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At the core of contemporary U.S. language education policy is the dichotomous dividing of bilingual students into English Learners (ELs) who are entitled to extra support and non-ELs who are not entitled to this support. In this article, we genealogically trace the normative assumptions that go into this framing of the issue. We begin by examining the historical development of this dichotomous grouping of bilingual students within the remedial framing of the Bilingual Education Act that, building on the verbal deprivation theory that was prominent at the time, reproduced raciolinguistic ideologies that framed the language practices of racialized bilingual students as deficient and in need of remediation. We then examine how this remedial framing provided incentives for proponents of bilingual education to advocate for limited English proficiency as broadly as possible to ensure that more students were deemed eligible for these programs. We then examine contemporary vignettes that point to the tensions that this ideological underpinning has created for contemporary U.S. language education policymakers. We end with a discussion of ways of reconceptualizing U.S. language education policy that reject the remedial orientation that has informed this dichotomous framing and is responsive to the tensions reported by these educators.

This case study investigates how teachers in a school with a large population of low-income students of color in the U.S. perceived students' cultural capital and associated teachers' roles. Twenty-seven teachers were interviewed and discussed four domains of cultural capital mismatch between students and teachers: behavioral, experiential, academic, and family norm. Teachers often characterized these misalignments as students' deficits and undertook parenting or friendship roles. This study highlights the need to support and train pre-service and in-service teachers' critical consciousness so that teachers leverage students' cultural tools to enhance instruction and to counteract deficit views of students of color.

This study examines the lived experiences of seven internationally diverse scholars from Canada, the United States, New Zealand, and Australia to answer the question: how do we make meaning of our collective boundary crossing experiences across disciplines and positions within SoTL? Our positions range from graduate student, faculty, and academic developers, to department chair and centre director. We conducted a phenomenological study, based on narratives of experience, and drew on Wenger-Trayner and Wenger-Trayner's (2015) theoretical framework that explores the features of a landscape of practice. Guided by this framework, we analyze our boundary crossings and brokering across the "diverse, political and flat" features of the SoTL landscape. Our collective findings highlight the critical role brokers play in facilitating boundary crossings. Brokering is precarious, bringing people together, building trusting relationships, and developing legitimacy while negotiating deadlocks, bureaucracy, authorities, and a multitude of challenges. Brokers, we found, require strength and resilience to mobilise, influence, and drive change in the landscape to transform existing practices or create new ones. We suggest that our analytical process can be used as a tool of analysis for future research about how brokers influence the SoTL landscape of practice and how brokering enhances SoTL development, support, and leadership.

Objective: Nonsuicidal self-injury (NSSI) is a commonly occurring, yet historically poorly understood, mental health concern among post-secondary students. The present study sought to identify the current knowledge needs of university stakeholders to inform training efforts around effective NSSI response and student support on university campuses. Participants: Participants were 1,762 university students, staff, and student-staff (77% female) from seven universities in Canada, the USA, New Zealand, and Australia. Methods: Methods: Participants completed an online survey about their attitudes and knowledge of both general mental health and NSSI. Results: University stakeholders reported significantly greater stigma toward NSSI than mental illness in general. Student-staff reported greater perceived knowledge and comfort, and demonstrated greater knowledge of NSSI, than students and staff. Conclusions: Findings underscore the need for additional training and resources to reduce stigma and increase knowledge about NSSI on university campuses internationally.

This paper is a critical qualitative study of African American male community college students' education abroad experience in Senegal, West Africa. Currently, there is a lack of research that focuses directly on Black men who are studying abroad. Using African American male theory as the framework, four major themes emerged: men to boys, challenging the notion of counternarratives, identity, and not-so-distant cousins. These themes point collectively to a transformative experience for the participants. Notably, the educational experience transformed the participants' cultural, social, and racial identities, as the trip fostered a combination of vulnerability and safety that created the conditions for Black men to grow and transform.

The sibling correlation (SC), which estimates the total effect of family background (i.e., social origins), can be interpreted as measuring a society's inequality of opportunity. Its sensitivity to observed and unobserved factors makes the SC an all-encompassing measure and an attractive choice for comparative research. We gather and summarize all available estimates of SCs in educational attainment (M =.46, SD =.09) and employ meta-regression to explore variability in these estimates. First, we find significantly lower SCs in Sweden, Norway, Finland, and Denmark than in the United States, with U.S. correlations roughly.10 (i.e., 25%) higher. Most other (primarily European) countries in our study are estimated to fall in between these countries and the United States. Second, we find a novel Great Gatsby Curve–type positive association between income inequality in childhood and the SC, both cross-nationally and within countries over time. This finding supports theoretical accounts of the Great Gatsby Curve that emphasize the role of educational inequality as a link between economic inequality and social immobility. It implies that greater equality of educational opportunity likely requires reduced economic inequality. Additionally, correlations between sisters are modestly higher, on average, than those between brothers or all siblings, and we find no overall differences between cohorts. [ABSTRACT FROM AUTHOR]

