Digital Commons Network^™

Short-Term Neurologic Outcomes In Pediatric Extracorporeal Membrane Oxygenation Are Proportional To Bleeding Severity Graded By A Novel Bleeding Scale, Katherine Doane, Danielle Guffey, Laura L Loftis, Trung C Nguyen, Matthew A Musick, Amanda Ruth, Ryan D Coleman, Jun Teruya, Christine Allen, Melania M Bembea, Brian Boville, Jamie Furlong-Dillard, Santosh Kaipa, Mara Leimanis, Matthew P Malone, Lindsey K Rasmussen, Ahmed Said, Marie E Steiner, Deanna T Tzanetos, Heather Viamonte, Linda Wallenkamp, Arun Saini

Center for Medical Ethics and Health Policy Staff Publications

Introduction: This study aimed to characterize the severity of bleeding and its association with short-term neurologic outcomes in pediatric ECMO.

Methods: Multicenter retrospective cohort study of pediatric ECMO patients at 10 centers utilizing the Pediatric ECMO Outcomes Registry (PEDECOR) database from December 2013-February 2019. Subjects excluded were post-cardiac surgery patients and those with neonatal pathologies. A novel ECMO bleeding scale was utilized to categorize daily bleeding events. Poor short-term neurologic outcome was defined as an unfavorable Pediatric Cerebral Performance Category (PCPC) or Pediatric Overall Performance Category (POPC) (score of >3) at hospital discharge.

Results: This study included 283 pediatric ECMO …

Ghg Inventory From Building Washington State Department Of Transportation Roadways, Milad Ashtiani

PSU Transportation Seminars

State departments of transportation (DOTs) are increasingly focusing on reducing greenhouse gas (GHG) emissions, especially with new regulations like the Buy Clean Acts in California, Oregon, and Washington. This project, in collaboration with the Washington State Department of Transportation (WSDOT), aims to assess the agency's carbon emissions through a life cycle assessment of construction materials such as cement, concrete, steel, and asphalt, which are now under heightened scrutiny.

While WSDOT has already implemented strategies to reduce Scope 1 and Scope 2 emissions (related to direct and energy-related activities), there has been limited focus on Scope 3 emissions—those generated upstream in …

Strategies To Empower At-Risk Males In Orange County Florida: A Community-Based Resource, Thressa Marie Fizer

Walden Dissertations and Doctoral Studies

In Orange County, Florida, community-based programs provide resources for at-risk males who are impacted by social determinant challenges. This study focused on the client intake assessment process of Agency OCF to identify gaps that would benefit from enhanced assessment processes and early intervention efforts creating greater opportunity for program placement of at-risk males in this distressed community. Community-based participatory research served as the interpretive lens and generic qualitative inquiry provided the methodological approach to assess the client intake processes. Yielding no participant responses during recruitment efforts, the study pivoted to focus on an in-depth review of publicly released assessments and …

The Role Of Local Leadership In Enhancing Local Performance_ Dhi Qar Governorate As A Model, Haneen Qasim Hasan

Muthanna Journal of Administrative and Economics Sciences

This research aims to study and analyze the role of local leadership in enhancing local performance in the Thi-Qar Governorate, focusing on the administrative and organizational aspects that contribute to improving the efficiency and effectiveness of services provided to citizens. The research seeks to measure the role of local leadership in enhancing local performance. For this purpose, a set of hypotheses was formulated, the most important of which was to find the relationship between correlation and influence (local leadership with its dimensions in local performance). To achieve the hypothesis tests, this research was applied to a sample of executive departments …

Influence Of Incomplete And Unverified Vote-By-Mail Ballots On Mail-In Voting, Susanne Lynne Timmons

Walden Dissertations and Doctoral Studies

Vote-by-mail (VBM) ballots that were returned inaccurately during past general elections contributed to votes that were not counted in Florida. Since 2016, more than 600,000 mail ballots were not counted in the state; 73,000 were not counted in Broward County, Florida. The problem was that VBM ballots were returned as incomplete due to missing or mismatched signatures and not counted during the election processes. However, it was not known if this issue impacted voter perceptions of VBM voting. The public choice theory was the theoretical framework. The purpose of this qualitative study was to gain an understanding of voter perceptions …

How Does The Reauthorization Of The Farm Bill Impact Snap?, Colleen Heflin, Camille Barbin

Center for Policy Research

From 2021 to 2023, food insecurity in the United States increased from 10.2% to 13.5%, and food inflation rose to nearly 20%. The Supplemental Nutrition Assistance Program (SNAP) - the largest food assistance program, in the U.S. is funded and governed by the Farm Bill – a multi-year federal omnibus bill that provides agriculture and nutrition program funding. The 2018 Farm Bill expired on September 30, 2024, and while funding for SNAP has been extended through a Continuing Resolution, program reauthorization is needed. Negotiations on a new Farm Bill have included SNAP proposals to limit state discretion on work requirements …

