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Justice issues in early childhood education contexts abound; these include substandard developmental opportunities and resource inequalities that disproportionately affect marginalized communities. However, "interpersonal" justice matters are often underexplored in both conceptual and empirical scholarship. It is essential to prioritize how children's voices and views of justice are engaged in their educational environments, alongside questions of which communities' views and values are endorsed. This article focuses on US reading intervention programs, where efforts are made to expand freedoms and develop literacy as a pathway to greater autonomy. To better understand justice requirements for children in these programs, the authors introduce the cases of Adriana, Jason, and Gisela (pseudonyms)--all participants in case studies of young children's motivation to read in mandated reading intervention programs. The children's accounts examined within this article suggest that their intervention programs may undermine their developing capacities for autonomy and violate their rights to an open future, specifically as related to an appreciation for reading.

Science, technology, engineering, and math (STEM) workers need both motivation and interpersonal skills in STEM disciplines. The aims of the study were to identify clusters of adolescents who vary in math and science motivation and interpersonal skills and to explore what factors are related to membership in a high math and science motivation and interpersonal skills cluster. Participants included 467 adolescents (312 female; M[subscript age] = 15.12 to SD = 1.71 year) recruited from out-of-school STEM programs in the US and UK. Findings from latent class analyses revealed four clusters, including a "High Math and Science Motivation and Interpersonal Skills" group, as well as groups that exhibited lower levels of either motivation or interpersonal skills. STEM program belonging, and STEM identity are related to membership in the high motivation and skills cluster. Findings provide insight into factors that may encourage motivation and interpersonal skills in adolescents, preparing them for STEM workforce entry.

Osteoarthritis, osteoporosis, and sarcopenia are prevalent musculoskeletal disorders that significantly impact the aging population's health and quality of life. Osteoarthritis, characterized by joint inflammation, leads to pain, stiffness, and reduced mobility. Osteoporosis, a condition marked by bone density loss, increases fracture susceptibility, especially in postmenopausal women and older adults. Sarcopenia, the age-related loss of muscle mass and function, contributes to frailty and an increased risk of falls. Combined, osteoarthritis, osteoporosis and sarcopenia constitute "Musculoskeletal Failure." These 3 conditions share common risk factors like aging, genetics, and hormonal changes, as well as unhealthy lifestyle behaviors resulting in systemic chronic inflammation. Healthy lifestyle behaviors, including regular physical activity and a nutritious diet across the lifespan play a crucial role in the prevention and management of musculoskeletal failure. Awareness of the relationship between lifestyle behaviors, systemic chronic inflammation and the development and progression of these 3 common conditions is a key step in prevention, early detection and are essential for addressing the complex interplay of these musculoskeletal disorders. As the global population ages, understanding and effectively preventing and managing osteoarthritis, osteoporosis, and sarcopenia become paramount for promoting healthy aging and mitigating the societal and economic burden associated with these conditions. [ABSTRACT FROM AUTHOR]

Objective: We aimed to explore US veteran perspectives on eating disorder screening, diagnosis, patient–provider conversations, and care in the Veterans Health Administration (VHA). Method: Rapid qualitative analysis of 30–45 min phone interviews with 16 (N = 16) veterans with an electronic health record ICD‐10 eating disorder diagnosis, who received care at one of two VHA healthcare systems in Connecticut or California. Topics covered included: conversations with providers about eating disorder symptoms, diagnosis, and referral to treatment; feedback about an eating disorder screener, and; reflections on eating disorders among veterans and VHA's effort to address them. Results: Most veterans reported difficulty understanding and defining the problems they were experiencing and self‐diagnosed their eating disorder before discussing it with a provider. Treatment referrals were almost universally for being overweight rather than for an eating disorder, often leading veterans to feel misunderstood or marginalized. Overall, veterans were enthusiastic about the screener, preferred screening to be conducted by primary care providers, and noted that conversations needed to be non‐stigmatizing. There was consensus that VHA is not doing enough to address this issue, that group support and therapy could be beneficial, and that resources needed to be centralized and accessible. Discussion: For the most part, veterans felt that, at best, eating disorders and disordered eating are overlooked, and at worst, conflated with overweight. The majority of veterans got referred for weight loss or weight management services but would welcome the opportunity to be screened for, and referred to, eating disorder treatment. [ABSTRACT FROM AUTHOR]

The authors examined expectations for and commitment to career and family participation among American and Chinese business students using social learning theory. They found differences between Chinese and U.S. respondents on expectations regarding career and family as well as an interaction between gender, country (China vs. United States), and maternal employment in relation to career-family commitment. This study contributes to the understanding of work-family issues of emerging adulthood cross-culturally. Implications of the findings were discussed.

The article focuses on how emerging interest and research contributed to developmental or neuroprotective care in neonatal intensive care units (NICUs). Topics include theoretically based and empirically supported approaches, early conceptualization of the impact of sensory environments on babies, and a change in perspective to babies receiving too much sensory output.

