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Background: Understanding students' naive conceptions about the norms that guide scientific best practice is important so that teachers can adapt to students' existing understandings. Objective: We examined what incoming undergraduate students of psychology believe about reproducibility and open science practices. Method: We conducted an online survey with participants who were about to start their first course in psychology at a university (N = 239). Results: When asked to indicate how a researcher should conduct her study, most students endorsed several open science practices. When asked to estimate the proportion of published psychological studies that follow various open science practices, participants' estimates averaged near 50%. Only 18% of participants reported that they had heard the term "replication crisis." Conclusion: Despite media attention about the replication crisis, few incoming psychology students in our sample were familiar with the term. The students were nevertheless in favour of most open science practices, although they overestimated the prevalence of some of these practices in psychology. Teaching Implications: Teachers of incoming psychology students should not assume pre-existing knowledge about open science or replicability.

In order for children to understand and reason about the world in an adult-like fashion, they need to learn that conceptual categories are organized in a hierarchical fashion (e.g., a dog is also an animal). While children learn from their first-hand observation of the world, social knowledge transmission via language can also play an important role in this learning. Previous studies have documented several cues in parental talk that can help children learn about conceptual hierarchy. However, these studies have used different datasets and methods that have made it difficult to compare the relative usefulness of various linguistic cues to conceptual knowledge and to test whether they scale up to naturalistic speech. Here, we study a large-scale corpus of English child-directed speech -- collected in North America and the UK -- and used a unified classification-based evaluation method which allowed us to investigate and compare cues that vary in terms of how explicit the information they offer is. We found the more explicit cues to be too sparse or too noisy in child-directed speech, making them unlikely to support robust learning. In contrast, the implicit cues offered a more reliable source of information. Further, we investigated developmental changes from 3 to 6 years of age, and we found no differences in the availability of these cues in the input. Our work confirms the utility of caregiver talk for conveying conceptual information and supporting the development of early taxonomic knowledge. It provides a first step toward a cognitive model that would combine perceptual- and language-based mechanisms, leading to a more comprehensive account of children's conceptual development.

Purpose: Measuring the growth of young children's vocabulary is important for researchers seeking to understand language learning as well as for clinicians aiming to identify early deficits. The MacArthur-Bates Communicative Development Inventories (CDIs) are parent report instruments that offer a reliable and valid method for measuring early productive and receptive vocabulary across a number of languages. CDI forms typically include hundreds of words, however, and so the burden of completion is significant. We address this limitation by building on previous work using item response theory (IRT) models to create computer adaptive test (CAT) versions of the CDIs. We created CDI-CATs for both comprehension and production vocabulary, for both American English and Mexican Spanish. Method: Using a data set of 7,633 English-speaking children ages 12-36 months and 1,692 Spanish-speaking children ages 12-30 months, across three CDI forms (Words & Gestures, Words & Sentences, and CDI-III), we found that a 2-parameter logistic IRT model fits well for a majority of the 680 pooled vocabulary items. We conducted CAT simulations on this data set, assessing simulated tests of varying length (25-400 items). Results: Even very short CATs recovered participant abilities very well with little bias across ages. An empirical validation study with N = 204 children ages 15-36 months showed a correlation of r = 0.92 between language ability estimated from full CDI versus CDI-CAT forms. Conclusion: We provide our item bank along with fitted parameters and other details, offer recommendations for how to construct CDI-CATs in new languages, and suggest when this type of assessment may or may not be appropriate.

This report presents a new parent-rated outcome measure of insomnia for children with autism spectrum disorder. Parents of 1185 children with autism spectrum disorder (aged 3–12; 80.3% male) completed the first draft of the measure online. Factor and item response theory analyses reduced the set of 40 items to the final 21-item Pediatric Insomnia Autism Rating Scale. In this online sample, Pediatric Insomnia Autism Rating Scale mean was 21.8 ± 15.0 (range 0–63; coefficient alpha = 0.94). Item response theory results indicated excellent reliability across a range of scores. Next, we conducted a telehealth assessment of 134 children with autism spectrum disorder (aged 3–12; 73% male). In this clinical sample, Pediatric Insomnia Autism Rating Scale mean was 28.9 + 14.62 (range 0–61; coefficient alpha = 0.93). Pearson correlations of Pediatric Insomnia Autism Rating Scale with the PROMIS Sleep Disturbance and the modified Children's Sleep Habits Questionnaire was 0.74 for each. This was significantly higher than correlations of parent-rated disruptive behavior, hyperactivity, repetitive behavior, and anxiety measures (range 0.29–0.59)—supporting convergent and divergent validity. Parents of 63 children completed the Pediatric Insomnia Autism Rating Scale three times over 4 weeks. Intraclass correlation was excellent (0.88) over three time points. Pediatric Insomnia Autism Rating Scale is a valid dimensional measure of insomnia in autistic children that produces reliable scores. Insomnia, trouble falling asleep or staying asleep, is common in autistic children. In a previous report, we described the results of focus groups with parents of autistic children toward the development of the Pediatric Autism Insomnia Rating Scale. In this article, we report on the steps taken to complete the Pediatric Autism Insomnia Rating Scale. With help from the Simons Foundation registry, we collected information from parents on 1185 children with autism spectrum disorder to test the new measure. These results were evaluated using standard statistical methods such as factor analysis. To confirm the validity of the new measure, we enrolled a separate sample of 134 autistic children for a detailed assessment by video conference. This step showed that the Pediatric Autism Insomnia Rating Scale is clearly measuring symptoms of insomnia in children with autism spectrum disorder and not related problems such as hyperactivity, repetitive behavior, or anxiety. We also showed that the total score on the Pediatric Autism Insomnia Rating Scale is stable when repeated over a brief period of time. This is important because a measure that is not stable over a brief period of time would not be suitable as an outcome measure. In summary, the Pediatric Autism Insomnia Rating Scale is a brief and valid measure of insomnia in children with autism spectrum disorder that provides reliable scores. [ABSTRACT FROM AUTHOR]

Importance: Pediatric patients with complex medical problems benefit from pediatric sub-specialty care; however, a significant proportion of children live greater than 80 mi. away from pediatric sub-specialty care. Objective: To identify current knowledge gaps and outline concrete next steps to make progress on issues that have persistently challenged the pediatric nephrology workforce. Evidence review: Workforce Summit 2.0 employed the round table format and methodology for consensus building using adapted Delphi principles. Content domains were identified via input from the ASPN Workforce Committee, the ASPN's 2023 Strategic Plan survey, the ASPN's Pediatric Nephrology Division Directors survey, and ongoing feedback from ASPN members. Working groups met prior to the Summit to conduct an organized literature review and establish key questions to be addressed. The Summit was held in-person in November 2023. During the Summit, work groups presented their preliminary findings, and the at-large group developed the key action statements and future directions. Findings: A holistic appraisal of the effort required to cover inpatient and outpatient sub-specialty care will help define faculty effort and time distribution. Most pediatric nephrologists practice in academic settings, so work beyond clinical care including education, research, advocacy, and administrative/service tasks may form a substantial amount of a faculty member's time and effort. An academic relative value unit (RVU) may assist in creating a more inclusive assessment of their contributions to their academic practice. Pediatric sub-specialties, such as nephrology, contribute to the clinical mission and care of their institutions beyond their direct billable RVUs. Advocacy throughout the field of pediatrics is necessary in order for reimbursement of pediatric sub-specialist care to accurately reflect the time and effort required to address complex care needs. Flexible, individualized training pathways may improve recruitment into sub-specialty fields such as nephrology. Conclusions and relevance: The workforce crisis facing the pediatric nephrology field is echoed throughout many pediatric sub-specialties. Efforts to improve recruitment, retention, and reimbursement are necessary to improve the care delivered to pediatric patients. [ABSTRACT FROM AUTHOR]

