Search

The Every Student Succeeds Act (ESSA) offers states increased flexibility in how they identify, rank, label, and support underperforming schools. Initial reviews of state ESSA plans, however, suggest that identification and labeling policies have remained relatively unchanged. In this study, we analyze all state ESSA plans to systematically determine how states' identified Comprehensive Support and Improvement (CSI) schools and the criteria they set for those schools to exit CSI status. We describe our findings through the theory of institutional isomorphism, noting the many ways states responded similarly to ESSA. We close by considering what the lack of innovation in response to ESSA flexibility might mean for the future of educational policy and the implications for schools identified as underperforming.

Simple Summary: Disparities in outcomes for non-small cell lung cancer (NSCLC) may result from socioeconomic factors and variable healthcare access. We sought to examine the impact of area-level socioeconomic deprivation on access to care and outcomes for early-stage NSCLC in United States Veterans. We studied 9704 patients with clinical stage I NSCLC who underwent surgical treatment in the Veterans Health Administration (VHA) between 2006 and 2016 using a uniquely compiled database. Area-level socioeconomic deprivation was not associated with overall survival or cancer recurrence. However, high levels of socioeconomic deprivation were associated with inadequate adherence to care quality measures and increased risk of postoperative readmission. These results suggest that Veterans with high socioeconomic deprivation experience suboptimal access to quality preoperative and postoperative care for early-stage NSCLC but do not have inferior long-term outcomes following surgery. Future VHA policies should aim to provide more equitable guideline-concordant care and reduce postoperative readmission for early-stage NSCLC. Background: Socioeconomic deprivation has been associated with higher lung cancer risk and mortality in non-Veteran populations. However, the impact of socioeconomic deprivation on outcomes for non-small cell lung cancer (NSCLC) in an integrated and equal-access healthcare system, such as the Veterans Health Administration (VHA), remains unclear. Hence, we investigated the impact of area-level socioeconomic deprivation on access to care and postoperative outcomes for early-stage NSCLC in United States Veterans. Methods: We conducted a retrospective cohort study of patients with clinical stage I NSCLC receiving surgical treatment in the VHA between 1 October 2006 and 30 September 2016. A total of 9704 Veterans were included in the study and assigned an area deprivation index (ADI) score, a measure of socioeconomic deprivation incorporating multiple poverty, education, housing, and employment indicators. We used multivariable analyses to evaluate the relationship between ADI and postoperative outcomes as well as adherence to guideline-concordant care quality measures (QMs) for stage I NSCLC in the preoperative (positron emission tomography [PET] imaging, appropriate smoking management, pulmonary function testing [PFT], and timely surgery [≤12 weeks after diagnosis]) and postoperative periods (appropriate surveillance imaging, smoking management, and oncology referral). Results: Compared to Veterans with low socioeconomic deprivation (ADI ≤ 50), those residing in areas with high socioeconomic deprivation (ADI > 75) were less likely to have timely surgery (multivariable-adjusted odds ratio [aOR] 0.832, 95% confidence interval [CI] 0.732–0.945) and receive PET imaging (aOR 0.592, 95% CI 0.502–0.698) and PFT (aOR 0.816, 95% CI 0.694–0.959) prior to surgery. In the postoperative period, Veterans with high socioeconomic deprivation had an increased risk of 30-day readmission (aOR 1.380, 95% CI 1.103–1.726) and decreased odds of meeting all postoperative care QMs (aOR 0.856, 95% CI 0.750–0.978) compared to those with low socioeconomic deprivation. There was no association between ADI and overall survival (adjusted hazard ratio [aHR] 0.984, 95% CI 0.911–1.062) or cumulative incidence of cancer recurrence (aHR 1.047, 95% CI 0.930–1.179). Conclusions: Our results suggest that Veterans with high socioeconomic deprivation have suboptimal adherence to care QMs for stage I NSCLC yet do not have inferior long-term outcomes after curative-intent resection. Collectively, these findings demonstrate the efficacy of an integrated, equal-access healthcare system in mitigating disparities in lung cancer survival that are frequently present in other populations. Future VHA policies should continue to target increasing adherence to QMs and reducing postoperative readmission for socioeconomically disadvantaged Veterans with early-stage NSCLC. [ABSTRACT FROM AUTHOR]

Objective Despite careful design of clinical trials, unforeseen disruptions can arise. The PICOTS (Patient population, Intervention, Comparator, Outcomes, Timepoints, Setting) framework was used to assess disruptions in pain management research imposed by coronavirus disease 2019 (COVID-19) within the Pain Management Collaboratory. Methods Rapid qualitative methods were employed to identify trial disruptions due to COVID-19 in 11 pragmatic clinical trials of nonpharmacological approaches for pain management. The PICOTS framework was applied by investigators of 4 Collaboratory trials selected to cover 4 types of trial designs (individually randomized, stepped-wedge, cluster, sequential multiple assignment randomized trial—SMART). Interviews with the lead investigators of these trials were completed, and findings were presented/discussed on video calls over a 6-month period (March-August 2021) from which themes/lessons learned were identified and consensus reached. Results Investigators indicated that patient populations remained generally stable. A major COVID-19 trial disruption was moving from in-person to virtual care affecting delivery of interventions/comparators and outcome assessments. The resultant mixed-mode of care delivery created issues with intervention fidelity posing analytic challenges. COVID-19 also induced ongoing/intermittent delays and other barriers to accessing primary and specialty care at some facilities, creating research capacity issues affecting delivery of experimental interventions requiring sustained, reliable participation of clinical partners. Study designs most affected by COVID-19 were stepped-wedge (intervention/comparator changing over time), cluster (increased site variability inflating intracluster correlation), and SMART (second-stage randomizations disrupted); stratified individually-randomized trials were less vulnerable because of individual-level randomization. Conclusions PICOTS provides a framework for assessing the impact of trial disruptions in a structured manner. Given the COVID-19 experience, it is important for researchers to consider the potential impact of future trial disruptions during study planning. [ABSTRACT FROM AUTHOR]