Purpose: Rural communities are disproportionately impacted by acute shortages of mental health providers. This problem, combined with complex behavioral health conditions, elicited the need for a university-based, remote telepsychiatric traineeship for newly board certified psychiatric–mental health nurse practitioners (PMHNPs). Method: The Psychiatric Advanced Practice Registered Nurse TechNology Enhanced Residency (PARTNER) Program was developed to advance behavioral health equity by increasing state-wide access to care, removing geographical barriers, and enhancing PMHNP workforce readiness by strengthening trainees' ability to manage complex behavioral health conditions. Results: In a southeastern state over a period of 3 years, six PMHNPs cumulatively provided behavioral health services to 1,195 patients, managed >118 diagnoses, and completed 3,535 visits, with 95.6% of visits comprising provision of care to patients residing in rural areas. Conclusion: Care was provided through the implementation of a collaborative-interdisciplinary-care model provided by route of telehealth and comprising a partnership between PMHNPs and patients' primary care providers. The training program enhanced providers' clinical proficiency, improved patient outcomes, and increased the number of skilled providers trained to manage patients with complex behavioral health conditions. [Journal of Psychosocial Nursing and Mental Health Services, 62(8), 19–24.] [ABSTRACT FROM AUTHOR]

The article discusses the evolution of neonatal care practices in the United States, focusing on the transition from early incubator-based care to developmental or neuroprotective approaches. Topics include the initial emphasis on survival and infection control for premature infants, the shift toward developmental care informed by brain research, and historical practices in the care of "incubator babies" as documented in early 20th-century nursing literature.

Although cyberbullying is relational by nature, prior models focused on individual explanations for cyberbullying rather than integrating contextual processes. We present the Relational Model of Cyberbullying Motivation and Regulation (RMC). This model applies the concepts of proximal processes (e.g., interactions with parents, teachers, peers) from ecological systems theory and the concepts of psychological resources (e.g., autonomy, competency, and relatedness) from self determination theory to explain youth motivation and self-regulation of cyberbullying. First, we review theoretical foundations for the theories involved and outline postulates for youths' proximal influences, motivations for, and regulation against cyberbullying perpetration. Then, we present a pathway by which the most proximal social influences on youth impact the development of psychological resources, which then may impact cyberbullying. We also present pathways by which autonomy, competence, and relatedness have an indirect impact on cyberbullying via motivation and self-regulation. The RMC informs intervention efforts by identifying proximal contexts and leverage points to disrupt processes that lead to competence and/or autonomy to cyberbully others. [ABSTRACT FROM AUTHOR]

Aquaculture has expanded rapidly over the past half century and has surpassed capture fisheries as a source of seafood globally. However, most of the aquaculture production growth has occurred in developing countries. Despite early leadership in the global aquaculture industry, most developed countries have played only a minor role in the Blue Revolution. This paper examines the potential for developed nations to increase aquaculture production using recirculating aquaculture system (RAS) based production. The United States is used as a case study to highlight potential benefits associated with RAS-based production for developed country producers. The paper examines potential marketing and production benefits associated with RAS-based production in developed countries and evaluates the potential for RAS to avoid some regulatory and social opposition obstacles that have hindered other forms of aquaculture in developed countries. [ABSTRACT FROM AUTHOR]

This study used the National Survey on Drug Use and Health to assess a nationally representative sample (N = 4596) weighted to represent 35.2 million adults with DSM-5 criteria-determined substance use disorders (SUDs). This study explored substance use treatment utilization in 2020, emphasizing populations with high vulnerability (e.g., criminal justice involvement (CJI) through parole or probation, polysubstance use, severe mental illness, and HIV/STI). Substance use treatment was broadly defined (any inpatient, outpatient/doctor's office, self-help/other for alcohol/drugs). Our results indicated that among adults with SUDs in 2020, 7 million (20%) had multiple SUDs, 1.75 million (5%) had CJI, 5.3 million (15%) had a severe mental illness, and 1.8 million (5%) had a diagnosis of HIV/STI in the last year. Only 7% of individuals with SUD sought any substance use treatment in the past year. CJI (aOR: 13.39, 95% CI: [7.82, 22.94]), serious mental illness (aOR: 3.27, 95% CI: [1.93, 5.55]), and having both 2 (aOR: 2.10, 95% CI: [1.29, 3.42]) or 3 or more SUDs (aOR: 3.46, 95% CI: [1.82, 6.58]) were all associated with a greater likelihood of receiving treatment. Marriage (aOR: 0.43, 95% CI: [0.25, 0.74]) and having an income twice the poverty threshold (aOR: 0.53, 95% CI: [0.29, 0.94]) were associated with reduced odds of receiving any substance use treatment. Compared to those 18 to 25, older individuals had increased odds (2-4 times) of receiving treatment. Interventions are crucially needed to increase access to treatment among those with SUDs. [ABSTRACT FROM AUTHOR]

It is essential to support bilingual learners' language and academic development; however, teaching second language learners English has taken precedence over teaching content area knowledge and vocabulary, specifically for language arts. The focus has shifted from content area instruction to primarily second language instruction due to an increasingly diverse population and an increasing number of bilingual learners in formal school settings. This article introduces a framework for accomplishing both linguistic and content literacy simultaneously. The framework takes into account the four elements of the principles of learning, learner appropriate pedagogy, contextual interaction theory, student language (L1/L2) proficiency level, and a learner-centered environment that can lead to the successful achievement of content literacy for bilingual learners. The framework illustrates both the theory and practical applications that are needed for bilingual learners to achieve linguistic and cognitive success by attaining the language arts content literacy needed to succeed both in and out of the classroom. (Contains 1 figure.)

