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We assessed acceptability of nonoral HIV pre-exposure prophylaxis (PrEP) formulations among transgender women (TW) engaged in street-based sex work in Baltimore, Maryland. In a K-means cluster analysis, TW (N=36) were partitioned into groups characterized by high interest in long-acting injectable PrEP only (Injectable Enthusiasts, 36%), high interest in injectables and subdermal implants (Long-Acting Acceptors, 36%), and low interest across PrEP formulations (Non-Acceptors, 28%). TW's interest in novel PrEP agents varied widely across formulations (range: 22–66%) and clustered around numerous relational, occupational, and structural factors, highlighting the importance of availing multiple PrEP formulations for this impacted population. [ABSTRACT FROM AUTHOR]

Cabotegravir long-acting injectable HIV pre-exposure prophylaxis (LA PrEP) is efficacious, with a good safety profile, and was approved by the US Food and Drug Administration in December 2021. Understanding variations in potential user preferences for LA PrEP may inform implementation and subsequently improve uptake and community-level effectiveness. HIV-negative, sexually active men who have sex with men (MSM) aged ≥15 years were recruited online for the 2019 American Men's Internet Survey, before LA PrEP approval. Respondents completed a discrete-choice experiment (DCE) with hypothetical LA PrEP attributes (out-of-pocket cost, perceived side effects, injection frequency, perceived stigma, service location). Latent class analysis segmented respondents into groups based on their preferences for the attributes presented, and relative importance of preference weights and willingness-to-pay were calculated. While the majority had never used daily oral PrEP, 73% of the 2489 respondents were very or somewhat likely to use LA PrEP. Three latent classes were identified from 2241 respondents in the DCE. The "side effects-averse" class was the largest group (64% of respondents) and placed 61% relative importance on side effects. The "ambivalent" class (20% of respondents) placed higher importance on stigma (17% of relative importance) than other classes. The "cost-conscious" class (16% of respondents) placed higher relative importance (62%) on cost compared with other attributes and classes. Perceived side effects were an important hypothetical barrier for LA PrEP uptake among a large proportion of potential MSM users. Minimizing out-of-pocket costs is likely to increase uptake and may be important to equitable access. Tailored communication strategies are recommended for the different groups of potential LA PrEP users. [ABSTRACT FROM AUTHOR]

Background: Cognitive behavioral therapy (CBT) for pediatric anxiety is efficacious for reducing anxiety symptoms and improving functioning, but many children are unable to access CBT for anxiety in community settings. Schools are an important setting in which children access mental health care, including therapy for anxiety. In this setting, therapy is usually delivered by Masters-level therapists. Objectives: Friends for Life (FRIENDS), a 12-session, manualized, group CBT program for anxiety has demonstrated effectiveness when implemented in schools. However, prior research has also found challenges regarding feasibility and cultural fit when delivering FRIENDS in the urban school context. To address these challenges, we adapted FRIENDS for implementation in the school setting so that it might be more feasible and culturally appropriate for low-income, urban schools in the United States, while maintaining the core components of treatment. The current study uses a mixed-method approach to compare the effectiveness, cost-effectiveness, and perceived appropriateness of FRIENDS and CATS when delivered by Masters-level therapists with train-the-trainer support. Materials and methods: First, we compared change scores for student outcomes (i.e., child-report MASC-2 total score, parent-report MASC-2 total score, teacher-report Engagement and Disaffection subscale scores) from pre- to post- treatment between students receiving FRIENDS and students receiving CATS to assess whether the two conditions resulted in equivalent outcomes. Second, we compared the cost and cost-effectiveness between the groups. Finally, we used an applied thematic analysis to compare appropriateness of the interventions as perceived by therapists and supervisors. Results: The mean change score for the child-reported MASC-2 was 1.9 (SE = 1.72) points in the FRIENDS condition and 2.9 (SE = 1.73) points in the CATS condition; results indicated that the conditions were similar in their treatment effects, and symptom reductions were small in both groups. The modified protocol, CATS, was shown to cost significantly less to implement compared to FRIENDS and showed greater cost-effectiveness. Finally, compared to therapists and supervisors in the CATS condition, therapists and supervisors in the FRIENDS condition more strongly described aspects of the intervention that were not appropriate for their context and in need of more extensive adaptations. Conclusion: Relatively brief, group CBT for anxiety, with adaptations to improve cultural fit, is a promising approach to treat youth anxiety symptom when delivered by school-based therapists with train-the-trainer implementation support. [ABSTRACT FROM AUTHOR]

