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Two telegram messages sent to the United States Department of State by the ambassador of that power, Nathaniel Davis, informing the corresponding authority of the favorable reception that former President Eduardo Frei Montalva gave to the new military regime that emerged from the coup d’état of September 1973, are transcribed. An outcome that seemed inevitable to him, and the sole responsibility of President Salvador Allende Gossens and the Popular Unity government. In passing, he notified Davis of the concrete cooperation that many technicians and former officials of his administration, of Christian Democratic affiliation, were giving to the emerging Chilean dictatorship, whose necessity Frei approved. [ABSTRACT FROM AUTHOR]

The impact of community-wide teen pregnancy prevention initiatives (CWIs) on local U.S. birth rates among adolescents aged 15 to 19 years was examined using synthetic control methodology within a quasi-experimental design. CWIs were implemented in 10 U.S. communities from 2010 to 2015. Each initiative implemented evidence-based teen pregnancy prevention interventions at local organizations and enhanced best practices in adolescent reproductive health care at local health centers, while engaging diverse community sectors. The synthetic control method was used to estimate the impact of each CWI on overall and race- and ethnicity-specific teen births relative to rates in synthetic control communities. Additionally, we estimated the overall effect of CWIs across communities by pooling results from the 10 synthetic control case studies using the mean percentile rank. Pooled data across all 10 communities indicated an estimated average of 6.6 fewer births per 1000 teens per year overall during the initiative relative to each community's synthetic control (p =.001). By race and ethnicity, there were an estimated average of 6.4 fewer births per 1000 teens per year among Black teens (p =.03), 10.7 fewer births among Hispanic teens (p =.03), and 4.2 fewer births (p =.10) among White teens. Results from individual communities indicated an intervention effect on overall and/or race/ethnicity-specific teen birth rates in five communities. This study demonstrates the value of synthetic control methods in evaluating community-level outcomes of programmatic efforts. Findings indicate the CWIs had a positive impact on teen birth rates and have the potential to address racial and ethnic disparities in those rates. [ABSTRACT FROM AUTHOR]

Transgender populations report higher suicidal ideation (SI) and suicide attempts than the general population. This study sought to identify predictors of suicide in individuals with diverse gender identities, including transgender women; transgender men; and gender-nonbinary, genderqueer, and crossdressing individuals within various racial/ethnic groups. Secondary analyses were conducted using the United States Transgender Survey (N = 27,204). The dependent variables were SI and suicide attempts in the past 12 months. The independent variables were gender, race, employment status, transactional sex, exposure to violence, and age. Bivariate, multivariable, and nested models were used to examine the association between variables. Findings reveal transgender women to be more likely to report SI than other gender groups. White and Hispanic/Latino participants were more likely to have SI than Black participants. Transgender men and gender-nonbinary groups were significantly less likely to attempt suicide than transgender women, and crossdressers were not significantly different in suicide attempts than transgender women. Increased exposure to violence was associated with increased SI and suicide attempts. Increased age and part- or full-time employment were associated with decreased SI and suicide attempts. White transgender women were more likely to have attempted suicide than white transgender men and gender-nonbinary groups. Asian and biracial transgender women were more likely to have attempted suicide than the other gender groups. Findings illuminate differences in suicide among individuals with diverse racial and gender identities and support the call for continued research on mental health experiences of these populations. Suicide ideation and attempts varies by race and gender, including for people with diverse gender identities Transgender women and crossdressers are more likely to have attempted suicide than transgender men or gender-nonbinary individuals Suicide ideation and suicide attempts are associated with gender, race, employment, survival and transactional sex, violence exposure, and age [ABSTRACT FROM AUTHOR]

Background: Hip fractures are costly and common in older adults, but there is limited understanding of how treatment patterns and outcomes might differ between countries. Methods: We performed a retrospective serial cross‐sectional cohort study of adults aged ≥66 years hospitalized with hip fracture between 2011 and 2018 in the US, Canada, England, the Netherlands, Taiwan, and Israel using population‐representative administrative data. We examined mortality, hip fracture treatment approaches (total hip arthroplasty [THA], hemiarthroplasty [HA], internal fixation [IF], and nonoperative), and health system performance measures, including hospital length of stay (LOS), 30‐day readmission rates, and time‐to‐surgery. Results: The total number of hip fracture admissions between 2011 and 2018 ranged from 23,941 in Israel to 1,219,696 in the US. In 2018, 30‐day mortality varied from 3% (16% at 1 year) in Taiwan to 10% (27%) in the Netherlands. With regards to processes of care, the proportion of hip fractures treated with HA (range 23%–45%) and THA (0.2%–10%) differed widely across countries. For example, in 2018, THA was used to treat approximately 9% of patients in England and Israel but less than 1% in Taiwan. Overall, IF was the most common surgery performed in all countries (40%–60% of patients). IF was used in approximately 60% of patients in the US and Israel, but only 40% in England. In 2018, rates of nonoperative management ranged from 5% of patients in Taiwan to nearly 10% in England. Mean hospital LOS in 2018 ranged from 6.4 days (US) to 18.7 days (England). The 30‐day readmission rate in 2018 ranged from 8% (in Canada and the Netherlands) to nearly 18% in England. The mean days to surgery in 2018 ranged from 0.5 days (Israel) to 1.6 days (Canada). Conclusions: We observed substantial between‐country variation in mortality, surgical approaches, and health system performance measures. These findings underscore the need for further research to inform evidence‐based surgical approaches. [ABSTRACT FROM AUTHOR]

The aim of the study was to investigate the accessibility and frequency of cone-beam computed tomography (CBCT) usage and to assess the economic and logistical factors involved with its usage among active American Association of Endodontists (AAE) members, utilizing a web-based survey. A survey of 19 questions was sent to 3,071 AAE members addressing participant access to, along with financial and logistical aspects of CBCT imaging. Descriptive analysis was performed and Fisher exact test utilized to test associations between groups (P <.05). The overall response rate was 14.7% (n = 544). Ninety-five percent of respondents (n = 486) had an in-office CBCT unit, with those graduating after the year 2000 statistically more likely to have one (P <.05). Utilization of CBCT imaging for every case was reported by 40% of providers. Eighty-nine percent reported taking the scan at the consultation visit and 20% included this charge with the consultation fee. For those who charged for the scan separately, 85% charged more than $100. Providers who paid off their unit did so within 1–2 years (41%), 3–4 years (36%), 4–5 years (12%), and 5+ years (11%). Limited field of view was utilized by 95% of respondents. Fifty-eight percent reported interpreting the scans themselves, 38% send only if pathology is expected, and 3% always send their scans to a radiologist. In conclusion, accessibility and utilization of CBCT imaging among United States endodontists has increased and acquisition of this equipment has not made a long lasting financial burden on providers. [ABSTRACT FROM AUTHOR]

