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Background Post stroke sleep duration could increase the risk of death. This study tested the hypothesis that inadequate sleep duration is associated with increased mortality among stroke survivors. Methods The REasons for Geographic And Racial Differences in Stroke (REGARDS), a national population-based longitudinal study, was the data source. Sleep duration was ascertained between 2013 and 2016 among stroke survivors who were subsequently followed up until death or censored on December 31, 2022. Sleep duration was estimated as the difference between wake-up time and bedtime to which was subtracted the time spent in bed without sleep. Cox proportional hazards regression models were employed to investigate the association between sleep duration and all-cause mortality adjusting for demographic factors, socioeconomic factors, behavioral factors, and co-morbidities. Results A total of 468 non-Hispanic Black and White stroke survivors were included in this analysis. The mean age was 76.3 years, 52.6% were females and 56.0% were non-Hispanic White individuals. The distribution of short (≤6 h), adequate (7.0–8.9 h), and long sleep (≥9 h) was 30.3%, 44.7%, and 25%, respectively. Over a mean follow-up of 5.0 years, 190 (40.6%) deaths occurred. Compared to stroke survivors with adequate sleep (7.0–8.9 h), stroke survivors with long sleep (≥9 h) were at increased risk of all-cause mortality (HR=1.46, 95% CI=1.01, 2.12). However, short sleep (≤6 h) was not significantly associated with an increased risk of all-cause mortality (HR=1.31, 95% CI=0.90, 1.91). Subgroup analyses indicated higher risk in the age <75 years, females, non-Hispanic Black individuals, and those living in the Stroke Belt region, but those differences were not statistically significant. Conclusion In this study of stroke survivors, 9 hours or more of sleep per day was associated with an increased risk of all-cause mortality. This finding suggests that excessive sleep duration may be a warning sign of poor life expectancy in stroke survivors.

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Queering Desire explores, with unprecedented interdisciplinary scope, contemporary configurations of lesbian, bi, queer women’s, and non-binary people’s experiences of identity and desire. Taking an intersectional feminist and trans-inclusive approach, and incorporating new and established identities such as non-binary, masculine of centre (MOC), butch, and femme, this collection examines how the changing landscape for gender and sexual identities impacts on queer culture in productive and transformative ways. Within queer studies, explorations of desire, longing, and eroticism have often neglected AFAB, transfeminine, and non-binary people’s experiences. Through 25 newly commissioned chapters, a diverse range of authors, from early career researchers to established scholars, stage conversations at the cutting edge of sexuality studies. Queering Desire advances our understanding of contemporary lesbian and queer desire from an inclusive perspective that is supportive of trans and non-binary identities. This innovative interdisciplinary collection is an excellent resource for scholars, undergraduate, and postgraduate students interested in gender, sexuality, and identity across a range of fields, such as queer studies, feminist theory, anthropology, media studies, sociology, psychology, history, and social theory. In foregrounding female and non-binary experiences, this book constitutes a timely intervention.

Stellar multiplicity is correlated with many stellar properties, yet multiplicity measurements have proven difficult for the M dwarfs—the most common type of star in our galaxy—due to their faintness and the fact that a reasonably complete inventory of later M dwarfs did not exist until recently. We have therefore carried out the Pervasive Overview of “Kompanions” of Every M dwarf in Our Neighborhood (POKEMON) survey, which made use of the Differential Speckle Survey Instrument on the 4.3 m Lowell Discovery Telescope, along with the NN-EXPLORE Exoplanet Stellar Speckle Imager on the 3.5 m WIYN telescope. The POKEMON sample is volume limited from M0V through M9V out to 15 pc, with additional brighter targets at larger distances. In total, 1125 targets were observed. New discoveries were presented in the first paper in the series. In this second paper in the series, we present all detected companions, gauge our astrometric and photometric precision, and compare our filtered and filterless speckle observations. We find that the majority (58.9%) of the companions we detect in our speckle images are not resolved in Gaia, demonstrating the need for high-resolution imaging in addition to long-term astrometric monitoring. Additionally, we find that the majority (73.2%) of simulated stellar companions would be detectable by our speckle observations. Specifically within 100 au, we find that 70.3% of simulated companions are recovered. Finally, we discuss future directions of the POKEMON survey.

