Social and Behavioral Sciences Commons^™

Parent-Led Cognitive Behavioral Teletherapy For Anxiety In Autistic Youth: A Randomized Trial Comparing Two Levels Of Therapist Support, Andrew G Guzick, Sophie C Schneider, Minjee Kook, Julia Rose Iacono, Saira A Weinzimmer, Troy Quast, Sean M Olsen, Killian Rainey Hughes, Emily Jellinek-Russo, Amanda Perozo Garcia, Abigail Candelari, Leandra N Berry, Robin P Goin-Kochel, Wayne K Goodman, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

Parent-led cognitive behavioral therapy (CBT) is an efficient, promising form of therapy that may be well suited for autistic youth with anxiety disorders, though to date it has been minimally tested. In this study, 87 autistic youth (7 to 13 years old) with anxiety disorders and their parents were randomized to two forms of parent-led CBT in which parents led their child through a guided CBT workbook across 12 weeks: one with low therapist contact (four 30-minute telehealth calls), and one with standard therapist contact (ten 60-minute telehealth calls). Anxiety, functional impairment, and autism features significantly declined across therapy, without …

Public Attitudes, Interests, And Concerns Regarding Polygenic Embryo Screening, Rémy A Furrer, Dorit Barlevy, Stacey Pereira, Shai Carmi, Todd Lencz, Gabriel Lázaro-Muñoz

Center for Medical Ethics and Health Policy Staff Publications

Importance: Polygenic embryo screening (PES) is a novel technology that estimates the likelihood of developing future conditions (eg, diabetes or depression) and traits (eg, height or cognitive ability) in human embryos, with the goal of selecting which embryos to use. Given its commercial availability and concerns raised by researchers, clinicians, bioethicists, and professional organizations, it is essential to inform key stakeholders and relevant policymakers about the public's perspectives on this technology.

Objective: To survey US adults to examine general attitudes, interests, and concerns regarding PES use.

Design, setting, and participants: For this survey study, data were collected from 1 stratified …

Ethical Concerns For Remote Computer Perception In Cardiology: New Stages For Digital Health Technologies, Artificial Intelligence, And Machine Learning, Kristin Kostick-Quenet, Jerry Estep, Jennifer S Blumenthal-Barby

Center for Medical Ethics and Health Policy Staff Publications

No abstract provided.

Family Accommodation In Children And Adolescents With Misophonia, Eric A Storch, Andrew G Guzick, Johann D'Souza, Jane Clinger, Daphne Ayton, Minjee Kook, Conor Rork, Eleanor E Smith, Isabel A Draper, Nasim Khalfe, Catherine E Rast, Nicholas Murphy, Marijn Lijfijjt, Wayne K Goodman, Matti Cervin

Center for Medical Ethics and Health Policy Staff Publications

Family accommodation (e.g., reassurance, modifying routines, assisting avoidance) has not been explored among youth with misophonia but may have important clinical and intervention implications. We examined family accommodation in 102 children and adolescents with interview-confirmed misophonia and compared its frequency and content to family accommodation in 95 children and adolescents with anxiety disorders. Findings showed that family accommodation was ubiquitous in pediatric misophonia and may be even more frequent than in youth with anxiety disorders. Assisting the child, participating in misophonia-related behaviors, and modifying family routines were endorsed by more than 70% of parents of children with misophonia. Further, compared …

Patient Interest In And Clinician Reservations On Polygenic Embryo Screening: A Qualitative Study Of Stakeholder Perspectives, D Barlevy, I Cenolli, T Campbell, R Furrer, M Mukherjee, K Kostick-Quenet, S Carmi, T Lencz, G Lázaro-Muñoz, S Pereira

Center for Medical Ethics and Health Policy Staff Publications

Purpose: We explored and compared perspectives of reproductive endocrinology and infertility specialists (REIs) and in vitro fertilization (IVF) patients regarding polygenic embryo screening (PES), a new type of preimplantation screening that estimates the genetic chances of developing polygenic conditions and traits in the future.

