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Background Organizational responses to crises can profoundly impact the operations and functioning of programs. Specifically, the COVID-19 pandemic led to an 18% increase in drug overdoses and necessitating significant protocol adjustments. We examined opioid treatment programs (OTPs) responses to the pandemic, and associations with clients' perceptions of COVID-19 concerns and perceptions of effect and overall impact. Methods Data from 2023 encompassing 92 OTPs and 435 client surveys were analyzed using multilevel regression models. Dependent variables measured clients COVID-19 exposure concerns, and perception of the pandemic’s broader impact. Independent variables included types of response, staff composition, funding, and accreditation. Results Clients in programs with higher proportions of African Americans, 1.02 (95% Confidence Interval CI = 1.00—1.03) or Latino staff, 1.03 (CI = 1.01—1.04) expressed significantly greater concern about COVID-19 exposure. Conversely, clients in publicly funded programs reported significantly lower concern about exposure, 0.37 (CI = 0.15—0.90). On the other hand, programs with more administrative responsiveness, 1.44 (CI = 0.07—2.80), or accreditation by the Commission on Accreditation of Rehabilitation Facilities, 1.90 (CI = 0.13—3.67), were associated with significantly higher perceived overall impact of the pandemic, respectively. Conclusion This study highlights the intricate connection between program characteristics and organizational responses during public health crises. Our findings underscore the importance of culturally sensitive approaches and effective communication to address client COVID-19 concerns and perceptions, particularly within disproportionately affected minority communities. These insights emphasize the necessity for OTPs to adapt to meet the evolving needs of clients, ensuring that they receive the support and care required during uncertainties. Highlights • Clients of OTPs with a higher proportion of minority staff reported greater COVID-19 concerns • Publicly funded programs were associated with lower client concerns about exposure • Greater administrative responsiveness was associated with higher perceived effect of COVID-19 • Greater administrative responsiveness was marginally associated with a decline in exposure concerns • Accreditation by CARF was associated with higher perceived effect of COVID-19

In-school–out-of-school collaborations are increasingly recognized as a key mechanism for enriching STEM education. Guided by conceptual frameworks on boundary crossing and STEM learning ecologies, this scoping review maps and synthesizes findings from 470 studies and 469 programs published between 2014 and 2024, focusing on how such partnerships are reported, structured, and distributed across educational contexts. Approximately 73% of the programs reported some form of collaboration, although often in general terms. The most common forms included shared infrastructure, recruitment coordination, and personnel involvement. More pedagogically grounded forms, such as curricular alignment and co-development of instruction, were rarely described. Collaboration patterns varied across program types, durations, subject areas, and participant target groups. A typology of seven collaboration categories was developed to organize the findings. Notable gaps include the near-total absence of collaboration in medicine-related programs and the underrepresentation of research from low- and middle-income countries. Although collaboration is frequently mentioned, it is seldom described in enough detail to support systematic analysis or theoretical insight. The review recommends more precise definitions, stronger reporting practices, and enhanced theoretical engagement with collaboration as a pedagogical and systemic component of STEM education. The proposed typology provides a foundation for more coherent future research and comparative studies.

Conservation research programs can encourage conservation of biodiversity of working landscapes by influencing the conservation behaviors of private landowners who participate in the program. However, specific conservation behavior outcomes following landowner participation in a conservation research program, as well as the drivers that influence their engagement in these behaviors, remain unclear. We interviewed landowners that had provided property access to a Smithsonian conservation research program to conduct ecological research. We investigated (a) how landowners perceived participation in a conservation research program influenced their engagement in conservation behaviors and (b) how landowners perceived characteristics of the program influenced their engagement in conservation behaviors. We found that interviewees' perceived participation in a conservation research program influenced their engagement in land stewardship behaviors more commonly than social environmentalism or environmental citizenship behaviors. Interviewees perceived that program characteristics such as events, on‐site survey interactions, and landowner reports most frequently influenced their engagement in conservation behaviors. Our findings suggest that conservation programs may increase their influence on landowner conservation behavior engagement through fostering direct interactions among landowners, their peers, and researchers; training staff and citizen scientists in effective science communication skills; and tailoring program communications to their target audience. Conservation research programs can conserve biodiversity of working landscapes through influencing the conservation behaviors of private landowners that participate in the program. We found that private landowners' perceived participation in a conservation research program influenced their engagement in land stewardship behaviors more commonly than social environmentalism or environmental citizenship behaviors. Landonwers' perceived that program characteristics such as events, on‐site survey interactions, and landowner reports most frequently influenced their engagement in conservation behaviors.

