4,712 results on '"1060)"'
Search Results
2. Investigating the factor structure and measurement invariance of the eating disorder examination questionnaire (EDE-Q) among cisgender gay men and lesbian women from the United States.
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Compte, Emilio J., McGuire, F. Hunter, Brown, Tiffany A., Lavender, Jason M., Murray, Stuart B., Capriotti, Matthew R., Flentje, Annesa, Lubensky, Micah E., Lunn, Mitchell R., Obedin-Maliver, Juno, and Nagata, Jason M.
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LESBIANS ,GAY men ,EATING disorders ,FACTOR structure ,SEXUAL minorities - Abstract
Background: Although the Eating Disorder Examination-Questionnaire (EDE-Q) is one of the most widely used self-report assessments of eating disorder symptoms, evidence indicates potential limitations with its original factor structure and associated psychometric properties in a variety of populations, including sexual minority populations. The aims of the current investigation were to explore several previously published EDE-Q factor structures and to examine internal consistency and measurement invariance of the best-fitting EDE-Q model in a large community sample of cisgender gay men and cisgender lesbian women. Methods: Data were drawn from 1624 adults (1060 cisgender gay men, 564 cisgender lesbian women) who participated in The PRIDE Study, a large-scale longitudinal cohort study of sexual and gender minorities from the United States. A series of confirmatory factor analyses (CFAs) were conducted to explore the fit of eight proposed EDE-Q models; internal consistency (Cronbach's alphas, Omega coefficients) and measurement invariance (multi-group CFA) were subsequently evaluated. Results: A brief seven-item, three-factor (dietary restraint, shape/weight overvaluation, body dissatisfaction) model of the EDE-Q from Grilo et al. (Obes Surg. 23:657–662, 2013), consistently evidenced the best fit across cisgender gay men and lesbian women. The internal consistencies of the three subscales were adequate in both groups, and measurement invariance across the groups was supported. Conclusions: Taken together, these findings support the use of the seven-item, three-factor version of the EDE-Q for assessing eating disorder symptomatology in cisgender gay men and lesbian women. Future studies can confirm the current findings in focused examinations of the seven-item, three-factor EDE-Q in diverse sexual minority samples across race, ethnicity, socioeconomic status, and age ranges. Plain English summary: We asked cisgender gay men and lesbian women in The PRIDE Study to fill out a widely used survey about eating disorders, the Eating Disorder Examination-Questionnaire. We found that a version of this questionnaire based on seven questions including three parts—(1) dietary restraint, (2) shape and weight overvaluation, and (3) body dissatisfaction—had the best fit. These findings can assist doctors and scientists in understanding eating disorders in cisgender gay men and lesbian women. [ABSTRACT FROM AUTHOR]
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- 2023
- Full Text
- View/download PDF
3. [Structural changes of American health education, 1910-1960].
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Gebhard B
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- History of Medicine, United States, Health Education history
- Published
- 1966
4. Profiling racial prejudice during COVID‐19: Who exhibits anti‐Asian sentiment in Australia and the United States?
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Tan, Xiao, Lee, Rennie, and Ruppanner, Leah
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ANTI-Asian racism ,COVID-19 ,PREJUDICES ,SOCIAL desirability ,COVID-19 pandemic ,POLITICAL affiliation ,HATE crimes - Abstract
Following the COVID‐19 outbreak, anti‐Asian racism increased around the world, as exhibited through greater instances of abuse and hate crimes. To better understand the scale of anti‐Asian racism and the characteristics of people who may be expressing racial prejudice, we sampled respondents in Australia and the United States over 31 August–9 September 2020 (1375 Australians and 1060 Americans aged 18 or above; source YouGov). To address potential social desirability bias, we use both direct and indirect (list experiment) questions to measure anti‐Asian sentiment and link these variables to key socioeconomic factors. We find that, instead of being universal among general populations, anti‐Asian sentiment is patterned differently across both country contexts and socioeconomic groups. In the United States, the most significant predictor of anti‐Asian bias is political affiliation. By contrast, in Australia, anti‐Asian bias is closely linked to a wide range of socioeconomic factors including political affiliation, age, gender, employment status and income. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
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5. Lower Extremity Strains in the US National Football League, 2015-2019.
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Herzog, Mackenzie M., Weiss, Leigh, Lee, Rebecca Y., Williams, Tyler, Ramsden, Sam, Sills, Allen K., and Mack, Christina D.
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LEG injuries ,QUADRICEPS muscle injuries ,DESCRIPTIVE statistics ,FOOTBALL injuries ,SPORTS events ,RESEARCH methodology ,SPRAINS ,CONFIDENCE intervals ,ATHLETIC associations - Abstract
Background: Lower extremity (LEX) strains, including hamstring, quadriceps, adductor, and calf strains, are among the most common injuries in sports. These injuries lead to high burden, resulting in significant missed participation time. Purpose: To describe the incidence of LEX strains in professional American football. Study Design: Descriptive epidemiology study. Methods: This study included all players who played in ≥1 National Football League (NFL) game or sustained a LEX strain during participation in the 2015-2019 seasons. LEX strain frequency was calculated by setting (game, practice, conditioning), timing in season (offseason, preseason, regular season, postseason), and roster position. Game incidence rates were calculated for season, roster position, and play type. LEX strains were identified in the standardized leaguewide electronic health record (n = 32 teams). Results: Across 5 years, 5780 LEX strains were reported among 2769 players (1-year risk, 26.7%; 95% CI, 26.0%-27.3%); 69% (n = 4015) resulted in time loss. Among all LEX strains, 54.7% were hamstring (n = 3163), 24.1% adductor (n = 1393), 12.6% calf (n = 728), 8.3% quadriceps (n = 477), and 0.3% multiple muscle groups (n = 19). Most were reported during preseason practices (n = 1076; 27%) and regular season games (n = 1060; 26%). The 2-week period of training camp practices comprised 19% of all time-loss strains. Among game injuries, preseason games had the highest rate of LEX strain (2.9/10,000 player-plays; 95% CI, 2.6-3.2). Defensive secondary players accounted for the highest proportion of time-loss LEX strains (27%; n = 1082). In games, punt plays had nearly twice the injury rate of kickoff plays (14.9/1000 plays [95% CI, 13.1-17.0] vs 7.5/1000 plays [95% CI, 6.2-8.9], respectively) and >3 times the rate of pass plays (4.3/1000 plays; 95% CI, 4.0-4.7) and run plays (2.6/1000 plays; 95% CI, 2.3-2.9). In aggregate, LEX strains led to an estimated 16,748 participation days missed each year and a median 12 days missed per injury. Conclusion: LEX strains affected 1 in 4 NFL players each year, resulting in a high burden of injury in terms of time lost from practice and competition. Safe return to the NFL season during training camp and reduction of injuries during regular season games are key focuses for future injury reduction. [ABSTRACT FROM AUTHOR]
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- 2023
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6. Momentum builds for Young Farmer Success Act (H.R. 1060).
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FARMERS ,AGRICULTURAL industries ,YOUNG farmers' clubs ,GOVERNMENT policy - Published
- 2017
7. West Covina Motors, Inc. v. Commissioner: The Limits of Section 1060's Fair Market Value Limitations.
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Overhuls, Chelsea Hunt
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ACTIONS & defenses (Law) ,LEGAL costs ,ASSETS (Accounting) - Abstract
The article discusses court case "Covina Motors Inc. v. Commissioner" to understand issues related to section 1060's fair market value limitations issued by the U.S. Tax Court. It also presents overview of section 1060 and discusses general allocation procedures of regulations. It is evident that in the above mentioned case, the main controversy was on allocating legal fees on assets.
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- 2011
8. Real‐world treatment patterns of metastatic non‐small cell lung cancer patients receiving epidermal growth factor receptor tyrosine kinase inhibitors.
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Shenolikar, Rahul, Liu, Sizhu, Shah, Anne, Tse, Jenny, Cao, Yao, and Near, Aimee
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EPIDERMAL growth factor receptors ,NON-small-cell lung carcinoma ,PROTEIN-tyrosine kinase inhibitors ,ERLOTINIB ,PEMETREXED ,CANCER patients - Abstract
Background: Several epidermal growth factor receptor tyrosine kinase inhibitors (EGFR TKI) have been approved for first‐line (1L) treatment of EGFR‐mutated metastatic non‐small cell lung cancer (mNSCLC) in the United States (US). Real‐world analyses of 1L treatment patterns with EGFR TKIs, including the third‐generation EGFR TKI osimertinib which was most recently approved in 2018, are still sparse. Methods: This retrospective observational study used data from IQVIA's prescription claims (LRx) and medical claims (Dx) databases. mNSCLC patients newly treated with any EGFR TKI in the 1L setting were identified from January 1, 2015 to April 30, 2020; the first date of EGFR TKI (third‐generation osimertinib, first‐generation [erlotinib, gefitinib], or second‐generation [afatinib, dacomitinib]) was the index date. Treatment patterns were reported in the cohorts stratified by 1L EGFR TKI. Results: A total of 2505 patients were included in the study (982 osimertinib, 1060 first‐generation, and 463 second‐generation EGFR TKI). Beginning in 2018, osimertinib became the most common 1L EGFR TKI (66.7%) and in early 2020, it accounted for 90.6% of 1L EGFR TKIs. Nearly all patients (>97%) were treated with 1L EGFR TKI monotherapy. Patients with 1L osimertinib had longer treatment duration compared to patients with 1L first‐ or second‐generation EGFR TKI (median months: 17.8 vs. 8.7 vs. 10.5, respectively; log‐rank test for comparisons with osimertinib p < 0.0001) over median follow‐up times of 9.8, 20.5, and 19.3 months. 32.5% and 36.3% of the first‐ and second‐generation EGFR TKI cohorts, respectively, had evidence of 2L treatment. Osimertinib monotherapy accounted for the majority of 2L treatments (58.3%/60.7%) and 11.3%/8.9% had 2L chemotherapy or immuno‐oncology therapy following 1L first‐ or second‐generation EGFR TKI. Conclusion: In this real‐world study of a US claims database, 1L treatment duration was longer with osimertinib compared with other EGFR TKIs. Future studies with longer follow‐up are recommended to understand treatment patterns after progression on EGFR TKIs. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
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9. The Relationship Between Religious/Spiritual Beliefs and Subjective Well-Being: A Case-Based Comparative Cross-National Study.
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Pérez, Sergio and Rohde, Daniela
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WELL-being ,SPIRITUALITY ,HAPPINESS ,SELF-evaluation ,HEALTH status indicators ,LOGISTIC regression analysis ,RELIGION - Abstract
The most unique aspect of religiosity/spirituality (R/S), supernatural beliefs, and their relationship with SWB has hardly been examined. This study explores the relationship between six R/S supernatural beliefs and SWB, in a case-based comparative cross-national design including two religious and two secular nations. Data were obtained from the International Social Survey Programme (ISSP) Religion IV module from the religious countries of the USA (n = 1060) and Turkey (n = 1353) and the secular countries of Denmark (n = 1281) and Czech Republic (n = 1112). SWB was measured as happiness and self-rated health. Statistical analyses were performed using binary logistic regression models replicated across countries. Results indicated that the American sample showed no evidence of relationships between R/S and SWB outcomes capable of improving the model over demographic and service attendance covariates. In Turkey, some R/S beliefs were found to be statistically significantly related to SWB, with positive and negative associations with happiness. No associations were found in the secular countries. Findings were discussed in the light of previous research and interpreted from a terror management theory perspective. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
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10. Bibliometric Analysis of Global Research Activity on Premature Mortality.