The longitudinal and transverse spin transfers to Λ (¯Λ) hyperons in polarized proton-proton collisions are expected to be sensitive to the helicity and transversity distributions, respectively, of (anti)strange quarks in the proton, and to the corresponding polarized fragmentation functions. We report improved measurements of the longitudinal spin transfer coefficient, DLL, and the transverse spin transfer coefficient, DTT, to Λ and ¯Λ in polarized proton-proton collisions at √s=200 GeV by the STAR experiment at RHIC. The dataset includes longitudinally polarized proton-proton collisions with an integrated luminosity of 52pb−1, and transversely polarized proton-proton collisions with a similar integrated luminosity. Both datasets have about twice the statistics of previous results and cover a kinematic range of |η Λ(¯Λ)|<1.2 and transverse momentum pT,Λ(¯Λ) up to 8 GeV/c. We also report the first measurements of the hyperon spin transfer coefficients DLL and DTT as a function of the fractional jet momentum z carried by the hyperon, which can provide more direct constraints on the polarized fragmentation functions.

Health coaching could be an innovative approach to develop student coaches' cultural competence (CC) among future health professionals. The current mix-method study design explored the impact of an 8-week peer health coaching intervention among college students on CC, from both student health coaches (i.e., students majored in health sciences who completed health coaching training and acted as health coach) and student clients' perspective. Nine student coaches and 24 student clients participated in the study. The quantitative analysis showed an increase in the clients' perceived level of coaches' CC between the pre- and posttest. The qualitative analysis revealed three themes, including varying levels of awareness, respectful and culturally responsive coaching, and cultural connection. Implications and recommendations for educators and researchers are discussed.

History, the major storehouse of information, informs us about the important relationship between people and society and increases our understanding of basic societal values and institutional arrangements. A recent New York Times op-ed described “The Dangerous Decline of the Historical Profession.” Likewise for historical content in social work education, exacerbated by the 1970s‘ rise of neoliberalism and the profession’s long marginalization of historical research and teaching. The Social Welfare History Group renews its call to bring historical content back into social work education and to correct its deep-seated race, class, gender, and colonizing distortions. To ensure that all social work courses include history, we can revive the value historical knowledge; prepare a cadre of historical researchers and instructors; financially support emerging scholars and develop a pipeline of history-informed faculty to teach the next generation of social workers.

Purpose: Generalization has been defined and instantiated in a variety of ways over the last half-century, and this lack of consistency has created challenges for speech-language pathologists to plan for, implement, and measure generalization in aphasia treatment protocols. This tutorial provides an overview of generalization with a focus on how it relates to aphasia intervention, including a synthesis of existing principles of generalization and examples of how these can be embedded in approaches to aphasia treatment in clinical and research settings. Method: Three articles collectively listing 20 principles of generalization formed the foundation for this tutorial. The seminal work of Stokes and Baer (1977) focused attention on generalization in behavioral change following treatment. Two aphasia-specific resources identified principles of generalization in relation to aphasia treatment (Coppens & Patterson, 2018; Thompson, 1989). A selective literature review was conducted to identify evidence-based examples of each of these 20 principles from the extant literature. Results: Five principles of generalization were synthesized from the original list of 20. Each principle was supported by studies drawn from the aphasia treatment literature to exemplify its application. Conclusions: Generalization is an essential aspect of meaningful aphasia intervention. Successful generalization requires the same dedication to strategic planning and outcome measurement as the direct training aspect of intervention. Although not all people with aphasia are likely to benefit equally from each of the principles reviewed herein, our synthesis provides information to consider for maximizing generalization of aphasia treatment outcomes. Supplemental Material: https://doi.org/10.23641/asha.24714399

