Digital Commons Network^™

History And Premises, Central Bank Of Iceland

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No abstract provided.

The Central Bank As Crisis Manager, Patrick Honohan

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No abstract provided.

The History Of Lloyds Bank, Lloyds Bamking Group Plc

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No abstract provided.

Bank Failures In Brief – Summary, Federal Deposit Insurance Corporation (Fdic)

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No abstract provided.

The Flexible Credit Line (Fcl), International Monetary Fund (Imf)

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No abstract provided.

Key Interest Rate (%) - Rate On 7-Day Collateralised Lending, Seðlabanki Íslands/Central Bank Of Iceland

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No abstract provided.

Equity Ownership Statistics, Natwest Group

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No abstract provided.

Unpacking Ultra-Processed Foods: Exploring The Intersection Of Health, Environment, And Justice For Holistic And Equitable Policy, Cynthia Miles

Public Health Theses

This thesis highlights the interdependent mechanisms and impact of ultra-processed foods (UPFs) in relation to health, environment, and justice. It calls attention to the need for UPF policy that establishes synergistic interventions targeting issues across domains and proposes policy mechanisms as an illustrative example of how to achieve this. The intention of this thesis is not to motivate different consumer choices or to tell individuals to avoid UPFs. Rather than targeting consumers, UPF policy needs to hold food corporations responsible for the impact of the products that they’re creating and profiting from, and governments need to have more responsibility for …

Trauma-Informed Digital Health Interventions: A Scoping Review, Amelea Lowery

Public Health Theses

Background: Trauma exposure is a pervasive issue around the world and the impacts of trauma can be long lasting and detrimental to individual and population health outcomes. Trauma responses can influence and determine an individual or community’s approach in seeking supportive resources. Given the critical role of supportive resources and the prevalent use of technology and internet use, it is essential to understand how digital health interventions contribute to addressing trauma explicitly. This scoping review aims to explore the landscape of trauma-informed digital health interventions for adults, assess their outcomes, and identify their measurable impacts across various settings.Methods: A scoping …

Community Health Workers To Strengthen Hiv Care Continuum And Prep Delivery In The Us/Hics: A Scoping Review, Vanessa Abigail Nunez

Public Health Theses

Introduction: With the ongoing global HIV/AIDS burden, community-based service delivery models are increasingly recognized, with community health workers (CHWs) at the forefront. In high-income countries (HICs) like the United States, CHWs have long served marginalized communities, gaining recent legislative attention. Despite this, there's still a need for comprehensive evidence on CHW integration in healthcare delivery.

Methodology: We conducted a scoping review to gather available evidence on community health workers (CHWs) and their impact on HIV outcomes in HICs, and to identify evidence gaps in the use of community-based HIV/PrEP services in HICs. Using the American Public Health Association’s definition of …

Radiology Education For U.S. Medical Students In 2024: A State-Of-The-Art Analysis, Ryan Bahar

Yale Medicine Thesis Digital Library

Radiology is essential to the practice of clinical medicine, with ever-increasing volumes of diagnostic imaging studies and image-guided procedures across the U.S. healthcare system. Yet, radiology education has received criticism for its under-representation in formal U.S. medical school curricula, coupled with variable requirements and offerings among institutions. Recent national calls for medical education reform (e.g., the 2010 Carnegie report) and the emergence of new teaching tools (e.g., e-learning, simulation) have led to paradigm shifts in medical education delivery that have been further accelerated by the unprecedented alterations to educational environments catalyzed by the COVID-19 pandemic. In this landscape of profound …

Medicaid Coverage For Undocumented Children In Connecticut: A Political History, Chinye Ijeli

Yale Medicine Thesis Digital Library

In the US, undocumented immigrants are barred from receiving coverage from the federal government for healthcare other than emergency services. States can offer government-funded health insurance to undocumented immigrants, but as of 2021, only six had. Forces standing in the way of other states implementing such coverage include nativism, racism, and fears about immigrants taking scarce jobs during economic downturns.In 2021, Connecticut passed S.B. 956, a bill extending Medicaid coverage to all low-income children up to the age of eight—regardless of immigration status—starting in 2023. This policy was the culmination of a twelve-year-old grassroots movement started by Connecticut Students for …

Population Attributable Fraction Of Reproductive Factors In Triple Negative Breast Cancer By Race, Rachel Jaber Chehayeb

