Social and Behavioral Sciences Commons^™

Special Insert: Guideline For Delegation Of Duties For Allied Dental Personnel In Michigan, David Foe Ma

The Journal of the Michigan Dental Association

Dental assistants, registered dental assistants, and registered dental hygienists have specific duties they can perform for patients as outlined by the Michigan Public Health Code and the Michigan Board of Dentistry General Rules. Permitted delegated services vary based on a team member’s level of training, licensure, and available supervision by a licensed dentist.

The Journal of Michigan Dental Association provides this pullout insert to guide the dental team. This easy-to-read chart quickly identifies recent changes to the duties each dental auxiliary can legally perform.

Building Effective Mentoring Relationships During Clinical Ethics Fellowships: Pedagogy, Programs, And People, Trevor M Bibler, Ryan H Nelson, Bryanna Moore, Janet Malek, Mary A Majumder

Center for Medical Ethics and Health Policy Staff Publications

How should clinical ethicists be trained? Scholars have stated that clinical ethics fellowships create well-trained, competent ethicists. While this appears intuitive, few features of fellowship programs have been publicly discussed, let alone debated. In this paper, we examine how fellowships can foster effective mentoring relationships. These relationships provide the foundation for the fellow's transition from novice to competent professional. In this essay, we begin by discussing our pedagogical commitments. Next, we describe the structures our program has created to assist our fellows in becoming competent ethicists. We then outline the kinds of knowledge, skills, and professional attributes mentors should possess. …

Igg In The Trenches: Results Of An In-Depth Interview Study On The Practice, Politics, And Future Of Investigative Genetic Genealogy, Christi J Guerrini, Whitney Bash Brooks, Jill O Robinson, Stephanie M Fullerton, Emily Zoorob, Amy L Mcguire

Center for Medical Ethics and Health Policy Staff Publications

Investigative genetic genealogy (IGG) is a new technique for identifying criminal suspects and unidentified deceased and living persons that has sparked controversy. In a criminal case, the technique involves uploading genetic information left by a putative perpetrator at the crime scene to one or more direct-to-consumer genetic genealogy databases with the intention of identifying the perpetrator's genetic relatives and, eventually, locating the perpetrator on the family tree. In 2018, IGG helped to identify the Golden State Killer, and it has since been used in hundreds of investigations in the United States. Here, we report findings from in-depth interviews with 24 …

Post-Mastectomy Pain Syndrome: A Review Article And Emerging Treatment Modalities, Jay D Shah, Kennedy Kirkpatrick, Krishna Shah

Faculty, Staff and Students Publications

Post-mastectomy pain syndrome (PMPS) is a syndrome broadly applied to the development of chronic pain after surgical breast intervention (i.e., lumpectomy and mastectomy). The incidence of PMPS is likely underreported, and this has contributed to a paucity of high-level evidence related to the treatment of the aforementioned condition. A drive to reduce the burden of opioid use has led to pain management physicians trialing a variety of strategies to help patients manage PMPS. This review discusses the latest evidence behind treatment options for PMPS, exploring medications as well as interventional techniques (e.g., nerve blocks, radiofrequency ablation, neuromodulation, and intrathecal drug …

Pretesting Discrete-Choice Experiments: A Guide For Researchers, Nicola B Campoamor, Christi J Guerrini, Whitney Bash Brooks, John F P Bridges, Norah L Crossnohere

Center for Medical Ethics and Health Policy Staff Publications

Discrete-choice experiments (DCEs) are a frequently used method to explore the preferences of patients and other decision-makers in health. Pretesting is an essential stage in the design of a high-quality choice experiment and involves engaging with representatives of the target population to improve the readability, presentation, and structure of the preference instrument. The goal of pretesting in DCEs is to improve the validity, reliability, and relevance of the survey, while decreasing sources of bias, burden, and error associated with preference elicitation, data collection, and interpretation of the data. Despite its value to inform DCE design, pretesting lacks documented good practices …

A Phase 1 Trial Utilizing A Pharmacokinetic Endpoint To Determine The Optimal Dose Of Ramucirumab In Children And Adolescents With Relapsed Or Refractory Solid Tumors, Including Central Nervous System Tumors, Kristy L Pilbeam, Kamnesh Pradhan, James Croop, Charles G Minard, Xiaowei Liu, Stephan D Voss, Emasenyie Isikwei, Stacey L Berg, Joel M Reid, Elizabeth Fox, Brenda J Weigel

Center for Medical Ethics and Health Policy Staff Publications

Background: Ramucirumab is a monoclonal antibody that binds the extracellular domain of vascular endothelial growth factor receptor (VEGFR-2) and prevents binding of VEGF ligands. Based on population pharmacokinetic (PK) analysis and correlation with efficacy in adults, a target steady state trough concentration (Css,min ) ≥ 50 µg/mL was established.