This paper conceptualises one possible antidote to the conditions that produce public mass gun violence (PMGV) in the United States. I begin by illuminating how PMGV is a backlash to the nation's 'founding' on the violent divisions of colonisation and coloniality. I then inquire: If PMGV is a reflection of a deep societal wound, what methodologies and educational considerations can we engage to prevent violence and promote healing? I explore an ecology of knowledges (EoK), cognitive justice, and transdisciplinarity to envisage how Other ways of knowing already figure into pedagogical practices that alleviate violence and create anti-oppressive societies. These theories unsettle Western and colonial logics that rely on contradictory thinking (e.g. good or evil). The theories also encourage us to get to know the 'other' in ourselves in order to get to know the 'other' in the disaffected, work with him, and soothe his desires for violence before they erupt. [ABSTRACT FROM AUTHOR]

Background and aims: Solitary drug use (SDU) can amplify risks of fatal overdose. We examined competing risks and drivers of SDU, as well as harm reduction strategies implemented during SDU episodes, among women who inject drugs (WWID). Design: A cross‐sectional qualitative study, including telephone and face‐to‐face in‐depth interviews. Setting: Baltimore City, MD, USA. Participants: Twenty‐seven WWID (mean age = 39 years, 67% white, 74% injected drugs daily) recruited via outreach and street intercept (April–September 2021). Measurements Interviews explored the physical (i.e. indoor/private, outdoor/public) and social (i.e. alone, accompanied) risk environments in which drug use occurred. Guided by the principles of emergent design, we used thematic analysis to interrogate textual data, illuminating women's preferences/motivations for SDU and strategies for minimizing overdose risks when using alone. Findings Many participants reported experiences with SDU, despite expressed preferences for accompanied drug use. SDU motivations clustered around three primary drivers: (1) avoiding opioid withdrawal, (2) preferences for privacy when using drugs and (3) safety concerns, including threats of violence. Participants nevertheless acknowledged the dangers of SDU and, at times, took steps to mitigate overdose risk, including naloxone possession, communicating to peers when using alone ('spotting') and using drugs in public spaces. Conclusions: WWID appear to engage frequently in SDU due to constraints of the physical and social environments in which they use drugs. They express a preference for accompanied drug use in most cases and report implementing strategies to mitigate their overdose risk, especially when using drugs alone. [ABSTRACT FROM AUTHOR]

The subfield of Darwin studies devoted to comparative reception coalesced around 1971 with the planning of a conference on the subject, at the University of Texas at Austin held in April 1972. The original focus was western Europe, Russia and the United States. Subsequently a spate of studies on the Italian reception added to the Eurocentric focus. The center of activity then switched to Latin America where a group of scholars coalesced in the mid 1990s, seemingly related to the maturation of the history of science as a discrete discipline there somewhat earlier. When interest in Europe revived during the last decade, the center of gravity had moved both eastward, to the former Society bloc countries (a reflection of the institutionalization of the history of science there), and north to Scandinavia. Recently, interest in the topic has emerged in the Islamic World. The subtext of the expansion of this topic is modernization.

Many syringe services programs (SSPs) have established trusting, long-term relationships with their clients and are well situated to provide COVID-19 vaccinations. We examined characteristics and practices of SSPs in the United States that reported providing COVID-19 vaccinations to their clients and obstacles to vaccinating people who inject drugs (PWID). We surveyed SSPs in September 2021 to examine COVID-19 vaccination practices through a supplement to the 2020 Dave Purchase Memorial survey. Of 153 SSPs surveyed, 73 (47.7%) responded to the supplement; 24 of 73 (32.9%) reported providing on-site COVID-19 vaccinations. Having provided hepatitis and influenza vaccinations was significantly associated with providing COVID-19 vaccinations (70.8% had provided them vs 28.6% had not; P =.002). Obstacles to providing vaccination included lack of appropriate facilities, lack of funding, lack of trained staff, and vaccine hesitancy among PWID. SSPs are underused as vaccination providers. Many SSPs are well situated to provide COVID-19 vaccinations to PWID, and greater use of SSPs as vaccination providers is needed. [ABSTRACT FROM AUTHOR]

