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As societal needs change, adaptive reuse projects to repurpose existing buildings or structures are becoming an increasingly crucial strategy for real estate developers. Changing the use of these pre-existing structures [...]

In May of last year, Marcus Carli, the plant manager of the Master Lock factory in Milwaukee, Wis., called a surprise meeting with the board of United Auto Workers Local [...]

Objective: To evaluate short- and long-term measures of health care utilization--days in the emergency department (ED), inpatient (IP) care, and rehabilitation in a post-acute care (PAC) facility--to understand how home time (i.e., days alive and not in an acute or PAC setting) corresponds to quality of life (QoL). Data Sources: Survey data on community-residing veterans combined with multi-payer administrative data on health care utilization. Study Design: VA or Medicare health care utilization, quantified as days of care received in the ED, IP, and PAC in the 6 and 18 months preceding survey completion, were used to predict seven QoL-related measures collected during the survey. Elastic net machine learning was used to construct models, with resulting regression coefficients used to develop a weighted utilization variable. This was then compared with an unweighted count of days with any utilization. Principal Findings: In the short term (6 months), PAC utilization emerged as the most salient predictor of decreased QoL, whereas no setting predominated in the long term (18 months). Results varied by outcome and time frame, with some protective effects observed. In the 6-month time frame, each weighted day of utilization was associated with a greater likelihood of activity of daily living deficits (0.5%, 95% CI: 0.1%-0.9%), as was the case with each unweighted day of utilization (0.6%, 95% CI: 0.3%-1.0%). The same was true in the 18-month time frame (for both weighted and unweighted, 0.1%, 95% CI: 0.0%-0.3%). Days of utilization were also significantly associated with greater rates of instrumental ADL deficits and fair/poor health, albeit not consistently across all models. Neither measure outperformed the other in direct comparisons. Conclusions: These results can provide guidance on how to measure home time using multipayer administrative data. While no setting predominated in the long term, all settings were significant predictors of QoL measures. KEYWORDS days alive and not at home, health care utilization, home time, machine learning, patientcentered outcomes, quality of life, veterans, 1 | INTRODUCTION Older adults overwhelmingly prefer to remain at home as they age. (1-5) Thus, remaining at home generally reflects higher quality of life (QoL) because it is consistent [...]

Aonce-in-generation shift in business ownership. That's what I believe may be coming soon for Alaska's economy. America's Baby Boom generation is hitting the traditional age for retirement, and here in [...]

ABSTRACT The act of state doctrine is a principle of federal common law that requires courts to assume the legal validity of the acts of foreign governments unless an exception [...]

Objective:Antisemitism is prejudice against, hostility toward, or hatred of Jews. This prejudice has negatively impacted pediatric psychology practitioners, learners, and patients, leading to increased fear and psychological harm. A group of Jewish-identifying pediatric psychologists and psychology learners assembled to outline antisemitism in the context of pediatric psychology practice, research, and training, provide a brief primer on Judaism and present actionable strategies to support Jewish colleagues, learners, and families. Method:The negative impacts of antisemitism within pediatric psychology are outlined, and a review of relevant literature invites practitioners and researchers of varying levels and disciplines of pediatric psychology to recognize and combat antisemitism. There are no human subjects; consent and institutional review board were not needed. Results:Antisemitic microaggressions and prejudice experienced and/or witnessed by authors are briefly described and synthesized, with four core themes emerging: overtly antisemitic behavior, tropes/stereotypes, erasure/invisibility, and silencing. Finally, recommendations for action using the antisemitism-adapted STYLE framework and the opportunity for inclusion of Judaism in diversity, equity, and inclusion work are provided. Conclusions:By promoting a better understanding of Judaism and the Jewish people, this article encourages increased consideration for Jewish identity and Jewish experience in pediatric psychology practice, research, and training.Implications for Impact Statement The current article highlights antisemitism, an underrecognized form of prejudice, and its impact on patients, families, learners, and colleagues within pediatric psychology settings. Additionally, the current article provides actionable recommendations for clinicians, educators, and researchers to address antisemitism and its impact in pediatric psychology. Recognizing the existence and consequences of antisemitism, and taking steps to address antisemitism, aligns with the field of pediatric psychology’s commitment to promoting diversity, tolerance, and ethical behavior.

