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Introduction: Dementia, a term for a range of cognitive impairments impacting memory, thinking, and social abilities, represents a formidable challenge to healthcare systems worldwide. Analysing the temporal trends in dementia‐related mortality among individuals, identifying the populations at high risk, and guiding the implementation of tailored interventions to address the escalating effects of dementia on public health. Methods: Data from CDC WONDER database was examined from 1999 to 2020 for the four causes of dementia mortality: unspecified dementia (F03), Alzheimer's disease (G30), vascular dementia (F01), and other degenerative diseases of nervous system not elsewhere classified (G31). Age‐adjusted mortality rates (AAMRs) per 100,000 persons and annual percent change (APC) were calculated and stratified by geographic region, year, age groups, sex, and race/ethnicity. Results: A total of 4,077,973 reported deaths were related to dementia from 1999 to 2020 in the United States. The greatest proportion of deaths was associated with Alzheimer's disease (45.9%), followed by unspecified dementia (43.8%). Very low proportion of deaths were associated with vascular dementia (4.9%) or other neurodegenerative diseases (5.3%). The AAMR increased in two distinct periods: a steep incline from 1999 to 2010 (APC: 6.95, 95% CI: 6.00–7.90), followed by a modest incline till 2020 (APC: 1.41, 95% CI: 0.80–2.04). Overall, females had a higher AAMR than males. AAMRs were highest among NH Whites patients and lowest in NH Asians or Pacific Islanders. A significant geographical difference was also observed among different US census regions. Nearly equal AAMRs were seen in non‐metropolitan areas and metropolitan areas. States with AAMRs in the top 90th percentile included South Carolina, North Carolina, Maine, Tennessee, Georgia, and Alabama while states with AAMRs in the bottom 10th percentile included South Dakota, Florida, Hawaii, New Jersey, District of Columbia, and New York (33.1). Individuals aged above 85 had the highest AAMRs. Most deaths occurred in nursing homes and least in hospice facilities. Conclusion: The dementia related deaths are continuously increasing. Highest AAMRs were observed among the NH White people, females, and in the southern areas of the United States. People aged 85+ were most affected. To stop the rising death rates, targeted interventions and awareness are required for both prevention and treatment of dementia. [ABSTRACT FROM AUTHOR]

Medical mistrust is an important barrier to accessing health care among Latinx populations in the United States (US). However, research on the validity and reliability of medical mistrust scales is limited. We examined the validity and reliability of a modified bilingual version of the Group-Based Medical Mistrust scale (mGBMMS) among a sample of Latinx adults. Participants included 308 Latinx adults (ages 18–25), who responded in Spanish (n = 134) or English (n = 174). Following feedback from bilingual/bicultural staff during the English-Spanish translation process, we made three changes to the original GBMMS. Validation testing of our 12-item mGBMMS scale included: split-half and internal consistency reliability; discriminant, convergent, and predictive validity; and both exploratory and confirmatory factor analyses. The mGBMMS had good internal consistency (overall sample: Cronbach's α = 0.79; Spanish: Cronbach's α = 0.73; English: Cronbach's α = 0.83). The mGBMMS showed good convergent (moderately correlated with the experiences of discrimination scale, r = 0.46, p < 0.001) and discriminant (weakly correlated with the acculturation scale, r = 0.11, p = 0.06) validity. Split-half reliability was 0.71 (p < 0.001). Exploratory and confirmatory factor analyses found a two-factor solution. The mGBMMS was associated with satisfaction with care (OR = 0.60, 95%CI: 0.42–0.87), a sign of good predictive validity. Findings suggest that the mGBMMS is a valid and reliable scale to utilize among bilingual (Spanish/English) populations in the US. Further validation studies should be considered among Latinx respondents of different ages, backgrounds, languages, and US regions. [ABSTRACT FROM AUTHOR]

It's now well appreciated that social determinants of health are the strongest predictors of our health and well-being. A good argument could be made that housing is at the top of the pyramid of these determinants. And, surprisingly, housing is also the social determinant that could rapidly turn on a dime—that is, with sufficient political will, creating access to housing could be radically expanded in short order. (Unfortunately, of course, it's true one can also become suddenly homeless, since few protections exist in policy or capitalist economies to prevent it). That alone sets it apart from social factors such as education and racism—conditions that take a long time to change. In contrast to long-term interventions (education) or culturally stubborn and historically rooted problems (racism), housing is rapidly malleable. In this article, we describe the social condition of homelessness in two settings, comparing and contrasting the concepts, causes, and consequences, along with how people are mobilizing to challenge the conditions that create their housing insecurity. As we review the factors that create housing conditions in each setting, we propose some universal international principles for a new approach to the human right of decent and secure housing. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has forced changes in the delivery of medical education. We aimed to explore these changes and determine whether they will impact the future of medical education in any way. We invited leaders in medical education from all accessible US-based medical schools to participate in an online individual semi-structured interview. Representatives of 16 medical schools participated. They commented on the adequacy of online education for knowledge transfer, and the logistical advantages it offered, but decried its negative influence on social learning, interpersonal relationships and professional development of students, and its ineffectiveness for clinical education. Most participants indicated that they would maintain online learning for didactic purposes in the context of flipped classrooms but that a return to in-person education was essential for most other educational goals. Novel content will be introduced, especially in telemedicine and social medicine, and the students' roles and responsibilities in patient care and in curricular development may evolve in the future. This study is the first to document the practical steps that will be adopted by US medical schools in delivering medical education, which were prompted and reinforced by their experience during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

