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In the twenty-first century, voter choice and the broader political debate are within the reach of those that can access and channel the vast streams of user data that are generated online. How digital platforms utilize personal user data to influence the outcome of democratic processes has become a central issue that liberal democracies must confront. The paper explores whether competition law has a role to play when it comes to addressing this intersection of Big Tech, data, and democracy. It first sets out the democratic roots of competition or antitrust law in the United States and the European Union. From these, the paper deduces that competition law cannot remain inactive when it comes to maintaining a democratic society in the face of the abilities of Big Tech to influence democratic processes and outcomes. The paper then goes a step further and asks what role competition law could play in this regard. Should democratic values simply be reflected in the procedural set-up of antitrust law, or is there a role for democratic values in the substantive provisions as well? And if so, does antitrust law's focus on keeping market power in check suffice to fulfill its role in a democratic society, or does this role require the law to specifically target antidemocratic market behavior as anticompetitive harm? In navigating these questions, the paper contributes to the ongoing debate on political antitrust and sets out an ambitious research agenda on how to carry this discussion forward. [ABSTRACT FROM AUTHOR]

There have been few analyses that discuss how power relations present in participatory budgeting (PB) may hinder or facilitate the future of PB. Drawing from PB examples in the United States we discuss the importance of power and positionality analyses during PB stages with the most deliberative participation for community members: forming steering committees, holding local assemblies, and selecting budgets. We discuss power struggles that stem from the lack of transparency in establishing budgets and representing implicated actors in communities. We discuss the importance of analyzing the positionality of municipal actors and community members throughout the life of PB projects. The paper ends by suggesting lessons that future PB initiatives can glean from community-based participatory research (CBPR) in public health, specifically, engaging in co-learning processes, capacity building among all partners, and the equitable distribution of resources between communities. These CBPR principles may facilitate countering narratives about community participation and foment institutional change in the ways local jurisdictions allocate PB budgets and prioritize policy agendas. [ABSTRACT FROM AUTHOR]

Adolescents experience alarmingly high rates of sexual violence, higher than any other age-group. This is concerning as sexual violence can have detrimental effects on teens' personal and relational well-being, causing long-term consequences for the survivor. Still, adolescents are hesitant to report the assault or seek out services and resources. When an adolescent survivor does seek out services, they may interact with a provider who is a mandatory reporter. This scoping review sought to synthesize the current U.S.-based research on the role, challenges, and impact of mandatory reporting (MR) in the context of adolescent sexual assault. Database searches using key words related to MR, sexual assault, and adolescence identified 29 peer-reviewed articles. However, none of these articles reported on empirical investigations of the phenomenon of interest and instead consisted of case studies, commentaries, and position papers. The scoping review was expanded to provide a lay of the land of what we know about the intersection of adolescent sexual assault and MR. Results of the review indicate that though implemented broadly, MR policies vary between individuals, organizations, and states and have historically been challenging to implement due to this variation, conflicts with other laws, tension between these policies and providers' values, and other factors. Based on the available literature, the impact of MR in the context of adolescent sexual assault is unknown. There is a critical need for research and evaluation on the implementation and impact of MR policies, especially in the context of adolescents and sexual violence. [ABSTRACT FROM AUTHOR]

Prevalence rates of disordered eating behaviors impact 13% of young women and 7% of young men in the United States. Most existing research emphasizes the significant impact that the family of origin, namely parents, has on the children's relationship with food, their body, and exercise. Yet, little research exists on the parents' experience healing from disordered eating and its impact on their approach to parenting. Accordingly, this paper presents an in-depth exploration of the lived experiences and personal meaning of mothers' experience healing from disordered eating and its impact on their childrearing approach. Semistructured interviews were conducted and analyzed as per interpretative phenomenological analysis. Four themes emerged my upbringing and its impact on my relationship with my body, removing shame and changing my family tree, reparenting ourselves alongside our children, and it's bigger than food. The findings highlight the importance of supporting parents in their healing process specific to disordered eating as well as their parenting approach to change their family's relationships with food, bodies, and movement. [ABSTRACT FROM AUTHOR]

Gender differences in political knowledge are a well-known empirical finding in public opinion research. Scholars working in this area have proposed various explanations for this phenomenon, often focusing on issues regarding the format and content of factual knowledge batteries. Yet, there are surprisingly few works that focus on how scholars might diversify the content of political knowledge measures to develop items that are less biased toward male areas of expertise. In this paper, we propose an inductive framework to develop more gender-balanced knowledge batteries by including political issues that are of particular relevance to women and women's lives. Employing gender-balanced measures of political knowledge reveal instances where women and men demonstrate equivalent levels of political knowledge and higher levels of political interest and efficacy among women—engagement that is often masked by conventional measures of knowledge. [ABSTRACT FROM AUTHOR]

While the U.S. House and Senate differ in many significant ways, perhaps the most important is the ability of House leaders to control the legislative process through the usage of special rules, which establish the terms of debate on a bill and can limit the number and content of amendments allowed. House members of both the majority and minority party have complained about their recent increased usage. In contrast, the Senate lacks a comparable tool and scholars have reported sharp increases in the number of floor amendments being proposed. In this paper, we examine the increase in proposed floor amendments in the Senate; arguing that, in addition to an increased value from electoral position-taking, the procedures employed in the House influence the floor behavior of senators. Specifically, we find that senators are more likely to offer amendments to bills that were passed under a restrictive rule in the House. [ABSTRACT FROM AUTHOR]

This paper considers a messaging strategy to shift immigration preferences, arguing that if citizen attitudes in this issue-area build from several dimensions, then a positive message related to each dimension should move attitudes in a more favorable direction. It tests the first part using original survey data with directly comparable questions about whether immigration hurts/helps American culture/the economy/national security, providing evidence that all three dimensions currently support the preferences of voting-age citizens. It tests the second part by randomly presenting another sample with different messages about how labor immigration strengthens national security, creates new jobs, or enhances culture, finding that all three reduce anti-immigration attitudes with significant effects even within groups that are more opposed to immigration (namely, white Americans, those with less education, and partisan Republicans). [ABSTRACT FROM AUTHOR]

