Hofstra University
  • Hempstead, United States
Recent publications
Background: Hurricanes are associated with disruption in access to medical services, especially for socially vulnerable populations. This study aimed to (1) estimate the proportion of opioid treatment program (OTP) facilities in Harris County, Texas, and (2) estimate the proportion of OTP facilities flooded during Hurricane Harvey in the county. Methods: The spatial locations of OTP facilities in Harris County were geocoded using ArcGIS Online®. Federal Emergency Management Agency's Flood Insurance Rate Map was overlaid to assess the flood risk of each OTP facility. Hurricane Harvey's inundation map was also superimposed to estimate the proportion of OTP facilities flooded after the hurricane. For OTPs not inundated by the hurricane, we assessed their accessibility by creating a 1 km buffer radius within each facility and examining the inundation status of the area. Results: There were 14 OTP facilities in Harris County, serving a total of 2,947 opioid-dependent patients. Seven percent of the facilities were in a high-risk flood zone and 93% were in areas of low-to-moderate flood risk. Hurricane Harvey inundated 7.1% of the facilities. However, of the 92.9% facilities not inundated by the hurricane, 61.5% were within a kilometer of an inundation area. Conclusions: Hurricane Harvey inundated 7.1% of OTP facilities in Harris County, Texas. Of the facilities not inundated, 100% were at low-to-moderate risk of flooding, and 61.5% were within a kilometer of an inundation area. Public health measures must be taken to enhance the resilience of OTP facilities in the county during disasters.
Background: The imperative for social justice in education means that pre-service teachers should learn how to teach for and about social justice, including pedagogical and content knowledge. Understanding how physical education (PE) pre-service teachers and teacher educators construct and develop their knowledge of social justice pedagogies and critical content, intertwined with values based on social justice and equity, is needed to best support future teachers. Purpose: The focus of this paper is how physical education teacher educators and PE and sport pedagogy university faculty have developed their knowledge of teaching for and about social justice: where their knowledge came from and how they draw upon it in their teaching and programme design. Method: Seventy-two faculty from seven countries engaged in an in-depth interview about their conceptualisation of social justice, their knowledge, practices, institutions, and policy contexts and completed a demographic survey on their social identity and professional experiences. Using a social justice pedagogical and content knowledge (SJPACK) model, thematic analysis generated formal educational study, workplace experience, and personal or social identity bases of social justice knowledge. Findings: Many of those who expressed a commitment to teaching about and for social justice had personal and professional experiences that had provided ‘eye-opening’ moments. For instance, some had encountered marginalisation and discrimination based on their identity. If social justice issues were not a part of a participant’s lived experience, but they had professional experience in the field, they were struck by what they did not know and subsequently sought out postgraduate or professional development. Professional experiences in the field were much more likely than formal education experiences to provide recognition that participants needed to learn more about social justice. Social justice is both knowledge and an ideological stance, so learning about social justice is as much about values and disposition as about content. Social justice must be important enough for teacher educators to embed in their belief system so that it becomes part of their pedagogical practice. Conclusion: This study prompts consideration of the professional development needs of teacher educators concerning social justice that goes beyond acknowledging the existence of sociocultural issues by moving towards changes in pedagogical practices in PETE and PESP programmes. We advocate collaborative and reflective professional development for educators if SJPACK is to be woven throughout teacher education programmes and not just incumbent on educators with personal experience of social justice issues.
Most professions are represented by one unified association, but not rehabilitation counseling. From its earliest years of professionalization, rehabilitation counseling has been represented by multiple associations. Initially, representing the discipline through multiple associations was deemed necessary to capture nuanced differences within the field. However, the existence of multiple associations has come under increasing scrutiny in the face of declining membership and a changing professional and political landscape. The lively debates of the 1970s and 1980s have more recently devolved into what seems to be an apathy induced stalemate on this issue of consolidation. The primary aim of this article is to revitalize a conversation about the future of rehabilitation counseling associations by assessing professionals’ perspectives on consolidation. Data from 2,608 rehabilitation counseling professionals indicated that the majority of participants either favored consolidating into a single association or were unsure of their choice. Fewer than 7% of respondents opposed consolidation. We conclude the article with a brief discussion of actions that are supported by the research.