This issue of JORH focuses upon faith and health within three nations that have contributed a great deal in terms of religion and health research during this century—namely Israel, Türkiye and the USA. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has had a significant impact on religion and its practice. This paper aims to examine how the pandemic affects religious activities, donations, and finances over time and across regions within the United Methodist Church (UMC) in the USA. To address this question, we analyze survey data collected during the pandemic from 2963 churches in the USA by United Methodist Communications. Our analysis utilizes several quantitative techniques, including Z-tests, one-way analysis of variance (ANOVA), and multinomial logistic regressions. The results indicate a decrease in church attendance over time, with a more pronounced effect observed in non-urban areas (suburban, small town, and rural). Similarly, while church donations and finances mitigate over time across churches, churches in urban areas experience a quicker rebound compared to those in non-urban areas. Lastly, we find that church attendance and donations positively affect finances. These findings hold important implications for churches in various regions, offering insights to develop strategies for navigating the challenges posed by the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

Despite the rapid escalation of cybercrimes in modern society, few viable cybersecurity and cybercrime prevention programs exist. Consequently, this research considers cybersecurity as a key element for mitigating the potential risk and incidents of cybercrime. The study aims to understand the role of individuals' cybersecurity knowledge and awareness in shaping their cybersecurity intention and behavior in the United States. The results reveal that information and communications technology variables, education, income, and gender are contributing predictors of a level of cybersecurity knowledge. The effects of information and communications technology variables varied across gender for both correct and uncertain responses. The findings highlight the importance of a comprehensive understanding of both technical and human/individual factors for cybersecurity knowledge and education. [ABSTRACT FROM AUTHOR]

Background/Objectives: Migrant children in family detention facilities often experience frequent relocations and prolonged stays in precarious living conditions. This frequent relocation results in fragmentation of necessary medical care, leading to delays and inadequate medical care. We aim to highlight the critical need for comprehensive medical documentation in immigration detention facilities, a fragmented health care system and potential harm to these children without appropriate medical documentation. Methods: We conducted a retrospective review of 165 medical records from children detained at the Karnes County Family Residential Center between June 2018 and October 2020 to evaluate the adequacy of pediatric medical documentation in an Immigration and Customs Enforcement (ICE) family detention facility. Specific areas of interest included acute care, nutrition, immunization, developmental screening, and tuberculosis screening. Simple descriptive statistics were used to analyze the data. Results: Only 25% of 418 acute medical care visits included specific diagnoses. There was no documentation regarding follow-up recommendations upon release. 97% of children had a chest X-ray completed for tuberculosis screening, however no follow-up recommendations were documented for those with granulomas. Vaccination histories were inconsistently documented. No nutritional categorizations were completed despite 16% of children being at risk for malnutrition or already malnourished. Conclusions: Our findings revealed significant gaps in documentation, particularly in medical decision-making and clinical reasoning. In a fragmented medical system, inadequate documentation can result in avoidable errors in diagnosis and management. Improving documentation practices is crucial to ensure that all children, regardless of immigration status, receive quality healthcare aligned with national and international standards. [ABSTRACT FROM AUTHOR]

Purpose: Nurse leaders are challenged by ethical issues in today's complex health-care settings. The purpose of this study was to describe and analyze key elements of moral distress identified by nurse leaders from health-care systems in the USA, Germany, Austria and Switzerland. The aim was to develop an understanding of distressing ethical issues nurse leaders face in the USA and three German-speaking European countries. Design/methodology/approach: This descriptive cross-sectional study surveyed a convenience sample of nurse leaders in the USA, Germany, Austria and Switzerland. The voluntary, anonymous survey also included qualitative questions and was distributed using the Qualtrics® platform. A thematic analysis of the qualitative data in each country was carried out and a comparative analysis identified similarities and differences between the groups of nurse leaders comparing the US data to that from three German-speaking European countries. Findings: The survey was completed by 316 nurse leaders: Germany, Austria, and Switzerland (n = 225) and the USA (n = 91). Similar themes identified as causing all nurse leaders moral distress included a lack of individual and organizational integrity, hierarchical and interprofessional issues, lack of nursing professionalism, patient care/patient safety concerns, finances negatively impacting care and issues around social justice. Within these six themes, there were also differences between the USA and the three German-speaking European countries. Originality/value: Understanding the experiences associated with distressing ethical situations can allow nurse leaders and organizations to focus on solutions and develop resilience to reduce moral distress in the USA and three German-speaking European countries. [ABSTRACT FROM AUTHOR]

Maintaining healthy behaviors is challenging. Based upon previous reports that in North Carolina (NC), USA, overweight/obese clergy lost weight during a two-year religiously tailored health intervention, we described trajectories of diet, physical activity, and sleep. We investigated whether behavior changes were associated with weight and use of health-promoting theological messages. Improvements were observed in sleep, calorie-dense food intake, and physical activity, with the latter two associated with weight loss. While theological messages were well-retained, their relationship with behaviors depended on the specific message, behavior, and timing. Findings offer insights into weight loss mechanisms, including the role of theological messages in religiously tailored health interventions. [ABSTRACT FROM AUTHOR]

Human papillomavirus (HPV) is the most prevalent sexually transmitted infection in the United States of America (USA). Cervical cancer is the most common HPV-related cancer, which leads to approximately 4000 deaths yearly in women. Despite the nationwide availability of the HPV vaccine, the coverage and series-completion rates have been historically low due to multiple barriers. Previous systematic literature reviews emphasize global quantitative studies regarding parents of pediatric populations. This study aimed to evaluate qualitative studies conducted in the USA to characterize the facilitators and barriers to HPV uptake among eligible women. Four databases, including PubMed/MEDLINE, Embase, Scopus, and the Cumulative Index for Nursing and Allied Health Literature (CINAHL), were utilized to search the literature for comprehensive qualitative studies from 2014 to 2023 with pre-selected inclusion criteria. This review was conducted in compliance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). After detailed full-text extraction, 26 studies met the inclusion criteria, and two authors extracted the data. Three themes emerged from the data: (1) facilitators perceived by women to uptake the HPV vaccine, (2) barriers perceived by women to uptake the HPV vaccine, and (3) barriers and facilitators perceived by women to uptake the HPV vaccine. These themes highlighted different barriers and facilitators to HPV vaccines uptake, such as the lack of healthcare provider recommendation, cost, and safety concerns as barriers to receiving the vaccine. To change the norms towards HPV vaccine hesitancy, the healthcare team has a important opportunity to impart the knowledge and skills known to elicit behavior change. [ABSTRACT FROM AUTHOR]