Introduction: Reporting of aromatherapy-focused research often lacks sufficient quality and detail for replication and subsequent application of results. To our knowledge currently, no quality appraisal tool exists for aromatherapy research reporting. To address this gap, the Aromatic Research Quality Appraisal Taskforce (ARQAT) composed of aromatherapy professionals with varied expert backgrounds came together. Presented here is the Transparent Reporting for Essential oil and Aroma Therapeutic Studies (TREATS) checklist, which is a result of this collaborative effort. Methods: Creation of TREATS followed a three-stage process, including determination of interest/need, development, and dissemination. The shortcomings of existing aromatherapy research reporting quality were evaluated and responses to address these shortcomings were used to create checklist items that were then grouped into sections. Items for each section were brain-stormed with reference to the aromatherapy literature and ARQAT's expert knowledge, and the development of each section followed an iterative process until agreement was reached. An explanatory document was also created to assist more accurate use of the tool; it and the checklist were reviewed by a group of aromatherapy experts. Results: The TREATS checklist with 38 items in four sections was developed along with the explanatory document. The ARQAT and a global group of aromatherapy experts reviewed the TREATS. Their results and comments assisted development of the current version. The TREATS identifies key components of research involving essential oils, their application, and olfactory considerations that ARQAT considers the minimum necessary for high-quality aromatherapy research. Conclusion: The TREATS, explanatory document, and associated website (www.arqat.org) contribute to thorough aromatherapy research critique. The TREATS checklist aids appraisal of quality and can be used with any study design. It lays the foundation for the future development of aromatic research reporting guidelines. [ABSTRACT FROM AUTHOR]

Background: Hidradenitis suppurativa (HS) is a debilitating cutaneous disease characterized by severe painful inflammatory nodules/abscesses. At present, data regarding the epidemiology and pathophysiology of this disease are limited. Objective: To define the prevalence and comorbidity associations of HS. Methods: This was a cross-sectional study of EPICTM Cosmos© examining over 180 million US patients. Prevalences were calculated by demographic and odds ratios (OR) and identified comorbidity correlations. Results: All examined metabolism-related, psychological, and autoimmune/autoinflammatory (AI) diseases correlated with HS. The strongest associations were with pyoderma gangrenosum [OR 26.56; confidence interval (CI): 24.98–28.23], Down syndrome (OR 11.31; CI 10.93–11.70), and polycystic ovarian syndrome (OR 11.24; CI 11.09–11.38). Novel AI associations were found between HS and lupus (OR 6.60; CI 6.26–6.94) and multiple sclerosis (MS; OR 2.38; CI 2.29–2.48). Cutaneous malignancies were largely not associated in the unsegmented cohort; however, among Black patients, novel associations with melanoma (OR 2.39; CI 1.86–3.08) and basal cell carcinoma (OR 2.69; CI 2.15–3.36) were identified. Limitations: International Classification of Diseases (ICD)-based disease identification relies on coding fidelity and diagnostic accuracy. Conclusion: This is the first study to identify correlations between HS with melanoma and basal cell carcinoma (BCC) among Black patients as well as MS and lupus in all patients with HS. [ABSTRACT FROM AUTHOR]

As noted by Knaak, information provided to parents about infant feeding in recent decades has become 'more a tool for persuasion than a tool for education.' Some health professionals advocate that providers and information for new and expecting parents emphasise the 'risks of formula feeding' rather than 'benefits of breastfeeding.' Limited systematic research suggests this shift is not changing parental behaviour. The present study assesses the degree to which 'risk' language appears in online breastfeeding promotional materials published by governmental health departments in the US Over 200 documents and webpages promoting breastfeeding were analysed for inclusion of 'risk' language. About 30 per cent of agencies and 13 per cent of documents and webpages promoting breastfeeding were found to contain such language. Materials published by nongovernmental entities (linked through agency sites) were significantly more likely to include risk language compared to governmental sites. This assessment provides context for the existing discourse regarding promotion of breastfeeding by emphasising health risks. The significance of these findings for respectful advocacy is discussed. [ABSTRACT FROM AUTHOR]

We live in a world of accelerating ecological devastation, where environmental violence is culturally and economically ingrained in dominant human societies. The term "Anthropocene" implies a threshold has been breached, and suggests radical reassessments of prevailing social, economic, political, and educational systems are needed. Some art teacher education programs in the United States deviate from predominant trends by embracing ecological integration and preparing art preservice teachers to implement ecological and environmental art pedagogies. Such "aberrant" programs offer rich sites to explore for methods that might be emulated beyond these singular cases. In this study, we examined how three U.S. art teacher education programs, identified as having high levels of ecological integration, infused ecological and environmental approaches into their course content and teaching methods. Themes included exposure to relational ways of being, entanglements with the land and community, collective productions of ecological integration, and infusion of art teacher educators' multiple identities. [ABSTRACT FROM AUTHOR]