Objective:As psychologists continue to expand our understanding and appreciation for how multiple aspects of identity are associated with pediatric health, it is critical to examine the intersections of these various identities. Pediatric psychologists are experts in collaborating with interdisciplinary colleagues (including chaplains, clergy, and spiritual counselors) to support patients and families as they cope with adversity and find meaning in pediatric illness. Similarly, pediatric psychologists are advocates for inclusion, which may entail cultural adaptation of evidence-based protocols, facilitating understanding within medical teams, and navigating relationships with community supports. The last few years have also highlighted the importance of balance, wellness, self-care, and coping for health care providers, including pediatric psychologists. Method:This special issue sought regular empirical articles, topical and systematic reviews, commentaries, case studies, and provider perspectives showcasing clinical practice innovations and novel research on the intersecting roles of religion, faith, and spirituality in pediatric psychology. Results:The special issue includes 11 articles, encompassing topical reviews, qualitative and quantitative research, a commentary, and a bioethics-based case series. Many articles include actionable recommendations for addressing religion, faith, and spirituality in pediatric psychology. Conclusion:This collection of articles highlights important ways in which religion, faith, and spirituality have been integrated into pediatric psychology practice and research, and illuminates multiple future pathways for increased integration of this important aspect of identity.Implications for Impact Statement This special issue aims to highlight the role of religion, faith, and spirituality in clinical care, research, and advocacy within the field of pediatric psychology. Increased integration of these factors is key to enhancing our understanding and appreciation of diversity, equity, and inclusion.

Johnston, Michael. The Middle English book: scribes and readers, 1350-1500. Oxford, 2023. 304p bibl index ISBN 9780192871770 cloth, $100.00; ISBN 9780191968006 ebook, contact publisher for price 61-2978 PR255 MARC Johnston [...]

KANYE WEST is not from the hood. The son of an English professor at Chicago State University, he struggled to be taken seriously as a rapper until he realized that [...]

This October, it's time to unlock the power of your park. As the 2024 NRPA Annual Conference approaches, consider stopping by a session with the Public Policy and Advocacy (PPA) [...]

Bob Kaufman's ''Abomunist Manifesto'' (1959) is a joke about political proclamations, and it is one of the funniest poems you'll ever read. Kaufman's ridiculous maxims mock the self-righteousness of pamphlets. [...]

To keep current on tax issues, TEI members always like to hear directly from top Internal Revenue Service officials. So, we were thrilled when Kaschit Pandya, deputy chief information officer [...]

The article "Hits & Misses 2024" from Filmmaker: The Magazine of Independent Film provides an overview of the distribution landscape in the independent film industry, focusing on case studies of six films from Sundance 2024. It discusses the challenges and successes faced by independent filmmakers, highlighting the impact of various distribution strategies and the importance of critical acclaim and audience engagement. The article also delves into the financial aspects of independent film production, showcasing the diverse sources of funding and the recoupment strategies employed by filmmakers. [Extracted from the article]

Medial and lateral epicondylitis, characterized by repetitive microtraumas to common flexor and extensor tendons, respectively, are common causes of elbow pain in adults. Though symptoms are generally self-limiting, 10% of cases are refractory to conservative management, persisting for greater than 18 months, and leading to surgery, which can have increased risk of complications. There is minimal data on sustained pain relief and functional benefit for newer nonsurgical management options, such as minimally invasive needle tenotomy (MINT), and platelet-rich plasma (PRP) for chronic elbow epicondylitis. Additionally, no previously established correlation exists between magnetic resonance imaging (MRI) severity of chronic epicondylitis with pain and functional improvement in MINT- and PRP-treated patients.

Purpose: Evidence-based guidelines for the management of polycystic ovary syndrome (PCOS) recommend clinical laboratories use liquid chromatography-tandem mass spectrometry (LC–MS/MS) for diagnosing biochemical hyperandrogenism. However, automated immunoassays are still mostly used in routine laboratories worldwide. Another hurdle for PCOS phenotyping in the clinical setting is ultrasound assessment of polycystic ovarian morphology. We address the impact of using state-of-the-art (LC–MS/MS) and of an anti-müllerian hormone (AMH) assay on the diagnosis of PCOS in routine practice. Methods: In a cross-sectional study, we included 359 premenopausal women consecutively evaluated because of symptoms of functional androgen excess or hyperandrogenemia, and finally diagnosed with PCOS. Patients were submitted to routine phenotyping based on serum androgen measurements by immunoassays and an ovarian ultrasound when necessary. Samples of all patients were also assayed by LC–MS/MS for hyperandrogenemia and for circulating AMH. Results: The observed agreement between immunoassays and LC–MS/MS in identifying hyperandrogenemia was poor [78.0%; k(95%CI): 0.366 (0.283;0.449)]. The observed agreement between ultrasound and increased AMH was 27.3% [(95%CI): 0.060 (0.005; 0.115)]. Using LC–MS/MS changed PCOS phenotypes in 60(15.8%) patients. Fifty-two (18.3%) individuals with hyperandrogenemia by routine immunoassays no longer presented with androgen excess by LC–MS/MS. Overall diagnostic agreement between routine assessment using immunoassays and ultrasound and that derived from LC–MS/MS and the addition of AMH to US was moderate [weighted κ (linear weights): 0.512 (0.416;0.608)]. Conclusions: Immunoassays used in routine practice are unacceptably inaccurate for phenotyping women with PCOS. Our data cast some doubts upon the interchangeability of serum AMH and ultrasound examination for the diagnosis of PCOS.