Background: Despite widespread use of higher levels of care in treating eating disorders in adolescents, research supporting the use of these treatments remains limited by small sample sizes and a predominant focus on anorexia nervosa. Further, existing data regarding predictors of outcome have yielded mixed findings. In the current study, we evaluated treatment outcomes and predictors of outcome among a large sample of adolescents with eating disorders presenting to inpatient, residential, partial hospitalization programs, and intensive outpatient programs across the United States. Methods: Adolescents (N = 1,971) completed self-report measures of eating disorder symptoms, depression, and anxiety at treatment admission, stepdown, and discharge. Using linear mixed effect models, we evaluated changes in symptoms over treatment separately among youth admitted to inpatient/residential treatment and those admitted to partial hospitalization/intensive outpatient programs, and used established metrics to gauge frequency of reliable (i.e., statistically reliable) and clinically significant change. Results: Results suggested decreases in eating disorder symptoms, depression, and anxiety from intake to discharge. Around 50% of the sample reported reliable decreases in eating disorder symptoms at stepdown and discharge, with 30% of the sample reporting reliable reductions in depression and anxiety. Psychiatric comorbidity, primary diagnosis, age, and eating disorder symptoms at admission consistently predicted treatment-related change, although patterns in findings varied across symptoms. Conclusions: Data from our sample are consistent with past work suggesting that adolescents enrolled in higher levels of care report clinical benefit; however, these effects are heterogenous, and a significant portion of individuals may not report reliable change in symptoms. Ultimately, ongoing work is required to better understand how and for whom higher levels of care may achieve their benefit and to identify the optimal approach for improving outcomes for adolescents with eating disorders. [ABSTRACT FROM AUTHOR]

Objectives: Explore the indications for long-stay gabapentin use and elucidate the factors spurring the rapid increase in gabapentin prescribing in nursing homes (NHs). Methods: National cross-sectional survey of NH prescribers distributed anonymously using SurveyMonkey. Sampling for convenience was obtained through crowdsourcing, leveraging collaborations with NH clinician organizations. Developed by a multidisciplinary team, pilot data/existing literature informed survey content. Results: A total of 131 surveys completed. Participants: 71% white, 52% female, 71% physicians. Off-label gabapentin prescribing was ubiquitous. Nearly every clinician used gabapentin for neuropathic pain, most for any form of pain. Many clinicians also prescribe gabapentin to moderate psychiatric symptoms and behaviors. Clinicians' prescribing was influenced by opioid, antipsychotic, and anxiolytic reduction policies because gabapentin was perceived as an unmonitored and safer alternative. Conclusions: Off-label gabapentin increases are closely linked to opioid reduction efforts as more NH clinicians utilize gabapentin as an unmonitored opioid alternative. Our results highlight, however, the less recognized significance of long-stay prescribing for psychiatric symptoms and the similar contribution of psychotropic reduction initiatives, a phenomenon warranting further scrutiny. Clinical Implications: Clinicians perceive gabapentin as safer than the drugs it is replacing. Whether this is true remains unclear; the individual- and population-level risks of increased gabapentin use are largely unknown. [ABSTRACT FROM AUTHOR]

Objectives: To describe nursing home (NH) characteristics associated with antipsychotic use and test whether associations changed after implementation of the National Partnership to Improve Dementia Care's antipsychotic reduction initiative (ARI). Methods: Longitudinal quasi-experimental design using data from multiple sources and piecewise linear mixed models were used for statistical analyses. Results: There was a significant decrease in monthly antipsychotic use across the study period (pre-ARI b = −0.0003, p <.001; post-ARI b = −0.0012, p <.001), which held after adjusting for NH characteristics. Registered nurse hours (b = −0.0026, p <.001), licensed practical nurse hours (b = −0.0019, p <.001), facility chain membership (b = −0.0013, p <.01), and health inspection ratings (b = −0.0003, p >.01) were associated with decreased antipsychotic use. Post-ARI changes in associations between NH characteristics and antipsychotic use were small and not statistically significant. Conclusions: Decreases in antipsychotic use were associated with most NH characteristics, and associations persisted post-ARI. Further research is warranted to examine the interactions between ARI policy and NH characteristics on antipsychotic prescribing, as well as other NH factors, such as facility prescribing cultures and clinical specialty of staff. Clinical Implications: Decreases in monthly antipsychotic use were observed following the ARI. The decreases in monthly antipsychotic use were associated with most NH characteristics, and these associations persisted during the post-ARI period. [ABSTRACT FROM AUTHOR]

The article examines the relationship between gabapentin prescriptions and hospitalization rates among U.S. veterans, revealing that gabapentin use is associated with increased odds of hospitalization, regardless of dose. Topics discussed include the patterns of gabapentin prescriptions, the demographic and clinical characteristics of patients prescribed gabapentin, and the potential impact of gabapentin on hospitalization across different age groups.

The article explores the challenges faced in clinical data sharing within the Pain Management Collaboratory (PMC), focusing on the complexities of data sharing and management between the U.S. Department of Defense (DOD), Veterans Affairs (VA), and academic institutions. Topics include privacy and security issues, variations in data systems and regulations across different organizations, and strategies to address these challenges through the formation of specialized working groups.