Background. Chronic stress and depression disproportionately affect families experiencing poverty, and likely contribute to disparities in early childhood developmental outcomes. Developing strategies to address chronic stress and depression may help mitigate these disparities. Early Head Start (EHS) and Head Start (HS) programs provide an important platform to address the disproportionate burden of stress and mental health issues experienced by EHS/HS families. However, few low-literacy, broad, scalable interventions improve parents' knowledge and attitudes around these topics. Objectives. We examined parents' knowledge and attitudes regarding stress and depression before and after a train-the-trainer (TTT) intervention delivered to 28 EHS/HS agencies across the United States. Methods. Following a TTT workshop, 18 agencies chose to deliver the stress training to 1,089 parents and 5 chose to deliver the depression training to 670 parents. Participating parents completed paper assessments at baseline and 3 months following the training. Paired T-tests and chi-square analyses tested whether responses significantly improved over time. Results. At baseline, 37.2% of parents reported feeling stressed most of the time and 13.4% reported feeling depressed most of the time. Following the trainings and reinforcement activities, parents' knowledge, attitudes and self-reported behaviors significantly improved, including willingness to seek help for depression, avoidance of negative health-risk behaviors and utilization of healthy stress management practices. At follow up, 18.6% of parents reported feeling stressed most of the time and 11% reported feeling depressed. Conclusion. Findings suggest this low-literacy TTT approach is potentially a promising health promotion intervention with broad dissemination potential. [ABSTRACT FROM AUTHOR]

Despite the large literature on teacher labor market in the United States, only few studies have examined the career choices of former teachers and the factors that affect their decisions to return to the profession. This is surprising given that former teachers represent over a third of teachers entering the teaching workforce, according to some estimates. This paper examines the exit and re-entry decisions of former teachers using a restricted-use data from the Beginning Teacher Longitudinal Study (BTLS). We use a discrete time hazard model that estimates the probability that a former teacher returns to teaching in a given year conditional on not having returned in the previous year. Results suggest that female teachers are more likely to return to the teaching profession by somewhere between 10 and 12 percentage points. We also find that teachers who are highly paid are more likely to re-enter teaching. [ABSTRACT FROM AUTHOR]

Policies and services to support informal caregivers vary considerably across countries, This paper examines the role of caregivers and how perspectives on that role may influence the availability of benefits and services in three countries that differ considerably in their care systems - Sweden, Ireland and the United States. We developed a nine-dimensional framework for examining differences, including policies and how the role of caregiver is conceptualized. We found differences in the three countries in how services are organized, which reflected assumptions about the caregiver role. There were also similarities in the three countries. Caregivers held an ambiguous position within each social system and there was little concern for equity in the delivery of support services. Increased clarity about the role of caregivers may facilitate development of policies that more effectively meet their varied needs. [ABSTRACT FROM AUTHOR]

This paper examines the racial and religious historical influences on US ontological insecurity in a time of perceived hegemonic decline. It explores the role of particular Protestant theologies from the time of slavery up through the present, and how views on white superiority shaped such thought even after abolition, through Reconstruction, and especially animating the rise of the US as a world power in the 20th Century. [ABSTRACT FROM AUTHOR]

Teachers' perceptions of high cultural responsiveness in the classroom may be related to positive behavioral outcomes (e.g., higher academic engagement, lower social risk), but little research has explored this possibility. This article addresses this research gap by building upon findings from a preliminary paper in which these relationships were evidenced. Specifically, we present two interrelated follow-up studies. Study 1 examined the relationship between ratings of 20 U.S. teachers on a measure of cultural responsiveness, the Double Check Self-Refection Tool, and students' observed classroom behavior. Results from multilevel modeling indicated that higher Double Check scores significantly predicted higher academic engagement and lower disruptive behavior for 454 students observed. Study 2 investigated the relationship between ratings of 30 U.S. teachers on the Double Check Self-Refection Tool and ratings of 622 students' risk on the Social, Academic, and Emotional Behavior Risk Screener (SAEBRS). Results indicated higher Double Check scores were associated with lower ratings of students' social and emotional risk. Findings also indicated identification as a Black student and a student with a disability predicted teachers' perceptions of higher risk, consistent with previous research. As results remain preliminary, implications include recommendations for additional research and high-quality professional development to promote teachers' cultural responsiveness. [ABSTRACT FROM AUTHOR]

People aging with disability and people of retirement age depend upon their respective states to follow the philosophical tenets of independent living (IL) to remain self-sufficient in their communities with a high quality of life. Independent living services are specified, programmatic sets of services funded by the Administration for Community Living (ACL) in line with expressly stated goals for implementation by state agencies for their state indepdent living centers (SILCSs) to implement through a State Plan for Independent Living (SPIL). Designated state agencies are required to submit their SPIL every three years to maintain funding through the ACL. This policy analysis of funded state plans for inclusion of people with disability aimed to determine which SPILs promote the IL philosophies of consumer choice and control. To this end, qualitative and quantitative content analyses were done to evaluate SPIL's inclusion of IL philosophies. Specifically, the consumer choice and control philosophy, involvement of people with disability, as well as the coherency of IL services from state to state were reviewed. The results of this paper indicate disparities in consumer choice and control initiatives across states, with approximately half of all states clearly promoting consumer control initiatives in their plans. Only three states made it clear that people with disability were involved in the SPIL development. The results give direction for nursing organizations who wish to work with and support SILCs as they advocate for person-centered approaches for people with disability. [ABSTRACT FROM AUTHOR]

