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Topographic map evidence for previously unexplained Casselman River direction changes (including where it joins the Youghiogheny River) indicates prolonged and massive volumes of south-oriented water once flowed across the Conemaugh-Casselman River drainage divide and formed diverging southwest- and southeast-oriented channels with the southwest-oriented flow joining south-oriented flow on today’s north-oriented Youghiogheny River alignment. The southeast-oriented channel eroded a water gap across an emerging Negro Mountain and then a diverging southwest-oriented channel followed the northeast-oriented Casselman River alignment to reach south-oriented flow on the now north-oriented Youghiogheny River alignment while the southeast-oriented channel and a southeast-oriented channel which diverged from the southwest-oriented channel eroded the Flaughtery and Piney Creek water gaps into an emerging Meadow Mountain. Conemaugh River drainage system development ended south-oriented flow into the Casselman River drainage basin while regional uplift caused drainage reversals to create today’s northeast-, northwest-, and southwest-oriented Casselman River. [ABSTRACT FROM AUTHOR]

Background: There is a growing body of literature that indicates positive outcomes of group treatment approaches to intervention for communication difficulties in chronic traumatic brain injury (TBI). The published research to date examines face‐to‐face group intervention. Aim: This study draws on one of these approaches, 'Improving Natural Social Interaction: Group reHabilitation after Traumatic brain injury' (INSIGHT), and examines the adaptation of this program to a virtual setting. The principles underlying the program, which involved providing an authentic contextualised and natural environment for group interactions and enhancing opportunities for identity expression, were maintained. Methods & Procedures: Six participants with mild to severe TBI and cognitive communication difficulties participated in an 8‐week pilot program of the virtual INSIGHT program. Goal Attainment Scaling (GAS) scores completed over the course of the intervention served as the primary outcome measure. Secondary outcomes measures included The Repeatable Battery for the Assessment of Neuropsychological Status Update, The Awareness of Social Inference Test‐Revised, the La Trobe Communication Questionnaire and the Satisfaction with Life Scale. Outcomes & Results: A mixed multilevel analysis revealed significant improvement in GAS scores. A Wilcoxon signed rank test revealed no significant changes in secondary measures. Conclusions & Implications: There is a growing potential for this group treatment approach, in an online medium, and progress towards individualised goals was clear. The data have implications for examining the assessment measures typically used to document functional outcomes in clinical intervention. Future directions indicate a need to pursue more ecologically valid assessment methods. What this paper adds: What is already known on the subject: Recent literature has focused on the benefits of group intervention for cognitive communication diffuclties after traumatic brain injury (TBI). However, research to date examines only face‐to‐face group rehabilitation. As there has been a demand for a shift in the way we communicate worldwide, we must make adaptations to current intervention procedures to continue to serve individuals with diverse communication needs. What this paper adds to existing knowledge: This study contributes new information about the feasibility of a virtual communication skills group for individuals with TBI. This virtual INSIGHT (Improving Natural Social Interaction: Group ehabilitation after Traumatic brain injury) group intervention facilitates progress towards collaboratively set communication goals and the online setting has the potential to increase the accessibility of these services. What are the potential or actual clinical implications of this work?: Progress towards cognitive and social communication goals can be facilitated by an online group intervention. However, this progress was not correlated with scores on standard assessments of cognitive communication, social communication and quality of life. This has implications for the evaluation of the assessments typically used and their ecological validity and applicability to the communication context. [ABSTRACT FROM AUTHOR]

Objectives: The objectives of this paper is to conduct a bibliometric analysis to examine the research status and development trend of anterior cruciate ligament injury and reconstruction in children and adolescents over the past 20 years. Design: Descriptive Research. Methods: This study obtained information regarding studies on Anterior Cruciate Ligament Reconstruction in Children and Adolescents from the Web of Science Core Collection database. Visual and bibliometric analysis were conducted using VOSviewer, Origin 2022, Pajek64 5.18and Excel 2019. These analytic tools facilitated the analysis of various aspects, including countries/regions, institutions, authors, journals and keywords related to the research. Results: From 2003 to 2023, a total of 1328 articles were retrieved in WOS, and 637 articles were selected by two authors. The most productive institutions are Childrens Hosp Philadelphia, Kocher, ms. Their articles have the highest number of publications and citations. The American journal of sports medicine is the most frequently cited journal for articles on anterior cruciate ligament reconstruction in children and adolescents. The most common keywords used in these articles were "anterior cruciate ligament reconstruction", "injury, children, adolescent", and "skeletally immature patients". Conclusions: This study provides valuable insights into the research focus of anterior cruciate ligament reconstruction in children and adolescents. In recent years, there has been significant attention paid to areas of "the return to sport, re-repture rate and functional recovery after anterior cruciate ligament reconstruction" in this specific population. These aspects have emerged as key directions for future research in this field. [ABSTRACT FROM AUTHOR]

Purpose: Maternal substance use and deaths due to overdoses are increasing nationwide. Evidence suggests that the rate of resumed substance use, and fatal and non-fatal overdose is greatest in the first year after birth, particularly around six months postpartum, compared to other parts of the perinatal period. Doula care has been linked to improvements in perinatal health and outcomes. Description: In response to the opioid epidemic, the Philadelphia Department of Public Health developed and implemented the Doula Support Program (DSP), with a focus on one year of postpartum care for birthing people with a substance use disorder (SUD). In this paper, we describe the program and its formation and report on the early challenges and successes of the program implementation, based on information we received from program founders and managers in a group interview. Assessment: Early successes of the program include partnering with local community-based programs to recruit and retain doulas, supplementing traditional doula education with perinatal SUD-specific trainings, and maximizing client referrals by collaborating with local organizations and treatment centers that serve birthing people with SUD. Client retention, however, has proven to be challenging, especially during the COVID-19 pandemic. Conclusion: The DSP continues to grow, and lessons learned will facilitate program improvements. The goal of this paper is to outline the development and launch of the DSP and to act as a model for other state and local health departments interested in providing doula care for birthing people with SUD. Significance: Maternal substance use and fatal overdoses are increasing in Philadelphia, Pennsylvania. In response to this crisis, the Philadelphia Department of Public Health's Division of Maternal, Child and Family Health developed the Doula Support Program (DSP), offering doula care to pregnant people with a current or past SUD history up to one-year postpartum. To our knowledge, this is the only doula program in Pennsylvania offering one-year postpartum support to birthing people affected by SUD. [ABSTRACT FROM AUTHOR]

The lives of caregivers can be deeply impacted by having a child with a developmental disability (DD). To offset those impacts, caregivers may engage in accommodations, or strategies to bolster everyday functioning. The nature and extent of these accommodations can provide insight into how the family is doing and what supports are needed from a family-centered perspective. This paper presents the development and preliminary validation of the Accommodations & Impact Scale for Developmental Disabilities (AISDD). The AISDD is a rating scale that measures day-to-day accommodations and impacts of raising a child with a DD. A sample of 407 caregivers of youth with DDs (Mage = 11.7 years; 63% males) completed the AISDD, along with measures of caregiver strain, daily challenges, child adaptive behavior, and behavior and emotional regulation. The AISDD is a unidimensional, 19-item scale with excellent internal consistency (ordinal alpha =.93) and test–retest (ICC =.95) reliability. Scores were normally distributed and sensitive to age (r = −.19), diagnosis (ASD + ID > ASD > ID), adaptive functioning (r = −.35), and challenging behaviors (r =.57). Finally, the AISDD showed excellent convergent validity with similar measures of accommodations and impacts. These findings support the use of the AISDD as a valid and reliable tool for measuring accommodations among caregivers of individuals with DDs. This measure shows promise in its ability to identify which families may need additional support for their children. [ABSTRACT FROM AUTHOR]

