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Same-Day Referral Of Patients With Elevated Preoperative Blood Pressure To Primary Care Providers, Shaunte Butler

Yale Medicine Thesis Digital Library

SAME-DAY REFERRAL OF PATIENTS WITH ELEVATED PREOPERATIVE BLOOD PRESSURE TO PRIMARY CARE PROVIDERSShaunte Butler, Natalie Holt, Feng Dai, Catherine Quick, Jeffrey D. Kravetz, Albert Perrino Jr., Robert B. Schonberger. Department of Anesthesiology, Yale University, School of Medicine, New Haven, CT.

Although recent studies show that elevated blood pressures as measured during the preoperative evaluation are often predictive of true hypertension, it is not yet known what interventions during the preoperative evaluation may result in modifications of longitudinal blood pressure trajectories. We herein report the results of a quality improvement project at a preoperative evaluation clinic that aimed to improve hypertension …

Associations Between Cardiac Manifestations Of Noonan Syndrome And Adverse Pregnancy Outcomes, Christopher Chow-Parmer

Yale Medicine Thesis Digital Library

ASSOCIATIONS BETWEEN CARDIAC MANIFESTATIONS OF NOONAN SYNDROME AND ADVERSE PREGNANCY OUTCOMESChristopher Chow, Katherine Campbell, and Robert Elder Yale University School of Medicine, New Haven, CT The goal of this study was to characterize a population of woman with Noonan syndrome who had been pregnant in order to determine the safety and feasibility of pregnancy. We performed a retrospective chart review of patients evaluated at Yale-New Haven Hospital from 2012-2020 with a diagnosis of Noonan syndrome and pregnancy. We identified 5 women with Noonan syndrome who had a total of 10 pregnancies. In terms of maternal cardiac disease, 3/5 patients had …

Preauthorizations In Orthopaedic Surgery: An Analysis Of A Single Institution’S Spine Center, Kareem Jamal Kebaish

Yale Medicine Thesis Digital Library

Introduction

Preauthorizations are frequently required by commercial insurers before patients can undergo magnetic resonance imaging (MRI) of the spine. In addition to the administrative burden, such processes can lead to delays in care. The current study assessed the rates and eventual disposition of preauthorizations required prior to spine MRIs ordered from an academic spine center.

Methods

Patients from a single academic institution’s spine center who were covered by commercial insurance and referred for a spine MRI between January 2013 and December 2019 were included in the analysis. The requirement for preauthorization and eventual disposition of each of these studies was …

Integrative Genomics Implicates Disruption Of Prenatal Neurogenesis In Congenital Hydrocephalus, Shreyas Panchagnula

Yale Medicine Thesis Digital Library

Congenital Hydrocephalus (CH) affects 1/1000 live births and costs the US healthcare system over $2 billion annually. Mainstay therapies, hinging on surgical cerebrospinal fluid diversion, exhibit high failure rates and substantial morbidity. Limited understanding of pathogenesis warrants identification of crucial genetic drivers underlying CH and their impact on brain development. This pioneering study integrates gene discovery from the largest whole-exome sequenced CH cohort with transcriptional networks (modules) and cell-type markers from the latest transcriptomic atlases of the mid-gestational human brain to uncover the genomic and molecular architecture of CH. Exome analysis of 381 radiographically-confirmed, neurosurgically-treated sporadic CH probands (including 232 …

The Role Of Knowledge In End-Of-Life Decision-Making By Older Persons, Laura Van Dyck

Yale Medicine Thesis Digital Library

As physicians, we aim to support our patients to engage in and make end-of-life medical decisions. Ideally, patients engage in advance care planning (ACP) to direct their care if they become incapable of participating in decision-making. For many patients, however, their first encounter with end-of-life care—e.g. code status—occurs at hospital admission. This thesis describes two studies: the ACP Study and Code Status Study. The ACP Study examines ACP knowledge and its relationship to engagement. This study utilizes baseline data from 921 participants age 55 years enrolled in the STAMP randomized controlled trial, including a knowledge scale consisting of 7 questions …

Notes On Statistics, Bank Of Japan/Central Bank Of Japan

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No abstract provided.

Webpage: Bank Of Japan Accounts (Every Ten Days), Bank Of Japan/Central Bank Of Japan

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No abstract provided.

Stakeholder Strategies (Bamc), Bank Assets Management Company (Bamc)/Družba Za Upravljanje Terjatev Bank, D.D. (Dutb)

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No abstract provided.

The Japanese Banking Crisis, Ryozo Himino

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No abstract provided.

Editor's Commentary: Gravitational Circulation In Straits And Estuaries, Kenneth H. Brink, Maurice Rattray Jr.