Introduction: Directors of clinical education (DCEs) have complex roles in Doctor of Physical Therapy (DPT) programs. Workload imbalances affect the DCEs' ability to perform tasks efficiently and effectively. In this study, our purpose was to examine the DCEs' formal and actual workload, and factors that influence workload. Review of literature: Variations in DCE workload exist among DPT programs. The DCEs' day-to-day workload often differs from their formal workload. Programmatic and individual factors may influence workload. We did not find any large-scale studies that compared the DCEs' actual and formal workloads. Subjects: We examined data from 143 DCEs for DPT programs in the United States. Methods: Subjects were recruited using email and Listserv to take a novel online survey. In this quantitative, nonexperimental study, we examined data through descriptive statistics, Wilcoxon signed-rank tests, and multiple regressions. Results: Respondents worked significantly more hours than they were expected to work. A significant difference existed between the percentage of time formally designated and the time actually spent performing administrative, scholarship, and teaching tasks. Respondents reported lacking time in all workload categories. Collective programmatic and DCE characteristics statistically significantly affected the DCEs' scholarship and service workloads. The number of clinical education experiences independently significantly affected the DCEs' administrative and service workloads. The amount of training a DCE received independently significantly affected the DCEs' administrative, scholarship, and service workloads. Discussion and conclusion: A consistent method of calculating DCE workload should be developed that considers DCE and program characteristics. More time is needed for DCEs to perform their roles effectively. If workload imbalances, program variations, and time constraints are not addressed, DCEs may become dissatisfied with their jobs and leave the position. [ABSTRACT FROM AUTHOR]

Background: Tubal sterilization is the most commonly used method of contraception in the United States. Because contraceptive effectiveness influences contraceptive selection, we examined typical use failure rates after tubal sterilization in the United States. Methods: We estimated rates of pregnancy after tubal sterilization using data from four waves of the National Survey of Family Growth (NSFG), representative samples of U.S. women aged 15 to 44 years, collected in 2002, 2006 to 2010, 2011 to 2013, and 2013 to 2015. Survey weighting was used in survival analysis to examine time to first pregnancy after tubal sterilization. Data from these participants were censored after a tubal reversal procedure, infertility treatment, hysterectomy, or bilateral oophorectomy. Reported pregnancy rates after tubal sterilization procedures were examined by using Kaplan-Meier curves and then multivariable Cox proportional-hazards models to examine the effects of age at tubal sterilization, race/ethnicity, education, Medicaid funding, and postpartum versus interval procedures. Results: Pregnancy after tubal sterilization was reported by 2.9 to 5.2% of participants across NSFG waves. In the most recent survey wave (2013 to 2015), the estimated percentage of participants with pregnancies within the first 12 months after a tubal sterilization procedure was 2.9%; at 120 months after tubal sterilization, the estimated percentage with a pregnancy was 8.4%. At all the time points examined, pregnancy after tubal sterilization was less common after postpartum procedures than after interval procedures; however, this difference was not evident in multivariable models. In multivariable models, chance of pregnancy decreased with age at time of tubal sterilization. Race/ethnicity, education, and Medicaid funding were not consistently associated with pregnancy after tubal sterilization. Conclusions: These data suggest that there may be nontrivial rates of pregnancy after tubal sterilization. [ABSTRACT FROM AUTHOR]

Purpose: Intimate partner violence (IPV) is elevated among rural residents and contributes to maternal morbidity and mortality. Postpartum health insurance expansion efforts could address multiple causes of maternal morbidity and mortality, including IPV. The objective of this study was to describe the relationship between perinatal health insurance, IPV, and postpartum abuse screening among rural US residents. Methods: Using 2016‐2020 data on rural residents from the Pregnancy Risk Assessment Monitoring System, we assessed self‐report of experiencing physical violence by an intimate partner and rates of abuse screening at postpartum visits. Health insurance at childbirth and postpartum was categorized as private, Medicaid, or uninsured. We also measured insurance transitions from childbirth to postpartum (continuous private, continuous Medicaid, Medicaid to private, and Medicaid to uninsured). Findings: IPV rates varied by health insurance status at childbirth, with the highest rates among Medicaid beneficiaries (7.7%), compared to those who were uninsured (1.6%) or privately insured (1.6%). When measured by insurance transitions, the highest IPV rates were reported by those with continuous Medicaid coverage (8.6%), followed by those who transitioned from Medicaid at childbirth to private insurance (5.3%) or no insurance (5.9%) postpartum. Nearly half (48.1%) of rural residents lacked postpartum abuse screening, with the highest proportion among rural residents who were uninsured at childbirth (66.1%) or postpartum (52.1%). Conclusion: Rural residents who are insured by Medicaid before or after childbirth are at elevated risk for IPV. Medicaid policy efforts to improve maternal health should focus on improving detection and screening for IPV among rural residents. [ABSTRACT FROM AUTHOR]