The potential for unification of rehabilitation counseling professional associations has been a conceptual debate for the past several decades. In a previous article of this special issue, Phillips et al. (2022) provided quantitative data to capture the opinions of professionals on the issue of consolidation. The present study builds on those findings by providing a qualitative analysis of the rationale provided for each response from not only professional association members, but the broader rehabilitation counseling community. The analysis provides clarity about stakeholders’ rationale regarding their beliefs on rehabilitation counseling professional association consolidation. Responses were analyzed by group according to whether participants were in favor of, opposed to, or uncertain about consolidation. The majority of respondents supportive of consolidation felt it offered a pathway toward internal unity and external validation of the profession, while the main rationale from those opposed to consolidation centered on loss of distinctiveness of individual associations. Overwhelmingly, those who were undecided on consolidation cited lack of familiarity as a barrier to providing a decisive response. Implications for these results are presented.
According to the Hospital for Special Surgery, approximately 60 million children between the ages of 6 and 18 in the United States participate in organized sports activities every year. This involves approximately 75% of American families, with at least one child participating in an organized sports activity. The stated purposes of participation in organized sports activities are to assist children and teens in building skills, forming friendships, learning the value of teamwork, and possibly obtaining a scholarship to college. There are, however, related challenging issues. According to the Centers for Disease Control , the obesity rate for children and adolescents ages 2–19 living in the United States is 19.3%, affecting approximately 14.4 million children and adolescents. A sedentary lifestyle for children and teenagers contributes to this epidemic, while participation in sports is seen by many as protective. Challenges in participation, including increasing sports-related injuries, a 70% attrition rate by the time a child is 13 years of age, and programs overemphasizing winning are additional problems encountered in pre-teen and teen sports. The effect of pre-teen and teen participation in sports on family relationships is another potential source of stress and anxiety. This is the primary focus of this paper. The family relationships considered are the children, the parents, the couple, and the grandparents. Therapeutic suggestions and intervention considerations are then provided.
Bullying is a phenomenon that results in psychological and physical effects, or even suicides and school shootings. Many states have enacted anti‐bullying laws to prevent bullying, but we still see the same tragedies that come from it. A town in New York jails parents for their child's bullying and has seen improvement. However, the goal of this amendment is to deter, not to punish. To protect the welfare and safety of our state's children, this Note proposes that New York amend its parental liability law by adopting the parental liability laws of Oregon, Tennessee, and the notification law of Utah. Victims of bullying are 2 to 9 times more likely to consider suicide than those who are not bullied. 40.5% of girls and 27.6% of boys have exhibited symptoms of PTSD at the time of their bullying trauma. Every day, 160,000 students will not attend school due to fear of being bullied. Approximately 71% of school shooters were victims of bullying and 87% of them have left evidence at the scene suggesting they were bullied. There is no current law in New York State that addresses these issues.
The article documents faculty experiences with the shift online due to the pandemic and provides recommendations to science, technology, engineering, and mathematics (STEM) instructors. Over 100 faculty members were surveyed on these topics and contrasted with previously reported student experiences.
Introduction: Emotional processes play a role in both suicide risk and eating disorders (EDs), which are often comorbid. However, limited research has explored how emotional processes relate to suicide risk in EDs and the prognostic value of suicide risk for ED treatment. Thus, the current study examined associations between emotion dysregulation and reactivity with suicide risk in patients with EDs, and determined if suicide risk predicts ED treatment outcomes. Methods: Participants (n = 201) were adults in an ED partial hospitalization program who completed measures at admission, 1-month post-admission, and discharge. Results: When controlling for depressive symptoms, limited access to adaptive emotion regulation strategies, difficulties engaging in goal-oriented behaviors, and engaging in impulsive behavior when experiencing negative emotions (i.e., emotion dysregulation) were associated with suicide attempt frequency. Depressive symptoms were associated with suicide risk severity, while emotion dysregulation and reactivity were not. Importantly, patients with elevated suicide risk at admission improved comparably to other risk categories across treatment, despite presenting with greater ED symptoms at admission. Conclusion: Emotion dysregulation and depression are salient factors when examining suicide risk in patients with EDs. Suicide risk and attempt history may not negatively impact ED treatment outcomes when using emotion-focused treatment.