Procedures: This phase 1 trial (ADVL1416) used a rolling six design and a PK primary endpoint to define the recommended phase 2 dose (RP2D) of ramucirumab in children with recurrent/refractory solid tumors. Two dose levels (DL) were planned (DL1: 8 mg/kg, DL2: 12 mg/kg administered intravenously [IV] every 2 weeks). Toxicity …

Self-Sampling For Human Papillomavirus Testing: Acceptability In A Us Safety Net Health System, Susan L Parker, Trisha L Amboree, Shaun Bulsara, Maria Daheri, Matthew L Anderson, Susan G Hilsenbeck, Maria L Jibaja-Weiss, Mohammed Zare, Kathleen M Schmeler, Ashish A Deshmukh, Elizabeth Y Chiao, Michael E Scheurer, Jane R Montealegre

Center for Medical Ethics and Health Policy Staff Publications

Introduction: Self-sampling for human papillomavirus testing is increasingly recognized as a strategy to expand cervical cancer screening access and utilization. Acceptability is a key determinant of uptake. This study assesses the acceptability of and experiences with mailed self-sampling kits for human papillomavirus testing among underscreened patients in a safety net health system.

Methods: A nested telephone survey was administered between 2021 and 2023 to a sample (n=272) of the 2,268 participants enrolled in the Prospective Evaluation of Self-Testing to Increase Screening trial. Trial participants include patients of a safety net health system aged 30-65 years who were not up to …

Parental Descriptions Of Childhood Avoidance Symptoms After Trauma, Zoe Blair-Andrews, Alison Salloum, Stephanie Evans, Vicky Phares, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

Recognizing and diagnosing the avoidance symptom cluster of posttraumatic stress disorder (PTSD) in young children has been challenging. This study examines caregivers' descriptions of young children's avoidance reactions. By describing parents' examples of childhood avoidance, clinicians, researchers, and educators may be able to provide more specific psychoeducation which may improve identification of avoidance behaviors in young children. Caregivers (N=73) of young children (age 3-7 years) participated in a semi-structured diagnostic clinical interview prior to enrolling in a clinical trial for childhood trauma. The assessment regarding the caregiver's description of the child's avoidance was audio recorded and transcribed for a thematic …

Case Sampling For Evaluating Hospital Postoperative Morbidity In Us Surgical Quality Improvement Programs, Vivi W Chen, Tracey Rosen, Yongquan Dong, Peter A Richardson, Jennifer R Kramer, Laura A Petersen, Nader N Massarweh

Center for Medical Ethics and Health Policy Staff Publications

Importance: US surgical quality improvement (QI) programs use data from a systematic sample of surgical cases, rather than universal review of all cases, to assess and compare risk-adjusted hospital postoperative complication rates. Given decreasing postoperative complication rates over time and the types of cases eligible for abstraction, it is unclear whether case sampling is robust for identifying hospitals with higher than expected complications.

Objective: To compare the assessment of hospital 30-day complication rates derived from sampling strategy used by some US surgical QI programs relative to universal review of all cases.

Design, setting, and participants: This US hospital-level analysis took …

Ketamine For Pain In Sickle Cell Disease Reduces Opioid Usage, Christina O Onyebuchi, Corrie E Chumpitazi, Jennifer L Placencia, Andrea N Jackson, Jennifer L Jones, Laura Torres, Venée N Tubman

Faculty, Staff and Students Publications

CONTEXT: Pain attributable to sickle cell disease (SCD) is often unpredictable, recurrent, and requires complex treatments. Subanesthetic ketamine infusion has been studied in other diseases and disorders, but there is still limited data on its efficacy in pain management for SCD.

OBJECTIVES: The primary objective is to determine if subanesthetic ketamine infusion reduces pain scores and opioid requirements in hospitalized pediatric patients with SCD.