Background: Introducing peanut products early can prevent peanut allergy (PA). The "Addendum guidelines for the prevention of PA in the United States" (PPA guidelines) recommend early introduction of peanut products to low and moderate risk infants and evaluation prior to starting peanut products for infants at high risk for PA (those with severe eczema and/or egg allergy). Rapid adoption of guidelines could aid in lowering the prevalence of PA. The Intervention to Reduce Early (Peanut) Allergy in Children (iREACH) trial was designed to promote PPA guideline adherence by pediatric clinicians. Methods: A two‐arm, cluster‐randomized, controlled clinical trial was designed to measure the effectiveness of an intervention that included clinician education and accompanying clinical decision support tools integrated in electronic health records (EHR) versus standard care. Randomization was at the practice level (n = 30). Primary aims evaluated over an 18‐month trial period assess adherence to the PPA guidelines using EHR documentation at 4‐ and 6‐month well‐child care visits aided by natural language processing. A secondary aim will evaluate the effectiveness in decreasing the incidence of PA by age 2.5 years using EHR documentation and caregiver surveys. The unit of observation for evaluations are individual children with clustering at the practice level. Conclusion: Application of this intervention has the potential to inform the development of strategies to speed implementation of PPA guidelines. [ABSTRACT FROM AUTHOR]

The article discusses research which examined the change in Internet use during the COVID-19 pandemic for people with Medicare aged 65 and older in the U.S. Cited are the method used to calculate for the proportion of people with Medicare who reported ever using the Internet at home in each year, overall and by person-level characteristics, and the reasons why racially or ethnically minoritized people with Medicare may be less likely to have access to telemedicine.

The current study focused on familism-related content that emerged in a primarily qualitative analysis of U.S. Mexican mother-child conversations about sibling conflicts (M age = 10.55; English = 43 (24 female); Spanish = 43 (19 female)). The study's goals were to (1) describe how familism, a central Latinx value, is conveyed to children in late middle childhood, (2) uncover signs that children at this age actively or passively accept or reject mothers' observations and expectations, and (3) determine if there are differences in conversation content based on language preference, child gender, or birth order. During discussions about sibling conflict, mothers' and children's comments revolved around four pillars of familism: establishing and maintaining harmony and devotion, recognizing the specialness of family ties (in this case sibling ties), accepting role obligations, and developing other-orientation. These values were expressed more implicitly than explicitly by a majority of the dyads. Most children accepted at least some of mothers' statements, but resistance was also high. Chi-square tests indicated no gender-of-child or birth order differences in the content of the discussions, but dyads who spoke Spanish during the conversations were more likely than those who spoke English to speak in explicit familistic terms and to point to the specialness of the sibling tie. Our study is strengths-based as we demonstrate that in U.S. Mexican families, children's conflicts with their siblings may serve as catalysts for "teaching moments" during which parents impart culturally relevant values. [ABSTRACT FROM AUTHOR]

• Type A aortic dissection in heart transplantation recipients is rare but lethal. • Patients were younger but had a higher comorbidity burden (including Marfan syndrome). • Higher rates of in-hospital mortality and postoperative complications were seen. • Closer monitoring may be warranted in heart transplantation recipients. Type A aortic dissection in heart transplantation recipients is rare and lethal, with limited research beyond case reports. This study aimed to analyze patient characteristics and clinical outcomes of this condition through a US national database. The National Inpatient Sample database (2002-2018) was used to identify all type A aortic dissection in heart transplantation recipients aged >18 years. Incidence was quantified annually. Primary outcomes were in-hospital mortality; secondary outcomes were hospital length of stay and complications. We identified 78 cases of type A aortic dissection in heart transplantation recipients. Compared with type A aortic dissection patients without a history of solid organ transplantation (N = 70,715), our patients were younger (55.3 vs 60.7 years), less likely female (18.5% vs 33.5%), and more frequently Black or Hispanic (55% vs 23%). They had a greater prevalence of Marfan syndrome (13% vs 3%), congestive heart failure (46% vs 19%), and chronic kidney disease (19% vs 10%), as well as increased in-hospital mortality (30% vs 18%) and a longer hospital length of stay (29.5 vs 13.7 days). They experienced elevated rates of cardiac (57% vs 31%), respiratory (70. % vs 41%), renal (76% vs 30%), and bleeding complications (37% vs 14%). Type A aortic dissection in heart transplantation recipients appears to exhibit distinct characteristics and poorer outcomes compared with those in the general population. Heart transplantation recipients with predisposing risk factors warrant heightened attention to help prevent this devastating condition. [ABSTRACT FROM AUTHOR]

Here, we develop two new social indices: the ADA PARC Absolute Economic Opportunity Index and the ADA PARC Relative Economic Opportunity Index. These indices allow us novel examinations of economic equity between people with and without disabilities within a U.S. state and between people with disabilities in different states using aggregations of multiple component economic indicators. These represent the first efforts to offer U.S. indices of this focus, an important development given the distinct economic needs of people with disabilities and the value in accounting for distinct national policies. The indices rely on U.S. Census and other data on economic opportunity by population. These indices provide comprehensive insight into economic disparities between people with and without disabilities and among people with disabilities in the United States. We find that state/territory values for the two indices are moderately positively correlated, suggesting that relative and absolute economic opportunity for people with disabilities arise from both common and distinct processes. Policy implications for low economic opportunity states are discussed. [ABSTRACT FROM AUTHOR]

