowledge of programs and scheduling were evaluated. Phase 2 identified patients' learning after viewing selected programs. In Phase I, frequency of use, peak viewer time, and viewer encouragement strategies were revealed. In Phase II, the efficacy of televised patient education was documented. Results indicate that nursing staff development educators should teach nurses how to work with this educational medium.

A method was developed to detect individual interferon-gamma (IFN-gamma)- and interleukin-5 (IL-5)-producing cells among freshly isolated T cell populations and long term lines of CD4+ Peyer's patch T cells using frozen semi-thin sections of paraformaldehyde fixed-T cells and immunofluorescence techniques. Using this method, individual CD4+ Peyer's patch T cells could be shown to produce IFN-gamma, characteristic of the T helper 1 (Th1) T cell type, IL-5, characteristic of the T helper 2 (Th2) T cell type, as well as both IFN-gamma and IL-5. These data support the notion that Th1 and Th2 cells derive from a common T cell precursor.

Interleukin 5 (IL5) stimulates murine B cells to IgA production in vitro. The present study examined the B cell target of IL5 activity, and asked whether IL5 acts as an isotype switch factor, a growth factor, or a differentiation factor on B cells that produce the IgA isotype. Lipopolysaccharide-activated surface IgM-positive, surface IgA-positive or surface IgA-negative B cell populations from spleen or Peyer's patches were stimulated with IL5, after which the expression of cell surface IgA, IgA secretion, and numbers of IgA-secreting cells were determined. IL5 increased the IgA response by acting on B cells that are already committed to IgA expression. Thus, with regard to the IgA response, IL5 acts as a differentiation factor, rather than a growth or IgA isotype switch factor.