Allocating resources is a central function of government, and the distributive politics literature provides considerable evidence of leaders around the world directing resources to co-partisan voters and officials. In the United States, studies of 'presidential particularism' have recently demonstrated strategic targeting by the federal executive branch. This letter extends the inquiry to states using an unusually rich case in which all governors simultaneously faced decisions about allocating a constrained resource – tax advantaged status for economic development – from an exogenously generated list of geographic possibilities. This study tests whether governors rewarded their supporters' and allies' areas alongside two alternatives: (1) spreading the wealth by geographic subunits and (2) policy need. It finds no evidence of gubernatorial particularism. Instead, Republicans and Democratic governors prioritized allocating opportunity zones geographically and made efforts to designate at least one in each county. They were also responsive to policy need. [ABSTRACT FROM AUTHOR]

Our aim was to better understand the underlying psychiatric, psychosocial, and psychodynamic aspects of mass shootings in the United States (US). The Mother Jones database of 115 mass shootings from 1982–20119 was used to study retrospectively 55 shooters in the US. After developing a psychiatric-assessment questionnaire, psychiatric researchers gathered multiple psychosocial factors and determined diagnoses and treatment by evaluating the clinical evidence obtained by interviewing forensic psychiatrists, who had assessed the assailant, and/or by reviewing psychiatric evaluations conducted during the judicial proceedings. All 35 surviving-assailant cases were selected. Additionally, 20 cases where the assailant died at the time of the shootings were randomly selected from the remaining 80 cases. The majority of assailants (87.5%) had misdiagnosed and incorrectly treated or undiagnosed and untreated psychiatric illness. Most of the assailants also experienced profound estrangement not only from families, friends, and classmates but most importantly from themselves. Being marginalized and interpersonally shunned rendered them more vulnerable to their untreated psychiatric illness and to radicalization online, which fostered their violence. While there are complex reasons that a person is misdiagnosed or not diagnosed, there remains a vital need to decrease the stigma of mental illness to enable those with severe psychiatric illness to be more respected, less marginalized, and encouraged to receive effective psychotherapeutic and pharmacologic treatments. [ABSTRACT FROM AUTHOR]

The theory that health behaviors spread through social groups implies that efforts to control COVID-19 through vaccination will succeed if people believe that others in their groups are getting vaccinated. But "others" can refer to many groups, including one's family, neighbors, fellow city or state dwellers, or copartisans. One challenge to examining these understudied distinctions is that many factors may confound observed relationships between perceived social norms (what people believe others do) and intended behaviors (what people themselves will do), as there are plausible common causes for both. We address these issues using survey data collected in the United States during late fall 2020 (n = 824) and spring 2021 (n = 996) and a matched design that approximates pair-randomized experiments. We find a strong relationship between perceived vaccination social norms and vaccination intentions when controlling for real risk factors (e.g., age), as well as dimensions known to predict COVID-19 preventive behaviors (e.g., trust in scientists). The strength of the relationship declines as the queried social group grows larger and more heterogeneous. The relationship for copartisans is second in magnitude to that of family and friends among Republicans but undetectable for Democrats. Sensitivity analysis shows that these relationships could be explained away only by an unmeasured variable with large effects (odds ratios between 2 and 15) on social norms perceptions and vaccination intentions. In addition, a prediction from the "false consensus" view that intentions cause perceived social norms is not supported. We discuss the implications for public health policy and understanding social norms. [ABSTRACT FROM AUTHOR]

Despite decreases in overall HIV mortality in the U.S., large racial inequities persist. Most previous analyses of HIV mortality and mortality inequities have utilized national- or state-level data. Using vital statistics mortality data and American Community Survey population estimates, we calculated HIV mortality rates and Black:White HIV mortality rate ratios (RR) for the 30 most populous U.S. cities at two time points, 2010–2014 (T1) and 2015–2019 (T2). Almost all cities (28) had HIV mortality rates higher than the national rate at both time points. At T2, HIV mortality rates ranged from 0.8 per 100,000 (San Jose, CA) to 15.2 per 100,000 (Baltimore, MD). Across cities, Black people were approximately 2–8 times more likely to die from HIV compared to White people at both time points. Over the decade, these racial disparities decreased at the national level (T1: RR = 11.0, T2: RR = 9.8), and in one city (Charlotte, NC). We identified large geographic and racial inequities in HIV mortality in U.S. urban areas. These city-specific data may motivate change in cities and can help guide city leaders and other health advocates as they implement, test, and support policies and programming to decrease HIV mortality. [ABSTRACT FROM AUTHOR]