Methods: Qualitative thematic analysis of semi-structured interviews with US-based REIs and IVF patients.

Results: Clinicians and patients often held favorable views of screening embryos for physical or psychiatric conditions, though clinicians tended to temper their positive attitudes with specific caveats. Clinicians also expressed negative views about screening embryos for traits more frequently than patients, who generally …

Advancing Genomics To Improve Health Equity, Ebony B Madden, Lucia A Hindorff, Vence L Bonham, Tabia Henry Akintobi, Esteban G Burchard, Kellan E Baker, Rene L Begay, John D Carpten, Nancy J Cox, Valentina Di Francesco, Denise A Dillard, Faith E Fletcher, Stephanie M Fullerton, Nanibaa' A Garrison, Catherine M Hammack-Aviran, Vanessa Y Hiratsuka, James E K Hildreth, Carol R Horowitz, Chanita A Hughes Halbert, Michael Inouye, Amber Jackson, Latrice G Landry, Rick A Kittles, Jeff T Leek, Nita A Limdi, Nicole C Lockhart, Elizabeth O Ofili, Eliseo J Pérez-Stable, Maya Sabatello, Loren Saulsberry, Lorjetta E Schools, Jennifer L Troyer, Benjamin S Wilfond, Genevieve L Wojcik, Judy H Cho, Sandra S-J Lee, Eric D Green

Center for Medical Ethics and Health Policy Staff Publications

Health equity is the state in which everyone has fair and just opportunities to attain their highest level of health. The field of human genomics has fallen short in increasing health equity, largely because the diversity of the human population has been inadequately reflected among participants of genomics research. This lack of diversity leads to disparities that can have scientific and clinical consequences. Achieving health equity related to genomics will require greater effort in addressing inequities within the field. As part of the commitment of the National Human Genome Research Institute (NHGRI) to advancing health equity, it convened experts in …

Patients’ And Physicians’ Beliefs And Attitudes Towards Integrating Personalized Risk Estimates Into Patient Education About Left Ventricular Assist Device Therapy, Kristin M Kostick-Quenet, Benjamin Lang, Natalie Dorfman, Jerry Estep, Mandeep R Mehra, Arvind Bhimaraj, Andrew Civitello, Ulrich Jorde, Barry Trachtenberg, Nir Uriel, Holland Kaplan, Eleanor Gilmore-Szott, Robert Volk, Mahwash Kassi, J S Blumenthal-Barby

Center for Medical Ethics and Health Policy Staff Publications

Background: Personalized risk (PR) estimates may enhance clinical decision making and risk communication by providing individualized estimates of patient outcomes. We explored stakeholder attitudes toward the utility, acceptability, usefulness and best-practices for integrating PR estimates into patient education and decision making about Left Ventricular Assist Device (LVAD).

Methods and results: As part of a 5-year multi-institutional AHRQ project, we conducted 40 interviews with stakeholders (physicians, nurse coordinators, patients, and caregivers), analyzed using Thematic Content Analysis. All stakeholder groups voiced positive views towards integrating PR in decision making. Patients, caregivers and coordinators emphasized that PR can help to better understand a …

Charting The History Of Social And Economic Analyses In The North-East Atlantic, Ospar, Region: Lessons Learned And Future Opportunities, Rob Van Der Veeren, Philip A.S. James, Maria G. Alarcon Blazquez, Xander Keijser

Journal of Ocean and Coastal Economics

Over the past decade, the North-East Atlantic region has witnessed a substantial increase in social and economic analyses related to ocean and coastal management. This article offers a comprehensive overview of this progress, focusing on the work of the International Cooperation Group - Economics and Social Analysis (ICG-ESA) within the OSPAR Commission. While highlighting ICG-ESA's contributions to the OSPAR Quality Status Report 2023, the paper underscores the necessity of integrating social analyses into OSPAR's decision-making processes. It calls for sustained efforts to prevent regression in the achieved progress, stressing the importance of accountability and collaboration among OSPAR and its contracting …