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Rodzlan Hasani, Wan Shakira, Hanis, Tengku Muhammad, Muhamad, Nor Asiah, Islam, Md Asiful, Wee, Chen Xin, and Musa, Kamarul Imran
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MORTALITY risk factors ,MEDICAL research evaluation ,CAUSES of death ,BIBLIOMETRICS ,SYSTEMATIC reviews ,LIFE expectancy ,SERIAL publications ,PUBLIC health ,INTERPROFESSIONAL relations ,DESCRIPTIVE statistics ,DATA analysis software ,EVALUATION - Abstract
Premature mortality is defined as death that occurs before the average age of death for a particular population. Although premature mortality is a public health problem globally, the literature indicates no bibliometric studies that have made a holistic evaluation of the publications on this issue. This study aims to explore the characteristics of the publications on premature mortality in terms of the number of publications, citations, countries, collaboration, and the author's productivity and to further identify the trending keyword and relevant research topics. All the articles related to premature mortality data were retrieved from the Web of Science (WOS) database using the search terms "premature death," "premature mortality," or "years of life loss." The retrieved articles were downloaded in a BibTeX format file. A Bibliometrix package from R software was used to perform bibliometric analyses. A total of 1060 original research articles and reviews have been published since 1971, with a total of 5499 contributing authors. The number of publications has increased substantially in the past decade. The annual percentage growth rate of publications is 5.08%. The United States is the leading country in this area of research with the highest number of publications (n = 280), the highest total citation (17,378), and the most activity in collaboration. Our thematic map suggests that the cluster for cardiovascular disease became the main research domain in this field, while the cluster for air pollution is an important topic for future research. Additionally, neurodegeneration is another cluster of research that should be developed further and connected with premature mortality. These bibliometric findings hopefully will help scholars better understand the global overview of premature mortality and provide information for potential collaborators, with the information promising attractive areas for future research. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
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11. Projected Long-Term Impact of the Coronavirus Disease 2019 (COVID-19) Pandemic on Hepatitis C Outcomes in the United States: A Modeling Study.
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Barocas, Joshua A, Savinkina, Alexandra, Lodi, Sara, Epstein, Rachel L, Bouton, Tara C, Sperring, Heather, Hsu, Heather E, Jacobson, Karen R, Schechter-Perkins, Elissa M, Linas, Benjamin P, and White, Laura F
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HEPATITIS C ,COMPARATIVE studies ,TREATMENT effectiveness ,RISK assessment ,DESCRIPTIVE statistics ,COVID-19 pandemic - Abstract
Background The coronavirus disease 2019 (COVID-19) pandemic disrupted access to and uptake of hepatitis C virus (HCV) care services in the United States. It is unknown how substantially the pandemic will impact long-term HCV-related outcomes. Methods We used a microsimulation to estimate the 10-year impact of COVID-19 disruptions in healthcare delivery on HCV outcomes including identified infections, linkage to care, treatment initiation and completion, cirrhosis, and liver-related death. We modeled hypothetical scenarios consisting of an 18-month pandemic-related disruption in HCV care starting in March 2020 followed by varying returns to pre-pandemic rates of screening, linkage, and treatment through March 2030 and compared them to a counterfactual scenario in which there was no COVID-19 pandemic or disruptions in care. We also performed alternate scenario analyses in which the pandemic disruption lasted for 12 and 24 months. Results Compared to the "no pandemic" scenario, in the scenario in which there is no return to pre-pandemic levels of HCV care delivery, we estimate 1060 fewer identified cases, 21 additional cases of cirrhosis, and 16 additional liver-related deaths per 100 000 people. Only 3% of identified cases initiate treatment and <1% achieve sustained virologic response (SVR). Compared to "no pandemic," the best-case scenario in which an 18-month care disruption is followed by a return to pre-pandemic levels, we estimated a smaller proportion of infections identified and achieving SVR. Conclusions A recommitment to the HCV epidemic in the United States that involves additional resources coupled with aggressive efforts to screen, link, and treat people with HCV is needed to overcome the COVID-19-related disruptions. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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12. Prenatal caffeine exposure: association with neurodevelopmental outcomes in 9‐ to 11‐year‐old children.
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Zhang, Rui, Manza, Peter, and Volkow, Nora D.
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MATERNAL exposure ,MOTHERS ,SUBSTANCE abuse ,DRINKING (Physiology) ,PRENATAL exposure delayed effects ,NEURAL development ,CAFFEINE ,BODY mass index - Abstract
Background: Despite the widespread use of caffeine including consumption during pregnancy, the effect of prenatal caffeine exposure on child brain development and behavior is unclear. Methods: To address this, we used data from the Adolescent Brain and Cognitive Development Study (n = 11,875 children aged 9–11 years from 22 sites across the United States). We explored the associations between prenatal caffeine exposure and various developmental outcomes including birth outcomes, physical health, behavior problems, cognition, substance use and brain structure in children, and evaluated dose effects. Results: Among 9,978 children (4,745 females) who had valid data for prenatal caffeine exposure and whose mothers did not use drugs of abuse after knowing of pregnancy, 4,170 (41.79%) had no prenatal caffeine exposure, 2,292 (22.97%) had daily, 1,933 (19.37%) had weekly, and 1,583 (15.86%) had less than weekly exposures. Prenatal caffeine exposure including the widely recommended 'safe' dose was associated with greater externalizing problems, whereas greater BMI and soda consumption were only observed in children with high dose exposures (3+ per day). Notably, the effect size for association of externalizing problems with prenatal caffeine exposure was comparable with that reported for prenatal alcohol (The American Journal of Psychiatry, 177, 2020 and 1060) and prenatal cannabis (JAMA Psychiatry, 78, 2020 and 64) exposures from previous ABCD publications. Additionally, prenatal caffeine exposure was associated with brain structural changes that included greater posterior and lower frontal cortical thickness and altered parietooccipital sulcal depth. Conclusions: The recommended 'safe' dose of caffeine during pregnancy should be carefully studied to assess whether the behavioral and brain correlates observed here are clinically relevant and determine whether it needs adjustment. Because of the high prevalence of caffeine use in the general population, studies on prenatal exposure to drugs of abuse should include prenatal caffeine use as a covariate. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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13. S 1060: OBESITY PREVENTION, TREATMENT, AND RESEARCH ACT.
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LEGISLATIVE bills ,MEDICAL laws - Abstract
A summary is presented of the bill S. 1060, the Obesity Prevention, Treatment, and Research Act, sponsored by U.S. Senator Jeff Bingaman, May 18, 2009.
- Published
- 2010
14. HOW 1060 TO MARS #&x2014; RIGHT NOW!
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Zubrin, Robert
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ROCKET launching , *ROCKET payloads , *SPACE flight to Mars , *ROVER automobiles , *COMPRESSORS ,UNITED States economy - Abstract
The article offers information on the plans of Cape Canaveral, Florida to launch an unmanned payload which includes a methane-oxygen-fueled Earth return vehicle (ERV) that will direct to Mars in 2014. It states that the heavy-lift booster will weigh 40 metric tons and its EVR will flight back to the earth with a human crew. It notes that scientific rovers, chemical-processing units, and compressors will also comprise the booster. It adds that the program will help stimulate the U.S. economy.
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- 2009
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15. Characterizing the providers of and reimbursement for chronic migraine chemodenervation among the Medicare population.
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Torabi, Sina J., Kasle, David A., Savoca, Emily L., Gottschalk, Christopher H., and Manes, R. Peter
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CHRONIC disease treatment ,BOTULINUM toxin ,NOSOLOGY ,CONFIDENCE intervals ,NEUROLOGISTS ,MIGRAINE ,CROSS-sectional method ,NERVE block ,HEALTH insurance reimbursement ,PHYSICIANS ,MEDICARE - Abstract
Objective: To characterize reimbursement trends and providers for chronic migraine (CM) chemodenervation treatment within the Medicare population since the introduction of the migraine‐specific CPT code in 2013. Methods: We describe trends in procedure volume and total allowed charge on cross‐sectional data obtained from 2013 to 2018 Medicare Part B National Summary files. We also utilized the 2017 Medicare Provider Utilization and Payment Data to analyze higher volume providers (>10 procedures) of this treatment modality. Results: The total number of CM chemodenervation treatments rose from 37,863 in 2013 to 135,023 in 2018 in a near‐linear pattern (r = 0.999) and total allowed charges rose from ~$5,217,712 to $19,166,160 (r = 0.999). The majority of high‐volume providers were neurologists (78.4%; 1060 of 1352), but a substantial proportion were advanced practice providers (APPs) (10.2%; 138 of 1352). Of the physicians, neurologists performed a higher mean number of procedures per physician compared to non‐neurologists (59.6 [95% CI: 56.6–62.6] vs. 45.4 [95% CI: 41.0–50.0], p < 0.001). When comparing physicians and APPs, APPs were paid significantly less ($146.5 [95% CI: $145.6–$147.5] vs. $119.7 [95% CI: $117.6–$121.8], p < 0.001). As a percent of the number of total beneficiaries in each state, the percent of Medicare patients receiving ≥1 CM chemodenervation treatment from a high‐volume provider in 2017 ranged from 0.024% (24 patients of 98,033 beneficiaries) in Wyoming to 0.135% (997 of 736,521) in Arizona, with six states falling outside of this range. Conclusion: Chemodenervation is an increasingly popular treatment for CM among neurologists and other providers, but the reason for this increase is unclear. There is substantial geographic variation in its use. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