The prevention effectiveness of oral preexposure prophylaxis (PrEP) is highly dependent on medication adherence but no validated longer term PrEP adherence measures are readily available for use by primary care clinicians caring for diverse populations. We compared two self-report measures (number of doses missed in past 7 days and day-by-day past week pill taking) to results of tenofovir concentrations in dried blood spot (DBS) samples at quarterly visits over the first 12 months of PrEP use. 1420 men and women in five US community health centers enrolled in a medication adherence substudy. For 3, 6, 9 and 12 months, the respective percentages of persons with self-report vs DBS levels consistent having taken all 7 doses in the week prior were 71% (51%), 70% (47%), 71% (46%) and 69% (44%). Conversely, the percentage of participants reporting taking 0–1 doses in the week prior by self-report vs DBS drug levels at 3, 6, 9 and 12 months consistent with this level of nonadherence of 6% (9%), 5% (10%), 8% (9%), and 9% (15%). The estimated risk of low adherence (estimated 0–1 doses in the week prior) was higher for participants of Black (RR 1.60, CI 1.09–2.34) or "Other" race (RR 1.62, CI 0.99–2.65) compared with participants of White race; being a transgender female (RR 2.31, CI 1.33–4.02) compared to men who have sex with men; or enrollment at a study site with less experience in the provision of PrEP. The estimated risk of low adherence by DBS was lower for participants with a higher number of sex partners in the past 3 months and those having a bachelor's degree or higher. More work is needed to provide clinicians with measures to assess medication adherence in diverse US populations being prescribed PrEP to support its effective use in reducing HIV acquisition in individuals and at the community level. [ABSTRACT FROM AUTHOR]

Copyright of AIDS & Behavior is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Societal benefits from climate change mitigation accrue via multiple pathways. We examine the US impacts of emission changes on several factors that are affected by both climate and air quality responses. Nationwide benefits through midcentury stem primarily from air quality improvements, which are realized rapidly, and include human health, labor productivity, and crop yield benefits. Benefits from reduced heat exposure become large around 2060, thereafter often dominating over those from improved air quality. Monetized benefits are in the tens of trillions of dollars for avoided deaths and tens of billions for labor productivity and crop yield increases and reduced hospital expenditures. Total monetized benefits this century are dominated by health and are much larger than in previous analyses due to improved understanding of the human health impacts of exposure to both heat and air pollution. Benefit-cost ratios are therefore much larger than in prior studies, especially those that neglected clean air benefits. Specifically, benefits from clean air exceed costs in the first decade, whereas benefits from climate alone exceed costs in the latter half of the century. Furthermore, monetized US benefits largely stem from US emissions reductions. Increased emphasis on the localized, near-term air quality-related impacts would better align policies with societal benefits and, by reducing the mismatch between perception of climate as a risk distant in space and time and the need for rapid action to mitigate long-term climate change, might help increase acceptance of mitigation policies. [ABSTRACT FROM AUTHOR]

Big Tech is on a buying spree. Companies like Apple, Google, Facebook, and Amazon are gobbling up smaller companies at an unprecedented pace. But the law of competition isn't ready for Big Tech's endless appetite. Today's antitrust law is controlled by the Chicago School of Law and Economics. The Chicago School's ideological frame is toothless when a dominant firm purchases a startup that could be a future competitor. Under the "potential competition" doctrine, the Chicago School is impotent to face the anti-competitive thread of Big Tech. This Article shows how the Chicago School of law and economics hobbles antitrust law and policy on potential competition mergers. It illustrates this problem with a close study of public information regarding Facebook. The Article assembles a database of Facebook's completed acquisitions--ninety in all--and shows how the "potential competition" doctrine renders competition law entirely impotent to protect the consumer interest in this space. What is true for Facebook applies to the market generally. While we offer no opinion on any particular merger, protecting the consumer against the ravenous appetite of Big Tech requires rejecting the potential competition test and adopting the empirically tractable structural approach to potential competition mergers. [ABSTRACT FROM AUTHOR]