Introduction: Few studies of intimate partner violence and health outcomes include multiple forms of intimate partner victimization, so this paper sought to examine health associations with intimate partner violence (IPV), including sexual, physical, stalking, and psychological forms, as well as polyvictimization. Methods: Data are from the 2010-2012 National Intimate Partner and Sexual Violence Survey, an on-going national random-digit-dial telephone survey of U.S. adults. There were 41,174 respondents. Logistic regression was used to compute prevalence ratios for any IPV, adjusted for demographics and non-IPV victimization. For individual forms of IPV, prevalence ratios were further adjusted for other forms of IPV. Tests for linear trend in poly-victimization were performed. Results: Any IPV was associated with all health conditions for both sexes with a few exceptions for males. Female penetrative sexual victimization and male stalking victimization were associated with the most health conditions. For each health condition, a significant linear trend indicated that as the number of forms of IPV experienced increased, prevalence of each health condition increased, with a few exceptions for males. Conclusions: It is important for service providers to screen for multiple forms of IPV, including psychological aggression, because individual forms or polyvictimization may have unique and cumulative health effects. [ABSTRACT FROM AUTHOR]

School principals play an invaluable role in schools', teachers', and students' success; therefore, it is of particular importance that we learn, through empirical research, about the factors related to recruiting and selecting school principals. This study critically reviewed 64 empirical literature studies that were published in the United States over the past 2 decades on the topic of principal recruitment and selection. The present study examined the characteristics of the individuals who apply and are selected to join the principal workforce, as well as the characteristics of the schools and/or districts that attract potential candidates. The topics identified in the review are gender, race, qualifications, and intrinsic motivation at the individual level, as well as school locale, student characteristics, financial incentives, working conditions, superintendents, and hiring practices at the organizational level. Though hiring is a two-way interactive process, the literature to date has paid little attention to the process and practices that lead to recruiting and hiring effective school leaders. This paper concludes with a discussion about the trends that are recognizable in the existing work on principal recruitment and selection, and the practice and policy implications of the study's review. [ABSTRACT FROM AUTHOR]

According to the Hospital for Special Surgery, approximately 60 million children between the ages of 6 and 18 in the United States participate in organized sports activities every year. This involves approximately 75% of American families, with at least one child participating in an organized sports activity. The stated purposes of participation in organized sports activities are to assist children and teens in building skills, forming friendships, learning the value of teamwork, and possibly obtaining a scholarship to college. There are, however, related challenging issues. According to the Centers for Disease Control , the obesity rate for children and adolescents ages 2–19 living in the United States is 19.3%, affecting approximately 14.4 million children and adolescents. A sedentary lifestyle for children and teenagers contributes to this epidemic, while participation in sports is seen by many as protective. Challenges in participation, including increasing sports-related injuries, a 70% attrition rate by the time a child is 13 years of age, and programs overemphasizing winning are additional problems encountered in pre-teen and teen sports. The effect of pre-teen and teen participation in sports on family relationships is another potential source of stress and anxiety. This is the primary focus of this paper. The family relationships considered are the children, the parents, the couple, and the grandparents. Therapeutic suggestions and intervention considerations are then provided. [ABSTRACT FROM AUTHOR]

Objective: Immigrant health discussions often focus on acculturation and omit discussions on historical events that may underlie health differences among immigrant older adults. This paper provides a historical overview of immigration policy and flows to the U.S. and examines insurance access and health difficulties by sending country. Methods: We analyzed the "Immigrants Admitted to the United States, Fiscal Years 1972–2000" and 2015–2019 American Community Survey datasets to examine the number of admitted immigrants, sociodemographic profiles for current immigrant older adults, and the predicted probabilities of health insurance access and health difficulties. Results: Our results highlight alignment of immigration flows with immigration legislation and vast heterogeneity in migration, health, and healthcare access of immigrants by sending country. Discussion/Implications: Public health practitioners must consider how historical events and social factors contribute to the healthcare access and health of immigrant populations, as demographic shifts will require interventions that promote equitable healthy aging. [ABSTRACT FROM AUTHOR]

The 2018 United States (US) National Military Strategy claimed that professional military education (PME) in the US had 'stagnated'. Since then the 2020 US Joint Chiefs of Staff publication Developing Today's Joint Officer's for Tomorrow's Ways of War can be seen as a direct response to such stagnation. The associated temporal positionings of war from stagnation, to today's officers, to tomorrow's ways of war, reinforce the significance of wartime in how professional military education is framed. In this paper I ask: To what extent do professional military education mission statements rely on frames of wartime for a construction of purpose, what are the implications of such framings for goals of minimizing violence and suffering, and how may such potential limitations be addressed in the classroom? A focus on wartime can help us draw out significant strategic and ethical challenges of conflict termination alongside 'forever wars', the normalization of exceptional security practices and violence, and the way in which prioritizations of either doing war 'better' or minimizing the likelihood of war are in seemingly direct epistemological competition. Given a goal of less insecurity, in an era in which fewer and fewer wars actually 'end' or 'end' with a sense of victory, I assess the extent to which engaging critical approaches in PME may help or hinder the need to challenge self-propagating dynamics of wartime that may be limiting efforts at lessening violence. [ABSTRACT FROM AUTHOR]

This paper considers how the anti-immigrant organization Americans for Legal Immigration PAC (ALIPAC) uses discourse about immigrants and immigration to construct and maintain its collective identity. Although previous approaches to collective identity within organizations primarily center the organizations themselves, studies concerned with anti-immigrant discourse instead emphasize how the organizations that use such discourse racialize members of non-white (especially Latinx) groups as "illegal" residents of the United States who threaten the safety and economic well-being of Americans. Drawing from these two literatures to consider how anti-immigrant organizations construct collective identity, this study investigates how ALIPAC uses presentations its opposition and its membership together to shape the collective identity associated with the organization itself. Using a content analysis, 153 documents released by ALIPAC during 2005 and 2018, the study finds that ALIPAC uses a dual racialization process to racialize immigrants as criminal outsiders who, with assistance from political elites, have overwhelmed the United States and white Americans as victims of these criminal outsiders. From this dual racialization, ALIPAC identifies itself as a defender of American citizens against an immigrant invasion. These results illustrate how racialization and collective identity construction are relational processes understood through a group's presentations of itself and its opposition. [ABSTRACT FROM AUTHOR]

