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    Revisiting Interscholastic Competitive Balance: A Decade of Trends on Policy, Participation, and Public/Private Schools

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    In 2015, Johnson et al. completed the first comprehensive national review of interscholastic competitive balance policies that established a baseline for approaches to ensure fair and equitable high school athletic competition. The review concluded that several types of policies were created to curb the disproportionate amount of success achieved by private schools. Such policies were in addition to enrollment classifications, which are a staple of competitive balance in every state. In the decade since that evaluation, polices have evolved. The purpose of this study was to replicate the 2015 study to determine the current status of policy implementation, and identify trends that could help guide interscholastic stakeholders. Results indicated more schools exist overall, and more than half of all states have made policy adjustments. Specifically, there was a 3.2% increase in public schools (16,978), a 6.8% increase in private schools (2,760), a 150% increase in states that use enrollment multipliers (20), a 25% decrease in states that use separate playoffs (3), a 167% increase in states that use success factors (8), and a 350% increase in states that use socioeconomic factors (9). The implications of these trends related to enrollment, public/private schools, athletic success, wealth, and the theory of distributive justice are discussed.

    Legislating Open Access: Making the Case for a Secondary Publishing Right in Canada

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    This paper examines the potential of Secondary Publishing Rights (SPR) as a legal solution to safeguard Green Open Access (OA) and promote free and global access to Canadian research. SPR grants journal article authors the right to deposit a version of a finished article in an institutional or disciplinary repository, regardless of publisher agreements. If implemented in Canada, SPR will empower researchers, allowing them to make their work OA while also providing them with an easy path to ensuring compliance with OA funder mandates. In this paper, we compare SPR to alternatives like Rights Retention Strategies (RRS) and collective licensing, highlighting the variations of SPR implemented in Germany, Austria, the Netherlands, France, Belgium, Italy, Spain and Bulgaria. Adopting SPR in Canada will significantly improve public access to research, strengthen Canada\u27s global research impact, and create a more equitable scholarly publishing landscape

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    The Impact of the Dobbs Decision on Access to Gender Diverse Care at a Midwest Academic Health Center

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    Introduction. The Dobbs decision returned the regulation of abortion to individual states. In the Midwest, several legislative efforts have included restrictions on both abortion and gender-affirming care. Clinics that provide abortion services sometimes offer gender-affirming care. Given this intersection, recent laws restricting abortion may have unintended consequences for access to gender-affirming care in the Midwest. Methods. Authors of this retrospective study analyzed medical records of patients seen at a Midwestern health center. We included patients 18 or older who attended a new patient visit at either the gender diversity clinic (GDC) or the general gynecology (GYN) clinic between July 1, 2021 and June 30, 2023. We used generalized estimating equations to assess changes in wait times and distance traveled pre- vs. post-Dobbs. Differences in new patient volume were analyzed using Poisson regression. Results. We reviewed 5,260 charts, 4,552 from the GYN clinic and 708 from the GDC. Following Dobbs, the GYN clinic experienced a 6% increase in new patients, while the GDC saw a 21% increase (p<0.001). The average wait time for a GYN appointment increased by two days, whereas the wait time for GDC appointments decreased by 21 days. The average distance traveled by new GYN patients decreased by 6.3 miles (p<0.001), while distance for GDC patients increased by 2.5 miles (p=0.738). Conclusions. Patients continue to seek gender-affirming care in the post-Dobbs landscape. Despite an increase in patient volume, wait times for gender diversity appointments decreased, likely reflecting expanded appointment availability around the time of the Dobbs decision.

    Patient-Reported Outcomes (PROs) in Prostate Cancer Patients Undergoing IMRT Versus IMRT with Brachytherapy

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    Similarities in Firearm Fatality in Urban and Rural Counties in Missouri

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    Phytochemicals for Periprosthetic Joint Infection Prophylaxis against Staphylococcus aureus

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    Implementation of the First Available Long-Acting HIV Medication (Cabotegravir/Rilpivirine) Into Routine Clinical Care

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    Gender-Affirming Hormone Therapy and Impacts on Quality of Life: A Narrative Review

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    Medical Student Research Outcomes at The University of Kansas

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