Journal of Marine Research

For decades, people understood the rudiments of how idealized estuaries work: fresh water flows outward above saltier water that intrudes into the estuary. At the same time, mixing smooths out contrasts, so that the ultimate shallow outflow water is much saltier that the upstream riverine inflow had been. But, this vision is qualitative, so that it is hard to predict or diagnose flow structures or the outflow salinity. Hansen and Rattray provided a major step forward in an age before any sophisticated numerical models could deal simultaneously with the many competing effects...

Climate Niche Evolution In C4+Cam Portulaca And Closely Related C3+Cam Lineages, Nora M. Heaphy

Library Map Prize

With at least a hundred independent origins among land plants, the CAM and C4 photosynthetic pathways represent one of the most notable examples of global convergent evolution of a complex trait. While biochemically similar, CAM and C4 are generally understood to be two distinct ecological adaptations evolving along separate trajectories. However, the purslanes (Portulaca), a globally widespread clade of around 100 species of annual and perennial succulents, are able to operate both CAM and C4 cycles in the same leaf. Portulaca likely originated from a facultative CAM ancestor and then evolved a C4 system at least three times …

Modeling Black Literature: Behind The Screen With The Black Bibliography Project, Brenna Bychowski, Melissa Barton

Library Staff Publications

The Black Bibliography Project (BBP) plans to produce a bibliographic database of printed works by Black writers from the eighteenth to the twenty-first centuries. With the support of the Beinecke Library and a grant from the Mellon Foundation, project co-PIs and codirectors Jacqueline Goldsby and Meredith McGill collaborated with a team of librarians from Yale to develop the data model for their database. Drawing on Beinecke’s James Weldon Johnson Memorial Collection to pull case studies, the team of librarians developed a Linked Data model for BBP in an instance of Wikibase and trained and supported a group of graduate student …

Regulatory Oversight Of Designated Clearing And Settlement Systems, Bank Of Canada/Central Bank Of Canada/La Banque Du Canada

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No abstract provided.

Federal Open Market Committee Rules And Authorizations (January 2021), Federal Reserve System: Board Of Governors: Federal Open Market Committee (Fomc)

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No abstract provided.

Bhutan Rma Ar 2020-21, Royal Monetary Authority Of Bhutan (Rma)

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No abstract provided.

Annual Report 2020, European Central Bank (Ecb)

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No abstract provided.

Annual Report 2020, Dexia

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No abstract provided.

On The Cypriot Banking Crisis And Banking Resolution Of 2013, Christos V. Gortsos

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No abstract provided.

Annual Report 2020, Dexia Group N.V./S.A.

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No abstract provided.

Achieving Health Equity: Mitigating Implicit Bias Among Healthcare Professionals, Caroline Frazier

Yale School of Nursing Digital Theses

AbstractImplicit bias is a contributing factor to health care disparities. Research shows that health care professionals exhibit the same level of implicit bias as the larger population (Fitzgerald & Hurst, 2017). The presence of implicit bias among health care professionals affects clinical decision-making and health outcomes, but it especially affects patient-clinician interaction (Joint Commission, 2016 and Burgess, Beach & Somnath, 2016). Health care professionals play a vital role in eliminating health care disparities by mitigating implicit bias through increased awareness and evidence-based debiasing strategies. The purpose of this project was to develop a didactic and experiential curriculum for healthcare professionals …

State Bank Of India Annual Report 2021, State Bank Of India

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No abstract provided.

The Future Of Leadership Training: An Immersive Web-Based Program Enhancing Nurse’S Critical Soft Leadership Skills In New Healthcare Contexts, Nina Vaid Raoji

Yale School of Nursing Digital Theses

As the care of health shifts to a more decentralized model of care, it essential that the role of nursing facilitates new paths to meeting patients and communities where they are in the context of their lives, forging new partnerships outside of the traditional health care setting, and focusing on advocating for collective upstream solutions (Pittman, 2020). However, this shift requires a set of skills that are not a focus of current nurse leadership training. These are Soft Leadership Skills: networking, communication, teamwork, and innovation/creativity, but not in the traditional sense of the terms (Rao, 2017). The goal of this …

Giving Voice To The Values Of Nurses, Sylvia K. Martin

Yale School of Nursing Digital Theses

Problem Nurses working on the frontlines in Labor and Delivery and Radiology face moral challenges in the workplace. It can be difficult for theses nurses to take morally courageous action when they lack the knowledge, skills and confidence to do so successfully. The goal of this DNP project was to enable nurses in labor and delivery and radiology settings to practice moral courage by examining relevant skillsets and providing training in core concepts. The program's intent was to support a moral culture and contribute to the retention of frontline nurses and improved safe patient care. Methods This project had three …