Prostate cancer is the most common cancer after non-melanoma skin cancer and the second leading cause of cancer deaths in US men. Its incidence and mortality rates vary substantially across geographical regions and over time, with large disparities by race, geographic regions (i.e., Appalachia), among others. The widely used Cox proportional hazards model is usually not applicable in such scenarios owing to the violation of the proportional hazards assumption. In this paper, we fit Bayesian accelerated failure time models for the analysis of prostate cancer survival and take dependent spatial structures and temporal information into account by incorporating random effects with multivariate conditional autoregressive priors. In particular, we relax the proportional hazards assumption, consider flexible frailty structures in space and time, and also explore strategies for handling the temporal variable. The parameter estimation and inference are based on a Monte Carlo Markov chain technique under a Bayesian framework. The deviance information criterion is used to check goodness of fit and to select the best candidate model. Extensive simulations are performed to examine and compare the performances of models in different contexts. Finally, we illustrate our approach by using the 2004-2014 Pennsylvania Prostate Cancer Registry data to explore spatial-temporal heterogeneity in overall survival and identify significant risk factors. [ABSTRACT FROM AUTHOR]

Background: Recruiting large cohorts efficiently can speed the translation of findings into care across a range of scientific disciplines and medical specialties. Recruitment can be hampered by factors such as financial barriers, logistical concerns, and lack of resources for patients and clinicians. These and other challenges can lead to underrepresentation in groups such as rural residents and racial and ethnic minorities. Here we discuss the implementation of various recruitment strategies for enrolling participants into a large, prospective cohort study, assessing the need for adaptations and making them in real-time, while maintaining high adherence to the protocol and high participant satisfaction. Methods: While conducting a large, prospective trial of a multi-cancer early detection blood test at Geisinger, an integrated health system in central Pennsylvania, we monitored recruitment progress, adherence to the protocol, and participants' satisfaction. Tracking mechanisms such as paper records, electronic health records, research databases, dashboards, and electronic files were utilized to measure each outcome. We then reviewed study procedures and timelines to list the implementation strategies that were used to address barriers to recruitment, protocol adherence and participant satisfaction. Results: Adaptations to methods that contributed to achieving the enrollment goal included offering multiple recruitment options, adopting group consenting, improving visit convenience, increasing the use of electronic capture and the tracking of data and source documents, staffing optimization via leveraging resources external to the study team when appropriate, and integrating the disclosure of study results into routine clinical care without adding unfunded work for clinicians. We maintained high protocol adherence and positive participant experience as exhibited by a very low rate of protocol deviations and participant complaints. Conclusion: Recruiting rapidly for large studies – and thereby facilitating clinical translation – requires a nimble, creative approach that marshals available resources and changes course according to data. Planning a rigorous assessment of a study's implementation outcomes prior to study recruitment can further ground study adaptations and facilitate translation into practice. This can be accomplished by proactively and continuously assessing and revising implementation strategies. [ABSTRACT FROM AUTHOR]

Physical activity is known to contribute to good health, but most adults in the United States do not meet recommended physical activity guidelines. Social incentive interventions that leverage insights from behavioral economics have increased physical activity in short-term trials, but there is limited evidence of their effectiveness in community settings or their long-term effectiveness. The STEP Together study is a Hybrid Type 1 effectiveness-implementation study to address these evidence and implementation gaps. This paper describes the process of adapting study procedures prior to the effectiveness trial using Community Engagement (CE) Studios, facilitated meetings during which community members provide feedback on research projects. Six CE Studios were held with community members from the priority population. They were conducted remotely because of the COVID-19 pandemic. Fifteen liaisons representing 13 community organizations and 21 community members from different neighborhoods in Philadelphia participated. Three elements of the study design were modified based on feedback from the CE Studios: lowering the age requirement for an 'older adult', clarifying the definition of family members to include second-degree relatives, and adding a 6-month survey. These adaptations will improve the fit of the effectiveness trial to the local context and improve participant engagement and retention. CE Studios can be used to adapt intervention strategies and other aspects of study design during hybrid implementation-effectiveness trials. This approach was successfully used with remote online participation due to the COVID-19 pandemic and serves as a model for future community-engaged implementation research. [ABSTRACT FROM AUTHOR]

Scholars have spent decades arguing that policy entrepreneurs, change agents who work individually and in groups to influence the policy process, can be crucial in introducing policy innovation and spurring policy change. How to identify policy entrepreneurs empirically has received less attention. This oversight is consequential because scholars trying to understand when policy entrepreneurs emerge, and why, and what makes them more or less successful, need to be able to identify these change agents reliably and accurately. This paper explores the ways policy entrepreneurs are currently identified and highlights issues with current approaches. We introduce a new technique for eliciting and distinguishing policy entrepreneurs, coupling automated and manual analysis of local news media and a survey of policy entrepreneur candidates. We apply this technique to the empirical case of unconventional oil and gas drilling in Pennsylvania and derive some tentative results concerning factors which increase entrepreneurial efficacy. [ABSTRACT FROM AUTHOR]

Public-academic partnership-based program evaluations can generate actionable evidence for policymaking, program design and implementation in improving school-based mental health service delivery. The University of Pennsylvania Center for Mental Health and public behavioral health care agencies in Philadelphia in the United States have evaluated Philadelphia's school mental health programs reimbursable through Medicaid billing since 2008. The variety of evaluations include (1) examining acute mental health service use of children receiving school-based mental health care and Medicaid expenditure, (2) examining children's externalizing and internalizing behaviors to measure school mental health providers' performance, and (3) examining effects of different types of school mental health programs on children's behavioral health functioning, school outcomes, and other out-of-school service use. This paper reports key findings of these evaluations, discusses how programs have been refined based on evaluation results, and shares lessons learned for successful public-academic partnership-based evaluations to promote use of actionable evidence. [ABSTRACT FROM AUTHOR]

The increase in the concentration of geological gas emissions in the atmosphere and particularly the increase of methane is considered by the majority of the scientific community as the main cause of global climate change. The main reasons that place methane at the center of interest, lie in its high global warming potential (GWP) and its lifetime in the atmosphere. Anthropogenic processes, like engineering geology ones, highly affect the daily profile of gasses in the atmosphere. Should direct measures be taken to reduce emissions of methane, immediate global warming mitigation could be achieved. Due to its significance, methane has been monitored by many space missions over the years and as of 2017 by the Sentinel-5P mission. Considering the above, we conclude that monitoring and predicting future methane concentration based on past data is of vital importance for the course of climate change over the next decades. To that end, we introduce a method exploiting state-of-the-art recurrent neural networks (RNNs), which have been proven particularly effective in regression problems, such as time-series forecasting. Aligned with the green artificial intelligence (AI) initiative, the paper at hand investigates the ability of different RNN architectures to predict future methane concentration in the most active regions of Texas, Pennsylvania and West Virginia, by using Sentinel-5P methane data and focusing on computational and complexity efficiency. We conduct several empirical studies and utilize the obtained results to conclude the most effective architecture for the specific use case, establishing a competitive prediction performance that reaches up to a 0.7578 mean squared error on the evaluation set. Yet, taking into consideration the overall efficiency of the investigated models, we conclude that the exploitation of RNN architectures with less number of layers and a restricted number of units, i.e., one recurrent layer with 8 neurons, is able to better compensate for competitive prediction performance, meanwhile sustaining lower computational complexity and execution time. Finally, we compare RNN models against deep neural networks along with the well-established support vector regression, clearly highlighting the supremacy of the recurrent ones, as well as discuss future extensions of the introduced work. [ABSTRACT FROM AUTHOR]

Feasibility and suitability assessments have become increasingly important for trenchless projects, as some Federal and State permitting agencies have released guidance on the information required to complete their environmental review. The Federal Energy Regulatory Commission (FERC) released guidance in October 2019, and the Pennsylvania Department of Environmental Protection (PADEP) released a draft Trenchless Technology Technical Guidance Document for use by project applicants when considering trenchless crossing methods in the Commonwealth of Pennsylvania. For complex trenchless installations and those that involve multiple permitting agencies with different guidelines, adherence to these guidelines has become increasingly important in avoiding or minimizing potential permitting and project delays. This paper reviews the requirements established by FERC and PADEP as a case study that may be indicative of the regulatory trend emerging in various jurisdictions across the nation. Public data research, geohazards evaluation, geophysical evaluation, and geotechnical investigation are describe, while following both the FERC and PADEP trenchless technology guidelines. Finally, this paper demonstrates the consolidation of data gathering and engineering analysis to select the most practical and least impacting trenchless alternative. [ABSTRACT FROM AUTHOR]