The study evaluated the association between ultra-processed foods (UPF) and nutrient intake and identified the socio-demographic characteristics associated with UPF consumption among a nationally representative sample of middle-older adults. Dietary assessment was collected in 2013 using a validated FFQ. The Nova system was used to classify food and drinks into UPF. The percentage of dietary energy from UPF was calculated and used throughout the analyses, and average nutrient intake across quintiles of UPF was evaluated. The determinants associated with the dietary caloric contribution of UPF intake were investigated using linear regression models. A cross-sectional analysis of a nationally representative study of Americans over the age of 50, the Health and Retirement Study, was conducted. The analysis included 6220 participants. The mean age was 65 (se 0·28) years, with 55 % being female. UPF intake accounted for 51 % (se 0·25) of total intake. An increase in the percentage of (%UPF) consumption was correlated with an increase in calories, carbohydrates, saturated fat and sugar, and a decrease in fibre, vitamins and minerals. %UPF intake was inversely associated with being Hispanic, higher income, physical activity, vegetarian diet and Mediterranean diet but positively associated with very low food insecurity. UPF represented half of the calories consumed. A higher %UPF intake was associated with a lower nutrient profile, suggesting decreasing %UPF intake as a strategy to improve the nutritional quality of middle-older adults. A few socio-demographic factors were associated with %UPF, which would help in planning strategies to reduce UPF consumption. [ABSTRACT FROM AUTHOR]

Medicine, as an institution and discipline, has embraced social determinants of health as a key influence on clinical practice and care. Beyond simply acknowledging their importance, most recent versions of the International Classification of Diseases explicitly codify social determinants as a viable diagnostic category. This diagnostic shift is noteworthy in the United States, where 'Z‐codes' were introduced to facilitate the documentation of illiteracy, unemployment, poverty and other social factors impacting health. Z‐codes hold promise in addressing patients' social needs, but there are likely consequences to medicalising social determinants. In turn, this article provides a critical appraisal of Z‐codes, focussing on the role of diagnoses as both constructive and counterproductive sources of legitimacy, knowledge and responsibility in our collective understanding of health. Diagnosis codes for social determinants are powerful bureaucratic tools for framing and responding to psychosocial risks commensurate with biophysiological symptoms; however, they potentially reinforce beliefs about the centrality of individuals for addressing poor health at the population level. I contend that Z‐codes demonstrate the limited capacity of diagnoses to capture the complex individual and social aetiology of health, and that sociology benefits from looking further 'upstream' to identify the structural forces constraining the scope and utility of diagnoses. [ABSTRACT FROM AUTHOR]

This study estimates the impacts of pandemic uncertainty on environmental quality in the United States (U.S.). To do so, we introduce a pandemic uncertainty dataset from 1985 to 2021 that will be helpful for a single country, a group of countries, and firm-level analyses. Our baseline models confirm that pandemic uncertainty improves environmental quality, however, it reduces labour force participation. In addition, the income level helps to improve environmental quality. [ABSTRACT FROM AUTHOR]

The article aimed to analyze the discourse of the Palestinian lobby in the United States of America to engineer its audience using Facebook pages regarding the frames that are employed to frame its topics and issues based on framing theory. This study used content analysis for the study sample of 247 posts that were published on the main Facebook pages of the Palestinians during the second half of 2021. The study showed that the lobby's discourse focused on humanitarian, political, and legal issues, followed by academic and cultural ones. While most employed frames were the responsibility, the conflict, and the human concerns frame. The results showed that the Palestinian lobby structured its discourse to influence the subconscious mind of all categories of the American public using topics, terms, and symbols of information, tags, links, signs, text, images, and videos to convey its narrative. The lobby employed various persuasive methods, the most important of which is visual evidence, including images and videos, numbers and statistics, and laws and legislation. [ABSTRACT FROM AUTHOR]

The concept of "immunity debt" has gained attention in the public sphere, and some have argued that the recent out-of-season resurgence of respiratory syncytial virus demonstrates the presence of immunity debt. This study investigates the existence of immunity debt in the context of influenza. Interrupted time series analysis. The positivity rate of influenza in the USA and England was gathered from the Centers for Disease Control and Prevention and the UK Health Security Agency. A time series model with an autoregressive approach was used to model the dynamics of positivity rate. Binary indicator variables were included in the model to account for the impact of non-pharmaceutical interventions (NPIs) and immunity debt. The impact of NPIs and immunity debt on the positivity rate of influenza was found to be statistically significant. This present work provides evidence supporting the existence of immunity debt in influenza in both the USA and England in the immediate month following the removal of NPIs such as lockdowns and facemask mandates. [ABSTRACT FROM AUTHOR]