The Dobbs v. Jackson Women's Health Organization decision overturned two previous rulings that had affirmed the constitutional right to abortion prior to fetal viability. While important work has been published about the legal, moral, professional, and economic ramifications of the Dobbs decision, missing on this topic are the voices of those most affected by these policies. We conducted an online survey to understand how the Dobbs ruling impacted the way women experience their bodies and sexual well-being. Participants were 339 cisgender women residing in the United States aged 19–29 years (M = 24.4, SD = 2.84). Participants identified as Asian/Pacific Islander (23.0%), Black (22.4%), Latina (26.0%), Mixed (3.2%), and White (25.4%). We used codebook thematic analysis to analyze free-text survey responses. We constructed four themes and additional sub-themes related to embodiment in a post-Roe context, which consisted of experiencing objectification (denial of bodily autonomy, experiencing the body as a regulated/surveilled site, feeling dehumanized, and concern for future restrictions to abortion access and civil rights), impact on mental and sexual well-being (vigilance with sex, reduced sexual desire, sexual anxiety, personal safety anxiety), minimized impact (relationship or reproductive status, resource privilege, identifying as pro-life, concern for future), and resistance. [ABSTRACT FROM AUTHOR]

Our aim in this paper is to examine how standards-based reforms (SBRs) relating to teachers and teaching are being constituted in Australia and the US. Our focus is not the specific impacts of these policies as enacted practices in schools or teacher training institutions, but rather the dynamics of policy production, with a specific focus on how federally-driven policies have been assembled in each country. Bringing together the notion of 'global forms' with the dual concepts of 'political rationality' and 'political technology' from governmentality studies, we consider SBRs as a "global techno-scientific form" that coheres at the level of political rationality and which can be abstracted across contexts, but which also manifests in unique "place-specific assemblages" of political technologies. The global form of SBRs thus represents the logics by which policymakers may attempt to align and create commonality across systems in the search for standardisation, even if this can never be fully realised in practice.

This is an interpretive-descriptive analysis of responses to 41 open ended questionnaires returned by academics working beyond normal retirement age. The sample consisted mainly of academics from the United Kingdom, Australia, and New Zealand. The research addressed the question of what motivates some academics to continue working beyond the "usual" retirement age. The main motivation for continuing was strong interest and commitment, particularly to research and writing. Some also gave social, financial, and other reasons for continuing. Those not in full time employment described barriers, including finance and facilities and the support that they needed to maintain their activities. In most countries institutional and government policies made it possible for them to stay involved academically even if it meant making a personal effort. Most of them would have liked better support or recognition from their universities. The results suggest that universities should more actively support older academics in continuing activity.

Libraries are adapting to the changing times by providing mobile services. One hundred fifty-one libraries were chosen based on circulation, with at least one library or library system from each state, to explore the diverse services provided to mobile users across the United States. According to the data, mobile apps, mobile reference services, mobile library catalogs, and mobile printing are among public libraries' most-frequently offered services, as determined by mobile visits, content analysis, and librarian survey responses. Every library examined had at least one mobile website, mobile catalog, mobile app, or webpage adapted for a mobile device. Following the COVID-19 outbreak, services such as mobile renewal, subscriber database access, mobile reservations, and the ability to interact with a librarian were expanded to allow better communication with customers--all from the comfort and safety of their own homes. Libraries are continually looking for innovative methods to assist their mobile customers as the world changes. [ABSTRACT FROM AUTHOR]

Research Findings: This study investigates the role of fine motor and mathematics instruction in mathematics achievement in an international sample of kindergarteners from the United States and China. Multilevel modeling was used to assess the interaction between students' entering skills and classroom time spent on basic math, higher-order math and fine-motor instruction. For American children, the effect of basic math and higher-order math instruction on student achievement depended on entering skills; however, fine motor instruction had negative average effects on student achievement and did not depend on students' entering skills. Instruction time was not a significant predictor of achievement for Chinese students. Practice or Policy: Though fine motor skills have a robust correlation with mathematics achievement, a causal link has not been established. Our study indicates that time spent in fine motor instruction does not advance mathematics achievement in kindergarten and in fact may weaken mathematics achievement, given the limited time in the instructional day. American teachers in our sample who spent more time in fine-motor instruction tended to spend less time on basic math and higher-order mathematics instruction. Educators should weigh instructional trade-offs carefully and work to tailor instruction to students' skill levels.