Simple Summary: Steel production emits manganese and other heavy metals into the environment, where these byproducts can lead to health problems in humans and other animals. Birds have historically been used to detect harmful chemicals in the air, and in this paper, we show that this role continues into the present day. Feathers of a small terrestrial songbird, the Tufted Titmouse, were collected from live birds captured both near (0.3 km) and far (4.0 km) from steel production facilities in western Pennsylvania, USA. Tail feathers from birds living near the facilities had significantly higher amounts of manganese embedded in their structure compared to the feathers of birds living farther away. This shows that manganese is present in the environment, is localized at industrial sites, is encountered by birds, and is sequestered in their tissues. Animals could suffer ill health if exposures are high enough. Feather data cannot be used to assess the magnitude of this health risk since metals laid down within feathers are no longer circulating in the birds' bodies. However, our data do suggest that the environmental monitoring of manganese should continue, as inadvertent exposure is still occurring. Human industry and land use has led to the anthropogenic release of manganese (Mn) into the air and soil near manufacturing centers. Overexposure to Mn can cause considerable health problems in birds. We studied whether the concentration of Mn in bird feathers correlates with the distance to point sources of Mn air emissions. Feathers were collected from Tufted Titmice (Baeolophus bicolor) at two sites in western Pennsylvania, USA. One site was in proximity (0.3 km) to a steel plant with documented Mn releases, and the other site was in a different town about 4.0 km away from other steel plants with documented Mn releases. Using the microwave plasma–atomic emission spectrometer (MP–AES), we found that tail feathers collected from nearest to a steel plant had a significantly higher concentration of Mn compared to the samples from the site further from the emission source. A body mass index was calculated for each set of birds; however, the indices did not vary significantly. This is the first published study of Mn sequestration in Tufted Titmouse feathers. This study develops our general understanding of the potential use of bird feathers as non-invasive bioindicators of environmental metal exposure. [ABSTRACT FROM AUTHOR]

In this paper, I reflect on my experiences conducting legal geographic research within a Central Pennsylvania courtroom. This research builds on my former professional experience as a legal advocate where I worked for five years providing advocacy services to over 800 survivors of domestic violence and sexual assault. I discuss how I incorporated two common advocacy practices – accompaniment and institutional advocacy – into my research praxis as a means to fulfil my commitment to conduct activist research as a feminist legal geographer. I argue that the advocacy skills I learned outside of academia helped me navigate the tensions of studying power with legal actors in the privileged space of the courtroom. This paper contributes to recent interest in the methodological practices that legal geographers utilise within courtroom spaces, while also encouraging legal geographers to consider what knowledge and skills – beyond academic methodologies and methods – might serve to support activist research within spaces of power. In this paper, I reflect on my experiences conducting legal geographic research within a Central Pennsylvania courtroom. I argue that the advocacy skills I learned outside of academia helped me navigate the tensions of studying power with legal actors in the privileged space of the courtroom. This paper contributes to recent interest in the methodological practices that legal geographers utilise within courtroom spaces, while also encouraging legal geographers to consider what knowledge and skills – beyond academic methodologies and methods – might serve to support activist research within spaces of power. [ABSTRACT FROM AUTHOR]

Background: Pregnancy and early parenthood can be challenging transitional times for many families, especially those struggling with opioid use disorder (OUD). Over 8 million children live with a parent with SUD and parental drug use has been attributed to rising rates of family instability and child welfare involvement (Lipari & Van Horn, 2017; AFCARS, 2020;). Community-based prevention programming for families with young children, such as evidence-based maternal and child home visiting (EBHV), may we well positioned to engage and support families impacted by the opioid epidemic through early childhood. This paper presents case studies to highlight promising practices for adapting EBHV models to families impacted by SUD from the perspectives of staff and administrators. Methods: Data from three pilot sites are presented as case studies. These sites were selected to represent the most innovative and developed adaptations to EBHV for families impacted by substance use from an implementation evaluation of state-funded pilot sites (N = 20) at existing home visiting agencies across Pennsylvania. Data reported here represent semi-structured interviews with 11 individuals. Data were coded to facilitators and barriers nodes to understand the process and impact of pilot implementation. Results: Systems-level collaboration and coordination were key to serving a population already engaged in multiple systems. Engagement of substance use experts allowed home visitors to focus on delivery of evidence-based curricula supporting family stability and child development. External partnerships reduced stigma among home visitors. Across sites, staff struggled with the increased acuity of social complexity of the OUD population. Conclusions for Practice: Pregnancy and early parenthood are challenging transitional times for many families, especially those with OUD. Evaluation results demonstrate the promise of systems-based adaptations to community-based prevention programming for families with young children, such as maternal and child home visiting, to better support families impacted by SUD. [ABSTRACT FROM AUTHOR]

This paper features an oral history conversation and interview that the author had with Judah Samet who survived imprisonment in the Bergen-Belsen Concentration Camp during the Holocaust. Samet also survived a near brush with death as he was arriving to attend services at the Tree of Life Synagogue in Pittsburgh, Pennsylvania as the deadliest anti-Semitic attack in American history was underway. Samet would later be a featured guest during the 2019 State of the Union Address. This paper is predominantly focused on some select larger questions posed by the author to Samet that considered aspects of these facets of Samet's life history. Some larger reflections on the interview and The Tree of Life shooting, in particular, are also discussed. [ABSTRACT FROM AUTHOR]

Authors share an initial exploration of the pedagogy practiced at The Camphill School, specifically in relation to the integration of technology into its program. An approved private school situated in rural Pennsylvania, which caters to students on the autism spectrum, and others with different or additional physical and developmental disabilities, Camphill School works out of an adapted Waldorf curriculum, and integrates Waldorf Education, traditional special education strategies, and strategies informed by the curative educational approach to working with children and adolescents with intellectual disabilities and developmental delays. As a "tech-light" school, for pedagogical and therapeutic reasons, Camphill School has a pressing need to examine the current numbers of screen-based devices in the residential houses, classrooms, and therapy sessions, and the sharp increase in their presence in the last decade. This paper highlights several areas of concern related to the children's physical, and emotional wellbeing, and the wellbeing of the community in which the school is located. While research indicates a benefit to speech development for children using these devices, there are several gaps, which need to be examined, particularly for the population of children that is served. The necessity to preserve the organization's pedagogical integrity and identity as a school that provides a nurturing, natural environment for the children, while keeping abreast of trends in their professional field, leads to a series of recommendations in orienting toward the future. [ABSTRACT FROM AUTHOR]

Advance directives are intended to extend patient autonomy by enabling patients to prospectively direct the care of their future incapacitated selves. There has been much discussion about issues such as whether the future incompetent self is identical to the agent who issues the advance directive or whether advance directives can legitimately secure patient autonomy. However, there is another important question to ask: to what extent and in what conditions is it ethically appropriate for one to limit the liberty or agency of one's future incompetent self by issuing an advance directive? In this paper, I use a virtue‐ethical approach to explore this question, focusing on the case of an advance directive for the future self with moderate dementia. First, I examine virtuous attitudes with regard to autonomy and argue that one can manifest vices or ethically undesirable character traits in trying to intervene in the future self's life. In particular, I argue that this case can manifest vices such as disdainfulness, intellectual arrogance, and self‐dictatorship, which is the vice of trying to control one's life to an excessive degree, and that a self‐dictator fails to give due moral consideration to the future self's liberty or agency. I then introduce the Daoist idea of wu‐wei, which recommends embracement of what happens in one's life, as one of the possible remedies for the overemphasis on the value of autonomy and control. [ABSTRACT FROM AUTHOR]

