Digital Commons Network^™

A Us Hospital Budget Impact Analysis Of A Skin Closure System Compared With Standard Of Care In Hip And Knee Arthroplasty., Kay Sadik, Jana Flener, Jeanine Gargiulo, Zachary D. Post, Steven Wurzelbacher, Andrew Hogan, Sarah Hollmann, Nicole Ferko

Department of Orthopaedic Surgery Faculty Papers

Background: Medicare's mandatory bundle for hip and knee arthroplasty necessitates provider accountability for quality and cost of care to 90 days, and wound closure may be a key area of consideration. The DERMABOND

Methods: A 90-day economic model was developed assuming 500 annual hip/knee arthroplasties for a typical US hospital setting. In current practice, wound closure methods for the final skin layer were set to 50% sutures and 50% staples. In future practice, this distribution shifted to 20% sutures, 20% staples, and 60% Skin Closure System. Health care resources included materials (eg, staplers, steri-strips, and traditional/barbed sutures), standard or premium …

The Continuing Epidemic Of Hepatitis C In The United States: The Case Of West Virginia, David P. Paul Iii, Neha Botre, Maggie Phillips, Jumana Abboud, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

Hepatitis C virus (HCV) is one of the most significant public health problems currently facing the U.S. If it is left untreated, the likelihood of sustaining a treatment response decreases. While early identification has been identified as a critical focus in trying to obtain better health outcomes, new drug treatments appear quite promising.

Life Cycle Costing And Food Systems: Concepts, Trends, And Challenges Of Impact Valuation, Katherine Fiedler, Steven Lord, Jason J. Czarnezki

Michigan Journal of Environmental & Administrative Law

Our global food systems create pervasive environmental, social, and health impacts. Impact valuation is an emerging concept that aims to quantify all environmental, social, and health costs of food systems in an attempt to make the true cost of food more transparent. It also is designed to facilitate the transformation of global food systems. The concept of impact valuation is emerging at the same time as, and partly as a response to, calls for the development of legal mechanisms to address environmental, social, and health concerns. Information has long been understood both as a necessary precursor for regulation and as …

The Continuing Epidemic Of Hepatitis C In The United States: The Case Of West Virginia, David P. Paul Iii, Neha Botre, Maggie Phillips, Jumana Abboud, Alberto Coustasse

Management Faculty Research

Hepatitis C virus (HCV) is one of the most significant public health problems currently facing the U.S. If it is left untreated, the likelihood of sustaining a treatment response decreases. While early identification has been identified as a critical focus in trying to obtain better health outcomes, new drug treatments appear quite promising.

Oclc Expenditures Fy18, Andrée J. Rathemacher

Technical Services Reports and Statistics

This report lists the total amounts invoiced to the University of Rhode Island Libraries by OCLC during the fiscal year ending June 30, 2018.

Costs are broken down by invoice date and category and include all library locations (RIN, RIU, and RIX).

We pay two fixed monthly fees for each location: one for cataloging (FIX9832) and one for interlibrary loan (FIX9836).

Total OCLC expenditures for FY18 were $93,847.74. Following is a breakdown of selected OCLC expenditures.

Total OCLC Billings by branch:

RIU — $85,786.37

RIN — $6,220.55

RIX — $1,840.82

Total OCLC Billings by function:

Cataloging — $48,317.64

Interlibrary Loan …

What Do We Know About In-Service Police Training? Results Of A Failed Systematic Review, Laura Huey

Sociology Publications

To learn more about what the social scientific research literature can tell us about ‘what works’ in the field of in-service police training, the author attempted to conduct a systematic review of the recent published research on this topic (2000-2015). After initially narrowing the search results to 21 studies, the review had to be abandoned because there was an insufficient number of studies on any one topic or training technique. The author reflects on what this failed review means from the standpoint of the possible economic and social costs of potentially ineffective and inefficient in-service training.

Improving Generic Drug Approval At The Fda, Kathleen Craddock

Michigan Journal of Environmental & Administrative Law

Generic drugs are the store-brand cereal of the drug world. While they lack the vibrant colors of and exciting commercials behind name brands, generics are still effective. Most importantly, for some people, they make the difference between accessing essential treatment and going without. Getting generics to market as quickly as possible means fewer people will cut pills in half or skip doses to save money, which also saves billions of dollars across the U.S. health system. Because a new generic does not offer lifesaving changes for people with rare or complicated diseases, generics lack the “cultural capture of rhetoric about …

What Goes Where?: Measures To Decrease The Costs Of Digital Storage, Sarah Dorpinghaus

Library Presentations

This presentation addresses alternative preservation measures to combat costs associated with a quickly growing digital storage footprint.

Intellectual Property And Public Health: A White Paper, Katharine A. Van Tassel

Katharine Van Tassel

On October 26, 2012, the University of Akron School of Law’s Center for Intellectual Property and Technology hosted its Sixth Annual IP Scholars Forum. In attendance were thirteen legal scholars with expertise and an interest in IP and public health who met to discuss problems and potential solutions at the intersection of these fields. This report summarizes this discussion by describing the problems raised, areas of agreement and disagreement between the participants, suggestions and solutions made by participants and the subsequent evaluations of these suggestions and solutions. Led by the moderator, participants at the Forum focused generally on three broad …

Rwu First Amendment Blog: Dean Yelnosky's Blog: Ruling Could Destroy Labor Unions As We Know Them 2-26-2018, Michael J. Yelnosky

Law School Blogs

No abstract provided.

