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The Southern Nevada Care Economy: Addressing Child Care And Elder Care Challenges, The Lincy Institute

Lincy Institute Events

This community forum examines the economic and societal impact of the “care economy” in Southern Nevada in collaboration with Tripp Umbach, a nationally recognized consulting firm that provides comprehensive services including research and strategic plans to further the operations and activities of healthcare services.

Central to the care economy is elder care and child care. Having access to elder care and child care services is essential to working age adults, many of whom need one or both types of services to continue participating in the workforce. The delivery of child care and elder care services have far-reaching implications for our …

Political Polarization Harms Public Health, Shana Kushner Gadarian, Jay Van Bavel, Kai Ruggeri, Eric Knowles

Population Health Research Brief Series

Political polarization poses considerable risks to well-being. Both ideological polarization (“extremification” of policy positions and ideological orientations) and affective polarization (out-party hate) have increased over the past several decades with detrimental effects on public health. This brief summarizes the impacts of political polarization on public health in the U.S., highlighting the COVID-19 pandemic as a case study on the health risks of polarization. The authors show that, in the United States, one of the strongest predictors of COVID-19 prevention behaviors, such as social distancing and vaccination, was political partisanship. Gaps in these behaviors between Republicans and Democrats increased over the …

Ethical Issues In Implementation Science: Perspectives From A National Heart, Lung, And Blood Institute Workshop, Neal W Dickert, Donna Spiegelman, Jennifer S Blumenthal-Barby, Garth Graham, Steven Joffe, Jeremy M Kahn, Nancy E Kass, Scott Y H Kim, Meeta P Kerlin, Aisha T Langford, James V Lavery, Daniel D Matlock, Kathleen N Fenton, George A Mensah

Center for Medical Ethics and Health Policy Staff Publications

Ethical issues arise in the context of implementation science that may differ from those encountered in other research settings. This report, developed out of a workshop convened by the Center for Translation Research and Implementation Science within the United States National Heart, Lung, and Blood Institute, identifies six key themes that are important to the assessment of ethical dimensions of implementation science. First, addressing ethical challenges in implementation science does not require new ethical principles, commitments, or regulations. However, it does require understanding of the specific contexts arising in implementation research related to both study design and the intervention being …

Nevada’S Care Workforce: Obstacles And Opportunities For Policymakers, David Damore, Caitlin J. Saladino, William E. Brown Jr., Fatma Nasoz

Policy Briefs and Reports

The care economy includes “the paid and unpaid labor and services that support caregiving in all its forms.” This work includes caring for children, the elderly, and those who are ill or have disabilities. Care work is often undervalued, underpaid, and without a fair system of work benefits in place (e.g. contracts, paid leave, workers’ rights) that in many cases falls disproportionately on women and communities of color. In this policy brief, we examine the care economy in Nevada by focusing on three areas of care: (1) child care; (2) elder care; and (3) mental and behavioral health care. In …

The Southern Nevada Care Economy: Challenges And Opportunities, Tripp Umbach

Policy Briefs and Reports

National policymakers increasingly recognize the care economy as an essential economic driver, contributing $648 billion annually to the U.S. economy and supporting 3.6 million jobs. The care economy is also critical in driving economic development and prosperity in Southern Nevada. Yet, as this Tripp Umbach analysis finds, Southern Nevada’s care economy dramatically underperforms compared to national benchmarks and peer regions. High caregiving costs and limited access to care for children, seniors, and individuals with disabilities in Southern Nevada strain families, businesses, and public resources. This burden reduces workforce participation, productivity, and economic growth. Low pay and high turnover among care …

Update On Recommendations For Cancer Screening And Surveillance In Children With Genomic Instability Disorders, Yoshiko Nakano, Roland P Kuiper, Kim E Nichols, Christopher C Porter, Harry Lesmana, Julia Meade, Christian P Kratz, Lucy A Godley, Luke D Maese, Maria Isabel Achatz, Payal P Khincha, Sharon A Savage, Andrea S Doria, Mary-Louise C Greer, Vivian Y Chang, Lisa L Wang, Sharon E Plon, Michael F Walsh

Center for Medical Ethics and Health Policy Staff Publications

Genomic instability disorders are characterized by DNA or chromosomal instability, resulting in various clinical manifestations, including developmental anomalies, immunodeficiency, and increased risk of developing cancers beginning in childhood. Many of these genomic instability disorders also present with exquisite sensitivity to anticancer treatments such as ionizing radiation and chemotherapy, which may further increase the risk of second cancers. In July 2023, the American Association for Cancer Research held the second Childhood Cancer Predisposition Workshop, where multidisciplinary international experts discussed, reviewed, and updated recommendations for children with cancer predisposition syndromes. This article discusses childhood cancer risks and surveillance recommendations for the group …