Dust transported from rangelands of the Southwestern United States (US) to mountain snowpack in the Upper Colorado River Basin during spring (March‐May) forces earlier and faster snowmelt, which creates problems for water resources and agriculture. To better understand the drivers of dust events, we investigated large‐scale meteorology responsible for organizing two Southwest US dust events from two different dominant geographic locations: (a) the Colorado Plateau and (b) the northern Chihuahuan Desert. High‐resolution Weather Research and Forecasting coupled with Chemistry model (WRF‐Chem) simulations with the Air Force Weather Agency dust emission scheme incorporating a MODIS albedo‐based drag‐partition was used to explore land surface‐atmosphere interactions driving two dust events. We identified commonalities in their meteorological setups. The meteorological analyses revealed that Polar and Sub‐tropical jet stream interaction was a common upper‐level meteorological feature before each of the two dust events. When the two jet streams merged, a strong northeast‐directed pressure gradient upstream and over the source areas resulted in strong near‐surface winds, which lifted available dust into the atmosphere. Concurrently, a strong mid‐tropospheric flow developed over the dust source areas, which transported dust to the San Juan Mountains and southern Colorado snowpack. The WRF‐Chem simulations reproduced both dust events, indicating that the simulations represented the dust sources that contributed to dust‐on‐snow events reasonably well. The representativeness of the simulated dust emission and transport in different geographic and meteorological conditions with our use of albedo‐based drag partition provides a basis for additional dust‐on‐snow simulations to assess the hydrologic impact in the Southwest US. Plain Language Summary: Dust transported from rangelands of the Southwestern United States (US) to the mountain snowpack in the Upper Colorado River Basin during spring (March–May) is a growing problem for water resources and agriculture. Understanding the drivers of dust events is essential to better forecast the possible impact of dust on water resources. We investigated the weather conditions that led to two dust events originating from the Colorado Plateau and northern Chihuahuan Desert. We also performed computer simulations with an improved dust emission model to explore the influence of vegetation on the susceptibility of landscapes to wind erosion during dust events. Our meteorological analysis revealed commonalities in the upper‐level meteorology before dust event formation and provided valuable insights into where and when high‐impact dust events may occur. However, further investigation is needed to generalize the impact of jet stream interaction on dust events' intensity. Our simulations represented the dust sources reasonably well by using an improved dust emission model. The improved dust emission and transport simulation under different meteorological and geographical conditions provided a basis for future dust‐on‐snow simulations to assess the hydrological impact in the Southwestern US. Key Points: Large‐scale meteorological analysis and dust emission and transport simulation of Southwest US dust‐on‐snow eventsPolar and Sub‐tropical jet stream interaction was a common upper‐level meteorological feature to Southwest US dust eventsSimulated dust source areas on the Colorado Plateau and Chihuahuan Desert reflect observed dust emission hot spots [ABSTRACT FROM AUTHOR]

In recent years American schools and the scholars who study these schools have become focused on bridging the achievement gap. The scholarly literature is most often focused on the discrepancy in achievement in one school, a region, or perhaps one nation. The literature examining the best practices of schools that have bridged this gap occasionally recounts successful strategies; however, the discussion regarding the achievement gap has been nearly silent regarding international law and the obligations all governments have to remove learning inequalities. In addition, the literature rarely discusses the importance of international collaboration. This article introduces all of these topics, with the purpose of encouraging global collaboration between educational leaders and scholars to meet the challenge of providing all children an equitable education in order to close the Global Achievement Gap.

Returning patients to their desired activities following anatomic total shoulder arthroplasty (aTSA) is an important criterion to achieve high patient satisfaction. While patients who undergo aTSA return to sports at relatively high rates, individuals' specific desired and achieved activities following aTSA remain poorly defined. A shoulder arthroplasty registry at a tertiary-care orthopedic hospital was reviewed retrospectively between February 1, 2016, and January 1, 2021, to identify specific patient activity and functional capabilities following aTSA at a minimum of 2 years postoperatively. Individual items and responses of the American Shoulder and Elbow Surgeons and Shoulder Activity Scale relating to activity levels, as well as free text responses pertaining to usual work and sport, were tabulated. Among 597 patients who underwent 632 primary anatomic TSAs (mean age 65.9 ± 8.3 years, 41.5% female), the median American Shoulder and Elbow Surgeons score per affected limb improved from 40.0 (interquartile range (IQR) 27.4-54.7) preoperatively to 94.9 (IQR 83.8-98.3) at 2 years (P <.001), while median Shoulder Activity Scale improved from 8.0 (IQR 5.0-12.0) preoperatively to 10.0 (6.0-14.0) at 2 years (P <.001). Two years after surgery, 78.5%, 88.6%, and 83.5% of patients were able to comb their hair, manage toileting, and put on a coat without any difficulty, respectively. A relatively small proportion of patients were able to reach a high shelf (64.7%) and lift 10 pounds above the shoulder (57.4%) without difficulty. Of the 524 (82.9%) patients who returned to recreational activities 2 years after surgery, golf (25.6%), walking (22.7%), weight training (16.8%), and swimming (15.8%) were the most commonly reported activities. Cooking and cleaning (29.9%, n = 189), desk-related work (27.2%, n = 172), yard-work or gardening (14.2%, n = 90), heavy lifting activities (6.5%, n = 41), and grocery shopping (2.5%, n = 16) were the most common forms of usual work. Patients undergoing aTSA report a wide spectrum of desired recreational activities. A range of functional capabilities exists within this patient population with regards to usual sporting activity, work activity, and activities of daily living. Preoperative patient counseling may attempt to identify patients' desired postoperative activities for more individualized education regarding their prognosis for returning to desired activities. [ABSTRACT FROM AUTHOR]