Entomologists have often used computational modeling to study the dynamics of insects in agricultural landscapes. Recently, important issues such as the movement of adults and immatures associated with insect resistance to GMO (genetically modified organism) crops have been addressed using computational models. We developed an individual-based model using the cellular automata approach (CA) to investigate how an intercropping system composed of maize engineered with Bacillus thuringiensis (Bt) gene, refuge areas (non-Bt maize), and grasses combined with off-season periods might influence the evolution of resistance in Spodoptera frugiperda (Lepidoptera: Noctuidae), one of the leading agricultural pests targeted by GMOs. We designed the Bt and non-Bt plants in two different arrangements: (a) a seed mixture and (b) strips rows, adding grasses in areas adjacent to the field. We added the seasonal planting dynamics (crop season and off-season), to evaluate a total of six agricultural scenarios. We followed a crop calendar from the United States to create simulations close to agricultural practice. The results showed that the frequency of the resistance allele was strongly related to the landscape arrangements and their dynamics. Since the adult insects are mobile, the seed-mixture scenario increased the frequency of the resistance the most (95.86%), followed by strips (82.10%), without grass fields. The maize harvest made it possible to reduce the frequency of resistance allele below 1%. Based on our results, we can expect that the maintenance of pasture areas, for instance next to the corn crops, will act as a reservoir of susceptible insects during off-season periods. [ABSTRACT FROM AUTHOR]

Nationwide efforts to enhance services for adolescents experiencing commercial sexual exploitation (CSE) in the judicial system have led to the emergence of specialty courts, including human trafficking and girls' courts. Given that prior research has documented competing stances on the effectiveness of specialty courts for CSE-impacted populations, we conducted a systematic review of the literature to identify key characteristics of programming, profiles of adolescents served, and effectiveness of these courts. To identify relevant research and information, we systematically searched scholarly databases and information sources, conducted reference harvesting, and forwarded citation chaining. Articles presenting primary data with quantitative, qualitative, or mixed methodologies or programmatic descriptions of specialty courts serving adolescents at risk or with confirmed histories of CSE that were published after 2004 were included. We identified 39 articles on 21 specialty courts serving adolescents at risk or with confirmed histories of CSE, including seven specialty courts with evaluation or outcome data. Across specialty courts, adolescents benefited from an increase in linkage to specialized services, improved residential placement stability, and reduction in recidivism—measured by new criminal charges. Specialty court participation was also associated with improved educational outcomes and decreased instances of running away. A lack of empirical data, specifically of evaluation studies, emerged as a weakness in the literature. Still, findings support that specialty courts can be an integral judicial system response to CSE. Multidisciplinary collaboration can help target and respond to the multifaceted needs of adolescents, encourage healthy behaviors, and promote their overall wellness. [ABSTRACT FROM AUTHOR]

To investigate aligner treatment protocols among orthodontists in the United States and Canada and assess the factors influencing clinician choices in aligner systems, treatment protocols, and targeted malocclusions for aligners. A validated online questionnaire was developed specifically for this research and consisted of three sections. Section 1 evaluated demographics and experience with aligners. Section 2 assessed patient selection and demands and clinician confidence in treating various malocclusions with aligners. Section 3 evaluated treatment protocols used by clinicians. The American Association of Orthodontists Partners in Research Program distributed the survey via e-mail to active members in the United States and Canada. A total of 160 providers completed the survey. Aligners were used by 65.00% of respondents, with the Invisalign system the most popular (81.25%). Aligners were mostly used for adults (97.50%). Tipping was ranked as the easiest movement (1.79 ± 1.35). Extrusion (4.34 ± 1.53) and root movement (4.31 ± 1.27) were ranked as the most difficult. Most were confident treating mild (98.8%) and moderate (82.5%) crowded cases, spacing (96.9%), and anterior crossbite (85%). Of the providers, 58.12% recommended aligners to be changed weekly. Respondents who were confident addressing some of the severe malocclusions were more likely to use Invisalign. Invisalign is the most popular aligner system, and clinicians seem to be confident using it. Providers are aware of the pitfalls of aligners; they find it challenging to perform root movement and extrusion, and they seem confident treating mild to moderate malocclusions. They avoid complex cases with impactions and severe skeletal problems. [ABSTRACT FROM AUTHOR]

Black/African Americans and Latinos face significant health disparities and systemic inequities. Heart and lung disease are leading factors affecting morbidity and mortality in these groups. Given this disparity, we sought to determine how often this topic is presented at the most relevant United States annual cardiothoracic surgery meetings. Specialty-specific annual meeting abstract books were queried between 2015 and 2021. We included the Society of Thoracic Surgeons, American Association for Thoracic Surgery, Western Thoracic Surgical Association, and the Southern Thoracic Surgical Association. Scientific abstract titles and content were searched for the following keywords and phrases: "racial health disparities," "race," "racism," "racial bias," "institutional racism," and "health disparities". If an abstract included a keyword or phrase, it was counted as a racial health disparity abstract. We calculated the proportion of racial health disparity abstracts and abstracts published as manuscripts in the meeting-associated journals. A total of 3664 abstracts were presented between 2015 and 2021. Of those, 0.90% (33/3664) abstracts presented contained at least one of the keywords or phrases. Of these abstracts, the percentage that went on to publication represented 0.38% (14/3664) of the total number of abstracts presented. Abstracts on racial health disparities in cardiothoracic surgery represent a very small fraction of total meeting peer-reviewed content. There is a significant gap in research to identify and develop best practice strategies to address these disparities and mitigate structural racism within the care of underserved patients with cardiothoracic diseases. • Black/African Americans and Latinos face significant health and systemic inequities. • Structural racism affects the health of Black/African Americans and Latinos. • Research focused on racial health disparities needs to be discussed. • Small fraction of total meeting peer-reviewed content focused on racism. [ABSTRACT FROM AUTHOR]

Copyright of Frontiers: The Interdisciplinary Journal of Study Abroad is the property of Frontiers Journal, Inc 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.)

