Digital Commons Network^™

Optimal Taxation Of Cigarettes And E-Cigarettes: Principles For Taxing Reduced-Harm Tobacco Products, James Prieger

School of Public Policy Working Papers

As the tax base for traditional tobacco excise taxes continues to erode, policymakers have growing interest to expand taxation to novel and reduced-risk tobacco products. Chief among the latter are electronic nicotine delivery systems (ENDS; commonly known as e-cigarettes), although other reduced-risk tobacco products such as heated tobacco and smokeless tobacco products are also being considered for taxation. There are many possible rationales for taxing such products: to raise revenue, to correct for health externalities, to improve public health, to correct for internalities caused by irrationality or misinformation, and to redistribute income. Although each rationale leads to a different objective …

Financial Alignment Initiative: New York Fully Integrated Duals Advantage For Individuals With Intellectual And Developmental Disabilities: Preliminary Third Evaluation Report, Kimberly I. Snow Mhsa, Elizabeth Gattine Jd, Amy Kandilow Phd, Matthew Toth Phd, Amy Chepaitis Phd

Disability & Aging

The New York FIDA-IDD demonstration was launched in 2016 in nine downstate counties and was the first comprehensive managed care demonstration exclusively serving individuals with intellectual and developmental disabilities (IDD) in the nation. Due at least in part to a lack of provider participation, less than 8 percent of eligible beneficiaries enrolled. Beneficiaries who did enroll reported high levels of satisfaction, especially with care coordination and the ease of obtaining durable medical equipment. The MedicareMedicaid Plan’s (MMP) assessment and care coordination model provided person-centered care planning that identified goals and helped to achieve them, improving enrollees’ quality of life. The …

Disaster Movies And The Perception Of Human Behavior Myths In Disasters, John Carr

Dissertations

This study explored if disaster movies change the perceptions viewers hold regarding human behavior in disasters, and if so, whether these effects are observable six weeks after watching the disaster movie. The study documented the anticipation of disaster myths in human behavior for 121 respondents, providing data that can better inform the discussion of disaster myths and realities. The study found changes to anticipation of disaster myths in human behavior and realities across multiple categories, with statistically significant results related to the factor of Looting Myth. Limitations for this study include a small sample size, and the external influence of …

The Truth Behind Avocado Expansion In The Algarve: A Synthesis Of Public, Environmental Associations, And Government Perspectives And Response, Mandy Ausman

Independent Study Project (ISP) Collection

Avocado expansion has exponentially increased in the Algarve region of southern Portugal in recent years. The surge in expansion has provoked contention and discrepancy in the media regarding how and if avocado production can persist in the water-scarce region due to worsening drought conditions related to climate change coupled with the fruit’s significant water footprint. This paper aims to synthesize the arguments and response of the public, environmental associations, and government agencies to the expansion of avocado production in the water- scarce region of the Algarve, highlight the region’s current challenges of avocado expansion and water management regulation, and analyze …

Regulating Co2 Emissions Post-West Virginia V. Environmental Protection Agency, Rebecca J. Davis, Justin Blount

William & Mary Environmental Law and Policy Review

In West Virginia v. Environmental Protection Agency, the Supreme Court expressly adopted the major questions doctrine and used it to invalidate the Clean Power Plan, a rule intended to reduce carbon dioxide emissions from power plants. This opinion has been controversial and has left many commentators concerned that it may hamper the ability of administrative agencies to aggressively and flexibly regulate.

This Article analyzes this opinion and the impact it may have on ongoing efforts to regulate carbon dioxide emissions at the federal level. It then examines economic theory underpinning environmental regulation, developing technologies to reduce carbon dioxide emissions, …

Motivations, Policies And Performance: A Review Of China’S Culture ‘Going Out’ Strategy, Jihua Yang, David Ocon

Research Collection School of Social Sciences

Few countries have advanced their culture globally as China has done in the last two decades with its culture ‘going out’ strategy. Promoting cultural goods and services overseas and fostering cultural exchanges, the strategy is also part of the country’s efforts to advance its soft power abroad. Broadly, there are two contrasting perspectives on the strategy’s performance. Because of its stability and financial muscle, local analysts generally praise it, while the overarching official involvement provokes suspicion in some international contexts. This article provides a neutral assessment of the implementation, achievements, and impact of China’s culture ‘going out’ strategy, investigating its …