More than two decades since the first study to document the shortage of Asian American and Pacific Islander (AAPI) teachers, this paper examines recent trends and factors related to AAPI teacher career choice using the American Community Survey 2013-2017. The results show a continued underrepresentation of AAPI teachers relative to AAPI students at the local and national levels, a pattern similar to Black and Hispanic teachers and students. AAPIs born in the United States with reported higher levels of English proficiency are also more likely to become teachers than AAPIs not born in the United States or those with reported lower levels of English proficiency. The study has implications for attracting and supporting AAPIs from immigrant and linguistically diverse backgrounds into K-12 teaching. [ABSTRACT FROM AUTHOR]

This article uses Black liberation theology (BLIBT) as a framework to theorize "the spirit" in the alternative food and sustainable agriculture movement. While BLIBT was formally named by theologian James Cone, it was born of the struggles of Black people in the United States who believed that God called Black people to be free, and God called Black preachers to preach Black liberation. I argue that Black liberation is a grounded vantage point to understand how some Black people might find freedom through food and agriculture. In the first potion of the paper, I make a claim for the importance of studying spirituality in agrarian and food spaces, whether or not a researcher is spiritually inclined. In the second portion of the paper, I delve deeper into Cone's articulation of BLIBT, and explore how we might begin to theorize it as an agrarian mandate including: a call for an urgent food source, liberation of the individual Black body, community ownership of land, the spirit of Black religious spaces, an emphasis on land reparations, and the freedom to dream. I conclude with a call for why an attention to BLIBT is called for in our present moment. [ABSTRACT FROM AUTHOR]

This paper uses data from the 2015 Residential Energy Consumption Survey to explore the extent to which renters' electricity use in the United States exceeds that of otherwise similar non-renters. Renting households are found to use approximately 9% more electricity than non-renters when controlling for location, socioeconomic, and many appliance-quantity controls. There are multiple factors that explain this extra electricity use, including inferior energy efficiency of appliances, behavioral factors, differences in bill payment responsibilities, and additional reliance by renters on electric space and water heaters. The paper finds that none of these factors are dominant. The phenomenon of renters' (conditionally) higher electricity use is thus best understood as one that emerges from multiple sources. [ABSTRACT FROM AUTHOR]

The papers in the special series describe the role of data-based decision-making (DBDM) in improving the outcomes of students with learning disabilities based on research across Germany, the Netherlands, and the United States. The articles address multiple aspects of a model of DBDM that includes the role of teacher knowledge, skills, beliefs, and sources of professional learning and the role of systems-level factors in improving student achievement. In this article, the conclusions of each paper are described in terms of that model. The papers illustrate that DBDM can improve achievement for students with learning disabilities through a DBDM process called data-based individualization (DBI)—especially if teachers have innovative supports (e.g., new technologies). For teachers, DBDM professional development (PD) can improve DBDM knowledge and implementation, but PD may not be adequate in all cases, with practical experience playing a central role. In addition, classroom-level DBDM may not translate to success for students with learning disabilities. Finally, the articles reveal a need to focus more on systems-level factors in successful DBDM systems like DBI—especially when implemented outside the experimental context. These findings provide a contemporary lens on DBDM as it related to students with learning disabilities and establish foci for future research. [ABSTRACT FROM AUTHOR]

Response to intervention (RTI) can be considered an everyday practice in many parts of the United States, whereas, in Finland, only recently has a new framework for support in learning taken shape. Choosing Finland as the comparative partner for this policy paper is justified as its educational system has been widely referenced on the basis of good Programme for International Student Assessment (PISA) results. The results of the present comparative article showed first, that the U.S. RTI was primarily intended for diagnosing and preventing learning disabilities whereas the Finnish RTI is mainly an administrative structure for support. Second, the U.S. RTI includes clear definitions regarding the intensity, duration, and content of support provided within each tier whereas the Finnish version contains no explicit guidelines for support. Third, the U.S. RTI assumes no special educational services in the first two tiers, but the Finnish framework includes special educational services from the onset of support. Implications for policy and practice are discussed. [ABSTRACT FROM AUTHOR]

Biomarkers may serve as objective measures in complicated grief (CG) potentially capturing responses to stress reduction treatment. This paper reports challenges in obtaining and assessing salivary cortisol and α-amylase (sAA) for a recent randomized clinical trial. Within-session changes in salivary cortisol and sAA for 54 older adults with CG who received Accelerated Resolution Therapy were compared with perceived stress measured by Subjective Units of Distress Scale. Bivariate correlations and multiple regressions examined changes in biomarkers. Protocols, study logs, and audit reports identified challenges. Challenges included obtaining unstimulated passive drool salivary samples and their analyses. Our sample of older females on multiple medications may have resulted in a perfect storm of moderating and intervening variables which affected the stress response. This paper contributes to the discussion on designing clinical trials for older adults which must account for physiologic changes, multimorbidity, and polypharmacy common in this population and makes recommendations moving forward. [ABSTRACT FROM AUTHOR]

Overdiagnosis of Clostridioides difficile (C. difficile) is associated with increased hospital length of stay, antibiotic overuse, unnecessary infection prevention efforts and excess costs. This study evaluated a paper-based bedside C. difficile screening tool on the number of C. difficile laboratory tests performed and number of C. difficile infection (CDI) diagnoses. Nurses used the tool to determine whether stool should be sent for C. difficile testing. The tool provided indications for stool testing. We collected data on the number of C. difficile stool tests performed and CDI diagnoses for nine months before (PreT) and after (PostT) tool implementation in the hospital. We found a 31% reduction in the mean monthly number of C. difficile tests performed (37 PreT to 25 PostT) and a 56% reduction in CDI diagnoses (19 PreT to 8 PostT). This study demonstrates the success of using nurses and a bedside tool to decrease inappropriate C. difficile testing. This intervention has implications for patient management, infection prevention and cost containment. This low-cost paper-based tool may be helpful for the 25% of hospitals in the USA not using clinical decision support in their electronic health record (EHR), as well as for hospitals outside the United States who may not have access to EHRs. [ABSTRACT FROM AUTHOR]

