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AbstractThis article invites middle and high school social studies teachers and students to address the question, “Is the United States Exceptional?” We define American exceptionalism as the belief that the United States is qualitatively different from other nations based upon having some special virtue, ideology, or mission that makes it an outlier. We identify four themes or components of American exceptionalism: democracy, individual liberty, opportunity, optimism. We then call for letting students decide for themselves whether, when, and how the United States has been an exceptional nation while studying U.S. and world history. We close considering the advantages of allowing students to explore America as an exceptional nation in the current moment. Inquiring into American exceptionalism positions students studying U.S. and world history to construct their own nuanced understandings, to see from multiple perspectives, and to consider the United States in a global context. [ABSTRACT FROM AUTHOR]

• Snapshot of school policies that may influence kindergarteners in America. • Examined associations between school policies and kindergartners' academic learning. • Readiness assessments, retention polices, and title I funds to serve kindergarteners are common. • These school policies are applied differently across schools in America. • School policies were not related to children's academic learning. The current study examined the prevalence and usage of three theoretically informed school-level policies, namely the use of readiness assessments, retention policies, and Title I funds in kindergarten classrooms across the United States. Using the nationally representative Early Childhood Longitudinal Study Kindergarten Class of 2011, we examined whether these school-level policies in kindergarten were related to children's academic learning both generally, and specifically for those who had attended pre-K. Results revealed that the use of kindergarten readiness assessments, kindergarten retention policies, and Title I funds in kindergarten were widespread across the nation. However, application and usage of these school-level policies were varied. Moreover, these school-level policies were generally not associated with children's academic learning broadly or differentially for those who had attended pre-K in the year before kindergarten. This study establishes a national snapshot of the kindergarten landscape in the United States and opens a door for future research to continue to explore how kindergarten specific school-level policies shape children's learning. [ABSTRACT FROM AUTHOR]

In this article, relying on Readex's electronic database 'Early American Newspapers, Series 1, 1690–1876: From Colonies to Nation', I use the evidence of newspapers to construct a picture of the encyclopaedias most mentioned in British North America and the early United States during the period before 1790. I begin by explaining my methodology and reviewing other approaches to studying the American market for encyclopaedias before 1790. Then, working on the assumption that mentions of encyclopaedias in newspapers roughly represent interest in encyclopaedias, I attempt to quantify Americans' evolving interest in different encyclopaedias and kinds of encyclopaedias. Lastly, having sketched out the landscape of encyclopaedias in eighteenth-century America, I consider the uses to which they were put. Among other conclusions, I argue that, despite assertions to the contrary by encyclopaedists and their publishers, encyclopaedias functioned less as substitutes for private libraries than as complements to them. [ABSTRACT FROM AUTHOR]

Since the passage of the Farm Bill in 2018, the availability of synthetic tetrahydrocannabinols has increased, including delta-8 tetrahydrocannabinol, delta-10 tetrahydrocannabinol, and tetrahydrocannabinol-O acetate. The objective of this study is to investigate the characteristics of delta-8 tetrahydrocannabinol, delta-10 tetrahydrocannabinol, and tetrahydrocannabinol-O acetate exposures reported to United States poison centers from 2021 to 2022. National Poison Data System data were analyzed, including year, individual demographics, substance category and type, reason for exposure, highest level of health care received, and medical outcome. United States Census Bureau data were used to calculate population-based rates. There were 5,022 reported cases involving delta-8 tetrahydrocannabinol, delta-10 tetrahydrocannabinol, and tetrahydrocannabinol-O acetate as the primary substance reported to United States poison centers from 1 January 2021 to 31 December 2022. The rate of exposure per 100,000 United States population increased by 89.1 percent from 0.55 in 2021 to 1.04 in 2022. Children less than 6 years old accounted for 30.1 percent of cases, with a mode at age 2 years (representing 8.9 percent of cases). Most cases involved delta-8 tetrahydrocannabinol (98.1 percent), were single-substance exposures (94.3 percent), or occurred in a residence (95.9 percent). Ingestions accounted for 94.2 percent of cases, including 95.1 percent among children less than 6 years old. The leading reason for exposure was unintentional-general (40.2 percent), followed by abuse (33.1 percent). The most common related clinical effects were mild central nervous system depression (25.0 percent), tachycardia (23.0 percent), and agitation (15.6 percent). More than one-third (38.4 percent) of cases experienced a serious medical outcome, and 10.3 percent were admitted to a noncritical care unit and 5.3 percent to a critical care unit. The National Poison Data System is limited by its passive surveillance design. Delta-8 tetrahydrocannabinol, delta-10 tetrahydrocannabinol, and tetrahydrocannabinol-O acetate have toxic effects, and reports to United States poison centers increased from 2021 to 2022. Unintentional ingestions by young children are of particular concern. Opportunities exist to improve regulation, with accompanying enforcement, of these products and to educate the public about their potential toxicity. [ABSTRACT FROM AUTHOR]

There has been a wide array of scholarship that has investigated the effects of social media use on psychological well-being since 2006, with most focusing on general populations, specific populations of non-Black individuals, or specific use patterns such as passive use, active use, and addictive use. Comparatively, the extant literature focusing on Black populations is sparse. In this scoping review, we collected 38 articles that studied social media experience and psychological well-being by Black social media users in America. We found recurring research themes that focused on the Performance of Signifyin,' cyberbullying victimization, racial stereotyping and discrimination, along with more common well-being measures, including self-esteem, social support, depression, stress, anxiety, and negative affect. The findings of this research suggest nuanced dynamics of Black social media experience, potentially due to the unique overlapping influences of social practices and exposure to traumatizing content that Black users encounter on social media. Because our examination of articles was limited to populations of Black users in the United States, we note that our findings may not be extendable to Black social media users who reside in other parts of the world. [ABSTRACT FROM AUTHOR]