As the effect of opioid maintenance treatment (OMT) on overdose mortality varies both between and within countries, treatment programs need to be evaluated in different treatment settings and over time within settings. We evaluated variations in mortality in a national programme: from the initial rollout as restrictive and low-capacity to its gradual change into more liberal and higher-volume. A 12-year prospective longitudinal cohort study including all persons (n = 6871) applying for and entering OMT in Norway (1997-2009). We followed all patients until 2009 or until death. We used crude mortality rates (CMR) to calculate overdose and all-cause mortality among patients in OMT before, during and after treatment, during a 12-year time-period. We also calculated variations in overdose and all-cause mortality over the course of treatment and after treatment termination. We fitted proportional hazards models with covariates to the data. OMT significantly reduces risk of mortality compared to being outside of treatment. The reduction in overdose death was most substantial during the initial phase of the Norwegian OMT-programme, still; we consistently find that overdose deaths were more than halved in all calendar-periods throughout observation. We did not find an elevated risk of overdose death in the first weeks of treatment, nor in the first weeks after treatment cessation. In Norway, OMT reduces overall mortality. Reduction in mortality is likely dependent of both treatment delivery and characteristics of the at-risk population.

Aim/Purpose: Kenya plans to be a middle-income country by the year 2030. To achieve this development target, the country has rapidly expanded its university sub-sector in order to produce the requisite skilled professionals. This has put a strain on the available PhD holders thus heightening the pressure on universities to produce more PhD graduates to meet the required larger pool of highly qualified professionals to service the academia and other sectors of the economy. However, the PhD graduation rate per year is very low and unexplained. This study sought to explain the factors influencing PhD success rates in Kenyan universities. Background: This cross-sectional study set out to establish how PhD students’ background and program characteristics are related to their success. This knowledge will inform policies and strategies to enhance PhD training and success in Kenya. Methodology: Data on 1,992 PhD students was collected from 10 universities by using the Microsoft Excel data tool to collect administrative data. The researchers utilized the data collection to construct a quantitative research design. The PhD students were enrolled in the following program domains/clusters: Humanities and Social Sciences, Business and Economics, Physical and Life Sciences, Applied Sciences and Medical Sciences. Contribution: PhD success factors have been extensively studied in developed countries. This paper builds on this body of knowledge with a specific focus on developing countries like Kenya. Findings: Students’ background characteristics (age, nationality, gender, financial support and marital statuses) were not related to PhD students’ success, however, full-time employed PhD students had better progression than their part-time colleagues. Program characteristics (program cluster and mode of study) were significantly related to students’ success. Students who had delayed for two years or more years had limited chance to graduate. Recommendations for Practitioners: To improve the PhD education system, practitioners should endeavor to monitor and track the progress of their PhD students. To do this, the researchers recommend that the universities collect and keep good records of these types of data. Universities should come up with strategies to build on or mitigate against the factors that have been identified to influence PhD success. Recommendation for Researchers: The researchers recommend further research, especially in developing countries, to understand the PhD study systems and inform effective interventions. Impact on Society: To identify, conceptualize or mitigate against the factors which influence PhD success lead to higher success in PhD training in order to enhance knowledge to solve societal problems. Future Research: Further research is recommended especially in the context of developing countries to establish how supervisor–student interactions, availability of infrastructural resources, and students’ motivation, efficacy and well-being relate to PhD success in Kenyan universities