Establishing A Peer Supported Second Victim Program For Healthcare Providers: Team Heal, Renee N. Rathbun

Yale School of Nursing Digital Theses

Medical errors and adverse events in healthcare resulting in serious patient harm have a substantial impact on patients, families, healthcare providers, and healthcare organizations (Coughlan, Powell and Higgins 2017, Dukhanin et al., 2018). When adverse events occur, the patient and often family members are the “first victims.” However, less attention is given to the healthcare providers known as the “second victims.” Involvement in adverse events leading to patient injury can leave healthcare providers traumatized with emotional distress. Healthcare professionals frequently suffer in silence, experiencing feelings of anxiety, fear, anger, depression, guilt, isolation, and shame (Edrees et al., 2016a). Although the …

Utilizing Covid-19 Models In Humanitarian Crisis Settings, Duane Barksdale

Public Health Theses

Since the emergence of the COVID-19 pandemic in late 2019, several researchers and decision-makers have turned to statistical modeling to inform predictions of the severity of the burden of infection and disease in various settings. While it is understood that no model can perfectly describe the transmission of a novel and highly transmissible pathogen, there still lies the potential for models to be useful tools for local and international decision makers to act proactively to mitigate the burden of disease. In Syria, these challenges are compounded by humanitarian crises resulting from the ongoing civil war in the region. This conflict …

Without A Trace: Is Technology The Next Stage In Contact Tracing’S Evolution?, Madeline Bender

Public Health Theses

Contact tracing has become both a buzzword and a priority during the COVID-19 pandemic. Though it was deployed nationwide in the U.S., its success varied regionally. This special project thesis, in the form of a longform journalism article, traces the public health practice back to its roots to explore who contact tracers are, what they do, and what factors contributed to tracing’s limited success in 2020–21, centering around concepts of stigma and privacy. With this foundation, it assesses the promise and perils of incorporating technology into contact tracing during the COVID-19 pandemic.

Unmasking America's Reaction To Face Masks: A Review Of The Literature, Tyler Caruthers

Public Health Theses

The United States has faced challenges in reestablishing normalcy as we learn to live with COVID-19. This has included adhering to competent infection containment guidelines. Despite evidence that masks can assist in COVID-19 transmission reduction, the mere suggestion has sparked outrage, violence, and even death in communities across the country. To safely reintroduce any semblance of normalcy that has been lost over the last year, it is critical to consider the variables that influence one's internal personal perspectives and to comprehend how this influences various behavioral responses. Several critical risk communication principles can aid scientists in better understanding how people …

Identifying Serum Metabolite Biomarkers Of Thyroid Cancer, Yihui Chen

Public Health Theses

Background: In recent years, the incidence rate of thyroid cancer is increasing rapidly, including a significant increase in young aged group people. Environmental chemical exposure is a significant driver. With untargeted metabolomics approach, this study will perform an untargeted metabolomics approach to identify serum metabolites biomarkers associated with thyroid cancer and tumor size.

Methods: Serum samples of 100 thyroid cancer patients (50 cases and 50 controls) diagnosed between 2010 and 2011, were extracted for metabolites and analyzed by reversed-phase liquid chromatography-mass spectrometry (LC-MS) based untargeted metabolomics. All the analysis were conducted in both positive and negative Electrospray ionization (ESI) modes. …

How Knowledge, Perception, And Identity Influence Covid-19-Related Concerns In The Built Environment, Abigail Ginader

Public Health Theses

Background: There is increasing research exploring how different diverse and intersecting identities based on race, gender, ability/disability, sexual orientation, and age interact with space to influence an individual’s inclusiveness and comfort in a space. This is particularly salient in the context of COVID-19 which has shown large health inequities and increased risk for certain vulnerable subgroups (e.g., older individuals, individuals of color).Objective: To assess end users’ perception of COVID-19 safety in the built environment of museums. Methods: A cross-sectional study design was used. An electronic survey was distributed between January and February 2021. Repeated measures ANOVA, multivariate Poisson regression, and …

‘I’M Never Saying A Damn Word Again’: Approaches To Community Support And Help Seeking Among Black Youth Experiencing Suicidal Thoughts, Alexis Renee Hopkins

Public Health Theses

Background. Suicidal behavior among Black youth is rising in the United States , yet little is known about how Black Youth engage and navigate suicidality. While we know that suicide ideation and death by suicide is decreasing overall among youth in the U.S., incidences of death by suicide are still rising among Black youth. There is very little understanding of what community support is accessible to Black youth who are experiencing suicidality. The present study examines how Black young adults who experienced suicidality in their youth turned to their social support systems and communities for support. Method. Seventeen semi-structured in-depth …