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The treatment of hormone receptor-positive, HER2-negative breast cancer has become increasingly individualized, thanks to the development of genomic testing. Gene expression assays provide clinicians and patients with both prognostic and predictive information regarding breast cancer recurrence risk and potential benefit of chemotherapy. While the ability to tailor therapy based on clinicopathologic and genomic factors has enabled a growing number of women to forego chemotherapy, several questions remain regarding how best to apply genomic assay results across varying subgroups of women. Here, we review the role of genomic assays for patients with both lymph node-negative and lymph node-positive breast cancer, and how these assays may help us more precisely select patients with hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2−) breast cancer with or without lymph node involvement who can safely omit chemotherapy in the future. [ABSTRACT FROM AUTHOR]

Using data from the Serious and Violent Offender Reentry Initiative evaluation, this study measures the effects of perceived levels of emotional and instrumental family support on the likelihood of self-reported criminal activity and new arrests in the 15 months following release from state prison. Logistic regression models using both listwise deletion and multiple imputation are employed. Findings indicate that higher levels of emotional support are associated with a significant reduction in reoffending. Higher levels of instrumental support do not significantly predict reoffending. The findings have implications for policies and practices within the corrections system as well as post-release supervision agencies. [ABSTRACT FROM AUTHOR]

A reconceptualization of the idea of “community justice” is framed in the logic of the social contract and emphasizes the responsibility of the justice system for the provision of public safety. First, we illustrate the ways in which the criminal justice system has hindered the efforts of community residents to participate in the production of public safety by disrupting informal social networks. Then we turn to an examination of the compositional dynamics of California prison populations over time to demonstrate that the American justice system has failed to meet their obligations to provide public safety by incapacitating dangerous offenders. We argue that these policy failures represent a breach of the social contract and advocate for more effective collaboration between communities and the formal criminal justice system so that all parties can fulfill their obligations under the contract. [ABSTRACT FROM PUBLISHER]

The Federal Probation Office and the Board of Judges for the Eastern District of Pennsylvania initiated a pilot reentry court program, called the Supervision to Aid Reentry (STAR) program in 2007. The impact evaluation used a quasi-experimental research design to compare the reentry success of the first 60 STAR participants to a matched comparison group of 60 probationers in the 18 months postrelease. While logistic regression results indicated that STAR participants were no less likely to be arrested than the comparison group, STAR participation was associated with a significant reduction in the likelihood of supervision revocation. With insight from a previous process evaluation of the STAR program, implications of these findings for the STAR program and other reentry programs are discussed. [ABSTRACT FROM PUBLISHER]

Art therapy facilitates the expression of thoughts and feelings and thus may serve as a self-care strategy. This paper describes the implementation of an expressive art therapy class to teach self-care during a required sophomore level nursing wellness course and the outcomes of the class through the eyes of six students. While students were initially reluctant to engage in the activity, the shared stories revealed feelings of relaxation, empowerment, value clarification, and increased self-awareness. The implication for nursing education is that the integration of art therapy into curricula may serve as an effective strategy to teaching self-care and core professional values. [ABSTRACT FROM PUBLISHER]