When teachers and learners of English face challenging circumstances such as limited access to books and teaching supplies, local practices such as oral storytelling traditions can provide creative resources for supporting language and literacy development. We describe how a cultural imaginary of stories told by Rwandan and U.S. students supported dramatic retelling through reader's theater in English camps for Rwandan upper elementary school students. The students embodied and dramatized their favorite stories written in English or Kinyarwanda and redesigned them into reader's theater scripts. Often these stories originated from creative storytelling practices by the students in their homes, thus illustrating how storytelling traditions connected funds of knowledge from home to resources for teaching and learning.

Introduction: Advance care planning (ACP) aims to ensure that patients receive goal‐concordant care (GCC), which is especially important for racially or ethnically minoritized populations at greater risk of poor end‐of‐life outcomes. However, few studies have evaluated the impact of advance directives (i.e., formal ACP) or goals‐of‐care conversations (i.e., informal ACP) on such care. This study aimed to examine the relationship between each of formal and informal ACP and goal‐concordant end‐of‐life care among older Americans and to determine whether their impact differed between individuals identified as White, Black, or Hispanic. Methods: We conducted a retrospective cohort study using 2012–2018 data from the biennial Health and Retirement Study. We examined the relationships of interest using two, separate multivariable logistic regression models. Model 1 regressed a proxy report of GCC on formal and informal ACP and sociodemographic and health‐related covariates. Model 2 added interaction terms between race/ethnicity and the two types of ACP. Results: Our sample included 2048 older adults. There were differences in the proportions of White, Black, and Hispanic decedents who received GCC (83.1%, 75.3%, and 71.3%, respectively, p < 0.001) and in the use of each type of ACP by racial/ethnic group. In model 1, informal compared with no informal ACP was associated with higher odds of GCC (adjusted odds ratio = 1.38 [95% confidence interval, 1.05–1.82]). In model 2, Black decedents who had formal ACP were more likely to receive GCC than those who did not, but there were no statistically significant differences between decedents of different racial/ethnic groups who had no ACP, informal ACP only, or both types of ACP. Conclusions: Our results build on previous work by indicating the importance of incorporating goals‐of‐care conversations into routine healthcare for older adults and encouraging ACP usage among racially and ethnically minoritized populations who use ACP tools at lower rates. [ABSTRACT FROM AUTHOR]

Background: Academic emergency medicine (EM) is foundational to the EM specialty through the development of new knowledge and clinical training of resident physicians. Despite recent increased attention to the future of the EM workforce, no evaluations have specifically characterized the U.S. academic EM workforce. We sought to estimate the national proportion of emergency physicians (EPs) identified as academic and the proportion of emergency department (ED) visits that take place at academic sites. Methods: We performed a cross‐sectional analysis of EPs and EDs using data from the American Hospital Association, the Centers for Medicare & Medicaid Services, and Doximity's Residency Navigator. EPs were identified as "academic" if they were affiliated with at least one facility determined to be academic, defined as EDs officially designated by the Accreditation Council for Graduate Medical Education (ACGME) as clinical training sites at accredited EM residency programs. Our primary outcomes were to estimate the national proportion of EPs identified as academic and the proportion of ED visits performed at academic sites. Results: Our analytic sample included 26,937 EPs practicing clinically across 4920 EDs and providing care during 130,471,386 ED visits. Among EPs, 11,720 (43.5%) were identified as academic, and among EDs, 635 (12.9%) were identified as academic sites, including 585 adult/general sites, 45 pediatric‐specific sites, and 10 sites affiliated with the Department of Veterans Affairs. In 2021, academic EDs provided care for 42,794,106 ED visits or 32.8% of all ED visits nationally. Conclusions: Approximately four in 10 EPs practice in at least one clinical training site affiliated with an ACGME‐accredited EM residency program, and approximately one in three ED visits nationally occur in these academic EDs. We encourage further work using alternative definitions of an academic EPs and EDs, along with longitudinal research to identify trends in the workforce's composition. [ABSTRACT FROM AUTHOR]

To assess the impact of a school-based health intervention on adolescents' health knowledge, psychosocial assets and health behaviors, including comparisons of implementation mode: remote, hybrid or in-person. The Stanford Youth Diabetes Coaches Program, an 8-week, school-based health promotion and coaching skills program, was offered to adolescents (ages 14–18 years) from four low-income US communities. Mode of program implementation was remote, hybrid or in-person. Participants completed online pre- and postsurveys. Analysis included paired t -tests, linear regression and qualitative coding. From Fall 2020 to Fall 2021, 262 adolescents enrolled and 179 finished the program and completed pre- and postsurveys. Of the 179, 80% were female, with a mean age of 15.9 years; 22% were Asian; 8% were Black or African American; 25% were White; and 40% were Hispanic. About 115 participants were remote, 25 were hybrid and 39 were in-person. Across all participants, significant improvements (P  < 0.01) were reported in health knowledge, psychosocial assets (self-esteem, self-efficacy and problem-solving) and health behaviors (physical activity, nutrition and stress reduction). After adjusting for sex and age, these improvements were roughly equivalent across the three modes of delivery. Participation was associated with significant improvements in adolescent health behaviors. Furthermore, remote mode of instruction was just as effective as in-person and hybrid modes. [ABSTRACT FROM AUTHOR]