Yale Medicine Thesis Digital Library

Age-adjusted incidence rates of triple negative breast cancer (TNBC) are higher in Black women than in non-Hispanic White (White) women. The disproportionate incidence of TNBC in Black women partially drives the 40% higher mortality rate from breast cancer in Black women compared to White women. Several studies have identified lack of breastfeeding and younger age at first birth as risk factors for TNBC. There are large differences in breastfeeding uptake, breastfeeding duration, and the distribution of age at first birth across racial groups in the US: only 44% of Black women breastfeed for 6 months or longer, compared to 60% …

“Teen Health” Empowers Informed Contraception Decision-Making In Adolescents And Young Adults, Christina Lepore

Yale Medicine Thesis Digital Library

Adolescents and young adults (AYAs), here defined as aged 13-25 years, face uniquechallenges in accessing sexual and reproductive health information. Interactive internet resources provide a free, private and personalized opportunity to help AYAs make informed contraception choices. We designed an original website called “Teen Health” to provide age-appropriate and evidence-based SRH education to AYAs, as well as an interactive contraception education tool (CET). We introduced “Teen Health” to AYAs in a clinical setting and observed trends in contraception preference after website exposure. We hypothesized that “Teen Health” would support informed contraception decision-making.

A convenience sample of AYAs were recruited from …

Advances In Keratin 17 As A Cancer Biomarker: A Systematic Review, Robert Tseng

Yale Medicine Thesis Digital Library

Background: In an era where tumor heterogeneity leads to widely variable cancer treatment outcomes, there is an unmet need for biomarkers that can characterize tumor subtypes, inform prognosis, and guide clinical decision-making for therapy. As an oncofetal monofilament that is only expressed in embryonic and cancer tissue, keratin 17 (K17) has been demonstrated as an effective biomarker in a wide variety of cancer types, detection methods, and clinical purposes. In order to guide and inform future investigations on K17, we performed a systematic review of clinical studies assessing the effectiveness of K17 as a cancer biomarker.

Methods: We performed a …

Regionalization Strategy To Optimize Inpatient Bed Utilization And Reduce Emergency Department Crowding, Ragini Luthra Vaidya

Yale Medicine Thesis Digital Library

Aims:Pooling inpatient bed resources for more efficient bed management is a promising solution to the pervasive problem of Emergency Department crowding. This study aims to characterize a regionalization protocol in place for ED-to-inpatient disposition between a tertiary academic medical center (AMC) and an urban community teaching hospital in an integrated health system, overseen by a single Bed Management Department. An additional purpose of this study is to investigate transfer decisions from a health equity perspective.

Methods:This is a retrospective observational study utilizing electronic admissions records from the two hospitals’ Emergency Departments to general medicine floors between January 1, 2020 and …

Social Determinants Of Health & Barriers To Care In Diabetic Retinopathy Patients Lost To Follow-Up, Thomas Chang

Yale Medicine Thesis Digital Library

SOCIAL DETERMINANTS OF HEALTH & BARRIERS TO CARE IN DIABETIC RETINOPATHY PATIENTS LOST TO FOLLOW-UP

Thomas L. Chang, Akua Frimpong, Kristen Nwanyanwu. Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT.

Diabetic retinopathy is the leading cause of blindness in working-age adults in the United States. More than a quarter of patients are lost to follow-up (LTFU) after they receive anti-vascular endothelial growth factor (anti-VEGF) injections as treatment. This study utilized a mixed-methods approach with both a quantitative and qualitative analysis. The specific aims of the quantitative analysis were to identify any potential factors or …

Preoperative Psychosocial Risk Burden Among Patients Undergoing Major Thoracic And Abdominal Surgery, Emily Park

Yale Medicine Thesis Digital Library

Objective: Patient-related, biological risk factors such as age, diabetes, and smoking are associated with worse outcomes and increased postoperative complications rates in patients. However, not much is known about the effects of psychosocial risk factors on surgical outcomes. This study aimed to characterize the psychosocial risk burden in patients undergoing major surgery for malignant and benign conditions. Methods: A prospective, comprehensive psychosocial risk assessment of adult patients undergoing major thoracic or abdominal surgery within the Yale New Haven Health system was conducted from July 2023 to December 2023. The study was delivered over telephone, and was comprised of validated survey …

United Kingdom Debt Management Office: Market Participants (Market Makers And Inter Dealer Brokers), United Kingdom: Her Majesty's Treasury: Debt Management Office (Dmo)

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No abstract provided.

Press Releases, United Kingdom: Uk Asset Resolution (Ukar)

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No abstract provided.

Before The Esm- Efsf- The Temporary Fiscal Backstop, Esm News

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No abstract provided.