Knowledge of the history of the social work profession and of the historical forces that shape the development of social welfare is critical to developing competence in social work. Study of history helps students develop a critical perspective on current controversies within social welfare and the social work profession. The study of local history allows social work students to consider the economic, political, social, and cultural origins of the problems that have shaped and often constrained the lives of people they serve. Using examples from the history of Detroit, Michigan, this paper shows how local history can animate social welfare history, provide students with important context about the practice environment, including relationships between diverse populations, and give specific, meaningful examples of historical trends presented in social welfare history and policy textbooks. [ABSTRACT FROM AUTHOR]

Rapid advancements in the field of immunotherapy have significantly improved cancer treatments. Specifically, an individualized cell-based modality which involves the removal of some of the patient's own white blood cells, including T cells, has revolutionized research in this field. This study focuses on the recent advances and current challenges of Chimeric Antigen Receptor- T (CAR-T) cell therapy and its regulations in the United States (US) and European Union (EU). Understanding the regulatory regimes of CAR-T cell therapy is critical for researchers and manufacturers as they navigate the hurdles of bringing CAR-T cell therapy to the global market. Benefits of CAR-T cell therapy include high response rates and the potential of long-term remissions in some haematological malignancies. However, the drawbacks are still evident including high costs, adverse reactions, and limited efficacy to solid tumours. CAR-T cell therapy is rapidly advancing, with 1231 clinical trials launched globally according to www.clinicalTrial.gov. The future of CAR-T cell therapy holds enormous promise but improving its safety, effectiveness, and availability are still barriers to its successful implementation. [ABSTRACT FROM AUTHOR]

Objects: Studies of older age bipolar disorder (OABD) have mostly focused on "younger old" individuals. Little is known about the oldest OABD (OOABD) individuals aged ≥70 years old. The Global Aging and Geriatric Experiments in Bipolar Disorder (GAGE‐BD) project provides an opportunity to evaluate the OOABD group to understand their characteristics compared to younger groups. Methods: We conducted cross‐sectional analyses of the GAGE‐BD database, an integrated, harmonized dataset from 19 international studies. We compared the sociodemographic and clinical characteristics of those aged <50 (YABD, n = 184), 50–69 (OABD, n = 881), and ≥70 (OOABD, n = 304). To standardize the comparisons between age categories and all characteristics, we used multinomial logistic regression models with age category as the dependent variable, with each characteristic as the independent variable, and clustering of standard errors to account for the correlation between observations from each of the studies. Results: OOABD and OABD had lower severity of manic symptoms (Mean YMRS = 3.3, 3.8 respectively) than YABD (YMRS = 7.6), and lower depressive symptoms (% of absent = 65.4%, and 59.5% respectively) than YABD (18.3%). OOABD and OABD had higher physical burden than YABD, especially in the cardiovascular domain (prevalence = 65% in OOABD, 41% in OABD and 17% in YABD); OOABD had the highest prevalence (56%) in the musculoskeletal domain (significantly differed from 39% in OABD and 31% in YABD which didn't differ from each other). Overall, OOABD had significant cumulative physical burden in numbers of domains (mean = 4) compared to both OABD (mean = 2) and YABD (mean = 1). OOABD had the lowest rates of suicidal thoughts (10%), which significantly differed from YABD (26%) though didn't differ from OABD (21%). Functional status was higher in both OOABD (GAF = 63) and OABD (GAF = 64), though only OABD had significantly higher function than YABD (GAF = 59). Conclusions: OOABD have unique features, suggesting that (1) OOABD individuals may be easier to manage psychiatrically, but require more attention to comorbid physical conditions; (2) OOABD is a survivor cohort associated with resilience despite high medical burden, warranting both qualitative and quantitative methods to better understand how to advance clinical care and ways to age successfully with BD. Key points: Limited knowledge of older and oldest older age bipolar disorder derived from limited sample sizes.The Global Aging and Geriatric Experiments in Bipolar Disorder consortium provided international data to compare younger age, older age, and oldest older age people with BDInternational sites (n = 14) provided data on patients aged <50 (n = 184 YABD), 50–69 (n = 881 OABD), and ≥70 (n = 304 OOABD) to assess differences among three groupsOABD and OOABD represent distinct cohorts within BD and differ in sociodemographic and clinical characteristics from YABD in general. OOABD individuals may be easier to manage psychiatrically but require more attention to their comorbid physical conditions. OOABD likely is a survivor cohort associated with resilience despite high medical burden, warranting future study using both qualitative and quantitative methods to better understand what makes OOABD resilient, how to advance clinical care and age successfully with BD. [ABSTRACT FROM AUTHOR]

Limited research has explored the longitudinal pathway to youth career interests via identity and efficacy together. This study examined the longitudinal associations between science efficacy, STEM (science, technology, engineering and math) identity, and scientist career interest among girls who are historically considered as an underrepresented group among scientists. The sample included 308 girls (M age = 15.22, SD age = 1.66; 42.8% White) from six STEM youth programs, each at a different informal science learning site within the U.K. and the U.S. Longitudinal structural equation modelling demonstrated that science efficacy consistently predicted STEM identity and scientist career interest, and similarly, STEM identity consistently predicted science efficacy over a two-year period. Scientist career interest at 12 months predicted science efficacy at 24 months. The coefficients of efficacy predicting STEM identity and scientist career interest were significantly larger compared to STEM identity and scientist career interest in predicting science efficacy from 12 months to 24 months. Further mediation analysis supported a significant pathway from STEM identity at 3 months to scientist career interest at 24 months via 12-month science efficacy. The findings highlight that science efficacy and STEM identity for girls relate to their scientist career interest and these longitudinal associations are reciprocal. This study suggests that science efficacy and STEM identity mutually influence each other, and enhancing science efficacy and STEM identity is key to promoting adolescents' interest in being a scientist. [ABSTRACT FROM AUTHOR]