Simple Summary: Patients with chronic liver disease and cirrhosis are at risk of developing liver cancer (HCC). Regular ultrasound screening for HCC is recommended for these patients so that HCC can be found early. However, ultrasound is not always effective at picking up small cancers, especially in patients who are overweight or obese. Other tests including CT and MRI are expensive. Our study looked at a shorter version of an MRI scan (abbreviated MRI, or aMRI) in thirty patients who had recently had an ultrasound with poor views of the liver. All thirty patients tolerated the aMRI scan well. In these patients, the aMRI scan found one HCC and five other liver abnormalities which had not been picked up on ultrasound. Experts evaluated the aMRI scans and felt they were of good quality. Our study shows that aMRI is possible and useful in patients undergoing screening for HCC, especially those who have had poor views on an ultrasound. Background: Biannual ultrasound (US) is recommended for hepatocellular carcinoma (HCC) surveillance in patients with cirrhosis. However, US has limited sensitivity for early-stage HCC, particularly in overweight cohorts, where hepatic visualisation is often inadequate. Currently there are no robust imaging surveillance strategies in patients with inadequate US visualisation. We investigated the ability of non-contrast, abbreviated magnetic resonance imaging (aMRI) to adequately visualise the liver for HCC surveillance in patients with previously inadequate US. Methods: Patients undergoing US surveillance, where liver visualisation was inadequate (LI-RADS VIS-B and VIS-C), were prospectively recruited. Patients underwent non-contrast T2-weighted and diffusion-weighted aMRI. The images were reviewed and reported by an expert liver radiologist. Three independent, blinded radiologists assessed the aMRI visualisation quality using a binary score assessing five parameters (parenchymal definition, vascular definition, coverage of the liver, uniformity of liver appearance and signal-to-noise ratio). Results: Thirty patients completed the aMRI protocol. The majority (90%) had underlying cirrhosis and were overweight (93.3%), with 50% obese and 20% severely obese. A total of 93.3% of the aMRI scans were of satisfactory quality. Six patients (20%) had hepatic abnormalities detected with aMRI that were not seen on their US: one HCC, one haemangioma and three clinically insignificant lesions. For the aMRI visualisation quality assessment, the coverage of the liver, vascular definition and parenchymal definition were consistently rated to be of sufficient quality by all three radiologists. Conclusions: Non-contrast aMRI provided good visualisation of the liver and detection of abnormalities in patients with inadequate US. aMRI should be further explored in a larger, prospective study as an alternative surveillance strategy in patients with inadequate US. [ABSTRACT FROM AUTHOR]

Healthcare associated infections (HAIs) are costly but preventable. A limited understanding of the effects of environmental cleaning on the riskiest HAI associated pathogens is a current challenge in HAI prevention. This project aimed to quantify the effects of terminal hospital cleaning practices on HAI pathogens via environmental sampling in three hospitals located throughout the United States. Surfaces were swabbed from 36 occupied patient rooms with a laboratory-confirmed, hospital- or community-acquired infection of at least one of the four pathogens of interest (i.e., Acinetobacter baumannii (A. baumannii), methicillin resistant Staphylococcus aureus (MRSA), vancomycin resistant Enterococcus faecalis/faecium (VRE), and Clostridioides difficile (C. difficile)). Six nonporous, high touch surfaces (i.e., chair handrail, bed handrail, nurse call button, desk surface, bathroom counter near the sink, and a grab bar near the toilet) were sampled in each room for Adenosine Triphosphate (ATP) and the four pathogens of interest before and after terminal cleaning. The four pathogens of interest were detected on surfaces before and after terminal cleaning, but their levels were generally reduced. Overall, C. difficile was confirmed on the desk (n = 2), while MRSA (n = 24) and VRE (n = 25) were confirmed on all surface types before terminal cleaning. After cleaning, only MRSA (n = 6) on bed handrail, chair handrail, and nurse call button and VRE (n = 5) on bathroom sink, bed handrail, nurse call button, toilet grab bar, and C. difficile (n = 1) were confirmed. At 2 of the 3 hospitals, pathogens were generally reduced by >99% during terminal cleaning. One hospital showed that VRE increased after terminal cleaning, MRSA was reduced by 73% on the nurse call button, and VRE was reduced by only 50% on the bathroom sink. ATP detections did not correlate with any pathogen concentration. This study highlights the importance of terminal cleaning and indicates room for improvement in cleaning practices to reduce surface contamination throughout hospital rooms. [ABSTRACT FROM AUTHOR]