In Israel, despite increasing numbers of women in medical training, there remains a scarcity of female representation in leadership positions within academic medicine. This cross-sectional study investigates the proportion of women holding departmental chair positions in Gynecologic Oncology in Israel and conducts a comparative analysis with the United States (USA) in 2022. Data was gathered from Internet websites regarding personnel staff and chair positions in Gynecologic Oncology departments in Israel and from USA medical centers with Gynecologic Oncology Fellowship programs reported by the Society for Gynecologic Oncology (SGO). The representation of women in chair positions in Israel was lower compared to the USA, 4 (19.0%) vs. 28 (45.9%), Odds Ratio 95% Confidence Interval 0.27 (0.08-0.92), p = 0.038. The findings highlight a significant gender disparity in senior Gynecologic Oncology positions in Israel compared to the USA, necessitating a thorough investigation of the underlying reasons and the implementation of efforts to address this gender bias and promote gender equality in Gynecologic Oncology and across all fields of medicine. [ABSTRACT FROM AUTHOR]

Women often embody the central values and practices of their religious tradition. When they leave their community, women find a part of the "religious tapestry" remaining with them long after their disengagement. In this article, we draw from research in the UK and Finland to explore women's efforts to unlearn parts of their former religious belonging. We draw on in total thirty-five interviews with women who disengaged from the Mormon Church, Jehovah's Witnesses and Conservative Laestadianism. We conceptualize un/learning as a multi-layered process consisting of both unlearning and re-learning. We explore women's narratives about negotiating bodily limits, conduct and belonging, and understand these as suggesting experiences of a threefold un/learning: gendered, spatial-social and epistemic. We argue that examining gendered and embodied un/learning helps to understand women's disengagement processes from minority Christian traditions in Western and Northern European secularized contexts such as the UK and Finland. [ABSTRACT FROM AUTHOR]

The authors explore the importance of the use of children's literature in exploring race and confronting racism in the U.S. Topics discussed include the need for diversity in literature to understand the world as emphasized by the Cooperative Children's Book Center at the University of Wisconsin-Madison, and the need for teachers to use discussions with children about the content of such books to ensure transformation.

Background: Reported rates of maternal mortality in the United States have been staggeringly high and increasing, and cardiovascular disease (CVD) is a chief contributor to such deaths. However, the impact of hypertensive disorders of pregnancy (HDP) on the short‐term risk of cardiovascular death is not well understood. Objectives: To evaluate the association between HDP (chronic hypertension, gestational hypertension, preeclampsia, eclampsia, and superimposed preeclampsia) and pregnancy‐associated mortality rates (PMR) from all causes, CVD‐related causes both at delivery and within 1 year following delivery. Methods: We used the Nationwide Readmissions Database (2010–2018) to examine PMRs for females 15–54 years old. International Classification of Disease 9 and 10 diagnosis codes were used to identify pregnancy‐associated deaths due to HDP and CVD. Discrete‐time Cox proportional hazards regression models were used to calculate adjusted hazard ratios (HR) and 95% confidence intervals (CI) for mortality at delivery (0 days) and at <30, <60, <90, <180, and <365 days after delivery in relation to HDP. Results: Of 33,417,736 hospital deliveries, the rate of HDP was 11.0% (n = 3,688,967), and the PMR from CVD was 6.4 per 100,000 delivery hospitalisations (n = 2141). Compared with normotensive patients, HRs for CVD‐related PMRs increased with HDP severity, reaching over 58‐fold for eclampsia patients. HRs were higher for stroke‐related (1.2 to 170.9) than heart disease (HD)‐related (0.99 to 39.8) mortality across all HDPs. Except for gestational hypertension, the increased risks of CVD mortality were evident at delivery and persisted 1 year postpartum for all HDPs. Conclusions: HDPs are strong risk factors for pregnancy‐associated mortality due to CVD at delivery and within 1 year postpartum; the risks are stronger for stroke than HD‐related PMR. While absolute PMRs are low, this study supports the importance of extending postpartum care beyond the traditional 42‐day postpartum visit for people whose pregnancies are complicated by hypertension. [ABSTRACT FROM AUTHOR]

Disparities in socio-economic status (SES) predict many immune system-related diseases, and previous research documents relationships between SES and the immune cell transcriptome. Drawing on a bioinformatically-informed network approach, we situate these findings in a broader molecular framework by examining the upstream regulators of SES-associated transcriptional alterations. Data come from the National Longitudinal Study of Adolescent to Adult Health (Add Health), a nationally representative sample of 4543 adults in the United States. Results reveal a network—of differentially expressed genes, transcription factors, and protein neighbors of transcription factors—that shows widespread SES-related dysregulation of the immune system. Mediational models suggest that body mass index (BMI) plays a key role in accounting for many of these associations. Overall, the results reveal the central role of upstream regulators in socioeconomic differences in the molecular basis of immunity, which propagate to increase risk of chronic health conditions in later-life. [ABSTRACT FROM AUTHOR]

Educators often argue that mathematics should be taught so that the students in the course are actually "doing mathematics." Is there a consensus among mathematicians and mathematics educators as to the meaning of "doing mathematics?" In an effort to answer this question, we administered a survey to hundreds of university-level mathematics and mathematics education faculty members. Participants ranked the importance of various mathematical activities and also responded to several open-ended questions. Responses to the open-ended questions were analyzed qualitatively to identify patterns. In this paper, we discuss the patterns we observed in analyzing the survey data, with a particular focus on the similarities and differences between mathematicians and mathematics educators.

Are attitudes more resistant to change when they are more central to a belief system? Theories of inter‐attitude structure and belief system dynamics both suggest that the answer is yes. We demonstrate how to combine belief system network methods with pretest‐posttest experiments to empirically test this idea. We aimed to persuade US conservatives (Experiment 1 N = 890) and US liberals (Experiment 2 N = 1305, Experiment 3 N = 1293) using moral reframing persuasive strategies. Although we find that moral reframing was persuasive (9 of 12 attempts), there was no evidence that central attitudes were more difficult to change than peripheral attitudes. This was the case across all experiments, target attitudes and methods for assessing belief system structure. The results suggest that moral reframing persuades people, but that theories of inter‐attitude structure and belief system dynamics both do not make accurate predictions in this situation. [ABSTRACT FROM AUTHOR]

The United States (US) National Center for Interprofessional Practice and Education was funded at the University of Minnesota to serve as the National Coordinating Center for Interprofessional Education and Collaborative Practice (IPECP) in the US In 2012, the funders had specific expectations for operationalizing their vision that included scholarship, programs and leadership as an unbiased, neutral convener to align education with health system redesign. While US specific, the National Center benefited from and contributed to the international maturity of the field over the past decade. Through its various services and technology platforms, the National Center has a wide reach nationally and internationally. This perspective provides a unique view of the field in the US with observations and implications for the future. [ABSTRACT FROM AUTHOR]