Hundreds of fish species enter the United States through human intervention (e.g., importation) and some of these fishes pose a substantial risk to the nation's assets and ecosystems. Prevention, early detection, and rapid response (EDRR) are vital to stop species invasions, but time and resources to manage the large suite of fish species that enter the nation are limited. Evaluating the risk of a species' invasion in a location is one way to prioritize among many species for management action. Species risk assessments are often associated with information systems or are published within grey literature or peer-reviewed journal articles. Improving access to available risk assessments could help in prioritizing management action for the most potentially invasive fish species. We aggregated fish species risk assessments, synthesizing the current knowledge on the risk of fish invasions in the United States. To accomplish this, we searched information systems and conducted a literature review. We then summarized risk assessment results along with the importation statuses of fish species and identified if imported, high-risk species are managed under federal or state policy. Within the scope of the conterminous U.S., we found 98 high-risk fish species. Eighteen of these species are imported to the country, but only three species have been recently prohibited from importation according to the Lacey Act. We observed similar patterns at the scales of the Great Lakes region and Florida. Collectively, our work provides a baseline estimate of the high-risk fish invaders that enter the U.S. through importation, underscoring species to consider for priority management action, as well as a benchmark of species that lack risk assessments. Insights from this work can be enriched when joined with other invasive species information, which could be accomplished through a national EDRR information system, an information sharing hub in development by the U.S. Geological Survey. [ABSTRACT FROM AUTHOR]

Copyright of Route Educational & Social Science Journal (Ress Journal) is the property of Ress Academy Publishing 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.)

Pharmacists and pharmacies are key drivers in the American marketplace. They serve as an endpoint of the pharmaceutical supply chain and are the dispensers of a range of consumer goods, some nonthreatening and others potentially harmful to public health. In adding pharmacies to the roster of consumerist locales in the postwar period, scholars might draw even deeper connections about the transformation of health, corporate medicine, and American economic power. To understand the interface of consumerism, corporatism, and health in postwar America, this article holds the postwar pharmacy as a key site of commodity exchange and business and positions it within the larger American firmament, paying attention to the design of pharmacies. In particular, the article will add to the knowledge about the tangible ways that medical and health care spaces are constructed, organized, and designed to best generate profits. Besides prescription medications, alcohol, tobacco, and sugar-rich products were also vital elements of the postwar pharmacy and will be featured in this article. What is more, this article focuses on a central debate between pharmacists during the postwar period about how pharmacies were shifting from the role of healer to that of a retailer — from a "conscientious guardian" to a "commercialized jungle" — in order to highlight how the public health role of pharmacies was undermined by industry pressures for profit. Based on unused corporate guides and manuals, company records, photographs, and management documents, this article will spotlight the underexplored interiority of pharmacies – the store's insides, processes of organization, and design features related to potentially habit-changing substances. [ABSTRACT FROM AUTHOR]

The Seven Years' War worked as a catalyst of mutations already present before the hostilities. The case is particularly palpable when we consider the transformation of American, British, and French political culture between 1756 and 1763. In America, William Pitt's colonial policy based on partnership led after the peace to a huge disappointment in America and a growing tension with London. Eventually, it paved the way for the revolt of the Sons of Liberty. In Great Britain, the ideological and political consequences of the war were no less dramatic. Pitt's patriot policy, which was in many respects a mirror of the colonists' political culture based on the same republican principles, brought a decisive contribution to the birth of radicalism after the peace. Last but not least, French political culture was deeply affected by the conflict. A new conception of the political role of the French people emerged during the war, leading to the transformation of the subjects of Louis XV into self-proclaimed citizens willing to offer spontaneously their services for the common weal. [ABSTRACT FROM AUTHOR]

Despite the increasing diversity of religious affiliations in the United States, little research has explored the nature and structure of religious stereotypes of Muslims in America. The present research explores the gendered dimensions of stereotypes of both Muslims and Christians, using a multimethod approach. In Study 1, participants engaged in visual representations of intersectional and superordinate identities using Venn diagrams and slider tasks. Study 2 elicited open trait listings for religious, gender, and intersectional groups, with the most common traits reported for each group. In a conceptual replication, Study 3 asked participants to rate each group for the applicability of the most common traits identified in Study 2. Across the three studies, we found clear and consistent support for intersectionality effects. Unique stereotypic traits were identified for each intersectional group that were not present in either religious or gender superordinate identity. Stereotypes of Christians as a superordinate group contained a balanced representation of Christian men and Christian women traits. In contrast, Muslim stereotypes were strongly influenced by androcentric assumptions, with approximately 80% of the traits ascribed to Muslims overlapping with those of Muslim men. In addition, Muslim women were rated as significantly different from both Muslims and Muslim men on all trait evaluations. This was not observed with Christians, who showed little differentiation by gender. This research provides a rare systematic analysis of the gendered nature of religious stereotypes of Christians and Muslims and contributes to the developing literature on intersectionality and prototypicality. [ABSTRACT FROM AUTHOR]

Cardiovascular disease remains a leading cause of morbidity and mortality in the United States (US). Although high-quality data are accessible in the US for cardiovascular research, digital literacy (DL) has not been explored as a potential factor influencing cardiovascular mortality, although the Social Vulnerability Index (SVI) has been used previously as a variable in predictive modeling. Utilizing a large language model, ChatGPT4, we investigated the variability in CVD-specific mortality that could be explained by DL and SVI using regression modeling. We fitted two models to calculate the crude and adjusted CVD mortality rates. Mortality data using ICD-10 codes were retrieved from CDC WONDER, and the geographic level data was retrieved from the US Department of Agriculture. Both datasets were merged using the Federal Information Processing Standards code. The initial exploration involved data from 1999 through 2020 (n = 65,791; 99.98% complete for all US Counties) for crude cardiovascular mortality (CCM). Age-adjusted cardiovascular mortality (ACM) had data for 2020 (n = 3118 rows; 99% complete for all US Counties), with the inclusion of SVI and DL in the model (a composite of literacy and internet access). By leveraging on the advanced capabilities of ChatGPT4 and linear regression, we successfully highlighted the importance of incorporating the SVI and DL in predicting adjusted cardiovascular mortality. Our findings imply that just incorporating internet availability in the regression model may not be sufficient without incorporating significant variables, such as DL and SVI, to predict ACM. Further, our approach could enable future researchers to consider DL and SVI as key variables to study other health outcomes of public-health importance, which could inform future clinical practices and policies. [ABSTRACT FROM AUTHOR]