Lessons Lost: The Complicated Filtering Of History Curricula, Kate Burchnell

Quest

Argument and Proposal Essay

Research in progress for ENGL 1302: Composition II

Faculty Mentors: Lisa Kirby, PhD and Kyle Wilkison, PhD

Introduction from Dr. Lisa Kirby

It was my pleasure to work with Kate Burchnell on her paper, “Lessons Lost: The Complicated Filtering of History Curricula.” Kate’s project began as an assignment in my Fall 2021 Composition II course. This assignment allowed students to choose a topic they were passionate about, write a persuasive essay about the issue, and propose a solution to the problem. Students were encouraged to pick topics in their future professions or fields of study. As …

How And Why Foster Care Impacts Maltreated Youths' School Performance, Mallory Constantine

Lincy Institute Events

Youth mistreated within the foster care system are more likely to miss school as compared to non-maltreated peers. A single report of child maltreatment has a rapid and negative effect on school attendance and causes serious, long-term effects on school performance. A report of maltreatment substantiated by the department of family and child services removes a youth from a foster home and places the child in an alternative setting. These disruptions in foster care often result in additional problems with school behavior, achievement, and attendance. This lecture will explore how disruptions in foster care affect school behavior and performance and …

Adversity To Action: A Case Study Analysis Of Crisis Leadership, Isabelle Weatherington

Honors Theses

This thesis examines leadership through crisis contexts. I aim to answer two research questions. (1) How do crisis management frameworks intersect with the leadership strategies and characteristics of the person in charge? And (2) How must a leader adapt their natural leadership style and characteristics according to the nature and level of the crisis at hand to ensure leadership effectiveness? To answer these, a comparative case study analysis was performed on the following cases: Winston Churchill and World War II (Case one), George W. Bush and the September 11th, 2001 terrorist attacks (Case two), and Thad Allen and Hurricane Katrina …

Developing More Useful Equity Measurements For Flood-Risk Management, Adam Pollack, Casey Helgeson, Carolyn Kousky, Klaus Keller

Dartmouth Scholarship

Decision-makers increasingly invoke equity to motivate, design, implement and evaluate strategies for managing flood risks. Unfortunately, there is little guidance on how analysts can develop measurements that support these tasks. Here we analyse how equity can be defined and measured by surveying 167 peer-reviewed publications that explicitly state an interest in equity in the context of flood-risk management. Our main result is a taxonomy that systematizes how equity has been, and can be, defined and measured in flood-risk research. The taxonomy embodies how equity is a pluralistic and unavoidably ethical concept. Despite this, we find that most quantitative studies fail …

An Effective, Robust, And Strategic Succession Plan For A Primary Law Enforcement Agency In Guyana, South America, Nicola Denise Kendall

Walden Dissertations and Doctoral Studies

The client organization, Guyana’s principal law enforcement agency, lacked a robust, effective, and strategic succession plan to fill vacancies for senior leadership and management. The current qualitative case study was to ascertain the appropriate strategies that could be employed for this organization, and by extension public organizations and law enforcement agencies, to have a robust, effective, and strategic succession plan. The conceptual framework was based on the succession planning model, which focused on key concepts such as strategy, knowledge management, talent management, organizational culture, leadership development, and management commitment. Data were collected from interviews, with 23 participants and a review …

Museum Dan Sekolah: Sinergi Kebijakan Demokratisasi Kebudayaan Melalui Program Pembelajaran Seni Dan Budaya Di Kota La Rochelle - Prancis, Agung Wibowo, Dwi Winarsih, Atik Catur Budiati

