Personal narratives build trust across ideological divides.

Lack of trust is a key barrier to collaboration in organizations and is exacerbated in contexts when employees subscribe to different ideological beliefs. Across five preregistered experiments, we find that people judge ideological opponents as more trustworthy when opposing opinions are expressed through a self-revealing personal narrative than through either data or stories about third parties-even when the content of the messages is carefully controlled to be consistent. Trust does not suffer when explanations grounded in self-revealing personal narratives are augmented with data, suggesting that our results are not driven by quantitative aversion.

Temporary Declines and Demand Resurgence: Gender-Affirming Surgery Volume and Complication Trends During and After the COVID-19 Pandemic.

Background: The COVID-19 pandemic prompted surgical volume reductions due to lockdown measures. This study evaluates COVID-19's impact on gender-affirming surgery (GAS) volume and complications from the pandemic onset through the recovery period.

Methods: The 2019-2021 National Surgical Quality Improvement Program databases were queried for transgender or gender-diverse patients using ICD-10 codes.

The role of positive emotion in harmful health behavior: Implications for theory and public health campaigns.

Meta-analyses have concluded that positive emotions do not reduce appetitive risk behaviors (risky behaviors that fulfill appetitive or craving states, such as smoking and excessive alcohol use). We propose that this conclusion is premature. Drawing on the Appraisal Tendency Framework and related theories of emotion and decision-making, we hypothesized that gratitude (a positive emotion) can decrease cigarette smoking, a leading cause of premature death globally.

Reducing nuclear dangers.

Dark clouds loom on the nuclear horizon, with threats from all directions: Russia's nuclear bombast in its war on Ukraine, China's construction of hundreds of nuclear missile silos, North Korea's missile testing, India and Pakistan's ongoing nuclear competition, and Iran's push toward nuclear weapons capability. In response, US policy-makers are discussing whether a further American nuclear arms buildup is needed. At the same time, evolving technologies, from hypersonic missiles to artificial intelligence, are straining military balances and may be making them more unstable.

Gender-affirming surgeries for transgender and gender diverse individuals and associated health outcomes.

Gender-affirming care is treatment that recognizes and affirms the gender identity of transgender and gender-diverse (TGD) individuals. Though not all TGD people choose to surgically transition, gender-affirming surgeries (GAS) are an important part of many TGD people's transition. GAS can include a wide array of procedures aimed at aligning an individual's physical characteristics and gender identity.

Gender-affirming vaginoplasty online resources exceed patient health literacy: A readability analysis.

Purpose: Ensuring that educational materials geared toward transgender and gender-diverse patients are comprehensible can mitigate barriers to accessing gender-affirming care and understanding postoperative care. This study evaluates the readability of online patient resources related to gender-affirming vaginoplasty.

Methods: Online searches for vaginoplasty were conducted in January 2023 using two search engines.

Doctors Who Attend Policy School: Who Are They and Where Do They Work?

Many physicians are pursuing additional advanced degrees, though no study has evaluated the characteristics and career choices of physicians who have pursued graduate policy degrees. We therefore searched employment and alumni data from the Harvard Kennedy School of Government in addition to publicly available information to identify physicians who graduated with a policy degree from 1964 to 2002. We identified 258 physicians with policy degrees and found that they are increasing in number, though females are underrepresented when compared to the female physician workforce; likely to pursue clinical training in specialties highly proximate to public policy challenges, with most physicians remaining medically licensed after residency; and more likely to hold nonclinical roles in academia, clinical leadership, and the private sector than in nonprofits and government.

Absolute income mobility obscures marginalized children's disadvantages.

Intergenerational mobility captures the distance between the socioeconomic positions of parents versus their adult children. Researchers measure this distance in absolute and relative units, such as absolute dollars and relative ranks. Absolute and relative mobility often diverge.

REPRESENTATION AND EXTRAPOLATION: EVIDENCE FROM CLINICAL TRIALS.