BACKGROUND: Transcranial direct current stimulation (tDCS) may provide a potential therapy for cognitive deficits caused by traumatic brain injury (TBI), yet its efficacy and mechanisms of action are still uncertain. OBJECTIVE: We hypothesized that anodal tDCS over the left dorsolateral prefrontal cortex (DLPFC) would boost the influence of a cognitive training regimen in a mild-to-moderate TBI (mmTBI) sample. Cognitive enhancement was measured by examining event-related potentials (ERPs) during cognitive control tasks from pre- to post-treatment. METHODS: Thirty-four participants with mmTBI underwent ten sessions of cognitive training with active (n = 17) or sham (n = 17) anodal tDCS to the left DLPFC. ERPs were assessed during performance of an auditory oddball (3AOB), N-back, and dot pattern expectancy (DPX) task before and after treatment. RESULTS: P3b amplitudes significantly decreased from baseline to post-treatment testing, regardless of tDCS condition, in the N-back task. The active tDCS group demonstrated a significantly increased P3a amplitude in the DPX task. No statistically significant stimulation effects were seen during the 3AOB and N-back tasks. CONCLUSION: Active anodal tDCS paired with cognitive training led to increases in P3a amplitudes in the DPX, inferring increased cognitive control. P3b decreased in the N-back task demonstrating the effects of cognitive training. These dissociated P3 findings suggest separate mechanisms invoked by different neuroplasticity-inducing paradigms (stimulation versus training) in brain networks that support executive functioning. [ABSTRACT FROM AUTHOR]

Two samples of Slovak women in higher education were surveyed in order to determine the extent to which organizational commitment and life satisfaction are related to personal and work-related attributes. Organizational commitment was found to be related to the work-related attributes of role conflict and role ambiguity. These work-related attributes were not correlated with life satisfaction. A positive relationship was found between Professional Role Orientation and life satisfaction in one of the samples surveyed. Organizational Role Orientation did not correlate significantly with either organizational commitment or life satisfaction. The personal attribute of locus of control did not correlate with life satisfaction but there was a significant correlation between locus of control and organizational commitment in the 1996 Slovak sample. Results are discussed in comparison to findings from similar surveys of U.S. women in higher education and with respect to changes in higher education in post-communist Central and Eastern European countries. (Contains 5 tables and 1 footnote.)

Purpose: The purpose of this paper is to review and identify changes in systems of external examinations in Denmark, the UK and Norway. Design/methodology/approach: Comparative analysis of studies, reviews and documents concerning the purpose and functioning of systems of external examination in three selected countries. Findings: The paper concludes that systems of external examinations are being transformed from a focus on student performance to a focus on programme quality and coherence in all three countries studied. Practical implications: The paper shows that older and newer forms of quality assurance are becoming more integrated with the potential of creating quality assurance procedures addressing teaching and learning issues more directly. Originality/value: Much attention has been given to newer forms of external quality assurance schemes. More traditional forms of quality assurance have, as a consequence, received less attention although they may still provide benefits to higher education. (Contains 2 tables.)

Background: In July 2012, the Centers for Medicare & Medicaid services launched an antipsychotic reduction initiative (ARI) to improve care for nursing facility residents with Alzheimer's disease and related dementias (ADRD). We examined the impact of this policy on antipsychotic and psychotropic medication (PM) utilization and diagnosis patterns in long‐stay nursing facility residents with ADRD and other conditions in which antipsychotics are indicated. Methods: Using an 80% sample of fee‐for‐service Medicare beneficiaries with Part D, we conducted a retrospective cohort study of nursing facility residents with ADRD, bipolar disorder, psychosis, Parkinson's disease, and residents exempt from the policy due to diagnoses of schizophrenia, Tourette syndrome, and/or Huntington's disease. We used interrupted time‐series analyses to compare changes in diagnoses, antipsychotic use, and PM utilization before (January 1, 2011–June 30, 2012) and after (July 1, 2012–September 30, 2015) ARI implementation. Results: We identified 874,487 long‐stay nursing facility residents with a diagnosis of ADRD (n = 358,518), exempt (n = 92,859), bipolar (n = 128,298), psychosis (n = 93,402), and Parkinson's disease (n = 80,211). In all cohorts, antipsychotic use declined prior to the ARI; upon policy implementation, antipsychotic use reductions were sustained throughout the study period, including statistically significant ARI‐associated accelerated declines in all cohorts. PM changes varied by cohort, with ARI‐associated increases in non‐benzodiazepine sedatives and/or muscle relaxants noted in ADRD, psychosis, and Parkinson's cohorts. Although anticonvulsant use increased throughout the study period in all groups, with the exception of the bipolar cohort, these increases were not associated with ARI implementation. Findings are minimally explained by increased post‐ARI membership in the psychosis and Parkinson's cohorts. Conclusions: Our study documents antipsychotic use significantly declined in non‐ADRD clinical and exempt cohorts, where such reductions may not be clinically warranted. Furthermore, ARI‐associated compensatory increases in PMs do not offset these reductions. Changes in PM utilization and diagnostic make‐up of residents using PMs require further investigation to assess the potential for adverse clinical and economic outcomes. See related commentary by Reppas‐Rindlisbacher et al. in this issue. [ABSTRACT FROM AUTHOR]