Within Protestant theology, Arminianism is a theological perception based on the views of Jacob Arminius (1559-1609), who lived in the Netherlands in the 16th century, and it opposes Calvinism's theological propositions on fate, grace, human will, the atonement of Jesus, and the perseverance of believers. Arminianism, which started to find a place in England with the influence of Remonstrants, later moved to America with intense migrations. In America, John Wesley and Methodists especially played an essential role in the spread of Arminianism. Many Protestant denominations in America prefer the belief in destiny based on the emphasis of Arminianism on universal atonement and the will of man in salvation rather than the principles of Calvinism. This article begins by presenting an overview of Arminius' biography, followed by an examination of his challenges to Calvin's Reformed theology. After mentioning the dissemination of Arminianism in America, it discusses John Wesley's Arminianism. Then, the Protestant communities closer to the Arminian approach rather than Calvinism are addressed. This study explains Arminian Protestant theology in America although this theology is not entirely based on the arguments of classical Arminianism. Thus, it reveals the origin and course of the theological debates between Calvinism and Arminianism that have continued until today in America. [ABSTRACT FROM AUTHOR]

Sex education has long been a controversial topic in the United States in terms of both policy and practice. A lack of consensus on the implementation of sex education, its content, and its participants continues to be a concern for equitable inclusion of all young people and their sexual and emotional health as a result. Current policy guidance and implementation fall short in developing and sustaining equitable access to medically accurate and socially meaningful curriculum. Analyzed through a sociological framework of functionalist theory, feminist theory, and queer theory, this sociological analysis examines the following questions: (1) Should sex education programs even exist?, (2) What should be taught in sex education courses?, and (3) Who should be represented in sex education content? Through a review of existing literature and available data on the experiences of young people, this scholarly commentary posits that current sex education practices in the United States are inequitable and insufficient based on their variability and lack of policy guidance. To address these shortcomings, the United States must implement comprehensive sex education in all schools to ensure equitable access, information, and support for all students. [ABSTRACT FROM AUTHOR]

Despite considerable legislative and advocacy-based efforts to end subminimum wage practices, many Americans with disabilities are still paid below the federal minimum. Section 14(c) of the Fair Labor Standards Act allows employers holding certificates to pay less than minimum wage to individuals with disabilities whose work capacity or productivity is impaired due to disability. The majority of employers paying subminimum wages are facility-based programs also known as sheltered workshops. This work is usually performed in segregated settings away from the rest of the nation's workforce. Subminimum wage practices continue despite clear evidence that even those with the most significant disabilities can be successfully employed in competitive integrated employment when supports are provided. The purpose of this study was to examine the continued use of subminimum wages in the United States and to identify whether there are any state-level characteristics or policies that predict their use. Descriptive analysis and linear regression were used in this investigation. Findings indicate that subminimum wage practices continue to be prevalent in most states, and most prominently in the Midwest region. Implications and recommendations for reducing subminimum wage pay for individuals with disabilities are provided. [ABSTRACT FROM AUTHOR]

During the early twentieth century, suicide among Jewish immigrants in the United States was hardly uncommon. The American Yiddish press regularly reported on suicide cases, and Jewish public figures acknowledged the phenomenon's frequency. Uncovering this forgotten chapter in American Jewish history and drawing on immigrants' letters, reports from the Yiddish press, burial records, and autobiographies, this article explores patterns of despair and self-violence among eastern European Jewish immigrants and their reflections in the American Jewish press, specifically in Yiddish. It traces expressions of immigrant suffering and identifies patterns of cultural failure to revisit the emotional and cultural dynamics of east European Jewish immigration to the United States in the age of mass migration. By focusing on marginal cases in American Jewish history, this article highlights a broad cultural spectrum of immigrant experiences. [ABSTRACT FROM AUTHOR]

Objective: Abstract: "Kosher" is a word used to illustrate the food laws of Jewish people. It's a traditional Jewish law for food. For Jews, it's more than food consumption with safety. It's regarding religious beliefs and traditions. Jews follow proper guidelines of Kosher and give the compulsion to food to be reckoned Kosher. The English word "Kosher" is derived from the Hebrew root "Kasher", which means to be pure, proper, or suitable for consumption. Kashrut is a charter that renders the foundation for kosher dietetic rule and is established inside 'Torah' which is a Jewish sacred book. Kosher dietetic rules are including all and produce a strict structure of rules and regulations which gives a sketch of foods allowed or prohibited. It also determines how foods allowed should be made, refined, and fixed before eating. The paper illustrates kosher law and food among American-Jewish people and their determination towards their religious beliefs in American land, which is not their motherland, with analysis from Philip Roth's novel Indignation. This paper also ascertains Jewish culture into the outlook of American culture which ends with a cultural clash referring to historical consequences. [ABSTRACT FROM AUTHOR]