Fructose consumption has increased considerably over the past five decades, largely due to the widespread use of high-fructose corn syrup as a sweetener1. It has been proposed that fructose promotes the growth of some tumours directly by serving as a fuel2,3. Here we show that fructose supplementation enhances tumour growth in animal models of melanoma, breast cancer and cervical cancer without causing weight gain or insulin resistance. The cancer cells themselves were unable to use fructose readily as a nutrient because they did not express ketohexokinase-C (KHK-C). Primary hepatocytes did express KHK-C, resulting in fructolysis and the excretion of a variety of lipid species, including lysophosphatidylcholines (LPCs). In co-culture experiments, hepatocyte-derived LPCs were consumed by cancer cells and used to generate phosphatidylcholines, the major phospholipid of cell membranes. In vivo, supplementation with high-fructose corn syrup increased several LPC species by more than sevenfold in the serum. Administration of LPCs to mice was sufficient to increase tumour growth. Pharmacological inhibition of ketohexokinase had no direct effect on cancer cells, but it decreased circulating LPC levels and prevented fructose-mediated tumour growth in vivo. These findings reveal that fructose supplementation increases circulating nutrients such as LPCs, which can enhance tumour growth through a cell non-autonomous mechanism.

Objectives:A bibliometric content analysis of articles published in Clinical Practice in Pediatric Psychologyand Journal of Pediatric Psychologyfrom 2018 to 2023 seeks to determine the ubiquity, variety, balance, and disparity of articles that address religion and spirituality. Method:Thirty-five key terms related to religion and spirituality were selected and articles were sourced and screened in both journals via “full text” searches for all key terms. Each relevant article was downloaded as a full-text PDF and organized by key terms. Utilizing Adobe Acrobat’s advanced search, we conducted a “Whole Word” search using each key term separately across all PDF files. Search results were imported into Microsoft Excel via .csv files, where the “Countif” function determined term frequencies within articles. Articles were double coding to ensure reliability and consistency in the results. Results:Of 1,570 articles identified between 2018 and 2023 (Journal of Pediatric Psychology, n= 1,318; Clinical Practice in Pediatric Psychology, n= 252), 60 (4%) included at least one of 35 key terms focused on religion and spirituality. The most common terms were spiritual (f= 145), religious coping (f= 134), religion (f= 63), spiritual coping (f= 62), and spirituality (f= 36). The average number of articles that primarily focused on religion and spirituality was 4.72 ± 4.15. Conclusions:The limited coverage of religion and spirituality in pediatric psychology flagship journals revealed by this content analysis signals an important call for increased publication of work that focused on diverse aspects of identity.Implications for Impact Statement The study discovered that there’s a lack of research primarily focusing on religion and spirituality in pediatric psychology. Articles that focused on religion and spirituality found that religious and spiritual coping was beneficial for some families in managing disease-related stress and adjustment. They also highlighted the bidirectional effects of such coping on both patients and families. To offer culturally responsive care, further evaluation and integration of religion and spirituality into training programs, and clinical and research practices is needed. This ensures that pediatric psychologists effectively understand and address the religious and spiritual needs of children and families.

Objective:Pediatric cancer can impact the emotional health of both children and their caregivers. Although previous research has established that social support and spiritual involvement may be protective for parents of children with cancer, less is known about parents of children with an advanced cancer diagnosis. In this study of mothers and fathers of children with advanced cancer, we aimed to: (a) examine the direct effects of general and cancer-specific stress, spiritual involvement, and social support on depressive symptoms and (b) determine if spiritual involvement and social support moderate the association between stress (i.e., general and cancer-specific) and parents’ depressive symptoms. Method:Participants (N= 72 families; n= 55 mothers; n= 30 fathers) were from a larger longitudinal study of families of children with advanced cancer at a large pediatric hospital. At enrollment, parents completed surveys on demographics, cancer-specific stress, general stress, spiritual values and beliefs, and self-reported depressive symptoms. Results:For mothers, significant predictors of greater depressive symptoms included higher general stress and lower social support. For fathers, the only significant predictor was general stress. Moderation analyses revealed that social support was a significant moderator of the impact of general stress on depressive symptoms for mothers and fathers. Spiritual involvement was also a significant moderator of the association between cancer-specific stress and depressive symptoms for mothers only. Conclusions:This study suggests that even in the context of advanced pediatric cancer social support and spiritual involvement can serve as protective factors for parents, but that mothers and fathers may have unique supportive care needs.Implications for Impact Statement This study suggests that social support and spiritual involvement may be points of intervention in mitigating the impact of parents’ stress from their child’s advanced cancer diagnosis on depressive symptoms. Thus, interdisciplinary cancer care teams are needed to develop and implement multidimensional psychosocial interventions to meet the unique social and spiritual needs of these families across their cancer trajectory.