Cost-Effectiveness Analysis Of Metformin+Dipeptidyl Peptidase-4 Inhibitors Compared To Metformin+Sulfonylureas For Treatment Of Type 2 Diabetes, Christina S. Kwon, Enrique Seoane-Vazquez, Rosa Rodriguez-Monguio

Pharmacy Faculty Articles and Research

Background: Patients with type 2 diabetes (T2D) typically use several drug treatments during their lifetime. There is a debate about the best second-line therapy after metformin monotherapy failure due to the increasing number of available antidiabetic drugs and the lack of comparative clinical trials of secondary treatment regimens. While prior research compared the cost-effectiveness of two alternative drugs, the literature assessing T2D treatment pathways is scarce. The purpose of this study was to evaluate the long-term cost-effectiveness of dipeptidyl peptidase-4 inhibitors (DPP-4i) compared to sulfonylureas (SU) as second-line therapy in combination with metformin in patients with T2D.

Methods: …

Diseño De La Cadena De Abastecimiento Para La Minimización De Costos Y Demoras De La Empresa Pastor (Adaptica S.A.S), Gustavo Andrés Pinto Pedreros, Luisa Fernanda Acosta Santamaría

Ingeniería Industrial

La gestión de la cadena de abastecimiento genera un valor agregado al cliente de una forma eficiente y efectiva, debido a que la integración de las actividades envueltas en la transformación de la materia prima desde la compra hasta la entrega del producto final proporciona un mayor control, lo que facilita la planeación eficiente, reduciendo costos, tiempos de entrega y aumentando el cumplimiento al cliente final. El siguiente trabajo de investigación tiene como finalidad intervenir la cadena de abastecimiento con el fin de generar alternativas de mejora para que la empresa ADAPTICA S.A.S. logre reducir los altos costos y demoras …

Evaluating Impedance Monitoring To Reduce Hospital Readmissions For Patients With Heart Failure With Reduced Ejection Fraction: An Integrative Review, Abigail Newton

Doctoral Dissertations and Scholarly Projects

Congestive Heart Failure (HF) is a chronic progressive cardiac disorder with high mortality rates and is the number one reason for hospital readmission in the United States. More than 5 million Americans live with HF with more than 900,000 new diagnoses annually. The likelihood of developing HF increases with age making it the most common primary diagnosis for patients over age 65. HF has a significant impact on quality of life, with depression being a common comorbid condition. Thoracic impedance monitoring has shown to reduce exacerbations and hospitalizations in patients with HF. This project evaluated the literature related to impedance …

Exploring The Meaning Of Experiential Deaning, Robert Dinerstein, Margaret Martin Barry

Articles in Law Reviews & Other Academic Journals

This article explores the position of associate dean of experiential education in law schools across the country and the central role associate deans play in the changing landscape of legal education. Experiential deans have broad responsibility for overseeing law schools’ experiential education programs. Additional responsibilities differ between institutions, but range from leading efforts to comply with new ABA standards to overseeing the integration of experiential education into the broader curriculum. Analyzing survey data collected from associate experiential deans across the country, the authors find the structure, content, and authority of the position is under-developed. The authors make recommendations on how …

Implementation Costs Of Spiking Versus Rate-Based Anns, Lacie Renee Stiffler

Theses and Dissertations

Artificial neural networks are an effective machine learning technique for a variety of data sets and domains, but exploiting the inherent parallelism in neural networks requires specialized hardware. Typically, computing the output of each neuron requires many multiplications, evaluation of a transcendental activation function, and transfer of its output to a large number of other neurons. These restrictions become more expensive when internal values are represented with increasingly higher data precision. A spiking neural network eliminates the limitations of typical rate-based neural networks by reducing neuron output and synapse weights to one-bit values, eliminating hardware multipliers, and simplifying the activation …

Análisis De Los Programas De La Universidad De La Salle Bogotá : Elección Racional Y Educación, Julia David Morales Buitrago, Laura Melisa Morales Buitrago

Economía

La educación es un derecho y una necesidad en el desarrollo humano de la sociedad, en los últimos años ha tomado un papel relevante en torno a ser un mecanismo de cambio tanto económico como social, muchas organizaciones buscan brindar al creciente mercado las condiciones para abarcar la mayor cantidad de este, mediante oferta y precio, incorporando diferentes mecanismos que sean llamativos a la hora de tomar una decisión referente a en donde y que estudiar.La educación puede contribuir al desarrollo humano, fortaleciendo el factor trabajo, dado la mano de obra calificada, pero teniendo en cuenta los factores que afectan …

A Bargaining Dynamic Transaction Cost Approach To Understanding Framework Contracts, Juliet P. Kostritsky

Faculty Publications

This Article takes a different approach. It draws on the literature of these scholars but suggests that another way to understand the arrangements parties enter into in a variety of settings to purchase or sell goods or to innovate on a product or drug can best be understood in terms of a bargaining dynamic that looks at how the private interests of the parties are turned into joint interests in the agreement reached. It is a mistake to talk about the form of a contract without first understanding the bargaining needs and positions of the parties and how those needs …

Reverse Logistics In Micro Businesses : An Exploratory Study, Mamata Dhakal

Plymouth Business School Theses

There has been growth in managing supply chain processes for enhancing both economic and environmental benefits. Consequently, new dimensions in the supply chain have been added, with one of them being reverse logistics. Reverse logistics deals with the backward flow of goods which help firms to recover and reinstate discarded products, helping firms to realise their economic and environmental initiatives. Reverse logistics has now become a matter of strategic importance, helping to bring sustainable competitive advantage to the firm. This study recognises the inclination of the current research in reverse logistics to focus on larger firms. Hence, this research explores …

2018 July-December Market Urbanism Blog Posts, Michael Lewyn

Michael E Lewyn