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Screening For Traumatic Brain Injury In Prostituted Women, Melissa Farley, Martha E. Banks, Rosalie J. Ackerman, Jacqueline M. Golding 2018 Prostitution Research & Education

Screening For Traumatic Brain Injury In Prostituted Women, Melissa Farley, Martha E. Banks, Rosalie J. Ackerman, Jacqueline M. Golding

Dignity: A Journal on Sexual Exploitation and Violence

Violence is pervasive in prostitution and can cause traumatic brain injury (TBI). This study estimated the prevalence and demographic correlates of TBI among 66 women and transwomen in prostitution. Ninety-five percent had sustained head injuries, either by being hit in the head with objects and/or having their heads slammed into objects. Sixty-one percent had sustained head injuries in prostitution. The women described acute and chronic symptoms resulting from head injury and/or concussions. These included dizziness, depressed mood, headache, sleep difficulty, poor concentration, memory problems, difficulty following directions, low frustration tolerance, fatigue, and appetite and weight changes. Screening for ...


(Video) Barriers To Implementing Advance Care Planning In The Healthcare Setting, Dona Occhipinti, Matias Attene Ramos 2018 George Washington University

(Video) Barriers To Implementing Advance Care Planning In The Healthcare Setting, Dona Occhipinti, Matias Attene Ramos

GW Research Days 2016 - Present

Objectives: Current barriers to implementing Advanced Care Planning (ACP) will be examined as applied to the healthcare system.

Methods: A literature review was performed looking at the current practices of ACP (e.g. filling out advanced directives (AD), Medical Orders for Life Sustaining Treatment (MOLST)/ Physician Orders for Life Sustaining Treatment (POLST), etc.), physician comfort level with having end-of-life discussion (EOL), successful/unsuccessful interventions to increase ACP/EOL discussions among health care providers (HCP), and the current political environment with respect to physicians’ ability to implement ACP/EOL discussions. Cochrane, Pubmed, and Google Scholar were searched for papers written in ...


College Women's Interest In An Over-The-Counter Oral Contraceptive, Haley Dougherty 2018 Trinity College, Hartford Connecticut

College Women's Interest In An Over-The-Counter Oral Contraceptive, Haley Dougherty

Senior Theses and Projects

The purpose of this thesis was to learn whether an over-the-counter (OTC) oral contraceptive pill would benefit college students. To find out, I conducted sixteen semi-structured interviews with college students from Trinity College and Capital Community College, both located in Hartford, Connecticut. All participants either currently took oral contraceptives or had taken them in the past. This thesis accepts as its premise that oral contraceptives should be available OTC, but as a policy solution to increase access, I found that an OTC pill would have a limited effect.


A Qualitative Assessment Of New Graduate Nurse Practitioners First Year Of Practice, Alex Beggs RN, MSN 2018 University of Southern Maine

A Qualitative Assessment Of New Graduate Nurse Practitioners First Year Of Practice, Alex Beggs Rn, Msn

Muskie School Capstones

This project serves as a Capstone and final requirement for the Master of Public Health Degree at the University of Southern Maine Muskie School for Public Service. The project is a qualitative inquiry into the experience of new graduate nurse practitioners’ in their first year of practice, and their transition from the registered nurse (RN) into the nurse practitioner (NP) role. Using the theoretical constructs of Benner’s “From Novice to Expert” and the Burch’s “Conscious Competence model” new graduate nurse practitioners’ experiences will be analyzed. Risk and protective factors for role confidence will be identified through the use ...


The Changing Composition And Capacity Of Medicare Providers, 2012-2015, Xinxin Han, Clese Elaine Erikson, Qian Luo 2018 George Washington University

The Changing Composition And Capacity Of Medicare Providers, 2012-2015, Xinxin Han, Clese Elaine Erikson, Qian Luo

GW Research Days 2016 - Present

Objective: Over the past decade, U.S. medical school enrollment has increased nearly 30 percent, and the growth in mid-level new graduates was even faster. Many of these new graduates are currently serving the large and growing Medicare population. Yet, little evidence so far has documented the workforce that are serving Medicare population. In the anticipation of physician supply shortages, it is important to understand who are taking care of Medicare population recently, and whether there are changes in the overall capacity and patient risk profiles of Medicare providers.

Methods: Data were from 2012-2015 Medicare Physician and Other Supplier Aggregate ...