A Qualitative Study Of Federal Employee Whistleblowing And Reprisal For Whistleblowing, Bruce S. Mclean

Doctoral Dissertations and Projects

Federal employee whistleblowing is essential to holding government officials accountable. The U.S. Office of Special Counsel (OSC) was established in 1979 to provide a secure channel for federal government employees to report wrongdoing while protecting them from reprisal. More statutory protections were enacted with the Whistleblower Protection Act (WPA) in 1989; however, deficiencies in the WPA led to the eventual passage of the Whistleblower Protection Enhancement Act in 2012. The problem is that the literature on whistleblowing fails to distinguish the OSC as the Executive Branch whistleblower protection agency nor recognize its annual reports and surveys as the only known …

An Ethnically Balanced Male Perspective Towards Police Officers Seeking Mental Health Counseling: A Hermeneutic Phenomenological Study, Arturo Parra

Doctoral Dissertations and Projects

This phenomenological study will aim to understand an ethnically balanced male perspective toward police officers seeking mental health counseling. Police Officers are routinely exposed to stressful and traumatic events, leading to acute and chronic disorders, mental illnesses, suicide ideation, and suicide, as research has indicated. Mental health counseling can play an essential role in intervention into mental health illness, providing critical tools to police officers to handle stress and potential mental illness. However, reluctance among the police community to seek mental health counseling continues to be prevalent. Possible cause for this reluctance are suggested through research as a direct result …

Student Loan Policies And Payments During The Covid-19 Pandemic: Closing The Gap Or Widening Inequalities?, Jason Jabbari, Takeshi Terada, Haotian Zheng, Stephen Roll

Journal of Student Financial Aid

Student debt was specifically addressed in the federal government’s response to the COVID-19 pandemic through forbearance polices. However, not all individuals were eligible for forbearance, and it is possible that forbearance would leave some feeling further behind. Yet, little is known about student loan debt over the course of the pandemic, especially in relationship to forbearance policies, loan payments, and household financial stability. Leveraging a representative longitudinal survey of households during the pandemic, we use descriptive regression techniques to explore changes in loan balances throughout the pandemic, as well as the relationships among student loan policies, payments, and measures of …

Improving Volunteers' Safety During The Covid-19 Pandemic, Dr. Laquetta Postell

Walden Dissertations and Doctoral Studies

The onset of COVID-19 presented multiple challenges to both governmental and nongovernmental organizations. The selected study site is a nonprofit organization located in a major Southern US City. This organization shelters homeless men. The organization depended on volunteers' assistance in offering short-term and long-term solutions to provide clothing, cleaning, and shelter for homeless men. The organization was facing new challenges due to the onset of the COVID-19 pandemic. In this study, the complexities of the social, political, and economic challenges for volunteers during the pandemic were well explored. The nonprofit organization’s challenges were examined and recommendations to help the organization …

Racial Residential Segregation And Covid-19 Health Outcomes: Evidence From The State Of Georgia, Palak Patel, Simon Medcalfe, Catherine P. Slade

Journal of the Georgia Public Health Association

ABSTRACT

Background:

According to the Georgia Department of Public Health (GDPH), the state of Georgia reported 563,658 cumulative COVID-19 cases and 9,845 total deaths in 2020. Decades of research on racial disparities in health outcomes suggest we should not be surprised with the disproportionate number of cases, hospital visits, and deaths of non-white and Black Georgia residents. Racial disparities in health are often defined by a Social Determinants of Health (SDOH) model. One understudied SDOH is racial residential segregation. In this study we explore the relationship between racial residential segregation and COVID-19 health outcomes. Our paper addresses critical challenges for …

Policy Note | Discount Window Stigma: What's Design Got To Do With It?, Susan Mclaughlin

Journal of Financial Crises

This article utilizes discount window transaction data, which the Federal Reserve began disclosing in 2010, to assess how the Fed’s 2003 redesign of the discount window has affected banks’ use of the window. The data show that while the discount window remains stigmatized and relatively little used outside periods of funding market stress, secondary credit has at times played a role in supporting bank recovery and resolution, as envisioned by the 2003 redesign. This development raises a policy question: has the two-tiered design of the discount window implemented in 2003, in which a lending facility for sound banks operates alongside …