Shades Of Housing: Real Estate Urbanism And State Planning In Egypt, Zeinab Nadeem

Theses and Dissertations

The housing crisis is a global dilemma, especially in the context of urban cities in developing countries. Housing affordability has become more challenging in the recent global and national turbulent economic conditions of rising inflation rates and construction costs, where Egypt is witnessing a surplus of vacant housing units that are either unsold or unoccupied with citizens involuntarily relocating to remote new cities. The government has also significantly engaged in real estate market speculation by offering public land for profits to private investors in the market since the 1990s. The shades of housing found in Egypt are the works of …

Public-Private Partnerships (Ppp) In Technical Education: The Case Of Egypt’S Applied Technology Schools (Ats), Youstina Magdy

Theses and Dissertations

Technical education is a form of education that gained momentum in the 1800s and was considered as a parallel distinct model to general education by the post-war period. Public-private partnerships (PPPs) were one of the scaling up and enhancement efforts of technical education. In Egypt, the technical secondary education system has various school models; however, it was until 2018, when we first see the implementation of an PPP model with the establishment of the Applied Technology Schools (ATS). ATS schools aim at supplying the labor market with experienced skillful competent graduates in the demanded sectors in the Egyptian labor market, …

Professional Virtue Of Civility And The Responsibilities Of Medical Educators And Academic Leaders, Laurence B Mccullough, John Coverdale, Frank A Chervenak

Center for Medical Ethics and Health Policy Staff Publications

Incivility among physicians, between physicians and learners, and between physicians and nurses or other healthcare professionals has become commonplace. If allowed to continue unchecked by academic leaders and medical educators, incivility can cause personal psychological injury and seriously damage organisational culture. As such, incivility is a potent threat to professionalism. This paper uniquely draws on the history of professional ethics in medicine to provide a historically based, philosophical account of the professional virtue of civility. We use a two-step method of ethical reasoning, namely ethical analysis informed by pertinent prior work, followed by identifying the implications of clearly articulated ethical …

The Risk Perceptions And Evacuation Behaviors Of College Students In Coastal Communities: Exploring The Functionality Of The False Alarm And Desensitization Model, Saige Marisza Hill

School of Public Service Theses & Dissertations

This research explores the complexity of individual response during hazards and disasters and the psychological factors that influence risk perception and response. Borrowing concepts from the false alarm theory of neurology and desensitization theory as applied to media, the false alarm and desensitization model explains the perpetuation of insufficient preparation and hazard response by individuals. The model features two primary components – hazard and disaster events resulting in false alarms and those resulting in desensitization – both of which decrease the likelihood of adequate response during subsequent events. Together, each model component leads to underestimating the potential for and severity …

Framing Automation Trust: How Initial Information About Automated Driving Systems Influences Swift Trust In Automation And Trust Repair For Human Automation Collaboration, Scott Anthony Mishler

Psychology Theses & Dissertations

The study examines how trust in automation is influenced by initial framing of information before interaction and how later active calibration methods can further influence trust repair or dampening after an automation error in a three-experiment study. As more human drivers begin to use automated driving systems (ADSs) for the first time, their initial understanding of the system can influence their trust leading to a miscalibration of trust. Prior studies have investigated how trust develops through interactions with an automated system, but few have looked at integrating swift trust and framing to calibrate trust before interaction and investigate further active …

Surveillance Systems In Western Kenya: Methods, Perceptions, And Effectiveness, Marissa Duffy

Independent Study Project (ISP) Collection

Surveillance is an important tool in monitoring and evaluating infectious disease patterns and trends. Surveillance is vital because it aids public health officials and medical professionals in creating better prevention methods and efficiently managing outbreaks. Kenya is home to many noncommunicable diseases making it an important location to conduct disease surveillance. Within Kenya, each county has its own surveillance unit which tracks and controls outbreaks. In addition, government run surveillance systems were established to determine disease burden, incidence, and patterns in specific at-risk communities around Kenya. One of these major surveillance systems is Population-Based Infectious Disease Surveillance (PBIDS) which has …

Representations And Realities: Misali Island's Biodiversity In Hybrid Narratives, Justin Ross Whitney