RESULTS: Forty-six admissions among 22 patients between February 2018 and December 2019 were analyzed. We observed decrease in pain scores within 24 hours of ketamine initiation in 34 of 46 admissions (mean pain score per patient …

Assessment Of Professional Counseling Dispositions: A Content Validity Analysis, Patrick R. Mullen, Jacob Joseph, Kaitlin Jones Hinchey, Morgan Walker, Jennifer Niles

Teaching and Supervision in Counseling

Counselor educators evaluate the professional counseling dispositions of trainees throughout their development within training programs. There have been few consistent articulations of professional dispositions as many programs and measures define them differently. In our study, we developed the Assessment of Professional Counseling Dispositions (APCD) and performed a content validity study of the measure. Our findings provide evidence for the content validity of the APCD. We discuss these findings, their implications, and future research using the measure.

The Class Of 2019: Academic Employment Prospects For Counselor Education Doctoral Graduates, Christopher Lawrence, Gregory Hatchett

Teaching and Supervision in Counseling

The purpose of this investigation was to estimate the percentage of counselor education doctoral (CED) program graduates who attained faculty positions within two years of graduation and to compare the number of these graduates to the number of advertised faculty positions during this same timeframe. To do so, we used archival, publicly available data for graduates of CACREP-accredited CED programs during the 2018-2019 academic cycle (N = 314). Approximately two-fifths of these graduates had faculty positions. Graduation from a public university increased the odds of having any faculty post, whereas graduation from a public university and the Carnegie Classification of …

A Model Of Retention And Remediation For Online Counselor Education, Colleen M. Grunhaus, Matthew Lyons

Teaching and Supervision in Counseling

Online counseling programs experience unique retention and gatekeeping challenges. Increased isolation and personal adversities are common factors associated with attrition for online students; and broad-access admission policies of online counseling programs often lead to increased gatekeeping concerns postadmission. Counseling programs develop policies and procedures related to retention, remediation, and dismissal, but extant models of remediation do not also address student retention or the unique challenges of online counselor education. We present a model, The Retention and Remediation Model for Online Counselor Education, that demonstrates a comprehensive policy for retention, remediation, and dismissal in online counseling programs through a three-prong approach …

Professional Identity Development Of Black Doctoral Students In Counselor Education: A Reflexive Model, Olivia T. Ngadjui Phd, Elizabeth A. Doughty Horn

Teaching and Supervision in Counseling

This grounded theory study comprised the perspectives of how past and current Black doctoral students formalized their professional identity in counselor education. Findings included reflexivity as a central theme within the internal process of Black doctoral students navigating counselor education programs and a model of professional identity development.

Relationships Of Empathy And Color-Blind Attitudes On Counseling Students’ Critical Consciousness, Bagmi Das, Maggie M. Parker, Sarah Litt

Teaching and Supervision in Counseling

A critical piece of counselor education is enhancing counselors’ in training (CITs) multicultural competence. Concepts included in CIT cultural development include both developing empathy (Constantine, 2001) and dismantling color-blind racial attitudes` (Neville et al., 2013). Thus, this study presents multiple regression to explore the relationships between color blindness, empathy development, and critical consciousness of 166 counseling students. Results indicate that that empathy and color-blind attitudes have associations with some aspects of critical consciousness, but not sociopolitical participation. Implications for counselor education and directions for future research are discussed.

Social Justice Identity And Program Evaluation: A Pilot Study Of Cmhc Students, Heidi L. Henry

Teaching and Supervision in Counseling

Program development and evaluation can be used to address historical inequities in mental health, but they are scarcely studied in counselor education. The purpose of this pilot study was to examine how taking one social-justice focused CMHC management course impacted 66 counseling students’ social justice identity and program evaluation understanding. Participating students completed a group program proposal focused on social justice and program evaluation. To assess change in their social justice attitudes, behaviors, and program evaluation understanding, they completed a demographic questionnaire, pre-test, and post-test. The results, derived from t-tests and Wilcoxon Signed-Rank tests, indicated a significant improvement from pre- …

Danes In Argentina: The Emigration Story Of The Ambrosius Family, Inge Ambrosius

The Bridge

I have had a box of newspaper clippings, letters, pictures, books, and other materials about Danish immigrants in Argentina for many years. Many of my relatives live in Argentina, and the material was assembled by my grandmother and my father. When I retired from teaching high school history and geography, I finally had the time to look at the material. Among other things, the box contained the memoirs of my great-grandfather’s younger brother, Niels Jensen Ambrosius, “Memories of my life and whereabouts in Argentina.” They were written in 1951 when Niels was eighty-four years old. Reading them made me curious, …

Oer For Libraries And Textbook Affordability Partners, Lily Dubach, Sarah Norris

Open Ed Live

Join us for an interactive workshop that explores the synergies between libraries and Open Educational Resources (OER). This session will highlight libraries’ role in OER; explore how textbook affordability partners and libraries can exchange ideas, strategies, and best practices; provide a five-fold approach to open education in libraries; and include an active discussion about new technologies to streamline OER adoption, adaptation, authorship.