16. Dealing with the elder abuse epidemic: Disparities in interventions against elder abuse in trauma centers.
- Author
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El‐Qawaqzeh, Khaled, Hosseinpour, Hamidreza, Gries, Lynn, Magnotti, Louis J., Bhogadi, Sai Krishna, Anand, Tanya, Ditillo, Michael, Stewart, Collin, Cooper, Zara, and Joseph, Bellal
- Subjects
- *
TRAUMA centers , *MULTIVARIATE analysis , *MULTIPLE regression analysis , *DISEASES , *RISK assessment , *SEX distribution , *ABUSE of older people , *DEMENTIA , *DESCRIPTIVE statistics , *HEALTH insurance , *HEALTH equity , *PEOPLE with disabilities , *ODDS ratio - Abstract
Background: Elder abuse is a major cause of injury, morbidity, and death. We aimed to identify the factors associated with interventions against suspected physical abuse in older adults. Methods: Analysis of the 2017–2018 ACS TQIP. All trauma patients ≥60 years with an abuse report for suspected physical abuse were included. Patients with missing information on abuse interventions were excluded. Outcomes were rates of abuse investigation initiation following an abuse report and change of caregiver at discharge among survivors with an abuse investigation initiated. Multivariable regression analyses were performed. Results: Of 727,975 patients, 1405 (0.2%) had an abuse report. Patients with an abuse report were younger (mean, 72 vs 75, p < 0.001), and more likely to be females (57% vs 53%, p = 0.007), Hispanic (11% vs 6%, p < 0.001), Black (15% vs 7%, p < 0.001), suffer from dementia (18% vs 11%, p < 0.001), functional disability (19% vs 15%, p < 0.001), have a positive admission drug screen (9% vs 5%, p < 0.001) and had a higher ISS (median [IQR], 9 [4–16] vs 6 [3–10], p < 0.001). Perpetrators were members of the immediate/step/extended family in 91% of cases. Among patients with an abuse report, 1060 (75%) had abuse investigations initiated. Of these, 227 (23%) resulted in a change of caregiver at discharge. On multivariate analysis for abuse investigation initiation, male gender, private insurance, and management at non‐level I trauma centers were associated with lower adjusted odds (p < 0.05), while Hispanic ethnicity, positive admission drug screen, and penetrating injury were associated with higher adjusted odds (p < 0.05). On multivariate analysis for change of caregiver, male gender, and private insurance were associated with lower adjusted odds (p < 0.05), while functional disability and dementia were associated with higher adjusted odds (p < 0.05). Conclusions: Significant gender, ethnic, and socioeconomic disparities exist in the management of physical abuse of older adults. Further studies are warranted to expand on and address the contributing factors underlying these disparities. Level of Evidence: III. Study Type: Therapeutic/Care Management. [ABSTRACT FROM AUTHOR]
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- 2023
- Full Text
- View/download PDF
17. Amendments to the Sec. 1060 and 338(b) regulations conforming allocation of purchase price to...
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Eisenberg, Andrew M.
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ASSETS (Accounting) -- Taxation - Abstract
Reports on the amendments issued by the Internal Revenue Service in January 1997 to Sec. 1060 and Sec. 338(b) regulations, which deal with changes in allocating the purchase price among assets of an acquired business or trade. Information on the problems associated with the previous regulations; Details on Sec. 1060; Contents of the amendments issued.
- Published
- 1997
18. Evaluating outcome associations with race after mechanical thrombectomy: an analysis of the NVQI-QOD acute ischemic stroke registry.
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Fuentes, Angelica, Thirunavu, Vineeth, Faruqui, Syed Hasib Akhter, Zhou, Chaochao, McGuire, Laura Stone, Du, Xinjian, Pandey, Dilip, Cantrell, Donald, Ansari, Sameer A., and Amin-Hanjani, Sepideh
- Subjects
PATIENT compliance ,PROBABILITY theory ,SMOKING ,TREATMENT effectiveness ,REPORTING of diseases ,AGE distribution ,SEVERITY of illness index ,RACE ,ISCHEMIC stroke ,THROMBECTOMY ,STROKE patients ,ARTERIAL occlusions ,HEALTH facilities ,DRUGS ,LENGTH of stay in hospitals ,PSYCHOSOCIAL factors ,COMORBIDITY ,EVALUATION - Abstract
Background Mechanical thrombectomy has become the standard of care for acute ischemic stroke due to large vessel occlusions. Racial differences in outcomes after mechanical thrombectomy for acute ischemic stroke have not been extensively studied. We evaluate the real-world evidence for differences between races in the outcomes of thrombectomy for large vessel occlusions using the NeuroVascular Quality Initiative-Quality Outcomes Database (NVQI-QOD). Methods Data from the NVQI-QOD acute ischemic stroke registry were analyzed and compared for racial differences in outcomes after mechanical thrombectomy in 4507 patients from 28 US centers (17 states) between January 2014 and April 2021. Race was dichotomized into non-Hispanic White (NHW, n=3649) and non- Hispanic Black (NHB, n=858). We performed 1:1 propensity score matching resulting in a subsample of matched groups (n=761 each for NHB and NHW) to compare study endpoints using Welch's two-sided t-tests and χ² test for continuous and categorical outcomes, respectively. Results Prior to matching, NHW and NHB patients significantly differed in age, comorbidities, medication use, smoking status, and presenting stroke severity. No significant difference in functional outcomes or mortality, at discharge or follow-up, were revealed. NHB patients had higher average postprocedure length of stay than NHW patients, which persisted following matching (11.2 vs 9.1 days, P=0.004). Conclusion Evidence from the NVQI-QOD acute ischemic stroke registry showed that outcome metrics, such as modified Rankin Scale score and mortality, did not differ significantly between racial groups; however, disparity between NHW and NHB patients in postprocedure length of stay following mechanical thrombectomy was revealed. [ABSTRACT FROM AUTHOR]
- Published
- 2025
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19. Urinary incontinence in older adult women: fighting a rising tide.
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Ramadan, Francesca
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URINARY incontinence treatment ,BLADDER physiology ,RISK assessment ,URINARY stress incontinence ,PELVIC organ prolapse ,NURSES ,URINARY incontinence ,COMMUNITY health nurses ,OCCUPATIONAL roles ,MEDICAL care ,DISEASE prevalence ,MEDICAL supplies ,POSTMENOPAUSE ,PELVIC floor ,AGING ,GERIATRIC assessment ,QUALITY of life ,WOMEN'S health ,MEDICAL care for older people ,WELL-being ,CHILDBIRTH ,MUSCLES ,DISEASE risk factors ,SYMPTOMS ,OLD age - Abstract
The world's population is rapidly ageing, with conditions such as urinary incontinence, which are especially prevalent among older adults, expected to rise in prevalence as a result. Urinary incontinence is particularly common in older women; however, despite its profound impact on every aspect of women's health and wellbeing, it is often minimised by both individual patients and the wider healthcare system. Francesca Ramadan delves into the prevalence of and psychosocial effects and patient-related factors related to urinary incontinence in older women. [ABSTRACT FROM AUTHOR]
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- 2025
- Full Text
- View/download PDF
20. Estimating the Sex Gap in Depression-Free Life Expectancy Among Widowed Americans Aged 50 and Older: An Application Using the Interpolated Markov Chain Approach.
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Feraldi, Alessandro, Giudici, Cristina, and Brouard, Nicolas
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POLICY sciences ,HEALTH expectancy ,SEX distribution ,AGE distribution ,WIDOWHOOD ,MENTAL depression ,MIDDLE age - Abstract
Objectives: Using Interpolated Markov Chain software, we compare the length of life with and without depression among married individuals and widowers, and the related sex differences. Methods: We applied a multi-state life table approach to estimate depression-free life expectancy among recent cohorts of older married and widowed women and men in the United States, using data from the Health and Retirement Study over a 7-year period (2012–2018). Results: The study revealed that the difference in life expectancy between sexes widens in the context of widowhood. At age 50, the sex gap in depression-free life expectancy is 0.8 years among married people, whereas the gap almost doubles to 1.7 years among widowed people. Discussion: By quantifying disparities in the duration of life affected by depression between married and widowed women and men, policymakers could properly allocate resources specifically to address the mental health needs of these groups. [ABSTRACT FROM AUTHOR]
- Published
- 2025
- Full Text
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21. Mapping geographic disparities in treatment and clinical outcomes of high-grade aneurysmal subarachnoid hemorrhage in the United States.
- Author
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Dicpinigaitis, Alis J., Fortunato, Michael P., Goyal, Anjali, Syed, Shoaib A., Patel, Rohan, Subah, Galadu, Rosenberg, Jon B., Bowers, Christian A., Mayer, Stephan A., Jankowitz, Brian, Gandhi, Chirag D., and Al-Mufti, Fawaz
- Subjects
HEALTH services accessibility ,SURGERY ,PATIENTS ,SOCIAL determinants of health ,SUBARACHNOID hemorrhage ,SOCIOECONOMIC factors ,POPULATION geography ,ENDOVASCULAR surgery ,LONGITUDINAL method ,HEALTH equity ,SOCIODEMOGRAPHIC factors - Abstract
Background and objective Although high-grade (Hunt and Hess 4 and 5) aneurysmal subarachnoid hemorrhage (aSAH) typically portends a poor prognosis, early and aggressive treatment has previously been demonstrated to confer a significant survival advantage. This study aims to evaluate geographic, demographic, and socioeconomic determinants of high-grade aSAH treatment in the United States. Methods The National Inpatient Sample (NIS) was queried to identify adult high-grade aSAH hospitalizations during the period of 2015 to 2019 using the International Classification of Diseases, 10th Revision, Clinical Modification (ICD) codes. The primary clinical endpoint of this analysis was aneurysm treatment by surgical or endovascular intervention (SEI), while the exposure of interest was geographic region by census division. Favorable functional outcome (assessed by the dichotomous NIS-SAH Outcome Measure, or NIS-SOM) and in-hospital mortality were evaluated as secondary endpoints in treated and conservatively managed groups. Results Among 99 460 aSAH patients identified, 36 795 (37.0%) were high-grade, and 9210 (25.0%) of these were treated by SEI. Following multivariable logistic regression analysis, determinants of treatment by SEI included female sex (adjusted OR (aOR) 1.42, 95% CI 1.35 to 1.51), transfer admission (aOR 1.18, 95% CI 1.12 to 1.25), private insurance (ref: government-sponsored insurance) (aOR 1.21, 95% CI 1.14 to 1.28), and government hospital ownership (ref: private ownership) (aOR 1.17, 95% CI 1.09 to 1.25), while increasing age (by decade) (aOR 0.93, 95% CI 0.91 to 0.95), increasing mortality risk (aOR 0.60, 95% CI 0.57 to 0.63), urban non-teaching hospital status (aOR 0.66, 95% CI 0.59 to 0.73), rural hospital location (aOR 0.13, 95% CI 0.7 to 0.25), small hospital bedsize (aOR 0.68, 95% CI 0.60 to 0.76), and geographic region (South Atlantic (aOR 0.72, 95% CI 0.63 to 0.83), East South Central (aOR 0.75, 95% CI 0.64 to 0.88), and Mountain (aOR 0.72, 95% CI 0.61 to 0.85)) were associated with a lower likelihood of treatment. High-grade aSAH patients treated by SEI experienced significantly greater rates of favorable functional outcomes (20.1% vs 17.3%; OR 1.20, 95% CI 1.13 to 1.28, P<0.001) and lower rates of mortality (25.8% vs 49.1%; OR 0.36, 95% CI 0.34 to 0.38, P<0.001) in comparison to those conservatively managed. Conclusion A complex interplay of demographic, socioeconomic, and geographic factors influence treatment patterns of high-grade aSAH in the United States. [ABSTRACT FROM AUTHOR]
- Published
- 2025
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- View/download PDF
22. Relationships Among Soda and Energy Drink Consumption, Substance Use, Mental Health and Risk-Taking Behavior in Adolescents.
- Author
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Suresh, Surya and Temple, Jennifer L.