Aim: This study aims to present a general bibliometric overview of the development status of global nursing research from 2000 to 2019. Design: A longitudinal bibliometric analysis of nursing research was conducted. Methods: Nursing research publications (N = 88,665) were obtained from Web of Science. Bibliometric method was used to map the output and citation impact trends of countries/regions, institutions, disciplines, and journals and analyse the research collaboration among countries/regions and institutions. Results: The global paper output in nursing research increased steadily over the past two decades and it varied in different countries/regions with the USA being far ahead of the others. The paper output and cross‐border collaboration are mainly distributed in several developed countries like the USA, the UK, Australia, and Canada. The University of Pennsylvania, Harvard University, University of Toronto, and University of North Carolina at Chapel Hill have high academic influence in the field of nursing. Increasing attention from academic fields has been paid to research on nursing. Journal of Advanced Nursing is the most prolific and most cited journal in nursing field. Conclusion: Nursing research has developed steadily over the last two decades. Both the scientific output and research collaboration are disproportionally distributed between high‐income countries/regions and low‐ and middle‐income countries/regions. Most research and collaboration have taken place in a few developed countries across North America, Europe, and Oceania. Impact: The study highlighted the need for policy makers and funding agencies, especially those from low‐ and middle‐income countries/regions, to allocate research funding that supports the nursing higher education and international cooperation so as to promote the development of high‐quality nursing research in those countries/regions. At the same time, researchers from non‐English‐speaking countries/regions should attach more importance to publishing papers in English, strengthening the academic exchanges with international nursing colleagues and better integrating into the international academic community. [ABSTRACT FROM AUTHOR]

The Advocacy Coalition Framework (ACF), a well‐known framework used to understand policy changes at the subsystem level, is predicated on the idea that coalitions with distinct beliefs compete to influence policy subsystem decisions. The ACF is noted as being most appropriate for, and is typically applied to, high salience policy areas. However, scholars have noted the need to also apply the ACF to less typical application settings in the interest of theoretical refinement. This paper thus explores the applicability of the ACF to Day Habilitation and Employment services systems for working‐age adults with intellectual and developmental disabilities in two U.S. states, Washington and Pennsylvania, both of which have experienced distinct state‐level policy changes during the last two decades despite low levels of public attention and conflict. Using a mixed‐methods approach, the paper identifies the presence of two advocacy coalitions (Employment First and Choice) in both states. The study concludes that there is sufficient evidence to apply the ACF to these low salience subsystems, noting theoretical and practical implications for scholars and policymakers interested in applying the ACF to similar settings. [ABSTRACT FROM AUTHOR]

Political redistricting is the redrawing of electoral district boundaries. It is normally undertaken to reflect population changes. The process can be abused, in what is called gerrymandering, to favor one party or interest group over another, resulting thereby in broadly undemocratic outcomes that misrepresent the views of the voters. Gerrymandering is especially vexing in the United States. This paper introduces an algorithm, with an implementation, for creating districting plans (whether for political redistricting or for other districting applications). The algorithm, Seed-Fill-Shift-Repair (SFSR), is demonstrated for Congressional redistricting in American states. SFSR is able to create thousands of valid redistricting plans, which may then be used as points of departure for public deliberation regarding how best to redistrict a given polity. The main objectives of this paper are: (i) to present SFSR in a broadly accessible form, including code that implements it and test data, so that it may be used for both civic deliberations by the public and for research purposes. (ii) to make the case for what SFSR essays to do, which is to approach redistricting, and districting generally, from a constraint satisfaction perspective and from the perspective of producing a plurality of feasible solutions that may then serve in subsequent deliberations. To further these goals, we make the code publicly available. The paper presents, for illustration purposes, a corpus of 11,206 valid redistricting plans for the Commonwealth of Pennsylvania (produced by SFSR), using the 2017 American Community Survey, along with descriptive statistics. Also, the paper presents 1,000 plans for each of the states of Arizona, Michigan, North Carolina, Pennsylvania, and Wisconsin, using the 2018 American Community Survey, along with descriptive statistics on these plans and the computations involved in their creation. [ABSTRACT FROM AUTHOR]

Work zone safety is a high priority for transportation agencies across the United States. Enforcing speed compliance in work zones is an important factor for reducing the frequency and severity of crashes. This paper uses connected vehicle trajectory data to evaluate the impact of automated work zone speed enforcement on three work zones in Pennsylvania and two work zones in Indiana. Analysis was conducted on more than 300 million datapoints from over 71 billion records between April and August 2021. Speed distribution and speed compliance studies with and without automated enforcement were conducted along every tenth of a mile, and the results found that overall speed compliance inside the work zones increased with the presence of enforcement. In the three Pennsylvania work zones analyzed, the proportions of vehicles travelling within the allowable 11 mph tolerance were 63%, 75% and 84%. In contrast, in Indiana, a state with no automated enforcement, the proportions of vehicles travelling within the same 11 mph tolerance were found to be 25% and 50%. Shorter work zones (less than 3 miles) were associated with better compliance than longer work zones. Spatial analysis also found that speeds rebounded within 1–2 miles after leaving the enforcement location. [ABSTRACT FROM AUTHOR]

In this paper, we examine whether women candidates are more likely to spur turnout in election years when gender-related issues are central to the national debate. We argue that having women on the ballot in a gendered electoral environment mobilizes specific groups of voters. Utilizing voter files in Pennsylvania and Washington for 2014 and the more gender focused 2018 election, we evaluate this potential mobilizing effect in both primary and general midterm elections. Our results show that both female and male voters were more likely to turn out in the 2018 midterm elections when a woman was on the ballot for the U.S. House of Representatives. In Pennsylvania, which tracks registrants' party affiliation, Democrats, members of third parties, and independents were particularly impacted by the presence of a female candidate. Moreover, in both states, a woman on the ballot was especially important for young people, a group that is traditionally less engaged. Utilizing a difference-in-difference approach, we confirm these results are not due to the endogenous selection of where women choose to run. These findings demonstrate that the mobilizing effect of women candidates is dependent on political context. [ABSTRACT FROM AUTHOR]

The profile of households receiving rental assistance has changed over time, yet much of the policy and political dialogue surrounding rental assistance has not. Understanding the changing profile of subsidized households is important to evaluating the role of rental subsidies, particularly in the context of neighborhood access. This paper analyzes how the composition of subsidized households has changed over time, and how this relates to existing measures of neighborhood opportunity. We find that since 2000, the share of subsidized households headed by seniors grew, while the share with children dropped. In particular, households using vouchers used to be young relative to the general population and to households in other housing subsidy programs but have aged rapidly. We also find that current neighborhood amenity measures do not reflect these changes, and we use a national analysis and a case study of southeastern Pennsylvania to test alternative metrics. [ABSTRACT FROM AUTHOR]

Comprehensive sexual health education is critical for the prevention of STIs and unintended pregnancy among young people. Yet, increasing barriers to comprehensive sexual health education in classroom settings underscore the importance of youth-friendly technologies to address sexual health among young people. It's OK to Ask Someone (IOTAS) uses a customised technology to expand Planned Parenthood of Western Pennsylvania's sexual health programming with a confidential sexual health textline designed to answer sexual health questions in a timely, user-friendly manner. This paper describes results from a process evaluation focused on assessing who uses IOTAS, how they use IOTAS and in what ways IOTAS is perceived to be helpful to texters. Results illustrate that a textline-approach is an acceptable and appropriate way to engage with young people. Findings demonstrate that young people are using the confidential textline to seek information about sexual health and report it as a helpful resource. Findings are relevant for sexual health educators and practitioners working with young people, including those interested in using a technology approach to expand health education opportunities. Additional research should continue to explore the potential of youth-friendly, technology-based approaches to support sexual health information seeking. [ABSTRACT FROM AUTHOR]

Farmland preservation has been an important issue in the United States for over 40 years. Since 1977, 28 states and over 95 local governments have formed farmland preservation programs to acquire development rights from willing farm owners. These programs have preserved over three and a half million acres. Private nonprofit land trusts have preserved nearly three million acres. Maryland and Pennsylvania have preserved nearly one million acres, accounting for almost one-sixth of the nation's preserved agricultural land. Ten adjoining counties in Pennsylvania and Maryland have preserved 660,000 acres, or one-tenth of the nation's preserved agricultural land. This paper defines "large scale preservation" and analyzes the funding mechanisms and land use policies that have enabled these ten counties to achieve it. The paper also identifies additional indicators of preservation success that give a more complete picture of the long-term viability of agriculture as an industry. [ABSTRACT FROM AUTHOR]