Paradigma: Jurnal Kajian Budaya

Our article describes the relationship between museums and schools as a policy of democratisation of French culture, a policy that has encouraged the ministry of education and the ministry of culture to work together in designing arts and culture learning programmes in museums and in schools. The case study of the implementation of the national policy of democratisation of culture by the municipality of La Rochelle is an important consideration that can help us to understand how the locality of public policy implementation in France can contribute specific characteristics to the cultural development and management of museums and schools. Arts …

Evaluating Nurses’ Turnover Intention And Organizational Commitment Following Stroke Unit Staffing Changes: An Evidence-Based Quality Initiative, Heather Tatusko

Doctor of Nursing Practice Scholarly Projects

Nurses are known to be overworked, overwhelmed, undervalued, and understaffed at dangerous levels throughout various inpatient hospital units across the United States (U.S.). Hospital registered nurse (RN) turnover is a significant issue that has accelerated since the COVID-19 pandemic, resulting in economic impacts and other burdens for organizations, individuals, and communities. Evidence suggests that evaluating Registered Nurses’ Turnover intention (NTI) and Organizational Commitment (OC) can help maintain a ready and capable team of skilled RNs; however, most healthcare organizations (HCOs) do not collect or analyze NTI and OC data and focus on staffing numbers and monetary incentives to get adequate …

Covid-19'S Consequences In Day-To-Day Life, Christian Mclain, Perla Guadalupe Vega

ENGL 1102 Showcase

This anthology discusses the consequences that the Covid-19 left. These drastic changes are still visible 4 years later, in two important sectors of Georgia's economy: the Work force and the housing market. These 2 sectors collide and merge with our daily life since they take up most of our time. Homes took on the roles of offices and schools as employees and students were forced to stay home due to the pandemic. Before and after Covid 19, everything changed from the criteria of buyers in the housing market, the inventory, the reasons why it is short, in addition to the …

Direct Implantation Of Patient Brain Tumor Cells Into Matching Locations In Mouse Brains For Patient-Derived Orthotopic Xenograft Model Development, Lin Qi, Patricia Baxter, Mari Kogiso, Huiyuan Zhang, Frank K Braun, Holly Lindsay, Sibo Zhao, Sophie Xiao, Aalaa Sanad Abdallah, Milagros Suarez, Zilu Huang, Wan Yee Teo, Litian Yu, Xiumei Zhao, Zhigang Liu, Yulun Huang, Jack M Su, Tsz-Kwong Man, Ching C Lau, Laszlo Perlaky, Yuchen Du, Xiao-Nan Li

Center for Medical Ethics and Health Policy Staff Publications

Background: Despite multimodality therapies, the prognosis of patients with malignant brain tumors remains extremely poor. One of the major obstacles that hinders development of effective therapies is the limited availability of clinically relevant and biologically accurate (CRBA) mouse models.

Methods: We have developed a freehand surgical technique that allows for rapid and safe injection of fresh human brain tumor specimens directly into the matching locations (cerebrum, cerebellum, or brainstem) in the brains of SCID mice.

Results: Using this technique, we successfully developed 188 PDOX models from 408 brain tumor patient samples (both high-and low-grade) with a success rate of 72.3% …

What Comes After The Critique Of The Corporate University? Toward A Syndicalist University, Clyde W. Barrow

Emancipations: A Journal of Critical Social Analysis

For the past three decades, university faculty have produced a cascade of contemporary protest literature that routinely criticizes the knowledge factory, academic capitalism, managed professionals, college for sale, the university in ruins, the corporate corruption of higher education, and University, Inc. University faculty are regularly warned about the fall of the faculty, the last professors, and the last intellectuals. This article reviews the historical development of the corporate and neoliberal university, but it takes the next step of asking what is to be done after the critique of the corporate university. It calls on faculty to engage in a variety …

Addressing The Need For Both Affordable And Sustainable Housing: A Policy Analysis On Avoiding Environmental Gentrification, Erin Zipman