- Subjects
CARBONATED beverages ,DRINKING (Physiology) ,SUBSTANCE abuse ,CAFFEINE ,CROSS-sectional method ,STATISTICAL correlation ,CHILDREN'S health ,MENTAL health ,RISK-taking behavior ,ADOLESCENT health ,HIGH school students ,MULTIPLE regression analysis ,DESCRIPTIVE statistics ,CHI-squared test ,TEENAGERS' conduct of life ,LONGITUDINAL method ,ODDS ratio ,HEALTH behavior ,RESEARCH ,ANALYSIS of variance ,COMPARATIVE studies ,CONFIDENCE intervals ,DATA analysis software ,ENERGY drinks ,DRUG abusers ,ADOLESCENCE - Abstract
Background/Objectives: Energy drink (ED) use is increasing among children and adolescents, but little is known about the impacts on health, including substance use and mental health. The purpose of this study was to examine the relationship between soda and ED consumption and substance use, mental health, and risk taking in a nationally representative sample of high school students. Methods: We used data from the 2019 Youth Risk Behavior Surveillance System (YRBS) from New Jersey, Montana, and Florida to assess these relationships using binary and multinomial regression analyses to determine odds ratios, comparing non-consumers with daily consumers. The sample was 10,548 adolescents (51.6% female) between the ages of 13–19 years. Results: Daily soda and ED consumption were associated with greater odds of substance use (OR(95% CI): 5.8 (3.7, 6.9)/10.2 (6.4, 16.3)), poorer mental health (OR(95% CI): 2.6 (1.3, 4.8)/1.8 (1.2, 2.8), and higher odds of eating fast food (OR(95% CI): 17.2 (8.9, 33)/10.6 (5.6, 19.9). These effects were moderated by sex. Conclusions: These findings suggest that soda and ED use are associated with greater risk taking among adolescents and that these relationships are moderated by sex. Future studies should determine the directionality of these relationships and examine the impact of reduced soda and ED consumption on health behaviors in children and adolescents. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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- View/download PDF
23. Conflicted and Relevant: Systematic Processing of Information on PFAS Contamination.
- Author
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Dong, Xinxia and Yang, Janet Z.
- Subjects
DRUG adulteration ,HEALTH information services ,RISK assessment ,AFRICAN Americans ,ASIAN Americans ,CONFLICT (Psychology) ,STATISTICAL sampling ,DESCRIPTIVE statistics ,CHI-squared test ,INFORMATION needs ,PACIFIC Islander Americans ,EXPERIMENTAL design ,RESEARCH ,ANALYSIS of variance ,DATA analysis software ,CONFIDENCE intervals ,FLUOROCARBONS ,MEDICINE information services ,THOUGHT & thinking ,NATIVE Americans - Abstract
Per- and polyfluoroalkyl substances (PFAS) contamination is an emerging environmental and public health crisis. Thus, it is crucial to understand public risk perception and communication behaviors surrounding this issue. Guided by the heuristic-systematic model of information processing, this study explores the impact of conflicting information and personal relevance on information insufficiency and information processing. Through an online experiment, 1,062 U.S. adults were randomly assigned to one of four conditions as part of a 2 (information type: conflicting vs. consistent) × 2 (personal relevance: high vs. low) between-subjects factorial design. Both main effect and interaction effect were detected. Specifically, information insufficiency was highest among participants in the high personal relevance and consistent information condition. Personal relevance also had a main effect on information processing. Conflicting information indirectly elevated information processing through increased information insufficiency, but only when personal relevance was low. These findings suggest the importance of providing consistent and personally relevant information related to the risk of PFAS contamination. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
24. Potential Associations Between Vitamin Intake and Leukemia: A Cross-Sectional Study.
- Author
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Qin, Rui, Xiang, Jinping, Zou, Luping, Xiang, Guoqiang, and Xiang, Hang
- Subjects
VITAMIN therapy ,CROSS-sectional method ,DESCRIPTIVE statistics ,LEUKEMIA ,ODDS ratio ,VITAMINS ,CONFIDENCE intervals - Abstract
The present study assessed potential associations between vitamin intake and leukemia in a national sample of adults in the United States. A total of 5520 participants were included in this cross-sectional study to investigate the relationship between vitamin intake (including vitamins A, C, D, and E) and leukemia. Results revealed negative associations between vitamin C and E intake and leukemia, whereas associations between vitamin A and D and leukemia were not statistically significant. For vitamin C, compared with the first tertile, the odds ratio (OR) and corresponding 95% confidential interval (CI) was 0.90 (0.75–0.95) for the second tertile and 0.82 (0.61–0.90) for the third tertile (p < 0.01). For vitamin E, compared with the first tertile, the OR and 95% CI was 0.92 (0.80–0.96) for the second tertile and 0.86 (0.71–0.92) for the third tertile (p < 0.01). Furthermore, the inverse relationship between intake of vitamins C and E and leukemia were more evident for individuals ≥60 years of age and those with a body mass index >30 kg/m
2 . Results of this study provide evidence suggesting that intake of vitamin C and E intake may decrease the prevalence of leukemia; however, further large-scale prospective cohort studies are needed to verify these findings. [ABSTRACT FROM AUTHOR]- Published
- 2024
- Full Text
- View/download PDF
25. Empathic Communication and Implicit Bias in the Context of Cancer Among a Medical Student Sample.
- Author
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Torres, Tara K., Hamann, Heidi A., Shen, Megan J., and Stone, Jeff
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LUNG physiology ,EMPATHY ,SMOKING cessation ,COMMUNICATIVE competence ,SELF-evaluation ,AUDIOVISUAL materials ,RESEARCH funding ,MEDICAL personnel ,STEREOTYPES ,SELF-efficacy ,HISPANIC Americans ,QUESTIONNAIRES ,CANCER patient medical care ,CULTURAL competence ,MULTIPLE regression analysis ,COLORECTAL cancer ,CANCER patients ,EMOTIONS ,DESCRIPTIVE statistics ,CHI-squared test ,ODDS ratio ,COMMUNICATION ,IMPLICIT bias ,LUNG tumors ,PHYSICIAN-patient relations ,ATTITUDES of medical personnel ,QUALITY of life ,MEDICAL schools ,INTRACLASS correlation ,PSYCHOLOGY of medical students ,TUMORS ,ONCOLOGISTS ,INTERPERSONAL relations ,PSYCHOLOGICAL tests ,COMPARATIVE studies ,CONFIDENCE intervals ,DATA analysis software ,INTER-observer reliability ,PSYCHOSOCIAL factors ,MEDICAL referrals - Abstract
Oncology clinicians often miss opportunities to communicate empathy to patients. The current study examined the relationship between implicit bias (based on cancer type and ethnicity) and medical students' empathic communication in encounters with standardized patients who presented as Hispanic (lung or colorectal) individuals diagnosed with cancer. Participants (101 medical students) completed the Implicit Association Test (IAT) to measure implicit bias based on cancer type (lung v. colorectal) and ethnicity (Hispanic v. non-Hispanic White). Empathic opportunities and responses (assessed by the Empathic Communication Coding System; ECCS) were evaluated in a mock consultation (Objective Structured Clinical Examination; OSCE) focused on smoking cessation in the context of cancer. Among the 241 empathic opportunities identified across the 101 encounters (M = 2.4), 158 (65.6%) received high empathy responses from the medical students. High empathy responses were most frequently used during challenge (73.2%) and emotion (77.3%) opportunities compared to progress (45.9%) opportunities. Higher levels of implicit bias against Hispanics predicted lower odds of an empathic response from the medical student (OR = 3.24, p =.04, 95% CI = 0.09–0.95). Further work is needed to understand the relationship between implicit bias and empathic communication and inform the development of interventions. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
26. Temporal Trends in Single- and Multiple-Sports Team Participation Among Adolescents in the United States: Analysis Using the Youth Risk Behavior Surveillance System, 1999-2019.
- Author
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Knell, Gregory, Yockey, Andrew, Brayton, Riley P., Johnson, Ashleigh M., Ellis, Henry B., and Wilson, Philip L.
- Subjects
CROSS-sectional method ,HIGH school students ,LOGISTIC regression analysis ,DESCRIPTIVE statistics ,SPORTS participation ,RESEARCH methodology ,DATA analysis software ,CONFIDENCE intervals ,EPIDEMIOLOGICAL research - Abstract
Background: It is unclear how levels of sport participation have changed among adolescents in the United States (US) in recent years, particularly considering evidence of increasing sport professionalization and attrition. Purpose: To evaluate the differences and trends in single- and multiple-team sport participation among US high school students between 1999 and 2019. Study Design: Descriptive epidemiology study. Methods: Using the Youth Risk Behavior Surveillance System of the US Centers for Disease Control and Prevention, a biannual representative survey of US high school students, data on self-reported sport participation (no participation, single team, multiple teams) within the previous year were evaluated. Differences in sport participation prevalence between 1999 and 2019 were assessed in sex strata by grade, race/ethnicity, and US region. Weighted trends using the National Center for Health Statistics Guidelines for Analysis of Trends and logistic regression models were employed for analyses. Results: The study sample over the 20-year period (N = 149,404) was 49.8% female; the majority were in ninth grade (27.7% female, 28.7% male), were non-Hispanic White (56.1% female, 56.8% male), and resided in the Southern US (57.6% female, 57.4% male). Among girls, 27.2% (95% CI, 25.8-28.6) reported multiple sports team participation in 1999, while 21.3% (95% CI, 20.1-22.6) reported the same in 2019. Among boys, 39.5% (95% CI, 38.4-40.7) reported multiple sports team participation in 1999 versus 29.1% (95% CI, 27.7-30.6) in 2019. Analyses of trends indicated that girls experienced increasing trends in single-sport team participation (β = 0.04, SE = 0.01, P <.001). Among boys, there were increasing trends in no sport participation (β = 0.06, SE = 0.01, P <.001), while multiple-sport team participation decreased over the 20-year period (β = −0.10, SE = 0.01, P <.001). Disparities in trends were observed among female and male groups by race/ethnicity, grade, and region. Conclusion: Sport participation over a 20-year period in the US decreased significantly for boys and increased for single-sports teams among girls. Sport specialization may be contributing some of the observed trends, though limitations in the data require additional research to confirm these hypotheses. Tailored efforts to increase sport participation among both sexes is needed. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
27. "Music Played a Role in Saving My Life and Getting Me Through All of This": A Descriptive Qualitative Study of Hope in Adolescents and Young Adults Living With Advanced Cancer.
- Author
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Bennett, C. Robert, Weaver, Crystal, Coats, Heather L., and Hendricks-Ferguson, Verna L.
