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Universities in China and the United States have been engaged in cross-border education through partnerships establishing international branch campuses (IBCs). This qualitative study used Moustakas's (1994) strategy of inquiry as a framework and explored Western faculty members' cross-border lived experiences at IBCs in China. IBCs in this study were coestablished by American universities and their Chinese partners. The central research question that guided this study asked about the lived experiences of Western faculty members at IBCs in China. This study purposefully selected 14 participants and data were collected through semistructured, one-on-one, face-to-face interviews. Moustakas's (1994) seven-level method of analysis involving a process of meaning reduction was followed. The essence of the participants' lived experiences described two components: value and adjustment. Findings from this study are valuable for leaders to rethink how to better support Western faculty in this joint higher education venture.

Introduction: Screening for interpersonal violence is used in healthcare settings to identify patients experiencing violence. However, using unvalidated screening tools may misclassify patients' experience with violence. The Center for Medicare & Medicaid Innovation adapted a previously validated intimate partner violence screening tool for use in assessing interpersonal violence and retained the tool's original scoring rubric, despite the new tool's broader scope. This study evaluates the scoring system for detecting safety concerns.Methods: This was a cross-sectional survey of a convenience sample of adult patients and caregivers of pediatric patients at 7 primary care clinics and 4 emergency departments (2018-2019). Surveys included the adapted 4-item Hurt Insult Threat Scream tool. Questions are scored by frequency on a Likert scale (1=never; 5=frequently). Scores of 11-20 are considered positive for safety concerns. Two-sided Fisher's exact tests were used for descriptive analyses. Data analyses occurred in 2019-2020.Results: Of 1,014 participants, 66 (6.5%) reported any frequency of physical violence. Of these, 54 (81.8%) did not reach the threshold score of 11. Of the 1,014 participants, 93 (9.2%) reported any frequency of physical violence or being threatened with harm; 76 of 93 participants (81.7%) scored <11.Conclusions: Using the original scoring criteria for the adapted Hurt Insult Threat Scream, >80% of participants reporting physical violence did not screen positive for potential safety concerns. The scoring criteria did not reliably identify participants experiencing or at high risk for violence. To improve patient safety, the adapted Hurt Insult Threat Scream scoring rubric should be updated on the basis of stakeholder input and additional validation studies. [ABSTRACT FROM AUTHOR]

The Institute of Medicine, United States Preventive Services Task Force (USPSTF), and national healthcare organizations recommend screening and counseling for intimate partner violence (IPV) within the US healthcare setting. The Affordable Care Act includes screening and brief counseling for IPV as part of required free preventive services for women. Thus, IPV screening and counseling must be implemented safely and effectively throughout the healthcare delivery system. Health professional education is one strategy for increasing screening and counseling in healthcare settings, but studies on improving screening and counseling for other health conditions highlight the critical role of making changes within the healthcare delivery system to drive desired improvements in clinician screening practices and health outcomes. This article outlines a systems approach to the implementation of IPV screening and counseling, with a focus on integrated health and advocacy service delivery to support identification and interventions, use of electronic health record (EHR) tools, and cross-sector partnerships. Practice and policy recommendations include (1) ensuring staff and clinician training in effective, client-centered IPV assessment that connects patients to support and services regardless of disclosure; (2) supporting enhancement of EHRs to prompt appropriate clinical care for IPV and facilitate capturing more detailed and standardized IPV data; and (3) integrating IPV care into quality and meaningful use measures. Research directions include studies across various health settings and populations, development of quality measures and patient-centered outcomes, and tests of multilevel approaches to improve the uptake and consistent implementation of evidence-informed IPV screening and counseling guidelines. [ABSTRACT FROM AUTHOR]

Background This study investigated the nature of newspaper reporting about online health information in the UK and US. Internet users frequently search for health information online, although the accuracy of the information retrieved varies greatly and can be misleading. Newspapers have the potential to influence public health behaviours, but information has been lacking in relation to how newspapers portray online health information to their readers. Methods The newspaper database Nexis®UK was searched for articles published from 2003 - 2012 relating to online health information. Systematic content analysis of articles published in the highest circulation newspapers in the UK and US was performed. A second researcher coded a 10% sample to establish inter-rater reliability of coding. Results In total, 161 newspaper articles were included in the analysis. Publication was most frequent in 2003, 2008 and 2009, which coincided with global threats to public health. UK broadsheet newspapers were significantly more likely to cover online health information than UK tabloid newspapers (p = 0.04) and only one article was identified in US tabloid newspapers. Articles most frequently appeared in health sections. Among the 79 articles that linked online health information to specific diseases or health topics, diabetes was the most frequently mentioned disease, cancer the commonest group of diseases and sexual health the most frequent health topic. Articles portrayed benefits of obtaining online health information more frequently than risks. Quotations from health professionals portrayed mixed opinions regarding public access to online health information. 108 (67.1%) articles directed readers to specific health-related web sites. 135 (83.9%) articles were rated as having balanced judgement and 76 (47.2%) were judged as having excellent quality reporting. No difference was found in the quality of reporting between UK and US articles. Conclusions Newspaper coverage of online health information was low during the 10-year period 2003 to 2012. Journalists tended to emphasise the benefits and understate the risks of online health information and the quality of reporting varied considerably. Newspapers directed readers to sources of online health information during global epidemics although, as most articles appeared in the health sections of broadsheet newspapers, coverage was limited to a relatively small readership. [ABSTRACT FROM AUTHOR]