Memes on social media can carry ageist messages and can elicit reactions that are both emotional and self-evaluative. The present study investigates age-related differences in nine discrete emotions and in the evaluation of when individuals have been or will be their best selves. Participants (n = 360) representing young (m = 26 years), middle-aged (m = 39 years) and older adults (m = 63 years) were randomly assigned to view either non-ageist (animals) or ageist (e.g., incompetent older people) memes. After viewing memes, we assessed nine emotional reactions (i.e., fear, anger, sadness, happiness, anxiety, discomfort, disgust, surprise, enjoyment) and Best Self evaluations. Younger and middle-aged people reported more intense emotional reactions to memes than older people, with the exception that older people reported more discomfort and disgust in response to ageist versus non-ageist memes. Younger adults were less surprised by ageist memes (vs. non-ageist) and for all age groups ageist memes (vs. non-ageist) elicited less happiness and enjoyment and were less likely to be shared. With respect to evaluations of one's Best Self, older individuals were more likely to report being their best selves in the past, while after viewing ageist memes, younger individuals were more likely to report being their best selves in the future. Emotions of disgust and discomfort were related to identifying one's Best Self as further in the past. The current study adds to the literature on the impact of ageism by examining age-related differences in the emotions and self-evaluations experienced when confronted with memes on social media.

Although first described in 1944 (the year the description of infantile autism), Asperger’s syndrome attracted little attention until the publication by Lorna Wing in early 1980. Over time, different views of the definition of Asperger’s syndrome developed. By the time of the Third Edition of the American Psychiatric Association’s Diagnostic and Statistical Manual and the Tenth Edition of the World Health Organization’s International Classification of Disease, enough information had accumulated to include the condition within the broader autism category. Asperger’s syndrome remained a focus of research interest and debate until its exclusion in the DSM-5 in 2013. We argue that the decision to remove Asperger’s syndrome 10 years ago as a distinct condition was premature. A discussion of the tensions around defining Asperger’s and concerns now arising due to the lack of this diagnostic category for new cases is provided. © 2024, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Objective Florida manatee feeding ecology is critical to species survival, but the role of dental pads in feeding has received limited attention. This study characterized the gross and microscopic anatomy of the manatee’s dorsal and ventral dental pad in relation to these structures’ importance in mastication, which furthers our understanding of manatee feeding and health. Design Whole heads from 6 animals (4 male and 2 female) of varying sizes were examined grossly. Sections (5 µm) from throughout the dorsal and ventral dental pads were stained with Hematoxylin and Eosin to document microanatomy. The thickness of the epithelium and stratum corneum were measured. Results The ventral dental pad epidermal (1129–3391 µm) and stratum corneum (331–1848 µm) thickness increased with increased body size. The dorsal dental pad epidermal (690–1988 µm) and stratum corneum (121–974 µm) thickness varied relative to size. The dental pad anatomy, including the thickened stratum corneum, indicates an importance similar to molars in grinding and physically breaking up plant material. Extensive appendages including filiform-like papillae and well-developed rete were observed and likely provide physical support for mastication. Conclusion While the sample size limits specific conclusions based on sex or age, it provides a good overview of the anatomy of the dental pads. The manatee is the only mammal known to have a ventral dental pad and the well-developed grinding surfaces demonstrates a crucial role in mastication for these structures. These dental pads should be evaluated during health checks and necropsies and considered in future research on manatee’s feeding mechanisms.

Manganese dioxide-multiwall carbon nanotube (MnO2-MWCNT) nanocomposites were synthesized via one-pot synthesis method with varying concentrations of 1 mg/ml, 4 mg/ml, and 10 mg/ml MWCNT. The synthesized nanocomposites were characterized using x-ray diffraction (XRD), transmission electron microscopy (TEM), and electrochemical measurements. The intent of studying different concentrations is, ultimately, to correlate the effect of the concentration of multiwall carbon nanotube on the electrochemical performance of the MnO2-MWCNT nanocomposites. Two primary phenomena were observed as CNT concentration increased. First, less crystalline MnO2 adsorption onto individual CNTs occurred. Subsequently, CNT agglomeration became the primary feature of the nanostructures of high CNT concentration. The electrochemical studies reveal that the specific capacitance of MnO2 increases from 124 F/g to 145 F/g by the addition of 1 mg/ml MWCNTs and decreases to 102 F/g for MnO2-10 mg/ml MWCNT nanocomposite. © 2023