- Subjects
PSYCHOLOGICAL resilience ,TUMORS in children ,QUALITATIVE research ,ACADEMIC medical centers ,PSYCHOLOGICAL distress ,AUTONOMY (Psychology) ,MUSIC therapy ,DESCRIPTIVE statistics ,PSYCHOLOGICAL adaptation ,THEMATIC analysis ,RESEARCH methodology ,TUMORS ,CANCER patient psychology ,SOCIAL support ,PHENOMENOLOGY ,HUMAN comfort ,HOPE ,ADULTS - Abstract
Background: Adolescents and young adults (AYAs) living with advanced cancer may experience a heightened risk for existential distress. Addressing AYAs' hopes can stimulate a dialogue about their concerns, values, and goals, provide a path to holistically support their existential needs, and potentially alleviate their distress. This study aimed to evaluate hope's role in a sample of AYAs living with advanced cancer. Method: This study used a Husserlian phenomenology-informed descriptive qualitative research design to elicit AYAs' experiences with hope while living with advanced cancer. Participants were virtually recruited from an academic medical center and an online non-profit organization. Thematic analyses were performed across the data set to identify final themes. Results: Fifteen AYAs aged 12–21 years diagnosed with advanced hematological (80%) or solid (20%) malignancies participated in this study. A main theme of Simple Supports of Hope with a subtheme of Diversion was identified. Participants described music as a form of diversion, which supported their hope. Participants found listening to music calming and comforting and helped them cope with their distress. Performing music provided a creative outlet for negative feelings associated with cancer treatment. Participants reported creating music transformed and deintensified the treatment environment and helped spread hope to healthcare staff. Discussion: AYAs may intentionally use music to improve emotional expression, empowerment, connection, and coping strategies throughout the treatment process for cancer. Additional research needs to be conducted exploring the use of music interventions such as therapeutic songwriting or compositional music therapy to assist AYAs with building coping strategies during treatment for cancer. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
28. Trauma and alcohol characteristics related to high intensity binge drinking during college.
- Author
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Edalatian Zakeri, Shiva, Job, Greeshma A., Bing-Canar, Hanaan, Hallihan, Hagar, Paltell, Katherine C., and Berenz, Erin C.
- Subjects
POST-traumatic stress disorder ,RISK assessment ,SEX crimes ,DATA analysis ,CONFORMITY ,RESEARCH funding ,QUESTIONNAIRES ,BINGE drinking ,DESCRIPTIVE statistics ,PSYCHOLOGICAL adaptation ,RESEARCH methodology ,ONE-way analysis of variance ,STATISTICS ,PSYCHOLOGY of college students ,ALCOHOL drinking in college ,COMPARATIVE studies ,DATA analysis software ,ALCOHOL drinking ,PATHOLOGICAL psychology - Abstract
High intensity (HI) binge drinking has emerged as a high-risk drinking phenotype in young adult drinkers, yet few studies have evaluated clinically meaningful correlates of HI binge drinking among young adults at risk for co-occurring psychopathologies, such as interpersonal trauma-exposed drinkers. The present study compared three groups (i.e., HI binge, standard binge, non-binge drinkers) of interpersonal trauma-exposed college student drinkers (N = 221) on alcohol and interpersonal trauma characteristics. Results of one-way ANOVAs indicated that the HI binge group endorsed significantly greater negative alcohol-related consequences relative to the other two groups. The HI binge group endorsed significantly greater enhancement motives compared to the non-binge group, and no group differences were detected for PTSD and interpersonal trauma characteristics. Individuals who engage in HI binge drinking may experience greater alcohol problems due to their use of alcohol to enhance positive mood. HI binge drinking does not differentiate individuals on the basis of interpersonal trauma experiences or related psychopathology. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
29. PUBLIC DEFENSE AND AN ABOLITIONIST ETHIC.
- Author
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Southerland, Vincent M.
- Subjects
MASS incarceration ,JUSTICE administration ,CRIME ,JUSTICE - Abstract
The American carceral state has grown exponentially over the last six decades, earning the United States a place of notoriety among the world’s leaders in incarceration. That unprecedented growth has been fueled by a cultural addiction to carceral logic and its tools—police, prosecution, jails, prisons, and punishment—as a one-size-fitsall response to the myriad vectors of socioeconomic disadvantage that drive people into the jaws of the criminal legal system. The system operates in the shadow of endemic racial inequality, feeding on the conflated amalgam of race, criminality, and dangerousness. For those who experience the worst of what the system has to offer, it is little more than a purveyor of harm and injustice, deepening the inequality that characterizes America. The modern public defender was born before the rise of mass incarceration and criminalization and has evolved ever since, from helpmate to the criminal system to a zealous advocate for the accused. The last major evolutionary turn transformed public defenders into a bulwark against America’s penal impulses, defending people against the state while working holistically to address the range of legal and social needs that drive criminal legal system involvement. Recent years have witnessed a growing willingness to grapple with abolition as a strategy and vision, and with it an increasing recognition that being a bulwark—while an essential feature of public defense—is simply not enough to upend the status quo. In this Article, I contend that public defense can and should embrace an abolitionist ethic. I do so because I believe that an abolitionist ethic orients the work of public defenders more pointedly at the interlocking structural causes that lead people into the clutches of the criminal system, and it directs sustained energy at its oppressive nature, ultimately benefitting the people and the communities that public defenders serve. What does an abolitionist ethic mean for a public defender? Fundamentally, it is a merger of retail-scale zealous criminal defense with wholesale structural change aimed at dismantling the criminal system. Beyond that, it means building a world in which police, jails, and prisons are obsolete. And it employs frameworks and advocacy tools that are accessible to public defense. A public defender’s abolitionist ethic combines a racial justice lens informed by Critical Race Theory to understand the forces that animate the criminal system; zealous holistic defense of individuals infused with the spirit of resistance lawyering; movement lawyering to support social justice advocacy aimed at reducing the size, scope, and scale of the system on the way to dismantling it; and organized efforts to render the carceral state dispensable. Shifting the paradigm of public defense and the work of public defenders is no easy task. Indeed, it is laden with challenges. Inadequate funding, the skepticism that travels with abolition, the sheer difficulty of criminal defense work, and the seemingly intractable nature of the criminal system can make the turn to an abolitionist ethic seem like a fruitless pursuit. For the public defender, those challenges cannot be the end of the story. The lessons that flow from the centuries-long struggle for racial justice, where abolition was born, teach us that—as organizer and activist Mariame Kaba says—“hope is a discipline.” By nature, public defense work rests on that discipline. Defenders fight against long odds in an unforgiving system. They do so for a host of reasons, among them the hope that what they do will make a difference in the broader fight for the dignity and humanity of those they represent. Defenders must draw on that same sensibility in pursuit of the world that those whom they defend—and all of us—deserve. [ABSTRACT FROM AUTHOR]
- Published
- 2024
30. BMI Research: Canada Petrochemicals Report: Industry Forecast Scenario.
- Subjects
PETROLEUM chemicals industry ,BUSINESS forecasting ,FOREIGN investments ,DIVERSIFICATION in industry - Abstract
The article presents a forecast of the petroleum chemicals industry in Canada. It notes that while the industry has been relatively insulated from Europe directly, it has been indirectly affected by close ties with the economy in the U.S. It further anticipates that the economy will reach its full potential with increasing foreign investments despite difficult operating environment. The move of Nova Chemicals Corp. to diversify its ethane supplies will help secure its condition.
- Published
- 2012
31. Secs. 338 and 1060 Prop.Regs.
- Author
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Panitch, Irwin and Tapajna, Joseph J.
- Subjects
TAX laws ,ASSETS (Accounting) ,PURCHASING - Abstract
Discusses the changes in the proposed tax regulations under Sections 338 and 1060 of the United States tax law. Objective in changing the proposed regulations; Elimination of the differences between the treatment of a Section 338 deemed asset purchase under general tax law provisions; List of the significant changes in the proposed regulations.
- Published
- 1999
32. Emergency Powers for Good.
- Author
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Chachko, Elena and Linos, Katerina
- Subjects
EXECUTIVE power ,RULE of law ,LIBERTY ,GOVERNMENT policy - Abstract
Emergency powers are widely, and justly, criticized as threats to the rule of law. In the United States, forty-three declared emergencies give the executive vast authority to exercise power unencumbered by standard legal and procedural requirements. A long tradition of executive use of emergency powers to erode civil liberties amplifies fears of executive overreach. Yet this, we argue, is only part of the picture. We examine how emergency powers can be used for good. We argue that under certain limited conditions, political actors can legitimately invoke emergency powers to transform public policy. In addition to widely accepted requirements of crisis severity, transparency, and time limits, we argue that broad consensus and a reformulated non-discrimination requirement are essential to the proper use of emergency powers for societal transformation. We analyze recent high-profile exercises of emergency powers by the U.S. executive to fund a wall on the southern border and to forgive billions in student debt, as well as the European Union's (EU) extraordinarily frequent and broad use of emergency powers in the last three years in response to COVID-19 and Russia's Ukraine invasion. We conclude that the U.S. measures fail under our normative framework, while the EU measures offer a promising template for the transformative use of emergency powers. [ABSTRACT FROM AUTHOR]
- Published
- 2024
33. Chenery II Revisited.
- Author
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Deacon, Daniel T.
- Subjects
ADMINISTRATIVE procedure ,GOVERNMENT agencies ,COURTS ,POLICY sciences - Abstract
Ever since the Supreme Court's 1947 decision in SEC v. Chenery Corporation, known as Chenery II, agencies have enjoyed wide latitude to develop policy through individual adjudications in addition to rulemaking. Chenery II has never been completely uncontroversial, and in recent years, calls to overturn or limit it have been expressed in increasingly fervent tones. Agency policymaking by adjudication has emerged as a new front in the struggle over the administrative state. Against the backdrop of such calls, this Article revisits some of the fundamental questions concerning the Chenery II doctrine. I argue in favor of retaining Chenery II's core procedural holding. Indeed, except where the organic statute requires rulemaking, courts should never set aside an agency order because that order announces a policy that the court concludes should have been announced through rulemaking. But even if courts lack power to hold that agencies have violated procedural law by failing to use rulemaking in announcing a particular policy, the policy itself remains subject to more substantive limitations: it must have been the product of "reasoned decision-making," and it must comport with applicable binding law. I argue that courts can adapt these limitations, as applied to particular policies adopted via adjudication, to address the gravest concerns raised by Chenery II's skeptics. Finally, I evaluate two "soft" constraints on agency policymaking by adjudication, designed to influence agencies' procedural decisions without purporting to control them. I argue that these soft limits, though plausibly justifiable, may have real costs and reap uncertain benefits. It is at best unclear whether they should be adopted. [ABSTRACT FROM AUTHOR]
- Published
- 2024
34. The Ordinary Questions Doctrine.
- Author
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Bressman, Lisa Schultz
- Subjects
ADMINISTRATIVE procedure ,JUDICIAL review ,GOVERNMENT agencies ,COURTS ,STATUTES ,JUDGE-made law ,LOPER Bright Enterprises v. Raimondo - Abstract
In Loper Bright Enterprises v. Raimondo, the Supreme Court overruled Chevron as inconsistent with the Administrative Procedure Act ("APA"), which requires courts to decide "all relevant questions of law" and therefore prohibits them from deferring to agency interpretations because the relevant statutory language is ambiguous. A different approach now governs judicial review of the countless routine, often specialized questions of statutory interpretation that agencies answer in the normal course of implementing their statutes--the "ordinary" questions. But Loper Bright did not provide direction on how courts should determine which of these questions are questions of law. This issue arises because many, if not most, ordinary questions involve questions of law that depend on questions of policy for resolution and can be characterized either way for purposes of judicial review. Under Chevron, courts did not need to decide how to characterize such mixed questions because the doctrine instructed them to treat statutory ambiguities as presenting questions of policy for the agency to decide. That directive eased the pressure of determining how to handle such questions for purposes of judicial review under the APA. Loper Bright has altered the doctrine but not the nature of ordinary questions. Even though courts may no longer treat these questions as ones of policy "simply because the statute is ambiguous," they do not need to characterize every question as one of law simply because a statutory term or phrase is involved. Many agency interpretations are no different in kind or degree from the agency policy decisions subject to the arbitrary and capricious standard of review in the APA. Courts determine which of the underlying questions are for them to decide independently and which are for the agency to decide, subject to the arbitrary and capricious test. This is a judicial policy choice, and we should be interested in how courts make it. Before Chevron, courts made the choice on an ad hoc basis. After Loper Bright, the temptation is for courts to ignore the problem and decide what they can. This Foreword contends that courts should make the choice mindful of established judicial norms for questions of policy. More specifically, a court should consider whether resolving a question itself would amount to judicial policymaking in the relatively concrete ways that the arbitrary and capricious test discourages. The claim is not that courts should apply the arbitrary and capricious test straight away to ordinary questions. Rather, the considerations for applying that test are useful in the first instance to discern whether a question is best regarded as one of law or policy, consistent with the APA and the normative values that undergird the allocation of authority between courts and agencies. [ABSTRACT FROM AUTHOR]
- Published
- 2024
35. Restoring culture and capital to cultural capital: origin–destination cultural distance and immigrant earnings in the United States.