Binghamton University Undergraduate Journal

This article focuses on the threat of environmental gentrification in Binghamton and the surrounding municipalities. Given certain risks, including an increasing temporary student renter population, increasing rent prices, high population of renters overall and the need for updates to the housing stock, this area of Broome County is at high risk for environmental gentrification if clean energy upgrades to the housing stock are aggressively pursued. Since clean energy upgrades such as weatherization and clean technology installation will create safer housing and reduce residential greenhouse gas emissions, it is desirable to pursue them. Thus, this article will analyze four policy alternatives …

Understanding The Challenges Of Perspective Transformation In Prison: Biographical Narratives Of Foreign National Students Of A Second Chance School In Greece, Antigoni K. Efstratoglou, George A. Koulaouzides

Journal of Prison Education Research

Education has borne the burden of prisoners’ reform since the early days of modern prison. Several studies attest to its transformative potential, taking a short-term perspective. Rarely the experience of being a student, while incarcerated, is examined in the context of the wider biography. This paper uses perspective transformation theory as a point of departure to study how imprisonment influences adult learning. Building on biographical narratives of ten foreign national students of a Second Chance School at the largest Greek remand establishment, and participant observation of relevant class discussions, we argue that imprisonment impedes perspective transformation, strengthening structural inequalities and …

Welfare-Based Human Rights Diffusion In Global Social Policy: Examining An Extended Spiral Model To Survey Welfare Norms, Kendra L. Duran

Doctoral Dissertations and Projects

This study addresses a gap in research concerning welfare-based human rights diffusion, rights that are also referred to as Economic, Social, and Cultural Rights (ESCR). This project finds that when states ratify the International Covenant on Economic, Social, and Cultural Rights (ICESCR), global social policies are created, grow worldwide, and receive greater attention from advocacy organizations. Even so, it is not understood how global social policies affect a state’s compliance with its ICESCR commitment, nor how global social policies affect welfare-based human rights diffusion. Seeking to address this gap in theory and praxis, this research utilizes an extended case study …

Shifting Gears: Toward A New Way Of Thinking About Transportation, Susan Handy

PSU Transportation Seminars

The transportation system in the U.S. has been shaped by a core set of ideas that are embedded in professional practice. These ideas – freedom, speed, mobility, vehicles, capacity, hierarchy, separation, control, and technology – have produced a system in which most people are dependent on driving, with all the negative consequences that entails. Shifting to a system that offers people choices about their daily travel requires a shift in thinking on the part of the transportation profession. In this talk, I take a critical look at the way of thinking that, for the last century, has shaped our transportation …

Preserving Faith Amidst Disruption: The Impact Of Obama And Biden’S Woke Foreign Policy On Christian Values In Africa And Its Effect On American Democracy Promotion, Christophe Mwungura

Helm's School of Government Conference - 2021-2024

In May 2023, Uganda enacted a law criminalizing homosexuality. The Ugandan parliament and President Yoweri Museveni defended the enactment of this law, arguing that homosexuality directly violates Ugandan cultural norms and Biblical doctrines. In response to this legislative action, the United States immediately condemned the law and threatened to withdraw the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), along with other forms of assistance and investments. Despite this, many Ugandans, supported by their leaders, publicly expressed their willingness to accept the aid suspension rather than repeal the law. This article will examine the promotion of LGBTQ rights in Africa, …

Navigating The Threat Posed By The Chinese Communist Party, Adam Opp

Helm's School of Government Conference - 2021-2024

For decades, the Chinese Communist Party (CCP) and the economic growth of China has become a threat to the United States. Beginning in 1978, the CCP issued a series of economic, market-oriented reforms which led to a period of economic growth and productivity increase in China. The CCP turned to diplomacy with the United States and other nations to increase foreign investment and implemented the Belt and Road initiative. The impressive scale of Chinese economic growth poses an economic and hegemonic threat to the United States, as China’s economy is projected to outpace the United States and the CCP has …