Objective: Although essential workers of color in the United States have been notably at risk during the COVID-19 pandemic, less is known about the impacts of associated life stressors within this population. Thus, the purpose of this study is to understand (a) the impact of life stressors among a sample of essential workers of color during the COVID-19 pandemic and (b) associations between life stressors and sociodemographic characteristics, work, mental health, substance use, and eating behaviors. Method: Essential workers of color (N = 319) completed the Holms-Rahe Life Stress Inventory to examine whether any set of 43 life stress experiences occurred because of COVID-19. We used latent class analysis to examine patterns of clustering. Results: We identified three latent classes: (a) minimally impacted, (b) moderately impacted, and (c) widely impacted. Most of our sample reported being minimally impacted (53%) or moderately impacted (35%) by life events during the pandemic. However, participants clustered within the widely impacted pattern (11%) reported significantly more concerns with substance use, binge eating, and perceived stress. Conclusions: Findings highlight distinct patterns of life-stress impacts caused by COVID-19 among essential workers of color. Social workers must consider how to implement policies to reduce the systematic challenges faced by those who are most marginalized. [ABSTRACT FROM AUTHOR]

Objective: The COVID‐19 pandemic created significant challenges in accessing and receiving treatment for individuals with eating disorders (EDs). The purpose of this study is to explore perceptions of and experiences with ED treatment during the first year of the pandemic among individuals with past and self‐reported EDs in the United States. Methods: Online surveys were administered to adults (N = 510) with a past or current self‐reported ED at 13 timepoints between April 2020 and May 2021. Using longitudinal qualitative analysis, 5651 free‐text responses were examined to capture experiences with ED treatment and generate inferences of change over time. Results: We categorized results into four sequential, temporal quarters and identified patterns that explained participants' perceptions of facilitators, barriers, and experiences with ED treatment over time: Quarter 1. Treatment Disruption and Reorienting Recovery; Quarter 2. Accumulating COVID‐19 Stress and Virtual Treatment Woes; Quarter 3. A Continuation of Inadequate Care; and Quarter 4. Ongoing Adaptation and Adjustment to Uncertainty. Participant experiences were marked by numerous barriers to accessing care, challenges adjusting to virtual treatment, unmet treatment needs, and beginning acceptance of telehealth. Discussion: Our findings present a timeline to help evaluate challenges related to navigating the switch to virtual care which created significant disruption to ED recovery. Participants spent much of the first year trying to adjust to unemployment, loss of insurance, and lack of access to in‐person treatment. Future research should identify additional strategies to improve the receipt and experience of care for EDs. Public Significance: Our findings suggest that individuals with eating disorders were significantly challenged by accumulating COVID‐19 stress, worsening symptomatology, and limited access to effective treatment during the first year of the pandemic. This knowledge can guide clinicians, treatment centers, and policy makers in addressing the behavioral health needs of individuals impacted by disordered eating amidst emergent public health crises. [ABSTRACT FROM AUTHOR]

A documentary review was carried out on producing and publishing research papers on studying differential equations, mathematical models, and education. The bibliometric analysis proposed in this paper was to know the main characteristics of the volume of publications registered in the Scopus database during 2017-2021, identifying 90 publications. The information provided by the said platform was organized employing tables and figures categorizing the information by Year of Publication, Country of Origin, Area of Knowledge and Type of Publication. Once these characteristics were described, a qualitative analysis was used to refer to the position of different authors on the proposed topic. Among the main findings of this research, it is found that the United States, with 13 publications, was the country with the highest scientific production registered in the name of authors affiliated with institutions of that nation. The area of knowledge that made the greatest contribution to the construction of bibliographic material referring to the study of differential equations, mathematical models, and education was Mathematics, with 37 published documents, and the type of publication that was most used during the period mentioned above was the conference article, which represents 47% of the total scientific production. [ABSTRACT FROM AUTHOR]

Hessian fly [ Mayetiola destructor (Say)] is a major pest of wheat (Triticum aestivum L.) throughout the United States and in several other countries. A highly effective and economically feasible way to control Hessian fly is with resistant cultivars. To date, over 37 Hessian fly resistance genes have been discovered and their approximate locations mapped. Resistance breeding is still limited, though, by the genes' effectiveness against predominant Hessian fly biotypes in a given production area, genetic markers that are developed for low-throughput marker systems, poorly adapted donor germplasm, and/or the inadequacy of closely linked DNA markers to track effective resistance genes in diverse genetic backgrounds. The purposes of this study were to determine the location of the Hessian fly resistance gene in the cultivar "Kelse" (PI 653842) and to develop and validate Kompetitive Allele Specific PCR (KASP) markers for the resistance locus. A mapping population was genotyped and screened for Hessian fly resistance. The resulting linkage map created from 2,089 Single Nucleotide Polymorphism SNP markers placed the resistance locus on the chromosome 6B short arm, near where H34 has been reported. Three flanking SNPs near the resistance locus were converted to KASP assays which were then validated by fine-mapping and testing a large panel of breeding lines from hard and soft wheat germplasm adapted to the Pacific Northwest. The KASP markers presented here are tightly linked to the resistance locus and can be used for marker-assisted selection by breeders working on Hessian fly resistance and allow confirmation of this Hessian fly resistance gene in diverse germplasm. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has showcased the United States' reliance on essential workers, or those deemed necessary to continue critical societal functions. Black women remain overrepresented in essential positions and are on the frontlines of two pandemics: COVID-19 and racism. Using a phenomenological research design, we conducted semi-structured interviews to examine the experiences of 22 Black women essential workers navigating these dual pandemics. Salient themes of these experiences included: desire to and fear of protest; navigating extreme emotions; mixed levels of understanding from colleagues; and a rise in blatantly racist confrontations in the workplace. Further reflection is needed to understand the complex dynamics these women faced. [ABSTRACT FROM AUTHOR]

The article examines the full dimensions of deportation as a legal concept whereby courts readily admit the harms of expulsion while simultaneously deny its character as a form of punishment in the U.S. Topics include hidden machinery of the Immigration and Customs Enforcement; detailing of human rights abuses on airplanes and airports; and the laws governing immigration under the Immigration and Nationality Act.