Veteran Certification: Debunking Myths And Streamlining Processes, Misty Stutsman-Fox, Barbara Carson, John Perez, Rosalinda V. Maury

Institute for Veterans and Military Families

This paper affirms the continued intent of the IVMF and CVOB to demystify and help streamline the VOB certification process by advocating for the establishment of either one nationally recognized certification, or a unified verification process where all certifying bodies work together towards a reciprocal solution.

Knowledge, Attitudes, And Concerns About Psilocybin And Mdma As Novel Therapies Among Us Healthcare Professionals, Erin Wang, David S Mathai, Natalie Gukasyan, Sandeep Nayak, Albert Garcia-Romeu

Center for Medical Ethics and Health Policy Staff Publications

Psychedelic-assisted therapy (PAT) with substances like psilocybin and MDMA has shown promise for conditions including depression and post-traumatic stress disorder. Psilocybin and MDMA may become approved medicines in the coming decade. This study assessed knowledge and attitudes regarding PAT among 879 U.S. healthcare professionals via anonymous online survey. Multivariable linear regression was used to identify predictors of openness to clinical use. Most participants (71.2%) were female and White (85.8%), with a mean (SD) age of 45.5 (12.7) years. Registered nurses (25.4%) and physicians (17.7%) comprised the largest professional groups. Respondents endorsed strong belief in therapeutic promise, and moderate openness to …

The Nature Of Self-Evident Equality In The Declaration Of Independence And Its Implications For Jeffersonian Federalism, Thomas T. Cook

Doctoral Dissertations and Projects

The foundation for human equality is central to the question of political discourse, and the basis for self-government, consent, and consensus. On what basis can two people enter into contract or agree to be governed if they are not equal? The Declaration of Independence with its appeal to Nature’s God and its establishment of “rights” as coming from that God firmly establishes human equality in a metaphysical reality outside of human decision to change that reality. The lack of human acknowledgement of that reality, historically, does not change that reality. Philosophers and political theorists might reason that it is based …

Waiving Physical Presence Requirements During The Covid-19 Pandemic Increased Wic Caseloads, Colleen Heflin, William Clay Fannin, Leonard M. Lopoo, Camille Barbin

Center for Policy Research

Following the onset of the COVID-19 pandemic, the federal government relaxed the physical presence requirements for applicants of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) to reduce the associated health risks for pregnant women, new mothers, and young children. Experts consider in-person application requirements an administrative burden that can constrain access to social services, but the causality of specific burdens on WIC has not previously been shown. This brief summarizes findings from a study that compared WIC caseload data collected across 738 counties in 10 U.S. states between January 2019 and May 2021 to determine how …

Genetic Variants In Canonical Wnt Signaling Pathway Associated With Pediatric Immune Thrombocytopenia, Taylor Olmsted Kim, Jennifer M Geris, Jonathan M Flanagan, Rachael F Grace, Michele P Lambert, Candelaria O'Farrell, Melissa J Rose, Kristin A Shimano, Omar Niss, Cindy Neunert, Taizo A Nakano, Derek Macmath, Bogdan Dinu, Susan E Kirk, Ellis J Neufeld, Jenny M Despotovic, Michael E Scheurer, Amanda B Grimes

Center for Medical Ethics and Health Policy Staff Publications

Through the use of genetic sequencing, molecular variants driving autoimmunity are increasingly identified in patients with chronic and refractory immune cytopenias. With the goal of discovering genetic variants that predispose to pediatric immune thrombocytopenia (ITP) or increase risk for chronic disease, we conducted a genome-wide association study in a large multi-institutional cohort of pediatric patients with ITP. A total of 591 patients were genotyped using an Illumina Global Screening Array BeadChip. Six variants met genome-wide significance in comparison between children with ITP and a cohort of healthy children. One variant in NAV2 was inversely associated with ITP (adjusted odds ratio …

Effectiveness Of The Well-Being Path Program In Supporting Student Retention And College Completion, Vanessa Natasaha Williams