Objective:Research concerning the relationship between transgender and gender nonconforming (TGNC) youth and religion and spirituality is sparse with mixed findings. The research that has been done focuses on spirituality and religion as both a source of joy and a stressor for TGNC youth. Method:The current study uses qualitative data collected from 141 TGNC youth and 103 caregivers to capture the experiences of TGNC youth and their families in relation to their spiritual and religious communities and commitments. Results:Findings revealed the majority of TGNC youth reported having a religious or spiritual affiliation. Approximately one-third of youth responses discussed their affiliations positively with many feeling affirmed in their place of worship. Two-thirds of respondents reported neutral or negative experiences related to their affiliation. The majority of youth and guardian dyads reported alignment in their religious or spiritual affiliation. Conclusions:This study is the first to showcase TGNC youth and their guardians’ views about religious and spiritual affiliation. Findings highlight the need for religious/spiritual interventions and programming such as chaplaincy as a part of an interdisciplinary care team and revised intake questions that seek to understand both the spiritual and religious elements of patients’ lives.Implications for Impact Statement Religious and spirituality among transgender and gender nonconforming (TGNC) youth may be an important point of intervention for youth and families. Cross-disciplinary interventions and programming, such as chaplaincy, affirming religious communities, interdisciplinary clinics, and specific inquiry about religious and spiritual beliefs may help to support TGNC youth and their families.

Objective:Reflect and comment on the inclusion of religion, spirituality, and other sources of meaning-making (RSM) within the context of pediatric psychology training. Method:This invited commentary is the collective effort of a diverse workgroup of trainees from clinical and counseling psychology disciplines, who came together to reflect on our experiences with RSM in the training context and review related literature. A brief Qualtrics survey was utilized to gather background information about the authors for the positionality statement; no other analytic methods were employed. Results:RSM is an aspect of the human experience that must be considered in all realms of clinical work to ensure comprehensive and equitable care. Mental health providers are uniquely positioned to assess for and integrate RSM into all aspects of mental health care (e.g., assessment of presenting concerns, treatment planning, tailoring interventions). Spirituality and connectedness are psychologically grounded concepts that can be leveraged clinically to foster rapport and a sense of belonging, problem-solve collaboratively, and encourage meaningful behavior change by establishing and working toward goals and values. Despite the importance of considering RSM in clinical contexts, limited guidance, training, and coursework exists to facilitate the incorporation of RSM into clinical practice. Conclusion:Implementation of the outlined recommendations may be instrumental in mitigating the systemic challenges and barriers to incorporating RSM into clinical training and practice.Implications for Impact Statement This commentary emphasizes the importance of integrating religion, spirituality, and meaning-making into pediatric psychology training to provide comprehensive and equitable care. It recognizes that mental health providers are uniquely positioned to assess for and integrate these elements into their practice, which can strengthen the therapeutic relationship and promote coping and adjustment among patients and families. The article provides recommendations to overcome current challenges in including these vital aspects in clinical education and practice.

Objective:A multitude of factors contribute to the burnout of staff and providers within health care, including secondary traumatic stress (STS), which has a unique negative impact on patient care. Unfortunately, STS is often unrecognized within pediatric primary care (PPC), even in clinics providing care to a patient population that experiences a disproportionate rate of negative events (e.g., sleep-related infant deaths, gun violence, abuse/neglect). We developed and implemented one strategy to address STS through an interdisciplinary partnership with pastoral care. Method:This work arose from identified needs (e.g., group-level assessment) in two PPC clinics at a large academic medical center that are the medical homes for families experiencing social complexity, trauma, adversity secondary to poverty, oppression, and discrimination. Specifically, we developed a bereavement ritual informed by the literature on meaning making. Results:A pediatric psychologist in one of the PPC clinics assembled a multidisciplinary team comprising medical providers, nurses, clinical managers, social workers, chaplains, and bereavement counselors to collaboratively develop a trauma-informed workplace model. The team used the reach, effectiveness, adoption, implementation, maintenance/sustainment (RE-AIM) implementation science framework to guide the conceptualization, implementation, and spread of this model to the second clinic. Results from a group-level assessment indicated the need to incorporate meaning making into trauma-informed interventions. Conclusions:This bereavement ritual creates opportunities for inclusive spiritual practices and meaning making while also promoting a relationship between the primary care team and chaplaincy, which increases the likelihood that team members would utilize other hospital-wide services offered by pastoral care.Implications for Impact Statement Working in a busy pediatric primary care setting with patients experiencing high levels of social complexity can result in secondary traumatic stress among staff and providers. Multidisciplinary teams that include pastoral care are uniquely positioned to mitigate this stress by developing and implementing interventions for the medical team that incorporate individual spiritual practices and promote meaning making.