Gatekeeping Decriminalization Of Prostitution: The Ubiquitous Influence Of The New Zealand Prostitutes' Collective, Janice G. Raymond 2018 University of Massachusetts, Amherst

Gatekeeping Decriminalization Of Prostitution: The Ubiquitous Influence Of The New Zealand Prostitutes' Collective, Janice G. Raymond

Dignity: A Journal on Sexual Exploitation and Violence

This article explores the activities of The New Zealand Prostitutes' Collective (NZPC) in promoting decriminalization of prostitution and its role in gatekeeping this legislation. The NZPC has loomed large in the government’s evaluations of the decriminalization legislation known as the Prostitution Reform Act (PRA). It has collected information, partnered on the research team appointed by the Ministry of Justice to conduct the research, and ultimately secured seats as evaluators on the Prostitution Law Review Committee (PLRC) charged with assessing the research and making recommendations. Much of its outsized influence on the research and conclusions of this report is demonstrated ...


The Importance Of Medicaid For Children With Disabilities And Special Health Care Needs, 2017-2018 Cohort of New Hampshire-Maine Leadership Education in Neurodevelopmental and Related Disabilities (NH-ME LEND) Program Trainees. 2018 The University of Maine

The Importance Of Medicaid For Children With Disabilities And Special Health Care Needs, 2017-2018 Cohort Of New Hampshire-Maine Leadership Education In Neurodevelopmental And Related Disabilities (Nh-Me Lend) Program Trainees.

Policy Analysis

Changes to Medicaid financing structure should be carefully considered because any change could have a potentially negative impact on children with disabilities and special health care needs (hereafter referred to as children with disabilities) and limit their access to critically needed health care services and community supports. Currently, Medicaid funding operates through a state and federal partnership, with the federal government providing 60% of funding on average. A cornerstone of Medicaid is the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) child health benefit. This program offers vital support services to children with disabilities, including early and periodic screenings, comprehensive ...


Direct Care Nursing Aide Turnover In Long-Term Care Facility, Qilian Luo 2018 University of Southern Maine

Direct Care Nursing Aide Turnover In Long-Term Care Facility, Qilian Luo

Muskie School Capstones

This capstone project, Direct Care Nursing Aide Retention in a Long-Term Care Facility, will uses both qualitative and quantitative analyses to identify the possible contributors to high nursing aide turnover rates in Maine. The quantitative analyses of this project are based on the staffing payroll data of one Maine assisted living facility. The final product of this capstone project will be shared with the study facility, in the hope that they may find uses for its content.


The Trans Pacific Partnership Agreement, Intellectual Property And Medicines: Differential Outcomes For Developed And Developing Countries, Deborah Gleeson, Joel Lexchin, Ruth Lopert, Burcu Kilic 2018 George Washington University

The Trans Pacific Partnership Agreement, Intellectual Property And Medicines: Differential Outcomes For Developed And Developing Countries, Deborah Gleeson, Joel Lexchin, Ruth Lopert, Burcu Kilic

Health Policy and Management Faculty Publications

The final text of the Trans Pacific Partnership Agreement (TPP), agreed between the 12 negotiating countries in 2016, included a suite of intellectual property provisions intended to expand and extend pharmaceutical company exclusivities on medicines. It drew wide criticism for including such provisions in an agreement that involved developing countries (Vietnam, Peru, Malaysia, Mexico, Chile and Brunei Darussalam) because of the effect on delaying the introduction of low-cost generics. While developing nations negotiated transition periods for implementing some obligations, all parties would have eventually been expected to meet the same standards had the TPP come into force. While the TPP ...


Evaluation Of The Associations Between Unplanned Readmissions And The Lace Index And Other Variables, Cathy Stankiewicz, DNP, MSN, RN 2018 George Washington University

Evaluation Of The Associations Between Unplanned Readmissions And The Lace Index And Other Variables, Cathy Stankiewicz, Dnp, Msn, Rn

Doctor of Nursing Practice Projects

Background: Unplanned readmissions, within 30 days following an inpatient hospital admission, are common and costly. Research has identified factors that predict readmissions, and predictive algorithms, such as the LACE index, have been studied and widely adopted by hospitals despite demonstrated variability in predictive ability.

Objectives: To examine the associations between unplanned readmissions and the LACE index, and other variables that reflect patient- and encounter-level factors not currently incorporated in the LACE index.

Methods: A retrospective analysis was conducted utilizing data from electronic health records of inpatients discharged from a large quaternary hospital located in the southeastern United States between January ...