Introduction/Purpose  Athletic administrators (AA) in U.S. high schools are uniquely positioned to provide guidance and endorsement for the prevention and management of common sport-related catastrophic injuries, such as the development of a spinal cord injury management (SCIM) policy. The purpose of this project was to evaluate AA’s knowledge of comprehensive SCIM policies in U.S. high schools. Secondarily, we aimed to investigate the factors, facilitators, and barriers to the development and adoption of comprehensive policies. Methods  An online questionnaire was distributed to 6423 AA working in U.S.-based high school athletics, with 366 included in the final data analysis. The questionnaire evaluated AA’s knowledge of comprehensive SCIM policies addressing components of adoption, documentation, and communication. The questionnaire was developed based on the 2002 “National Athletic Trainers’ Association Position Statement: Acute Management of the Cervical Spine-Injured Athlete.” The questionnaire also inquired about facilitators and barriers to developing and adopting comprehensive policies. Proportions were calculated for policy adoption, and independent-samples t-tests evaluated the influence of athletic training services on comprehensive SCIM policies. Results  About half of AA (49.2%, n = 180/366) reported having all recommended components of a written SCIM policy. AA who had access to an athletic trainer (yes = 62.9%, no = 18.1%, unknown = 19%) were more likely to have a comprehensive SCIM policy compared with those without access (80.6% vs 19.4%, χ21 = 7.091, P = 0.008, prevalence ratio = 1.24, 95% confidence interval = 1.03–1.50). The most commonly reported facilitator (49.9%) was “having a medical professional at the school,” and the main barrier (30.2%) was “my school would need more information, resources, assistance, etc.” Conclusions  The findings identify areas for improvement in supporting the health and safety of children in high school participating in interscholastic athletics. Future dissemination and implementation research should develop strategies tailored to individual school community and need to improve SCIM policy adoption and implementation.

Detecting deception is challenging; there exists no universal cue that gives away deceit and people vary greatly in how they communicate. One way to potentially improve deception detection is by comparing multiple responses of the same individual to identify verbal deviations – a method known as baselining. This study examined the impact of baselining embedded in a specific interview protocol to improve lie detection. Participants (N = 179) viewed mock crimes and were instructed to lie or tell the truth about what they witnessed. Next, they were interviewed including a truthful baseline (Reality Interview Modified: RIM), or no baseline (Reality Interview: RI; Structured Interview: SI). Results showed that truth tellers in the SI and RI conditions provided more details than liars during free recall, while no detail differences emerged for the RIM condition. Follow-up questions in all conditions showed truth tellers offered more details than liars. Surprisingly, we found no evidence that verbal deviations from a baseline can be used as effective indicators of deception. In sum, further research is needed to explore the best application of baselining for lie detection purposes.

The paper estimates the determinants of the growing volume of bilateral environmental aid for the mitigation of climate change using an empirically testable multilateral framework in which both donors and recipient countries compete in world export markets. As the potential donors weigh environmental benefits against the economic costs of providing aid, strategic interactions between the donors and the recipient countries as well as among the donors, influence the evolution of environmental aid. The paper shows that while the volume of bilateral environmental aid increases with the recipient country’s credible environmental commitment and bilateral trade volume, the competitive pressure in the export market reduces bilateral environmental aid. Free-riding incentives prevail among the individual donors, whereas the multilateral environmental aids that aim to restore the loss of global environmental resources without altering individual trade competitiveness can increase bilateral environmental aids.