The paper analyzes the act of forgiveness and reconciliation illustrated by events and examples from the film Amish Grace (2010). The film is based on a true story regarding Amish school shooting that took place in October 2006, when five girls had been killed and five other girls had been injured in Nickel Mines, Pennsylvania. The Amish community then made an incredible gesture to the family of Charlie Roberts, the perpetrator. Journalists, the entire society, and above all the Roberts family, were overwhelmed by the love, condolences and forgiveness of the Amish community. The film has received numerous awards. It is an inspiring, powerful and enlightening drama that shows the power and importance of true, human forgiveness, as well as the difficulties and complexity of giving and/or receiving forgiveness. In the paper author described family relationships, journalistic scepticism regarding Amish forgiveness, discussions with a grief counsellor, difficulty accepting tragedies, and being asked how to forgive things that are unforgivable are described. This is followed by a section on the concept of Amish forgiveness, with numerous quotations from the Bible. The final part of the paper deals with the possibilities of applying restorative justice, with focus on restorative dialogue and restorative cirlce. [ABSTRACT FROM AUTHOR]

• Paper estimates a CMF for high friction surface treatment (HFST) applied to horizontal curves on undivided two-lane roads. • Propensity score matching is incorporated into EB before-after methodology to select more appropriate reference group. • Results indicate significant reductions in crash frequency (of all types considered) when applying HFST. Horizontal curves are locations that, as a result of the changing alignment, may be a contributing factor in roadway departure crashes. One low-cost countermeasure to mitigate crashes at these locations is the installation of the high friction surface treatment (HFST), which increases roadway friction and is intended to help keep drivers on the roadway when traversing a horizontal curve. This treatment has been implemented at numerous curves in Pennsylvania, but the overall safety effectiveness is not known. The purpose of this study is to estimate a suite of Crash Modification Factors (CMFs) for HFST applied to curve sections of undivided two-lane roadways. A novel combination of the empirical Bayes observational before-after study design and propensity score matching was used to estimate CMFs for multiple crash types, crash severities, and roadway settings (urban and rural). Propensity score matching was implemented to identify the most appropriate reference group to use within the empirical Bayes methodology. The results indicate that the installation of HFST is associated with a statistically significant decrease in all crash types and severities considered. [ABSTRACT FROM AUTHOR]

Despite significant efforts to improve access to medications for opioid use disorder (MOUD), uptake remains low relative to the scope of the problem in the United States. A growing body of quantitative and qualitative research has documented consistent barriers to MOUD treatment access and retention, at the level of individuals, institutions, and society at large. Stigma - surrounding both people who use opioids (PWUO) and treatment using MOUD – is among the most-cited barriers by patients and providers alike, yet few studies have examined provider-based stigma specifically, or considered its interaction with other impediments to OUD care. This paper employs a qualitative approach to the analysis of provider-based stigma among professionals involved in the treatment or supervision of individuals with OUD. We conducted and analyzed interviews with 19 professionals as part of a larger mixed methods study on stigma among substance use treatment providers and court personnel in Pennsylvania. Beyond capturing providers' perceptions of PWUO and MOUD, the authors asked participants to describe barriers to recovery, and the effective delivery of care within this population. Interviewees enumerated multiple entrenched barriers that sometimes operated at different levels, such as criminal-legal involvement, which weakened PWUO's social networks and employment prospects, while undermining providers' attempts at continuity of care; moreover, participants cited the "War on Drugs" as an overarching impediment to effective substance use treatment, not least for its role in perpetuating stigma against PWUO. Interestingly, while an overwhelming majority of participants named stigma as a barrier to treatment at every level, most also articulated stigmatizing beliefs around PWUO. Namely, providers evoked one element of stigma – blameworthiness – in their contention that many PWUO are inadequately motivated to recover. In addition to adding further complexity to MOUD barriers research, this study troubles the notion that professional training and education on the disease model of addiction serve to eradicate stigma. • Uptake of medications for opioid use disorder remains low despite efforts to expand access. • Individual, institutional, and systemic barriers to MOUD interact to reduce usage. • Treatment providers identify stigma as a primary barrier to MOUD effectiveness at all levels. • Many treatment providers also express conceptions of people who use opioids as "blameworthy." [ABSTRACT FROM AUTHOR]

The main challenge in addressing constrained multi-objective optimization problems (CMOPs) lies in achieving a balance among convergence, diversity, and feasibility. To address this issue, this paper proposes a constrained multi-objective evolutionary algorithm with Pareto estimation via neural network named CMOEA-PeNN. In order to exploit and explore the decision space, the proposed algorithm employs a dual-population mechanism, which is trained with a self-organizing map (SOM). Firstly, the population distribution structure in decision space is mapped to objective space while preserving neighborhood information, and then the neuron weight is utilized to estimate the Pareto front (PF). Secondly, a novel approach is devised to preserve the feasibility of the population and enhance the estimation of the Pareto front by SOM. The achievement scalarizing function (ASF) is employed to choose promising solutions. This strategy could guide the population toward the optimal solution while exploring the small feasible regions. Finally, the performance of CMOEA-PeNN is compared with five state-of-the-art constrained multi-objective evolutionary algorithms (CMOEAs) on three widely used benchmark problems and a real-world problem. The experimental results show that CMOEA-PeNN could archive competitive performance in solving CMOPs. [ABSTRACT FROM AUTHOR]

In 2010, twenty-eight bovines on a Pennsylvania beef farm were exposed to a hydraulic fracturing wastewater leak on their grazing pasture. Over the following year, eleven out of seventeen calves born to the exposed animals died. The farmers framed the deaths as outside normal deathly production on the farm, while state institutions claimed the deaths resulted from the farmers' negligence, framing them as ordinary. I draw on necropolitics to examine how death becomes a normalized mode of capital production in agri-food systems, investigating how the wastewater spill and calves' deaths ruptured the everyday production of bovine death. The paper argues that death must occur in prescribed sites and at approved times to function as a site of value accumulation in capitalist agriculture. I examine how the spill and calf death events emerged through promiscuous entanglements between overlapping modes of capital extraction across and through the site of the farm. Using assemblages, I trace unruly, promiscuous encounters at this food-energy contact zone to consider how the calves' deaths render visible the space-time boundaries used to manage more-than-human mortality as a metabolic process in livestock production, and highlight disparate power relations between diverse necropolitical actors and modes of governance. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to highlight a less illustrated topic in Romanian bibliographic resources. According to the World Health Organization reports, breast cancer is one of the most common types of cancer worldwide. The sequelae of mastectomy are systematised as follows: conditions secondary to the application of local radiotherapy, systemic conditions after oncological treatment and psychosocial conditions. The most common side effect of the treatment applied for breast cancer is lymphoedema and, according to a study carried out in Pennsylvania, 42% of patients develop lymphoedema. Some authors classify it into mild, moderate and severe, but others highlight four stages of lymphoedema development. Physiotherapy has a major role in post-mastectomy recovery and requires various kinetic means, which can be both specific (physical exercise, hydrokinetic therapy, massage, posture) and non-specific (multilayer compression bandage and wearing a compression sleeve). Over time, a lot of clinical studies have been conducted on the implications of physical therapy for post-mastectomy functional recovery. Thus, physical exercise performed during the kinetic programme improves muscle strength, the activity of the cardiorespiratory system and self-esteem. Several authors recommend the practice of aerobic exercise and moderate-intensity exercise twice a week during chemotherapy treatment to prevent the development of lymphoedema. [ABSTRACT FROM AUTHOR]