Russia: Otkritie Bank Restructuring, 2017, Benjamin Hoffner

Journal of Financial Crises

In July and August 2017, Otkritie Bank, Russia’s largest privately owned bank, experienced a deposit run related to concerns over Otkritie’s recent acquisitions. The run prompted Otkritie’s shareholders to approach the Central Bank of Russia (CBR) for assistance. On August 29, 2017, the CBR announced a rescue plan for Otkritie. In it, the CBR pledged to become Otkritie’s main investor using a newly created resolution mechanism wherein the CBR would take at least a 75% equity stake using funds from the Fund for Banking Sector Consolidation, a subdivision of the CBR. The CBR simultaneously appointed a provisional administration, composed of …

Spain: Caja De Ahorros Castilla–La Mancha Capital Injection, 2009, Lakshimi Swaminathan, Vincient Arnold

Journal of Financial Crises

Caja de Ahorros Castilla–La Mancha (CCM) was a small Spanish savings bank with just 1% market share in deposits and loans. Following years of rapid credit expansion in the real estate sector and reliance on wholesale funding markets to carry out its operations between 2000 and 2008, CCM found itself on the brink of insolvency in early 2009, with a Tier 1 capital ratio of just 1.3%, compared with the 8% regulators required. The authorities placed the bank under administration in 2009. Consequently, the Spanish Savings Bank Deposit Guarantee Fund (Fondo de Garantía de Depósitos de Ahorros, or FGD) agreed …

Japan: Nippon Credit Bank Capital Injection,1997, Owen Heaphy

Journal of Financial Crises

In 1997, Japan experienced a financial crisis caused by the bursting of a bubble in commercial real estate prices. By March, Nippon Credit Bank (NCB), the smallest of Japan’s three long-term credit banks, required government assistance due to its heavy exposure to commercial real estate and large amount of nonperforming loans. On April 1, the Bank of Japan (BoJ) announced the government’s intention to recapitalize NCB as part of a restructuring package. To facilitate the injection, Japan’s Ministry of Finance (MoF) engineered a consortium of large existing shareholders in NCB (mainly insurance companies) and the other two Japanese long-term credit …

Germany: Ikb Deutsche Industriebank Capital Injection, 2008, Lakshimi Swaminathan, Rishi Vala

Journal of Financial Crises

In July 2007, investors rapidly pulled their funding from asset-backed commercial paper (ABCP) programs that held US subprime mortgage-linked securities. According to the Financial Crisis Inquiry Commission (FCIC), German bank IKB Deutsche Industriebank AG (IKB) was the “first big casualty” of that run on ABCP. It had directly and indirectly guaranteed to provide EUR 9.3 billion in liquidity to its off-balance-sheet vehicle, Rhineland Funding Capital Corporation. German authorities and the Kreditanstalt für Wiederaufbau (KfW), a state-owned German development bank, quickly took over those obligations on July 30 to keep IKB solvent and prevent it from closing. KfW also agreed to …

The Explosive Weapons Trauma Care Collective (Extracct): A Roadmap For Reducing Preventable Death Among Civilian Casualties Of Explosive Injury, Hannah Wild, Aparna Cheran, Abby Willging, Christelle Loupforest, Sebastian Kasack, Tim Gargan, Barclay T. Stewart, Adam Kushner

The Journal of Conventional Weapons Destruction

In a previous issue of The Journal of Conventional Weapons Destruction, we introduced the rationale underpinning the need for increased emphasis on point-of-injury care as well as enhanced engagement between humanitarian mine action (HMA) and emergency care services for civilian casualties of explosive ordnance (EO).1 The initial working group under which this conceptual foundation was developed was called the Mine Action Trauma Care Collaborative. In the intervening months, that initiative was reconceived as the Explosive Weapons Trauma Care Collective (EXTRACCT) to encompass the broad range of EO and explosive weapons (EW) that inflict harm on civilians in conflict and post-conflict …

No Silver Bullet: Environment And Climate Funding In Mine Action, Christelle Mestre

The Journal of Conventional Weapons Destruction

Funding requirements, needs, and models are evolving to reflect the growing focus on environment and climate considerations in the mine action sector. This article examines current funding practices for environmental considerations within the sector and beyond, emphasizing the need for a holistic approach that looks at the broader impact of mine action. It underscores the importance of strategic partnerships, national mine action strategies, and awareness-raising efforts among donors and investors about the environmental and climate-related benefits of mine action. The article argues that while there’s no silver bullet, the integration of environmental and climate considerations into mine action can secure …

Innovative Finance For Mine Action: Needs And Potential Solutions, Danielle Payne, Camille Wallen, Chris Loughran

