UNASSIGNED: Advanced cancer patients need an accurate understanding of their prognoses in order to engage in informed end-of-life care treatment decision-making. Latino cancer patients experience disparities around prognostic understanding, in part due to a lack of culturally competent communication around prognosis and advance care planning (ACP).
UNASSIGNED: The objective of the present study of Latino patients with advanced, terminally ill cancer is to examine their understanding of prognosis, and how cultural factors may influence this understanding and engagement in ACP.
UNASSIGNED: A mixed methods study was conducted, which consisted of surveys and semi-structured interviews. Descriptive statistics were used for sociodemographic information and self-reported prognostic understanding. Interviews around prognostic understanding and cultural influences on this understanding and engagement in ACP were recorded, transcribed, and then coded and analyzed using thematic content analysis.
UNASSIGNED: Latino patients with advanced cancer (n = 20) completed a self-reported survey and participated in a semi-structured interview. Results indicate that among terminally ill patients, 50% of the patients inaccurately believed they had early-stage cancer, 85% did not believe their cancer was terminal, and 70% believed their cancer was curable. Moreover, interviews yielded two main themes: varying levels of awareness of the incurability of their cancer and diverse end-of-life care decision-making and treatment preferences based on prognostic understanding. Within these themes, patients expressed denial or acceptance of their prognosis through communication with the oncologist, the importance of family, and incorporating their pre-existing beliefs.
UNASSIGNED: Findings indicate the importance of communication, family involvement, and incorporation of beliefs for promoting an accurate prognostic understanding among Latino patients. It is imperative to address disparities in Latino advanced cancer patients\' prognostic understanding so they can engage in informed treatment decision-making around end-of-life care.

BACKGROUND: Tobacco use has long been a part of military culture, and rates of tobacco use remain higher among military personnel compared to civilians. The current study examines aspects of Air Force tobacco culture that encourage tobacco use.
METHODS: We conducted 7 focus groups among Air Force Military Training Leaders (n=48) and 5 focus groups among Technical Training Instructors (n=33) from July 2018 to February 2019.
RESULTS: Tobacco use was seen as a core part of Air Force culture and a low risk behavior, in contrast to other potential activities. Three themes of Air Force culture that facilitate tobacco use emerged: 1) opportunity for work breaks; 2) finding common ground; and 3) stress management or stress relief during deployment. Smoke pits were seen as serving several functions that were not perceived to occur anywhere else: an opportunity for informal communication with leadership, a source of valuable information, and a space for problem solving.
CONCLUSIONS: Airmen viewed tobacco as serving a functional role, which outweighed its harm. Future programs might try to address the functions fulfilled by tobacco in order to enhance their impact.

Adequate nutrition during infancy and early childhood is essential for ensuring the growth, health, and development of children so that they can reach their full potential. There is a current void of data on infant and young child feeding practices (IYCF) in ethnic minority communities in the UK; specifically, it is difficult to find accurate Chinese IYCF data in the UK because survey data often includes Chinese in the category of \'Chinese or other ethnic group\', further contributing to health inequalities. This mixed methods study aimed to explore the cultural influences on IYCF beliefs among new Chinese immigrant mothers. A total of 31 mothers of infants aged 6-23 months were recruited from informal community organizations. All 31 mothers were born in Mainland China, the mean length of their stay after immigrating to the UK was 10 years (range = 1-21 years), and their mean age was 29 ± 3.40 years. When using the Infant Feeding Style Questionnaire (IFSQ) to investigate IYCF beliefs, the highest score was obtained for responsive attention, with a value of 4.28 ± 0.92, indicating that parents were very attentive to child hunger and satiety cues; lower scores were obtained for indulgence soothing (1.82 ± 1.01), indulgence coaxing (2.11 ± 1.18), indulgence pampering (1.90 ± 0.95), and pressuring to soothe (1.92 ± 0.86), indicating lesser maternal indulgence and pressuring/controlling beliefs. A sub-sample (n = 14) participated in semi-structured interviews in order to understand the balancing sources of information and cultural preferences, the influence of traditional Chinese medicine, and language difficulties in accessing health services. The mothers reported barriers of IYCF beliefs and the introduction of solid foods earlier than the NHS guidelines. This study can promote optimal IYCF in Chinese immigrants and show health services the need to reconcile differences between the perceptions of British and Chinese health beliefs.

Human beings have an inbuilt desire to care and nurture others. In some professions such as nursing, women are perceived as privileged in relation to these traits, and women are in the majority in the nursing profession. The Gender theory suggests that men should adapt to feminine traits and nature in order to fit in the nursing profession. However, there is a paucity of literature in relation to Arab male nurses\' experience in nursing.
The purpose of this study was to explore the Jordanian male nurses\' experiences of their career within their Arabic community.
A hermeneutic phenomenological approach, underpinned by VanManen\'s perspective was used. Twenty-two Jordanian male nurses were approached from four hospitals in Jordan. Four focus groups comprising 5-6 interviewees in each were used. The focus groups were audio-recorded and transcribed verbatim. The data were analyzed using Van Manen\'s hermeneutic approach and themes extracted from the Arabic version were compared critically with the analysis of the English version to develop the meaning of the narratives.
Three major themes emerged from the data: (i) personal gains; (ii) masculinity; (iii) and cultural influences. Whilst male nurses recognized nursing is a female dominant profession, they viewed themselves as more independent in decision making and more productive than their female counterparts. Significantly, the participants described nursing as a means of fulfilling their spiritual needs and thus a personal gain. The interviewees linked their masculinity to resilience and endurance. Participants described that men in nursing face some social constraints within the Arab community.
The study findings partly supported the fact that nursing in Jordan is a predominantly female profession which lends support to the gender theory in which Jordanian male nurses experienced a social bias and disadvantages by Arabic culture stereotypes of a male nurse. Although nursing is still a feminine career, the findings of this study raise awareness that gender role stereotype might not hold a strong stance in relation to nursing and that could be attributed to elements such as economic and payment status.