Historically the United States has proudly described itself as a "melting pot," declaring, "Give me your tired, your poor, your huddled masses yearning to breathe free."1 However, if the truth is told, the United States of America has never been a melting pot. In a melting pot, the ingredients each contribute something to the pot that equalizes them into becoming a well-seasoned, indistinguishable meal. No one ingredient dominates the mixture, and each adds something that makes the pot richer. This country is more like a gumbo, a dish whose ingredients stand out, where some purportedly add more value to the mix than others. The term "purportedly" is intentional because the cook determines which ingredients are more deserving of being added to the gumbo and which should dominate the flavor, style, and end result. Yes, the United States of America is a gumbo, White supremacy has been the cook for far too long and the maintenance of power has been the main ingredient. America needs some new cooks in the kitchen. The right to vote has always been an unkept promise as America's vision of equality has been distorted since its very inception. Many Americans believe the First Amendment is the most important right. The authors of this Article, however; believe that the right to vote is the foundational right because voting allows citizens to engage in the political process. Without participation in the political process, all other fundamental rights are diminished. While voting is touted as the cornerstone of American democracy, it is a promise repeatedly broken. We acknowledge that every person who is a minority in America, suffers from racism; however, but our focus here is on Black America. [ABSTRACT FROM AUTHOR]

Despite its relative obscureness in the United States, Australian football has graced American airwaves since the 1990s. The outbreak of COVID-19 in the spring of 2020 paved the way for the Australian Football League to be one of the only professional sports leagues broadcasting games live on American television. Although the Australian Football League would later suspend the season, for at least one weekend, Australian football was the most popular sport in the United States. This short essay pulls from news articles, social media posts, and existing literature to explore this unique time in the American sports landscape by investigating the response to Australian football from fans, the response from media outlets, and the future directions of Australian football in the United States. The increase in exposure could help the Australian Football League become the next big spectator sport in the United States as well as help grow the game at a local, grassroots level. [ABSTRACT FROM AUTHOR]

How do White Americans evaluate the politics of belonging in the United States across different ethnoreligious identity categories? This paper examines this question through two competing frameworks. On the one hand, given the salience of anti-Muslim attitudes in the United States, we consider whether White Americans penalize Muslim immigrants to the United States regardless of their ethnoracial background. On the other hand, Muslim identity is often conflated by the general public with Middle Eastern and North African (MENA) ethnoracial identity. We argue MENA-Muslim identity should be understood through the lens of intersectionality. In this case, White Americans may penalize MENA-Muslims immigrants to the United States more than Muslims from other ethnoracial groups. We test these two frameworks through a conjoint experimental design wherein respondents are asked to evaluate immigrants and indicate to whom the United States should give a green card—signaling legal belonging—and how likely the immigrant is to assimilate into America—signaling cultural belonging. Although White Americans believe White Muslims may assimilate better to the United States relative to MENA-Muslims, race does not moderate how White Americans evaluate who should be allowed to belong in the United States. [ABSTRACT FROM AUTHOR]

The worldwide outbreak of the coronavirus was first identified in 2019 in Wuhan, China. Since then, the disease has spread worldwide. As it is currently spreading in the United States, policy makers, public health officials and citizens are racing to understand the impact of this virus on the United States healthcare system. They fear a rapid influx of patients overwhelming the healthcare system and leading to unnecessary fatalities. Most countries and states in America have introduced mitigation strategies, such as using social distancing to decrease the rate of newly infected people. This is what is usually meant by flattening the curve. In this paper, we use queueing theoretic methods to analyze the time evolution of the number of people hospitalized due to the coronavirus. Given that the rate of new infections varies over time as the pandemic evolves, we model the number of coronavirus patients as a dynamical system based on the theory of infinite server queues with time inhomogeneous Poisson arrival rates. With this model we are able to quantify how flattening the curve affects the peak demand for hospital resources. This allows us to characterize how aggressive societal policy needs to be to avoid overwhelming the capacity of healthcare system. We also demonstrate how curve flattening impacts the elapsed lag between the times of the peak rate of hospitalizations and the peak demand for the hospital resources. Finally, we present empirical evidence from Italy and the United States that supports the insights from our model analysis. [ABSTRACT FROM AUTHOR]

Introduction: The World Health Organization identified health to be the most important social goal and the 1978 Declaration of Alma Ata placed primary health care central to its attainment and the UN Sustainable Development Goals (SDGs) as the template. The Astana Declaration called on a change of focus in primary care, from treatment of specific diseases to the prevention and inclusion of both scientific and traditional knowledge. Such objectives require public–private partnerships in providing health care, including traditional and complementary medicine systems such as naturopathy that align. However, there is limited understanding of global regulatory frameworks and officially recognized training for naturopathy. Materials and Methods: This descriptive study employs an adapted mixed-methods explanatory framework to examine naturopathy regulation and education. Analysis merges data arising from a descriptive policy analysis of regulation from 36 countries and survey analysis from 65 naturopathic organizations from 29 countries. Results: Four types of workforce regulation were identified within 107 countries where naturopathy was practiced—statutory registration or occupational licensing, coregulation, negative licensing, and voluntary certification. No form of naturopathic regulation was most common. Higher graduate/postgraduate education and access to a broader range of practices were more frequently reported in countries where naturopathy is statutory regulated. Government audits were more frequently reported where naturopathy was statutory regulated or coregulated. Discussion: Naturopathic philosophy and practice align with primary health care goals outlined in the Declaration of Astana. The naturopathic workforce represents an untapped health care resource with a demonstrated track record of translating these aspirational goals into practice. However, naturopathy remains inconsistently regulated globally, serving as a significant barrier to partnering with other health system actors to attain the health-related SDGs. Workforce regulation for the naturopathic profession offers increased standards, reduced risks, integrative health workforce planning, and assistance to countries toward achieving the promise of the Declaration of Astana. [ABSTRACT FROM AUTHOR]