The Journal of Conventional Weapons Destruction

Chronic underfunding has significantly impacted the mine action sector, undermining its stability and predictability. This funding shortfall hampers both the efficiency and effectiveness of operations. This trend is further compounded by the nature of today’s operating environment in mine action; as new conflicts emerge while others are characterized by their protracted nature, the demands on the sector are multiplying. These conflicts not only prolong the threat of landmines but also introduce new hazards, such as the rising use of improvised explosive devices (IEDs) by non-state armed groups. With the nature of conflicts evolving, the variety of threats grows, necessitating a …

Greening Mine Action In Armenia As A Component Of Sustainable Development In The Economy Of The Country, Vaghinak Sargsyan

The Journal of Conventional Weapons Destruction

Contamination in Armenia stems from the long-term conflict with Azerbaijan, affecting four out of eleven regions in Armenia: Tavoush region, Syunik region, Gexarquniq region, and Vayots Dzor region. The contamination covers an area of more than 42 km2, with more than 10 km2 confirmed hazardous areas and over 31 km2 suspected hazardous areas. Land affected includes pasture (66 percent), arable (22 percent), and forest (12 percent). There are 805 registered victims of landmine and explosive remnants of war (ERW) incidents. Additionally, among the 120,000 displaced Karabakh Armenians, more than 700 are survivors of landmines and ERW, many of whom find …

A Qualitative Examination Of Factors Potentially Impacting Displacement Of Historically Black Communities, Daffney Moore

Walden Dissertations and Doctoral Studies

Historically, Black communities have often been discussed in the context of crime and poverty; however, most Black communities were flourishing neighborhoods with businesses, churches, and schools. Most of the literature related to gentrification and displacement does not address the root causes of the disappearance of Black communities, which generally centers on policies, legislation, force-outs, economic development, and racial disparities. This case study aimed to explore the displacement of a suburban historically Black community in St. Louis County, Missouri. Scholars have scarcely examined or written about the history of Black communities. The research question sought to explore the impact of displacement …

مدى مساهمة الهندسة البشرية الخضراء في خفض مستويات الاصابة بالأمراض المهنية: دراسة ميدانية في عدد من المصانع في محافظة نينوى, رياض جميل وهاب, عمر سعيد عبد الله

Muthanna Journal of Administrative and Economics Sciences

يسعى البحث الى قياس وتحديد مستوى مساهمة الهندسة البشرية الخضراء في خفض مستويات الاصابة بالأمراض المهنية وبالتالي انعكاس ذلك عل تحسين اداء العاملين وارتفاع الانتاجية ورفع الروح المعنوية للأفراد العاملين في بيئية العمل . يمكن تمثيل مشكلة البحث بانه ( بيئة العمل تعاني من ضعف الانتاجية نتيجة استخدام الوسائل والادوات التقليدية ذات الاثر السلبي على صحة وسلامة الافراد العاملين في الميدان المبحوث) ولغرض معالجة المشكلة المطروحة تم اختيار مدخل الهندسة البشرية الخضراء لتجاوز نقاط الضعف في المستلزمات المادية المستخدمة في بيئة العمل .وتم الاعتماد على الاستبانة كأداة رئيسية للحصول على البيانات من الميدان المبحوث ، تمثل عينة البحث بالأفراد العاملين …

Does Hospital–Physician Integration Improve Hospital Performance? Results From A Usa Longitudinal Study, Soumya Upadhyay, Randyl A. Cochran, William Opoku-Agyeman

Healthcare Administration and Policy Faculty Research

In a dynamic healthcare industry, aligning the goals and objectives of hospitals and physicians through integration has been suggested to influence performance. Physicians’ leadership and active involvement in governance can direct resource usage, Electronic Health Record (EHR) implementation, price negotiation, better coordination, and continuity of services for patients, thus affecting performance. This study aimed to examine the relationship between physician integration and hospital performance, investigating both financial and quality outcomes. We used a longitudinal study design. Our sample was hospital-level data from 2014 to 2019, which contained 6000 U.S. hospital-year observations. The dependent variables were quality outcomes (readmission rates) and …

Three-Year Reform Plan For Imf Exit Strategy, Ishrat Husain Dr.

Faculty Research - Newspaper and Magazine Articles

The country requires a comprehensive three-year action plan for domestic reforms, in addition to solidifying external accounts, to ensure a smooth exit from the International Monetary Fund (IMF) programme and transition to a self-sustained, non-inflationary growth path.