Copyright of AIDS & Behavior is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction. Disparities in health and health care experienced by sexual and gender minorities in the United States (US) are well documented, and physical therapists (PTs) play a role in perpetuating them. This study aimed to determine to what degree lesbian, gay, bisexual, transgender, and queer (LGBTQ) health education and training is integrated into physical therapy education curricula. Studies in medicine and nursing have led to increased curricular attention to LGBTQ health topics; yet, similar physical therapy education research has not been published. Methods. A link to an anonymous Google Forms survey was emailed to Program Directors (PDs) of US physical therapist education programs accredited by the Commission on Accreditation in Physical Therapy Education for the academic years of 2015--2017.The survey gathered information on the current and optimal number of curricular hours spent on equitable care for LGBTQ patients and perceived barriers to inclusion of LGBTQ curriculum. Results. Seventy-two of 229 (31%) programs responded to the survey. Half of the respondents reported inclusion of LGBTQ-related topics in the curriculum. The average number of current hours was 1.43 per year. The average number of optimal hours was 2.82 per year. Eighty-nine percent reported that one or more curricular hours per year should be included. Barriers to LGBTQ health education and training include perceived lack of time and adequate faculty training. Discussion. Most PDs believe that more hours should be dedicated to LGBTQ health topics. Open-ended question responses reflect various perspectives held by PDs regarding the importance of including LGBTQ health topics and barriers to inclusion. The development of core competencies may facilitate the inclusion of LGBTQ-specific health education in Doctor of Physical Therapy program curricula. Conclusion. Resources to educate faculty and students on LGBTQ health topics are readily available. These topics may be effectively woven into existing curricula, making it an attainable goal to increase the competency of entry-level PTs to assist in meeting the American Physical Therapy Association's mandate to provide nondiscriminatory care. [ABSTRACT FROM AUTHOR]

The authors review research conducted during the past decade on immigrant families, focusing primarily on the United States and the sending countries with close connections to the United States. They note several major advances. First, researchers have focused extensively on immigrant families that are physically separated but socially and economically linked across origin and destination communities and explored what these family arrangements mean for family structure and functions. Second, family scholars have explored how contexts of reception shape families and family relationships. Of special note is research that documented the experiences and risks associated with undocumented legal status for parents and children. Third, family researchers have explored how the acculturation and enculturation process operates as families settle in the destination setting and raise the next generation. Looking forward, they identify several possible directions for future research to better understand how immigrant families have responded to a changing world in which nations and economies are increasingly interconnected and diverse, populations are aging, and family roles are in flux and where these changes are often met with fear and resistance in immigrant‐receiving destinations. [ABSTRACT FROM AUTHOR]

The mayor's office potentially offers a launchpad for statewide and national political ambitions. We know relatively little, however, about how frequently mayors actually run for higher office, and which mayors choose to do so. This article combines longitudinal data on the career paths of the mayors of 200 big cities with new survey and interview data to investigate these questions. While we find that individual and city traits—especially gender—have some predictive power, the overwhelming story is that relatively few mayors—just under one-fifth—ever seek higher office. We suggest that ideological, institutional, and electoral factors all help to explain why so few mayors exhibit progressive ambition. [ABSTRACT FROM AUTHOR]

This paper positions public mass gun violence (PMGV) as an intergenerational consequence of the violence of colonization, coloniality, and slavery in the United States. I map how the shooter's white privilege, alongside his white/male fragility, combined with a national consciousness built on an ethos of colonization and coloniality, leads him to believe he has unearned "rights" to the social riches of the center. I proffer that most of us who benefit from capitalist, neo-liberal, patriarchal state and social institutions are complicit in co-creating the conditions that produce PMGV's gunboys and gunmen because in order to benefit from these institutions, we perpetuate a system of insiders and outsiders. As illustrated, some possibilities for allaying violence are grounded in practicing critical self-reflection and capacities for discomfort. [ABSTRACT FROM AUTHOR]

The article discusses the history of human infancy, its development and mortality, including the framework for its biopolitical formation in the U.S. Topics discussed include the history of medical discourse surrounding newborn life, its inception as a biopolitical subject with the establishment of neonatal care at hospitals and diagnostic technology to determine dates of conception, and the political dimension of material feminism and its connection to the materiality of infant life.