Objective:This article explores the intersection of Islamic beliefs and pediatric psychology, proposes theoretical frameworks for understanding Muslim patients’ and families’ religious and spiritual needs, reviews religiously integrated assessments and interventions, and provides practical and actionable recommendations for pediatric psychologists interested in integrating religion and spirituality into their work generally and with Muslim patients and families specifically. Tenets of the faith are linked to factors such as religious coping and treatment adherence. Method:This topical review utilizes a systematic and explorative approach to identify and synthesize existing literature on this topic. Results:Research on addressing the religious and spiritual needs of Muslim pediatric populations is lacking; however, research shows religious coping is significantly associated with positive health outcomes. In recent decades, researchers have adapted therapeutic modalities such as cognitive-behavioral therapy (CBT) to Muslim patients’ needs, and Muslim researchers have developed Islamically based frameworks for psychology and psychotherapy. Conclusions:This article highlights the need for culturally informed and religiously integrated intervention within pediatric psychology.Implications for Impact Statement This article explores the intersection of Islamic beliefs and psychology and reviews practical and actionable steps to inform pediatric psychologists’ work with Muslim children and families.

Objective:This article aims to provide a rationale for including instruction on integrating religion and spirituality (R/S) into psychological care at all stages of clinical training, including undergraduate coursework, and to provide examples from undergraduate courses and clinical cases. Method:The article provides an overview of the importance of R/S as a significant aspect of humanity that shapes patient behaviors and beliefs and influences health outcomes (e.g., Koenig et al., 2001; Montaño & Kasprzyk, 2015) and medical decision making (Puchalski & O’Donnell, 2005). The importance of inclusion of R/S as part of cultural competence and cultural humility is discussed. The article then reviews the lack of consistent integration across training (Walker et al., 2004). Results:I provide ideas for how this important topic could be included in coursework. Topics and strategies are described, and brief case examples are included to illustrate the concepts covered. Conclusions:The article ends with a specific call to increase pediatric psychologists’ competencies in this area to serve our patients and trainees, to increase integration across all training levels (undergraduate, graduate, and internship/fellowship), and to collaborate with our colleagues who are expert in these matters (e.g., chaplaincy) as appropriate.Implications for Impact Statement Religion and spirituality (R/S) are important aspects of humanity that shape patient behaviors and beliefs and influence health outcomes (e.g., Koenig et al., 2001; Montaño & Kasprzyk, 2015) and medical decision making (Puchalski & O’Donnell, 2005). There is a lack of consistent training on R/S integration in all levels of clinical training (undergraduate, graduate, internship/postdoc). This article provides examples of integrating R/S in psychological care from both an undergraduate counseling course and pediatric psychology cases.

Objective:The intersection of bioethics, religion, faith, spirituality, and clinical care is frequently encountered in the work of pediatric psychologists. This article provides psychologists with bioethics principles to consider when they encounter ethical issues that may arise due to religious, spiritual, or faith-based beliefs of patients and their families. Method:We present a case series to highlight the multifaceted roles of pediatric psychologists within medical care teams when faith-based bioethics issues arise. Results:The cases each provide in-depth analysis of the ethical issues involved for (a) families who discontinue medically advised care due to religious reasons, (b) families who seek care not medically indicated due to their faith and the concept of hope, and (c) ethical considerations made within the context of coping and discussing treatment options and outcomes, including death, with families due to their religious beliefs. Conclusions:Ethics issues encountered within these roles are discussed, and bioethics principles are provided to support readers in their interactions with colleagues, ethics committees, and families around these issues related to faith.Implications for Impact Statement This article provides psychologists with bioethics principles to consider when ethical issues and cultural differences may arise due to religious, spiritual, or faith-based beliefs of patients and their families. Psychologists often play several important roles on interdisciplinary care teams in navigating this complex intersection of faith, spirituality, religion, and medical decision making and coping.

Objective:While research on burnout and resilience in medical providers is growing, rigorous attention to mental health providers, and specifically pediatric psychologists, is needed. Given the scarcity of research in this area and the deleterious outcomes associated with provider burnout and fatigue, it is imperative to explore pediatric psychologists’ well-being and identify supports to promote resilience. This topical review seeks to summarize the literature on health care provider burnout and resilience and highlight promising interventions that may guide efforts to better understand and facilitate resilience in pediatric psychologists. Method:A literature review was conducted on health care provider burnout, resilience, and supports/interventions, with a focus on the experiences of pediatric psychologists. Results:Inconsistency in operationalization impacted rates and correlates of mental health provider burnout; only a few studies specifically investigated related concerns in pediatric psychologists. Protective factors such as religiosity and spirituality as well as interventions including meaning-making, narrative medicine, and organizational-level supports appear promising in boosting pediatric psychologists’ resilience. Conclusions:Health care providers are at high risk for burnout, yet the prevalence and correlates of emotional well-being in pediatric psychologists are understudied. Thus, our understanding of risk and protective factors that could inform effective structures and interventions to support self-care and resilience in this profession is limited. We highlight opportunities for advancing research, including the use of theory-driven, mixed-methods approaches, to increase awareness, decrease stigma, and inform intervention development.Implications for Impact Statement Burnout is a critical issue among health care providers. Unfortunately, research on burnout and emotional well-being in pediatric psychologists is limited. Thus, targeted research is needed given the distinct challenges pediatric psychologists face in terms of caring for patients, families, and colleagues; supporting trainees; and engaging in research and advocacy, all the while attending to their own self-care. Potential protective factors and interventions focusing on religiosity/spirituality, narrative medicine, meaning-making, and organizational-level supports appear promising in boosting pediatric psychologists’ resilience.