Background: The aim of this paper is to describe the utility of various recruitment modalities utilized in the Working to Increase Stability through Exercise (WISE) study. WISE is a pragmatic randomized trial that is testing the impact of a 3-year, multicomponent (strength, balance, aerobic) physical activity program led by trained volunteers or delivered via DVD on the rate of serious fall-related injuries among adults 65 and older with a past history of fragility fractures (e.g., vertebral, fall-related). The modified goal was to recruit 1130 participants over 2 years in three regions of Pennsylvania.Methods: The at-risk population was identified primarily using letters mailed to patients of three health systems and those over 65 in each region, as well as using provider alerts in the health record, proactive recruitment phone calls, radio advertisements, and presentations at community meetings.Results: Over 24 months of recruitment, 209,301 recruitment letters were mailed, resulting in 6818 telephone interviews. The two most productive recruitment methods were letters (72% of randomized participants) and the research registries at the University of Pittsburgh (11%). An average of 211 letters were required to be mailed for each participant enrolled. Of those interviewed, 2854 were ineligible, 2,825 declined to enroll and 1139 were enrolled and randomized. Most participants were female (84.4%), under age 75 (64.2%), and 50% took an osteoporosis medication. Not having a prior fragility fracture was the most common reason for not being eligible (87.5%). The most common reason provided for declining enrollment was not feeling healthy enough to participate (12.6%).Conclusions: The WISE study achieved its overall recruitment goal. Bulk mailing was the most productive method for recruiting community-dwelling older adults at risk of serious fall-related injury into this long-term physical activity intervention trial, and electronic registries are important sources and should be considered. [ABSTRACT FROM AUTHOR]

This paper investigates economic and psychological hardship during the COVID‐19 pandemic among a diverse sample (61% Latinx; 16% White; 9% Black; 14% mixed/other race) of socioeconomically disadvantaged parents (90% mothers; mean age = 35 years) and their elementary school‐aged children (ages 4–11; 49% female) in rural Pennsylvania (N = 272). Families participating in a local food assistance program reported on food insecurity (FI) and parent and child mood and behavior daily from January to May 2020. Longitudinal models revealed that FI, negative parent and child mood, and child misbehavior significantly increased when schools closed; only FI and parent depression later decreased. FI decreased most among those who received the local food assistance program; Supplemental Nutrition Assistance Program receipt uniquely predicted decreases in child FI. [ABSTRACT FROM AUTHOR]

Highlights • The flux of multivalent cations across non-selective CMX membranes was 1.4 times > sodium. • A CMX-S membrane at the cathode boundary reduced the flux of Ca, Mg, and Ba into the electrode rinse. • Ca, Mg and Ba interfered by blocking transfer sites on the CMX-S membrane at the cathode barrier. • Overall flux was improved by unblocking the CMX-S membrane with periodic polarity reversal. • Soluble Fe precipitated throughout the stack and within the diluate and concentrate tanks. Abstract Electrodialysis is an electrochemically driven membrane technology usually used for treating feed water containing several thousand mg/l total dissolved solids (TDS). This research investigated the use of conventional ED for the treatment of flowback water from shale gas hydraulic fracturing that contains up to tens of thousands of mg/l TDS and contain a mixture of multivalent cations. This paper discusses efforts to treat concentrated brines with electrodialysis and focuses on the mitigation of the detrimental effects of multivalent cations such as calcium, magnesium, barium, iron, and in the feedstock. A previous paper detailed the effects of calcium under defined lab conditions. The apparent calcium fouling (in and around) the electrode cells was mitigated by changing the single cathode chamber boundary membrane to a (CMX-S) that was more selective for monovalent cations. This paper covers efforts undertaken to mitigate problems associated with high concentrations of calcium, barium, iron, and magnesium. Four field samples of produced water from oil and gas operations in from the Marcellus shale formation (generally Pennsylvania, USA) and the Barnett shale formation (generally north central Texas, USA) were also tested. These results from field samples were similar to the results from lab defined tests. Mechanisms of process interference by the different multivalent cations appear different for each species. Calcium, magnesium, barium, and iron were preferentially transported from the diluate to the concentrate compared to sodium by a factor of about 1.4:1 on a charge basis resulting in a suppression of the flux of sodium to the concentrate. A single CMX-S membrane selective for monovalent cations was placed at the cathode barrier resulting in a reduced flux of calcium, magnesium and barium into the electrode rinse. However total ion flux was inhibited caused by apparent blockage of the cation transfer sites on the CMX-S membrane by the stagnant multivalent cations. A series of tests with periodic pulse polarity-reversal (anode and cathode reversed for a brief time) indicted the blockage by calcium and barium was immediately reversable, however, iron was more problematic and may have precipitated on membrane surfaces other than the cathode barrier. [ABSTRACT FROM AUTHOR]

Coal mine methane (CMM) and abandoned mine methane (AMM) are by-products of underground mining of gassy coal beds. The quantity and the emission rate of CMM and AMM may vary depending on the type of mine, gas content of the mined coal bed, and gas sourced from strata and coal beds in overlying and underlying formations affected by mining. Therefore, if a mine has the potential of accumulating gas after being abandoned and sealed properly, that methane may be produced and used as an energy source to serve local communities in the area. Producing AMM also prevents methane, which is a potent greenhouse gas, from leaking to the atmosphere through seals, shaft plugs or surface cracks. A technical barrier to economical utilization of CMM and AMM is the uncertainty about how much methane may be available in the gas emission zone (GEZ) as a resource during mining, as well as after the panels are sealed and the mine is abandoned. Another difficulty is estimating how much of the potential methane resource can be produced from gob gas ventholes (GGV) converted to capture AMM. In this study, a comparative assessment is presented to address the issues stated above. The assessment was conducted on two adjacent panels of a longwall mine that operated in Pennsylvania until 2016 in the Northern Appalachian Basin. The study is based on two approaches that might be used depending on the availability of data. The first approach uses an extensive geological data set, geostatistics, and measured shaft gas emission and GGV production values that were collected while the panel (s) were active to assess the AMM resource. The second approach uses a minimal amount of geologic data, uncertainty of the data as probabilistic distributions, and the use of publicly available software to predict during-mining emissions. Results showed that both approaches provide relatively comparable estimates of AMM resources and AMM recovery potential using wellbores. The differences in assessed quantities are mostly due to the characteristics of the two methods. In that regard, this paper can be considered as guidance to choose the assessment approach based on data availability. • A comparative assessment procedure for CMM and AMM resource potential is presented. • The assessment was conducted on two adjacent panels of a longwall mine that operated in in the Northern Appalachian basin. • Results showed that both approaches provide relatively comparable estimates. • The differences in assessed quantities are mostly due to the characteristics of the two methods. • This paper can be considered as guidance in the choice of assessment approaches based on data availability. [ABSTRACT FROM AUTHOR]

Objective: To document the terminology patients hear during the treatment course for a nonviable pregnancy and to ask patients their perceived clarity and preference of terminology to identify a patient-centered lexicon.Methods: We performed a preplanned substudy survey of English-speaking participants in New York, Pennsylvania, and California at the time of enrollment in a randomized multisite trial of medical management of first-trimester early pregnancy loss. The six-item survey, administered on paper or an electronic tablet, was developed and piloted for internal and external validity. We used a visual analog scale and quantified tests of associations between participant characteristics and survey responses using risk ratios.Results: We approached 155 English-speaking participants in the parent study, of whom 145 (93.5%) participated. In the process of receiving their diagnosis from a clinician, participants reported hearing the terms "miscarriage" (n=109 [75.2%]) and "early pregnancy loss" (n=73 [50.3%]) more than "early pregnancy failure" (n=31 [21.3%]) and "spontaneous abortion" (n=21 [14.4%]). The majority selected "miscarriage" (n=79 [54.5%]) followed by "early pregnancy loss" (n=49 [33.8%]) as their preferred term. In multivariable models controlling for study site, ethnicity, race, history of induced abortion, and whether the current pregnancy was planned, women indicated that "spontaneous abortion" and "early pregnancy failure" were significantly less clear than "early pregnancy loss" (53/145, adjusted risk ratio 0.12, 95% CI 0.07-0.19 and 92/145, adjusted risk ratio 0.38, 95% CI 0.24-0.61, respectively, as compared with 118/145 for "early pregnancy loss"). "Miscarriage" scored similarly to "early pregnancy loss" in clarity (119/145, adjusted risk ratio 1.05, 95% CI 0.62-1.77).Conclusion: The terminology used to communicate "nonviable pregnancy in the first trimester" is highly variable. In this cohort of women, most preferred the term "miscarriage" and classified both "miscarriage" and "early pregnancy loss" as clear labels for a nonviable pregnancy. Health care providers can use these terms to enhance patient-clinician communication.Clinical Trial Registration: ClinicalTrials.gov, NCT02012491. [ABSTRACT FROM AUTHOR]