Objectives: We provide a review of the literature on posttraumatic stress disorder (PTSD) in older adults, focusing largely on older U.S. military veterans in two primary areas: 1) assessment and diagnosis and 2) non-pharmacological treatment of PTSD in late life. Methods: We performed a search using PubMed and Academic Search Premier (EBSCO) databases and reviewed reference sections of selected papers. We also drew on our own clinical perspectives and reflections of seven expert mental health practitioners. Results: Rates of PTSD are lower in older compared with younger adults. The presence of sub-syndromal/partial PTSD is important and may impact patient functioning. Assessment requires awareness and adaptation for potential differences in PTSD experience and expression in older adults. Psychotherapies for late-life PTSD appear safe, acceptable and efficacious with cognitively intact older adults, although there are relatively few controlled studies. Treatment adaptations are likely warranted for older adults with PTSD and co-morbidities (e.g., chronic illness, pain, sensory, or cognitive changes). Conclusions: PTSD is an important clinical consideration in older adults, although the empirical database, particularly regarding psychotherapy, is limited. Clinical Implications: Assessment for trauma history and PTSD symptoms in older adults is essential, and may lead to increased recognition and treatment. [ABSTRACT FROM AUTHOR]

Most studies of policy diffusion attempt to infer the processes through which policies spread by observing outputs (policy adoptions). We approach these issues from the other direction by directly analyzing a key policymaking input—information about others' policies. Moreover, we do so by investigating policy diffusion in cities rather than states. Using a survey of U.S. mayors, more specifically, mayors' own lists of cities they look to for ideas, we find evidence that distance, similarity, and capacity all influence the likelihood of a policy maker looking to a particular jurisdiction for policy information. We also consider whether these traits are complements or substitutes and provide some evidence for the latter. Specifically, we find that, at times, mayors eschew similarity and distance to look to highly respected "high capacity" cities but that there is no tradeoff between distance and similarity. [ABSTRACT FROM AUTHOR]

Pre-exposure prophylaxis (PrEP) has the potential to be an empowering HIV prevention tool among female sex workers (FSW), yet little is known about PrEP awareness and interest in this population. Sex workers and Police Promoting Health in Risky Environments (SAPPHIRE) is a prospective cohort study of street-based FSW in Baltimore, MD. A cross-sectional analysis explored awareness and interest in PrEP among HIV-negative FSW. Multivariable Poisson regressions modeled associations between individual, interpersonal, and structural variables and PrEP awareness and interest. Of n = 232 FSW, 66% were white, half were less than 35 years old, 59% injected drugs daily, and 66% sold sex daily. Only 21% of FSW were aware of PrEP, though 74% were interested. PrEP awareness was associated with experiencing client condom coercion [adjusted incidence rate ratio (aIRR) = 0.50, 95% CI: 0.28–0.90] and condomless sex with an intimate partner (aIRR = 0.54, 95% CI: 0.30–0.98). PrEP interest was associated with perceiving PrEP as "very easy" to take (aIRR = 1.91, 95% CI: 1.49–2.45) and moving to an unfamiliar geographic area to sell sex (aIRR = 1.20, 95% CI: 1.04–1.39). Women who had a current gonorrhea or chlamydia infection were less likely to be interested in PrEP (aIRR = 0.75, 95% CI: 0.59–0.95). Though PrEP awareness among FSW is low, there are FSW who are significantly more likely to express interest in PrEP and outreach efforts should target these women. Results suggest that women-controlled HIV prevention methods may be important for reducing incidence among FSW. [ABSTRACT FROM AUTHOR]

Infective dermatitis (ID) associated with Human T‐cell leukemia virus type‐1 (HTLV‐1) is a rare form of severe superinfected eczema seen mostly in the Caribbean islands and Latin America. Although rapid response to antibiotic treatment is observed, patients should be monitored for development of complications associated with this retroviral infection, including T‐cell leukemia/lymphoma (ATLL) and HTLV‐1 associated myelopathy/tropical spastic paraparesis (HAM/TSP). Infective dermatitis is rarely seen in the United States and therefore may be under‐recognized by physicians unfamiliar with this condition. Herein, we present an additional case report of an ID associated with HTLV‐1 in an 11‐year‐old girl from Trinidad. [ABSTRACT FROM AUTHOR]