Copyright of Acta Universitatis Lodziensis. Folia Luridica is the property of Wydawnictwo Uniwersytetu Lodzkiego and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Knowledge: International Journal is the property of Institute for Knowledge Management and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose: The Polish economy has undergone major challenges and changes over the past few decades. The country's trade flows, in particular, have become more firmly tied to the country's Western neighbors as they have grown in volume. This study examines Poland's trade balances in ten Standard International Trade Classification (SITC) sectors versus the United States of America, first testing for and isolating structural breaks in each time series. These breaks are then included in a set of the cointegration models to examine their macroeconomic determinants. Design/methodology/approach: Linear and nonlinear and nonlinear autoregressive distributed lag models, both with and without dummies corresponding to structural breaks, are estimated. Findings: One key finding is that incorporating these breaks reduces the significance of the real exchange rate in the model, supporting the hypothesis that this variable already incorporates important information. It also results in weaker evidence for cointegration of all variables in certain sectors. Research limitations/implications: This study looks only at one pair of countries, without any third-country effects. Originality/value: An important country pair's trade relations is examined; in addition, the real exchange rate is shown to incorporate economic information that results in structural changes in the economy. The paper extends the existing literature by conducting an analysis of Poland's trade balances with the USA, which have not been studied in such a context so far. A strong point is a broad methodology that lets compare the results the authors obtained with different kinds of models, both linear and nonlinear ones, with and without structural breaks. [ABSTRACT FROM AUTHOR]

Copyright of Studia Iuridica Lublinensia is the property of Maria Curie-Sklodowska University in Lublin and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Parkinson's disease (PD) is associated with low religiosity cross-sectionally. Whether low religiosity might be associated with an increased risk for developing PD is unknown. This study investigated whether low religiosity in adulthood is associated with increased risk for developing PD. A population-based prospective cohort study was conducted. Participants from the English Longitudinal Study of Aging and the Midlife in the United States study who were free from PD at baseline (2004–2011) and completed questionnaires on self-reported religiosity, were included in a pooled analysis. Incident PD was based on self-report. Multivariable logistic regression was used to estimate odds ratios (OR) for developing PD according to baseline religiosity, with adjustment for sociodemographic characteristics, health and lifestyle factors and engagement in religious practices. Among 9,796 participants in the pooled dataset, 74 (0.8%) cases of incident PD were identified during a median follow-up of 8.1 years. In the fully adjusted model, compared with participants who considered religion very important in their lives at baseline, it was found that participants who considered religion "not at all important" in their lives had a tenfold risk of developing PD during follow-up (OR, 9.99; 95% CI 3.28–30.36). Moreover, there was a dose–response relationship between decreasing religiosity and increasing PD risk (P < 0.001 for trend). These associations were similar when adjusting for religious upbringing and when cases occurring within the first two years of follow-up were excluded from the analysis. The association was somewhat attenuated when religious practices were removed from the model as covariates, though it remained statistically significant (OR for "not at all important" vs. "very important", 2.26; 95% CI 1.03–4.95) (P < 0.029 for trend). This longitudinal study provides evidence for the first time that low religiosity in adulthood may be a strong risk factor for developing PD. [ABSTRACT FROM AUTHOR]

Since their inception, public libraries in the United States have been understood to be free for all to use. Yet throughout their history, socio-political currents and developments limited or barred access for certain segments of the population. The paper looks at the accessibility for women and Black Americans during the 1850–1950 period, taking into account the image of women in the Victorian and New South era, as well as the Jim-Crow segregation. [ABSTRACT FROM AUTHOR]

Multi-sector efforts to address the structural drivers of health inequities faced by racial and ethnic minority communities in the USA often ignore the potential of action by for-profit businesses, perhaps due to skepticism about the role of business in such efforts. However, given the need to harness diverse forms of capital to address structural harms, and recent calls to identify oft-ignored systemic pathways to health, we examined the role of business – specifically small, locally-owned businesses – in promoting community health and well-being. This study explored the role of small, locally owned businesses in community health, and local understandings of the value of such action, in the context of Roxbury, Massachusetts, a historically Black community with a substantial Latinx population. We conducted 20 semi-structured interviews between June and November 2021 with small business owners and staff, as well as leaders and staff from local non-profit organizations, anchor institutions, and one large business. Constructivist and critical perspectives guided the work. We used a team-based, thematic analysis approach; the team included residents and a small local business owner. Participants described pride in the neighborhood and emphasized small businesses' contribution to long-term community well-being by investing social, cultural, human, and financial capital. Business owners saw their work as a way of giving back and did so in ways reflecting their deep understanding of community needs, aspirations, and identity. Public health efforts should engage pro-social small businesses embedded in marginalized communities, thereby supporting and amplifying businesses' existing contributions to advancing equitable community health. [ABSTRACT FROM AUTHOR]

Objective: To review the nature and extent of bladder exstrophy-epispadias related malpractice litigation in the United States. Methods: Two legal databases (Nexis Uni, WestLaw) were reviewed for state and federal cases using the terms "bladder exstrophy", "cloacal exstrophy", "epispadias", in combination with "medical malpractice", or "negligence", or "medical error", or "complication", or "malpractice", or "tort". Databases were queried from 1948 to 2022 and reviewed for medical and legal details. Results: Our search yielded 16 unique legal cases with 6 fitting established criteria for analysis. Urology and paediatric urologists were named in 50% of cases as were community medical systems. Cause for lawsuit included negligence in surgical performance (50%), primary closure of exstrophy (33%), and post-operative care (50%). Settlement agreement was reached in one case (17%). Outcomes favoured the physician in 60% of trials. Lawsuits alleging negligent surgical performance and/or post-operative care exclusively named urologists with outcomes favouring the surgeon in 66% of cases. The settlement payment (n = 1) was $500,000 and monetary damages (n = 1) equated to $1.3 million. Conclusions: Malpractice litigation related to BEEC treatment is rare. Trial outcomes favour the medical provider. Cases that resulted in financial liability successfully alleged avoidable negligence resulting in irreversible physical damage. The authors recommend families with BEEC seek board-certified paediatric urologists experienced in treating this complex and/or Bladder Exstrophy Centers of Excellence. Further, we recommend surgeons treating BEEC properly educate patients and families on the severity of this major birth defect including its lifelong implications and need for surgical revisions. [ABSTRACT FROM AUTHOR]