Background This systematic review evaluated the available medical literature on the prevalence and trends of waterpipe tobacco smoking among adolescents and youth in jurisdictionally representative populations. Methods PubMed, Embase, and Scopus were searched for relevant studies from inception until 31 December 2022 that reported the burden of waterpipe smoking among adolescents and youth (10–24 years of age). We extracted qualitative data on the demographic characteristics, burden, and correlates of waterpipe smoking (PROSPERO ID: CRD42022310982). Results A total of 2,197 articles were screened and 62 were included in the analysis. The majority (29) of the studies was from the United States of America and there were no studies from the south-east Asian region. The prevalence of ever waterpipe smoking among the 10–24 years age group was noted to be 18.16% (95% CI, 18.03–18.29). The prevalence of current (30-day) waterpipe smoking was 6.43% (95% CI, 6.34–6.50). The age of initiation of waterpipe smoking was variable. The prevalence of waterpipe smoking was higher among males, among those who belong to the high- and middle-income groups, and among university students. The common risk factors of waterpipe smoking included cigarette smoking, alcohol, and substance use. Waterpipe smoking resulted in increased susceptibility to the use of conventional forms of tobacco (e.g. smoking) among those who were never smokers. Conclusion Waterpipe smoking usage was significantly high among adolescents and young adults. Developing regulatory guidelines for water-pipe smoking, surveillance of its use, intervention, and specific policy frameworks may be considered a public health priority. [ABSTRACT FROM AUTHOR]

Perceptions of the COVID‐19 virus varied drastically in the United States, with many people highly concerned by health‐related consequences (realistic threats) and many others concerned by sociocultural implications (symbolic threats). Across three studies, we tested whether differing realistic and symbolic COVID‐19 related threat perceptions varied along gender and political identity near the 2020 US Presidential Election. In all three studies, we found that realistic COVID‐19 related threat perceptions were positively associated with a liberal political identity; this pattern did not vary by gender. In Studies 1 and 3, symbolic COVID‐19 related threat perceptions were positively associated with a conservative political identity and also did not vary by gender. In Study 2, however, the association between symbolic threat and political identity did vary by gender. Symbolic COVID‐19 related threat perceptions were positively associated with a conservative identity for men but not women; for women, threat and political identity were unrelated. [ABSTRACT FROM AUTHOR]

Objective: Systematically review studies of support for, and effectiveness of, university campuses' smoke-free policies. Participants/Methods: A search was carried out for studies in English related to campus smoking bans through June 2013. Eligible studies had outcomes for student or faculty attitudes, or measures of smoking prevalence or secondhand smoke (SHS) exposure. Results: Nineteen eligible studies were identified, 18 from the United States and 1 from the United Kingdom. A meta-analysis found 58.94% (95% confidence interval [CI] [52.35%, 65.53%]) of students (12 studies) and 68.39% (95% CI [65.12%, 71.67%]) of faculty (7 studies) supported smoke-free policies. Both studies measuring student smoking prevalence indicated a postban reduction (16.5% to 12.8% after 1 year [p < 0.001] and 9.5% to 7.0% [p = 0.036] after 3 years). Only 5% of UK universities were smoke-free compared with 25% of US universities. Conclusions: A majority of students and faculty support smoke-free campus policies, which may reduce smoking and SHS exposure.

This article addresses a familiar topic, teaching shortages across the United States. To situate our study, we explore the impact that Grow Your Own (GYO) programs are making across K-12 schools and within communities in the Middle Atlantic region of the United States. Then, we share the perceptions of teacher candidates who participated in a GYO effort at our public university. Findings suggest that academic, social, and professional opportunities, as well as community engagement, such as field trips to educational settings in the area, were key to candidates' wanting to remain in the program. Implications specific to diversifying the teacher pipeline are also discussed. [ABSTRACT FROM AUTHOR]

Maternal suicide, once overlooked in mortality rates, is now recognized as a major contributor to pregnancy-related deaths in the United States. Recent data highlighting a surge in general population suicides underscores the urgency of addressing maternal suicide. It ranks among the top three causes of pregnancy-related deaths, accounting for up to 20% of maternal fatalities. While data collection challenges persist, state Maternal Mortality Review Committees are enhancing consistency in reviewing and documenting maternal deaths. Mental health conditions, particularly suicide, are identified as a key underlying cause, contributing to nearly 23% of pregnancy-related deaths, with 80% considered preventable. Recognizing the lasting societal impact, preventive efforts for maternal suicides should be prioritized. The effects of maternal mental distress and suicidality on child development emphasize the need for interventions across clinical, systemic, and policy domains. [ABSTRACT FROM AUTHOR]