Fentanyl (FTN) and synthetic analogs of FTN continue to ravage populations across the globe, including in the United States where opioids are increasingly being used and abused and are causing a staggering and growing number of overdose deaths each year. This growing pandemic is worsened by the ease with which FTN can be derivatized into numerous derivatives. Understanding the chemical properties/behaviors of the FTN class of compounds is critical for developing effective chemical detection schemes using nanoparticles (NPs) to optimize important chemical interactions. Halogen bonding (XB) is an intermolecular interaction between a polarized halogen atom on a molecule and e−-rich sites on another molecule, the latter of which is present at two or more sites on most fentanyl-type structures. Density functional theory (DFT) is used to identify these XB acceptor sites on different FTN derivatives. The high toxicity of these compounds necessitated a "fragmentation" strategy where smaller, non-toxic molecules resembling parts of the opioids acted as mimics of XB acceptor sites present on intact FTN and its derivatives. DFT of the fragments' interactions informed solution measurements of XB using 19F NMR titrations as well as electrochemical measurements of XB at self-assembled monolayer (SAM)-modified electrodes featuring XB donor ligands. Gold NPs, known as monolayer-protected clusters (MPCs), were also functionalized with strong XB donor ligands and assembled into films, and their interactions with FTN "fragments" were studied using voltammetry. Ultimately, spectroscopy and TEM analysis were combined to study whole-molecule FTN interactions with the functionalized MPCs in solution. The results suggested that the strongest XB interaction site on FTN, while common to most of the drug's derivatives, is not strong enough to induce NP-aggregation detection but may be better exploited in sensing schemes involving films. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the trends in utilization and results of computed tomography pulmonary angiography (CTPA study) for detection of acute pulmonary embolism (PE) in the Emergency Department (ED) during different phases of COVID-19 public health emergency. Methods: We conducted a retrospective review of CTPA studies ordered through our ED in the months of March through May during five consecutive years from 2019 to 2023, designated as pre-pandemic, early, ongoing, recovery, and post-pandemic periods respectively. Collected characteristics included patient age, patient sex, and result of the study. Results: The utilization of CTPA studies for ED patients increased during the early, ongoing, and recovery periods. CTPA study utilization in the post-pandemic period was not significantly different from the pre-pandemic period (p = 0.08). No significant difference in CTPA study utilization was noted in the other periods when stratified by age group or sex, compared to the pre-pandemic period. The positivity rate of acute PE in ED patients was not significantly different in other periods compared to the pre-pandemic period. Conclusion: At our institution, the utilization and positivity rates of CTPA studies for the ED patients were not significantly different in the post-pandemic period compared to the pre-pandemic period. While studies spanning a larger timeframe and involving multiple institutions are needed to test the applicability of this observation to a wider patient population beyond our defined post-pandemic period, we conclude that our study provides some confidence to the ordering provider and the radiologist in embracing the end of COVID-19 public health emergency by the WHO and the United States HHS with respect to CTPA studies. [ABSTRACT FROM AUTHOR]

Background: Trait‐level emotion regulation (ER) difficulties are associated with eating disorders (EDs) transdiagnostically. However, little research has examined whether within‐person fluctuations in ER longitudinally predict ED behaviors in daily life or the mechanisms of ER effects. Investigating daily ER could help us better understand why people experience ED behaviors at a given time. We examined whether day‐to‐day changes in adaptive (e.g., cognitive reappraisal) and maladaptive (e.g., rumination) ER longitudinally predicted core ED behaviors (binge eating, purging, dieting) and whether changes in affect mediated effects. Method: Female participants (N = 688) ages 15–30 from the Michigan State University Twin Registry reported their adaptive and maladaptive ER use, negative affect (NA), positive affect (PA), binge eating, purging, and dieting on 49 consecutive days. Using structural equation modeling, we examined whether within‐person fluctuations in ER predicted same‐ and next‐day ED behaviors and whether changes in affect mediated longitudinal ER effects. Results: Greater maladaptive ER predicted increased likelihood of same‐day binge eating and next‐day binge eating and purging. The association between maladaptive ER and next‐day binge eating and purging was mediated by increased next‐day NA. In contrast, dieting was more closely related to changes in PA. Adaptive ER did not predict reduced likelihood of any ED behavior. Conclusions: Maladaptive ER may longitudinally increase risk for binge eating and purging by amplifying NA. Interventions focused on decreasing maladaptive ER and subsequent NA might help disrupt binge eating‐purging cycles. Conversely, results add to evidence that PA fluctuations may play a unique role in maintaining restrictive behaviors. Public Significance: Little is known about how daily changes in emotion regulation may impact disordered eating. We found that maladaptive emotion regulation (e.g., rumination) was associated with a higher likelihood of binge eating and purging on the next day because it predicted increased next‐day negative affect. In contrast, dieting was more closely tied to fluctuations in positive affect. Targeting daily emotion regulation and affective processes may help disrupt cycles of disordered eating. [ABSTRACT FROM AUTHOR]

The valid assessment of vocabulary development in dual‐language‐learning infants is critical to developmental science. We developed the Dual Language Learners English‐Spanish (DLL‐ES) Inventories to measure vocabularies of U.S. English‐Spanish DLLs. The inventories provide translation equivalents for all Spanish and English items on Communicative Development Inventory (CDI) short forms; extended inventories based on CDI long forms; and Spanish language‐variety options. Item‐Response Theory analyses applied to Wordbank and Web‐CDI data (n = 2603, 12–18 months; n = 6722, 16–36 months; half female; 1% Asian, 3% Black, 2% Hispanic, 30% White, 64% unknown) showed near‐perfect associations between DLL‐ES and CDI long‐form scores. Interviews with 10 Hispanic mothers of 18‐ to 24‐month‐olds (2 White, 1 Black, 7 multi‐racial; 6 female) provide a proof of concept for the value of the DLL‐ES for assessing the vocabularies of DLLs. [ABSTRACT FROM AUTHOR]

Research on job assignments has generally assumed employees will accept assignments when offered. In this study, we examine managerial preferences for potential job assignment opportunities conceptualized using human capital theory to provide a holistic understanding of this phenomenon. Using two pilot studies, we refine the list of reasons managers use when forming lateral assignment preferences. In the main study, we collected data from a representative sample of more than 1200 managers in a large US organization who provided preferences for all possible assignment locations (about 40) in their regions and reported reasons for their preferences. Results showed career development reasons (e.g., promotion potential, opportunity to learn) and social information reasons (e.g., location manager, customers) attracted managers to assignments, and health and well‐being reasons (e.g., commuting, stress) repelled managers. There were several differences in these relationships by managerial level such that health and well‐being reasons were more important than career development reasons for lower‐level managers than higher‐level managers, who seemed to generate their preferences based more evenly on both types of reasons. We ask whether gender moderates the relationship between health and well‐being reasons and preferences and find little support. We also explore whether manager racioethnicity moderates the relationship between community racioethnicity and preferences and find a few differences. Most findings were replicated when predicting actual movement 2 years later. Results suggest managerial preferences should consistently be considered in job assignment research and that organizations should obtain and use preference data when making internal staffing decisions. [ABSTRACT FROM AUTHOR]

Student views of force and motion reflect the personal experiences and physics education of the student. With a different language, culture, and educational system, we expect that Japanese students' views on force and motion might be different from those of American students. The Force and Motion Conceptual Evaluation (FMCE) is an instrument used to probe student views on force and motion. It was designed using research on American students, and, as such, the items might function differently for Japanese students. Preliminary results from a translated version indicated that Japanese students had similar misconceptions as those of American students. In this study, we used item response curves (IRCs) to make more detailed item-by-item comparisons. IRCs show the functioning of individual items across all levels of performance by plotting the proportion of each response as a function of the total score. Most of the IRCs showed very similar patterns on both correct and incorrect responses; however, a few of the plots indicate differences between the populations. The similar patterns indicate that students tend to interact with FMCE items similarly, despite differences in culture, language, and education. We speculate about the possible causes for the differences in some of the IRCs. This report is intended to show how IRCs can be used as a part of the validation process when making comparisons across languages and nationalities. Differences in IRCs can help to pinpoint artifacts of translation, contextual effects because of differences in culture, and perhaps intrinsic differences in student understanding of Newtonian motion.