The Supervisor’s Interactive Model of Organizational Relationships (SIMOR) integrates two models addressed in the leadership literature and then highlights the importance of relationships. The Supervisor’s Interactive Model of Organizational Relationships combines the modified Hersey and Blanchard model of situational leadership, the Glickman Developmental Supervision Model, and considers relationships within the organization to form a more comprehensive picture of the supervisee’s supportive and supervisory needs. This model provides supervisors with a more realistic and useful framework to guide their supportive interactions with supervisees. [ABSTRACT FROM PUBLISHER]

This study involved the development and validation of the Deaf Acculturation Scale (DAS), a new measure of cultural identity for Deaf and hard-of-hearing (hh) populations. Data for this study were collected online and involved a nation-wide sample of 3,070 deaf/hh individuals. Results indicated strong internal reliabilities for all the subscales, and construct validity was established by demonstrating that the DAS could discriminate groups based on parental hearing status, school background, and use of self-labels. Construct validity was further demonstrated through factorial analyses, and findings resulted in a final 58-item measure. Directions for future research are discussed. [ABSTRACT FROM PUBLISHER]

The article discusses the rules on asset forfeiture in the U.S., its justification as a substitute for imprisonment and its integration into criminal sentencing. First, it looks at the law and procedure for administrative, criminal, civil and judicial forfeitures. Supporters of asset forfeiture claim that it is a more acceptable substitute for imprisonment instead of fines. Among the reasons for the difficulties in the administration of forfeiture are the different punishments received by criminal defendants and lack of public awareness on forfeiture.

The article presents a reprint of two articles from "The Richmond Medical Journal" including "Extract From a Lecture on 'The Theory of Heat,' Delivered at the Medical College of Virginia" by J.B. McCaw from the January 1866 issue and "The Interdental Splint" by E.N. Covey from the February 1866 issue. The articles discuss various medical procedures and surgeries performed in the field during the American Civil War. The article also includes personal correspondence from U.S. Navy Surgeon John C. Spear.

Reports the learning of women referred for further domestic violence services in the U.S. Establishment of a managed care organization; Increase in identification and referral of domestically abused female; Factors hindering the development of services for domestic violence victims.

The article discusses the curriculum program for seriously mentally retarded children in the U.S. The main purpose of the program is to meet the needs of the these children to deal with the actual pressures in the environment. It is anticipated that a program developed by the teacher and parents who equates retarded child to a progress of a normal children will incline to underscore an academic curriculum. The content of the curriculum program must maintain the objective of the school.

Purpose/Objective: Members of minority groups may face stress as they navigate between their native culture and the dominant culture. No measure exists for evaluating acculturative stress among deaf individuals in the United States. The current study examined the psychometric properties of a modified version of the 24-item Social Attitudinal Familial and Environmental Acculturative Stress Scale (SAFE; Mena, Padilla, & Maldonado, 1987) for use with deaf undergraduate students (SAFE-D). Research Method/Design: 145 (88 females and 57 males), deaf, undergraduate students (Median age = 20.0; SD age = 4.9) from a bilingual, multicultural university were included in the study. Seventy-four percent were White, 10.4% Hispanic/Latino, 9.7% Black/African American, 0.7% Asian, and 9% multiracial. The SAFE-D included 23 items. Ten items were modified, 2 items were deleted, and 1 item was added. Results: The SAFE-D demonstrated high internal reliability (α =.931). Four factors were identified: Perceived Societal Barriers, Social Difficulties, Family Marginalization, and Discrimination. Evidence for construct validity was demonstrated through the association of SAFE-D scores with Deaf and Hearing acculturation. Conclusions/Implications: Levels of acculturative stress in the current sample were close to those reported among late immigrant and English as a Second Language undergraduate students. The 4 factors did not match those of the original SAFE scale but reflected a bidirectional model of acculturative stress unique to deaf individuals. These findings suggest that acculturative stress is a serious concern among deaf undergraduate students and that the SAFE-D can be used to assess deaf acculturative stress in this population. Impact and Implications: Similar to other cultural minority groups, deaf individuals in the United States also experience acculturative stress when navigating between Deaf culture and Hearing culture. However, to date, there has been no scale to evaluate this experience. This study examines the use of a modified version of the Social Attitudinal Familial and Environmental Acculturative Stress Scale (SAFE) for use with deaf undergraduate students (SAFE-D). Preliminary evidence for the reliability and construct validity of the SAFE-D is outlined in this paper, and directions for future modifications and use of the scale with diverse samples of deaf individuals is discussed. Acculturative stress appears to be a serious concern within the deaf population. Considering research findings that link the experience of acculturative stress to negative mental health outcomes, it is critical that researchers continue to investigate the unique acculturative stress experiences of deaf individuals to identify risk and protective factors, as well as inform clinical practice. [ABSTRACT FROM AUTHOR]