In 2018, in his lawsuit against Governor Andrew Como, Naftuli Moster alerted the world to the inequality between public and private education in New York State. This Note proposes amending the Felder Amendment to ensure that private school students in New York State are given a “substantially equivalent” education to those students in public schools. By making the Felder Amendment more specific in the guidelines it uses to assess the quality of the private schools, New York State can ensure that all children are being given an equitable education. In New York State there are 719 public schools with 4,910,522 students enrolled in 2020–2021 school year, grades K‐12. There are 1761 private schools in NYS grades K‐12 with 419,288 total students. Nassau County public schools averaged 62% proficiency on the fourth grade ELA test in 2019. Jewish schools in Nassau County averaged 50.8% proficiency in 2019 on the fourth grade ELA test. Catholic schools averaged 50.94%. Independent schools averaged 30% in proficiency. It is generally up to the school board of the private school to determine whether its students are receiving a substantially equivalent education to public school. To pass in an unregistered private school, on a school‐made final exam, a student only needs a score of 55–64, which is determined by the school. To pass the Regents a student needs a score of 64. The New York education law does not define how exactly to make private education substantially equivalent to public schools.
Given the legitimacy challenges faced by entrepreneurs, gaining access to the resources necessary to create viable new ventures is often difficult. Accordingly, scholars advocate that entrepreneurs align with high-status partners to convey that they are an accepted part of the sociocultural and organizational landscape. Although startup accelerators have been argued to play this supportive role for high-tech, high-growth ventures, it remains unclear whether they are effective at serving the needs of ventures pursuing social missions alongside business structures, or for-profit social ventures (FPSVs). To explore this issue, we examine whether social impact accelerators (SIAs), accelerators specifically designed to support FPSVs, help such ventures make the transition from mere ideas to viable organizations, a process known as emergence. To determine a causal relationship, we employ a quasi-experimental design and adopt propensity score matching with the nearest neighbor matching algorithm to study 7185 startups that applied to 383 accelerators worldwide from 2013 to 2019. By matching accepted startups to a control group of rejected startups, we find that SIAs, on average, facilitate new venture emergence, with accelerated FPSVs raising more external financing, earning more revenues, and hiring more full-time employees than their unaccelerated counterparts. These results hold when controlling for selection bias, thereby providing robust evidence for a causal relationship between acceleration and startup emergence. However, a subsequent subgroup analysis reveals that this causal effect is contingent across a breadth of “who,” “when,” and “where” contexts, highlighting the idiosyncratic differences that different startups face in the acceleration process.
Background: People are increasingly using social media outlets for gathering health-related information. There has also been considerable interest from researchers and clinicians in understanding how social media is used by the general public, patients, and health professionals to gather health-related information. Interest in the use of social media for audiovestibular disorders has also received attention, although published evidence synthesis of this use is lacking. The objective of this review article was to synthesize existing research studies related to social media use concerning hearing loss, tinnitus, and vestibular disorders. Method: Comprehensive searches were performed in multiple databases between October and November 2020 and again in June 2021 and March 2022, with additional reports identified from article citations and unpublished literature. This review article was presented using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results: A total of 1,512 articles were identified. Of these, 16 publications met the inclusion criteria. Overall, social media offered people the platform to learn about hearing loss, tinnitus, and vestibular disorders via advice and support seeking, personal experience sharing, general information sharing, and relationship building. Research studies were more common on information and user activities seen on Facebook Pages, Twitter, and YouTube videos. Misinformation was identified across all social media platforms for each of these conditions. Conclusions: Online discussions about audiovestibular disorders are evident, although inconsistencies in study procedures make it difficult to compare these discussion groups. Misinformation is a concern needing to be addressed during clinical consultations as well as via other public health means. Uniform guidelines are needed for research regarding the use of social media so that outcomes are comparable. Moreover, clinical studies examining how exposure to and engagement with social media information may impact outcomes (e.g., help seeking, rehabilitation uptake, rehabilitation use, and satisfaction) require exploration. Supplemental material: https://doi.org/10.23641/asha.20667672.
Despite the well-supported negative consequences of workplace ostracism, limited research has offered explanations as what causes an employee to be ostracized. Based on the victim precipitation theory, we predict that comparing to middle performers, both poor and high performers are more likely to be ostracized by their supervisors because they deviate from the performance norm. Thus, in this study we establish the curvilinear relationship between job performance and supervisor ostracism. Data were collected from supervisors and their employees from an airline company at three timewaves. Using multi-level modeling analysis, our data revealed three major findings. First, there was a curvilinear relationship between job performance and supervisor ostracism, indicating that both poor and high performance were related to more supervisor ostracism than middle performance. Second, supervisors' transformational leadership buffered the curvilinear relationship between employees' job performance and supervisor ostracism. Third, supervisor ostracism mediated the curvilinear relationship between job performance and turnover intentions. Our study supports the victim precipitation theory and contributes to the limited research on the antecedents of workplace ostracism. Furthermore, we contribute to the push-and-pull model of turnover by suggesting that there is a workplace relationship mechanism (e.g., supervisor ostracism) linking employees' job performance and turnover intentions. Both theoretical and practical implications were discussed.