Traumatic brain injuries are consistently difficult to objectively measure. This creates significant challenges for medical and legal practitioners who each apply the Glasgow Coma Scale-based traumatic brain injury severity classifications of "mild", "moderate" and "severe". It can be difficult to medically define an often-subjective traumatic brain injury, where the law requires objective evidence of injuries. This descriptive review aims to elucidate the intended purpose of the Glasgow Coma Scale in traumatic brain injury assessment by doctors and attorneys. We highlight two different Glasgow Coma Scale uses, demonstrating a disconnect between the clinical traumatic brain injury adjectival classifications used in medicine and law. The Glasgow Coma Scale-based adjectival traumatic brain injury classifications create a diagnostic label which can affect a patient long after their initial medical assessment, representing a de facto diagnosis to the legal profession which may affect a patient's potential legal financial recovery. [ABSTRACT FROM AUTHOR]

Despite the widespread popularity of United States (US) weddings and the cultural significance assigned to modern brides, scant research has examined US bridal femininity—an important site of analysis for understanding contemporary norms and expectations of femininity, more generally. In response to this gap, drawing on constructivist grounded theory and poststructural feminism, the present study examined 18 heterosexual, predominantly White, middle-class, cisgender US brides' experiences of their weddings. Analyses revealed that brides navigated expectations of niceness, engaging in both Princess Bride-like and "Bridezilla"-like behaviors and emotions. Implications for idealized femininity within a neoliberal context are considered. [ABSTRACT FROM AUTHOR]

Since the onset of the 20th century, the United States of America has encountered persistent challenges in its quest to address the worldwide and transnational issue of terrorism. The primary objective of this study is to examine the determinants that contribute to the vulnerability of the United States to acts of terrorism, review the response of the United States to such attacks, and analyse the approaches taken by the country to strengthen its security infrastructure and perimeter defences. The present inquiry will adopt a systematic framework that integrates qualitative and quantitative research techniques. The primary objective of this research is to identify the key factors that contribute to the United States' susceptibility to transnational or international acts of terrorism. The concept of terrorism, which has generated considerable discourse, can be defined as "the intentional employment or demonstration of violence against non-combatants by an entity unaffiliated with a recognised state, for the purpose of achieving political objectives, often with the intention of inducing a wider psychological impact." The present state of the United States as a target of terrorist attacks, both domestically and internationally, is examined in this study. To ensure a comprehensive examination of the United States of America as a prospective target of terrorism, it is critical to construct a meticulously developed theoretical framework that duly accounts for the distinctive characteristics of the American environment. The theoretical framework being proposed integrates the concepts of "American Primacy," as introduced by Betts, and "anti-Americanism," as proposed by Rubinstein and Smith. By employing this theoretical framework, the predicament in which the United States of America is vulnerable to attacks by transnational or international terrorist organizations is more easily illuminated. [ABSTRACT FROM AUTHOR]

Anthropologists working with marginalised populations in need of legal representation have faced challenges spanning epistemological, methodological and ethical questions. In the provision of evidence to legal-administrative processes, how do we overcome some of the obstacles in solving these problems? In this paper, we discuss our experience working through the case of a transgender asylum seeker from Mexico in the United States and the case of socio-cultural and legal concerns of a transgender youth in Los Angeles. The three partners in this paper are a socio-cultural anthropologist (Ngin), an immigration lawyer in Los Angeles (Yeh) and a community professional who works extensively with undocumented college students (Borjon). In Ngin's preparation of the cultural argument for the asylum case of the transgender person, it was Borjon's network of community contacts that provided the additional evidence for the case. As the case was delayed in the legal process, Attorney Yeh's legal insight explains the best course of action for the petitioner. In the second case of the young transgender youth, we discussed the precarity of the youth's situation and the possibility of socio-legal protection. In our analysis of these two cases, we discussed how we arrived at legally sound concepts with evidence supported by anthropological analytical methods while ensuring transparency of the provenance of evidence to meet ethical principles. Through these consultations in the construction of anthropological expertise, we also hope to decolonise expertise. [ABSTRACT FROM AUTHOR]

The human papillomavirus (HPV) vaccine prevents cancer and is highly effective; however, the uptake has been low in the United States of America (USA) and among the most vulnerable populations. A recent Center for Disease Control (CDC) report highlighted that approximately 13,000 new cases of cervical cancer are diagnosed each year in the USA. Although cervical cancer is considered treatable, especially when detected early, in the USA, approximately 4000 women die every year of cervical cancer. However, little is known about access and awareness among women in the USA. The objective of this article is to focus on the role played by clinical pharmacists in bringing awareness about the HPV vaccine. It offers recommendations to enhance the administration of the HPV vaccine. This rapid literature review revealed two significant themes: Disparities in healthcare access to the HPV vaccine among women and clinical roles in empowering women to access the HPV vaccine. This rapid review emphasizes the need for future research in enhancing awareness about HPV as a viable strategy for women. As an integral part of the healthcare team, pharmacists can significantly improve awareness and administer the HPV vaccine, yielding enhanced outcomes and cancer prevention. [ABSTRACT FROM AUTHOR]

Previous attitudinal studies on immigration in the USA largely focus on the predictors of anti-immigration sentiments compared to examining immigration policies. The dearth of scientific enquiry about the latter necessitated the present study. By analyzing individual-level data (n = 1018) obtained from the Public Religion Research Institute (PRRI), we assess the effect of geopolitics–red and blue states and other factors on public attitude towards six immigration policies in the USA (2017–2021). Overall, the results indicate a null relationship between geopolitics and public attitude towards immigration policies. Additionally, we observed several sociodemographic factors, such as age, political ideology, party affiliation, and region, influence public attitude towards immigration policies. Based on these results, it is recommended that immigration policies formulated and implemented in the USA must be based on empirical evidence and not sentiments. [ABSTRACT FROM AUTHOR]