Historically, youths who are affected by commercial sexual exploitation (CSE) in the United States have been implicated as perpetrators of crime and overrepresented in the juvenile justice system. As an intriguing example of the "smart decarceration" social work grand challenge, policy and practice initiatives have converged to decriminalize cisgender girls and young women experiencing CSE by reframing them as victims of exploitation rather than as criminals. To date, these efforts have largely focused on gender-specific programming for cisgender girls and young women. In this article, the authors describe how federal, state, and local policy and practice innovations have supported reframing CSE as a form of child maltreatment and rerouted girls and young women from the juvenile justice system to specialized services. Using Los Angeles County as a case example, the authors detail how innovative prevention, intervention, and aftercare programs can serve as models of smart decarceration for CSE-affected cisgender girls and young women with the potential to address the needs of youths with diverse gender and sexual identities. [ABSTRACT FROM AUTHOR]

We measured pregnancy rates and pregnancy outcomes among girls with histories of commercial sexual exploitation (CSE), and then quantified the associations between the outcome of pregnancy with: a) girls' exposure to childhood adversity, and b) their behavioral health. This is the largest study of pregnancy outcomes and associated factors among girls impacted by CSE in the United States. We reviewed court files of participants in a juvenile specialty court for youth impacted by CSE, between 2012 and 2016. We collected data on pregnancy, health, and social factors. Data were updated through 2018 and descriptive statistics were calculated. Two-sample tests for equality of proportions explored associations between pregnancy with adverse childhood experiences and the girls' behavioral health profiles. Among the 360 biological females, 31% had ever been pregnant. Of the girls ever pregnant, 18% had multiple pregnancies. Outcomes for the 130 reported pregnancies were: 76% live births; 13% therapeutic abortions; 5% miscarriages or stillbirths; and 6% of pregnancies were ongoing at case closure. Parental incarceration and histories of maternal substance abuse were both associated with pregnancy. High pregnancy rates among girls with histories of CSE suggest the importance of applying a reproductive justice approach to deliver reproductive education, family planning services, prenatal care, and parenting support to girls impacted by CSE. [ABSTRACT FROM AUTHOR]

This Comment looks at how the Supreme Court's approach to the interpretation of securities laws has shifted over the years, and how this shift will affect the interpretation of Section 14(e) of the Securities and Exchange Act of 1934. The implementation of regulations governing the sale and purchase of securities marked a new era for the United States. These regulations proscribed fraud and misrepresentation and eventually required the Court to determine the culpability standards under many sections of the securities laws. In the 1960s the Court took a broad and remedial approach to the interpretation of securities laws, but as time progressed the Court began to depart from this method of interpretation. The culpability standard under Section 14(e) has yet to be decided. This Comment argues that Section 14(e) of the Exchange Act's language, interpreted using the Court's current approach, only requires proof of negligence. [ABSTRACT FROM AUTHOR]

Purpose: The available research on specialized interventions for youth experiencing commercial sexual exploitation almost exclusively focuses on the impact and efficacy related to cisgender girls, despite the inclusion of youth who identify as transgender in these programs. This paper aims to present a case study on the experience of a transgender adolescent girl who experienced commercial sexual exploitation and provides a narrative of the multifarious challenges she faced while involved in institutional systems of care. Design/methodology/approach: This paper conducted an in-depth case review of all records on "Jade," a white adolescent transgender girl who experienced commercial sexual exploitation, from a specialty court program in the juvenile justice system between 2012 and 2016. Her experiences throughout childhood exemplify many of the unique challenges that transgender girls and young women with histories of exploitation or trafficking may encounter within service delivery and socioecological systems. This paper applied concepts adapted from the gender minority stress theoretical model to understand how minority gender identity can shape the experiences and outcomes of the youth impacted by commercial sexual exploitation. Findings: Jade's narrative underscores the interplay of gender-based sexual violence, heteronormative structural barriers, transphobia and their intersectional impact on her experience while receiving specialized care. The intersectional hardships she experienced likely contributed to adverse biopsychosocial outcomes, including high rates of medical and behavioral health diagnoses and expectations of further rejection. Originality/value: This paper highlights the extraordinary challenges and barriers faced by an often under-recognized and overlooked subset of the youth impacted by commercial sexual exploitation, who may receive services that do not account for their unique needs related to gender expression and identity. This paper exemplifies how internalized stigma along with expectations of further rejection and victimization have implications for clinical and multidisciplinary intervention settings. Jade's case underscores the need for improved access to supportive services for youth with minority gender identities, including peer community-building opportunities. Finally, this paper identifies a critical gap in US legislation and social policy. This gap contributes to the structural harms faced by transgender and gender-nonconforming youth receiving services during or following experiences of commercial sexual exploitation. [ABSTRACT FROM AUTHOR]

Background: Comprehensive suicide prevention programs funded through the Garrett Lee Smith Memorial Youth Suicide Prevention Program (GLS) have previously been shown to be associated with lower youth suicide mortality rates 1 year following program implementation. However, longer term effects of GLS have yet to be examined. Methods: The impact of GLS implementation on youth suicide mortality through 2015 was estimated for U.S. counties initially exposed to state and tribal GLS activities between 2006 and 2009. The analytic approach combined propensity score‐based techniques to address potential confounding arising from differences between counties exposed and not exposed to the program along an extensive set of characteristics, including historical suicide rates. Results: Counties exposed to GLS during a single year had youth suicide mortality rates lower than expected and for longer than previously reported following implementation of GLS activities. Youth suicide mortality rates in counties implementing GLS were estimated to be 0.9 per 100,000 youths lower than control counties (p = .029) 1 year after the implementation, and 1.1 per 100,000 youths lower than control counties (p = .010) 2 years after the implementation. Further, persistent implementation during multiple years was associated with larger effects during longer periods. Additionally, among rural counties, the youth suicide rates 2 years after exposure were estimated to be 2.4 per 100,000 youths lower than in the absence of the program (p = .003). There was no significant evidence of a decrease in youth suicide rates three or more years after the GLS activities were discontinued. Conclusions: The effects of GLS comprehensive suicide prevention program were found to be stronger and longer lasting than previously reported, particularly in rural counties. In the face of well‐documented increases in national suicide prevention rates, these results support the widespread and persistent implementation of comprehensive, community‐based youth suicide prevention programs. [ABSTRACT FROM AUTHOR]

The objective of this work is to analyze the production of publications on the theme of ethics and social responsibility from 2006 to 2016 based on the scientific citation indexing service, the Web of Science (WOS), through a descriptive, quantitative, and bibliometric study. This study, which considered 2,610 documents, sought to identify the authors, the types of documents (books, book chapters, journal articles, and conference proceedings), the titles of the sources, the research areas, the year published, institutions with which authors were affiliated, languages in which the documents were published, and the countries of these publications. The greatest number of documents was published in the United States, with the overwhelming majority 93.43% of publications written in the English language. The source of the greatest number of documents was the Journal of Business Ethics, and the main research area was business economics. Researchers also observed that, in the 71 publications with the greatest number of citations referenced in the researched topic, the top three authors were Guido Palazzo, with 1,730 citations, Andreas Georg Scherer, with 1,352 citations, and Jeremy Moon with a total of 1,132 citations. [ABSTRACT FROM AUTHOR]