This is the first installment of a two-part commentary on the New Brandeis School (the "New Brandeisians") in Antitrust. In this first part, I examine why the New Brandeisians are correct to reject the consumer welfare standard. Instead of arguing, as the New Brandeisians do, that the consumer welfare standard leads to unacceptable outcomes, I argue that the consumer or total welfare standard was theoretically flawed and unrigorous from the start. My basic argument is that antitrust law addresses the impact of business strategies in markets where there are winners and losers. For example, in the classical exclusionary monopolist case, the monopolist's conduct is enjoined to increase competition in the affected market or markets. As a result of the intervention, consumers benefit, but the monopolist is worse off. One hundred years of analysis by the welfare economists themselves shows that in such situations "welfare" or "consumer welfare" cannot be used as a reliable guide to assess the results of antitrust policy. Pareto Optimality does not apply in these situations because there are losers. Absent an ability to divine "cardinal utility" from observations of market behavior, other approaches such as consumer surplus, and compensating and equivalent variation cannot be coherently extended from the individual level to markets. The Kaldor-Hicks compensation principle that is in standard use in law and economics was created to address problems of interpersonal comparisons of utility and the existence of winners and losers. However, the Kaldor-Hicks compensation principle is also inconsistent. Additional problems with the concept of welfare raised by philosophers, psychologists, and experimental economists are also considered. In light of this literature, the New Brandeisians are correct to reject Judge Bork's original argument for adoption of the consumer welfare standard, but for deeper reasons than they have expressed thus far. [ABSTRACT FROM AUTHOR]

The article focuses on the effects of fiscal policy on the real output of money in the United States. The article also presents information regarding the rejection of the policy ineffectiveness proposition. The article argues that interactive effects between monetary and fiscal policies are likely to be important, and if one ignores these effects it can lead to significant omitted variables bias in tests of the policy ineffectiveness proposition. The article's study stands in contrast to previous research on the issue, because the fiscal and monetary ineffectiveness propositions are jointly tested.

The article focuses on syringe services programs (SSPs) has established in the 1980s to prevent HIV transmission among people who inject drugs and have become a primary intervention point for other preventive services. Topics include the COVID-19 pandemic and its associated social distancing measures have changed operations at many SSPs, the changes could halt the tremendous progress made by SSPs during the HIV/AIDS epidemic, and the opportunity for some SSPs to provide COVID-19 screening.

Policymakers and scholars are increasingly looking to cities to address challenges including income inequality. No existing research, however, directly and systematically measures local political elites’ preferences for redistribution. We interview and survey 72 American mayors—including many from the nation’s largest cities—and collect public statements and policy programs to measure when and why mayors prioritize redistribution. While many of the mayors’ responses are consistent with being constrained by economic imperatives, a sizable minority prioritize redistributive programs. Moving beyond the question of whether mayors support redistribution, we find that partisanship explains much of the variation in a mayor’s propensity for redistribution. Moreover, the impact of partisanship very rarely varies with institutional and economic contexts. These findings suggest that national political debates may be shaping local priorities in ways contrary to conventional views, and that they may matter even more than other recent findings conclude. [ABSTRACT FROM AUTHOR]

Background: In King County, Washington, the HIV prevalence among men who have sex with men (MSM) who inject methamphetamine is high, while it is low among other people who inject drugs (PWID). Local drug problem indicators suggest that methamphetamine use is increasing. The extent to which this increase affects MSM and non-MSM, and whether MSM and non-MSM networks are connected through injection equipment sharing, is unknown.Methods: We used data from two serial cross-sectional surveys of PWID including five biannual surveys of Public Health-Seattle and King County Needle and Syringe Exchange Program clients (NSEP, N=2135, 2009-2017) and three National HIV Behavioral Surveillance IDU surveys (NHBS, N=1709, 2009-2015).Results: The proportion of non-MSM PWID reporting any recent methamphetamine injection increased significantly from approximately 20% in 2009 to 65% in 2017. Most of this increase was attributable to injecting methamphetamine in combination with heroin (goofballs). PWID who injected goofballs were more likely to be younger, homeless or unstably housed, report daily injection, and self-report an opioid overdose in the past year than other PWID. The majority of PWID who injected methamphetamine reported sharing any injection equipment. Among these PWID, 43% of MSM had last shared injection equipment with a non-MSM. Eight percent of non-MSM men and 15% of women had last shared equipment with an MSM.Conclusions: Given non-trivial rates of sharing injection equipment with methamphetamine-using MSM, a population with an HIV prevalence of 40%, non-MSM who inject methamphetamine could be an emerging population at risk for acquiring HIV. [ABSTRACT FROM AUTHOR]

Previous scholarship on American federalism has largely focused on the national government's increasingly conflictual relationship with the states. While some studies have explored the rise of mandates at the state level, there has been comparatively less attention on state-local relationships. Using a new survey of mayors, we explore variations in local government attitudes towards their state governments. We find some evidence that, regardless of partisanship, mayors in more conservative states are unhappy about state funding and especially regulations. More strikingly, we also uncover a partisan mismatch in which Democratic mayors provide especially negative ratings of their state's funding and ven more strongly regulations. These findings have important implications for state-local relations as cities continue to become more Democratic and Republicans increasingly dominate state-level contests. [ABSTRACT FROM AUTHOR]