Alcoholism, more professionally termed alcohol use disorder (AUD), is a widespread and costly behavioral health condition. The aims of this paper are draw attention to systemic gaps in care for patients with AUD and advocate for patient safety leaders to partner with both the mainstream medical and substance abuse treatment communities to reduce harm in this patient population. The authors performed a narrative review of the literature on the current state of AUD treatment and patient safety, finding extensive evidence that patients with AUD usually go undiagnosed, unreferred and untreated. When they do receive AUD treatment, little evidence was found to indicate that a patient safety approach is incorporated into their care. Behavioral medicine is virgin territory for the patient safety movement. Medical care and behavioral medicine in the United States currently constitute two separate and unequal systems generally lacking in pathways of communication or care coordination for AUD patients. Significant barriers include institutional culture, individual and systemic bias against those with AUD, and health care infrastructure, especially the separation of medical and behavioral treatment. It is the authors' conclusion that care of patients with AUD is unsafe. We advocate for the patient safety approach common in American hospitals to be extended to AUD treatment. Experienced patient safety leaders are in the strongest position to initiate collaboration between the mainstream medical and substance abuse treatment communities to reduce harm for this patient population. [ABSTRACT FROM AUTHOR]

This paper examines household decisions over long-term care insurance (LTCI) purchases through a bargaining lens. Long-term care insurance purchase is a discrete decision around which spouses' interests may diverge substantially. The cost of buying LTCI is typically borne by both spouses, but the benefits of LTCI go disproportionately to women, who are more likely to need long-term care for themselves, and to benefit from the asset protection and other support LTCI offers in the event their husband needs care. Using panel data on married couples ages 50–75 from the US Health and Retirement Study (HRS), we test and find support for the hypothesis that spouses' relative bargaining power is related to LTCI purchase decisions. In particular, when husbands have final say in household decisions, LTCI coverage is less likely. The findings suggest that spouse's relative bargaining power matters for health care choices and, therefore, for the welfare of older men and women. [ABSTRACT FROM AUTHOR]

This article is a reaction paper to the article in this journal issue entitled Human Service Cartels: The Soft Repression of the Mediocracy by David Stoesz. As such, it addresses two significant questions about the Stoesz article. One question is as follows: Are we really talking about a cartel? The other question is as follows: Isn't it the power elite that promotes societal control and repression? [ABSTRACT FROM AUTHOR]

Summary: Social workers are expected to challenge the exclusion and oppression of marginalised populations which requires the critical interrogation of prejudicial views, discriminatory attitudes, and oppressive practices. In this regard, social work practitioners need to be vigilant of their own attitudes toward the people they serve. This is relevant to social work practice with sexual minorities. This paper presents the results of a mixed-methods study informed by a critical theoretical frame that explored Vietnamese social work practitioners' attitudes toward sexual minorities. The findings presented in this article were drawn from a survey of 292 social work practitioners based in Hanoi, Vietnam and 12 semi-structured interviews with volunteers recruited from the pool of survey participants. Findings: The findings suggest that practitioners who participated in this study held relatively positive attitudes toward people who identify as lesbian or gay. However, those who had what could be considered moderate to positive attitudes were not necessarily free from prejudicial and discriminatory views, particularly when it came to certain matters such as those relating to their own families and work with young children. Applications: The discussion of the findings illustrate the relevance of the broader social context to Vietnamese social work practitioners' attitudes toward sexual minorities. It highlights the potent influence of dominant ideologies in shaping prejudicial views and attitudes and points to the need for practice at a broader level targeting Vietnamese society and culture as a whole. [ABSTRACT FROM AUTHOR]

This article maps and compares four universities' policies and procedures for addressing faculty and staff sexual misconduct in higher education in the UK and US. While universities have engaged in significant work to grapple with student-student sexual misconduct, attention to misconduct perpetrated, and experienced, by higher education employees is relatively nascent. In this paper, we explore the maze of institutional processes and actors that victimsurvivors of FASSM might encounter. We describe what is known about prevalence of FASSM in the US and UK and offer an overview of the policy landscape in both settings. Inspired by Patricia Yancey Martin, we analyze publicly available policy documents on FASSM from two US and two UK universities and map out visually the range of investigative, reporting, and sanctioning processes. We introduce an analytic distinction between an actor and a practitioner within the FASSM context, whereby actors are those tasked with administrative duties in handling sexual misconduct reports, while practitioners are those with specialized knowledge and training that enables them to prioritize victim-survivor needs. These illustrative diagrams suggest that while university employees are tasked to act on reports and disclosures of sexual misconduct, it is difficult to identify specialist practitioners with expertise to support victim-survivors of FASSM. Ultimately, this work provides a deeper understanding of what practice looks like in relation to higher education FASSM, and we outline implications for future research directions. [ABSTRACT FROM AUTHOR]

This study adopts a critical discourse analysis (CDA) approach to problematize the representation of victims in the online educational messaging on sex trafficking promoted in the US "end-demand" movement. The websites of 20 US anti-trafficking groups are analyzed. While these website-based messages are positioned to educate the public about sex trafficking, they are predominately framed toward problematizing sex work and essentializing women with racialized and marginalized identities in sex work, with no discursive recognition of intersectional structural inequalities (e.g., racism, sexism, poverty, homo/transphobia) that lead to trafficking. These ideologically charged messages, when presented as "facts," further the anti-sex work sentiment among the public, powerfully (re)produce and sustain the public (mis)perception equating "anti-sex trafficking" with "anti-sex work," and legitimize the carceral feminist anti-trafficking practice that primarily criminalizes, censors, and oppresses the agency, behaviors, and needs of structurally marginalized communities. This paper calls attention to how injustice may be (re)produced in the way trafficking is represented and how representational injustice may translate into material consequences, further subjecting already marginalized groups to criminalization and surveillance. Through incorporating representational justice into our conceptualization of racial and social justice, we may (re)build an anti-trafficking framework that is structurally competent, rights-inclusive, and centered on humanization. [ABSTRACT FROM AUTHOR]