Human papillomavirus (HPV) vaccination protects against six types of cancer—cervical, anal, oropharyngeal, penile, vulvar, and vaginal. In the United States (U.S.), HPV vaccination coverage in college students remains low, especially in the Mid-South region, despite the highest risk of HPV infections and disease burden. However, few studies have assessed HPV vaccination among college students here. This study examined factors associated with HPV vaccination among college students in the Mid-South and explored preferred strategies for promoting vaccination. A mixed-methods design comprising a cross-sectional, self-report online survey and dyadic virtual interviews was conducted. Simple random sampling was performed to recruit a total of 417 undergraduate students aged 18–26 from March to May 2021; convenience sampling was performed to recruit three sex-matched dyads of a total of six (four female and two male) undergraduates from survey respondents who had not completed the HPV vaccine series in May 2021. Binary logistic regression analyses showed HPV vaccine knowledge and perceived barriers to vaccination were factors contributing to coverage for both female and male students, while perceived risks of HPV and vaccine hesitancy were factors only among female students. Findings from the qualitative content analysis identified college students' perceived barriers to the vaccination at multiple levels and preferred strategies for vaccination promotion, corroborating the findings from the survey study. The findings provide implications that benefit the development of tailored interventions aimed at facilitating catch-up vaccination among college students in the Mid-South region. There is an urgent need for further research and the implementation of effective strategies that address the identified barriers and improve HPV vaccine uptake in this population. [ABSTRACT FROM AUTHOR]

The article focuses on the variation in firearm screening and access based on LGBT status among Veterans with the risk of firearm-related suicide in both LGBT individuals and Veterans. It mentions that the study aims to fill this gap by examining LGBTQI+ status, emergency department visits, and firearm screening and access using natural language processing and machine learning algorithms applied to clinical notes in the Veterans Affairs (VA) electronic health records.

Sociodemographic characteristics and depressive symptoms were assessed for their association with increased frequency of intimate partner violence (IPV) victimization since the start of the COVID-19 pandemic in a US sample of (N = 1,090) LGBTQ people, using an anonymous online survey. Among those (n = 98) endorsing IPV victimization in their current relationship, more than 18% reported increased frequency since the onset of the pandemic. Respondents in the Southern US, and those with more severe depressive symptoms, were more likely to report an increased frequency of IPV victimization. Providers, researchers, and policymakers should address this prevalent health problem, particularly during public health emergencies. [ABSTRACT FROM AUTHOR]

A theory-generating qualitative metasynthesis was used to explore the questions: (a) How do mothers of low socioeconomic status in the United States express their attitudes and beliefs on breastfeeding? (b) How do mothers of low socioeconomic status in the United States describe the types of support received related to breastfeeding? Databases were searched from January 2000 to June 2022. Eleven qualitative studies were evaluated, and six themes were identified. A model was developed illustrating how the themes impact a mother's decision to breastfeed. Positive factors included shared narratives, knowledge of breastfeeding physiology, and social network. However, more negative influences were heard such as opinions passed on from family and friends, lack of teaching and anticipatory guidance, limited support and follow up, and the perception of conflicting messages from health care professionals. This model identifies constructs that can be used as starting points for interventions, policy development and/or health promotion education. [ABSTRACT FROM AUTHOR]

The U.S. Food and Drug Administration and European Commission have developed successful orphan drug legislation to promote the research, development, and marketing approval of drugs to treat rare diseases. Central to these regulations are the concepts of structural similarity and clinical superiority/significant benefit to achieve orphan drug exclusivity. However, differences in health authority expectations remain regarding the qualification for an orphan drug designation, defining structural similarity, and demonstrating clinical superiority/significant benefit. These differences can create sponsor company uncertainty regarding the approvability of products (e.g., blocking risk by an existing orphan product) and divergent orphan drug decisions among health authorities. A comprehensive assessment of current regulations, case studies in exclusivities, and recommendations for improvement are presented. [ABSTRACT FROM AUTHOR]

Background: The initial COVID‐19 pandemic response−related effects on conceptions following the use of assisted reproductive technologies (ART), and on changes in the maternal characteristics of women who conceived during the early vs. pre‐pandemic period, have been understudied. Objectives: To examine the effects of ART clinic closures in the United States (US) in March 2020 on the frequency of ART‐conceived live births, multiple births and stillbirths; and to describe changes in the characteristics of women who conceived in the early pandemic period. Methods: Population‐based cohort study including all births in the US from January 2015 to December 2020 (22,907,688 live births; 134,537 stillbirths). Interrupted time series (ITS) methodology was used to estimate rate ratios (RR) of expected versus observed rates in December 2020 (i.e., among births conceived mainly in March 2020). Demographic and clinical characteristics were compared between mothers who conceived in March 2020 versus March 2015–2019. Results: Overall, 1.1% of live births and 1.7% of stillbirths were conceived by ART. ART‐conceived live births decreased by 57.0% in December 2020 (observed vs. expected RR 0.43, 95% confidence interval [CI] 0.40, 0.45), and these declines occurred in all subgroups of women. Multiple births also declined in December 2020. Stillbirth rates increased in December 2020 in ART‐conceived births (RR 2.55, 95% CI 1.63, 3.92) but remained unchanged in the non‐ART group. Maternal characteristics of women who conceived in the early pandemic versus pre‐pandemic period differed and included an increased prevalence of pre‐pregnancy obesity class 3 and chronic hypertension. Conclusions: The early pandemic closure of ART clinics resulted in a substantial decline in ART‐conceived live births and multiple births in December 2020 and an increase in the proportion of stillbirths among ART‐conceived births. Women who conceived in the early pandemic period also had an increased prevalence of obesity and chronic hypertension. [ABSTRACT FROM AUTHOR]

Researchers and educators in humanities such as computational linguists, digital humanists, and those doing historical reconstructions are increasingly heavy users of computational and/or data resources. Many know about activities, working groups, and initiatives around the findable, accessible, interoperable, reusable (FAIR) principles and are a driving force for improving the sharing of data and software. However, it seems humanities researchers are less aware of the science gateways community and the end-to-end solutions that science gateways could provide, therefore lacking a driving force for adoption of this technology. This small-scale exploratory study will clarify some of the challenges and needs faced by computational researchers in the humanities that may explain their relatively low participation in the science gateways community. For this paper, we present the results of 19 interviews with seven women, 11 men, and one nonbinary individual from seven states and DC in the United States with a range of professional backgrounds and roles. [ABSTRACT FROM AUTHOR]