Extending the effectiveness of media-based campaigns into interpersonal networks has been a long concern for studies on persuasive messages, yet there is much to understand about why people attempt to persuade others to engage in health-related behaviors. This study investigated two alternative predictors of interpersonal persuasion: psychosocial determinants of behavior and homophily. We used the integrated model of behavior (IMB) to predict consumers’ intentions to purchase antibiotic-free meat, and extended the model to predict consumers’ intentions to encourage important others to do so. IMB variables predicted 44% of future purchasing intentions and 40% of future persuasion intentions. The findings support a homophily explanation for persuasion: people intend to persuade important others to do what they do. In addition, a person-centered analysis identified three audience segments based on antibiotic-resistance-related behaviors, cognitions, and experiences: Purchasers, Resisters, and New Adopters. The covariate analysis revealed that people who had more topic awareness of antibiotic use in animal husbandry, knowledge of someone with an antibiotic-resistant infection, and health mavenism were more likely to be Purchasers than Resisters or New Adopters. Anxiety, however, was highest among New Adopters and lowest among Resisters. Implications for theory and practice are discussed. [ABSTRACT FROM PUBLISHER]

Integration of oral health care professionals (OHCPs) into medical care could advance efforts to control increasingly prevalent conditions such as cardiovascular disease, diabetes mellitus, human immunodeficiency virus infection, and hepatitis C infection, each of which is associated with significant morbidity and health care costs. Prevention and early intervention are effective for reducing the incidence and severity of these diseases, while increasing cost of health care may drive the need for nontraditional models of health education and delivery. Studies have suggested that a dental office is a suitable setting for the purpose of screening and referrals for these conditions and may result in medical expenditure savings. Such innovations would challenge the current dental educational model and the education and training of faculty. Implementing this change would require recognizing opportunities and challenges for the profession and the need for new competencies in dental curricula. Challenges and opportunities are described, including reimbursement models and integration of OHCPs into emerging health care delivery models. Ideas for curricular change are presented, including the need for added emphasis on biological sciences and the introduction of new courses to address systems thinking and forces driving preventive behavior. To embrace the evolving health care arena and be a part of the future interprofessional health care delivery dynamic, dental curricula should also include substantive interprofessional education opportunities. Such opportunities would provide the basic skills and training to recognize and appreciate patients' oral health issues in the broader context of their overall health and well-being. This article was written as part of the project "Advancing Dental Education in the 21st Century." [ABSTRACT FROM AUTHOR]

The cast of prototypic rebellious lawyers promoted by Gerald López is incomplete. It leaves out a very important mode of lawyering: that of working for a progressive activist organization. To fill that gap, this essay introduces "Rosa," a lawyer on the staff of an organization of low-wage workers fighting for basic change. The essay argues that working for such organizations in a way that is accountable to the organizations is an especially effective way for lawyers to contribute to economic, racial, gender, social and environmental justice. It examines three current models of such practice: inhouse, in an independent law center dedicated to collaborating with progressive activist organizations, and in a law center that is controlled by the organizations it serves. It proposes a database and discussion forum, more research and teaching about historic and current examples, and expanded opportunities for students to learn from direct experience working in lawyer role with progressive activist organizations. [ABSTRACT FROM AUTHOR]

The article discusses the importance of teaching Spanish language to law school students focusing on ideas and considerations when developing a legal Spanish course. Topics include the framework for teaching Spanish to law students, the future of law school education in Spanish language and other non-English languages as part of an effort to improve access to justice for Limited English Proficient (LEP) individuals in the U.S.

While experimental studies of local election officials have found evidence of racial discrimination, we know little about whether these biases manifest in bureaucracies that provide access to valuable government programs and are less tied to politics. We address these issues in the context of affordable housing programs using a randomized field experiment. We explore responsiveness to putative white, black, and Hispanic requests for aid in the housing application process. In contrast to prior findings, public housing officials respond at equal rates to black and white email requests. We do, however, find limited evidence of responsiveness discrimination toward Hispanics. Moreover, we observe substantial differences in email tone. Hispanic housing applicants were 20 percentage points less likely to be greeted by name than were their black and white counterparts. This disparity in tone is somewhat more muted in more diverse locations, but it does not depend on whether a housing official is Hispanic. [ABSTRACT FROM AUTHOR]