Background: In the United States, the current 6‐year completion rate in engineering is a mere 54% among full‐time students who enter a 4‐year course. Researchers have identified many reasons why students leave engineering, including academic difficulties and poor teaching. However, the problems experienced by the departing students are also experienced by students who persist in engineering. Why do some students persist in engineering while others depart? Purpose: We sought to better understand persisters by investigating their responses to failure experiences. We left the definition of failure up to the students, who described experiences such as failing exams, failing courses, and temporarily abandoning their degree programs. Design/Method: We interviewed 26 undergraduate engineering students who had persisted in engineering after failing a required technical course. Using thematic analysis, we analyzed the students' responses to their failure experiences and developed themes to describe their responses. Results: We constructed four themes to describe students' responses to failure experiences: unresponsive, avoidant, floundering, and rebounding. Conclusions: Since failure events are common among engineering students—even those who persist—we recommend that the engineering education community work toward removing the stigma traditionally associated with failure by normalizing failure as an opportunity for growth. We also recommend that faculty and administrators revise academic policies to promote student resilience and to enable learning from failure. [ABSTRACT FROM AUTHOR]

Background: The question 'what works for whom' is essential to mental health research, as matching individuals to the treatment best suited to their needs has the potential to maximize the effectiveness of existing approaches. Digitally administered single‐session interventions (SSIs) are effective means of reducing depressive symptoms in adolescence, with potential for rapid, large‐scale implementation. However, little is known about which SSIs work best for different adolescents. Objective: We created and tested a treatment selection algorithm for use with two SSIs targeting depression in high‐symptom adolescents from across the United States. Methods: Using data from a large‐scale RCT comparing two evidence‐based SSIs (N = 996; ClinicalTrials.gov: NCT04634903), we utilized a Personalized Advantage Index approach to create and evaluate a treatment‐matching algorithm for these interventions. The two interventions were Project Personality (PP; N = 482), an intervention teaching that traits and symptoms are malleable (a 'growth mindset'), and the Action Brings Change Project (ABC; N = 514), a behavioral activation intervention. Results: Results indicated no significant difference in 3‐month depression outcomes between participants assigned to their matched intervention and those assigned to their nonmatched intervention. The relationship between predicted response to intervention (RTI) and observed RTI was weak for both interventions (r =.39 for PP, r =.24 for ABC). Moreover, the correlation between a participants' predicted RTI for PP and their predicted RTI for ABC was very high (r =.79). Conclusions: The utility of treatment selection approaches for SSIs targeting adolescent depression appears limited. Results suggest that both (a) predicting RTI for SSIs is relatively challenging, and (b) the factors that predict RTI for SSIs are similar regardless of the content of the intervention. Given their overall effectiveness and their low‐intensity, low‐cost nature, increasing youths' access to both digital SSIs may carry more public health utility than additional treatment‐matching efforts. [ABSTRACT FROM AUTHOR]

Background: When ingested by children, small quantities of beta‐adrenergic antagonists (BAA) are described as dangerous and even potentially lethal ("one pill can kill"). We characterize demographics, clinical characteristics, and the rate of serious outcomes among pediatric patients with reported BAA ingestions. Methods: This study was a retrospective review of U.S. patients <20 years old with reported single‐agent BAA ingestions presenting to a health care facility between January 2000 and February 2020 for whom a poison control center was consulted. Data were abstracted from the National Poison Data System (NPDS). Medical outcomes were assessed by the NPDS scale of no effect, minor effect, moderate effect, major effect, and death. All relevant NPDS fatality narratives were reviewed. Results: A total of 35,436 reported exposures were identified. A total of 29,155 (82.3%) were <6 years old, of which 29,089 (99.8%) were unintentional. Twenty‐five patients (<0.1%) <6 years old had major effects. A total of 2316 (8.8%) of patients with no/mild effects were admitted to a critical care unit. Of all cases, 1460 (4.1%) had hypotension and 1403 (4.0%) had bradycardia. One hundred nineteen (0.3%) developed hypoglycemia. The only four fatalities resulted from intentional ingestions in patients >10 years old who sustained cardiac arrest in the prehospital setting. Conclusions: Reported BAA ingestions in this multiyear national pediatric cohort caused infrequent toxicity, and no fatalities resulted from an unintentional ingestion. The frequency of bradycardia, hypotension, and hypoglycemia were low. While severely poisoned patients require aggressive treatment, 8.8% of patients were admitted to a critical care unit despite having no or mild effects, which suggests an opportunity to reduce resource utilization. [ABSTRACT FROM AUTHOR]

Objective: It is important to identify gaps in access and reduce health outcome disparities, understanding access to intensive care unit (ICU) beds, especially by race and ethnicity, is crucial. Our objective was to evaluate the race and ethnicity-specific 60-minute drive time accessibility of ICU beds in the United States (US). Design: We conducted a cross-sectional study using road network analysis to determine the number of ICU beds within a 60-minute drive time, and calculated adult intensive care bed ratios per 100,000 adults. We evaluated the US population at the Census block group level and stratified our analysis by race and ethnicity and by urbanicity. We classified block groups into four access levels: no access (0 adult intensive care beds/100,000 adults), below average access (>0–19.5), average access (19.6–32.0), and above average access (>32.0). We calculated the proportion of adults in each racial and ethnic group within the four access levels. Setting: All 50 US states and the District of Columbia. Participants: Adults ≥15 years old. Main outcome measures: Adult intensive care beds/100,000 adults and percentage of adults national and state) within four access levels by race and ethnicity. Results: High variability existed in access to ICU beds by state, and substantial disparities by race and ethnicity. 1.8% (n = 5,038,797) of Americans had no access to an ICU bed, and 26.8% (n = 73,095,752) had below average access, within a 60-minute drive time. Racial and ethnic analysis showed high rates of disparities (no access/below average access): American Indians/Alaskan Native 12.6%/28.5%, Asian 0.7%/23.1%, Black or African American 0.6%/16.5%, Hispanic or Latino 1.4%/23.0%, Native Hawaiian and other Pacific Islander 5.2%/35.0%, and White 2.1%/29.0%. A higher percentage of rural block groups had no (5.2%) or below average access (41.2%), compared to urban block groups (0.2% no access, 26.8% below average access). Conclusion: ICU bed availability varied substantially by geography, race and ethnicity, and by urbanicity, creating significant disparities in critical care access. The variability in ICU bed access may indicate inequalities in healthcare access overall by limiting resources for the management of critically ill patients. [ABSTRACT FROM AUTHOR]

Although a substantial amount of research has been conducted on differential item functioning in testing, studies have focused on detecting differential item functioning rather than on explaining how or why it may occur. Some recent work has explored sources of differential functioning using explanatory and multilevel item response models. This study uses hierarchical generalized linear modeling to examine differential performance due to gender and opportunity to learn, two variables that have been examined in the literature primarily in isolation, or in terms of mean performance as opposed to item performance. The relationships between item difficulty, gender, and opportunity to learn are explored using data for three countries from an international survey of preservice mathematics teachers.