Independent Study Project (ISP) Collection

Marine Protected Areas (MPAs) are complex organisms that ebb and flow between strict and unyielding conservation doctrines often at the cost of community engagement. Misali Island is different. Conceived and advocated for by community members, this organism has navigated a tumultuous tenure of environmental degradation, periods of high and low funding, and a looming tourism presence. On top of these challenges has been a growing fishing community attempting to share in the bounty of this shockingly biodiverse setting. This study sorts through the grey space of Misali Island by applying a hybrid narrative that interfaces the marine context of the …

Universal Health Coverage: A Basis For Pandemic Preparedness?, Merline Feero

Independent Study Project (ISP) Collection

Amid extensive research and reporting on the effects of COVID-19 on Universal Health Coverage (UHC) progress, this study explores an often neglected topic: the potential of UHC to contribute to the foundations of pandemic preparedness. Herein, quantitative analysis reveals that countries with higher UHC coverage tend to exhibit greater pandemic preparedness (as determined by the UHC Service Coverage Index and the Global Health Security Index). Complementary qualitative analysis is used to further illustrate and explain the correlation between UHC and pandemic preparedness using four case study countries, integrating literature reviews and relevant expert interviews. Through these methods, a clear tie …

The Legal Case For Equity In Local Climate Action Planning, Amy E. Turner

Sabin Center for Climate Change Law

Over the last half decade, local climate action plans have regularly come to incorporate considerations of racial and socioeconomic equity, recognizing the ways in which low-income communities and communities of color experience earlier and worse consequences from global warming, and these communities are also at risk of being harmed by policies meant to address climate change. Until now, however, the discourse on equity in climate action planning has largely pertained to policy; it acknowledges the disproportionate harm that certain communities experience as a result of climate change and policies to address climate change, and suggests policy tools that can address …

Ethics Education For Healthcare Professionals In The Era Of Chatgpt And Other Large Language Models: Do We Still Need It?, Vasiliki Rahimzadeh, Kristin Kostick-Quenet, Jennifer Blumenthal Barby, Amy L Mcguire

Center for Medical Ethics and Health Policy Staff Publications

In this paper, we contend with whether we still need traditional ethics education as part of healthcare professional training given the abilities of chatGPT (generative pre-trained transformer) and other large language models (LLM). We reflect on common programmatic goals to assess the current strengths and limitations of LLMs in helping to build ethics competencies among future clinicians. Through an actual case analysis, we highlight areas in which chatGPT and other LLMs are conducive to common bioethics education goals. We also comment on where such technologies remain an imperfect substitute for human-led ethics teaching and learning. Finally, we conclude that the …

Clinician Perspectives On Levels Of Evidence And Oversight For Deep Brain Stimulation For Treatment-Resistant Childhood Ocd, Michelle T Pham, Tiffany A Campbell, Natalie Dorfman, Laura Torgerson, Kristin Kostick-Quenet, Jennifer Blumenthal-Barby, Eric A Storch, Gabriel Lázaro-Muñoz

Center for Medical Ethics and Health Policy Staff Publications

Approximately 10-20% of children with obsessive-compulsive disorder (OCD) have treatment-resistant presentations, and there is likely interest in developing interventions for this patient group, which may include deep brain stimulation (DBS). The World Society for Stereotactic and Functional Neurosurgery has argued that at least two successful randomized controlled trials should be available before DBS treatment for a psychiatric disorder is considered "established." The FDA approved DBS for adults with treatment-resistant OCD under a humanitarian device exemption (HDE) in 2009, which requires that a device be used to manage or treat a condition impacting 8,000 or fewer patients annually in the United …

Health Policy Reform Through Strengthening Indonesia's Health Resilience System, Wahyu Sulistiadi

Journal of Indonesian Health Policy and Administration

The National Health System in Indonesia is developing and being discussed more seriously after entering the COVID-19 pandemic. With a national health system and several existing tools, Indonesia needed more time to be ready to face the challenges of that time. Upstream health policies should be optimized to mobilize resources and increase the nation's efforts to build a national resilience system. This paper was built using selected policy documents up-to-date and reliable literature. By reviewing empirical evidence, the author believes and shows the role of strengthening health policies in building a robust national health resilience system. Indonesia has several policies …

