Perceived Discrimination During Prenatal Care at a Community Health Center.

Introduction: Discrimination in healthcare is associated with fetal growth restriction, preterm birth, and postpartum depression. A community-based participatory research study was designed to measure perceived discrimination and healthcare quality during prenatal care and delivery by a community health center, where the majority of patients served belong to historically marginalized ethnic and racial groups.

Methods: A 34-question phone survey was administered to women 18 years and older who received prenatal care at the study site during 2020-2021.

Spirituality in Pregnancy.

Spirituality with its impact on health outcomes continues to emerge in the medical literature. This article discusses the role of spirituality in pregnancy, childbirth, and postpartum. It highlights the importance of more fully integrating this concept into births traditionally attended by physicians and midwives in the hospital setting.

Reduced Clostridioides difficile infection in a pragmatic stepped-wedge initiative using admission surveillance to detect colonization.

Background: Clostridioides difficile Infection (CDI) is a persistent healthcare issue. In the US, CDI is the most common infectious cause of hospital-onset (HO) diarrhea.

Objective: Assess the impact of admission testing for toxigenic C.

Infection: Screening and Management.

Objective: To review current criteria and rationale for screening, testing methods, and treatment of infection.

Methods: Review of the literature.

Results: urogenital infections are an important public health problem.

Reliability and validity testing of the Creighton Competency Evaluation Instrument for use in the NCSBN National Simulation Study.

Aim: The Creighton Competency Evaluation Instrument (CCEI) was modified from an existing instrument, the Creighton Simulation Evaluation Instrument, for use in the National Council of States Boards of Nursing National Simulation Study (NCSBN NSS).

Background: The CCEI was developed for the NCSBN NSS for use as the evaluation instrument for both simulation and traditional clinical experiences in associate and baccalaureate nursing programs.

Method: Five nursing programs assisted with reliability and validity testing of the CCEI.

Assessment of the impact of traditional septic tank soakaway systems on water quality in Ireland.

One of the key threats to groundwater and surface water quality in Ireland is the impact of poorly designed, constructed or maintained on-site wastewater treatment systems. An extensive study was carried out to quantify the impact of existing sites on water quality. Six existing sites, consisting of a traditional septic tank and soakaway system, located in various ranges of subsoil permeabilities were identified and monitored to determine how well they function under varying subsoil and weather conditions.

Progress of labor in women induced with misoprostol versus the Foley catheter.

Objective: To estimate and compare the duration and progress of labor in women induced with misoprostol vs Foley catheter plus oxytocin.

Study Design: We performed a retrospective cohort study of labor progress among 617 consecutive term pregnancies induced with misoprostol (n = 503) or Foley catheter plus oxytocin (n = 114) who completed the first stage of labor. Labor duration and progress in the entire cohort, and stratified by parity, were compared in multivariable interval-censored regression models adjusting for maternal obesity and birthweight.

Discussion: 'Abnormal anal cytology in HIV-infected women' by Baranoski et al.

In the roundtable that follows, clinicians discuss a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed: Baranoski AS, Tandon R, Weinberg J, et al. Risk factors for abnormal anal cytology over time in HIV-infected women.

Bat incidents at children's camps, New York State, 1998-2002.

From 1998 to 2002, a total of 299 bat incidents were reported at 109 children's camps in New York; 1,429 campers and staff were involved, and 461 persons received rabies treatment. In 53.8% of the incidents, the bat was captured and samples tested negative for rabies virus, which resulted in 61.