Objective: Youth suicide is a public health problem in the United States. Suicide prevention programs have been shown to be beneficial; however, knowledge of unanticipated adverse consequences of programs is limited. The objective of this review is to present what is known about these consequences so informed decisions and appropriate planning can be made prior to implementation of suicide prevention interventions.Method: A narrative but systematic review was conducted assessing what is known about adverse consequences utilizing a comprehensive keyword search of EBSCO and PubMed databases. Study populations beyond youth were included.Results: Unanticipated adverse consequences of suicide prevention interventions were included in 22 publications. Consequences occur at three levels: at the level of the youth, those who identify or intervene with at-risk youth, and at the system level. While rare, unanticipated adverse consequences include an increase in maladaptive coping and a decrease in help-seeking among program targets, overburden or increased suicide ideation among program implementers, and inadequate systemic preparedness.Conclusions: Overall, the benefits of youth suicide prevention outweigh the unanticipated adverse consequences. Nevertheless, these results may be utilized for informed decision-making regarding suicide prevention programming, and to ensure appropriate infrastructure is in place prior to prevention efforts. [ABSTRACT FROM AUTHOR]

Copyright of Functional Ecology is the property of Wiley-Blackwell 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.)

Objective: Multiple studies have shown worse outcomes in patients admitted for medical and surgical conditions on the weekend. However, past literature analyzing this "weekend effect" on subarachnoid hemorrhage (SAH) found no significant increase in mortality. This study utilizes more recent data to re-evaluate the association between weekend admission and mortality of patients hospitalized for SAH.Methods: This retrospective cohort study queried the SAH patients in the Nationwide Inpatient Sample (NIS) database who were discharged from 2006 through 2014 during the weekend.Results: Of the 54,703 admissions for SAH identified during the study period, 14,821 (27.1%) occurred over the weekend. Patients admitted over the weekend had a mean age of 59.2 years and were most likely to be female (59.6%), to be white (62.9%), located in the south region of the USA (40.1%), and be admitted to a teaching hospital (74.4%). When compared directly to weekday admissions, patients admitted over the weekend had higher odds of in-hospital mortality (odds ratio 1.07; confidence interval 95%, 1.02-1.12). There was no significant difference shown in the rate patients get surgical clipping versus endovascular coiling (p = 0.28) or the amount of time between admission to procedure for clipping (p = 0.473) or coiling (p = 0.255) on the weekend versus a weekday.Conclusion: Based on our findings, the likelihood of the in-hospital mortality was higher for patients admitted over the weekend. However, the characteristics of the study, primarily observational, prevent us arriving at an accurate conclusion about why this occurs; hence, we believe it is an important starting point to consider for future research. [ABSTRACT FROM AUTHOR]

Among lepidopteran insects, the fall armyworm, Spodoptera frugiperda, deserves special attention because of its agricultural importance. Different computational approaches have been proposed to clarify the dynamics of fall armyworm populations, but most of them have not been tested in the field and do not include one of the most important variables that influence insect development: the temperature. In this study, we developed a computational model that is able to represent the spatio-temporal dynamics of fall armyworms in agricultural landscapes composed of Bt and non-Bt areas, allowing the user to define different input variables, such as the crop area, thermal requirements of S. frugiperda, migration rate, rate of larval movement, and insect resistance to transgenic crops. In order to determine the efficiency of the proposed model, we fitted it using a 4-year (2012-2015) FAW monitoring data for an area located in northern Florida, USA. Simulations were run to predict the number of adults in 2016 and examine possible scenarios involving climate change. The model satisfactorily described the main outbreaks of fall armyworms, estimating values for parameters associated with insect dynamics, i.e., resistance-allele frequency (0.15), migration rate (0.48) and rate of larval movement (0.04). A posterior sensitivity analysis indicated that the frequency of the resistance allele most influenced the model, followed by the migration rate. Our simulations indicated that an increase of 1 °C in weekly mean temperatures could almost double the levels of fall armyworm populations, drawing attention to the possible consequences of temperature rises for pest dynamics. [ABSTRACT FROM AUTHOR]

For more than a decade, the Garrett Lee Smith Youth Suicide Prevention Program has provided funding for community-based suicide prevention programs to states, tribes, and colleges across the United States. Recent studies provided evidence of the program's effectiveness in reducing suicide mortality and suicide attempts among youth. This study compares the cost of implementing the program with the estimated savings resulting from avoided hospitalization and emergency department visits associated with the averted suicide attempts. The findings suggest that the cost of implementing multifaceted community-based suicide prevention strategies may be more than outweighed by savings in the health sector. [ABSTRACT FROM AUTHOR]

BACKGROUND: In the United States, up to 20% of children experience a mental health (MH) disorder in a given year, many of whom remain untreated. Routine screening during annual well visits is 1 strategy providers can use to identify concerns early and facilitate appropriate intervention. However, many barriers exist to the effective implementation of such screening. METHODS: A 15-month quality improvement learning collaborative was designed and implemented to improve screening practices in primary care. Participating practices completed a survey at 3 time points to assess preparedness and ability to promote and support MH issues. Monthly chart reviews were performed to assess the rates of screening at well visits, documentation of screening results, and appropriate coding practices. RESULTS: Ten practices (including 107 providers) were active participants for the duration of the project. Screening rates increased from 1% at baseline to 74% by the end of the project. For the 1 practice for which more comprehensive data were available, these screening rates were sustained over time. Documentation of results and appropriate billing for reimbursement mirrored the improvement seen in screening rates. CONCLUSIONS: The learning collaborative model can improve MH screening practices in pediatric primary care, an important first step toward early identification of children with concerns. More information is needed about the burden placed on practices and providers to implement these changes. Future research will be needed to determine if improved identification leads to improved access to care and outcomes. [ABSTRACT FROM AUTHOR]