Walden Dissertations and Doctoral Studies

Student retention at the study site community college had decreased, which negatively impacted funding. Increased student support that incorporates elements of the positive emotion, engagement, relationships, meaning, and accomplishment (PERMA) model could improve retention rates. This mixed-methods case study examined the effectiveness of a mentoring program called the Well-Being Path Program (Path) at the community college, which incorporated elements of Seligman’s PERMA model. The data used for this study consisted of student exit surveys and the community college’s institutional enrollment, retention, and transfer data. Results showed that Path students had a higher average grade point average and transfer rate than …

It’S Complicated: The Level Of Risk Assigned To A Missing Person, Time They Were Missing For, And The Tasks Performed By Police Investigators., Karen Shalev, Craig Collie

International Journal of Missing Persons

This study examines the number of tasks police investigators perform by the level of risk assigned to cases and the length of time the investigations take to resolve. It analyses 40,091 solved cases from 2019 using data from eight English police forces, as part of a wider research project of missing person investigations demand on police resources. The findings show that (1) low and high risk with a search area cases have a relationship to the duration of the investigation; (2) there is a relationship between the risk classification and the number of tasks assigned to the case; (3) the …

Supporting & Protecting Repeat Missing Children From Different Residential Environments: A Scoping Review, Kirsty Bennett Dr, Petra Salisbury, Rebecca O'Keefe, Sharon Vincent, Bethany Mccarthy

International Journal of Missing Persons

Repeat missing children pose a significant financial burden onto services, including the police, social services, and health providers. Recognising that 37 to 65 percent of missing child reports each year are repeats, efforts have been made by academics and practitioners to understand this societal problem. Research has identified the risks causing children to go missing and the harms that they experience, but these focus primarily on children missing from residential care only. This PRISMA (2020) scoping review of 76 studies explores strategies implemented to prevent repeat missing episodes, and the role/influence of the home environment (e.g., with parents/guardians, and foster …

Tumor-Associated Edema In Children With Kaposi Sarcoma: 14 Years' Experience At Kamuzu Central Hospital, Lilongwe, Malawi, Fatsani Rose Manase, Allison Silverstein, William Kamiyango, Jimmy Villiera, Clement Dziwe, Claudia Wallrauch, Tom Heller, Mark Zobeck, Tamiwe Tomoka, Michael E Scheurer, Carl E Allen, Nmazuo Ozuah, Rizine Mzikamanda, Nader Kim El-Mallawany, Casey L Mcatee

Center for Medical Ethics and Health Policy Staff Publications

Background/objectives: Kaposi sarcoma (KS) is a common lymphatic endothelial cancer among children with and without HIV in central and eastern Africa. Despite its clinical heterogeneity, its various clinical phenotypes are often grouped together in staging and treatment algorithms. Patients with KS tumor-associated edema, referring to hard, non-pitting lesions which often lead to chronic disability, represent a unique, understudied subgroup of children with KS. To continue our work defining the distinct phenotypes of pediatric KS, this study aimed to assess the clinical progression and outcomes of KS edema in children.

Methods: A retrospective cohort study was conducted at Kamuzu Central Hospital …

Policy Outcomes Of Culturally Integrated Health Care For African Americans, Victoria Aderin

Walden Dissertations and Doctoral Studies

Despite advancements in integrated care, persistent health care disparities and systemic barriers continue to contribute to poor health outcomes among African Americans. The purpose of this qualitative study was to explore the implementation of culturally integrated behavioral health care within the context of African American experiences, focusing on health care access and quality through a public policy lens. The study was informed by Ostrom's institutional analysis and development framework, health equity framework developed by the nonprofit organization Education Training & Research, and Hankivisky's intersectionality-based policy analysis. To gather data, semistructured interviews were conducted with 20 African American adults who receive …

Performance-Based Funding Models And Student Outcomes At Community And Technical Colleges, Victoria Ichungwa

Walden Dissertations and Doctoral Studies

Performance-based funding (PBF) models have become increasingly prevalent in higher education. While designed to improve student outcomes, their effectiveness, particularly at community and technical colleges (CTCs), remains uncertain. Given CTCs' crucial role in providing equitable education, understanding PBF’s effectiveness is imperative for equitable funding. In this study the relationship between the Student Achievement Initiative (SAI) model and student outcomes at the Washington State CTCs was examined. Existing research on PBF is limited, often focusing on 4-year institutions and lagging outcomes using proxy data. These gaps were addressed by examining student outcomes for the 34 Washington State CTCs using secondary archival …