We used population sample data from 25 societies to answer the following questions: (a) How consistently across societies do adolescents report more problems than their parents report about them? (b) Do levels of parent-adolescent agreement vary among societies for different kinds of problems? (c) How well do parents and adolescents in different societies agree on problem item ratings? (d) How much do parent-adolescent dyads within each society vary in agreement on item ratings? (e) How well do parent-adolescent dyads within each society agree on the adolescent's deviance status? We used five methods to test cross-informant agreement for ratings obtained from 27,861 adolescents ages 11 to 18 and their parents. Youth Self-Report (YSR) mean scores were significantly higher than Child Behavior Checklist (CBCL) mean scores for all problem scales in almost all societies, but the magnitude of the YSR-CBCL discrepancy varied across societies. Cross-informant correlations for problem scale scores varied more across societies than across types of problems. Across societies, parents and adolescents tended to rate the same items as low, medium, or high, but within-dyad parent-adolescent item agreement varied widely in every society. In all societies, both parental noncorroboration of self-reported deviance and adolescent noncorroboration of parent-reported deviance were common. Results indicated many multicultural consistencies but also some important differences in parent-adolescent cross-informant agreement. Our findings provide valuable normative baselines against which to compare multicultural findings for clinical samples. (Contains 5 tables and 1 figure.)

The status of federally managed fisheries in the United States is well monitored, but the condition of other marine fisheries, whether state‐managed, territory‐managed or unmanaged, is less understood and often unknown. We used expert surveys to characterize the management systems of non‐federally managed fisheries in US coastal marine states and overseas territories. For 311 fisheries, we estimated an overall Fisheries Management Index (FMI) and a qualitative stock status score. These measures were positively correlated, and while a wide range of research, management, enforcement and socioeconomic criteria were partially met (FMI ≥ 0.5) for 66% of fisheries, stock status was considered as partially acceptable (score ≥ 0.5) for only 45% of fisheries and acceptable (score = 1) for only 16% of fisheries. Higher FMI was typically observed in fisheries with greater commercial landed weight, value, or greater recreational catches. Fisheries from continental states had higher FMI than those from overseas territories. Invertebrates and diadromous fish species had higher FMI on average compared to those of marine fishes. Extrapolating results for surveyed fisheries to nearly 2000 non‐federally managed US fisheries while stratifying by state and importance designation (based on commercial, recreational, cultural or ecological importance), we estimate a mean overall FMI of 0.48, and estimate that only 19% of fisheries have a reliable estimate of stock status available; both measures are lower than similar estimates for federally managed fisheries. Funding or capacity constraints and information or data limitations were identified as common challenges faced by state agencies in managing fisheries under their jurisdiction. [ABSTRACT FROM AUTHOR]

Fill levels, drop counts, price per drop, price per mL, and expulsion force requirements varied significantly among branded vs generic formulations of commonly prescribed ophthalmic NSAIDs. Some NSAIDs may cover the postoperative course for 2 eyes. Purpose: To determine volume fill levels, estimated costs, and force expulsion requirements per bottle of topical ophthalmic nonsteroidal anti-inflammatory drugs (NSAIDs) commonly perioperatively in the United States. Setting: Tertiary care academic medical center. Design: Prospective laboratory investigation. Methods: 8 commercially available NSAIDs (3 branded, 5 generic) were tested: branded bromfenac 0.07%, generic bromfenac 0.09%, diclofenac 0.1%, flurbiprofen 0.03%, generic ketorolac 0.5%, branded ketorolac 0.5%, ketorolac 0.47%, and branded nepafenac 0.3%. 10 bottles of each medication were tested, with an additional bottle tested for expulsion force requirements. A double-blinded method was used to measure the actual bottle fill volume and number of drops per bottle. The total cost per drop was calculated using published cash prices. Force requirements were measured using a customized force gauge apparatus. Formulations were compared using the Kruskal-Wallis test, followed by pairwise comparisons with the Dwass, Steel, Critchlow-Fligner Method. Results: 2 branded NSAIDs (bromfenac and nepafenac) had slightly lower-than-sticker volumes while generics other than ketorolac had higher-than-sticker volumes. Diclofenac and branded bromfenac had the highest and lowest adjusted number of drops respectively. Generic bromfenac and generic ketorolac had the highest and lowest adjusted volume compared with sticker volume respectively. Branded bromfenac was the most expensive medication, while generic diclofenac was the least expensive. Force expulsion requirements varied significantly among generic and branded NSAIDs. Conclusions: Volume fill levels, patient-incurred costs, and expulsion force requirements per bottle of topical NSAID medications vary significantly. Surgeons may wish to consider these factors when deciding how best to use these medications perioperatively. [ABSTRACT FROM AUTHOR]

Simple Summary: Parrots (Order: Psittaciformes) are an ancient arboreal lineage with a long history as companion animals for humans. Since at least the 1960s, released parrots have become established in non-native ranges globally. The method of their introduction is almost certainly a direct result of the pet trade through either accidental or intentional releases. Within the continental United States there are currently seventy-three naturalized parrot species that have been observed as of May 2023. Of these, close to half have established breeding populations. The propensity for a parrot species to become established appears to be phylogenetically driven. Notably, parrots in the family Cacatuidae and Neotropical Pyrrhua are less successful at establishing themselves in the United States once released. We posit that what makes parrots such successful naturalized species are their charismatic nature paired with considerable intelligence and behavioral flexibility. Parrots (Order: Psittaciformes) represent one of the most striking and ecomorphologically diverse avian clades, spanning more than two orders of magnitude in body size with populations occupying six continents. The worldwide diaspora of parrots is largely due to the pet trade, driven by human desire for bright, colorful, and intelligent animals as companions. Some introduced species have aptly inserted themselves into the local ecosystem and established successful breeding colonies all around the globe. Notably, the United States is home to several thriving populations of introduced species including red-masked parakeets (Psittacara erythrogenys), monk parakeets (Myiopsitta monachus), nanday conures (Aratinga nenday), and red-crowned amazons (Amazona viridigenalis). Their incredible success globally begs the question as to how these birds adapt so readily to novel environments. In this commentary, we trace parrots through evolutionary history, contextualize existent naturalized parrot populations within the contiguous United States, and provide a phylogenetic regression analysis of body mass and brain size based on success in establishing breeding populations. The propensity for a parrot species to become established appears to be phylogenetically driven. Notably, parrots in the family Cacatuidae and Neotropical Pyrrhua appear to be poor at establishing themselves in the United States once released. Although brain size among Psittaciformes did not show a significant impact on successful breeding in the continental United States, we propose that the success of parrots can be attributed to their charismatic nature, significant intelligence relative to other avian lineages, and behavioral flexibility. [ABSTRACT FROM AUTHOR]