The Effects Of Vaccination Against Covid-19 Incidence: Is The Current Age-Priorities Appropriate?, Dian Ip Nugrahari, Nurhanifah Hamdah

Journal of Indonesian Health Policy and Administration

Age is an independent risk factor for COVID-19. Thus, the government of Indonesia prioritizes the elderly and adults with significant comorbidities for COVID-19 vaccination. To discover whether this policy is still appropriate, we evaluated the effects of vaccination against the COVID-19 incidence and infection risk.It was a retrospective cohort study of the NAR COVID-19 and Dashboard KPCPEN COVID-19 of the Depok City Health Department. The tests used to analyze the data were the chi-square and logistic regression tests. We discovered that there was a 92.7% total reduction in the COVID-19 infection rate with vaccination. The infection risk for COVID-19 in …

Development And Evaluation Of Impact Statements For The Expanded Food And Nutrition Education Program (Efnep), Kylie Pybus, Ronald L. Gibbs Jr., Karen Franck, M. Catalina Aragón

Journal of Extension

Extension professionals often communicate program outcomes to external stakeholders using impact statements. We developed and evaluated four impact statements for the Expanded Food and Nutrition Education Program (EFNEP). We drafted the statements after conducting literature reviews for core content areas of EFNEP that include diet quality, food resource management, physical activity, and food safety. Subsequently, we evaluated the statements by facilitating expert panels made up of subject matter experts and communication professionals (n=14) from 12 Land-grant Universities. These impact statements aim to support EFNEP and other Extension professionals when communicating program value with key external stakeholders.

Ocean Negative Carbon Emissions In The Context Of Earth System Science, Nianzhi Jiao, Tingwei Luo, Jihua Liu, Quanrui Chen, Chenba Zhu

Bulletin of Chinese Academy of Sciences (Chinese Version)

Comparing the records of geological events and the observations of the current climate, the debate on the main cause of global warming, which has lasted for more than 30 years, is now to an end. Along the global consensus, it is imperative to seek effective solutions to the mitigation of climate change for China and the countries along Belt and Road route, which are facing the unavoidable conflicts between development and protection. Based on these analyses, The study proposes that reasonable and legitimate transformative Ocean Negative Carbon Emission (ONCE) approach should be developed in the context of Earth system science …

Book Review: Original Sin: Power, Technology And War In Outer Space, Jeffrey Caton

Parameters Bookshelf – Online Book Reviews

Author: Bleddyn E. Bowen

Reviewed by Jeffrey Caton, colonel, US Air Force (retired), and president, Kepler Strategies LLC

Based on three key arguments, Original Sin covers the development of spacepower during the Cold War, space technology’s progress, and the weapons, planning and doctrine that surround space warfare. The reviewer notes, “What sets Original Sin apart from similar books is the outstanding context it provides and its willingness to challenge trite slogans attached to spacepower.”

Lean Six Sigma Body Of Knowledge For Healthcare Industry Administrators: Implementation Of Lessons Learned In Applied Engineering, Mohammed Ali

Technology Faculty Publications and Presentations

The purpose of this paper is to propose a Lean Six Sigma (LSS) course curriculum for healthcare administration and management majors. It identifies the relevant opportunities and challenges for the application of LSS within the healthcare industry. The paper also discusses the cultural changes necessary to provide an appropriate climate for its long-term success. This work contains a comprehensive description of the body of knowledge in LSS, which were successful in applied engineering. Additionally, the paper describes how LSS may be applied in the hospital setting to improve processes in patient-care services. Upon successful completion of the course, the healthcare …

Defining And Measuring Equity In Public Transportation, Christopher E. Ferrell, David Reinke, John M. Eels, Matthew M. Schroeder

Mineta Transportation Institute

Transit should serve all users, regardless of age, race, ability, or any other identity. Policies and planning must be conscious of inequities when defining and measuring equity in public transportation. This study was done to aid the California Department of Transportation (Caltrans) and the state’s transit agencies in assessing transit service equity and assisting with evaluating past, existing, and future inequities. This report identifies and evaluates policies and practices associated with equity measurement in public transit from extant academic and professional literature sources. These include the Federal laws and regulations addressing Title VI of the 1964 Civil Rights Act and …

Innovations In Health-Care Service Delivery During The Pandemic, Taryn Vian, Ankita Meghani Phd