National ID cards have been debated for some time, especially with the recent Covid-19 global pandemic and increases in technological capabilities, coupled with the need for higher national security. This paper is an empirical extension of Smith's work but in light of the current economic and political turmoil. These differences were inspected from a gender perspective, but the distrust was generally universal. As the beneficial reasons why National ID cards should be implemented (e.g., enhanced security, convenience, and enhancing CRM concepts), still many professionals exhibit numerous fears and are concerned with the risks involved. [ABSTRACT FROM AUTHOR]

This paper examines how frontline juvenile probation officers' (POs') perceptions of a risk/need assessment (RNA) evolved over the years following its introduction, and what subjective experiences shaped their adaptation. It does this by analyzing 86 qualitative interviews with POs conducted in five Pennsylvania counties several years after the introduction of the RNA. While line POs often experienced initial resistance to the RNA, views had tended to soften since, and they held a predominantly positive view of the tool at the time of the study. However, patterns of support and their change over time varied, with some line POs continuing to express resistant attitudes. Resistance to the tool during the period appeared anchored in concerns about workload, change, challenges to PO judgment, the tool's legitimacy, and the tool's purpose. Line POs' acceptance of the RNA appeared related to its fit with their preexisting orientations, their recognition of the tool's value through practice, a process of habituation, experiences of training, as well as pressure for compliance from managers and supervisors. Findings inform theory and guidance to future RNA implementation efforts. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has presented an opportunity for academic libraries to advance open access (OA) to scholarly articles. Awareness among faculty on the importance of OA has increased significantly during the pandemic, as colleges and universities struggle financially and seek sustainable access to high-quality scholarly journals. Consortia have played an important role in establishing negotiation principles on OA journal agreements. While the number of OA agreements is increasing, case studies involving individual libraries are still limited. This paper reviews existing literature on publisher negotiation principles related to OA journal negotiations and reflects on recent cases at an academic library in Pennsylvania, in order to identify best practices in OA journal negotiations. It provides recommendations on roles, relationships, and processes, as well as essential terms of OA journal agreements. This study's findings are most relevant to large academic libraries that are interested in negotiating with scholarly journal publishers independently or through consortia. [ABSTRACT FROM AUTHOR]

During the two most recent elections we have seen the importance of social media, and Twitter in particular, for political discourse. This paper describes the effort of an academic library to collect election-related Twitter data from Pennsylvania-specific organizational accounts and hashtags for 2018 and 2020 in the run-up and aftermath of both election cycles. Because of its importance to understanding contemporary politics and its historic value, libraries need to consider the opportunity to collect and make this data accessible to Pennsylvanians. [ABSTRACT FROM AUTHOR]

Background: Several dietary components have been shown to be neuroprotective against risk of neurodegeneration. However, limited observational studies have examined the role of overall diet quality on risk of Parkinson's disease. Objectives: We examined the associations between diet quality and risk of Parkinson's disease in a prospective cohort study and meta-analysis. Methods: Included in the cohort study were 3,653 participants (1,519 men and 2,134 women; mean age: 81.5 years) in the Geisinger Rural Aging Study longitudinal cohort in Pennsylvania. Diet quality was assessed using a validated dietary screening tool containing 25 food- and behavior-specific questions in 2009. Potential Parkinson's cases were identified using electronic health records based on ICD9 (332.*), ICD10 (G20), and Parkinson-related treatments. Hazard ratios (HRs) and 95% confidence intervals (CIs) across diet quality tertiles were calculated using Cox proportional hazards models after adjusting for potential confounders. We further performed a meta-analysis by pooling our study with four published papers on this topic. Random-effects model was utilized to calculate the pooled risk ratios and 95% CIs. Results: During a mean of 6.94 years of follow-up, 47 incident Parkinson's cases were documented. Having high diet quality at baseline was associated with lower Parkinson's disease risk (adjusted HR for the highest vs the lowest diet quality tertile = 0.39; 95% CI: 0.17, 0.89; p-trend = 0.02). The meta-analysis including 140,617 individuals also showed that adherence to high diet quality or a healthy dietary pattern was associated with lower risk of Parkinson's disease (pooled risk ratio = 0.64; 95% CI: 0.49, 0.83). Conclusion: Having high diet quality or a healthy dietary pattern was associated with lower future risk of Parkinson's disease. [ABSTRACT FROM AUTHOR]

The United States Revolutionary War (1775-1783) resulted in numerous mass burials in the eastern United States, with deaths occurring not just directly related to the battles fought, but also from disease, starvation, and exposure. Current information relating to these mass burials is often gathered from myths and rumors, leaving the truth of the historical aspects of that time period ambiguous. Geophysical techniques are increasingly utilized in archaeologic and forensic studies to locate unmarked burials. GPR, magnetics, and electrical resistivity have been used to successfully identify burial locations around the world in a non-invasive manner. This paper aims to illustrate how different burials of the US Revolutionary War period can be detected and characterized with geophysics, providing important knowledge of a better historical understanding of that time period, as well as optimizing equipment instrumentation and processing procedures for such targeted investigations. Three case studies of Revolutionary War Era mass burial sites in Pennsylvania, USA are described here: the Paoli Battlefield Memorial, the Old Charlestown Cemetery, and Saint Peter's Church in the Great Valley. These sites are within 9 km of each other and have historic records that suggest mass burials during this period. Results show GPR to provide the most useful data overall, with supporting information gathered from the supplemental geophysical techniques of magnetometry and resistivity. 2D profiles tend to provide a more valuable image of the subsurface than 3D slices. Larger burials leave a greater footprint and have a higher chance of causing a geophysical disturbance that can be measured more than 200 years after the burial. Soil moisture content and vegetation type can impact quality of results. Study implications demonstrate the challenges and potential usefulness of geophysical techniques to successfully locate and characterize mass burials of this time period. [ABSTRACT FROM AUTHOR]

Purpose The purpose of this paper is twofold. It first examines cross-institutional benchmark data about “library as place” from 99 US schools in the Measuring Information Service Outcomes (MISO) Survey (www.misosurvey.org). The data demonstrate the value of “library as place” to students in particular. Second, the paper shares case studies of how two college libraries made MISO Survey “library as place” data actionable. Lafayette College (Easton, Pennsylvania) analyzed local MISO Survey data after a renovation to validate return on investment. Earlham College (Richmond, Indiana) analyzed MISO Survey data to help secure a science library renovation and to justify an architectural study for its main library.Design/methodology/approach The paper begins with an analysis of “library as place” using aggregate benchmarks derived from US college and university respondents between 2012 and 2015. Specifically, the paper contrasts student and faculty perceptions of “library as place” via national benchmarks about: library services importance, satisfaction, and use (three benchmarks); hybrid online/“place-based” library services importance, satisfaction, and use (three benchmarks). Pivoting from higher education to individual, local perspectives, two case studies reveal how academic libraries used MISO Survey findings to demonstrate the value of “library as place” for renovation purposes.Findings The findings include that undergraduates make more frequent use than faculty of place-based services such as reference, equipment loans, and physical course reserves. Undergraduates also find most of these services more important than faculty do. Faculty makes generally more frequent use than undergraduates of online services such as library databases and the catalog. They find that these services to be more important than undergraduates do. Faculty and undergraduates use newer library discovery systems with equal frequency and find them to be equally important. Undergraduates find comfortable library spaces to be very important, and faculty considers them to be only a bit less important.Originality/value This is the first paper using MISO Survey data to focus on the importance and satisfaction of place-based library services involving cross-institutional comparisons for students and faculty. Previously published research using MISO Survey data have compared the use of place-based library services. This is also the first paper to offer case studies about how institutions use MISO Survey data to demonstrate the value of “library as place.” [ABSTRACT FROM AUTHOR]