Objective:The COVID-19 pandemic presented unique stressors for parents of youth with chronic health conditions including type 1 diabetes (T1D), such as managing youths’ diabetes self-management demands without usual routines, changes in interactions with health care system, and concerns about increased health risks related to COVID-19 exposure. While data have been published on how adolescents with T1D coped with pandemic-related stress, little is known about their parents’ perspectives. To fill this gap, we explored parents’ coping strategies. Method:At the baseline of a multisite trial of a psychosocial intervention for adolescents with T1D, parents answered an open-ended question, “What is helping you through the pandemic?” A multidisciplinary qualitative research team used thematic analysis to code, analyze responses, and generate themes and explored patterns by gender, study site, race, ethnicity, and socioeconomic status indices. Results:Eighty-nine parents (89% female, 18% Hispanic/Latinx, 7% non-Hispanic Black/African American, 70% non-Hispanic White) provided text responses to the qualitative question. We generated six themes: safety practices, social efforts, maintaining a positive perspective, efforts to distract, cognitive avoidance, and religious/spiritual coping. The spiritual/religious coping theme was more common among Black/African American and Hispanic/Latinx parents. There were no other demographic group patterns for the other themes. Conclusions:Themes aligned with primary control, secondary control, and disengagement coping strategies of the control-based model of coping. Religious and spiritual coping represented an additional coping category that was especially common in marginalized groups. During stressful times, pediatric psychologists should attend to parental coping and consider cultural factors in relation to parental well-being.Implications for Impact Statement The present study extends the literature by identifying how parents of adolescents with type 1 diabetes coped with the COVID-19 pandemic and describing how patterns of coping differed by race and ethnicity. Results suggest religious/spiritual coping is an important aspect of well-being when faced with significant sources of stress, and underscore the importance of considering how cultural factors may influence coping and well-being.

Byline: Uri Kaufman Fifty years ago, on October 6, 1973, Egypt launched a surprise attack against Israel from the south on Yom Kippur, the holiest day of the year for [...]

Background: The tremendous global health burden related to COVID-19 means that identifying determinants of COVID-19 severity is important for prevention and intervention. We aimed to explore long-term exposure to ambient air pollution as a potential contributor to COVID-19 severity, given its known impact on the respiratory system. Methods: We used a cohort of all people with confirmed SARS-CoV-2 infection, aged 20 years and older and not residing in a long-term care facility in Ontario, Canada, during 2020. We evaluated the association between long-term exposure to fine particulate matter ([PM.sub.2.5]), nitrogen dioxide (N[O.sub.2]) and ground-level ozone ([O.sub.3]), and risk of COVID-19-related hospital admission, intensive care unit (ICU) admission and death. We ascertained individuals' long-term exposures to each air pollutant based on their residence from 2015 to 2019. We used logistic regression and adjusted for confounders and selection bias using various individual and contextual covariates obtained through data linkage. Results: Among the 151105 people with confirmed SARS-CoV-2 infection in Ontario in 2020, we observed 8630 hospital admissions, 1912 ICU admissions and 2137 deaths related to COVID-19. For each interquartile range increase in exposure to [PM.sub.2.5] (1.70 [micro]g/[m.sup.3]), we estimated odds ratios of 1.06 (95% confidence interval [CI] 1.01-1.12), 1.09 (95% CI 0.98-1.21) and 1.00 (95% CI 0.90-1.11) for hospital admission, ICU admission and death, respectively. Estimates were smaller for N[O.sub.2]. We also estimated odds ratios of 1.15 (95% CI 1.06-1.23), 1.30 (95% CI 1.12-1.50) and 1.18 (95% CI 1.02-1.36) per interquartile range increase of 5.14 ppb in [O.sub.3] for hospital admission, ICU admission and death, respectively. Interpretation: Chronic exposure to air pollution may contribute to severe outcomes after SARS-CoV-2 infection, particularly exposure to [O.sub.3]., By November 2021, COVID-19 had caused more than 5 million deaths globally (1) and more than 29 400 in Canada. (2) The clinical manifestations of SARS-CoV-2 infection range from being [...]

After the initial onslaught, viral infections can be associated with long-term adverse consequences. This can result from direct damage from the primary infection, a persistent infection, or from downstream effects [...]