Nursing and Health Professions Faculty Research and Publications

The COVID-19 pandemic disrupted health service delivery as countries implemented lockdowns and issued stay-at-home orders. Despite attempts to make essential health services available throughout, the pandemic strained health systems and resulted in rampant shortages of health commodities, beds and health-care staff. There were concomitant declines in tuberculosis screening, HIV testing, and maternal and child health services.2 However, the global pandemic also accelerated the pace of innovation. Some initiatives served as stopgap measures implemented to maintain health services, whereas others helped leapfrog progress in the areas of health information systems, telemedicine, and regulatory policy, bringing efficiencies that could be applied even …

Contextual Determinants Of Re-Reporting For Families Receiving Alternative Response: A Survival Analysis In A Midwestern State, Jianchao Lai, Michelle Graef, Todd Franke, Toby Burnham

Center on Children, Families, and the Law: Faculty Publications

Differential response (DR) has been widely adopted in over 30 states to address shortcomings of the traditional approach to child maltreatment reports in complex family and case circumstances. However, despite continued evaluation efforts, evidence of the effectiveness of DR remains inconclusive. The current study aims to assess the impact of a DR program and potential predictors, including service match and number of family case workers, on maltreatment re-reports in a Midwestern state. The study utilized a randomized control trial and assigned eligible families to either the Alternative Response (AR) track or Traditional Response (TR) track. The enrollment was implemented in …

Criminal Justice Update - September 2023, Delaney Rabenold

Criminal Justice Updates

The Criminal Justice Update is a monthly newsletter created by the Adams County Bar Foundation Fellow providing updates in criminal justice policy coming from Pennsylvania's courts and legislature as well as the US Supreme Court.

Contents:

• Updates from PA Governor's Office (no updates this month)
• Updates from the PA Legislature (no updates this month)
• Updates from the Courts
• U.S. Supreme Court (no updates this month)
• PA Supreme Court
• PA Superior Court

The High Cost Of Pharmaceutical Acquisitions: Increasing Social Welfare Or Furthering Inequality?, Timothy J. Haltermann

Notre Dame Journal on Emerging Technologies

This note will argue that government and regulatory authorities should focus on easing access to downstream innovation by broadening research exemptions to patent infringement. Part I of this note will focus on the current state of patent protection and exclusivity afforded to pharmaceutical companies. Part II will discuss incentives created that lead rational actors to engage in M&A instead of through internal R&D. Part III will address the development of innovation as a standalone theory of harm in merger review, and the fallacies associated with labeling certain transactions as “killer acquisitions.” Finally, Part IV of the note will look at …

Pervasive Poverty In Puerto Rico: A Closer Look, Carlos Vargas-Ramos, Laura Colon-Melendez, Jorge Soldevilla-Irizarry, Damayra Figueroa-Lazu, Jennifer Hinojosa, Yarimar Bonilla

CUNY Centro, The Center for Puerto Rican Studies

On November 15, 2022, the U.S. House of Representatives Subcommittee on Housing, Community Renewal, and Insurance held a hearing entitled “Persistent Poverty in America: Addressing Chronic Disinvestment in Colonias, the U.S. Territories and the Southern Blackbelt.” Dr. Yarimar Bonilla, then CENTRO’s director, provided testimony concerning Puerto Rico and other U.S. territories. These jurisdictions the subcommittee focused on have historically had high rates of poverty, higher relative to other places in the United States. Puerto Rico’s poverty and overall economic conditions have fluctuated over the decades taking a clear turn for the worse beginning in 2006 with an enduring economic crisis, …

Unemployment, Alcohol, And Tobacco Use: Separating State Dependence From Unobserved Heterogeneity, Monica Deza

Center for Policy Research

Previous literature presents mixed evidence on the effect of alcohol consumption on labor market outcomes. On one hand, heavy alcohol consumption has been shown to have detrimental effects on labor market outcomes. On the other hand, moderate consumption is positively associated with wages and employment. Despite substantial reduced form evidence, previous literature has not been able to separately identify the causal pathways linking moderate versus heavy alcohol use to labor market performance due to the lack of natural experiments that only target moderate versus heavy drinking, as well as limitations of available structural methods that model state dependence and unobserved …