Background: Full-field digital mammography (FFDM) has replaced screen-film mammography (SFM) in most breast cancer screening programs due to technological advantages such as possibilities to adjust contrast, better image quality and transfer capabilities. This study describes the performance indicators during the transition from SFM to FFDM and the characteristics of screen-detected and interval cancers. Methods: Data of the Dutch breast cancer screening program, region North from 2004 to 2010 were linked to The Netherlands Cancer Registry ( N =902 868). Performance indicators and tumour characteristics of screen-detected and interval cancers were compared between FFDM and SFM. Results: After initial screens, recall rates were 2.1% (SFM) and 3.0% (FFDM; P <0.001). The positive predictive values (PPV) were 25.6% (SFM) and 19.9% (FFDM; P =0.002). Detection rates were similar, as were all performance indicators after subsequent screens. Similar percentages of low-grade ductal carcinoma in situ (DCIS) were found for SFM and FFDM. Invasive cancers diagnosed after subsequent screens with FFDM were more often of high-grade ( P =0.024) and ductal type ( P =0.030). The incidence rates of interval cancers were similar for SFM and FFDM after initial (2.69/1000 vs 2.51/1000; P =0.787) and subsequent screens (2.30 vs 2.41; P =0.652), with similar tumour characteristics. Conclusions: FFDM resulted in similar rates of screen-detected and interval cancers, indicating that FFDM performs as well as SFM in a breast cancer screening program. No signs of an increase in low-grade DCIS (which might connote possible overdiagnosis) were seen. Nonetheless, after initial screening, which accounts for 12% of all screens, FFDM resulted in higher recall rate and lower PPV that requires attention.

Extensive clearing of native vegetation on rural properties throughout Australia over the last century has generated significant damage to biodiversity. Conservation tenders have been broadly used to reduce the detrimental impact of such widespread clearance. To date, Australian conservation tender research has largely been limited to program evaluations and landholder surveys. This analysis differs by comparing and contrasting the views of non-landholders involved with these programs with those of participant landholders. The non-landholder group consists of individuals with involvement in conservation tenders across Australia. By contrast, the landholder group consists of individuals with participation experience in a series of Victorian tender initiatives. Each group is surveyed to investigate the drivers of cost-effectiveness within tender programs and landholder participation. This analysis explores these two perspectives, revealing important convergences and divergences in opinion. Both practitioners and landholders indicate that programs supported by close agency–landholder relationships and offering flexibility to landholders are most likely to succeed, particularly where landholders perceive the tender instrument to be fair. Whilst practitioners emphasise the role of transaction costs issues and program characteristics in achieving cost-effective biodiversity outcomes, landholders indicate that these factors are less important to participation rates. This research is important to guide future implementation of tender programs both in Australia and internationally.

Background As the effect of opioid maintenance treatment (OMT) on overdose mortality varies both between and within countries, treatment programs need to be evaluated in different treatment settings and over time within settings. We evaluated variations in mortality in a national programme: from the initial rollout as restrictive and low-capacity to its gradual change into more liberal and higher-volume. Methods A 12-year prospective longitudinal cohort study including all persons ( n  = 6871) applying for and entering OMT in Norway (1997–2009). We followed all patients until 2009 or until death. We used crude mortality rates (CMR) to calculate overdose and all-cause mortality among patients in OMT before, during and after treatment, during a 12-year time-period. We also calculated variations in overdose and all-cause mortality over the course of treatment and after treatment termination. We fitted proportional hazards models with covariates to the data. Results OMT significantly reduces risk of mortality compared to being outside of treatment. The reduction in overdose death was most substantial during the initial phase of the Norwegian OMT-programme, still; we consistently find that overdose deaths were more than halved in all calendar-periods throughout observation. We did not find an elevated risk of overdose death in the first weeks of treatment, nor in the first weeks after treatment cessation. Conclusion In Norway, OMT reduces overall mortality. Reduction in mortality is likely dependent of both treatment delivery and characteristics of the at-risk population.

This is the first article that compares terminal master's degree programs in economics from universities that have a PhD program in economics with those that do not offer PhD programs in economics. The authors compare these differences based on surveys in 2002 and 2012. They examine differences in general program characteristics, department faculty, admission requirements, student characteristics, financial aid, and graduation and placement rates. They find statistically significant differences in all of these categories and also find that some of the differences and similarities have changed over time.