Identifying patients at risk for readmission after severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection could facilitate care planning and prevention. This retrospective cohort study of 60‐day readmission included 105 543 COVID‐19 patients at 21 US healthcare systems who were discharged alive between February 2020 and November 2021. Generalized linear mixed regression analyses tested predictors of 60‐day readmission and severity. The all‐cause readmission rate was 15% (95% confidence interval [CI] = 10%–21%), with 22% (95% CI = 18%–26%) of readmitted patients needing intensive care, and 6% (95% CI = 05%–07%) dying. Factors associated with readmission included male sex, government insurance, positive smoking history, co‐morbidity burden, longer index admissions, and diagnoses at index admission (e.g., cancer, chronic kidney disease, and liver disease). Death and intensive care rates at readmission declined postvaccine availability. Receiving at least two COVID‐19 vaccine doses, which were more common among older patients and those with comorbid conditions, was not independently associated with readmission but predicted a reduced risk of death at readmission. This retrospective cohort study identified factors associated with all‐cause readmission for patients re‐admitted to the same health system after hospitalization with SARS‐CoV‐2 infection. Patients who are male, who smoke, who have a higher comorbidity burden, and have government insurance may benefit from additional postacute care planning. [ABSTRACT FROM AUTHOR]

To examine the current state of reading attitudes among middle school students in the United States, a survey was developed and administered to 4,491 students in 23 states plus the District of Columbia. The instrument comprised four subscales measuring attitudes toward: recreational reading in print settings, recreational reading in digital settings, academic reading in print settings, and academic reading in digital settings. Factor analysis confirmed the factor structure corresponding to the four subscales, and reliability coefficients for these subscales ranged from 0.78 to 0.86. Correlations among the subscales varied considerably, due largely to the recreational digital subscale. Analyses of variance subsequently confirmed a pattern for the recreational digital subscale that differed from that of the others. For academic digital, recreational print, and academic print, the attitudes of females were more positive than those of males; however, for attitudes toward recreational reading in digital settings, the pattern was reversed. In addition, results for three of the subscales showed a gradual worsening of attitudes from 6th to 8th grade. The exception was academic print, for which attitudes did not differ by grade. No interactions were observed between grade and gender for any of the subscales. Results are discussed in the context of attitude theory and the rapid evolution of digital literacy and its social uses by adolescents. (Contains 12 tables, 3 figures, and 1 note.)

America's changing color line is perhaps best expressed in shifting patterns of neighborhood residential segregation--the geographic separation of races. This research evaluates black exceptionalism by using the universe of U.S. blocks from the 1990 and 2000 decennial censuses to provide a "single" geographically inclusive national estimate (Theil's H) of black residential segregation from whites and other groups, which can be additively decomposed into its "within" (e.g., neighborhood segregation within places) and "between" components (e.g., racial differences between places). The results show that America's blacks are living in blocks that are roughly two-thirds less racially diverse than the U.S. population overall. Nationally, neighborhood segregation processes account for half, or even less, of blacks' segregation from whites, Hispanics and Asians. Declining big-city micro-segregation has been muted by increasing or persistent macro-segregation. Moreover, with growing neighborhood segregation in the suburbs and fringe, America's central cities--the focus of most previous studies--now account for only a minority share of all neighborhood or micro-level segregation between blacks and whites. Evidence of black incorporation or spatial assimilation must account for other levels of geography that extend beyond the traditional focus on neighborhood segregation in big cities. (Contains 2 figures, 2 tables and 14 notes.)

In this exercise the US Standard Atmosphere is used as "data" that a student is asked to model by deriving equations to reproduce it with the help of spreadsheet and graphing software. The exercise can be used as a laboratory or an independent study for a student of introductory physics to provide an introduction to scientific research methods that may not otherwise be available from traditional classroom instruction.

OBJECTIVES: Describe characteristics of gastroenteritis, bacteremia, and meningitis caused by nontyphoidal Salmonella among US infants. METHODS: We analyze national surveillance data during 1968-2015 and active, sentinel surveillance data during 1996-2015 for culture-confirmed Salmonella infections by syndrome, year, serotype, age, and race. RESULTS: During 1968-2015, 190 627 culture-confirmed Salmonella infections among infants were reported, including 165 236 (86.7%) cases of gastroenteritis, 6767 (3.5%) bacteremia, 371 (0.2%) meningitis, and 18 253 (9.7%) with other or unknown specimen sources. Incidence increased during the late 1970s-1980s, declined during the 1990s-early 2000s, and has gradually increased since the mid-2000s. Infants' median age was 4 months for gastroenteritis and bacteremia and 2 months for meningitis. The most frequently reported serotypes were Typhimurium (35 468; 22%) for gastroenteritis and Heidelberg for bacteremia (1954; 29%) and meningitis (65; 18%). During 1996-2015 in sentinel site surveillance, median annual incidence of gastroenteritis was 120, bacteremia 6.2, and meningitis 0.25 per 100 000 infants. Boys had a higher incidence of each syndrome than girls in both surveillance systems, but most differences were not statistically significant. Overall, hospitalization and fatality rates were 26% and 0.1% for gastroenteritis, 70% and 1.6% for bacteremia, and 96% and 4% for meningitis. During 2004-2015, invasive salmonellosis incidence was higher for Black (incident rate ratio, 2.7; 95% confidence interval, 2.6-2.8) and Asian (incident rate ratio, 1.8; 95% confidence interval, 1.7-1.8) than white infants. CONCLUSIONS: Salmonellosis causes substantial infant morbidity and mortality; serotype heidelberg caused the most invasive infections. Infants with meningitis were younger than those with bacteremia or gastroenteritis. Research into risk factors for infection and invasive illness could inform prevention efforts. [ABSTRACT FROM AUTHOR]

[Display omitted] [ABSTRACT FROM AUTHOR]

John Leshy, one of the foremost scholars and practitioners of public land law, has written a magnum opus on the subject and its long history. Public land law's origins date back before the founding of the United States, as Leshy's history makes clear. The book carefully traces this long history through two-and-a-half centuries and some six hundred pages of splendid analysis. There are some surprises along the way, such as Leshy's emphasis on the importance of section 24 of the 1891 Forest Service Creative Act, which he considers among the most important public land laws; his reference to the 1911 Weeks Act, authorizing purchase of eastern cutover lands for new national forests as the nation's first environmental restoration statute; and his contention that the Wilderness Act of 1964 has had a much greater influence on public land law than its current 111 million acres might suggest. The book highlights the collaborative nature of the executive and the courts with Congress--which possesses the ultimate constitutional authority--in making public land policy. Leshy also emphasizes the important political role played by the states in shaping public land law and policy. His prescriptions for the future are mostly optimistic if Congress would supply adequate funding for land managers and successful implementation of a program of buying out federal land graziers, the most dominant extractive use in an era that now emphasizes the recreational, ecological, and inspirational values of public lands. Leshy's masterful account is sure to become a standard reference for public land practitioners and scholars for years to come. [ABSTRACT FROM AUTHOR]