Objective: Psychiatric disorders, such as depression and anxiety, can hinder academic performance among college-age individuals. Participants: Mental health among college students is a growing public health concern, with some scholars describing collegiate mental health as a crisis (Chen et al., Psychiatr Serv. 2019;70(6):442–449). Methods: This study analyzes data from four annual administrations of the American College Health Association (ACHA)'S NCHA (n = 117,430). Results: Overall, anxiety and depression were the most common conditions, at 9.2% and 8.7%, respectively. Of students reporting the focal symptom, 17.87% were treated for depression and 12.91% were treated for anxiety. Compared to not-treated students, diagnosed only students, had significantly lower grade averages, with effect sizes of −0.30 and −0.20 for depression and anxiety, respectively. Conclusions: Given the prevalence of depression and anxiety among college-aged students, continued research into help seeking behaviors and their effects on outcomes like grade average is an essential part of understanding the toll these disorders take. [ABSTRACT FROM AUTHOR]

To investigate the patterns and trends of suspected suicides and suicide attempts involving antipsychotic or sedative-hypnotic medications reported to United States poison centers. Data from the National Poison Data System for 2000 through 2021 were retrospectively analyzed. There were 972,975 suspected suicides and suicide attempts with antipsychotics or sedative-hypnotics ranked as the primary substance reported to poison centers from 2000–2021, averaging 44,226 cases annually. Most (85.6%) cases occurred among individuals >19 years old, females accounted for 63.5% of cases, and 51.8% were single-substance exposures. The rate of reported exposures per 100,000 United States population increased significantly from 27.2 in 2000 to 49.1 in 2008 (P < 0.0001), then plateaued to 49.6 in 2016 (P = 0.1497), followed by a significant decrease to 38.7 in 2021 (P < 0.0001). Individuals 13–19 years old demonstrated the greatest increase in rate from 28.4 in 2000 to 79.6 in 2021 (P < 0.0001). Approximately half (48.8%) of primary substance exposures were benzodiazepines, followed by antipsychotic medications (36.7%) and other types of sedative/hypnotic/anti-anxiety or antipsychotic medications (14.6%). Most primary substance exposures were admitted to a critical care or non-critical care unit (43.3%) or directly to a psychiatric facility (27.9%), and 36.1% were associated with in a serious medical outcome, including 1,330 deaths. Individuals >49 years old were more likely to experience a serious medical outcome (relative risk = 1.25, 95% CI: 1.24–1.26), including death (relative risk = 3.06, 95% CI: 2.74–3.41), or be admitted to a critical care or non-critical care unit (relative risk = 1.24, 95% CI: 1.23–1.24) than younger individuals. Suspected suicides and suicide attempts involving antipsychotic or sedative-hypnotic medications increased during the 22-year study period, especially among individuals 13–19 years old, and these cases often had severe clinical consequences. Based on the characteristics and trends identified in this study, increased prevention efforts are warranted to help prevent these suspected suicides and suicide attempts. [ABSTRACT FROM AUTHOR]

Five decades of an unremitting tough on crime policy resulted in the United States having the highest incarceration rate on earth. This approach was in the process of being systematically wound back in recent years. The mood for criminal justice reform was highlighted by the receptiveness of many people to what on their face seemed to be radical proposals, such as defunding the police and abolishing prisons. This resulted in a significant decline in the incarceration levels. The momentum towards proportionate and principled sentencing has stalled as a result of the massive increase in violent crime in the United States in the past two years. Calls to defund the police have been drowned out by calls to refund the police and impose harsher criminal penalties. This Article identifies the contours of an evidence-based sentencing system and proposes reforms that are achievable despite the heightened community concern about the increasing crime rate. The reforms will address entrenched discrimination in the sentencing system and include introducing the proportionate sanction, utilizing technology that accurately predicts recidivism, and implementing societal reforms (such as enhancing educational outcomes) that address the root cause of crime. [ABSTRACT FROM AUTHOR]

Copyright of Journal of International Social Research is the property of Journal of International Social Research 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.)

There are nearly 7 million nursing professionals in the Region of the Americas, representing more than 56% of human health resources. The regulation of professional practices promotes and protects professional integrity, ensuring professionals are competent and well qualified. The Forum on Nursing Practice Regulation in the Region of the Americas aimed to present the regulatory frameworks for the professional practice of nursing; discuss strategic actions to support professional regulatory bodies; analyze requirements for licensing and renovating licenses; and share successful experiences in nursing regulation. The Forum counted on the participation of 83 guests in-person, with representatives from 17 countries from Latin America and the Caribbean. The COFENplay platform registered the participation of 6,906 spectators. The debates in the event led to the proposal of the following recommendations: promote a national discussion with key-actors, including the Ministries of Health, Education, and Work and Employment, to advance regulation in the countries; recommend an intersectoral articulation with the topic of Human Health Resource regulation; generate a common base for the identification of information on regulation; and broaden the research about these topics, as well as the ability to generate and analyze data. [ABSTRACT FROM AUTHOR]

Mental health disorders are highly prevalent, yet few persons receive access to treatment; this is compounded in rural areas where mental health services are limited. The proliferation of online mental health screening tools are considered a key strategy to increase identification, diagnosis, and treatment of mental illness. However, research on real-world effectiveness, especially in hard to reach rural communities, is limited. Accordingly, the current work seeks to test the hypothesis that online screening use is greater in rural communities with limited mental health resources. The study utilized a national, online, population-based cohort consisting of Microsoft Bing search engine users across 18 months in the United States (representing approximately one-third of all internet searches), in conjunction with user-matched data of completed online mental health screens for anxiety, bipolar, depression, and psychosis (N = 4354) through Mental Health America, a leading non-profit mental health organization in the United States. Rank regression modeling was leveraged to characterize U.S. county-level screen completion rates as a function of rurality, health-care availability, and sociodemographic variables. County-level rurality and mental health care availability alone explained 42% of the variance in MHA screen completion rate (R2 = 0.42, p < 5.0 × 10−6). The results suggested that online screening was more prominent in underserved rural communities, therefore presenting as important tools with which to bridge mental health-care gaps in rural, resource-deficient areas. [ABSTRACT FROM AUTHOR]