Introduction: On the United States' Organ Transplantation Waitlist, approximately 17 people die each day waiting for an organ. The situation continues to deteriorate as the discrepancy between harvested organs and the number of patients in need is increasing. Static cold storage is the clinical standard method for preserving a harvested organ but is associated with several drawbacks. Machine perfusion of an organ has been shown to improve preservation quality as well as preservation time over static cold storage. While there are machine perfusion devices clinically available, they are costly and limited to specific organs and preservation solutions. This study presents a versatile oxygenating perfusion system (VOPS) that supplies oxygen and pulsatile perfusion. Materials and Methods: Experiments evaluated the system's performance with a human kidney mimicking hydraulic analog using multiple compressed oxygen supply pressures and aqueous solutions with viscosities ranging from 1 to 6.5 cP, which simulated viscosities of commonly used organ preservation solutions. Results and Conclusions: The VOPS produced mean flow rates ranging from 0.6 to 28.2 mL/min and perfusion pressures from 4.8 to 96.8 mmHg, which successfully achieved the desired perfusion parameters for human kidneys. This work provides evidence that the VOPS described herein has the versatility to perfuse organs using many of the clinically available preservation solutions. [ABSTRACT FROM AUTHOR]

The article discusses the strategic planning process for the U.S. Society for Nutrition Education and Behavior (SNEB), emphasizing the importance of collaboration and member input in shaping a strong future for the organization. Topics discussed include gathering feedback through surveys and listening sessions, ensuring adaptability in the plan, and prioritizing initiatives to align with SNEB's mission of advancing nutrition education and professional growth.

This study compared human papillomavirus (HPV) vaccination occurrences on the same day as provider recommendations at clinics in the Western United States stratified by healthcare provider groups. In addition, the relationships between provider groups' perceived challenges associated with HPV vaccination, HPV vaccination knowledge, HPV recommendation practices, and same-day HPV vaccinations and recommendations are described. Eligible participants included pediatric healthcare providers and staff with influence on patient/parental-level decisions regarding HPV vaccination. Participants filled out a 40-question survey. Results for study participants (N = 99) showed providers reported a higher number of challenges limiting HPV vaccination, higher HPV vaccination knowledge, and more favorable HPV vaccination recommendation practices compared to other healthcare team members (OTM) suggesting providers may have a better overall understanding of the HPV vaccination climate than OTMs. Clinics should examine OTMs' training, expectations, and opportunities to increase the frequency and strength of HPV vaccination recommendations to adolescent patients and parents. [ABSTRACT FROM AUTHOR]

Theories of belief system structure and dynamics assume that belief systems are a person-level construct. However, measures of belief system structure do not measure the structure of person-level belief systems and instead measure aggregated belief system structure (e.g., the belief system in a particular country). In this paper, I show that a measure of conceptual similarity between attitudes and identities of a belief system works as a valid, reliable, flexible, and efficient measure of person-level belief system structure in the United States. In Studies 1 (N = 387), 2 (N = 389), and 3 (N = 598), I show conceptual similarity judgments are reliable and are related to measures of political engagement, political knowledge, attitude consistency, and preference congruence as predicted by computational models of belief system dynamics. In Studies 4 (N = 981) and 5 (N = 983), I show that conceptual similarity judgments are affected by partisan frames and that changes in conceptual similarity judgments are associated with attitude change as predicted by computational models of belief system dynamics. Conceptual similarity judgments can be used with a variety of attitudes and identities in easy to administer studies. It provides a tool to fill an empirical gap identified by theories of belief system dynamics. [ABSTRACT FROM AUTHOR]

Teen dating violence (TDV) is a public health crisis that organizations and individuals in several fields are working to prevent and address. State lawmakers are a group with substantial power to address TDV and intimate partner violence (IPV) through policies including Civil Protection Order (CPO) statutes. Understanding the factors that influence how state legislators craft TDV and IPV policies and how those policies are implemented can lead to policy processes that better serve survivors. Past research suggests the level of gender inequality in a state may be an important influence on TDV policies. This study used a case study approach to compare the processes of adding individuals in dating relationships to CPO statutes in a subset of states (n = 3) with high, middle, and low levels of gender inequality. Results did not suggest that gender inequality was related to variation between states but rather that it was a larger factor that creates the need for TDV policies at all. Relationships between the state IPV coalitions and lawmakers and the historical moment that laws were considered emerged as important factors in interstate variation. Future research can build on these results by further exploring the role of gender inequality in policy processes with additional states or policies and by examining the factors identified here in greater depth. Implications for practice are also discussed. [ABSTRACT FROM AUTHOR]

This photovoice study explores the experiences of adaptive coping and safety amongst adults with co-occurring post-traumatic stress disorder (PTSD) and substance use disorder (SUD). Participants (n  = 6) were purposively sampled from Seeking Safety groups at a community mental health centre in the United States of America. Participants identified primarily as women (83 per cent), white (50 per cent) and had a mean age of 42 years (standard deviation = 11). Data were gathered through individual photo-elicitation interviews. Through reflexive thematic analysis, the authors generated five themes related to coping safely with distress: (1) similar to other views on mental health recovery, the process of learning to cope with distress was framed as a journey; (2) participants cited several behavioural and meaning-making strategies for coping with distress; (3) feelings of agency were promoted through mastery of wellness skills; (4) healthy personal and professional relationships contributed to positive growth and use of adaptive coping strategies; and (5) participants' social and physical environments greatly impacted perceptions of safety. Findings provide new evidence on the range of adaptive coping strategies persons with SUD and PTSD employ to realise feelings of safety and the assets relationships and communities can provide to support post-traumatic growth and recovery. [ABSTRACT FROM AUTHOR]

For many school districts in the United States, making the transition to the Common Core State Standards (CCSS) is proving to be a challenge at a time when they are already facing many obstacles, not the least of which is dwindling financial resources. A change of this magnitude cannot be made haphazardly; to be successful in its goal of helping students better prepare for the 21st century, it must be done with strong leadership and true intentionality. For the majority of states, ready or not, the CCSS are coming and now is the time to take the lead in making implementation as seamless and successful as possible. In this article, the author provides some background information about the CCSS, and offers some steps in implementing the CCSS.