Introduction:The COVID-19 pandemic has led to the rapid and widespread adoption of telehealth services. Telehealth may aid in bridging gaps in access to care. The specific impact of telehealth on opioid use disorder (OUD) and its treatment remains uncertain. Methods:A retrospective review of commercial insurance claim records within the United States was conducted to investigate the association between the COVID-19 pandemic and changes in the rates of(a) OUD treatments with and without telehealth support and (b) prescriptions for medications for opioid use disorder (MOUD) with and without telehealth support among individuals diagnosed with OUD. Results:In a study population of 1,340,506 individuals, OUD diagnosis rates were 5 per 1,000 in-person and 1 per 1,000 via telehealth. COVID-19 decreased in-person OUD diagnoses by 0.89 per 1,000, while telehealth diagnoses increased by 0.83 per 1,000. In-person MOUD treatment rates increased by 0.07 per 1,000 during COVID-19, while telehealth rates remained low. The onset of COVID-19 saw a 1.13 per 1,000 higher increase in telehealth-supported MOUD treatment compared to solely in-person treatment. Conclusions:A retrospective review of commercial insurance claim records within the United States was conducted to investigate the association between the COVID-19 pandemic and changes in the rates of (a) OUD treatments with and without telehealth support and (b) prescriptions for MOUD with and without telehealth support among individuals diagnosed with OUD. [ABSTRACT FROM AUTHOR]

Objectives: Women experiencing homelessness have higher rates of unintended pregnancy than stably housed women and may benefit from reproductive interconception care. How reproductive interconception care differs between women who did and did not experience perinatal homelessness is not known. We estimated prevalence ratios of reproductive interconception behaviors among US women experiencing homelessness during the perinatal period. Methods: We used data from the 2016-2019 Pregnancy Risk Assessment Monitoring System to calculate the prevalence of 5 reproductive interconception care outcomes: attending a maternal postpartum checkup, participating in a conversation with a health care provider about birth intervals, receiving family planning counseling, obtaining a prescription for short-acting contraception, and having a long-acting reversible contraceptive inserted. We used complex survey weights, stratified by perinatal homelessness, and converted adjusted logistic regression odds ratios between housing status and outcome variables to adjusted prevalence ratios (aPRs) and 95% CIs. Results: Among participants, approximately 2.4% (weighted percentage; unweighted 2953 of 100 706) experienced homelessness sometime in the 12 months before their children were born; the majority were non-Hispanic (83.2%) and White (69.4%), were not married (82.2%), and had public health insurance (56.8%). Perinatal homelessness was significantly associated with a lower prevalence of attending a postpartum maternal visit (aPR = 0.90; 95% CI, 0.87-0.94) and a higher prevalence of having a conversation about birth intervals with their health care providers (aPR = 1.13; 95% CI, 1.03-1.21). Conclusions: Findings suggest that improving attendance at postpartum visits and evaluating birth interval conversations may strengthen interconception care practices while contextualizing social determinants such as housing stability. Improving uptake of postpartum visits may reduce unintended pregnancy, short birth intervals, and adverse birth outcomes in future pregnancies among women experiencing homelessness. [ABSTRACT FROM AUTHOR]

In recent years, water conservation efforts in rice production have necessitated the use of reduced irrigation input systems such as alternate wetting and drying (AWD) as a substitute to conventional continuous flood‐irrigated systems (FLD), but little is known about the role of AWD in altering outcrossing potentials between cultivated rice and weedy rice (WR). In the United States, rice growers often control WR by cultivating varieties that possess herbicide resistance. However, an ongoing concern with such technology is hybridization or outcrossing between herbicide‐resistant rice cultivars and WR over time. Such outcrossing may result in transferring of herbicide resistance with increased occurrence of herbicide‐resistant WR ecotypes and reduction in the efficacy of herbicide management. This study compared and quantified outcrossing rates between two Clearfield rice varieties (CL142AR and CL261) that are herbicide resistant and two common WR genotypes, strawhull (SH) and blackhull (BH), under FLD and AWD management. Outcrossing was evident in all four genotype combinations (i.e., CL142AR or CL261 cultivated rice and SH or BH weedy rice) in both FLD and AWD; however, outcrossing rates with CL261 averaged about 6.5 times lower than those with CL142AR. Additional analysis revealed that higher outcrossing rates were associated with increased synchrony of flowering times and closer vertical proximity of panicles of WR to CL142AR than with CL261. AWD irrigation reduced outcrossing in SH weedy rice, suggesting that reduced outcrossing of SH weedy rice might be an additional benefit from AWD irrigation management. Core Ideas: Alternate wetting and drying (AWD) irrigation reduced outcrossing in strawhull (SH) weedy rice (WR).Cultivar CL261 had an average 6.5 times lower outcrossing rate than cultivar CL142AR under AWD management.Water conservation irrigation systems could provide an added benefit of reduced outcrossing between rice and WR.New knowledge will help in developing more effective WR control measures in rice production. [ABSTRACT FROM AUTHOR]