The purpose of this cross-sectional, quantitative, non-experimental study was to examine if African Americans' fear of the police varied based on age, gender, geographical location of the country, and community of residence. In addition, the research also explored why Blacks were fearful of police and if the reasons for fear differed based on the independent variables. The data was collected from a sample comprising 206 United States male and female citizens identified as Black or African American and 18 years of age or older. Data was collected through closed-ended electronic surveys distributed through Survey Monkey online web-based platform. The results suggested Black men between the ages of 35-44, residing in the South Atlantic Region of the United States in suburban neighborhoods primary reason for fearing the police was due to personally having had negative experiences with American law enforcement. The primary reason for fear of the police for women was due to having witnessed Black people having negative experiences with the executive branch of the government (law enforcement). [ABSTRACT FROM AUTHOR]

Background WHO estimates that seasonal influenza epidemics result in three to five million cases of severe illness (hospitalisations) every year. We aimed to improve the understanding of influenza-associated hospitalisation estimates at a national and global level. Methods We performed a systematic literature review of English- and Chinese-language studies published between 1995 and 2020 estimating influenza-associated hospitalisation. We included a total of 127 studies (seven in Chinese) in the meta-analysis and analyzed their data using a logit-logistic regression model to understand the influence of five study factors and produce national and global estimates by age groups. The five study factors assessed were: 1) the method used to calculate the influenza-associated hospitalisation estimates (rateor time series regression-based), 2) the outcome measure (divided into three envelopes: narrow, medium, or wide), 3) whether every case was laboratory-confirmed or not, 4) whether the estimates were national or sub-national, 5) whether the rates were based on a single year or multiple years. Results The overall pooled influenza-associated hospitalisation rate was 40.5 (95% confidence interval (CI) = 24.3-67.4) per 100 000 persons, with rates varying substantially by age: 224.0 (95% CI = 118.8-420.0) in children aged 0-4 years and 96.8 (95% CI = 57.0-164.3) in the elderly aged >65 years. The overall pooled hospitalisation rates varied by calculation method; for all ages, the rates were significantly higher when they were based on rate-based methods or calculated on a single season and significantly lower when cases were laboratory-confirmed. The national hospitalisation rates (all ages) varied considerably, ranging from 11.7 (95% CI = 3.8-36.3) per 100 000 in New Zealand to 122.1 (95% CI = 41.5-358.4) per 100 000 in India (all age estimates). Conclusions Using the pooled global influenza-associated hospitalisation rate, we estimate that seasonal influenza epidemics result in 3.2 million cases of severe illness (hospitalisations) per annum. More extensive analyses are required to assess the influence of other factors on the estimates (e.g. vaccination and dominant virus (sub)types) and efforts to harmonize the methods should be encouraged. Our study highlights the high rates of influenza-associated hospitalisations in children aged 0-4 years and the elderly aged 65+ years. [ABSTRACT FROM AUTHOR]

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The Dietary Guidelines for Americans rely on summaries of the effect of dietary pattern on disease risk, independent of other population characteristics. We explored the modifying effect of prepregnancy body mass index (BMI; weight (kg)/height (m)2) on the relationship between fruit and vegetable density (cup-equivalents/1,000 kcal) and preeclampsia using data from a pregnancy cohort study conducted at 8 US medical centers (n  = 9,412; 2010–2013). Usual daily periconceptional intake of total fruits and total vegetables was estimated from a food frequency questionnaire. We quantified the effects of diets with a high density of fruits (≥1.2 cups/1,000 kcal/day vs. <1.2 cups/1,000 kcal/day) and vegetables (≥1.3 cups/1,000 kcal/day vs. <1.3 cups/1,000 kcal/day) on preeclampsia risk, conditional on BMI, using a doubly robust estimator implemented in 2 stages. We found that the protective association of higher fruit density declined approximately linearly from a BMI of 20 to a BMI of 32, by 0.25 cases per 100 women per each BMI unit, and then flattened. The protective association of higher vegetable density strengthened in a linear fashion, by 0.3 cases per 100 women for every unit increase in BMI, up to a BMI of 30, where it plateaued. Dietary patterns with a high periconceptional density of fruits and vegetables appear more protective against preeclampsia for women with higher BMI than for leaner women. [ABSTRACT FROM AUTHOR]

Poverty scholarship in the United States is increasingly reliant upon the Supplemental Poverty Measure (SPM) as opposed to the Official Poverty Measure of the United States for research and policy analysis. However, the SPM still faces several critiques from scholars focused on poverty in nonmetropolitan areas. Key among these critiques is the geographic adjustment for cost of living employed in the SPM, which is based solely upon median rental costs and pools together all nonmetropolitan counties within each state. Here, we evaluate the current geographic adjustment of the SPM using both microdata and aggregate data from the American Community Survey for 2014–2018. By comparing housing costs, tenure, and commuting, we determine that median rent is likely an appropriate basis for geographic adjustment. However, by demonstrating the wide variability between median rents of nonmetropolitan counties within the same state, we show that the current operationalization of this geographic adjustment could be improved through the use of more-specific categories such as metropolitan adjacency or Rural Urban Continuum Codes. [ABSTRACT FROM AUTHOR]

In 2019, the executive branch of the United States released "Ending the Human Immunodeficiency Virus (HIV) Epidemic: A Plan for America" (EHE). EHE proposes to end the HIV epidemic in the United States by 2030. To do so requires a multifaceted effort from all health care providers addressing every possible avenue of HIV transmission. An important aspect of this mission is to increase access to sterile syringes for people who inject drugs (PWID). For many PWID, access to Syringe Service Programs is limited because of hours, location, and state laws. Pharmacies are able to provide clean syringes in a safe, clean, climate-controlled atmosphere with access to a health professional. Although published research shows pharmacist ambivalence toward the nonprescription sales of syringes, pharmacist involvement in states with established guidance and support from departments of health suggests that pharmacists are interested in this public health effort. However, without proper support from departments of health and access to training on the dignified delivery of services, pharmacies will continue to be an ineffective avenue for prevention of HIV spread through the provision of sterile syringes. [ABSTRACT FROM AUTHOR]