Objectives: The purpose of this study was to assess the nationwide incidence of ear foreign body (FB) presentations to the emergency department (ED) and analyze the most common FB consumer products encountered. Methods: The National Electronic Injury Surveillance System (NEISS) was evaluated for ED visits that included "ear foreign bodies" from 2010 through 2019. The most frequent foreign bodies were identified and organized by demographics. Results: A total of 20,545 ear FB cases were found, with an estimated 608,860 ED visits nationwide. Female patients (56%) were more likely to have jewelry and first aid equipment FBs. Males between the ages of 5 and 15 years were significantly (P < 0.05) more likely to have paper products, pens/pencils, and desk supplies in their ears. Conclusion: Ear FBs represent a substantial proportion of healthcare expenditures. Although children are the most commonly affected individuals, all ages require further education and preventive measures. [ABSTRACT FROM AUTHOR]

Purpose: This study examines the content and efficacy of instructional leaders’ expectations and feedback (press) in relation to the improvement of middle school mathematics teachers’ instruction in the context of coherent systems of supports. Research Method/Approach: This mixed methods study is a part of a larger, 8-year longitudinal study in four large urban school districts across the United States. We used transcripts of interview data, surveys, and video recordings of instruction of 271 cases, over 4 years, to determine the content of administrator press, as reported by teachers, and the relationship between the content and change (if any) in instruction. To do so we used qualitative coding of interview transcripts, and ran a series of statistical models to examine the nature of the variance in and impact of administrative press. Findings: Most of the administrators’ press, as reported by teachers, was not targeted toward specific teachers’ mathematics instruction in ways that would likely lead toward improvement in those practices. Rather, the press focused on content-neutral instructional practices or classroom management and organization. Implications for Research and Practice: The instructional leadership practice of administrator observation and feedback is widespread, yet understudied as it relates to changes in teacher practice. Our findings indicate that current policies that mandate principals to spend substantial time in classrooms are unlikely to result in significant improvements in the quality of instruction unless meaningful resources are invested to support administrator learning. [ABSTRACT FROM AUTHOR]

Transgender patients are at elevated risk of intimate partner violence (IPV), but national guidelines do not recommend routine screening for this population. This paper explores the feasibility and effectiveness of routine IPV screening of transgender patients in a primary care setting by describing an existing screening program and identifying factors associated with referral and engagement in IPV-related care for transgender patients. An IPV "referral cascade" was created for 1,947 transgender primary care patients at an urban community health center who were screened for IPV between January 1, 2014 to May 31, 2016: (a) Of those screening positive, how many were referred? (b) Of those referred, how many engaged in IPV-specific care within 3 months? Logistic regression identified demographic correlates of referral and engagement. Of the 1,947 transgender patients screened for IPV, 227 screened positive. 110/227 (48.5%) were referred to either internal or external IPV-related services. Of those referred to on-site services, 65/103 (63.1%) had an IPV-related appointment within 3 months of a positive screen. IPV referral was associated with being assigned male at birth (AMAB) versus assigned female at birth (AFAB) (AOR = 2.69, 95% CI 1.52, 4.75) and with nonbinary, rather than binary, gender identity (AOR = 2.07, 95%CI 1.09, 3.73). Engagement in IPV-related services was not associated with any measured demographic characteristics. Similar to published rates for cisgender women, half of transgender patients with positive IPV screens received referrals and two-thirds of those referred engaged in IPV-specific care. These findings support routine IPV screening and referral for transgender patients in primary care settings. Provider training should focus on how to ensure referrals are made for all transgender patients who screen positive for IPV, regardless of gender identity, to ensure the benefits of screening accrue equally for all patients. [ABSTRACT FROM AUTHOR]

The recent expansion of online genetic-genealogical networks has been hailed as a development that could break racial taboos in the United States by providing irrefutable evidence of the myriad historical and genetic links—many originating in slavery—connecting white and black families. These predictions are countered, however, by a scholarly literature on "white ignorance," defined as an active historical project that works to prevent privileged groups from apprehending their links to, and positionality within, systems of racial oppression. This paper mobilizes concepts from the fields of agnotology and epistemic ethics to assess how far genetic-genealogical technologies can contribute to redressing racialized epistemic inequities between slave and slaveholder descendants, by inducing the latter to respond to the former's kinship claims and give access to data that could help reconstruct their linked family histories. Drawing on ethnographic and interview data that foreground the experiences of African American genealogists, the study outlines the structural and affective dimensions that have converged to enable white ignorance regarding genealogies of slavery and discusses ethical and technical solutions proposed by genealogical practitioners to redress the racialized power dynamics that continue to condition access to, and public acceptance of, family history knowledge relating to slavery. [ABSTRACT FROM AUTHOR]