Ongoing outbreaks of measles threaten its elimination status in the United States. Its resurgence points to lower parental vaccine confidence and local pockets of unvaccinated and undervaccinated individuals. The geographic clustering of hesitancy to MMR indicates the presence of social drivers that shape parental perceptions and decisions on immunization. Through a qualitative systematic review of published literature (n = 115 articles; 7 databases), we determined major themes regarding parental reasons for MMR vaccine hesitancy, social context of MMR vaccine hesitancy, and trustworthy vaccine information sources. Fear of autism was the most cited reason for MMR hesitancy. The social drivers of vaccine hesitancy included primary care/healthcare, education, economy, and government/policy factors. Social factors, such as income and education, exerted a bidirectional influence, which facilitated or hindered vaccine compliance depending on how the social determinant was experienced. Fear of autism was the most cited reason for MMR hesitancy. Vaccine hesitancy to MMR and other childhood vaccines clustered in middle- to high-income areas among mothers with a college-level education or higher who preferred internet/social media narratives over physician-based vaccine information. They had low parental trust, low perceived disease susceptibility, and were skeptical of vaccine safety and benefits. Combating MMR vaccine misinformation and hesitancy requires intersectoral and multifaceted approaches at various socioecological levels to address the social drivers of vaccine behavior. [ABSTRACT FROM AUTHOR]

Native bee species in the United States provide invaluable pollination services. Concerns about native bee declines are growing, and there are calls for a national monitoring program. Documenting species ranges at ecologically meaningful scales through coverage completeness analysis is a fundamental step to track bees from species to communities. It may take decades before all existing bee specimens are digitized, so projections are needed now to focus future research and management efforts. From 1.923 million records, we created range maps for nearly 88% (3158 species) of bee species in the contiguous United States, provided the first analysis of inventory completeness for digitized specimens of a major insect clade, and perhaps most important, estimated spatial completeness accounting for all known bee specimens in USA collections, including undigitized bee specimens. Completeness analyses were very low (3–37%) across four examined spatial resolutions when using the currently available bee specimen records. Adding a subset of observations from community science data sources did not significantly increase completeness, and adding a projected 4.7 million undigitized specimens increased completeness by only an additional 12–13%. Assessments of data, including projected specimen records, indicate persistent taxonomic and geographic deficiencies. In conjunction with expedited digitization, new inventories that integrate community science data with specimen‐based documentation will be required to close these gaps. A combined effort involving both strategic inventories and accelerated digitization campaigns is needed for a more complete understanding of USA bee distributions. [ABSTRACT FROM AUTHOR]

Recent events in the United States galvanized by race have purportedly had a significant effect on the wider society's appreciation of systemic racism, some calling this the "Great Awokening." Some social commentators assert that it is now the norm for "leftists" to reveal "not a strain of racism," while others argue that they are now farther left than average Black voters. We critique this assertion of a new metamorphosis among White people by exploring how White leftist print media contrasts with Black newspaper reporting on the shape of working class people during the 2016 United States presidential race. Using textual analysis, we examined articles culled from Ethnic NewsWatch (424 articles) and the Alternative Press Index (303) and found two fundamentally divergent patterns about race's role. We found that the left-wing White press used a color-blind rhetoric to narrate stories about a racially homogenized working class, a distinctly downtrodden sector of America oppressed by elites. In utilizing a color-blind frame, the reporting failed to confront how systemic racism was a fundamental context to understanding the election. In contrast, Black newspapers described a working class world that was multiracial and actively resistant to structures of oppression. [ABSTRACT FROM AUTHOR]

Reservoirs are ubiquitous features on the landscape of the western United States. Although reservoirs provide numerous benefits (e.g., irrigation, flood control, hydropower, recreational use), these systems are often a concern from an ecological perspective. Reservoirs support fisheries primarily composed of nonindigenous sport fishes that may become invasive and negatively influence recipient ecosystems. Furthermore, reservoirs alter adjacent riverine habitats, further increasing the threat of invasive fishes to aquatic systems. As such, most western natural resource management agencies focus considerable effort on managing the threat of invasive fish species. Unfortunately, controlling invasive fish is expensive and rarely effective because of a lack of clear objectives, appropriate fishing mortality, and long‐term commitment. In an effort to improve management of invasive fish in the western United States, we reviewed existing literature to identify the steps necessary to effectively suppress these species. Specifically, we provide guidance on defining achievable objectives, assessing feasibility, evaluating success, and improving the efficiency of invasive fish suppression. This iterative approach provides managers with a framework to effectively address the challenge of suppressing invasive fish in the western United States. [ABSTRACT FROM AUTHOR]

Background: In the United States, echocardiography is an essential component of the care of many cardiac patients. Recently, increased attention has been given to the accuracy of interpretation of cardiac-based procedures in different specialties, amongst them the field of cardiac anesthesiology and primary echocardiographers for transesophageal echocardiogram (TEE). The purpose of this study was to assess the TEE skills of cardiac anesthesiologists in comparison to primary echocardiographers, either radiologists or cardiologists. In this systematic review, we evaluated available current literature to identify if cardiac anesthesiologists interpret TEE procedures at an identical level to that of primary echocardiographers. Methods: A PRISMA systematic review was utilized from PubMed from the years 1952– 2022. A broad keyword search of "Cardiology Anesthesiology Echocardiogram" and "Echocardiography Anesthesiology" to identify the literature was used. From reviewing 1798 articles, there were a total of 9 studies included in our systematic review, 3 of which yielded quantitative data and 6 of which yielded qualitative data. The mean accuracy from each of these three qualitative studies was calculated and used to represent the overall accuracy of cardiac anesthesiologists. Results: Through identified studies, a total of 8197 TEEs were interpreted by cardiac anesthesiologists with a concordance rate of 84% to the interpretations of primary echocardiographers. Cardiac anesthesiologists had a concordance rate of 83% when compared to radiologists. On the other hand, cardiac anesthesiologists and cardiologists had a concordance rate of 87% in one study and 79% in another study. Conclusion: Based on these studies, cardiac anesthesiologists are shown to interpret TEEs similarly to that of primary echocardiographers. At this time, there is no gold standard to evaluate the accuracy of TEE readings. One way to address this is to individually assess the TEE interpretation of anesthesiologists and primary echocardiographers with a double-blind study. [ABSTRACT FROM AUTHOR]