Four Decades, Three Songs, Too Much Violence: Using Popular Culture Media Analysis To Prepare Preservice Teachers For Dealing With School Violence, Edward Janak, Lisa Pescara-Kovach

Dialogue: The Interdisciplinary Journal of Popular Culture and Pedagogy

Since teacher education has morphed from normal schools into colleges of education, the goals of preparing teachers have expanded. While it is essential to prepare teachers to utilize scientifically proven methods as well as to read and use research in the field, there are ever-expanding other goals that must be met as well. For one example, with the increase of school violence taking place in the United States, it is imperative to include preparation for preservice teachers on how to prevent bullying and how to handle traumatic events, such as school shootings, with their future students. However, broaching such a …

Relationship Between Social Media And Acts Of Domestic Terrorism And Extremism, Winford Rochelle Craig

Walden Dissertations and Doctoral Studies

After 9/11, domestic terrorism began to evolve in the United States and technological advances and the usage of social media (SM) increased exponentially. During the same era, technological advancement intensified and SM became one primary method of communication between extremists. SM has infiltrated into multiple segments of society, and became a method of transference of ideology, to the population of the United States. Domestic violent extremism (DVE) groups used SM to indoctrinate, train, and recruit individuals throughout the United States. The purpose of this quantitative study was to explore the relationship between the increased usage of SM and the rise …

Euphemism In Ai Discourse As Colonial Harm & Effect: Learnings From Subaltern Puerto Rico, Jacqueline Oquendo

LSU Doctoral Dissertations

Through three integrated studies, this dissertation explores complex human-AI interactions by comparing the perceptions of two groups of U.S. citizens: subaltern Puerto Ricans and stateside Americans’ interactions with ChatGPT. This corpus-assisted Critical Discourse Analysis or CLCDA, triangulated with 1:1 semi-structured interviews, validates scholars’ concerns about the biases inherent in generative AI. Contributing to those concerns, this dissertation reveals that ChatGPT deploys discourse strategies that, when executed, facilitate digital colonialism. Euphemistic language is prominent among its discourse strategies, replacing controversial words, phrases, and topics with more palatable ones. When prompted on events of historical significance, I find that ChatGPT’s discourse obscures …

Getting Through A Dual Pandemic: Hardship And Social Resiliency In A Cambodian American Community, Carolyn Wong, Sothea Chiemruom, Chrisna Khuon, Curtis Mai, Sokha Eng, Go Sasaki, Sochantrea Song, Sophia Sar, Sreang Heng, Chantha Thang, Nikola Kovacevic

Institute for Asian American Studies Publications

In cities and towns across the United States, Asian Americans experienced the early 2020s health crisis as a dual pandemic of COVID-19 and anti-Asian racism. In Lowell, a large proportion of Cambodian American residents live in multi-generational households and are employed in working-class occupations with a high risk of exposure to the coronavirus. For this and other reasons, the pandemic had especially serious health and financial consequences for many members of the Cambodian American community. These pandemic challenges in Lowell mounted when a nationwide surge of anti-Asian racism swept through the city and surrounding areas.

Little information has been reported …

Automated Electronic Health Record Data Extraction And Curation Using Extractehr, Tamara P Miller, Kelly D Getz, Edward Krause, Yun Gun Jo, Sandhya Charapala, M Monica Gramatages, Karen Rabin, Michael E Scheurer, Jennifer J Wilkes, Brian T Fisher, Richard Aplenc

Center for Medical Ethics and Health Policy Staff Publications

Purpose: Although the potential transformative effect of electronic health record (EHR) data on clinical research in adult patient populations has been very extensively discussed, the effect on pediatric oncology research has been limited. Multiple factors contribute to this more limited effect, including the paucity of pediatric cancer cases in commercial EHR-derived cancer data sets and phenotypic case identification challenges in pediatric federated EHR data.

Methods: The ExtractEHR software package was initially developed as a tool to improve clinical trial adverse event reporting but has expanded its use cases to include the development of multisite EHR data sets and the support …

Active Ageing : Pension System And Older Workers Policies In Hong Kong And Japan, Hin Yau Tsang

SOC 605 Comparative Social Policy Research Project - Student Works

Since the growing trend of aging is now a threat around the globe, there is more and more attention being devoted to the right of the elderly to participate and engage in the workplace. In order to provide policy recommendations for government departments to expedite the work environment for older people and support their integration into or return to the workplace, this paper investigates the difference of the pension system and older workers policies present in Hong Kong and Japan by secondary research methods. Currently, there are multiple investigations on the older workers’ working reasons and challenges, however, there are …