This article examines the consequences and causes of low enrollment of Black patients in clinical trials. We develop a simple model of similarity-based extrapolation that predicts that evidence is more relevant for decision-making by physicians and patients when it is more representative of the group being treated. This generates the key result that the perceived benefit of a medicine for a group depends not only on the average benefit from a trial but also on the share of patients from that group who were enrolled in the trial.

Social and Systemic Barriers to Transition-Related Surgical Procedures for Transgender Americans.

Transgender and gender-diverse (TGD) individuals in the United States face disproportionate barriers to health care access. This study compared characteristics of individuals who have and have not undergone gender-affirming surgery with the goal of identifying social and systemic barriers to transition-related surgery. Data were extracted from the 2015 United States Transgender Survey, a cross-sectional nonprobability sample of nearly 28,000 TGD adults.

Reading dies in complexity: Online news consumers prefer simple writing.

Over 30,000 field experiments with and showed that readers prefer simpler headlines (e.g., more common words and more readable writing) over more complex ones.

The global clinical studies of long COVID.

People with long COVID are those who still have symptoms, signs, and conditions after the initial phase of infection of SARS-CoV-2. The incidence of long COVID varies among regions-31% in North America, 44% in Europe, and 51% in Asia, which is challenging the healthcare system, but there is limited guidelines for its treatment. With more and more nationwide projects funded by the government such as the RECOVER initiative in the United States and National Institute for Health Research funding in the United Kingdom, an increasing number of ongoing clinical trials are investigating the efficacy of diverse therapies on reversing long COVID.

A race to net zero-early lessons from healthcare's decarbonization marathon.

Climate change poses a threat to healthcare systems; at the same time, healthcare systems contribute to a worsening climate. Climate-induced disasters are predicted to increase both the demand for healthcare services while also posing a threat to the integrity of healthcare systems' infrastructures and supply chains. Many healthcare organizations have taken initiatives to prepare for such disasters through implementing carbon emission-reduction practices and infrastructure reinforcement, through globally recognized frameworks and strategies known as Scopes 1, 2, and 3, and decarbonization.

Energy transition needs new materials.

The decreasing cost of electricity worldwide from wind and solar energy, as well as that of end-use technologies such as electric vehicles, reflect substantial progress made toward replacing fossil fuels with alternative energy sources. But a full transition to clean energy can only be realized if numerous challenges are overcome. Many problems can be addressed through the discovery of new materials that improve the efficiency of energy production and consumption; reduce the need for scarce mineral resources; and support the production of green hydrogen, clean ammonia, and carbon-neutral hydrocarbon fuels.

"All I was Thinking About was Shattered": Women's Experiences Transitioning Out of Anti-Trafficking Shelters During the COVID-19 Lockdown in Uganda.

Human trafficking is an egregious violation of fundamental human rights and a global challenge. The long-term harms to survivors' physical, psychological and social wellbeing are profound and well documented, and yet there are few studies exploring how to best promote resilience and holistic healing. This is especially true within shelter programs (where the majority of anti-trafficking services are provided) and during the transition out of residential shelter care, which is often a sensitive and challenging process.

Private equity investment in health care delivery, Australia, 2008-2022.

Objectives: To examine the scale of private equity investment in Australian health care delivery assets (clinics, hospitals, imaging facilities, other doctor-led health care services).

Study Design, Setting: Extraction of information about private equity acquisitions of hospitals, clinics, imaging centres and in vitro fertilisation facilities in Australia, 2008-2022, from a commercial database (PitchBook), supplemented by information from publicly available online media sources.

Main Outcome Measures: Number and value of private equity acquisitions of health care assets, 2008-2022; numbers of clinic parent company and clinic acquisitions, 2017-2022.

Risk scores, label bias, and everything but the kitchen sink.

In designing risk assessment algorithms, many scholars promote a "kitchen sink" approach, reasoning that more information yields more accurate predictions. We show, however, that this rationale often fails when algorithms are trained to predict a proxy of the true outcome, for instance, predicting arrest as a proxy for criminal behavior. With this "label bias," one should exclude a feature if its correlation with the proxy and its correlation with the true outcome have opposite signs, conditional on the other model features.