Prescription drug monitoring programs are state-run databases designed to support safe prescribing of controlled substances and reduce prescription drug misuse. We analyzed healthcare claims data to determine the association between prescription drug monitoring programs with mandated provider review and adolescent and young adult benzodiazepine prescription dispensing and overdose. We performed a state-level retrospective cohort study to evaluate the association between implementation of prescription drug monitoring programs with mandated provider review and benzodiazepine prescription dispensing and benzodiazepine-related overdoses among adolescents (13–18 years) and young adults (19–25 years) between 1 January 2008 and 31 December 2019. Data were obtained from a United States commercial health insurance company. There were 74,539 (1.8%) adolescents and 246,760 (4.0%) young adults with at least one benzodiazepine prescription dispensed. Benzodiazepine overdoses occurred among 1,569 (0.04%) and 3,202 (0.05%) adolescents and young adults, respectively. Implementation of a prescription drug monitoring program with mandated provider review was associated with a 6.8% (95% CI, 1.6–11.8) yearly reduction in benzodiazepine prescription dispensing among adolescents and a 12.5% (95% CI, 9.3–15.5) yearly reduction among young adults. There was no decrease in benzodiazepine overdoses in either age group (-15.4% [95% CI, −21.5 to 3.0] and −8.0% [95% CI, −18.0 to 3.2] yearly change in adolescents and young adults, respectively). Consistent with prior work, our study did not find an association between prescription drug monitoring program implementation and reduction in benzodiazepine-related overdoses among adolescents and young adults. However, the substantial reduction in benzodiazepine prescription dispensing is encouraging. Prescription drug monitoring programs were associated with decreases in benzodiazepine prescription dispensing, but not benzodiazepine-related overdoses in this cohort of adolescents and young adults. These findings serve to inform development of further policies to address rising rates of benzodiazepine misuse and overdose in this patient population. [ABSTRACT FROM AUTHOR]

This study examines campus-wide orientation practices for graduate students that are offered at colleges and universities throughout the United States. While orientation plays a vital role in the socialization of graduate students, there is little understanding as to the specific practices that occur on the various campuses. To address this, all United States member institutions of the Council of Graduate Schools were surveyed. With a response rate of 43%, this study addresses general institutional information (e.g., the Carnegie classification, number of graduate students enrolled), the means by which incoming students are notified of orientation and when this occurs, sources of funding, formats of the programs, and the specific activities offered during the various academic terms. Results indicate that while practices vary greatly in many areas, there are also practices that are common among many institutions. This study concludes with a summary of the findings and recommendations for future research. (Contains 2 tables.)

Analysis reveals that from 1974 to 1995, a large portion of Canadian families had higher purchasing power than their U.S. counterparts. In both countries, individual earnings polarization fell over the past decade. (Author)

Objective: To compare the success and complication rates of pediatric external auditory canal foreign body (EAC FB) removal between Emergency Departments (ED), Primary Care Providers (PCP), and Otolaryngologists (ENT). Methods: PubMed, Scopus, and Embase were searched through January 13, 2022. Studies mentioning EAC FB removal success rates and types of healthcare settings were included. Pooled measures included abrasions/lacerations, TM perforations, and success rate stratified by healthcare setting. Results: Thirteen studies and 3891 patients were included in the meta-analysis. Most comparisons between EAC FB removal success rates for EDs versus PCPs versus ENTs were statistically significant. The highest FB removal success rate was in patients who presented to ENTs without previous removal attempts (92.9% [95% CI 84.6-98.2]). EDs had the lowest success rates (64.0% [95% CI 48.3-78.3]). For patients that had a previous attempt at FB removal, ENTs had a success rate of 64.1% [95% CI 42.0-83.5]. Conclusions: For ENTs treating pediatric EAC FB, removal success rates decrease if a different healthcare provider previously attempted EAC FB removal. This effect likely is due to decreased patient cooperativeness or increased FB complications (eg, canal edema and bleeding limiting visualization) after previous removal attempts. Individual institutions should identify conditions that increase EAC FB removal failure rates and necessitate ENT referral. Therefore, the communication and concerted efforts between EDs, PCPs, and ENTs are critical for the improved outcomes of pediatric EAC FBs. [ABSTRACT FROM AUTHOR]

Objectives: Pediatric farm‐related injuries are rare but tend to be severe relative to other types of pediatric injury and may result in worse clinical outcomes. However, the comparison of farm and nonfarm injuries is confounded by different injury mechanisms, patient characteristics, and treating facilities. Therefore, we used propensity score matching to compare outcomes of pediatric farm and nonfarm injuries in the United States. Methods: Data were obtained from the 2017‐2019 Trauma Quality Program database. Farm as compared to nonfarm injury was defined as the location of an injury and served as the independent variable analyzed in this study. The outcome variables analyzed were in‐hospital mortality, hospital length of stay (LOS), and admission to the intensive care unit (ICU). Results: We identified 2,040 farm injuries and 201,865 nonfarm injuries meeting inclusion criteria. In this cohort, the mortality rate was 1%, median LOS was 2 days, and 14% of patients were admitted to the ICU. In the propensity‐matched analysis (including 2,039 farm cases matched to 2,039 nonfarm controls), farm as compared to nonfarm injuries were associated with 5% longer LOS (95% CI: 1%, 8%; P =.01), but not mortality or ICU admission. Conclusions: In a propensity‐matched analysis, pediatric farm injuries resulted in prolonged hospital stay compared to nonfarm injuries. Identifying patient‐ and health care system‐level factors contributing to prolonged LOS may help optimize the care of children injured on farms. [ABSTRACT FROM AUTHOR]

Objective: The COVID-19 pandemic has led to substantial changes in college student alcohol use. Changes in drinking motives may explain some of these changes in drinking patterns. The purpose of the present study is to explore how drinking motives and alcohol use have changed amongst college students considering the timeframes before and after the onset of COVID-19 pandemic (i.e., March 2020) in the United States. We hypothesized that there would be significant changes in drinking motives after March 2020, which would be significantly related to changes in alcohol use. Methods: Participants for the current study were undergraduate students reporting lifetime alcohol use (n = 198, M age = 21.3, 66.7% female, 86.4% White) recruited through online advertisements in classes to complete an online survey in April 2020. Participants were asked to report on their drinking motives and alcohol use considering the timeframes before and after the onset of closures and stay-at-home orders during the COVID-19 pandemic (i.e., before and since March 2020). Results: Paired samples t -tests revealed that endorsement of social (t [171) = 12.79, p <.001, d = 1.16) and conformity motives significantly decreased (t [170] = 4.46, p <.001, d = 0.31), while endorsement of coping motives significantly increased (t [172] = -2.70, p =.008, d =.15) after the onset of COVID-19. Linear regression analyses, controlling for drinking motives before March 2020, revealed that changes in enhancement (β = -.47, p <.001) and coping motives (β = -.22, p =.04) were significantly associated with changes in alcohol use quantity. Conclusions: Findings of the present study support the need for interventions to target coping and social drinking to reduce risk for alcohol use. [ABSTRACT FROM AUTHOR]

With its long coastline, vast exclusive economic zone (EEZ), skilled labor force, advanced technology, and one of the largest seafood markets in the world, the United States could be a major marine aquaculture producer of fish, mollusks, crustaceans, and marine algae. Despite all its promise, U.S. marine aquaculture production is tiny relative to its potential. The constraints often cited are lack of social license, an inefficient and uncoordinated permitting system, and the absence of supportive government programs similar to those enjoyed by terrestrial agriculture. National commissions have noted these constraints for more than 30 years. The paper first outlines key policy drivers prompting a reevaluation of US marine aquaculture policy (human health and nutrition, climate change, and market disruptions caused by the coronavirus) and then focuses on three critical policy goals that could contribute to expanding U.S. seafood farming: improve public understanding and acceptance, enhance the efficiency and timeliness of the aquaculture permitting process, and expand economic incentives to foster aquaculture development. [ABSTRACT FROM AUTHOR]