PURPOSE The prospective Neoadjuvant Breast Registry Symphony Trial compared the 80-gene molecular subtyping signature with clinical assessment by immunohistochemistry and/or fluorescence in situ hybridization in predicting pathologic complete response (pCR) and 5-year outcomes in patients with early-stage breast cancer. METHODS Standard-of-care neoadjuvant chemotherapy combined with trastuzumab or trastuzumab plus pertuzumab was given to patients with human epidermal growth factor receptor 2 (HER2)–positive tumors (n = 295). pCR was the primary end point, with secondary end points of distant metastasis-free survival and overall survival at 5 years. RESULTS Among clinically defined HER2-positive (cHER2) tumors, the 80-gene assay identified 29.5% (87 of 295) as Luminal-Type (cHER2/gLuminal), 14.9% (44 of 295) as Basal-Type (cHER2/gBasal), and 55.6% (164 of 295) as HER2-Type (cHER2/genomically classified as HER2 [gHER2]). Patients with cHER2/gHER2 tumors had a higher pCR rate (61.6%) compared with non-gHER2 tumors (26.7%; P < .001). Dual targeting for cHER2/gHER2 tumors yielded a higher pCR rate (75%) compared with those treated with single HER2-targeted therapy (54%; P = .006). For cHER2/gBasal tumors, the 42.9% pCR rate observed with dual targeting was not different from that with trastuzumab alone (46.4%; P = .830). Among those with cHER2/gBasal tumors, 5-year distant metastasis-free survival (68.6%; 95% CI, 49.1 to 81.9) was significantly worse than in patients with cHER2/gLuminal tumors (88.9%; 95% CI, 78.0 to 94.6) and cHER2/gHER2 tumors (87.4%; 95% CI, 80.2 to 92.2; P = .010), with similar corresponding overall survival differences. CONCLUSION The 80-gene assay identified meaningful genomic diversity in patients with cHER2 disease. Patients with cHER2/gHER2 tumors, who benefitted most from dual HER2-targeted therapy, accounted for approximately half of the cHER2 cohort. Genomically Luminal tumors had low pCR rates but good 5-year outcomes. cHER2/gBasal tumors derived no benefit from dual therapy and had significantly worse 5-year prognosis; these patients merit special consideration in future trials.
Following translation, proteins can be modified with a diverse array of macromolecules that serve critical roles in regulating enzymatic activity, affinity for accessory proteins, and subcellular localization. This chapter will describe the major posttranslational modifications that regulate G protein‐coupled receptor (GPCR) membrane trafficking and signaling. Additionally, this chapter will detail the mechanisms by which accessory proteins bind to GPCRs and modulate their signaling activity.
This research study aimed to address how engaging in nature base art therapy could support well-being with measurement tools that reflect the importance of both happiness and life satisfaction. The combination of art therapy and nature can be applied to help individuals improve wellness, even if an individual is unable to access nature. The purpose of this study was to evaluate if engaging in a nature-based art therapy session would increase one’s life satisfaction and positive affect. It was hypothesized that participants who engage in nature-based art therapy will report an increase in life satisfaction and positive affect as self-reported using the Satisfaction with Life Scale (SWLS; Diener et al., 1985) and the Positive Affect and Negative Affect Schedule (PANAS; Watson et al., 1988). The methods included two sets of data collection with 75 participants globally within two phases. The results showed that life satisfaction and positive affect improved more during phase II compared to the Phase I.Additionally, there appeared to be a significant difference in how each participant’s scores changed; this could indicate that the nature-based art therapy process allowed individuals to visually explore places in nature during restrictions to their autonomy.
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Patrizia Bonaventura
  • Speech-Language-Hearing Sciences
Roche de Guzman
  • Department of Engineering
Warren G Frisina
  • Honors College/Department of Religion
Mark R Serper
  • Department of Psychology
Hempstead, United States