Background/Context: Undocumented youth navigate unwelcoming federal, state, and local contexts in the United States. Although previous research shows the significant impact of immigration policy and enforcement on educational outcomes and social-emotional well-being, this study sheds light on the multiple, intersecting policy, and school contexts that hinder social and educational mobility. Purpose: The purpose of the study is to elicit Latinx undocumented immigrant youth experiences in a southern state to contribute to evolving research on their experiences in K-12 schools. In addition, the purpose was to understand how undocumented youth (a) talk about the policies that impact their daily lives, (b) perceive the organizational-level structures that exist to support them in school and community contexts, and (c) articulate a sense of belonging through their community and school interactions in relation to processes of racialization and its impact on immigration status. Conceptually, the paper uses a multilevel, interactional framework to show the impact of racialization of Latinx undocumented immigrants in policy, school, and community, and relational contexts. Research Design: The study is a 3-year critical ethnography of two Title I high schools in the U.S. South that maintains particularly restrictive policies toward immigrants. Fieldwork from two school sites and interviews with 63 undocumented youth, and relevant personnel deepen our understanding of their status of illegality—specifically how their material lives are impacted by policy and institutional-level dynamics and constraints. Conclusions/Recommendations: The author shows how youth voice through ethnographic evidence counteracts anti-immigrant policies and criminalization of Latinx immigrants; youth critique social policy and institutions that seek to limit their progress in society. The implications for policymakers, educators, and school-based personnel is significant Although legal status may impose certain limitations on undocumented students' educational opportunities, their educational trajectories are still highly determined by school structures. Knowing this, educators can respond effectively to ensure educational rights and equitable educational practice. [ABSTRACT FROM AUTHOR]

By employing a content analysis of news stories, this study explored how national history, national interests and journalistic values have affected the coverage of the Arab Spring by South Korea and the United States. Overall, the lens of national interest largely determined the newsworthiness of stories in the two nations. Journalists' perspectives on journalism (specifically, on the role of journalists) as well as media routines have also influenced journalists' presentations of the Arab Spring. The U.S. newspaper coverage relied on the views of Arab opposition figures and civilians most prominently, followed by those of U.S. government officials; while the South Korean papers relied heavily on foreign media as their sources (in particular, Western media). While this difference in news sourcing led to correspondingly divergent news frames, ironically, it often also resulted in a congruence between the news frames employed in each country's major news outlets. This study proposes that national interests and history should be further considered as important dimensions for developing the models of media systems. [ABSTRACT FROM AUTHOR]

The aim of this paper is to review the roles that community pharmacists in the United States (US) can play to support public health measures during the current severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic (COVID-19). Community pharmacists in the US are highly visible and accessible to the public and have long been regarded as a source for immunization services as well as other public health activities. In the US, the scope of pharmacy practice continues to expand and incorporate various health services on a state-by-state level. For the purposes of this article, a PubMed literature search was undertaken to identify published articles on SARS-CoV-2, COVID-19, pharmacist- and pharmacy-based immunization and other public health care activities in the US in order to identify and discuss roles that community pharmacists can play during this pandemic including as vaccinators, screeners and testers. In conclusion, community pharmacists are knowledgeable and capable providers of public health services and are easily accessible and well regarded by the public. The incorporation of community pharmacists into this nation's COVID-19 pandemic response plan can help aid recovery efforts in the US. [ABSTRACT FROM AUTHOR]

This paper explores the extent to which Latinxs were substantively represented in the 112th U.S. House of Representatives (2011–2013). We make use of a large national sample of Americans to tap into the congruence of the attitudes of constituents with actual roll call votes taken by their legislators in office. In doing so, we are able to make comparisons between constituent attitudes and legislative behavior for Latinx versus non-Latinx constituents. Using a more refined measure than previous studies of constituent-legislator dyads across congressional districts, we find that Latinx respondents face a representational deficit relative to non-Latinx whites and explore the various factors, individual- and contextual-level, that explain variation in that relationship. One such factor is the size of the Latinx population in a district. We find that larger Latinx populations are associated with decreased representation for Latinx respondents and, further, that this deficit is largely rooted in anti-Latinx attitudes and behavior on the part of non-Latinx whites in those districts. On the whole, the findings here are consistent with the backlash hypothesis. [ABSTRACT FROM AUTHOR]

This paper entails a comparative study between a country that has criminalized stalking for almost three decades (the U.S.) and a nation that just recently outlawed the phenomenon (Spain). Employing a sample of American and Spanish university students, we examined the prevalence and types of stalking behaviors and victims' emotional responses to their victimization. We also explored whether experiencing a particular category of stalking behaviors (i.e., surveillance and approach stalking) triggers specific emotional responses similarly among American and Spanish victims. We found more than two-thirds (36%) of the Spanish students (n = 638) and almost half (48%) of the American students (n = 411) reported that they have experienced the unwanted or intrusive behaviors included in our study. We also found relative to Spanish victims, American victims were significantly more likely to encounter approach stalking and report feeling anxious, angry, depressed, sick, and suicidal as a result of their victimization. Implications of our findings and directions for future research are discussed. [ABSTRACT FROM AUTHOR]

Academic leadership in undergraduate and graduate medical education requires a specific set of leadership and managerial skills that are unique to academic leadership positions. While leadership development training programs exist for traditional leadership roles such as department chairs, executives, and deans, there are fewer models of leadership training specifically geared for academic leadership positions such as program and clerkship directors, and designated institutional officials. There are academic programs at the national level, but there is sparse literature on the specific decisions required to create such programs locally. With growing regulatory and accreditation requirements as well as the challenges of balancing the clinical and educational missions, effective leadership is needed across the spectrum of academic medicine. To meet this need for the military health care system in the United States, we used Kern's six-step framework for curriculum development to create a 1-week academic leadership course. This paper describes the process of development, implementation, outcomes, and lessons learned following the initial 3 years of courses. Specific discussions regarding who to train, which faculty to use, content, and other elements of course design are reviewed. The course and process outlined in the paper offer a model for other organizations desiring to establish an academic leadership course. [ABSTRACT FROM AUTHOR]

Studies of parental supervision often fail to consider the broader ecology in which youth are developing. In this paper, moderation and mediation analysis were utilized to examine parental supervision along with the ecological asset of supportive relationships, which have been identified as especially powerful assets, in a sample of 289 adolescents from the United States. These factors are considered in relation to positive indicators that have specifically been associated with youth thriving: self-control and future aspiration. Results of a mediation analysis suggest that family support mediates the relationship between parental supervision and both indicators. Therefore, parents should ensure they are demonstrating support during attempts to supervise youth. In addition, supportive relationships with adults at school further promote the development of an important internal characteristic: self-control. Including aspects of the broader ecology in studies of youth development is essential to uncovering the role external assets play in promoting positive outcomes for adolescents. [ABSTRACT FROM AUTHOR]