Roger Altman’S 2008 Public Policy Analysis: At Fault Without The Blame, Isaac Deak

Helm's School of Government Conference - 2021-2024

Roger Altman published “Globalism in Retreat” in 2009, in which he offers analysis of the 2008 financial crisis, blaming free-markets and globalism as causes of the calamity, only to praise China’s “state-capitalism”, which he believes allowed the Chinese to emerge ahead of the globalists in recovery. This article, despite its age, provides a timeless example of a dangerous tendency in public policy. It demonstrates how policymakers can implement deleterious policies which result in inevitable crisis, and then, they subsequently escape blame by explaining away the crisis with bad analysis and even worse policy suggestions for the future. Policy suggestions, in …

The Importance Of Dialogue Between The United States And North Korea: How Can The United States Respond To The Nuclear Issue With North Korea?, Unbi Choi

Helm's School of Government Conference - 2021-2024

The nuclear issue with North Korea could create even more danger in currently tense international relations. In reality, a long-standing economic sanction is a factor in North Korea's continued hostile attitude toward the United States. The Trump administration chose negotiation instead of economic sanctions. Negotiations succeeded in temporarily easing tensions between the United States and North Korea. However, the Biden administration put economic sanctions back on North Korea. Since then, North Korea has increasingly cultivated hostility, even more than in the last few years, and is further developing nuclearization. As this example indicates, economic sanctions would have negative consequences. The …

Rethinking Supply Chains: Mitigating The Risk Of Chinese Dependence And Protecting Us Semiconductor Intellectual Property, Jamison Finnamore

Helm's School of Government Conference - 2021-2024

This paper explores the complex economic interdependence between the US, China, and Taiwan, specifically in the semiconductor industry. China’s increased aggression and intellectual property (IP) theft threatens to unbalance the iron triangle of US, China, and Taiwan trade relations. The problem overview elaborates on Taiwan’s crucial role in the semiconductor supply chain, and China’s threat against it. The argument is made that the US must take a nuanced and multifaceted approach to solving the diplomatic, economic, and military policy problem. Criteria for success are outlined, emphasizing the need to address root causes and not compromise US commitment to a free …

Criminal Justice: Racial Equity In United States Of America, Glenn Bass

Helm's School of Government Conference - 2021-2024

The purpose of this paper is to provide the reader with a spiritual sense of awakening as it pertains to a revelation of the human spirit. A revival, or improvement in the condition of any individual or social infrastructure will re-establish citizenship and further restore virtue within the United States of America. Researchers have articulated that our criminal justice system is broken through police retention/recruitment, lack of resources, ineffective prosecution and public defenders, sentencing disparities, and lack of understanding of the socioeconomic status of the criminal or violent offender. These issues are subtopics underneath the umbrella of racial equity. The …

Educational Attainment In The Mountain West, 2021, Isabelle G. Graham, Jesse M. Fager-Larsen, Caitlin J. Saladino, William E. Brown Jr.

Higher Education

This fact sheet examines data on educational attainment rates for five states in the Mountain West: Arizona, Colorado,Nevada, New Mexico, and Utah. The original report from the Lumina Foundation explores education attainment data for those aged 25 to 64 years in all U.S. states.

“Home Court Advantage: Comparing International Criminal Tribunals To Domestically-Grown Reconciliation”, Elise Treon

Honors Thesis

Scholars have studied wars and their causes for centuries, but what happens when the tanks roll out and the guns stop firing? The concept of reconciliation is a relatively new field of study in international relations, and the scholarship of specific transitional justice mechanisms remains underdeveloped. I comparatively analyze the differences between external and internal peacebuilding strategies – specifically the effectiveness of international tribunals in establishing long term deep reconciliation. In defining internal and external transitional justice mechanisms, I differentiate between a reconciliation process that prioritizes rebuilding citizens’ lives over one that prioritizes the desires of the international community. It …