The development of transgender rights in the United States has been hobbled by a patchwork of inconsistent state laws. The irregularity is a function of the political opportunity structure in the United States, which is defined by a sharp partisan divide and by the federal system's division of power. National policymaking on transgender rights has stalled in Congress. Executive branch policymaking is often subject to challenge in the federal courts, and different administrations have varied in their approaches. In addition, the Supreme Court's decision in Bostock narrowly advanced transgender rights in employment law but also invited challenges in other areas. With inaction and inconsistency at the national level, states are using their reserved powers in the federal system to diverge along the partisan divide. Republican-controlled states are enacting repressive measures, while Democratic-controlled states have done the opposite. For transgender people, their rights are increasingly dependent on which state they are in. [ABSTRACT FROM AUTHOR]

Context: Media messaging matters for public opinion and policy, and analyzing patterns of campaign strategy can provide important windows into policy priorities. Methods: The authors used content analysis supplemented with keyword-based text analysis to assess the volume, proportion, and distribution of media attention to race-related issues in comparison to gender-related issues during the general election period of the 2022 midterm campaigns for federal office in the United States. Findings: Race-related mentions in campaign advertising were overwhelmingly focused on crime and law and order, with very little attention to racism, racial injustice, and the structural barriers that lead to widespread inequities. In stark contrast to mentions of gender, racial appeals were less identity focused and were competitively contested between the parties in their messaging, but they were much more likely to be led by Republicans. Conclusions: The results suggest that discussions of race and gender were highly polarized, with consequences for public understanding of and belief in disparities and policies important to population health. [ABSTRACT FROM AUTHOR]

Many studies have examined behavioral and social drivers of COVID-19 vaccination initiation, but few have examined these drivers longitudinally. We sought to identify the drivers of COVID-19 vaccination initiation using the Behavioral and Social Drivers of Vaccination (BeSD) Framework. Participants were a nationally-representative sample of 1,563 US adults who had not received a COVID-19 vaccine by baseline. Participants took surveys online at baseline (spring 2021) and follow-up (fall 2021). The surveys assessed variables from BeSD Framework domains (i.e., thinking and feeling, social processes, and practical issues), COVID-19 vaccination initiation, and demographics at baseline and follow-up. Between baseline and follow-up, 65% of respondents reported initiating COVID-19 vaccination. Vaccination intent increased from baseline to follow-up (p <.01). Higher vaccine confidence, more positive social norms towards vaccination, and receiving vaccine recommendations at baseline predicted subsequent COVID-19 vaccine initiation (all p <.01). Among factors assessed at follow-up, social responsibility and vaccine requirements had the greatest associations with vaccine initiation (all p <.01). Baseline vaccine confidence, social norms, and vaccination recommendations were associated with subsequent vaccine initiation, all of which could be useful targets for behavioral interventions. Furthermore, interventions that highlight social responsibility to vaccinate or promote vaccination requirements could also be beneficial. [ABSTRACT FROM AUTHOR]

Purpose: Subjective wellbeing (SWB) is a significant contributor to quality of life and overall wellbeing in childhood through adulthood. However, less is known about the modifiable factors that support SWB among urban children. This study explored the association between socio-ecological factors (family, peers, and neighborhood) and child SWB. Method: A convenience sample of 69 students were recruited from the 3rd (n = 40) and 5th (n = 29) grades at two urban elementary schools in a mid-Atlantic state. The average age for participants was 9.32 (SD = 1.33) and most of the sample identified as female (60.9%). We expected that better perceived family and peer relationships, and neighborhood quality would be positively associated with higher child SWB. Regression analyses were conducted by SWB outcome, which included global and domain-specific life satisfaction (i.e., personal wellbeing), and core affect. Results: Study findings indicated that family relationships were positively associated with overall life satisfaction and personal wellbeing. Neighborhood quality was also positively associated with student life satisfaction and core affect. Peer relationships were not associated with any of the SWB outcomes. Discussion: The findings highlight the importance of strengthening a child's relationships and environment to sustain positive child SWB. [ABSTRACT FROM AUTHOR]