Purpose: This study assesses the association between SUD, economic hardship, gender, and related risk and protective factors on serious psychological distress (SPD) during the COVID-19 pandemic. Design: Quantitative cross-sectional design. Setting: National Survey on Drug Use and Health (NSDUH). Sample: Data were from the NSDUH (2020) N = 25,746, representing 238,677,123 US adults, who identified as 18 or older and either male or female. Measures: SPD measured as scoring a 13 or more on the Kessler (K6) distress scale. SUDs were determined using DSM5 criteria. Sociodemographic and socioeconomic variables included in analyses. Analysis: Logistic regressions evaluated the association between gender, protective, and risk factors on SPD. Results: After controlling for sociodemographic and related factors of SPD, having a SUD was the strongest correlate of SPD. Other significant correlates of SPD included female gender and an income level at or below the federal poverty threshold. Gender stratified regressions illustrated that religiosity, self-identifying as Black, and high levels of education were protective against SPD for women but not men. Poverty level was more associated with SPD for women than men. Conclusion: In the United States, individuals with SUDs were nearly four times more likely to report SPD than those without SUDs, controlling for economic hardship and markers of social support during 2020. Effective social interventions to reduce SPD among individuals with SUDs are needed. [ABSTRACT FROM AUTHOR]

Maintaining adolescents' engagement with STEM (science, technology, engineering, and math) in and out of school may help ensure that adolescents are prepared to enter the STEM workforce. This study aims to extend prior work by documenting internal and external factors that matter for both STEM class engagement as well as engagement with STEM outside of school through STEM activism. Participants included ninth and tenth grade students (N = 852) from ethnically diverse public schools in the Southeastern United States, approximately evenly divided by gender. Findings from regression analyses revealed that girls and participants who perceive educational barriers to STEM were less engaged in STEM classes, whereas those who reported learning about more male scientists in class, and those who reported higher levels of belonging, STEM growth mindset, and STEM motivation were more engaged in STEM classes. Those who reported higher critical motivation, critical action, belonging, and STEM motivation were more engaged in STEM activism outside of school. Findings suggest that STEM teachers and out‐of‐school program developers may learn new ways to engage students from each other. Further, findings highlight some factors that may promote engagement in STEM both in and out of schools such as belonging and STEM motivation. Practitioner points: While related, STEM engagement in school and out of school are driven by somewhat different factors.Educators in and out of school should foster belonging and motivation to engage adolescents in STEM.Critical consciousness may promote engagement in STEM out of school, whereas growth mindset may be more important for in school STEM engagement. [ABSTRACT FROM AUTHOR]

The authors present a mixed-methods research study that has resulted in a framework to characterize public programs offered by US libraries. This categorization lays the foundation for long-term study of the impact of library public programming. Using an iterative approach with library expert panels as well as seeking broad, representative input from across the library field through a validity survey and case studies, this work benefits from a level of consensus not previously achieved at this scale. The resulting framework considers library profile, program characteristics, audience characteristics, and program administration—each with various subdimensions—to understand who programs affect, how those people are likely to be affected, and the institutional impact of library public programs. [ABSTRACT FROM AUTHOR]

The UN Convention on the Rights of Persons with Disability promotes equal and full participation by children in education. Equity of educational access for all students, including students with disability, free from discrimination, is the first-stated national goal of Australian education. Australian federal disability discrimination law, the Disability Discrimination Act 1992, follows the Convention, with the federal Disability Standards for Education 2005 enacting specific requirements for education. This article discusses equity of processes for inclusion of students with disability in Australian educational accountability testing, including international tests in which many countries participate. The conclusion drawn is that equitable inclusion of students with disability in current Australian educational accountability testing is not occurring from a social perspective and is not in principle compliant with law. However, given the reluctance of courts to intervene in education matters and the uncertainty of an outcome in any court consideration, the discussion shows that equitable inclusion in accountability systems is available through policy change rather than expensive, and possibly unsuccessful, legal challenges. (Contains 2 tables, 1 figure, and 1 note.)

Does geographic variation in personality across the United States relate to COVID‐19 vaccination rates? To answer this question, we combined multiple state‐level datasets: (a) Big Five personality averages (i.e., extraversion, agreeableness, conscientiousness, neuroticism, and openness; Rentfrow et al., 2008), (b) COVID‐19 full‐vaccination rates (CDC, 2021a), (c) health‐relevant demographic covariates (population density, per capita gross domestic product, and racial/ethnic data; Webster et al., 2021), and (d) political and religiosity data. Analyses showed openness as the strongest correlate of full‐vaccination rates (r = 0.51). Controlling for other traits, demographic covariates, and spatial dependence, openness remained significantly related to full‐vaccination rates (rp = 0.55). Adding political and religiosity data to this model diminished openness effects for full‐vaccination rates to non‐significance (rp = 0.26); however, extraversion emerged as a significant correlate of full‐vaccination rates (rp = 0.37). Although politics are paramount, we suspect that states with higher average openness scores are more conducive to novel thinking and behavior—dispositions that may be crucial in motivating people to take newly‐developed vaccines based on new technologies to confront a novel coronavirus. [ABSTRACT FROM AUTHOR]

Incarceration among Black sexual minority men and Black transgender women (BSMM/BTW) is disproportionately high in the United States. Limited research has documented the disruptive effect of incarceration on sexual networks and sexual partnership exchange among BSMM/BTW. We estimate the influence of incarceration on selling sex and mediating pathways among 1169 BSMM/BTW enrolled in the HIV Prevention Trials Network (HPTN) 061 cohort to assess this relationship. Mediators investigated were social support, violence, illicit drug use, and distress due to experienced racism and homophobia. During the 6 months following baseline, 14% of the cohort was incarcerated, including 24% of BTW. After adjustment, recent incarceration was associated with 1.57 (95% CI 1.02, 2.42) times the risk of subsequently selling sex. The hypothesized mediators together explained 25% of the relationship, with an indirect effect risk ratio of 1.09 (95% CI 0.97, 1.24). Our results document an association and call for more research investigating mechanisms. [ABSTRACT FROM AUTHOR]