Importance: Youth suicide prevention is a major public health priority. Studies documenting the effectiveness of community-based suicide prevention programs in reducing the number of nonlethal suicide attempts have been sparse.Objective: To determine whether a reduction in suicide attempts among youths occurs following the implementation of the Garrett Lee Smith Memorial Suicide Prevention Program (hereafter referred to as the GLS program), consistent with the reduction in mortality documented previously.Design, Setting, and Participants: We conducted an observational study of community-based suicide prevention programs for youths across 46 states and 12 tribal communities. The study compared 466 counties implementing the GLS program between 2006 and 2009 with 1161 counties that shared key preintervention characteristics but were not exposed to the GLS program. The unweighted rounded numbers of respondents used in this analysis were 84 000 in the control group and 57 000 in the intervention group. We used propensity score-based techniques to increase comparability (on background characteristics) between counties that implemented the GLS program and counties that did not. We combined information on program activities collected by the GLS national evaluation with information on county characteristics from several secondary sources. The data analysis was performed between April and August 2014. P < .05 was considered statistically significant.Exposures: Comprehensive, multifaceted suicide prevention programs, including gatekeeper training, education and mental health awareness programs, screening activities, improved community partnerships and linkages to service, programs for suicide survivors, and crisis hotlines.Main Outcomes and Measures: Suicide attempt rates for each county following implementation of the GLS program for youths 16 to 23 years of age at the time the program activities were implemented. We obtained this information from the National Survey on Drug Use and Health administered to a large national probabilistic sample between 2008 and 2011.Results: Counties implementing GLS program activities had significantly lower suicide attempt rates among youths 16 to 23 years of age in the year following implementation of the GLS program than did similar counties that did not implement GLS program activities (4.9 fewer attempts per 1000 youths [95% CI, 1.8-8.0 fewer attempts per 1000 youths]; P = .003). More than 79 000 suicide attempts may have been averted during the period studied following implementation of the GLS program. There was no significant difference in suicide attempt rates among individuals older than 23 years during that same period. There was no evidence of longer-term differences in suicide attempt rates.Conclusions and Relevance: Comprehensive GLS program activities were associated with a reduction in suicide attempt rates. Sustained suicide prevention programming efforts may be needed to maintain the reduction in suicide attempt rates. [ABSTRACT FROM AUTHOR]

Objective The association between obesity and nontraumatic subarachnoid hemorrhage (SAH) patient outcome is unclear. The aim of this study was to determine the impact of morbid obesity (body mass index ≥40 kg/m 2 ) on nontraumatic SAH outcomes. Methods Using the Nationwide Inpatient Sample, we identified hospitalized, nontraumatic SAH patients who received their diagnoses from 2008 to 2013 and tested the effect of obesity on their mortality and clinical outcomes. Odds ratios were estimated with a mixed effects linear logistic model with adjustment for hospital clustering. All statistical testing was 2-sided, with a significance level of 5%. Results Out of 224,561 discharged patients with a diagnosis of nontraumatic SAH, 4714 (2.10%) were defined as morbidly obese. Patients with morbid obesity were younger (54.3 ± 0.44 vs. 59.5 ± 0.08 years; P < 0.001) and had longer length of stay (LOS) (13 ± 0.46 vs. 11.5 ± 0.06 days; P = 0.002). Morbid obesity was associated with significantly higher hospital costs ( P < 0.001) and charges ( P < 0.001). The risk of acute respiratory failure was higher in morbidly obese patients (odds ratio [OR] 1.49, 95% confidence interval [CI]: 1.3–1.71, P < 0.001). In a multivariate analysis of hospital mortality, obesity had a negative impact on mortality (OR 0.83, 95% CI: 0.74–0.92, P < 0.001). Overall, in-hospital mortality was associated with age, morbid obesity, LOS, clipping and coiling, and acute respiratory failure but not the symptomatic vasospasm. Conclusions Morbid obesity is associated with increased LOS, hospital costs and charges and with acute respiratory failure. However, it is also associated with a decrease in hospital mortality. [ABSTRACT FROM AUTHOR]

Aim Gymnosperms do not follow a latitudinal diversity gradient across the Northern Hemisphere but are influenced by geography at continental scales. Tolerance to physiological aridity is thought to be the main driver of this distribution, yet through evolutionary time conifers have also faced conditions of frost, shade and fire. We tested four predictions to evaluate how environmental stressors and geographical and evolutionary patterns of traits influence conifer distributions: (1) environmental variables related to aridity are most important in explaining geographical patterns of traits; (2) traits responsible for survival in stressful conditions have evolved under a niche conservatism constraint; (3) phylogenetic correlations among traits as the result of complex evolutionary responses to multiple abiotic stressors are widespread; (4) there are parallelisms between spatial trait associations and correlated trait evolution. Location The conterminous United States. Methods We combined conifer occurrences with 10 traits related to drought, freezing, shade and fire. The spatial distribution of traits was mapped and the relationship between environment and the geographical patterns of traits was explored. Niche conservatism was assessed comparing patterns of trait evolution against Brownian motion. We computed geographical and phylogenetic correlations among traits to determine the correspondence between spatial and evolutionary trade-offs. Results (1) Maximum temperature followed by precipitation were the environmental variables that best described the geographical distributions of traits. (2) Most traits contain a phylogenetic signal consistent with niche conservatism: major exceptions being fire-related traits and frost tolerance. (3) Drought and shade tolerances show one of the strongest negative phylogenetic correlations. (4) The drought-shade tolerance trade-off is mirrored at the biogeographical scale. Main conclusions Unlike in angiosperms, cold does not seem to have been a major driver in the evolutionary history of temperate conifers. A strong tradeoff between drought and shade tolerance is the simplest explanation for understanding the current distribution of conifers in North America. [ABSTRACT FROM AUTHOR]

Research on financialization has been constrained by limited suitable measures for cases outside of the for-profit sector. Using the case of US higher education, we consider financialization as both increasing reliance on financial investment returns and increasing costs from transactions to acquire capital. We document returns and costs across four types of transactions: (i) revenues from endowment investments, (ii) interest payments on institutional borrowing by colleges, (iii) profits extracted by investors in for-profit colleges and (iv) interest payments on student loan borrowing by households. Estimated annual funding from endowment investments grew from $16 billion in 2003 to $20 billion in 2012. Meanwhile financing costs grew from $21 billion in 2003 to $48 billion in 2012, or from 5 to 9% of the total higher education spending, even as interest rates declined. Increases in financial returns, however, were concentrated at wealthy colleges whereas increases in financing costs tended to outpace returns at poorer institutions. We discuss the implications of the findings for resource allocation, organizational governance and stratification among colleges and households. [ABSTRACT FROM AUTHOR]