“It Takes A Village:” Innovative Multi-Sector Collaboration To Improve Public Health Through Positive Youth Development Program Implementation, Evaluation And Data Analysis, Patty Flanagan, Nikki Nixon, Grace Sliwoski, Laurie Ross, Judi Kirk, Heather Mangione 2018 YWCA Central Massachusetts

“It Takes A Village:” Innovative Multi-Sector Collaboration To Improve Public Health Through Positive Youth Development Program Implementation, Evaluation And Data Analysis, Patty Flanagan, Nikki Nixon, Grace Sliwoski, Laurie Ross, Judi Kirk, Heather Mangione

Community Engagement and Research Symposia

Breakout Session 2C: Worcester has a long history of effective collaboration for Positive Youth Development across our youth-serving agencies and programs. That collaborative spirit has recently taken hold as a primary strategy for improved Public Health of the overall community. The Community Health Improvement Plan supported by (CHNA 8) Coalition for Healthy Greater Worcester is a road map for improved Health Indicators.

The breakout session will describe the current health and well-being of youth in Worcester and the innovative local collaborations that promote youth health and positive development across our community. Diverse funder support is integral to local youth development ...


Inclusion Of Evidence-Based Healthy Eating Policies In Community Health Improvement Plans: Findings From A National Probability Survey Of Us Local Health Departments, Meera Sreedhara, Karin V. Goins, Milagros C. Rosal, Stephenie C. Lemon 2018 University of Massachusetts Medical School

Inclusion Of Evidence-Based Healthy Eating Policies In Community Health Improvement Plans: Findings From A National Probability Survey Of Us Local Health Departments, Meera Sreedhara, Karin V. Goins, Milagros C. Rosal, Stephenie C. Lemon

UMass Worcester PRC Presentations

Introduction: Evidence-based healthy eating (HE) policies can increase opportunities to engage in a healthy diet. The adoption of evidence-based policies into practice is limited and no study reports the status of HE policies nationally. Community Health Improvement Plans (CHIPs) strategically address health priorities, steer evidence-based strategy selection and implementation, and require collaboration. Local health departments (LHDs) are often key stakeholders. We aimed to determine the proportion of LHDs with a CHIP having evidence-based HE policies.

Methods:A national probability survey of US LHDs serving populations of

Results: 44.1% (95%CI: 34.7-54.0%) of US LHDs with a CHIP ...


Process Improvement Ensures High-Quality Disability Benefit Evaluation, Jody Simpson 2018 University of Massachusetts Medical School

Process Improvement Ensures High-Quality Disability Benefit Evaluation, Jody Simpson

Commonwealth Medicine Publications

Ongoing quality management and review of disability benefit evaluation processes and procedures is critical for state and municipal retirement system administrators. Public retirement systems may be challenged in these areas due to limited time and resources.

Working with a partner who is skilled in assisting organizations with all aspects of their medical review needs can ease the burden. UMass Medical School’s Disability Evaluation Services offers comprehensive disability evaluation solutions with a focus on quality improvement and client satisfaction. Having the clinical expertise to provide medical board review recommendations and case management is just one of our strengths.


Using Data To Guide And Evaluate Responses To The Opioid Crisis: Rhode Island's Drug Overdose Dashboard, Brandon Marshall 2018 Brown University

Using Data To Guide And Evaluate Responses To The Opioid Crisis: Rhode Island's Drug Overdose Dashboard, Brandon Marshall

National Network of Libraries of Medicine New England Region (NNLM NER) Repository

The rapidly evolving nature of the nation’s overdose epidemic necessitates the dissemination of timely information to inform effective public health responses. Unfortunately, many overdose surveillance systems suffer from delays in reporting and other logistical challenges. In this webinar, Dr. Brandon Marshall from the Brown University School of Public Health will discuss Rhode Island’s drug overdose information and surveillance “dashboard”, PreventOverdoseRI.org. Participants will learn how the timely analysis and public dissemination of data being used to guide and evaluate policy and public health response to the overdose crisis in Rhode Island.

Learning Objectives:

Participant will:

  1. Learn about national ...


Identifying Windows Of Opportunity For Active Living And Healthy Eating Policies In Connecticut, 2016, Anna E. Greer, Ann-Uriel Knausenberger 2018 Sacred Heart University

Identifying Windows Of Opportunity For Active Living And Healthy Eating Policies In Connecticut, 2016, Anna E. Greer, Ann-Uriel Knausenberger

Public Health Faculty Publications

We examined the relative importance of 23 community issues among elected officials and health directors in Connecticut in 2016. For this cross-sectional study, 74 elected officials (40.7% response rate) and 47 health directors (62.7% response rate), who were purposively sampled, completed a questionnaire to rate their perceived importance of 23 community issues. Eight of these issues were related to active living, healthy eating, or obesity. We used χ2 tests to evaluate differences in responses. Compared with elected officials, health directors significantly more often perceived obesity, access to healthy groceries, poor nutrition, lack of pedestrian walkways, and pedestrian safety ...