Belief systems are individual-level phenomena that describe the interrelationships of the political attitudes of a person. However, the modal study of the structure of political ideologies and beliefs uses cross-sectional survey data to estimate what is central to the belief system or the dimensionality of the belief system, aggregating across many people. Cross-sectional data, however, are ill-suited to the task of studying individual-level phenomena because they contain an unobservable mixture of within-person and between-person variation. In this project, we use longitudinal datasets from the Netherlands (representative) and the United States (convenience), spanning between 6 months and 10 years, to we ask whether between-subjects methods can help us understand the within-person structure of belief systems. First, we use Bayesian STARTS models (Lüdtke et al., 2018) to assess what type of variance cross-sectional studies are likely tapping into. We find that variability in measures of ideology and political beliefs is primarily due to stable between-person differences, with relatively smaller amounts of variation due to within-person differences. Second, we estimate between-person, within-person, and cross-sectional correlations between all items in our study and find that between-person correlations are larger and in some cases differ in their direction from within-person correlations. Furthermore, cross-sectional correlations are most similar to between-person correlations. Taken together, these findings indicate that the modal study may help describe differences between people, but is ill-suited to tell us about the structure of individuals' belief systems. New methods are necessary for a complete understanding of political belief systems that clarify both between- and within-person processes. [ABSTRACT FROM AUTHOR]

Survivors of domestic violence (DV) and of violence perpetrated by organized gangs (GV) face barriers to legal protection under U.S. asylum law. We abstracted data from 132 affidavits based on forensic medical evaluations of asylum seekers granted legal protection in the U.S. on the basis of DV and/or GV. We described claimants' trauma exposures and resilience factors and used multiple logistic regression to quantify associations with Diagnostic and Statistical Manual-5 (DSM-5) diagnoses and improvement in mental health. People seeking asylum based on DV and/or GV have endured multiple types of trauma with significant impacts on their mental health. New experiences of trauma following migration to the U.S. were common and associated with DSM-5 diagnoses. Conversely, resilience factors were associated with improved mental health. Policies that aim to reduce ongoing trauma in the U.S. and to bolster resilience factors may promote asylee mental health and well-being. [ABSTRACT FROM AUTHOR]

Background: Many of the conditions of the COVID-19 pandemic were consistent with factors shown to be predictive of parental stress and burnout. The purpose of the current study was to use a retrospective pretest method to gain an understanding of the effects of the COVID-19 pandemic on levels of parental burnout and on parenting practices. Method: A brief survey was conducted using a retrospective pretest method to examine parental burnout (The Parental Burnout Assessment, Roskam et al, 2018) and parenting practices (The Alabama Parenting Questionnaire, Frick, 1991). The survey asked parent participants to answer questions about their experiences before and during the pandemic. Results: Findings indicated that the pandemic had a significant impact on parents, increasing overall levels of parental burnout and impacting parenting practices by reducing use of positive parenting strategies and increasing use of inconsistent discipline and corporal punishment. These changes in parenting practices were even more pronounced for parents whose levels of parental burnout moved from "normal" levels before the pandemic to clinical levels during the pandemic. Conclusion: The findings of the current study suggest that the COVID-19 pandemic has had a negative impact on levels of parental burnout and parenting practices. Although additional research is needed, the results suggest that there is a need for clinicians to understand the effects that the pandemic may have had on parents and families with an understanding that families may be at ongoing risk despite a relaxation of COVID-19 restrictions. [ABSTRACT FROM AUTHOR]

Most psychiatric disorders are chronic, associated with high levels of disability and distress, and present during pediatric development. Scientific innovation increasingly allows researchers to probe brain-behavior relationships in the developing human. As a result, ambitions to (1) establish normative pediatric brain development trajectories akin to growth curves, (2) characterize reliable metrics for distinguishing illness, and (3) develop clinically useful tools to assist in the diagnosis and management of mental health and learning disorders have gained significant momentum. To this end, the NKI-Rockland Sample initiative was created to probe lifespan development as a large-scale multimodal dataset. The NKI-Rockland Sample Longitudinal Discovery of Brain Development Trajectories substudy (N = 369) is a 24- to 30-month multi-cohort longitudinal pediatric investigation (ages 6.0–17.0 at enrollment) carried out in a community-ascertained sample. Data include psychiatric diagnostic, medical, behavioral, and cognitive phenotyping, as well as multimodal brain imaging (resting fMRI, diffusion MRI, morphometric MRI, arterial spin labeling), genetics, and actigraphy. Herein, we present the rationale, design, and implementation of the Longitudinal Discovery of Brain Development Trajectories protocol. Measurement(s) Cognition • Psychiatric Diagnosis • Development Technology Type(s) MRI • phenotypic battery • actigraphy • laboratory analysis Sample Characteristic - Organism Homo sapien Sample Characteristic - Environment Community-ascertained non-diagnostic sample Sample Characteristic - Location United States [ABSTRACT FROM AUTHOR]

Over the past two decades, there has been a persistent shortage of qualified speech-language pathologists (SLPs) across the United States. This shortage is predicted to continue, as data reported by the American Speech Language Hearing Association (ASHA) from the US Bureau of Labor Statistics indicates that there will be a 27% increase in job openings through the year 2028. In some states, the shortage has led to service provision from individuals without a background in speech-language pathology and/or without speech-language pathology certification and licensure. Speech and language services that are delivered by unqualified personnel may lead to inadequate time devoted to therapy—either too much, or too little—which is ultimately unethical, illegal, and expensive. However, there is a real issue at hand for school leadership—and that is: How to recruit, support, and retain highly qualified SLPs? In the current tutorial, we will provide evidence-based action steps for how and why to recruit, support, and retain certified and licensed SLPs. Specifically, we discuss the qualifications of the SLP, roles and responsibilities of school-based SLPs, caseload versus workload considerations, various service delivery models, and a review of SLP job satisfaction research. Throughout the tutorial, we will provide concrete and evidence-based ideas for school leadership to consider when recruiting, supporting, and retaining SLPs. [ABSTRACT FROM AUTHOR]