Latent Health Status Trajectory Modelling In Patients With Symptomatic Peripheral Artery Disease, Scott Grubman

Yale Medicine Thesis Digital Library

For patients with peripheral artery disease (PAD) and symptoms of intermittent claudication, treatment is geared towards maximizing health status and minimizing disease progression. We aimed to phenotype health status trajectories over the first 12 months of specialty care and examine factors associated with nonresponsiveness to treatment. Adults with new or worsening exertional leg symptoms presenting to vascular clinics in the United States, Australia, and Netherlands 2011-2015 were included. Patients with non-compressible ankle-brachial index, critical limb ischemia, barriers to consent, or lacking at least one follow-up interview were excluded. The Peripheral Artery Questionnaire (PAQ; range 0-100, higher = better) was used …

A Needs Assessment For Rural Health Education In United States Medical Schools, Kailey Carlson

Yale Medicine Thesis Digital Library

This study is a needs assessment for rural health education at United States medical schools. Health disparities between rural and urban populations are significant and worsening. Rural areas are home to 20% of Americans but just 11% of physicians, contributing to health inequity. Medical schools must produce more future rural physicians to meet the needs of the population. To understand the need for rural health education in medical schools, medical students were surveyed on attitudes toward living and working in rural areas and comfort with clinical competencies important in rural areas. The hypothesis was that medical students at schools focusing …

Cerebral Arachnoid Cysts Are Radiographic Harbingers Of Epigenetics Defects In Neurodevelopment, Kedous Mekbib

Yale Medicine Thesis Digital Library

Cerebral arachnoid cysts (ACs) are the most common space-occupying lesion of thehuman brain but we know very little about its pathogenesis and association with other neurological phenotypes complicating clinical management.

To better understand AC pathogenesis and clinical presentation, we conducted wholeexomesequencing of 617 patient-parent trios, analysis of human brain and mouse meningeal single-cell RNA sequencing and natural language processing of patient medical records, the largest and only integrative genomic study of ACs to date.

We found seven genes: ADNP, ARID1B, KDM5C, PURA, FOXP1, MAP2K1 andSCN2A, had an exome-wide statistically significant burden of de novo variants. Our AC candidate genes were …

Illness Perception And The Impact Of A Definitive Diagnosis On Women With Ischemia And No Obstructive Coronary Artery Disease: A Qualitative Study, Leslie Yingzhijie Tseng

Yale Medicine Thesis Digital Library

Background: Ischemia and no obstructive coronary artery disease (INOCA) disproportionately impacts women, yet the underlying pathologies are often not distinguished, contributing to adverse health care experiences and poor quality of life. Coronary function testing at the time of invasive coronary angiography allows for improved diagnostic accuracy. Despite increased recognition of INOCA and expanding access to testing, data lack on first-person perspectives and the impact of receiving a diagnosis in women with INOCA.Methods: From 2020 to 2021, we conducted structured telephone interviews with 2 groups of women with INOCA who underwent invasive coronary angiography (n=29) at Yale New Haven Hospital, New …

Survival Outcomes In T3 Laryngeal Cancer Based On Staging Features At Diagnosis, Vickie Jiaying Wang

Yale Medicine Thesis Digital Library

Stage T3 laryngeal cancer is defined by the presence of vocal cord fixation and/or invasion into any of the following: pre-epiglottic space, paraglottic fat, post-cricoid space, or inner cortex of the thyroid cartilage. These cancers are usually treated with chemoradiation rather than upfront total laryngectomy. To our knowledge, no studies have directly compared differences in survival among the varied features within the T3 staging category. This study aims to determine how the presence of each of these staging features impacts overall and laryngectomy-free survival.Patients with clinically-diagnosed T3 laryngeal squamous cell carcinoma seen at our institution between 2010-2021 were retrospectively identified. …

Tarp Capital Purchase Program Summary Of Preferred Terms: Public Institutions, United States: Department Of The Treasury

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No abstract provided.

Tarp Capital Purchase Program Summary Of Senior Securities Terms: Mutual Banks And Savings Associations, United States: Department Of The Treasury

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No abstract provided.

H.R. 133: Consolidated Appropriations Act, 2021, United States: Congress: House Of Representatives

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No abstract provided.

Yale Medicine Magazine Spring 2024, Issue 172, Yale University. School Of Medicine

Yale Medicine Magazine - alumni bulletin and magazine

This is the Spring 2024 issue of Yale Medicine Magazine, issue 172. Prepared in cooperation with the alumni and development offices at the School of Medicine. Earlier volumes include Yale School of Medicine alumni bulletins, dating from v.1 (1953) through v.13 (1965), and Yale Medicine: alumni bulletin of the School of Medicine, v.1 (1965) through v. 52, no.1 (Autumn 2017).