The paper discusses some financial aspects on the context of North- American elections, especially in the realm of presidentialism. It somewhat argues that the traditional concept - one man, one vote - has been overcome by a new reality, which stands for the motto one dollar, one vote. [ABSTRACT FROM AUTHOR]

Objectives: We examined whether a reduction in youth suicide mortality occurred between 2007 and 2010 that could reasonably be attributed to Garrett Lee Smith (GLS) program efforts. Methods: We compared youth mortality rates across time between counties that implemented GLS-funded gatekeeper training sessions (the most frequently implemented suicide prevention strategy among grantees) and a set of matched counties in which no GLS-funded training occurred. A rich set of background characteristics, including preintervention mortality rates, was accounted for with a combination of propensity score-based techniques. We also analyzed closely related outcomes that we did not expect to be affected by GLS as control outcomes. Results: Counties implementing GLS training had significantly lower suicide rates among the population aged 10 to 24 years the year after GLS training than similar counties that did not implement GLS training (1.33 fewer deaths per 100 000; P= .02). Simultaneously, we found no significant difference in terms of adult suicide mortality rates or nonsuicide youth mortality the year after the implementation. Conclusions: These results support the existence of an important reduction in youth suicide rates resulting from the implementation of GLS suicide prevention programming. [ABSTRACT FROM AUTHOR]

Aim The drivers of tree recruitment over large spatial scales remain unexplored. Here, we ask whether species potential for recruitment and the strength of density-dependent processes, both inferred from species relative abundances, show emerging patterns that can be explained upon the basis of information about climate and functional traits. Location Eastern forests of the USA. Methods We document the geographical distributions and magnitudes of seedling recruitment and the strength of density dependence and conspecific density dependence for the forests of the eastern USA spanning > 1.2 million km2 across 88,854 local communities comprising 164 tree species. We also compiled climatic variables and 16 traits representing several important ecological axes of tree functional strategies to assess which factors were most strongly associated with the emerging broad-scale spatial patterns. Results Strong geographical variation in the potential for seedling recruitment and a latitudinal change from negative to positive density dependence moving northward were associated with adaptation to seasonal freezing temperatures and seed size. Wood density and leaf nitrogen, in contrast, were related to the magnitude of the negative density dependence and conspecific density dependence, respectively, which were prevalent over most of the region. Main conclusions Our results provide strong evidence that tree recruitment and the strength of density-dependent processes have broad-scale patterns that can be explained by a few key species functional traits. [ABSTRACT FROM AUTHOR]

This paper discusses historical and technical events in the U.S. and Europe over the last few years that are aimed at modernizing the electric power grid. The U.S. federal government has ratified the “smart grid initiative” as the official policy for modernizing the electricity grid including unprecedented provisions for timely information and control options to consumers and deployment of “smart” technologies. European countries are unified in researching and developing related technologies through various structures supported by the European Union. This paper presents the development of smart grids and an analysis of the methodologies, milestones, and expected evolutions of grid technologies that will transform society in the near future. [ABSTRACT FROM AUTHOR]

Abstract: Nurses working in neonatal intensive care units (NICUs) worldwide share common goals of providing high quality care and promoting healthy outcomes for high-risk newborns and their families. There are wide differences across the globe, however, in the specific challenges that NICU nurses face in meeting these common goals and in the ways in which nursing care is provided to address these challenges. Neonatal nurses have much to learn from one another by sharing their common and unique challenges and solutions to those challenges. This article describes the practice of neonatal intensive care nursing in 4 NICUs located in Brazil, Chile, the United States, and Zambia to highlight both similarities and differences in the practice of neonatal nursing in diverse global settings. The article concludes with a discussion of the similarities and differences in challenges faced by nurses in these 4 units and recommendations about ways to address these challenges to promote equity and health for all across the globe. [Copyright &y& Elsevier]

Abstract: As emergency medicine (EM) has developed as a medical specialty throughout the world, each country has followed its own path to official recognition. Despite a successful EM model in the United States, some countries, especially those that require government approval of new medical specialties, have often found it difficult to attain recognition. As of early 2009, Argentina had yet to recognize EM as an official specialty, although some regional governments have acknowledged the specialty''s status. The Argentine Society of EM has taken a number of steps and proposed educational paths to EM specialization to convince Argentina''s political decision-makers that Emergency Medicine is a fundamental step toward a modern medical system. Such national recognition would further an already thriving EM community and improve the quality of patient care in Argentina. To assist colleagues around the world who are pursuing or will pursue this goal, this article outlines Argentina''s complex and ongoing path to specialty recognition. [Copyright &y& Elsevier]

Globalization of intellectual property (IP) protection for medicines has been advancing during the past decade. Countries are obliged to adapt their legislation as a requirement of their membership to the World Trade Organization or as a condition of being part of international trade agreements. There is a growing recognition that, in low-income countries, stronger IP protection is a barrier to access to medicines. At the same time, the number of low-income countries writing national legislation to protect IP for pharmaceutical products is growing worldwide, but little research has been done on the ways in which this process is happening at the national level. This paper aims to contribute to the understanding of the implementation of IP legislation at the national level by providing a comparative analysis of the countries that are part of the United States--Dominican Republic--Central America Free Trade Agreement (DR-CAFTA). The analysis shows three trends. First, countries have often implemented stronger IP protection than required by trade agreements. Second, some countries have adopted IP protection before signing the trade agreements. Third, the process of ratification of DR-CAFTA increased public debate around these issues, which in some cases led to IP legislation that considers public health needs. These trends suggest that industrialized countries and the pharmaceutical industry are using more tactics than just trade agreements to push for increased IP protection and that the process of national legislation is a valid arena for confronting public health needs to those of the industry. [ABSTRACT FROM AUTHOR]

Abstract: Ecosystem-based management (EBM) has recently received considerable attention. However, examples of empirical approaches to marine EBM are scarce. Therefore, empirical information on the presence of EBM elements within existing policies and the way they may provide settings and lessons for EBM implementation is timely. This study analyses stakeholders’ perceptions on the existence of EBM principles in current marine management practices and policies, and how they determine perceptions for success and satisfaction regarding coastal management within selected case studies drawn from four developing countries in the Southern Cone of South America. Patterns of response across study sites show that although EBM principles as such are not explicitly included in management/conservation plans, there are policies (mainly local), which generate conditions for more explicit inclusion of them. These are based on participatory bottom-up planning, place-based management and consensus reaching: all elements included within the theoretical literature on EBM implementation. [Copyright &y& Elsevier]

