Fall is here and so is Halloween! There's a lot to do to get ready, but Evie and Lizzie have a ball and make it their happiest Halloween ever.

Evie convinces Lizzie to go on an adventure, only to run into trouble herself along the way. Although some crazy things happen, the two friends find the laughter in it all and have the best day ever!

The Rainbow Feelings of Cancer gently invites children to share their thoughts, their feelings and their questions when a life-threatening illness has touched a parent or someone they love.

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The share of Americans who experienced a substantial drop in available income from one year to the next increased significantly over recent decades, from 14.3% in 1986 to 17.8% in 2012, with particularly high proportions during recessionary periods. Families who experience a shock to their income increasingly must rely on private resources, such as the credit market, to make up for an anemic public safety net. Unlike a state-sponsored social safety net, credit comes with an increased risk to the consumer. If debtors fall behind on payments, creditors can seize their assets or garnish their wages, leaving families unable to support themselves. US states do, however, balance risk between creditors and debtors through exemption laws, which protect homesteads, personal property, and wages from debt collectors, even after default. Drawing on prior research, I expect that protections might be especially significant during economic recessions, when a higher proportion of households experience income losses and default. Using a unique dataset of state laws, this project examines exemption laws in US states from 1986-2012. First, I analyze differences in exemption laws, and find that these laws vary drastically between states and regions, resulting in vastly different protection environments. This suggests that the risks associated with defaulting on a loan depend on a debtor’s state of residence. I also find that once adjusted for inflation, average exemption protections increased somewhat over time. Second, using a time-series cross-sectional design with fixed effects, I examine the relationship between the protectiveness of exemption laws and state-level economic insecurity. I find that more protective exemption laws lead to lower state-level economic insecurity during recessionary periods. These findings support expectations that protective exemption laws can balance risk between creditors and debtors, especially during hard economic times.

When Evie & Lizzie head to the park, they aren't expecting the rain to wash away their day of fun. However, with a little imagination, the two find a way to keep their fun day going.

" The use of a pediatric early warning scoring (PEWS) tool is an essential component of a multimodal situational awareness bundle. The purpose of using the PEWS tool is to increase physical assessments, increase staff communications, and allow for the proactive escalation of patient care to prevent clinical deterioration events (CDE). A lack of nursing buy-in and poor attitudes surrounding the use of a PEWS tool led to a decrease in compliance of tool completion rates in the pediatric, general care inpatient areas within a tertiary children's hospital. The purpose of this evidence-based practice (EBP) project was to implement a modified PEWS tool to improve nursing buy-in and attitudes, which would potentially lead to increased compliance of tool completion rates. A quantitative pre-intervention and post-intervention survey method was used to measure nursing buy-in and attitudes related to the use of a modified PEWS tool versus the current PEWS tool. The results of the EBP project demonstrated improvement, although not statistically significant, in nursing buy-in and attitudes. Secondarily, there was an increase in compliance of tool completion rates, post-intervention. Ensuring strong nursing buy-in and attitudes is a vital step in the successful implementation and sustainability of practice change. Increased compliance in the utilization of the modified PEWS tool will enhance situational awareness and overall patient safety theoretically allowing for the prevention of CDE. Keywords: pediatric hospitalized patients; pediatric/early warning systems/scoring (PEWS); patient deterioration, nursing buy-in and attitudes " -- Abstract

The risk and uncertainty that characterizes social life increased dramatically in the United States since at least the 1970s. This dissertation asks: What happens when the state relinquishes responsibility for the financial wellbeing of its residents? What happens when the state does take responsibility? Across three empirical studies, I interrogate both the state-level and household-level determinants of economic insecurity, concentrating especially on US state-level policy and political conditions, and household-level debt and financial shocks. Study 1 examines state-level asset exemption laws, asking why states protect different amounts of property and wages for debtors in default, and how differences in protections are related to rates of economic insecurity over time. Drawing on a unique dataset of state exemption laws from 1986-2012, I find that higher protections during recessionary periods are associated with lower rates of economic insecurity and that more privileged populations disproportionately benefit from such protections. Study 2 then asks whether state political environments moderate the relationship between household-level job, family, and health shocks and economic insecurity, and how these dynamics vary by race, class, and gender. Using the 1999-2019 waves of the Panel Study of Income Dynamics, I find that living in states with more left power dampens the effect of shock on the odds of insecurity, but that state context does not lessen inequalities across race, class, or gender. Study 3 focuses on health shocks, asking how households financially cope with the high costs of medical care in the US. I draw insights from 37 in-depth interviews with Midwesterners who have experienced financial hardship due to their health or medical issues. I highlight the coping strategies in these narratives, including foregone medical care and rationing medication, several distinct types of debt, drawing on wealth or getting assistance from family or charity. My findings demonstrate the importance of understanding insecurity dynamics in a society where people face shocks every day without a safety net. What seems like bad luck—losing a job, having a child diagnosed with an expensive disability, or losing a marital partner—does not have to be inherently financially harmful. These shocks only lead to economic problems because the US state neglects to protect people from the fallouts of these everyday misfortunes. Throughout this dissertation, I argue that our eye should be on the state, especially when it has retreated from its responsibilities.