Duration, Cost, And Escalation Of Care Events For Physical Therapy Management Of Low Back Pain In Service Members With Limb Loss, Brittney M. Gunterstockman, Brad D. Hendershot, Joseph Kakyomya, Charity G. Patterson, Christopher L. Dearth, Shawn Farrokhi

Physical Therapy Faculty Articles and Research

Introduction Physical therapy (PT) is recommended as a primary treatment for low back pain (LBP), a common and impactful musculoskeletal condition after limb loss. The purpose of this brief report is to report the duration and cost of PT care, and subsequent escalation of care events, for LBP in service members with and without limb loss. Materials and Methods This was a retrospective cohort, descriptive study. Service members with and without limb loss (matched) who received PT for LBP at a military treatment facility from 2015 to 2017 were included. Duration of PT care, number of PT visits, and escalation …

The Employment Situation Of Veterans: September 2024, Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

In September 2024, U.S. employment rose by 254,000, with the unemployment rate holding steady at 4.1%. Veterans experienced notable improvements, with overall unemployment dropping to 2.7% from 3.5% in August, and specific age and demographic groups seeing varying trends—such as a decrease in unemployment for younger veterans and a significant drop for female veterans. While some subgroups, like Hispanic veterans, had higher unemployment rates than their nonveteran peers, Black veterans saw lower unemployment than their counterparts.

Dental Compacts, Bill Sullivan Jd

West Michigan District Dental Society Bulletin

This Advocacy Avenue article covers all things dental compacts, including current policy. It is adapted from an interview with Bill Sullivan, MDA Vice President of Advocacy and Professional Affairs.

The Babyseq Project: A Clinical Trial Of Genome Sequencing In A Diverse Cohort Of Infants, Hadley Stevens Smith, Bethany Zettler, Casie A Genetti, Madison R Hickingbotham, Tanner F Coleman, Matthew Lebo, Anna Nagy, Hana Zouk, Lisa Mahanta, Kurt D Christensen, Stacey Pereira, Nidhi D Shah, Nina B Gold, Sheyenne Walmsley, Sarita Edwards, Ramin Homayouni, Graham P Krasan, Hakon Hakonarson, Carol R Horowitz, Bruce D Gelb, Bruce R Korf, Amy L Mcguire, Ingrid A Holm, Robert C Green

Center for Medical Ethics and Health Policy Staff Publications

Efforts to implement and evaluate genome sequencing (GS) as a screening tool for newborns and infants are expanding worldwide. The first iteration of the BabySeq Project (2015-2019), a randomized controlled trial of newborn sequencing, produced novel evidence on medical, behavioral, and economic outcomes. The second iteration of BabySeq, which began participant recruitment in January 2023, examines GS outcomes in a larger, more diverse cohort of more than 500 infants up to one year of age recruited from pediatric clinics at several sites across the United States. The trial aims for families who self-identify as Black/African American or Hispanic/Latino to make …

How Do Parents Decide On Genetic Testing In Pediatrics? A Systematic Review, Hadley Stevens Smith, Bethany Zettler, Casie A Genetti, Madison R Hickingbotham, Tanner F Coleman, Matthew Lebo, Anna Nagy, Hana Zouk, Lisa Mahanta, Kurt D Christensen, Stacey Pereira, Nidhi D Shah, Nina B Gold, Sheyenne Walmsley, Sarita Edwards, Ramin Homayouni, Graham P Krasan, Hakon Hakonarson, Carol R Horowitz, Bruce D Gelb, Bruce R Korf, Amy L Mcguire, Ingrid A Holm, Robert C Green

Center for Medical Ethics and Health Policy Staff Publications

Efforts to implement and evaluate genome sequencing (GS) as a screening tool for newborns and infants are expanding worldwide. The first iteration of the BabySeq Project (2015-2019), a randomized controlled trial of newborn sequencing, produced novel evidence on medical, behavioral, and economic outcomes. The second iteration of BabySeq, which began participant recruitment in January 2023, examines GS outcomes in a larger, more diverse cohort of more than 500 infants up to one year of age recruited from pediatric clinics at several sites across the United States. The trial aims for families who self-identify as Black/African American or Hispanic/Latino to make …

Lessons Learned: Overcoming Obstacles To Inference And Synthesis In Atrocity Prevention Research, Tallan Donine, Daniel Solomon, Lawrence Woocher

Genocide Studies and Prevention: An International Journal

In this paper, we argue that atrocity prevention (AP) researchers face obstacles to inference and knowledge synthesis in the study of AP strategies and tools. We argue that researchers can begin to address obstacles to inference by using rigorous social-science methods and can address obstacles to knowledge synthesis through greater coordination and transparency about concepts, methods, and data. Our argument proceeds in four parts. First, drawing on a systematic review of three decades of research about AP tools, we survey key analytic obstacles to drawing conclusions about the effects of AP policy. Second, we survey four separate methods that researchers …