This paper investigates a range of concept-based example recommendation approaches that we developed to provide example-based problem-solving support in the domain of programming. The goal of these approaches is to offer students a set of most relevant remedial examples when they have trouble solving a code comprehension problem where students examine a program code to determine its output or the final value of a variable. In this paper, we use the ideas of semantic-level similarity-based linking developed in the area of intelligent hypertext to generate examples for the given problem. To determine the best-performing approach, we explored two groups of similarity approaches for selecting examples: non-structural approaches focusing on examples that are similar to the problem in terms of concept coverage and structural approaches focusing on examples that are similar to the problem by the structure of the content. We also explored the value of personalized example recommendation based on student's knowledge levels and learning goal of the exercise. The paper presents concept-based similarity approaches that we developed, explains the data collection studies and reports the result of comparative analysis. The results of our analysis showed better ranking performance of the personalized structural variant of cosine similarity approach. [ABSTRACT FROM PUBLISHER]

Communities have long recognized their role in supporting and assisting older adults by offering information and services to meet their needs and address challenges of aging (United States Older Americans Act of 1965). Involving community members in the research process, often referred to as community-engaged research, is a valuable strategy for improving health (Clinical and Translational Science Awards Consortium, 2011). Recently, our research team began a project to learn how to promote engagement of local older adults in places where they usually congregate (Dattilo et al., 2015; Dattilo, Mogle, Lorek, Freed, & Frysinger, in press). We wanted to understand older adult health concerns and develop programs that assist them in maintaining health and pursuing leisure. During focus groups and a public meeting conducted during 2014 and 2015 in rural Pennsylvania, the research team listened and learned about concerns related to challenges of aging and the pursuit of healthy lifestyles that embrace leisure. Through this community-engaged process, the team gained insight into ways to improve service delivery and develop effective programs. The purpose of this paper is to present a synthesis of recommendations made by this group of older adults for developing and providing age-appropriate resources and leisure services across multiple community settings. Participants requested informational resources and identified ways they wanted to have this information delivered; such information might assist service providers in identifying what and how to provide information to community elders. They described services of interest as they specified desirable program content, program site characteristics and the social culture when they attend leisure programs. Data were analyzed across categories resulting in identification of themes that provided perspective on overarching participant concerns and orientations. Based on these results, leisure service providers are encouraged to help older adults' access resources and services and demonstrate flexibility when attempting to facilitate such access. Once participants engage in programs it may be valuable to promote and support social connections as they experience enjoyment and meaning. Services that provide opportunities for self development that facilitate learning and growth were perceived as important. Overall, the impact of participating in leisure services may result in valued contributions that older adults make to the health and well-being of themselves and others. Information reported in this paper is specifically intended for leisure service providers to consider when attempting responding to the desires and needs of older adults that reside within their community. [ABSTRACT FROM AUTHOR]

Household size decline accounts for a substantial portion of population loss in shrinking cities, yet little research has focused on it. Much of the literature presents a simple growth/decline binary that is largely determined via population figures. In this paper, we highlight the importance and assess the impact of household size changes on population decline, and determine what types of household size declines are more acute in shrinking cities than other locales. We find that elderly households and households with school‐aged children are under‐represented in shrinking cities, while households with pre‐school‐aged children are over‐represented. More tellingly, we find the biggest source of household‐related loss in shrinking cities to be the growth of single‐person households now living in houses that were once home to entire families. These findings puncture the binary on which much of the shrinking cities discourse is based. The population dynamics of most cities are subtler than either practitioners or critical scholars assert. We argue that plans and development strategies for shrinking cities should reflect a range of demographic changes, including outmigration and internal household restructuring. [ABSTRACT FROM AUTHOR]

Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24) is a self-administered web-based tool designed to collect detailed dietary data at low cost in observational studies. The objectives of this study were to describe, overall and by demographic groups, the performance and feasibility of ASA24-2011 recalls and compare Healthy Eating Index-2015 (HEI-2015) total and component scores to 4-day food records (4DFRs) and food frequency questionnaires (FFQs). Over 12 months, participants completed up to 6 ASA24 recalls, 2 web-based FFQs, and 2 unweighed paper-and-pencil 4DFRs. Up to 3 attempts were made to obtain each ASA24 recall. Participants were administered doubly-labeled water to provide a measure of total energy expenditure and collected two 24-hour urine samples to assess concentrations of nitrogen, sodium, and potassium. From January through September 2012, 1,110 adult members of AARP, 50 to 74 years of age, were recruited from the Pittsburgh, PA, area to participate in the Interactive Diet and Activity Tracking in AARP (IDATA) study. After excluding 33 participants who had not completed any dietary assessments, 531 men and 546 women remained. Response rates, nutrient intakes compared to recovery biomarkers across each ASA24 administration day, and HEI-2015 total and component scores were measured. Means, medians, standard deviations, interquartile ranges, and HEI-2015 total and component scores computed using a multivariate measurement error model are presented. Ninety-one percent of men and 86% of women completed 3 ASA24 recalls. Approximately three-quarters completed 5 or more, higher than the completion rates for 2 4DFRs and 2 FFQs. Approximately, three-quarters of men and 70% of women completed ASA24 on the first attempt; 1 in 5 completed it on the second. Completion rates varied slightly by age and body mass index. Median time to complete ASA24-2011 (current version: ASA24-2020) declined with subsequent recalls from 55 to 41 minutes in men and from 58 to 42 minutes in women and was lowest in those younger than 60 years. Mean nutrient intakes were similar across recalls. For each recording day, energy intakes estimated by ASA24 were lower than energy expenditure. Reported intakes for protein, potassium, and sodium were closer to recovery biomarkers for women, but not for men. Geometric means of reported intakes of these nutrients did not systematically vary across ASA24 administrations, but differences between reported intakes and biomarkers differed by nutrient. Of 100 possible points, HEI-2015 total scores were nearly identical for 4DFRs and ASA24 recalls and higher for FFQs (men: 61, 60, and 68; women: 64, 64, and 72, respectively). ASA24, a freely available dietary assessment tool for use in large-scale nutrition research, was found to be highly feasible. Similar to previously reported data for nutrient intakes, HEI-2015 total and component scores for ASA24 recalls were comparable to those for 4DFRs, but not FFQs. ClinicalTrials.gov identifier: NCT03268577 (http://www.clinicaltrials.gov). [ABSTRACT FROM AUTHOR]

This paper provides an analysis of the nature of the Welsh ethno-linguistic community in Clearfield County, Pennsylvania, during the late nineteenth and early twentieth centuries. The study considers culture maintenance, and suggests that although Welsh ethnic integrity was initially maintained due to linguistic ability, occupational specialisation and the creation of vibrant cultural institutions, it was undermined by the various forces of acculturation and, ultimately, by high levels of exogamy and the cessation of immigration from Wales. [ABSTRACT FROM AUTHOR]

Reflective journaling is common practice in teacher preparation and often utilized as a tool to cultivate teacher candidates' dispositional development. This paper details a study that implemented a methodology of teaching self-coding to 45 preservice teacher candidates as a pedagogical tool to support reflective practices within a field-based course. Analysis of teacher candidates' codes and written reflections on the process suggest that the authors' self-coding method helped teacher candidates develop concrete understandings of the relationship between professional teaching dispositions and pedagogical decision-making. Further, findings suggest that two cycles of self-coding facilitated a continuum of reflection wherein teacher candidates initially gained tangible awareness about professional teaching dispositions, and over time translated their new understandings to deeper analysis of their reflections, which elicited asset-based views of diverse learners. Findings suggest that by sharing the tools of a researcher, teacher educators can enhance candidates' reflective capacities, which in turn can support dispositional growth, deeper reflection and reflexivity. [ABSTRACT FROM AUTHOR]