Background: We sought to identify depressive symptom subgroups in a community sample of young adults, investigate their stability over time, and determine their association with prevalent and incident cardiovascular disease (CVD) risk factors. Method: Participants were 3377 adults from the Coronary Artery Risk Development in Young Adults study. Using latent class and latent transition analysis, we derived subgroups based on items of the 20-item version of the Center for Epidemiologic Studies Depression Scale in 1990, and examined patterns of change over a 10-year period (1990–2000). Cox regression models were used to examine associations between subgroup membership and prevalent (2000) and incident (2000 to 2016) obesity, hypertension, and diabetes. Results: Three baseline subgroups were identified and labeled: "No Symptoms" (63.5%), "Lack of Positive Affect" (PA, 25.6%), and "Depressed Mood" (10.9%). At 10-year follow-up, individuals in "No Symptoms" subgroup had the highest probability (0.84) of being classified within the same subgroup. Participants classified as "Lack of PA" were likely (0.46) to remain in the same subgroup or be classified as "No Symptoms." Participants in the "Depressed Mood" were most likely to transition to the "Lack of PA" subgroup (0.38). Overall, 30.5% of participants transitioned between subgroups, with 11.4% classified as "Worsening" and 19.1% as "Improving." Relative to the "No Symptoms Stable," other subgroups ("Depressed Stable," "Worsening," and "Improving") were associated with prevalent obesity and hypertension. Conclusion: We identified distinct depressive symptom subgroups that are variably stable over time, and their change patterns were differentially associated with CVD risk factor prevalence. [ABSTRACT FROM AUTHOR]

Lesson study (jugyou kenkyuu) has spread outside Japan in the last decade, providing opportunities to see how lesson study fares in countries where the instructional practices and curriculum materials differ from those in Japan. This study reports an elementary mathematics lesson study cycle from the United States. To investigate the nature of the support for teachers' learning during the curriculum study ("kyouzai kenkyuu") phase of lesson study, we first compared a U.S. and Japanese teacher's manual in their treatment of area of quadrilaterals. The coding scheme captured features hypothesized to influence teachers' learning from curriculum including information on student thinking, learning trajectory and rationale for pedagogical decisions (Ball & Cohen, 1996). While the U.S. teacher's manual provided more correct student answers and more often suggested adaptations for particular categories of students (e.g., English-language learners), the Japanese manual provided more varied individual student responses and more rationale for pedagogical choices. We provided the Japanese curriculum and teacher's manual to a U.S. lesson group and observed them during lesson study; U.S. teachers found some Japanese curriculum features useful (e.g., student thinking) and other features challenging (e.g., focus on a single problem). A comparison of the U.S. teachers' pre- and post- lesson study cycle lesson plans suggested that the teachers more thoroughly anticipated student thinking after working with the Japanese textbooks and teacher's manuals. We suggest that kyouzai kenkyuu on a well-designed teacher's manual may enable "coherent curriculum" at the policy level to be enacted in the classroom. (Contains 2 tables, 1 note and 5 figures.)

Apprenticeship is one of several approaches to work-based learning (WBL). Apprenticeships have all the features needed to prepare workers for occupations that require extended study to attain competence. Apprentices begin with relatively simple tasks and progress to those requiring more complex skills. Apprenticeship has had a long history in the United States giving workers the opportunity to learn a trade while they earn. This article looks at the scope of apprenticeship today, and why it remains an invaluable form of work-based learning. (Contains 9 endnotes.)

Background: Determining the prevalence of doping within an elite athlete population is challenging due to the extreme sensitivity of the topic; however, understanding true doping prevalence is important when designing anti-doping programs and measuring their effectiveness. The objective of this study was to estimate the prevalence of doping among Olympic, Paralympic, World, and National-level competitive athletes in the United States subject to the World Anti-Doping Code. All athletes who were subject to the U.S. Anti-Doping Agency's Protocol for Olympic and Paralympic Movement Testing, a World Anti-Doping Code ("Code")-compliant anti-doping program, were invited to complete a web-delivered survey. Using a direct questioning approach, the survey items asked athletes whether they had used each specific category of banned substance / method on the World Anti-Doping Agency's Prohibited List. Multiple strategies to encourage honest reporting (e.g., protecting anonymity by collecting minimal demographic information; using an outside organization to administer the survey) and to detect inconsistent responses were used. Results: Depending on the method of calculation, 6.5–9.2% of the 1,398 respondents reported using one or more prohibited substances or methods in the 12 months prior to survey administration. Specific doping prevalence rates for each individual substance / method categories ranged from 0.1% (for both diuretics / masking agents and stem cell / gene editing) to 4.2% for in-competition use of cannabinoids. Conclusion: Determining the prevalence of doping within different athlete populations is critical so that sport governing bodies can evaluate their anti-doping efforts and better tailor their programming. By measuring doping prevalence of specific categories of substances and methods, rather than just the overall prevalence of doping, this study also highlights where sport governing bodies should focus their future educational and detection efforts. Key Points: Estimated doping prevalence among U.S. elite athletes ranged from 6.5 to 9.2%. The most prevalent category of doping was in-competition use of cannabinoids (at 4.2%), whereas the least prevalent categories of doping were diuretics or masking agents (0.1%), stem cell or gene editing (0.1%), narcotics (0.2%), and hormone and metabolic modulators (0.2%). Of the athletes who reported doping, most reported using only one substance or method. [ABSTRACT FROM AUTHOR]