Climate change is driving a shift in the distribution of global kelp forests, with the contraction of kelp habitats occurring at warm range edges. Declining kelps often have been replaced by novel algal turf assemblages, which are reinforced by ecological feedback mechanisms and provide fewer ecosystem services. Trophic interactions among marine herbivores, algal turfs, and kelps on algal turf-dominated reefs remain poorly resolved but could have important implications for the stability of algal turf reefs and the potential for kelp forest recovery. Here, we examine herbivory by the Atlantic purple sea urchin, Arbacia punctulata, in a degraded kelp forest ecosystem dominated by algal turf in southern New England, USA. In a localized field survey, we observed lower algal turf cover on reef areas containing A. punctulata (mean ± SE: 62 ± 12% turf cover) as compared to areas with no sea urchins present (92 ± 4% turf cover). Reef areas with and without sea urchins had similarly low cover of the previously dominant kelp, Saccharina latissima (6–8% kelp cover). In laboratory and field experiments, individuals or groups of A. punctulata enclosed with a diet choice of algal turf versus kelp had higher grazing rates on the algal turf. A. punctulata in the laboratory also exhibited greater attraction to algal turf over kelp, physically moving towards this food source. In combination, the results provide evidence that A. punctulata has a feeding preference for algal turf over kelp in southern New England. Future research is warranted to further examine the grazing ecology of A. punctulata, particularly in the context of ongoing kelp forest restoration efforts in this region.

Despite repeated calls for more inclusive practices, approaches used to address current challenges within the ocean-climate nexus do not sufficiently account for the complexity of the human-social-ecological system. So far, this has prevented efficient and just decision-making and policies. We propose to shift towards systems-informed decision making, which values transdisciplinary system-thinking and cumulative impact assessments, and encourages multi-system collaboration among decision-makers in order to address the recurring technicality of policies and to foster just solutions that account for the needs of varied actors across the sustainable development spectrum.

Abstract The Armenian Memory Project (AMP) is a collaborative effort designed to harness the energy and resources of the University of Connecticut and the New England Armenian community for the goal of fostering greater understanding of the region’s Armenian cultural heritage and the impact human rights crimes had on the Armenian community. In 2019, students and faculty from the university worked with Armenian American institutions and individuals on an initial component of the AMP, employing digital media technology to tell the story of one immigrant Armenian family, the Dildilians. A unique course was created to produce a documentary film centring around this family’s experiences in Ottoman Turkey before, during, and after the Armenian Genocide. Designed and taught by a documentary filmmaker with support from a family archivist/historian, the course brought students together in a collaborative learning experience. By immersing themselves in the family’s extensive photograph archive, these students came to understand the important role that the past continues to play in the lives of present-day Armenians. Furthermore, by taking on the responsibility as storytellers of the Dildilian narrative, students developed a deeper identification with this distant history and, in a wider sense, an appreciation for the ethical value of memory in bearing witness to the past. This collaborative and participatory framework for teaching using archival collections can serve as a model for creating a transformative learning experience in the study of human rights, war, and genocide.

Background In 2016, the Centers for Disease Control found that more than 1.5 million people develop sepsis each year and about 250,000 Americans die from it. Early identification and treatment of sepsis can decrease mortality and morbidity, yet studies have shown student nurses are not prepared to rescue deteriorating patients. Method The purpose of this pilot study was to create and test a response to rescue simulation for use with undergraduate nursing students. The simulation depicted a patient deteriorating from sepsis. The Martinez Sepsis Competency Evaluation Tool (MSCET) developed to rate student behaviors during the simulation. Promoting Excellence and Reflective Learning in Simulation (PEARLS) debriefing model was used post simulation. Results The overall content validity of the MSCET was 0.88. Each item that scored a I-CVI of 0.78 or less were revised. The total percentage of behaviors met was 68 %. The inter-rater reliability of the MSCET conciseness was 0.47 (X = 67.508, df = 48, p ≤ .05). Conclusion The results indicate the simulation based experience was effective in preparing students to care for patients with early signs of sepsis. Students were complimentary about the experience, and preliminary data on the MSCET psychometrics were positive. Limitations of the study and recommendations for further revision of the simulation were made.