Impacts Posed By Recreational Marijuana Legalization : A Global Comparison In Jurisdictions With Different Marijuana Control Policies, Weizhou Zhu

SOC 605 Comparative Social Policy Research Project - Student Works

As marijuana legalization is adopted by more and more countries, there have been a lot of debates about its benefits and downsides. Around the world, the majority of countries maintain their illegality, a few are fully open, while some decriminalize or do not enforce the prohibition laws. However, few studies have examined the different impacts brought by district cannabis control policies. This study uses the systematic review method to investigate the impacts of marijuana legalization in 5 domains and compare them on a global basis. A total of 51 articles published between January 2019 to June 2024 were selected. Policy …

Exploring The Relationship Between Religious Minorities And National Security : A Comparative Analysis Of Israeli And Xinjiang, Geyu Wang

SOC 605 Comparative Social Policy Research Project - Student Works

This study analyses the intricate interaction between religious minority communities and the safeguarding of a nation's security, with a specific emphasis on the situations in Israel and Xinjiang. Through a comparative analysis, this study aims to reveal the many ways in which religious minorities exert influence and are affected by national security dynamics. The study explores the complex connections between state authorities, religious minorities, and broader societal contexts by analysing historical, socio-political, and policy factors. The research illuminates the different levels of securitization, discrimination, and resistance encountered by religious minorities in these places, using a combination of empirical evidence and …

The Liability Of Classification Societies : A Comparative Study With A Focus On Criminal Liability Under The Law Of The Republic Of Korea And Other Jurisdictions, Hyunho Kim

World Maritime University Dissertations

No abstract provided.

Exploring Latent Clusters In Pediatric Ocd Based On Symptoms, Severity, Age, Gender, And Comorbidity, Orri Smárason, Robert R Selles, Davíð R M A Højgaard, John R Best, Karin Melin, Tord Ivarsson, Per Hove Thomsen, Bernhard Weidle, Nicole Michelle Mcbride, Eric A Storch, Daniel Geller, Sabine Wilhelm, Lara J Farrell, Allison M Waters, Sharna Mathieu, Noam Soreni, S Evelyn Stewart, Gudmundur Skarphedinsson

Center for Medical Ethics and Health Policy Staff Publications

Given diverse symptom expression and high rates of comorbid conditions, the present study explored underlying commonalities among OCD-affected children and adolescents to better conceptualize disorder presentation and associated features. Data from 830 OCD-affected participants presenting to OCD specialty centers was aggregated. Dependent mixture modeling was used to examine latent clusters based on their age- and gender adjusted symptom severity (as measured by the Children's Yale-Brown Obsessive-Compulsive Scale; CY-BOCS), symptom type (as measured by factor scores calculated from the CY-BOCS symptom checklist), and comorbid diagnoses (as assessed via diagnostic interviews). Fit statistics favored a four-cluster model with groups distinguished primarily by …

Measuring Perceived Utility Of Genomic Sequencing: Development And Validation Of The Genetic Utility (Gene-U) Scale For Adult Screening, Hadley Stevens Smith, Caryn Kseniya Rubanovich, Jill Oliver Robinson, Ariel N Levchenko, Sarah A Classen, Janet Malek, Adam H Buchanan, Barbara Biesecker, Kyle B Brothers, Benjamin S Wilfond, Christine Rini, Cinnamon S Bloss, Amy L Mcguire, Sara J Knight

Center for Medical Ethics and Health Policy Staff Publications

Purpose: As population-based screening programs to identify genetic conditions in adults using genomic sequencing (GS) are increasingly available, validated patient-centered outcome measures are needed to understand participants' experience. We aimed to develop and validate an instrument to assess the perceived utility of GS in the context of adult screening.

Methods: Informed by a 5-domain conceptual model, we used a 5-step approach to instrument development and validation: (1) item writing, (2) cognitive testing, (3) pilot testing and item reduction, (4) psychometric testing, and (5) evaluation of construct validity. Adults undergoing risk-based or population-based GS who had received GS results as part …

Developing A Model Of Lifelong Learning And Investigating Its Application In Maritime Education And Training, Marlon Bulan

World Maritime University Dissertations

No abstract provided.

Domestication Of Imo Instrument : An Assessment Of The National Legislations Of Vanuatu Implementing Imo Instruments With Reference To The Iii Code., Seiloni Akanete Toakuru

World Maritime University Dissertations

No abstract provided.