Driving a motor vehicle involves real-time inputs of road conditions and hazards. The same is true in healthcare: medical professionals need real-time inputs to guide decisions affecting patient outcomes. Point-of-care [...]

In 1976, the Indianapolis Star newspaper and the William H. Block department store joined to promote the first of six successive quilt contests, the first broad-based quilt competition in the country during the bicentennial. For their initial contest, the Star revived their 1929 contest patterns by famed designer Ruby Short McKim of Independence, Missouri, but invited individual interpretation. Judges engaged to critique the shows encouraged this approach, contributing their own artistic influences. Participants responded with traditional replications 'like Grandma made.' By the final contest, the Star invited participants to design creative, themed blocks, and the newspaper used the selected winners for the competition. Public displays of the Indianapolis Star's quilt contests excited public approbation, reshaping the view of quiltmaking fr om rigidly traditional to individually innovative. Over the ten years of the contests, competitors evolved fr om timidly replicating patterns to being accomplished and creative artists. Exploring the effect of these contests, the authors overcame pandemicshutt ered public resources by researching extensive privately owned clipping files of the Indianapolis Star's contest ephemera, holding computer-based meetings, and participating in telephone interviews with organizers, participants, and judges. Our research indicates the competition dramatically increased awareness of quiltmaking during an important phase of American quilt history., CULTURAL AND SOCIAL CONFLICT ENGENDERED BY THE Vietnam War, rising feminism, the civil rights movement, the withdrawal of many young people from industrial society, and the nostalgia for a 'simpler [...]

This roundtable was conducted on October 27 as the closing plenary session of TEI's 76th Annual Conference in Florida. The session, Lessons Learned From TCJA Implementation and Implications for Biden's [...]

CONTENTS Introduction I. The Constitution Imprisoned A. Expansion B. Retrenchment II. The Shifting Premises of Prison Law A. Violence B. Literacy C. Privacy D. Rehabilitation III. Beyond the Mythic Prison [...], In recent years, legal scholars have advanced powerful critiques of mass incarceration. Academics have indicted America's prison system for entrenching racism and exacerbating economic inequality. Scholars have said much less about the law that governs penal institutions. Yet prisons are filled with law, and prison doctrine is in a state of disarray. This Article centers prison law in debates about the failures of American criminal justice. Bringing together disparate lines of doctrine, prison memoirs, and historical sources, we trace prison law's emergence as a discrete field--a subspeciality of constitutional law and a neglected part of the discipline called criminal procedure. We then offer a panoramic critique of the field, arguing that prison law is predicated on myths about the nature of prison life, the content of prisoners' rights, and the purpose of penal institutions. To explore this problem, we focus on four concepts that shape constitutional prison cases: violence, literacy, privacy, and rehabilitation. We show how these concepts shift across lines of cases in ways that prevent prison law from holding together as a defensible body of thought. Exposing the myths that animate prison law yields broader insights about judicial regulation of prisons. This Article explains how outdated tropes have narrowed prisoners' rights and promoted the country's dependence on penal institutions. It links prison myths to the field's central doctrine, which encourages selective generalizations and oversimplifies the difficult constitutional questions raised by imprisonment. And it argues that courts must abandon that doctrine--and attend to the realities of prison--to develop a more coherent theory of prisoners' constitutional rights.

Target Tehran By YONAH JEREMY BOB AND ILAN EVYATAR Simon & Schuster, 368 pages I FINISHED READING Target Tehran, an excellent new book on the Mossad's shadow war to keep [...]

Objective: Between January 2005 and July 2020, 171 rural hospitals closed across the United States. Little is known about the extent that other providers step in to fill the potential reduction in access from a rural hospital closure. The objective of this analysis is to evaluate the trends of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in rural areas prior to and following hospital closure. Data Sources/Study Setting: We used publicly available data from Centers for Medicare and Medicaid Provider of Services files, Cecil G. Sheps Center rural hospital closures list, and Small Area Income and Poverty Estimates. Study Design: We described the trends over time in the number of hospitals, hospital closures, FQHC sites, and RHCs in rural and urban ZIP codes, 2006-2018. We used two-way fixed effects and pooled generalized linear models with a logit link to estimate the probabilities of having any RHC and any FQHC within 10 straight-line miles. Data Collection/Extraction Methods: Not applicable. Principal Findings: Compared to hospitals that never closed, the predicted probability of having any FQHC within 10 miles increased post closure by 5.95 and 11.57 percentage points at 1 year and 5 years, respectively (p < 0.05). The predicted probability of having any RHC within 10 miles was not significantly different following rural hospital closure. A percentage point increase in poverty rate was associated with a 1.98 and a 1.29 percentage point increase in probabilities of having an FQHC or RHC, respectively (p < 0.001). Conclusions: In areas previously served by a rural hospital, there is a higher probability of new FQHC service-delivery sites post closure. This suggests that some of the potential reductions in access to essential preventive and diagnostic services may be filled by FQHCs. However, many rural communities may have a persistent unmet need for preventive and therapeutic care. KEYWORDS barriers to access, Federally Qualified Health Centers, hospital closures, rural, Rural Health Clinics What is known on this topic? * The rate of rural hospital closure in the United States has increased dramatically in recent years. * Rural hospitals are primarily outpatient facilities, and, currently, the landscape of primary care providers after a rural hospital closes is unknown. What this study adds? * After a rural hospital closes, we find an increased probability of having access to a Federally Qualified Health Center within 10 miles. * Understanding the availability of health care services in rural areas is critical in understanding the long-term impacts of rural hospital closure on the health of rural communities and for identifying unmet need., 1 | BACKGROUND Despite the fact that rural hospitals provide critically needed services to local communities, the rate of rural hospital closure in the United States has increased dramatically in [...]