Background: Demographic factors, such as disease context and family relationships, are communication mediators and moderators; however, little is known about how understanding these factors can improve caregiver communication with providers. Recognition of communication differences among caregivers may aid the development of approaches to improve serious illness communication. Objective: To explore whether caregiver communication differs by disease context (cancer vs. dementia) and caregiver communication type (Manager, Carrier, Partner, and Lone). Caregiver communication type is based on communication patterns between the care recipient and caregiver. Design and Measurements: Caregivers of persons with cancer and/or dementia were surveyed from a U.S. national research registry website. Measures of caregiver communication included information needs, communication confidence, perception of provider understanding of the caregiver, perceived frequency of caregiver assessment, and caregiver stress. Analysis of variance (ANOVA) determined significant differences between caregiver communication (p < 0.05) based on disease context and caregiver communication type. Results: Cancer caregivers reported higher unrecognized-demanded information states (i.e., not recognizing information was needed), more communication confidence, and more frequent caregiver assessment compared to dementia caregivers. Among caregiver communication types, Manager caregiver types were more confident communicating than other caregiver types and perceived greater understanding by providers than the Lone caregiver type. Manager caregivers reported significantly less stress than other caregiver communication types. Conclusions: Understanding disease context and caregiver communication type may help improve caregiver communication with health care providers. [ABSTRACT FROM AUTHOR]

Radon is a prevalent carcinogenic gas and the leading cause of lung cancer in the United States besides smoking. As the residential environment is the primary source of radon exposure, accessible and accurate measurements of radon in this environment are essential. However, no radon monitors have been evaluated that are inexpensive enough for regular household use. In this study, we examine two household-grade, continuous monitoring devices, the Ecosense RadonEye and EcoQube. We compare them to two research-grade instruments, the Durridge Company Rad7 and the Rad Elec Inc. E-PERM. In our study, the Ecosense household radon monitors performed accurately and can be used by homeowners and researchers alike as an affordable and reliable radon sensor. Implications: The ability of homeowners and renters to regularly monitor the radon levels inside their home is an important preventative health measure. However, low-cost instrumentation is needed that can provide accurate radon measurements. In this study, we show that the affordable Ecosense continuous monitors produce results that are in line with expensive research-grade instruments in a residential environment, over a range of concentrations. The Ecosense monitors may be suitable for home use, and they may provide a solution that can be used by policymakers and home-dwellers alike to improve regular radon monitoring in residences. [ABSTRACT FROM AUTHOR]

This secondary study focused on Hispanic college students' experiences with the COVID-19 pandemic and their academic success with instructors who implemented trauma-informed approaches and sought to add to the knowledge base of the literature to support the necessity of establishing trauma-informed policies and pedagogical practices in Hispanic Serving Institutions (HSIs). Data from an exploratory study conducted in the summer 2020 semester at a small, private, HSI was utilized (N = 309). Most participants were Hispanic Nonwhite (65%). Results indicate that among all racial/ethnic group participants, Hispanic participants were more likely to have experienced a family member or close friend who died from the COVID-19 virus, X2 (3, N = 297) = 10.1, p=.017. Additionally, Hispanic participants reported an increase in stress (44%), anxiety (38%), and depression (29%). Finally, there was a statistically significant difference in Hispanic participant expected grade outcomes compared to all other races when instructors implemented trauma-informed practices X2 (1, N = 234) = 5.964, p =.01. The ultimate goal of higher education institutions is to ensure academic success for students. Utilizing trauma-informed approaches in higher education will help generate safe, supportive, and respectful environments that have been shown to positively effect academic success. [ABSTRACT FROM AUTHOR]

Statins are an important but underutilized therapy to prevent cardiovascular events, particularly in high-risk patients. To increase use of statin therapy in high-risk patients, the Centers for Disease Control and Prevention funded a project led by the National Association of Community Health Centers to discover reasons for statin underuse in health centers and identify possible leverage points, particularly among vulnerable and underserved patients. The project further sought to develop training and educational materials to improve statin prescribing for and acceptance in eligible high-risk patients. As a first step, investigators implemented a questionnaire to clinical providers (n = 45) at health centers participating in the project to obtain their perspective on barriers to optimal statin use. We used the practical robust implementation and sustainability model (PRISM) domains to frame the overall project and guide the development of our questionnaire. This paper summarizes top perceived barriers to patient and health system/provider statin initiation and sustainment, as well as facilitators to prescribing, using PRISM as an organizing framework. Our questionnaire yielded important suggestions related to public awareness, education materials, health information technology (HIT)/data solutions, and clinical guidelines as key factors in optimizing statin use. It also informed the design of patient education resources and provider training tools. Future directions include using the full application of the PRISM implementation science model to assess how well our educational and training resources help overcome barriers to statin use in high-risk patients, including evaluating how key contextual factors influence successful implementation. [ABSTRACT FROM AUTHOR]