Recent court ruling could increase the size and administrative complexity of the 340B program.

The 340B program allows certain hospitals and clinics to use outpatient drugs purchased at substantial discounts on insured patients, generating profits to fund care. The size of these profits depends on the number of prescriptions filled by participating hospital or clinics' insured patients that also meet the Health Resources and Services Agency's definition of an eligible patient. A recent court case has challenged the Agency's longstanding definition of a patient, resulting in new definition that could significantly expand the size of the program and create conflicts when an insured patient satisfies the new definition for more than one hospital or clinic participating in the program.

Research needs of higher specialist trainees in psychiatry in Ireland: mixed methods study.

Aims And Method: Higher specialist trainees (HSTs) in psychiatry in Ireland were recruited to complete a 21-item online questionnaire anonymously. Questions were designed to establish the research experience of HSTs in various years of training, identify perceived barriers to participation and generate potential strategies to overcome these barriers.

Results: Of 165 HSTs surveyed, 50 (30%) responded.

The crime of luring a minor for contact sexual abuse: Exploration of demographic patterns & criminal records of convicted offenders.

Background: Child sexual abuse (CSA) is a significant public health problem, with a small but important subset of crimes committed by strangers, often facilitated through luring. Understanding the characteristics of individuals who engage in luring is essential for developing effective prevention and intervention strategies.

Objective: This study aimed to analyze the demographic characteristics and criminal histories of individuals convicted of luring a minor and to examine the types of crimes committed before and after conviction.

A framework for developing a real-time lake phytoplankton forecasting system to support water quality management in the face of global change.

Phytoplankton blooms create harmful toxins, scums, and taste and odor compounds and thus pose a major risk to drinking water safety. Climate and land use change are increasing the frequency and severity of blooms, motivating the development of new approaches for preemptive, rather than reactive, water management. While several real-time phytoplankton forecasts have been developed to date, none are both automated and quantify uncertainty in their predictions, which is critical for manager use.

Racial Discrimination, Social Support, and Psychological Distress Among Black Pregnant Women.

Background: Black pregnant women who experience racial discrimination are at an increased risk of psychological distress. Studies have not adequately addressed if social support may moderate the association between experiences of racial discrimination and psychological distress among Black pregnant women.

Objective: We sought to examine the moderating effect of social support on the association between experiences of racial discrimination and psychological distress among Black pregnant women.