As the effects of climate change accumulate and intensify, resource managers juggle existing goals and new mandates to operationalize adaptation. Fire managers contend with the direct effects of climate change on resources in addition to climate-induced disruptions to fire regimes and subsequent ecosystem effects. In systems stressed by warming and drying, increased fire activity amplifies the pace of change and scale of severe disturbance events, heightening the urgency for management action. Fire managers are asked to integrate information on climate impacts with their professional expertise to determine how to achieve management objectives in a changing climate with altered fire regimes. This is a difficult task, and managers need support as they incorporate climate adaptation into planning and operations. We present a list of adaptation strategies and approaches specific to fire and climate based on co-produced knowledge from a science–management partnership and pilot-tested in a two-day workshop with natural resource managers and regional stakeholders. This "menu" is a flexible and useful tool for fire managers who need to connect the dots between fire ecology, climate science, adaptation intent, and management implementation. It was created and tested as part of an adaptation framework used widely across the United States and should be applicable and useful in many fire-prone forest ecosystems. [ABSTRACT FROM AUTHOR]

Objectives: To estimate the association between chronic hypertension and perinatal mortality and to evaluate the extent to which risks are impacted by preterm delivery. Design: Cross‐sectional analysis. Setting: United States, 2015–18. Population: Singleton births (20–44 weeks of gestation). Exposure: Chronic hypertension, defined as elevated blood pressure diagnosed before pregnancy or recognised before 20 weeks of gestation. Main outcomes and measures: We derived the risk of perinatal mortality in relation to chronic hypertension from Poisson models, adjusted for confounders. The impacts of misclassification and unmeasured confounding were assessed. Causal mediation analysis was performed to quantify the impact of preterm delivery on the association. Results: Of the 15 090 678 singleton births, perinatal mortality rates were 22.5 and 8.2 per 1000 births in chronic hypertensive and normotensive pregnancies, respectively (adjusted risk ratio 2.05, 95% CI 2.00–2.10). Corrections for exposure misclassification and unmeasured confounding biases substantially increased the risk estimate. Although causal mediation analysis revealed that most of the association of chronic hypertension on perinatal mortality was mediated through preterm delivery, the perinatal mortality rates were highest at early term, term and late term gestations, suggesting that a planned early term delivery at 37–386/7 weeks may optimally balance risk in these pregnancies. Additionally, 87% (95% CI 84–90%) of perinatal deaths could be eliminated if preterm deliveries, as a result of chronic hypertension, were preventable. Conclusions: Chronic hypertension is associated with increased risk for perinatal mortality. Planned early term delivery and targeting modifiable risk factors for chronic hypertension may reduce perinatal mortality rates. Maternal chronic hypertension is associated with increased risk for perinatal mortality, largely driven by preterm birth. Maternal chronic hypertension is associated with increased risk for perinatal mortality, largely driven by preterm birth. [ABSTRACT FROM AUTHOR]

Theories of moralization argue that moral relevance varies due to inter‐individual differences, domain differences, or a mix of both. Predictors associated with these sources of variation have been studied in isolation to assess their unique contribution to moralization. Across three studies (NStudy1 = 376; NStudy2a = 621; NStudy2b = 589), assessing attitudes towards new big data technologies, we found that moralization is best explained by theories focusing on inter‐individual variation (∼29%) and intra‐individual variation across technology domains (∼49%), and less by theories focusing on differences between technology domains (∼6%). We simultaneously examined 15 inter‐individual and 16 intra‐individual predictors that potentially explain this variation. Predictors directly relevant to the technologies (e.g., justice concerns), cognitive styles (e.g., faith in intuition), and emotional reactions (e.g., anger) best explain variation in moral relevance. Accordingly, scholars should simultaneously adopt and adapt moralization theories related to inter‐individual and intra‐individual differences across domains rather than in isolation. [ABSTRACT FROM AUTHOR]

Recent research highlighted the influence of religion among health outcomes. To the best of our knowledge, there is no systematic review that summarizes the evidence on the relationship between religious factors and the utilization of cancer screenings. Therefore, this article aims to list the findings about the influence of religious denominations, the importance of religion in one's life, and religious practices, such as church attendance on the utilization of cancer screenings. PubMed, PsycInfo and CINAHL were searched using a predefined algorithm in June 2020. We included observational studies that examined the association between religion and cancer screening use and employed appropriate items to quantify these key variables. Study selection, data extraction and quality assessment were performed independently by two reviewers. We detected n=27 studies that fulfilled the inclusion criteria. Hereby, n=16 used data from the United States. Most of the studies that were included in our review found a positive association between religious attendance and cancer screening utilization. There was mixed evidence concerning religious denomination as well as religiosity and use of cancer screenings. The studies suggest that religious factors are related to the utilization of cancer screenings. The findings of this systematic review may be helpful to resolve the underuse of cancer screenings by revealing at-risk-groups. [ABSTRACT FROM AUTHOR]

Discusses the use of copyright notices in libraries on reproducing equipment, including photocopiers, computer printers, videocassette recorders, and audiotape recorders; and presents guidelines to determine what works are in the public domain in the United States and the United Kingdom. A sidebar describes a new library copyright guide. (LRW)

This study investigated prevalence and factors associated with prenatal smoking among US women veterans using cross-sectional data from a cohort study of veterans from recent wars utilizing Veterans Health Administration primary care (N = 6190). Among the participants, 747 (12.0%) were current smokers and 1039 (16.8%) were former smokers. Multivariable logistic regression indicated that White race, substance use disorder, and posttraumatic stress disorder were associated with increased likelihood of smoking during pregnancy. Conversely, being married and officer rank were associated with decreased likelihood of prenatal smoking. Findings suggest a need for empirical testing of interventions to address perinatal smoking, substance use, and mental health. [ABSTRACT FROM AUTHOR]