Whistleblower protection for nurses and other health care professionals

Because most employees in the United States, including health care professionals, are employed "at will" (which means their employment can be terminated for any reason or no reason, as long as the reason isn't illegal), retaliatory actions by employers toward employees who speak out (i.e., blow the whistle) are not uncommon. Additionally, the law protecting whistleblowing employees varies greatly depending on the state where the employee works or if he or she works for the federal government. This article examines when and under what conditions a nurse or other health care professional may be protected from having an adverse employment action taken against him or her for reporting such issues as patient safety violations or health care fraud. The authors offer issues a nurse or other health care professional should consider before making the decision to blow the whistle. Finally, the authors also discuss the remedies such as reinstatement, back pay, or other compensatory mechanisms that may be available to employees terminated for reporting wrongdoing.     

College Socialization and the Economic Views of Affluent Americans

Affluent Americans support more conservative economic policies than the nonaffluent, and government responds disproportionately to these views. Yet little is known about the emergence of these consequential views. We develop, test, and find support for a theory of class cultural norms: These preferences are partly traceable to socialization that occurs on predominantly affluent college campuses, especially those with norms of financial gain, and especially among socially embedded students. The economic views of the student's cohort also matter, in part independently of affluence. We use a large panel data set with a high response rate and more rigorous causal inference strategies than previous socialization studies. The affluent campus effect holds with matching, among students with limited school choice, and in a natural experiment; and it passes placebo tests. College socialization partly explains why affluent Americans support economically conservative policies.     

Identification of Eight Synthetic Cannabinoids,Including 5F‐AKB48 in Seized Herbal Products Using DART‐TOF‐MS and LC‐QTOF‐MS as Nontargeted Screening Methods

Synthetic cannabinoids are sprayed onto plant material and smoked for their marijuana‐like effects. Clandestine manufacturers modify synthetic cannabinoid structures by creating closely related analogs. Forensic laboratories are tasked with detection of these analog compounds, but targeted analytical methods are often thwarted by the structural modifications. Here, direct analysis in real time coupled to accurate mass time‐of‐flight mass spectrometry (DART‐TOF‐MS) in combination with liquid chromatography quadruple time‐of‐flight mass spectrometry (LC‐QTOF‐MS) are presented as a screening and nontargeted confirmation method, respectively. Methanol extracts of herbal material were run using both methods. Spectral data from four different herbal products were evaluated by comparing fragmentation pattern, accurate mass and retention time to available reference standards. JWH‐018, JWH‐019, AM2201, JWH‐122, 5F‐AKB48, AKB48‐N‐(4‐pentenyl) analog, UR144, and XLR11 were identified in the products. Results demonstrate that DART‐TOF‐MS affords a useful approach for rapid screening of herbal products for the presence and identification of synthetic cannabinoids.     

College students' relationships with siblings

Two hundred and seventy-five college undergraduates coming from families of 2–7 children completed questionnaires about their relationships with their siblings. Aspects of intersibling communication, influence, and current and past affective relationships were investigated. The relationships reported were generally more positive than those revealed in other investigations of younger children. Presence of two parents in the home, size of the sibling group, and ordinal position of the respondent student had particular effects upon reported relationships. Furthermore, there were qualitative differences in the relationships between sibling pairs of different ordinal statuses. Results indicate that relationships between siblings have both complementary and reciprocal features, and caution against unidimensional characterizations.Teaches courses in child and adolescent development and assessment, and supervises school psychology trainees doing their internships. Received Ph.D. in psychology State University of New York at Albany. Main areas of research are sibling relationships, task attitudes and intrinsic motivation, and topics in adolescence.     

Predicting future smoking of adolescent experimental smokers

This prospective study examined the usefulness of seven selected variables from Jessor and Jessor's problem behavior theory in predicting the future smoking levels of adolescent experimental smokers. Experimental smokers were identified through a survey of 2,550 seventh- and eighth-grade students assessing subjects' current smoking levels as well as subjects' responses to the selected variables. Twelve months later the entire sample was resurveyed to assess subsequent smoking levels of subjects initially reporting experimental smoking. Experimental smokers who responded to both surveys (n=225) were subjects of the present study. The full model discriminant function was significant in discriminating between the two groups; 68% of the subjects were correctly classified. This moderately successful hit rate was 24% better than what could be expected by chance. Increased smokers had lower expectations for academic achievement, had stronger beliefs about the positive functions of smoking, and perceived more smoking among their classmates and close friends. Educational interventions are suggested.Received Ph.D. from the University of Nebraska in 1987. Research interests include human behavior change strategies.Received Ph.D. from University of Illinois in 1968. Research interests include behavior and health.     

Validation of chest X-ray comparisons for unknown decedent identification

Comparing skeletal structures between antemortem and postmortem chest radiographs is widely used by forensic specialists from many disciplines to positively identify unknown decedents. However, validity assessments of this method have been fairly limited. This study had three objectives: 1) to quantify the reliability of ante- and postmortem chest radiograph comparison for decedent identification; 2) to identify useful radiologic features supporting decedent identification; and 3) to recognize sources of error in decedent identification related to use of comparative radiographs. A forensic pathologist, a forensic anthropologist, and two radiologists participated in the study. Our results showed that chest radiograph comparisons proved reliable, if basic decedent information was provided, and antemortem and postmortem radiographs were adequately positioned and exposed. A "morphological approach" using normal anatomical structures for comparison may provide the most efficient method for accurate identification.