"Do you think the use of marijuana should be legal, or not?" When Gallup asked this question to adult Americans in 1969, the answer was an overwhelming "no" (84 percent [...]

The movement system was identified as the focus of our expertise as physical therapists in the revised vision statement for the profession adopted by the American Physical Therapy Association in 2013. Attaining success with the profession&apos;s vision requires the development of movement system diagnoses that will be useful in clinical practice, research, and education. To date, only a few movement system diagnoses have been identified and described, and none of these specifically address balance dysfunction. Over the past 2 years, a Balance Diagnosis Task Force, a subgroup of the Movement System Task Force of the Academy of Neurologic Physical Therapy, focused on developing diagnostic labels (or diagnoses) for individuals with balance problems. This paper presents the work of the task force that followed a systematic process to review available diagnostic frameworks related to balance, identify 10 distinct movement system diagnoses that reflect balance dysfunction, and develop complete descriptions of examination findings associated with each balance diagnosis. A standardized approach to movement analysis of core tasks, the Framework for Movement Analysis developed by the Academy of Neurologic Physical Therapy Movement Analysis Task Force, was integrated into the examination and diagnostic processes. The aims of this perspective paper are to (1) summarize the process followed by the Balance Diagnosis Task Force to develop an initial set of movement system (balance) diagnoses; (2) report the recommended diagnostic labels and associated descriptions; (3) demonstrate the clinical decision-making process used to determine a balance diagnosis and develop a plan of care; and (4) identify next steps to validate and implement the diagnoses into physical therapist practice, education, and research. Impact. The development and use of diagnostic labels to classify distinct movement system problems is needed in physical therapy. The 10 balance diagnosis proposed can aid in clinical decision making regarding intervention. Keywords: Balance, Decision Making, Clinical Diagnosis, Movement System, Introduction The 2013 revised vision statement of the American Physical Therapy Association (APTA) (1) states that adoption of the movement system as the focus of physical therapist expertise is key [...]

I just wanted to tell you once again how honored we were to be featured in the Mississippi Wedding Register this year! We truly felt so blessed to have been [...]

Through fly-on-the-wall observation, Luke Lorentzen's A Still Small Voice shows us chaplains in a residential program at New York City's Mount Sinai Hospital as they minister to the dying during [...]

INTRODUCTION In a U.S. commercial loan transaction, counsel to the borrower is often requested to provide a written opinion letter for the benefit of the lender addressing the enforceability against [...], Often as a condition to the closing of loan transactions, borrowers are expected to have their counsel provide written opinions to the lenders addressing the enforceability and legality of the borrowers&apos; obligations under the loan documents. In doing so, the opinion givers are not expected to address all laws that may be applicable. This article discusses the views of the authors as to what laws are commonly not expected to be addressed in such opinions delivered in the U.S. commercial loan context and reasons for their exclusion.

The article discusses the final regulations issued by the IRS on generation-skipping tax (GST) exemption allocation relief, effective from May 6, 2024. These regulations provide clarity for taxpayers rectifying past mistakes in GST exemption allocations and elections. The final regulations offer relief for revoking erroneous opt-in or opt-out elections and provide a simplified procedure for relief during the automatic six-month extension period. Taxpayers must demonstrate reasonableness, good faith, and lack of prejudice to the government to qualify for relief under these regulations. [Extracted from the article]

Coronary artery disease (CAD) is a leading cause of death in the elderly population. Data regarding percutaneous coronary interventions (PCIs) in nonagenarians are scarce, and differences in long term outcomes between generations remain unclear. We aimed to study the pattern and temporal trends of nonagenarians treated with PCI. Materials and Methods: A total of 14,695 patients underwent PCI between 2009-2020. We identified 2,034 (13.8%) octogenarians (age 80-89), and 222 (1.5%) nonagenarians (age 90-99). Endpoints included mortality and major adverse cardiac events (MACE) at 1 year.