- Author
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He, Qian, Gerber, Theodore P., and Xie, Yu
- Subjects
CULTURAL capital ,SOCIOLOGY literature ,CROSS-cultural differences ,EDUCATIONAL outcomes ,SOCIAL classes - Abstract
An extensive sociological literature maintains that cultural capital is pivotal in perpetuating social inequalities. However, empirical tests of cultural capital theory focus on how culture influences educational outcomes, not earnings, and they mainly look for cultural differences across social classes within societies. We propose a direct test of economic returns to cultural capital based instead on differences in national cultures across countries. Using the American Community Survey and the National Survey of College Graduates, we analyze the relationship between immigrants' lack of U.S.-specific cultural capital, proxied by cultural distance between the origin country and the U.S., and their earnings. Findings consistently indicate that origin – U.S. cultural distance is linked to immigrants' lower earnings after controlling for numerous other factors, supporting cultural capital theory. Cultural distance earnings penalties are more pronounced for immigrants with at least a bachelor's degree, those arriving in adulthood, and those with foreign degrees. Moreover, county-level analysis reveals more sizable cultural distance penalties in more competitive and unequal labour markets, highlighting how subnational receiving contexts shape origin-country disparities in immigrants' economic incorporation at their destinations. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
36. Celebrity Identification and Reasoned Action: An Integrative Model of the Relationship Between Media Use and Breast Cancer Screening Intention.
- Author
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Cho, Suahn Jang and Tian, Yan
- Subjects
BREAST tumor diagnosis ,BREAST tumor prevention ,HEALTH attitudes ,INCOME ,EARLY detection of cancer ,INFORMATION resources ,THEORY of reasoned action ,CHI-squared test ,PATH analysis (Statistics) ,AGE distribution ,DESCRIPTIVE statistics ,RACE ,INTENTION ,HEALTH behavior ,MATHEMATICAL models ,MARITAL status ,HEALTH promotion ,THEORY ,CONFIDENCE intervals ,DATA analysis software ,EDUCATIONAL attainment - Abstract
This study investigates the relationship between media use and breast cancer screening intentions by integrating the celebrity identification model and the theory of reasoned action. It tests an integrative model with survey data from 315 U.S. adult women. The study found that media use for breast cancer information was positively associated with parasocial interaction (PSI) and identification with celebrities who have or have had breast cancer; PSI was positively associated with attitudes, descriptive and injunctive norms in breast cancer screening, while identification with celebrities was positively associated with descriptive norms; attitudes, injunctive norms and descriptive norms were positively associated with breast cancer screening intentions. The study supports the mediating effect of PSI, identification, attitudes, and descriptive and injunctive norms on the association between media use and breast cancer prevention intentions. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
37. Socioeconomic Deprivation Detrimentally Influences Language Outcomes in Toddlers With Cleft Palate.
- Author
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Fujiki, Robert Brinton, Lien, Kari M., Munday, John, and Thibeault, Susan L.
- Subjects
RISK assessment ,CROSS-sectional method ,PARENTS ,RESEARCH funding ,SOCIOECONOMIC status ,MULTIPLE regression analysis ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,PROBLEM solving ,AGE distribution ,PARENT attitudes ,DEVELOPMENTAL disabilities ,ODDS ratio ,CAREGIVERS ,LANGUAGE disorders ,RESEARCH ,GENETIC disorders ,BODY language ,CHILD development ,QUALITY of life ,CLEFT lip ,COMPARATIVE studies ,CLEFT palate ,SOCIAL classes ,NEIGHBORHOOD characteristics ,SOCIAL isolation ,LANGUAGE acquisition ,CAREGIVER attitudes ,DISEASE risk factors ,DISEASE complications ,CHILDREN - Abstract
Purpose: The purpose of this study was to examine the influence of socioeconomic deprivation on language and developmental outcomes in toddlers with cleft palate with or without cleft lip (CP ± L). Other factors known to influence language outcomes were also considered, including home language history, history of hearing problems, syndromic diagnoses, and sex. Method: A multicenter, cross-sectional study design was conducted. Data for 566 16-month-old toddlers with CP ± L were collected from 17 outpatient cleft palate clinics located throughout the United States. Outcome measures included the MacArthur-Bates Communicative Development Inventories, LENA Developmental Snapshot, age at first word as reported by the caregiver, and the Ages and Stages Questionnaires-Third Edition (ASQ-3). Multivariable linear or logistic regression was used to determine the influence of socioeconomic deprivation, as measured by the Area Deprivation Index, on language and developmental outcomes. Results: Greater socioeconomic deprivation significantly predicted poorer language outcomes in toddlers with CP ± L, including receptive vocabulary words (p = .02), expressive vocabulary words (p = .02), and late-developing gestures (p = .02). Additionally, toddlers from less affluent neighborhoods produced their first words significantly later than their counterparts living in more affluent areas (p < .01). Lower maternal education levels predicted significantly increased risk for problem solving delays (p < .01), and patients with subsidized insurance were at significantly increased risk for personal-social delays on the ASQ-3 (p < .01). Conclusions: Children with CP ± L are susceptible to developmental delays associated with socioeconomic deprivation. These findings have implications for identifying a child's individual risk factors for developmental language disorders when conducting speech-language assessments. Future study should examine how inequities in care can be mitigated and addressed. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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38. Consideration of Demographic Variables in Behavioral Interventions Pertaining to Children With Hearing Loss: A Systematic Review.
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Bharadwaj, Sneha V., Rhoades, Ellen A., and Perry, Haley
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TREATMENT of hearing disorders ,PARENTS ,LANGUAGE & languages ,SPEECH ,SOCIOECONOMIC factors ,DESCRIPTIVE statistics ,FAMILIES ,SYSTEMATIC reviews ,MEDLINE ,SOCIAL skills ,SOCIODEMOGRAPHIC factors ,ONLINE information services ,LITERACY ,BEHAVIOR therapy ,BEHAVIORAL research ,CHILD behavior ,EDUCATIONAL attainment ,PSYCHOLOGY information storage & retrieval systems ,ERIC (Information retrieval system) ,COGNITION ,CHILDREN - Abstract
Purpose: Equitable representation of children with hearing loss who are members of marginalized or minority groups in behavioral intervention studies enhances inclusivity in the scientific process and generalizability of results. The goal of this systematic review was to ascertain the percentage of studies conducted in the United States in the past 2 decades that reported relevant demographic variables. Method: Studies were searched across eight databases and clinical trial registries in October 2022. Variations of the following search strings were used to retrieve peer-reviewed published studies and unpublished clinical trials: children, hearing loss, and intervention. Results: Thirty-nine intervention studies met the inclusion criteria. The selected studies were reviewed and coded for the following demographic variables: area and type of intervention, participant age, hearing technology data, sample size, gender, race/skin color and ethnicity, primary/home language(s), additional disabilities, parental education, family income, and parental occupation. Results revealed that many demographic variables were remarkably underreported, with parental education, family income, and parental occupation variables being the least reported data. Conclusions: Demographic data can be an important tool for changing disparities related to intervention outcomes. This systematic review suggests that inclusive research practices should be extended to low-literacy or low-economic resources, non-White, and non--English-speaking groups. Inclusion practices coupled with sufficient sample sizes will ultimately aid in identifying hearing health disparities. [ABSTRACT FROM AUTHOR]
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- 2024
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39. Association between weight-adjusted waist index and risk of diabetes mellitus type 2 in United States adults and the predictive value of obesity indicators.
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Li, XinMeng, Zhao, Dan, and Wang, Hongkun
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TYPE 2 diabetes ,HEALTH & Nutrition Examination Survey ,RECEIVER operating characteristic curves - Abstract
Background: The weight-adjusted waist index (WWI) is a quantitative anthropometric index that can be applied to evaluate obesity. This study examined the relationship between adult United States (US) residents' risk of diabetes mellitus type 2 (T2DM) and WWI. Methods: The NHANES (National Health and Nutrition Examination Survey) 2001–2018 provided the data for this investigation. This study used multifactorial logistic regression analysis, smoothed curve fitting, subgroup analysis, and interaction tests to assess the association between WWI and T2DM. Additionally, threshold effects were calculated using a two-stage linear regression model. The receiver operating characteristic(ROC) curves evaluated the diagnostic ability of the WWI and commonly used obesity indicators. Results: 20,477 participants were enrolled in the analysis, and patients with greater levels of WWI had a higher prevalence of T2DM. WWI and T2DM have a non-linear relationship, with a positive association found on the left side of the breakpoint (WWI = 12.35) (OR = 1.82, 95%CI:1.64–2.02), whereas, on the right side, no such relationship was found (OR = 0.9, 95%CI:0.61–1.34). For every unit rise in WWI, the probability of having T2DM increased by 67% after controlling for all other variables (OR:1.67,95%CI:1.53–1.83). Based on subgroup analyses, individuals under 40 had a higher correlation between WWI and T2DM (P < 0.001).ROC analyses showed that WWI had the best discrimination and accuracy in predicting T2DM compared to other obesity indicators (WC, BMI, and Weight). Conclusion: Higher WWI values had a higher prevalence of T2DM in US individuals, especially in adults under 40. WWI has the strongest ability to predict T2DM. Therefore, the importance of WWI in the early identification of T2DM in US adults should be emphasized. [ABSTRACT FROM AUTHOR]
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- 2024
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40. Innovation in isolation: diffusion of local foods purchasing and online shopping methods during the pandemic.
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Cheng-Xian Yang, Baker, Lauri M., Mattox, Anissa M., and Peterson, Hikaru H.