Over the past two decades, a growing body of work has emerged in the social sciences that explores various aspects of capital punishment in the contemporary United States. This article reviews one strand of this literature that focuses on the execution ritual itself – specifically on condemned inmates' last meals and the final statements that they make in the execution chamber just prior to their execution. It also discusses some of the limitations of the research and offers some ideas for future scholarship in this area. [ABSTRACT FROM AUTHOR]

Filipino American women experience breast cancer disparities including being diagnosed with breast cancer at a younger age and at a later stage. More Filipino women have breast cancer tumors that are ER-negative or overexpress Her2-neu. These disparities could be effectively minimized with screening mammograms. This study aims to determine factors that influence mammogram adherence in Filipino American women using Andersen's Behavioral Health Model of Services for Vulnerable Populations as the conceptual framework. Logistic regression models determined the influence of predisposing, enabling and need variables with mammogram adherence. Among all variables—breast cancer literacy, mammogram reminder, sociocultural deterrents, cultural beliefs, and years of residence in the United States—only a mammogram reminder from a healthcare provider was significantly associated with mammogram adherence. Convenience and snowballing sampling generated a group of women who were highly-educated Filipinas limiting the generalizability of the study's findings. [ABSTRACT FROM AUTHOR]

This article presents the concept of social inclusion as a means of addressing problems of poverty and social welfare and reviews the place of social inclusion in U.S. policies toward Indigenous peoples within U.S. boundaries. We argue that there are a number of problems with the present policy application of social inclusion to Indigenous peoples in the United States, including external conceptions of needs, individualization, an orientation to distributional as opposed to positional politics, and the conditionality of inclusion. We review some of the ways that Indigenous peoples are challenging the assumptions that underlie inclusionary policy goals. We then consider how a revised concept of social inclusion that comprehends the distinctiveness of Indigenous aspirations for self-determination, nationhood, and collective self-government might benefit not only Native Americans but the United States itself and how it might contribute to a postracial America. Our argument throughout is not with social inclusion as an ideal but with the particular version of it that has characterized late 20th and early 21st century policy toward Native peoples in the United States. [ABSTRACT FROM AUTHOR]

Pharmaceutical drug innovations are an important facet of healthcare, and all Americans reap their use at one point or another. However, the free-market in which drugs operate today has rendered exorbitant prices for many drugs necessary to treat Americans' different medical conditions, and the United States surpasses all countries in prescription drug spending.1 Although the theory of free market competition is supposed to keep product prices down as each company tries to coax consumers, the arena in which pharmaceutical companies operate is largely dominated by patents.2 Patents incentivize investment into new drugs and allow the public to obtain disclosures of new drugs from companies that might otherwise have hidden the information, but in exchange, the government grants the company a right to exclude others from profiting from the new drug for a period of time.3 This legal exclusivity sometimes allows patent holders to exert monopoly-like power over the market, and consequently companies are free to charge above competitive prices for their patented products.4 Most other countries do not deregulate drug product pricing the way that the United States does; in contrast, many governments have the authority to negotiate prices with pharmaceutical companies before allowing the drug to be sold.5 However, there is a concern that stricter regulation could disincentivize biomedical companies to invest as much as they currently do into researching and developing new drugs.6 Nonetheless, many states are taking their own steps to curtail steep drug prices; in 2019, states passed a record-breaking number of new laws that address drug prices, affordability, and access.7 An ideal solution to America's current predicament would advance mechanisms that lowered drug prices while maintaining incentivization in investing in drug innovation. This comment aims to look at: A. what the current statistics indicate about the increase of drug prices in the United States;8 B. the history behind Medicare implementation, past policymakers' goals and solutions, and the political and ideological factors that have stood in the way of price control regulations and have yielded the current situation; C. the primary factors that currently drive and protect high drug prices and the rationale behind them -- these factors include: 1. the failures of free market competition with regards to pharmaceutical drugs, and 2. overreaching patenting practices;9 D. various legislation that states are beginning to adopt; and E. the effects that the current system is having on public health. These factors will all be analyzed to synthesize possible solutions that would ideally reconcile both the tenants of drug innovation and affordable and accessible prescription drugs. [ABSTRACT FROM AUTHOR]

Understanding the sources and sinks of methane (CH 4) is critical to both predicting and mitigating future climate change. There are large uncertainties in the global budget of atmospheric CH 4 , but natural emissions are estimated to be of a similar magnitude to anthropogenic emissions. To understand CH 4 flux from biogenic sources in the United States (US) of America, a multi-scale CH 4 observation network focused on CH 4 flux rates, processes, and scaling methods is required. This can be achieved with a network of ground-based observations that are distributed based on climatic regions and land cover. To determine the gaps in physical infrastructure for developing this network, we need to understand the landscape representativeness of the current infrastructure. We focus here on eddy covariance (EC) flux towers because they are essential for a bottom-up framework that bridges the gap between point-based chamber measurements and airborne or satellite platforms that inform policy decisions and global climate agreements. Using dissimilarity, multidimensional scaling, and cluster analysis, the US was divided into 10 clusters distributed across temperature and precipitation gradients. We evaluated dissimilarity within each cluster for research sites with active CH 4 EC towers to identify gaps in existing infrastructure that limit our ability to constrain the contribution of US biogenic CH 4 emissions to the global budget. Through our analysis using climate, land cover, and location variables, we identified priority areas for research infrastructure to provide a more complete understanding of the CH 4 flux potential of ecosystem types across the US. Clusters corresponding to Alaska and the Rocky Mountains, which are inherently difficult to capture, are the most poorly represented, and all clusters require a greater representation of vegetation types. [ABSTRACT FROM AUTHOR]