This study aims to assess the main determinants of migration inflows to the United States of America, especially the economical ones. To answer the study problem we use a gravity model based on theoretical and empirical studies estimated by Panel Least Squares method. Migration inflows are used as endogenous variables, while exogenous ones include geographical distance, common frontier and language, income and unemployment in origin and destination countries. This model is applied to data from 2010 to 2019 for the eight major origin countries of migrants’ inflows in the US. Results show that geographical distance, origin country income and destination country unemployment have a negative impact on migration inflows. While the existence of a common frontier or language, destination country income and origin country unemployment raise migration flows to the US. Ranked by order of importance, the existence of a common frontier, the destination country income and the origin country unemployment, in this order, are the most important factors of migration inflows from concerned countries. [ABSTRACT FROM AUTHOR]

Aim: To follow up on the experiences of Registered Nurses (RNs) working after 1 year of the COVID‐19 pandemic in Canadian and American hospitals. Design: Semi‐structured interviews were conducted, and transcripts were analysed through a reflexive thematic analysis (RTA). Methods: RNs (n = 19) first interviewed in the spring of 2020 were re‐interviewed 1 year after their original interviews (May 25, 2021–June 25, 2021). Participants consisted of nurses residing in Canada and working in Ontario (n = 12) or American hospitals (n = 7), i.e., both local and cross‐border nurses. Results: Five themes were identified: (1) "You call us heroes, but you forgot us": Nurses described experiences of disrespect and stigma from their communities, their government, and their workplaces. (2) "A whole new level of busy": Nurses reported stressors both at home and at work that had increased exponentially throughout the pandemic. (3) "Running on empty": Nurses described burnout and mental health struggles including depression, irritation, and suicidal ideation; they coped using both adaptive and maladaptive strategies. (4) "The job of nursing is painful": Ongoing pandemic issues led nurses to re‐evaluate their commitments to their units, their hospitals and the profession itself. (5) "Surviving an un‐survivable day": Nurses shared positive moments at work and home that helped give them the strength to carry on. Conclusion: Significant investments will be required from hospital organizations and governments to ensure that healthcare systems continue to function safely for patients, their families and nurses. Impact The purpose of this study was to understand and describe nurses' experiences after 1 year of working during the COVID‐19 pandemic. Nurses reported feeling disrespected, overwhelmed, and burned out; many were looking to leave the profession. These findings will be of interest to nurses working on the frontline of the pandemic as well as hospital managers and policy makers. No patient or public contribution: In this investigation, nurses were the participants. [ABSTRACT FROM AUTHOR]

The purpose of this study is to examine the associations between physical activity (PA), sportsman learning experiences (SLE), and sports performance in a sample of football players from the United States. The study specifically aims to explore the potential moderating effect of physical health impairments (PHYI) and the mediating role of quality of life (QOL) in these relationships. A quantitative cross-sectional methodology was employed to gather data from 300 football players. The data collection process involved the use of self-administered questionnaires, and a convenient sampling technique was utilised. The data that was gathered was subjected to analysis using both demographic and inferential statistics with the assistance of SPSS. The regression analysis demonstrates a statistically significant and positive relationship between physical activity (PA) and both quality of life (QOL) and subjective life expectancy (SLE). Furthermore, the findings suggest that QOL partially mediates the association between PA and SLE. It is worth mentioning that the inclusion of PHYI significantly amplifies the beneficial impact of physical activity on systemic lupus erythematosus (SLE). The aforementioned findings underscore the necessity of implementing all-encompassing athlete development initiatives that prioritise both the physical and mental well-being of individuals, particularly those athletes who are confronted with health-related obstacles. The present study makes a valuable contribution to the ongoing exploration of athlete development and provides practical implications for the design of comprehensive athlete support systems with the goal of improving athletic performance and overall life satisfaction. [ABSTRACT FROM AUTHOR]

Assessing how democracy varies within countries is paramount to the subnational turn in comparative politics. Despite recent contributions, we still lack a comparable measure of democracy for provinces inside countries. To overcome this limitation, I present the Index of Subnational Electoral Democracy (ISED), a measure that tracks the electoral dimension of democracy across the provinces of nine Latin American countries, the United States, Canada, and India for a period of roughly 40 years, making it the largest dataset on subnational regime outcomes to date. I then use the ISED to assess the democratic trajectories of Argentinian, Brazilian, Mexican, and Indian states, revealing that: 1) Indian provinces have been, on average, more democratic than their Latin American counterparts. 2) The relative position of provincial regimes within these countries has been remarkably stable over time. 3) Most subnational units in the Americas have had "low intensity" regimes. 4) Subnational regime hybridity has been the norm rather than the exception, and that 5) for the Latin American cases under consideration, democracy and development are positively connected at the local level. I conclude by outlining the ISED's research applications and reflecting on the implications of these five conclusions for future research on subnational democracy. [ABSTRACT FROM AUTHOR]

Caregivers play a key role in supporting older Mexican Americans, who are less likely to enter nursing facilities than other racial/ethnic groups in the US. However, there is little research on how Neuropsychiatric symptoms (NPS) affect relationship quality between caregivers and care recipients. Using data from the 2015 wave of the Hispanic Established Populations for Epidemiologic Studies of the Elderly (H-EPESE) (n = 416) study of older (age 85+) Mexican Americans, we examined relationship quality and NPS with ordered logistic regression. Relationship quality was measured using positive (enjoyment, appreciation) and negative (nerves, argue) assessments. NPS were categorized into hyperactivity, affective, and psychosis symptoms. Hyperactivity symptoms were associated with appreciation, arguing, and nerves. Psychosis symptoms were associated with arguing and nerves. Spousal caregivers were more likely to report arguing and nerves and less likely to report feeling appreciated. Enjoyment assessments were not associated with NPS. Relationship quality is related to behavioral changes in late life. Mexican American caregivers negatively evaluate their relationships, not in response to care tasks per se, but when the older person exhibits behavioral problems. The relationship between NPS and negative relationship assessments may be due to unanticipated behavior changes in late life and stigma around psychiatric symptomatology. [ABSTRACT FROM AUTHOR]