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CONSUMER behavior ,DIFFUSION of innovations ,GROCERY shopping ,MARKETING ,ONLINE shopping - Abstract
Introduction: The COVID-19 pandemic caused mainstream food supply chain disruptions, increased food security concerns, and impacted agrifood production and distribution systems. Short food supply chains provided consumers with an alternative method to acquire food outside conventional food supply chains. In this paper, innovation was seen as a solution to external challenges or problems in global food supply chains during a pandemic crisis. The solution was analyzed in the context of the United States and changes in the consumers' behavior and purchasing patterns in the direction of more accepting short supply chains, which led to the successful overcoming of crisis or adaptation of consumers to crisis circumstances. Methods: The Diffusion of Innovations was selected as the theoretical framework. Data were collected from 1,002 American adults from July 13 to August 18, 2021, through an online survey. Results and discussion: Results showed that consumers with higher educational attainment and financial status, from non-rural areas, and with more conservative viewpoints had higher innovation adoption levels, and they were more likely to embrace short food supply chains as an alternative during disruptions to conventional supply chains. Recommendations provide strategies to increase the use of short supply chains during the crisis to better meet the needs of consumers in the food system and improve marketing and communication efforts. Marketing and communication initiatives should engage these food innovators as opinion leaders to increase the adoption of short food supply chains to stabilize food supply in preparation for future crises. [ABSTRACT FROM AUTHOR]
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- 2024
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41. The unintended consequences of school-based health and nutrition policies: a systematic review.
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Turner, Samantha L., Libert, Alexis M., Haase, Grace, Zhaoyi Pan, Austin, Andrew, and Timko, C. Alix
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NUTRITION policy ,HEALTH policy ,COMPULSIVE eating ,CONTROL (Psychology) ,PREVENTION of obesity ,EATING disorders - Abstract
Background: Significant funding and attention are directed toward schoolbased health and nutrition interventions. Less attention is given to the potential unintended consequences of these policies, especially those that target children and adolescents. This systematic review aimed to elucidate the unintended consequences of school-based health and nutrition policies in the United States. Methods: We conducted a systematic review, adhering to PRISMA guidelines, to analyze quantitative, qualitative, and mixed methods research conducted between January 2013 and September 2023. The search strategy encompassed three databases, identifying 11 articles that met the inclusion criteria. Results: Unintended consequences were organized into four themes: disordered weight control behaviors, parental discomfort or encouragement of disordered weight control behaviors, eating disorder triggers, and financial losses. The analysis of disordered weight control behaviors indicates limited impact on youth, and we noted limited consensus in the assessment of these behaviors. We observed parent concerns about BMI screening and reporting as well as apprehensions about privacy and efficacy. There were fewer articles addressing eating disorder antecedents, although there was evidence that some youths with eating disorders considered school health class a trigger of their disorder. One study was identified that found an increase in food waste following replacement of sugar-sweetened beverages. Implications: Findings underscore the importance of comprehensive evaluation and consideration of unintended consequences in the development and implementation of school-based health policies. Recommendations include further longitudinal research, integrating obesity prevention with eating disorder prevention, and de-implementation when unintended consequences potentially outweigh benefits, such as in BMI screening and surveillance. [ABSTRACT FROM AUTHOR]
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- 2024
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42. Increased cardiac vagal tone in childhood-only, adolescent-only, and persistently antisocial teenagers: the mediating role of low heart rate.
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Raine, Adrian, Brodrick, Lia, Pardini, Dustin, Jennings, J. Richard, and Waller, Rebecca
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VAGUS nerve physiology ,RISK assessment ,RESEARCH funding ,INDEPENDENT living ,COGNITIVE testing ,BIOFEEDBACK training ,HEART beat ,TEENAGERS' conduct of life ,PSYCHOLOGICAL stress ,PARASYMPATHETIC nervous system ,SOCIAL skills ,ANTISOCIAL personality disorders ,ADOLESCENCE ,CHILDREN - Abstract
Background Cardiac vagal tone is an indicator of parasympathetic nervous system functioning, and there is increasing interest in its relation to antisocial behavior. It is unclear however whether antisocial individuals are characterized by increased or decreased vagal tone, and whether increased vagal tone is the source of the low heart rate frequently reported in antisocial populations. Methods Participants consisted of four groups of community-dwelling adolescent boys aged 15.7 years: (1) controls, (2) childhood-only antisocial, (3) adolescent-only antisocial, and (4) persistently antisocial. Heart rate and vagal tone were assessed in three different conditions: rest, cognitive stressor, and social stressor. Results All three antisocial groups had both lower resting heart rates and increased vagal tone compared to the low antisocial controls across all three conditions. Low heart rate partially mediated the relationship between vagal tone and antisocial behavior. Conclusions Results indicate that increased vagal tone and reduced heart rate are relatively broad risk factors for different developmental forms of antisocial behavior. Findings are the first to implicate vagal tone as an explanatory factor in understanding heart rate – antisocial behavior relationships. Future experimental work using non-invasive vagus nerve stimulation or heart rate variability biofeedback is needed to more systematically evaluate this conclusion. [ABSTRACT FROM AUTHOR]
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- 2024
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43. Comparative genomic analysis of Bacillus atrophaeus HAB-5 reveals genes associated with antimicrobial and plant growth-promoting activities.
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Dahar, Ghulam Yaseen, Huan Wei Wang, Rajer, Faheem Uddin, Pengfie Jin, Peidong Xu, Abro, Manzoor Ali, Qureshi, Abdul Sattar, Karim, Asad, and Weiguo Miao
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PLANT growth ,GENOMICS ,BACILLUS (Bacteria) ,WHOLE genome sequencing ,BACILLUS amyloliquefaciens ,AGRICULTURE - Abstract
Bacillus atrophaeus HAB-5 is a plant growth-promoting rhizobacterium (PGPR) that exhibits several biotechnological traits, such as enhancing plant growth, colonizing the rhizosphere, and engaging in biocontrol activities. In this study, we conducted whole-genome sequencing of B. atrophaeus HAB-5 using the single-molecule real-time (SMRT) sequencing platform by Pacific Biosciences (PacBio; United States), which has a circular chromosome with a total length of 4,083,597 bp and a G + C content of 44.21%. The comparative genomic analysis of B. atrophaeus HAB-5 with other strains, Bacillus amyloliquefaciens DSM7, B. atrophaeus SRCM101359, Bacillus velezensis FZB42, B. velezensis HAB-2, and Bacillus subtilis 168, revealed that these strains share 2,465 CDSs, while 599 CDSs are exclusive to the B. atrophaeus HAB-5 strain. Many gene clusters in the B. atrophaeus HAB-5 genome are associated with the production of antimicrobial lipopeptides and polypeptides. These gene clusters comprise distinct enzymes that encode three NRPs, two Transat-Pks, one terpene, one lanthipeptide, one T3PKS, one Ripp, and one thiopeptide. In addition to the likely IAA-producing genes (trpA, trpB, trpC, trpD, trpE, trpS, ywkB, miaA, and nadE), there are probable genes that produce volatile chemicals (acoA, acoB, acoR, acuB, and acuC). Moreover, HAB-5 contained genes linked to iron transportation (fbpA, fetB, feuC, feuB, feuA, and fecD), sulfur metabolism (cysC, sat, cysK, cysS, and sulP), phosphorus solubilization (ispH, pstA, pstC, pstS, pstB, gltP, and phoH), and nitrogen fixation (nif3-like, gltP, gltX, glnR, glnA, nadR, nirB, nirD, nasD, narl, narH, narJ, and nark). In conclusion, this study provides a comprehensive genomic analysis of B. atrophaeus HAB-5, pinpointing the genes and genomic regions linked to the antimicrobial properties of the strain. These findings advance our knowledge of the genetic basis of the antimicrobial properties of B. atrophaeus and imply that HAB-5 may employ a variety of commercial biopesticides and biofertilizers as a substitute strategy to increase agricultural output and manage a variety of plant diseases. [ABSTRACT FROM AUTHOR]
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- 2024
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44. Factors Predicting In-School and Electronic Bullying among High School Students in the United States: An Analysis of the 2021 Youth Risk Behavior Surveillance System.
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Nguyen, Tran H., Shah, Gulzar H., Kaur, Ravneet, Muzamil, Maham, Ikhile, Osaremhen, and Ayangunna, Elizabeth
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RISK assessment ,LIFESTYLES ,SUBSTANCE abuse ,CROSS-sectional method ,CYBERBULLYING ,RISK-taking behavior ,HIGH school students ,MULTIPLE regression analysis ,CHI-squared test ,ODDS ratio ,SCHOOL violence ,PUBLIC health ,SOCIODEMOGRAPHIC factors ,DATA analysis software ,COVID-19 pandemic ,PHYSICAL activity - Abstract
Background: Bullying is a global public health problem with severe adverse effects on behavioral health. Understanding the predictors of victimization by bullying is essential for public policy initiatives to respond to the problem effectively. In addition to traditional in-person bullying, electronic bullying has become more prevalent due to increasing social interaction and identity formation in virtual communities. This study aims to determine the predictors of in-school and electronic bullying. Methods: We employed multivariable logistic regression to analyze a nationally representative sample of 17,232 high school students in the United States, the 2021 Youth Risk Behavior Surveillance System national component. The survey was conducted during the COVID-19 pandemic, from September through December 2021. The factors examined included sociodemographic characteristics (age, gender, race), appearance (obesity), physically active lifestyles (being physically active, spending a long time on digital games), and risk-taking behavior (using marijuana). Results: Our results indicated that sociodemographic characteristics were strong predictors of being bullied in school and electronically. Being obese is more likely to result in bullying in school (AOR = 1.32, p = 0.003) and electronically (AOR = 1.30, p = 0.004). Adolescent students showing marijuana use had higher odds of being bullied in school (AOR = 2.15, p < 0.001) and electronically (AOR = 1.81, p < 0.001). While spending a long time on digital devices raises the risk of being electronically bullied (AOR = 1.25, p = 0.014), being physically active is not associated with being bullied. Neither of the two lifestyle factors was associated with in-school bullying. Conclusions: Interventions addressing violence among adolescents can benefit from empirical evidence of risk factors for bullying victimization in high school. [ABSTRACT FROM AUTHOR]
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- 2024
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45. A 10-Year Retrospective Review of Playground-Associated Craniofacial Injuries in the Pediatric Patient Population.
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Kolbow, Madison, Quick, Joseph D., Powell, Lauren E., Wang, Qi, Nguyen, Minh-Doan T., and Barta, Ruth J.
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MOUTH injuries ,WOUNDS & injuries ,PLAY ,FACIAL injuries ,PUBLIC health surveillance ,DATABASES ,MEDICAL information storage & retrieval systems ,PATIENTS ,RESEARCH funding ,SEX distribution ,EMERGENCY medical services ,RETROSPECTIVE studies ,DESCRIPTIVE statistics ,PEDIATRICS ,MEDICAL records ,ACQUISITION of data ,SCHOOL children ,SCALP ,COMPARATIVE studies ,HEAD injuries ,CHILDREN - Abstract
This retrospective study utilized the National Electronic Injury Surveillance System (NEISS) database to identify pediatric emergency department (ED) patients with playground-associated craniofacial injuries between January 2012 and December 2021. A total of 25 414 patients were identified. The majority of injuries occurred in preschool and elementary school–age children (90.3%) and patients were more commonly boys (59.3%). Injuries most often involved the head/scalp (52.4%), face (30.4%), and mouth (11.9%). Infant (32.7%) and teen (40.0%) injuries most commonly involved swings, whereas preschool (23.1%) and elementary school (28.1%) injuries were mostly associated with slides and climbers, respectively. Most patients were treated in the ED and discharged to home (96.5%), a small portion required hospitalization (1.6%), and one death was reported. Although the majority of the injuries were relatively minor and resulted in same-day discharges, these injuries can result in serious physical harm, emotional stress, and unexpected financial burdens. Proper education and supervision regarding safe play is important to prevent these injuries. [ABSTRACT FROM AUTHOR]
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- 2024
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46. Head Injuries Among Children Treated in US Emergency Departments, 2015-2019.