Theories of dual cognition assume two distinguishable information processing styles: rational and intuitive. We discuss how the concepts of rationality and intuition are used in these theories, and the relations of these two thinking styles to personality characteristics. With the Rational-Experiential Inventory (REI; Pacini & Epstein, 1999), a questionnaire that assesses personal preferences for thinking either rationally or intuitively, we found clear evidence for the independence of the two thinking styles in a large Dutch sample (N = 774). We also found Conscientiousness to be a significant predictor of a preference for rational thinking and an inverse predictor of intuitive thinking. We also administered the REI and a Big Five inventory to a Spanish sample (N = 141), and present these results next to those of the Dutch sample. We further established the validity of the REI's distinction between rationality and intuition by administering another measure, the Preference for Intuition or Deliberation (PID; Betsch, 2004, 2008), to a subset of the Dutch sample (n = 405). We briefly describe two small studies in which a preference for rationality or intuition, measured by the REI, was found to be related to task behavior. In the general discussion we consider all results together, and compare them to Pacini and Epstein's results. We conclude that a dual-process distinction between rationality and intuition is valid cross-culturally and that a proclivity toward either is reliably measured by the RE1, not only in the USA but in Europe as well. [ABSTRACT FROM AUTHOR]

Across the Americas, public discussions of crime and penal practices have become increasingly punitive even as political struggles have resulted in a broad shift toward Constitutional democracy. In this chapter, we suggest that the spread of tough anti-crime talk and practice is, paradoxically, a response to efforts to expand and deepen democracy. Punitive crime talk is useful to political actors seeking to limit formal and social citizenship rights for several reasons. First, it ostensibly targets problematic behavior rather than particular social groups, and thus appears to be consistent with democratic norms. At the same time, crime talk often acquires coded meanings that enable those who mobilize it to tap into inter-group hostility, anxieties, and fear. In addition, the emphasis on the threat of crime and disorder offers those seeking to limit democratic expansion a way to legitimate truncated visions of the rights and entitlements of citizenship. Tough anti-crime rhetoric often resonates with those who have experienced or fear the loss of symbolic and/or material benefits as a result of democratic reform. In short, the broad shift toward hyper-penality is, at least in part, a consequence of struggles over political democracy, citizenship and governance across the Americas. [ABSTRACT FROM AUTHOR]

Many observers have said that Puerto Rico has more violent crime than the US mainland. I use 1980-2005 data from the FBI and the police of Puerto Rico to show that Puerto Rico had (a) lower annual rates and faster improvement in aggravated assault, rape, and robbery than the mainland; (b) a higher homicide rate than the mainland and no signs of converging to mainland rates; and (c) a higher lethality ratio from aggravated assault than the mainland. I discuss explanations for Puerto Rico's paradox: high poverty, political marginality, and high lethality from aggravated assault but less violent crime (except homicide) than the mainland. [ABSTRACT FROM AUTHOR]

This paper analyses current dynamics of the relationship between Colombia and the United States. The Free Trade Agreement negotiations, the atoned conflict in Colombia and the Plan Colombia have been central issues in bilateral relations. Recent political changes in the region promise to affect not only Colombia's bilateral relations with its neighbors, but have an effect on US.-Colombian relations. The paper evaluates the particularities of president Uribe's Democratic Security policy, and the state of U.S.-Colombia relations during the Uribe administration. [ABSTRACT FROM AUTHOR]

Abstract: The links between adult height and socioeconomic-political marginality are controversial. We test hypotheses by comparing secular trends between two groups of USA adult male citizens born during 1886–1930: (a) 9805 men surveyed in Puerto Rico during 1965 and (b) 3064 non-Hispanic Whites surveyed on the mainland during 1971–1975. Puerto Rico provides an apt case study because it is the oldest colony in the world and was the poorest region of the USA during the 20th century. During the period considered the average adult man in Puerto Rico was 164.8cm tall, 8.3cm shorter than the average adult man on the mainland (173.1cm). Both groups experienced secular improvements in height, with men on the mainland having higher rates than men in Puerto Rico. In neither case were results statistically significant. The modest changes in Puerto Rico likely reflect the offsetting role of improved health and a stagnant rural economy during the first half of the 20th century. [Copyright &y& Elsevier]

Aim : The study analysed variability in physical stature, weight, and body mass index (BMI) in the USA during 1971–2002. Subjects : Subjects were non-Hispanic Blacks and Whites, 2–74 years of age from the National Health and Nutrition Examination Surveys (NHANES I–III and 1999–2002). Methods : The coefficient of variation and the standard deviation of the logarithm of stature, weight, and BMI were used to assess anthropometric variability for groups defined by age, race, sex, income, and survey year. Weighted ordinary least squares regressions were used to estimate the effect of socio-economic variables on anthropometric variability. Results : (a) The relation between age and variability in weight or BMI resembles an inverted U, (b) men have lower variability in BMI than women, (c) Blacks and the poor have greater variability in weight and BMI than Whites or than the non-poor, and (d) variability in anthropometric indices increased during 1971–2002. Results were robust to the measure of variability used and to the use of the mean and mean square of the anthropometric indicators as explanatory variables. Conclusion : Since anthropometric indices correlate reliably with canonical indicators of well-being (e.g. income), growing variability in anthropometric indices, particularly among the Blacks and the poor, signals growing inequality in quality of life—a worrisome trend. [ABSTRACT FROM AUTHOR]

Children with autism face significant barriers to accessing evaluations and intervention services often because of confusing referral processes, lack of centralized coordination across organizations serving children with autism, insurance coverage gaps, multiyear waitlists for diagnostic services, and limited provider knowledge about autism. Racism and systemic inequities exist and persist in autism care across the United States. This article reviews targeted initiatives implemented by a multidisciplinary team to advocate for, and address barriers faced, by autistic children and their families in Washington, DC. We describe initiatives across multiple levels of the health care system including: 1. infrastructure-building initiatives (eg, coalition-building, policy, and advocacy); 2. enabling services (eg, population- and community-level supports that increase provider capacity to serve children's and families' needs); and 3. direct services (eg, innovative, gap-filling programs that directly serve children and families).We review outcomes and describe lessons learned. [ABSTRACT FROM AUTHOR]

Examines the circulating immune complexes (CIC) of Mansonella ozzardi infection in the United States. Cause of mansonelliasis; Calculation of percentage inhibition by CIC; Contribution to the clinical pathology of bancroftian filariasis.