Teacher-focused accountability started to ramp up in the United States in 2007–2010 as the focus of accountability shifted from schools to individual teachers. Since that time, there has been a remarkable amount of change to the way that teachers are evaluated, and music teachers have been placed squarely under the microscope of accountability. In this article, I focus on high-stakes teacher evaluation (HSTE), a collection of reforms that are among the most hot-button issues of the past ten years. I argue that despite the intentions of these reforms, they were mostly "high stakes" only on paper. However, HSTE reforms have been far from inconsequential, with numerous negative effects on teachers. I first review the origins and logic of the HSTE reforms and discuss how music teachers were considered in such policy conversations. I then demonstrate how the reforms were mostly characterized by bluster and incomplete/subverted implementation, and I attempt to explain the reasons for the sputtering of HSTE. Finally, I discuss the negative consequences of HSTE and offer recommendations for music teachers as they navigate teacher evaluation in the future. [ABSTRACT FROM AUTHOR]

Background: Pediatric traumatic brain injury (TBI) affects about 475,000 children in the United States annually. Studies from the 1990s showed worse mortality in pediatric TBI patients not transferred to a pediatric trauma center (PTC), but did not examine mild pediatric TBI. Evidence-based guidelines used to identify children with clinically insignificant TBI who do not require head CT were developed by the Pediatric Emergency Care Applied Research Network (PECARN). However, which patients can be safely observed at a non-PTC is not directly addressed.Methods: A systematic review of the literature was conducted, focusing on management of pediatric TBI and transfer decisions from 1990 to 2020.Results: Pediatric TBI patients make up a great majority of preventable transfers and admissions, and comprise a significant portion of avoidable costs to the health care system. Majority of mild TBI patients admitted to a PTC following transfer do not require ICU care, surgical intervention, or additional imaging. Studies have shown that as high as 83% of mild pediatric TBI patients are discharged within 24 hrs.Conclusions: An evidence-based clinical practice algorithm was derived through synthesis of the data reviewed to guide transfer decision. The papers discussed in our systematic review largely concluded that transfer and admission was unnecessary and costly in pediatric patients with mild TBI who met the following criteria: blunt, no concern for NAT, low risk on PECARN assessment, or intermediate risk on PECARN with negative imaging or imaging with either isolated, nondisplaced skull fractures without ICH and/or EDH, or SDH <0.3 cm with no midline shift. [ABSTRACT FROM AUTHOR]

Mass murder, especially involving a firearm, has been a subject of increasing interest among criminologists over the past decade. Lacking an existing and reliable data resource for studying these crimes, several organizations have launched their own database initiatives with, unfortunately, little consensus on definition. As a result, there is confusion regarding the nature and trends of such events. In this paper, we rely on the Associated Press/USA Today/Northeastern University Mass Killing Database, which provides the widest coverage of incidents in the U.S. with four or more victim fatalities, regardless of location, situation, or weapon. First, we present trends in incidents and victimization of mass killings from 2006 through 2020, followed by an examination of various incident, offender, and victim characteristics, distinguishing among the major subtypes. Next, we detail a motivational typology of mass murder and identify the common contributing factors. Finally, we consider the potential effects of certain policy responses related to media coverage, mental health services, and gun restrictions on the prevalence of mass killing. [ABSTRACT FROM AUTHOR]

This paper uses the Children of Immigrants Longitudinal Study to examine the effects of race, class and gender on the intermarriage of Cuban and Afro-Caribbean second-generation immigrants in the United States. Results indicate that gender and racial identity are significantly related to intermarriage for this group of immigrants. Interestingly, the immigrants' socioeconomic status and family's social class have a very minimal impact on intermarriage. Using Cuban white, Cuban Hispanic and Caribbean black as racial categories, the study shows that Caribbean black men are the least likely group to intermarry, and Cuban white men are the most likely to intermarry. Cuban Hispanic men are less likely to intermarry compared to their Cuban white counterparts. Lastly, Cuban white women are the most likely to intermarrycompared to Cuban white males for this sample population. A structural explanation for these patterns posits that differences in the relative size of each racial group in marriage markets affect their chances for intermarriage. From an assimilation perspective, the literature also suggests that differences in social distance with whites influence the propensity for co-ethnic intermarriage. [ABSTRACT FROM AUTHOR]

The article discusses the Sarah Mazelis Paper of the Year Award, which recognizes authors whose articles in the journal "Health Promotion Practice" made contributions to the fields of health education and health promotion and reports that in 2014 the award was given for the article "Integrating Health Literacy and ESL: An Interdisciplinary Curriculum for Hispanic Immigrants" by Francisco Soto Mas, Erika Mein, Brenda Fuentes, Barry Thatcher, and Héctor Balcázar.

For several years, a number of commentators have expressed concern that the U.S. has a growing market power problem. Further that dysfunction in the U.S. antitrust institutions, and their failure to protect competition, has damaged the economy. This Article outlines the principal flaws that this commentary attributes to U.S. antitrust policy (the "crisis in antitrust"), and some of the proposals offered to redirect it and restore it as a central tool of economic control. The paper's main purpose is not, however, to debate the condition of competition in the US economy or the merits of the measures proposed. Rather, its objective is to identify the magnitude of the implementation challenges that the proposals for a major expansion of the U.S. antitrust program create and the policy implementation challenges that stand between these soaring reform aspirations and their effective realisation in practice. The paper suggests that even though these "implementation" issues are significant, they have been too quickly overlooked in the commentary. In our view the failure to focus on this important matter risks creating a chasm between elevated policy commitments and the capacity of responsible public to produce expected outcomes. The paper consequently acknowledges and addresses this implementation blindside. It analyses the important impediments that are likely, if not carefully addressed, to hamper delivery of the current proposals and proposes ways to overcome them. [ABSTRACT FROM AUTHOR]