Residential Settings And Healthcare Use Of The Rural "Oldest-Old" Medicare Population, Nathan Paluso MPH, Zachariah Croll, Deborah Thayer MBA, Jean A. Talbot PhD, MPH, Andrew F. Coburn PhD 2018 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center,

Residential Settings And Healthcare Use Of The Rural "Oldest-Old" Medicare Population, Nathan Paluso Mph, Zachariah Croll, Deborah Thayer Mba, Jean A. Talbot Phd, Mph, Andrew F. Coburn Phd

Long-term Care

The aging of the baby boom generation is projected to dramatically increase the population aged 65 and older in the coming decades. In particular, those aged 85 and older (the ‘oldest old’) are expanding at a faster rate than any other age group and by 2050 are expected to make up 4.5 percent of the population, compared to 1.9 percent in 2012. Faster growth in the percentage of older people (65+) in rural than in urban areas is likely to challenge the healthcare and long term services and supports (LTSS) capacity in many rural communities.

This study used ...


The Harmful Sexual And Non-Sexual Behaviors Of Trafficked Women And Children In Mexico: A Study Of Victims Of Sexual Exploitation, Arun Kumar Acharya, Lilia Susana Padilla y Sotelo, Jose Juan Cervantes Niño 2018 Universidad Autonoma de Nuevo Leon

The Harmful Sexual And Non-Sexual Behaviors Of Trafficked Women And Children In Mexico: A Study Of Victims Of Sexual Exploitation, Arun Kumar Acharya, Lilia Susana Padilla Y Sotelo, Jose Juan Cervantes Niño

Dignity: A Journal on Sexual Exploitation and Violence

During the last 17 years, since the adoption of the Palermo Protocol, authorities at international and national levels have investigated and prosecuted trafficking cases, and aided victims. Nevertheless, every day thousands of people around the world are sold, lured with false promises and exploited. In Mexico, 10,000 young girls and women are said to be trafficked into cities for sexual exploitation every year. Trafficked victims suffer a wide range of sexual exploitation, physical and psychological violence, human rights violations including their right to dignity, and cruel and inhumane treatment, creating vulnerability and isolation. To cope, many victims adopt harmful ...


Ltss Clinical Guidelines Help Health Plans Navigate The Challenges Of Increased Demand, Jessica Carpenter 2018 University of Massachusetts Medical School

Ltss Clinical Guidelines Help Health Plans Navigate The Challenges Of Increased Demand, Jessica Carpenter

Commonwealth Medicine Publications

Long term services and supports (LTSS) clinical guidelines are the foundation of a successful LTSS utilization management program. Strong guidelines help health plans drive LTSS programs toward positive outcomes such as consistency in decision making, clinically appropriate services, contained costs and program integrity. The goal is ensuring individuals receive the right service, in the right setting, and at the right time.

As the independent living movement continues to advance, more individuals with disabilities are seeking to live in their own homes or within a community setting. As such, there has been an increased demand for LTSS. Increased demand combined with ...


Transforming First Nations Health Care In British Columbia: An Organizational Challenge, Stephen Wilmot 2018 The University of Derby

Transforming First Nations Health Care In British Columbia: An Organizational Challenge, Stephen Wilmot

The International Indigenous Policy Journal

Following a series of agreements on First Nations health care in British Columbia beginning in 2005, several organizations were created to contribute to the development of a system of health care for First Nations in the province, with the aim of transforming First Nations health care to better meet users’ needs. This article considers the role of these organizations and their relationships with the provincial government, the federal government, and the First Nations people of British Columbia. It explores possible levels of transformation, as well as the possibilities and problems for these organizations in undertaking the transformation process, particularly with ...


A Budget Impact Model For Two Investigational Agents For The Treatment Of Nonalcoholic Steatohepatitis, Nicole M. Trask, Pavel Lavitas, Vincent Palumbo 2018 University of Massachusetts Medical School

A Budget Impact Model For Two Investigational Agents For The Treatment Of Nonalcoholic Steatohepatitis, Nicole M. Trask, Pavel Lavitas, Vincent Palumbo

Commonwealth Medicine Publications

Statistics show approximately 15 million Americans suffer from NASH, a nonalcoholic fatty liver disease that is projected to become the most common reason for liver transplantation. There are no FDA approved therapies for NASH, so doctors are forced to treat patients with off-label medications while keeping an eye out for breakthroughs in medication development.

Two novel therapies, obeticholic acid and elafibranor, are currently in Phase III trials. If they receive FDA approval, interest will be high as they will be the first treatments specifically labeled for NASH. We detail a budget impact model for a sample state Medicaid plan in ...


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