(1) Background: Patients' experiences and satisfaction with their treatment are becoming increasingly important in the context of quality assurance, but the measurement of these parameters is accompanied by several disadvantages such as poor cross-country comparability and methodological problems. The aim of this review is to describe and summarize the process of measuring, publishing, and utilizing patient experience and satisfaction data in countries with highly developed healthcare systems in Europe (Germany, Sweden, Finland, Norway, the United Kingdom) and the USA to identify possible approaches for improvement. (2) Methods: Articles published between 2000 and 2021 that address the topics described were identified. Furthermore, patient feedback in social media and the influence of sociodemographic and hospital characteristics on patient satisfaction and experience were evaluated. (3) Results: The literature reveals that all countries perform well in collecting patient satisfaction and experience data and making them publicly available. However, due to the use of various different questionnaires, comparability of the results is difficult, and consequences drawn from these data remain largely unclear. (4) Conclusions: Surveying patient experience and satisfaction with more unified as well as regularly updated questionnaires would be helpful to eliminate some of the described problems. Additionally, social media platforms must be considered as an increasingly important source to expand the range of patient feedback. [ABSTRACT FROM AUTHOR]

According to the World Health Organization (WHO), abortion is often necessary and is not a criminalizable medical act. Unfortunately, despite the global trend in recent years tending towards liberalization of abortion as a fundamental right of women in certain circumstances, it is still not guaranteed in all countries of the world in the same way. Moreover, the abortion debate is often characterized by unscientific opinions based on political and/or religious ideologies. Recently, a European episode has rekindled the debate on abortion: in Malta, a tourist was unable to have an abortion, with consequent risks, even serious ones, on her health. In addition, even in the United States a Supreme Court ruling created a considerable stir: the Roe v. Wade (1973) ruling that had legalized abortion at the federal level was revoked. After the ruling of the Supreme Court, each state of the USA can decide for itself whether and how to legalize abortion. These recent international developments are particularly worrying and make even more evident the need for abortion to be protected at an international level as an inalienable and fundamental human right, and therefore not to be limited. [ABSTRACT FROM AUTHOR]

Aim: The objective of this study was to better understand what the scientific community is saying about refugees and mental health, how it is discussed, and to understand the impact of their outputs over time through a bibliometric analysis. Subjects and methods: This research uses bibliometric analysis on 465 documents, including peer-reviewed journal articles and books, sourced from an online database of peer-reviewed literature. Results: Contrary to the exponential rate in which research productivity has grown in the past 20 years, the literature on the mental health of refugees in the United States has not shown significant changes. The researched themes, methods, and their findings appear to have echoed much of it from the past. Conclusions: Some implications of such echoing include that the means by which the scientific communities approach the topic of mental health of refugees has largely been unchanged. Also, various refugee communities in the US appear to share similar mental health conditions and experiences, irrespective of when and where they resettle. [ABSTRACT FROM AUTHOR]

Trends: Agritourism is increasingly popular, generating the need for additional employees. Given the labor shortages in the U.S., this motivates producers on agritourism operators to develop strategies to address the labor shortages, some of which could impact worker safety. Research and current initiatives: Contributing factors to labor shortages in agriculture include the aging workforce, declining rural populations, the stressful nature of agricultural work, long hours and less labor intensive options. Foreign labor has been impacted by immigration policy changes, H2A program inefficiencies and the recent pandemic. Staffing agritourism operations is further complicated by the need for seasonal employees and staff with varying skill sets, such as hospitality, food service, and retail; industries with critical labor shortages. Some strategies agritourism operators employ to address staff shortages (e.g. employees work longer hours, hiring younger staff) may impact safety. Collaborations between producers and safety professionals could help develop strategies to address labor shortages while ensuring worker safety. Gaps in knowledge, regulation and practice: More information is needed on employees on agritourism operations including the number of employees, hours worked, tasks performed, safety training provided, impact of customers in worksites, injuries incurred, current strategies employed to address the labor shortages, and motivators for staff to participate in safety training. Recommendations for the future: Research is needed to address the gaps in knowledge previously mentioned, and the information gathered used to develop recommendations, safety strategies and resources to help agritourism operators employ effective recruitment and retention strategies that also help establish a safe working environment. [ABSTRACT FROM AUTHOR]

In this article, we contribute to the scant literature covering quantitative studies on the determinants of the non-academic staff incidence in higher education institutions by analysing how the proportion of non-academic staff is related to key features such as size, prestige, year of foundation and financial structure of universities. We apply nonlinear regression analysis to compare HEIs across Europe and the USA, taking into account time and cross-country heterogeneity of the two balanced panel datasets concerning European and American universities over a period of 6 years (2011–2016 for Europe and 2012–2017 for the USA). Evidence suggests that in both Europe and the USA, public and larger (if sufficiently large) as well as more research-oriented units are characterised by a higher proportion of non-academic staff. In Europe, we observe an inverted U-shaped effect of the share of non-personnel expenditure and the foundation year on the proportion of non-academic staff, while the proportion of non-academic staff decreases with the share of core and third-party funding. For the USA, we obtain similar findings except that the share of core funding and third-party funding is characterised by a U-shaped effect, and the impact of the share of non-personnel expenditure has no empirical effect on the proportion of non-academic staff. Additionally, we discover that some factors that contribute to the proportion of non-academic staff may constitute indicators of performance, suggesting the need for further research to extend our knowledge on the complex issue of the role played by non-academic staff in university performance. [ABSTRACT FROM AUTHOR]