Wheat Landraces, Small Farmers And Urban Consumers: Revival Of Einkorn In Turkey, Nurcan Atalan Helicke

Journal of Critical Global Issues

Cultivated for more than 10,000 years, wheat (Triticum) is one of the world’s most widely grown and important crops. Wheat has sustained humans for thousands of years in a multitude of ways. In recent years, there has been a global movement to revive wheat landraces. Landraces are typically adapted to a local area and to traditional farming systems. This article examines the revival of wheat landrace, einkorn (Triticum monoccoccum L. subsp. monoccoccum) through a case study of Turkey. There is limited literature examining the interaction of actors in decision-making processes that balance subsistence and market motivations. …

Relocating Lubra Village And Visualizing Himalayan Flood Damages With Remote Sensing, Ronan Wallace, Yungdrung Tsewang Gurung, Ryan Kastner

Journal of Critical Global Issues

As weather patterns change worldwide, isolated communities impacted by climate change go unnoticed and we need community-driven solutions. In Himalayan Mustang, Nepal, indigenous Lubra Village faces threats of increasing flash flooding. After every flood, residual muddy sediment hardens across the riverbed like concrete, causing the riverbed elevation to rise. As elevation increases, sediment encroaches on Lubra’s agricultural fields and homes, magnifying flood vulnerability. In the last monsoon season alone, the Lubra community witnessed floods swallowing several agricultural fields and damaging two homes. One solution considers relocating the village to a new location entirely. However, relocation poses a challenging task, as …

Socio-Economic Integration Strategies Of “Former Rwandan Refugees” In Yaoundé, Cameroon., Michèle Mc Signé

Journal of Critical Global Issues

This research is entitled The Socio-economic Integration Strategies of “former Rwandan refugees” in Yaoundé, Cameroon. This is an analysis of immigrants who were once under international protection. The presence of former Rwandan refugees in the city of Yaoundé dates back to the time of the 1994 Rwandan genocide. With the advent of the cessation clause in 2018, we are faced with individuals who must find ways of coping with the new realities. Based on the assimilation and integration of immigrant, this study analyzes the integration strategies of former Rwandan refugees. This integration is facilitated by a social context described as …

Global Social Change At The Crossroads Of Campus Internationalization And Diversity Initiatives: Unveiling Equity Practices In Us Universities, Kati Bell

Journal of Critical Global Issues

This study investigates how comprehensive internationalization policies, while creating valuable educational opportunities for students, may inadvertently contribute to increased inequity on campus. Utilizing a case study approach focused on a specific university, the research critically examines the alignment between internationalization and equity policies through document analysis and structured interviews. The study evaluates the congruency between the university's stated goals of equity and internationalization (espoused theories) and the actual day-to-day practices of the international and diversity offices (theories-in-practice). The findings reveal that the reproduction of inequity arises due to discrepancies between case study institution’s espoused theories and their practical implementation. This …

Prioritizing Indigenous Participation And Compensation In Research, Amanda Sabin

Journal of Critical Global Issues

Throughout history, the dynamic between colonial entities and indigenous groups has been characterized by exploitation and power imbalance. Indigenous knowledge has the potential to positively impact the world, through medicinal breakthroughs, radical approaches to sustainability, cultural heritage, systems of learning and adaptation, and more. Particularly in the context of research, fields like anthropology, botany and pharmacology serve to benefit from indigenous knowledge, but these interactions cannot continue to be based on extraction at the cost of indigenous communities. This work will discuss the future of relationships between researchers and indigenous communities; how this power dynamic must be transformed into an …

A Qualitative Phenomenological Study Of Inner Speech Used As A Self-Help Tool Among Adult Remote Workers, Jennie Yeung Dr., Jennie Yeung Dr.