Where do people meet? And how does their region's wealth effect where they meet? Investigating these patterns across the United States, we explore community organization and association venues based on data provided from Meetup.com. Examining how individuals associate for business, social, and cultural reasons, we discover that a region's median income significantly affects the type of venue for the meeting. However, certain types of associations centered on a select group of topics mitigate that effect. We discover that in the United States, personal social capital that is built and maintained "in person" is deeply embedded in commercial activities. As a result, access to various types of community is often limited to economically advantaged geographies. [ABSTRACT FROM AUTHOR]

Asthma affects a large number of people living in the Americas, a vast and diverse geographic region comprising 35 nations in the Caribbean and North, Central, and South America. The marked variability in the prevalence, morbidity, and mortality from asthma across and within nations in the Americas offers a unique opportunity to improve our understanding of the risk factors and management of asthma phenotypes and endotypes in children and adults. Moreover, a better assessment of the causes and treatment of asthma in less economically developed regions in the Americas would help diagnose and treat individuals migrating from those areas to Canada and the United States. In this focused review, we first assess the epidemiology of asthma, review known and potential risk factors, and examine commonalities and differences in asthma management across the Americas. We then discuss future directions in research and health policies to improve the prevention, diagnosis, and management of pediatric and adult asthma in the Americas, including standardized and periodic assessment of asthma burden across the region; large-scale longitudinal studies including omics and comprehensive environmental data on racially and ethnically diverse populations; and dissemination and implementation of guidelines for asthma management across the spectrum of disease severity. New initiatives should recognize differences in socioeconomic development and health care systems across the region while paying particular attention to novel or more impactful risk factors for asthma in the Americas, including indoor pollutants such as biomass fuel, tobacco use, infectious agents and the microbiome, and psychosocial stressor and chronic stress. [ABSTRACT FROM AUTHOR]

Abstract: Chronic pain is associated with reduced quality of life, increased medical expenditures, and significant economic costs. Chronic pain is among the most common chronic conditions in the United States, although estimates vary widely regarding its precise prevalence. Understanding the scope of the problem using the most contemporaneous data is therefore an important goal. This study sought to determine the prevalence of chronic pain and its impacts among adults in the United States using the National Health Interview Survey, a household-based annual survey of self-reported health status of U.S. adults that can be used to generate national-level estimates. Using a chronic pain module introduced in the 2019 edition of National Health Interview Survey, we found that 50.2 million adults (20.5%) reported pain on most days or every day. The most common pain locations were back pain and hip, knee, or foot pain. The most commonly used management strategies for chronic pain were physical therapy and massage. Respondents with chronic pain reported limitations in daily functioning, including social activities and activities of daily living. Respondents with chronic pain reported significantly more workdays missed compared with those without chronic pain (10.3 vs 2.8, P < 0.001). Overall, these findings indicate that more than 1 in 5 adults in America experiences chronic pain; additional attention to managing the burden of this disease is warranted. [ABSTRACT FROM AUTHOR]

There are currently no studies examining healthcare access and utilization by Syrian Americans. A better understanding of the determinants of healthcare utilization among this group could help aid in the design of culturally competent programs. A self-administered survey was distributed at events across Southern California and Jacksonville, Florida from January 2018 to May 2019. Statistical analysis utilized multivariate regressions. Insurance coverage was associated with a preference for speaking Arabic (OR 0.433, p = 0.02) and increased length of residency (OR 1.04, p = 0.02). Routine checkup was associated with female sex (OR 1.97, p = 0.001), age (OR 1.05, p < 0.001), and insurance coverage (OR 6.96, p < 0.001). Colonoscopy compliance rate was 43.3% and positively associated with higher education (OR 2.70, p = 0.002), routine checkup (OR 7.61, p = 0.009) and increased length of residency (OR 1.06, p < 0.001). Syrian Americans may benefit from further health promotion campaigns with regard to insurance coverage, preventative care and cancer screenings. [ABSTRACT FROM AUTHOR]

The Coronavirus 2019 (COVID-19) continues to devastate the world and the United States remains number one of reported COVID-19 cases and deaths. Research demonstrates that Blacks and Hispanics in the United States are disproportionately impacted by COVID-19, especially among highly marginalized people at the intersection of immigration and incarceration. Social distancing is a privilege and contact tracing is a deterrent for historically oppressed populations. Public health professionals have attempted a multicausal approach to prevent the spread of infectious diseases, but they have been unsuccessful in addressing the biological-social impact of highly vulnerable populations. An emphasis is placed on syndemics and social determinants of health to address health inequities associated with COVID-19 due to systemic racism. Implications for social work will reinforce the profession's obligation to address public emergencies through social and political action. Recommendations will be made for social workers to support local, state, and federal level responses of COVID-19. [ABSTRACT FROM AUTHOR]

A recent paper showed that, whereas we expect pain to rise with age due to accumulated injury, physical wear and tear, and disease, the elderly in America report less pain than those in midlife. Further exploration revealed this pattern was confined to the less educated. The authors called this the 'mystery of American pain' since pain appears to rise with age in other countries irrespective of education. Revisiting this issue with the same cross-sectional data we show that what matters in explaining pain through to age 65 is whether one is working or not. The incidence of pain across the life-course is nearly identical for workers in America and elsewhere, but it is greater for non-working Americans than it is for non-workers elsewhere. As in other countries, pain is hump-shaped in age among those Americans out of work but rises a little over the life-course for those in work. Furthermore, these patterns are apparent within educational groups. We show that, if one ascribes age-specific employment rates from other OECD countries to Americans, the age profile of pain in the United States is more similar to that found elsewhere in the OECD. This is because employment rates are lower in the United States than elsewhere between ages 30 and 60: the simulation reduces the pain contribution of these non-workers to overall pain in America, so it looks somewhat similar to pain elsewhere. We conclude that what matters in explaining pain over the life-course is whether one is working or not and once that is accounted for, the patterns are consistent across the United States and the rest of the OECD. [ABSTRACT FROM AUTHOR]