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McAdams, Rebecca J., Acevedo-Fontánez, Adrianna I., Arcury-Quandt, Alice E., and Heberger, John R.
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PRODUCT safety ,RESEARCH funding ,LOGISTIC regression analysis ,MEDICAL care ,HOSPITAL emergency services ,AGE ,DESCRIPTIVE statistics ,PEDIATRICS ,ODDS ratio ,STATISTICS ,HOME accidents ,CONFIDENCE intervals ,DATA analysis software ,HEAD injuries ,REGRESSION analysis ,CHILDREN - Abstract
This study evaluates the epidemiology of nonfatal head injuries among children aged 1 to 4 years associated with consumer products and identifies the specific consumer products associated with these injuries. Data for children aged 1 to 4 years who presented to emergency departments (EDs) from 2015 to 2019 for a nonfatal head injury were extracted from the National Electronic Injury Surveillance System. An estimated 1 032 429 (95% confidence interval [CI]: 675 822-1 389 063) children presented to US EDs for head injuries, averaging 566 injuries daily. The average rate of head injury did not change over the 5-year study period (slope = −0.003; P =.852); it was highest among children aged 1 year (2.06 per 100 children aged 1 year), which was nearly 3 times that of children aged 4 years (rate ratio = 2.75; 95% CI: 2.73-2.77). Most injuries occurred at home (80.4%) and occurred from interacting with home furnishings (45.1%). This study underscores the need for increased head injury mitigation efforts among young children. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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47. Including transgender populations in mathematical models for HIV treatment and prevention: current barriers and policy implications.
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Tordoff, Diana M., Restar, Arjee, Minalga, Brian, Fernandez, Atlas, Dimitrov, Dobromir, and Duerr, Ann
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HIV prevention ,MATHEMATICAL models ,EVIDENCE gaps ,TRANS men ,HIV infection transmission - Abstract
Introduction: Mathematical models of HIV have been uniquely important in directing and evaluating HIV policy. Transgender and nonbinary people are disproportionately impacted by HIV; however, few mathematical models of HIV transmission have been published that are inclusive of transgender and nonbinary populations. This commentary discusses current structural challenges to developing robust and accurate trans‐inclusive models and identifies opportunities for future research and policy, with a focus on examples from the United States. Discussion: As of April 2024, only seven published mathematical models of HIV transmission include transgender people. Existing models have several notable limitations and biases that limit their utility for informing public health intervention. Notably, no models include transgender men or nonbinary individuals, despite these populations being disproportionately impacted by HIV relative to cisgender populations. In addition, existing mathematical models of HIV transmission do not accurately represent the sexual network of transgender people. Data availability and quality remain a significant barrier to the development of accurate trans‐inclusive mathematical models of HIV. Using a community‐engaged approach, we developed a modelling framework that addresses the limitations of existing model and to highlight how data availability and quality limit the utility of mathematical models for transgender populations. Conclusions: Modelling is an important tool for HIV prevention planning and a key step towards informing public health interventions, programming and policies for transgender populations. Our modelling framework underscores the importance of accurate trans‐inclusive data collection methodologies, since the relevance of these analyses for informing public health decision‐making is strongly dependent on the validity of the model parameterization and calibration targets. Adopting gender‐inclusive and gender‐specific approaches starting from the development and data collection stages of research can provide insights into how interventions, programming and policies can distinguish unique health needs across all gender groups. Moreover, in light of the data structure limitations, designing longitudinal surveillance data systems and probability samples will be critical to fill key research gaps, highlight progress and provide additional rigour to the current evidence. Investments and initiatives like Ending the HIV Epidemic in the United States can be further expanded and are highly needed to prioritize and value transgender populations across funding structures, goals and outcome measures. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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48. The Hidden Monetary State.
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Rauterberg, Gabriel and Younger, Joshua
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MONEY ,MONETARY policy ,FINANCIAL instruments ,SHADOW banking system ,CRYPTOCURRENCIES - Abstract
Money is a motley. While the state enjoys a monopoly on issuing new physical currency, a variety of instruments serve money-like roles in the financial system. The commercial banking system significantly augments the money supply through issuing deposits. Alongside it, a shadow banking system has also developed, offering a range of deposit substitutes. This Article seeks to cast new light on the U.S. financial system by exploring how, over the course of the twentieth century, federal policymakers engaged in a series of distinct and largely uncoordinated monetary experiments. As we show through historical case studies, federal authorities designed, promoted, and repurposed financial instruments, endowing them with money-like characteristics by providing them with liquidity support, credit support, or both. In essence, policymakers created special purpose moneys to further national policy ambitions. The result of each intervention was a debt instrument with monetary properties. Market participants understood, in part due to these instruments’ implicit federal guarantees, that they would be rapidly convertible into base money under a wide range of circumstances. In short, the market treated these instruments as money substitutes. Yet the creation and use of these instruments was not coordinated and controlled by the United States’ central bank and formal monetary authority, the Federal Reserve, nor was it subject to the same level of scrutiny and supervision as the banking system. Almost invariably, these special purpose monies proved less visible than traditional monetary policy. Hence our description of it as a kind of submerged or “hidden monetary state.” This historical account enriches our understanding of the costs and benefits of such approaches. As a normative matter, we show how pursuing public ends by means of special money creation is generally more complex, less visible, and more regressive than most monetary policy. We also show, however, that these policies have led to important public benefits that are not always recognized. These relate to the international role of the dollar and the functioning of the U.S. Treasury and mortgage markets. As a policy matter, our account helps clarify how shadow banking emerged in ways that can inform policy making. In particular, crypto assets present many of the same challenges that policymakers faced in the 1960s and 1970s. We also link shadow banking to broader debates about the nature of the state and public policy. [ABSTRACT FROM AUTHOR]
- Published
- 2024
49. Challenges Facing Antimicrobial Stewardship Programs in the Endemic Region for Coccidioidomycosis.
- Author
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Hayes, Justin F and Nix, David E
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COCCIDIOIDOMYCOSIS ,ANTIMICROBIAL stewardship ,DELAYED diagnosis ,PARACOCCIDIOIDOMYCOSIS ,DIAGNOSTIC errors ,DRUG prescribing - Abstract
Coccidioidomycosis poses a significant cost and morbidity burden in the United States. Additionally, coccidioidomycosis requires constant decision-making related to prevention, diagnosis, and management. Delays in diagnosis lead to significant consequences, including unnecessary diagnostic workup and antibacterial therapy. Antifungal stewardship considerations regarding empiric, prophylactic, and targeted management of coccidioidomycosis are also complex. In this review, the problems facing antimicrobial stewardship programs (ASPs) in the endemic region for coccidioidomycosis, consequences due to delayed or missed diagnoses of coccidioidomycosis on antibacterial prescribing, and excess antifungal prescribing for prevention and treatment of coccidioidomycosis are elucidated. Finally, our recommendations and research priorities for ASPs in the endemic region for coccidioidomycosis are outlined. [ABSTRACT FROM AUTHOR]
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- 2024
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50. An updated analysis of safety climate and downstream outcomes in two convenience samples of U.S. fire departments (FOCUS 1.0 and 2.0 survey waves).
- Author
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Geczik, Ashley M., Lee, Jin, Allen, Joseph A., Raposa, Madison E., Robinson, Lucy F., Quistberg, D. Alex, Davis, Andrea L., and Taylor, Jennifer A.
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INDUSTRIAL safety ,CORPORATE culture ,SUPERVISION of employees ,JOB involvement ,RESEARCH funding ,SECONDARY analysis ,FIRE prevention ,STATISTICAL sampling ,MULTIPLE regression analysis ,DESCRIPTIVE statistics ,DISEASE prevalence ,SURVEYS ,WORK-related injuries ,JOB satisfaction ,PROFESSIONS ,ODDS ratio ,RESEARCH methodology ,EMERGENCY medical personnel ,DATA analysis software ,CONFIDENCE intervals ,FIREFIGHTING ,EPIDEMIOLOGICAL research ,LEGAL compliance - Abstract
Background: The Fire service Organizational Culture of Safety (FOCUS) survey is an assessment tool comprised of psychometrically validated metrics of safety climate, safety behavior, and downstream outcomes (organizational and injury) that are specific to the U.S. fire and rescue service. Methods: This analysis consists of a descriptive summary of two independent survey waves (FOCUS 1.0 and 2.0). The fire departments included in these survey waves were from convenience sampling (n
1.0 = 275; n2.0 = 170). In addition to department level characteristics, we examined individual level characteristics for firefighters and EMS providers in participating departments (n1.0 = 22,719; n2.0 = 16,882). We conducted regression analyses to examine the associations between safety climate and safety behaviors, organizational outcomes, and safety outcomes. All analyses were stratified by organization type (career, volunteer). Results: Our analysis indicated that a majority of respondents were males (90.7%FOCUS 1.0 ; 90.4%FOCUS 2.0 ), non-officers (68.4%FOCUS 1.0 ; 66.4%FOCUS 2.0 ), and non-Hispanic Whites (70.8%FOCUS 1.0 ; 69.5%FOCUS 2.0 ). For both samples there was a higher prevalence of injuries among individuals in career departments (nFOCUS 1.0 = 3778 [17.5%]; nFOCUS 2.0 = 3072 [18.7%]) than volunteer departments (nFOCUS 1.0 = 103 [8.8%]; nFOCUS 2.0 = 34 [7.4%]). We observed an approximate 10-point difference between the mean scores of Management Commitment to Safety for career and volunteer departments in both samples. We observed associations for two organizational outcomes, Safety Behavior and Job Satisfaction, with Management Commitment to Safety and Supervisor Support for Safety overall and when stratified by organization type. We observed a decrease in the odds of injuries associated with a one-unit increase in Management Commitment to Safety (OR1.0 overall : 0.98, 95% CI 0.97–0.99; OR2.0 volunteer : 0.90, 95% CI 0.85–0.95) and Supervisor Support for Safety (OR1.0 overall : 0.95, 95% CI 0.93–0.97; OR1.0 career : 0.95, 95% CI 0.92–0.98). Conclusions: From our current study, and a prior analysis of a geographically stratified random sample of U.S. fire departments, we identified that from all the organizational outcomes, job satisfaction was most consistently associated with FOCUS safety climate. Further, firefighters in our samples consistently rated Supervisor Support for Safety higher than Management Commitment to Safety. Future interventions should support fire departments in improving their departmental Management Commitment to Safety and maintaining their Supervisor for Safety. [ABSTRACT FROM AUTHOR]- Published
- 2024
- Full Text
- View/download PDF
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