Doctor of Education Program Dissertations

The COVID-19 pandemic and subsequent shift to remote work emphasized the importance of maintaining the well-being of adult remote workers. The problem studied was the awareness, understanding, and acceptance of inner speech/self-talk among adult remote workers. The purpose of this qualitative, phenomenological study was to explore the perceptions and experiences of adult remote workers regarding their use of inner speech/self-talk. Inner speech/self-talk is an innate ability of higher mental functions that include reasoning, problem solving, planning and plan execution, attention, and motivation. Data collection involved the purposeful sampling of 10 participants who were adult remote workers. The semistructured interviews were …

From Vision To Legacy: Walter Gellhorn And The Establishment Of The Toshiba Library For Japanese Legal Research, Yukino Nakashima

Journal of East Asian Libraries

This paper chronicles events surrounding the creation of the largest academic Japanese law library in the United States, while focusing on two extraordinary law faculty members at Columbia Law School and their successful fundraising efforts from the initial concept of building a Japanese law library through the establishment of permanent funding. It recounts others who tirelessly supported carrying through this arduous plan. It is about insightful visions, perseverance, and lasting personal relationships, as well as building a foreign law collection in the United States. It examines lessons to be learned.

Health Sciences Library Newsletter January-February 2024, Jesssica A. Koos, Sbu Health Sciences Library

Health Sciences Library Newsletters

This is the inaugural issue of the Stony Brook University Health Sciences Library newsletter. It is a bimonthly publication.

Book Review: Tracers In The Dark: The Global Hunt For The Crime Lords Of Cryptocurrency, Marion Jones

International Journal of Cybersecurity Intelligence & Cybercrime

Doubleday released Andy Greenberg’s Tracers in the Dark: The Global Hunt for the Crime Lords of Cryptocurrency in November 2022. Through vivid case studies of global criminal investigations, the book dispels myths about the anonymizing power of cryptocurrency. The book details how the ability to identify cryptocurrency users and payment methods successfully brought down several large criminal empires, while also highlighting the continuous cat-and-mouse game between law enforcement officials and criminal actors using cryptocurrency. The book is an excellent resource for law enforcement officials, academics, and general cybersecurity practitioners interested in cryptocurrency-related criminal activities and law enforcement techniques.

No. 17: South-South Migration, Pandemic Precarity, And The Informal Food Sector In South Africa, Jonathan Crush, Godfrey Tawodzera

Migration and Food Security (MiFOOD) Network

The analysis of COVID-19 pandemic precarity in Africa should focus on the ways in which pre-pandemic migrant vulnerabilities were reconfigured in ways that weakened economic resiliency and reinforced disadvantage. This is the first paper to apply the concept of pandemic precarity to the impact of COVID-19 on migrants working in the informal food sector of African cities. The paper develops a new method for measuring pandemic precarity and applies this to data from a 2021 survey of migrant-owned informal food enterprises in the city of Cape Town. The Informal Pandemic Precarity Index (IPPI) and Informal Pandemic Precarity Scale (IPPS) are …

The Shared Values Society: On The Inability To Validate Beliefs And Its Effect On Pluralistic Governance, Tanner L. Smith

Masters Theses

The nature of truth affects beliefs in such a way that all worldviews are left on a level playing field, each with no more of an objective claim to truth than any other. As a result, no one worldview has an intrinsic right to dominate the government or, through it, other worldviews. Furthermore, philosophical secularism’s noble notion of protecting individual freedoms by limiting the influence of moral values in the government has led to a loss of intergroup bonding and a value vacuum in public life. At the same time, because beliefs constitute some of the most profound aspects of …

The Structural Equation Modelling Of First Level Health Facilities’ Performance-Based Capitation Payment In National Health Service, Ari Dwi Aryani, Adang Bachtiar, Cicilya Candi

Kesmas

The BPJS Healthcare Security implemented performance-based capitation/Kapitasi Berbasis Kinerja(KBK) payments to conduct structured and ongoingmonitoring of the First Level Health Facilities/Fasilitas Kesehatan Tingkat Pertama(FKTP)'s performance throughout Indonesia. This study aimed to examinethe direct and indirect effects of FKTP capacity on KBK and FKTP performance. This study was conducted in February 2023, and Structural EquationModelling analysis was performed with secondary data from the BPJS Healthcare Security system database in 2021. Human resources were defined as theavailability of doctors in FKTP, infrastructure as credentialing value, ownership and type of FKTP, and KBK, and performance as first contact, non-specialistoutpatient referral ratios, and Chronic …