'Residential treatment for adolescents' is a term used in the United States to describe something simultaneously similar to and completely different than residential child care in Scotland. This reflective article explores these similarities and differences. [ABSTRACT FROM AUTHOR]

There is mounting evidence in the United States and worldwide that highlights a widespread and deepening "principled dislike" between partisan groups. Stemming from group identity dynamics, such as "affective polarization," it is likely to be triggered by exposure to intra-elite conflicts, such as campaign negativity and incivility. However, empirical evidence for this effect is scarce, and it rests only on survey data; causal evidence linking campaign attacks and affective polarization is still missing. In this article, we advance the hypothesis that the effects of exposure to mediatized political attacks are likely mediated by how negative such attacks are perceived. To test our expectations, we leverage new evidence from an online experiment with convenience sample of American voters (N = 1,081). Our results suggest that exposure to intraelites' political attacks can drive affective polarization, but this unfolds mostly as a function of perceived negativity of those messages, and only for respondents that are ideologically affiliated with the target of the attack. Negativity is in the eye of the beholder, especially when one is being attacked. [ABSTRACT FROM AUTHOR]

Corruption is a worldwide phenomenon; corruption has adverse effect in both rich and poor countries. Corruption is very costly to the quality of life in developing countries and increases the cost of business operation in the advance countries. Many rich and powerful multinational corporations in addition to the transfer of technology and skilled management also export illegal corrupt practices that are highly prohibited in their home countries, to developing countries. in a study done by Prof. H.D Vinod of Fordham University in New York City. He was able to determine that corruption leads to slower economic growth through reduced savings, reduced investments and wasted resources. [ABSTRACT FROM AUTHOR]

The notion of compensation generates criticism, especially in the U.S. around unpaid internships in particular -- the country's principal form of work-integrated learning (WIL). The distinction between unpaid and paid internships remains understudied and therefore, serves as the primary motivator to compare students' perceptions of unpaid and paid WIL experiences, using a large U.S. data set. The purpose of this study is to compare interns' perceptions of unpaid and paid experiences to gain a better understanding of how these experiences frame interns' supervisory support interactions, perceptions of advancement opportunities, career confirmation, and conversion intentions. The study is U.S. centric, surveying students who had recently completed their internships. Results indicated that regardless of pay (i.e., paid vs. unpaid), interns had similar expectations regarding supervisory support, career confirmation, and conversion intentions. Hence, confirming that both unpaid and paid internships provide a strong platform for students to obtain the support they need to launch their future careers. [ABSTRACT FROM AUTHOR]

The study investigates impact of energy consumption on environmental degradation at aggregated and disaggregated levels. In this context, the study considers carbon dioxide (CO2) emissions as proxy of environmental degradation, and focuses on the United States of America (USA) as the biggest economy and highest second carbon-emitting country. Moreover, the study uses monthly data between 1989 January and 2021 September and performs nonlinear approaches as Wavelet Coherence (WC), Granger Causality-in-Quantiles (GCQ), and Quantile-on-Quantile Regression (QQR). Besides, Quantile Regression (QR) is used for robustness checks of the QQR. The results show that (i) energy consumption has an important impact on the CO2 emissions in the short, medium and long term, while the impact changes according to times and frequencies; (ii) causal effect exists in almost all quantiles excluding some lower (0.05, 0.25), middle (0.65, 0.70, 0.75, 0.80) and higher (0.95) quantiles, whereas indicator-based results change a bit; (iii) the QR results confirm that the QQR results are robust; (iv) overall, the effects of the energy consumption indicators change according to times, frequencies, quantiles, and aggregated/disaggregated levels. Hence, the empirical outcomes underline the significance of renewable energy consumption in improving environmental quality through limiting CO2 emissions at aggregated and disaggregated levels. The results imply that the USA policymakers should focus on the efforts the decreasing fossil sources and increasing renewable sources through conversion of energy systems to limit CO2 emissions while considering changing impacts of energy consumption at various times, frequencies, quantiles, and aggregated/disaggregated levels. [ABSTRACT FROM AUTHOR]

Federal regulations in the United States of America concerning the environment are currently in the process of being re-implemented and redeveloped after years of roll-back under the Trump Administration. This opinion recommends three steps that individual states could take to support stronger environmental policies, which are rooted in 'environmental justice' in relation to issuing emission permits, so as to mitigate the impact of industry upon overburdened communities, and in doing so improve air quality, whilst the federal government reworks its own standards. Given the current political situation, which is heavily contested, and the complicated legal structure of the USA the opinion concludes, that in the context of issuing permits, and having considered a range of environmental law issues at each level of the United States government, that states have a vital role to play in mitigating the 'environmental impact' of pollution on underserved communities, and in tackling other environmental problems. [ABSTRACT FROM AUTHOR]

This paper investigates the impact of real exchange rate volatility and misalignment on exports and imports between China and the United States. Our empirical analysis used the quarterly time series data over the 1994Q:1–2019Q:4 period. We used the ARDL-bound testing approach for the short- and long-run relationship. The empirical results reveal that China's real exchange rate volatility and misalignment significantly impact China's real exports and imports over the sample period. In the short-run, the relationship between real exchange rate misalignments and China's exports is positive, whereas negative with imports from the United States. In the long run, the real exchange rate misalignment positively affects exports and negatively affects imports. The evidence suggests that both higher real exchange rate volatility and misalignment directly affect the relative price of goods and encourage China exports to United States. [ABSTRACT FROM AUTHOR]

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