Digital Commons Network^™

Periodic Report: Update On Outstanding Lending Facilities Authorized By The Board Under Section 13(3) Of The Federal Reserve Act - January 10, 2022, Federal Reserve System: Board Of Governors

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No abstract provided.

How The Federal Reserve’S Monetary Policy Implementation Framework Has Evolved, Gara Afonso, Lorie Logan, Antoine Martin, William Riordan, Patricia Zobel

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No abstract provided.

Faq About Extended Purchases Of Securities, Sveriges Riksbank

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No abstract provided.

Carbon Footprint Of The Holdings Of Corporate Bonds, Sveriges Riksbank

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No abstract provided.

The Twentieth Report Of The Congressional Oversight Commission, United States: Congressional Oversight Commission

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No abstract provided.

Factors Affecting Outcomes Of Second Intent Healing Of Nasal Defects After Mohs Micrographic Surgery, David Nam-Woo Kim

Yale Medicine Thesis Digital Library

Background: Reconstruction of nasal defects secondary to Mohs micrographic surgery (MMS) presents particular challenges related to the complex topography, skin quality, tissue laxity and functional and aesthetic concerns of the region. Factors affecting outcomes resulting from second intent healing (SIH) on the nose have not been well described.

Purpose: The purpose of the study was to identify factors impacting outcomes of SIH for nasal tumors following MMS.Methods: Retrospective analysis was performed of all nasal lesions treated with MMS followed by SIH from a single surgical center over a 1.5-year period. Ninety-six cases were included. Chart review was performed, and data …

Maximizing The Discovery Of Data Sets In The Yale University Library Catalog.”, Rowena Griem, Yukari Sugiyama, Tachtorn Meier

Library Staff Publications

Yale University Library’s Dataset Cataloging Task Force was formed in spring 2019 to address issues raised by the inclusion of data set holdings in the institutional catalog. The paper describes the group’s assessment of existing cataloging practices and the current integrated library system environment; the process of developing cataloging guidelines in the absence of authoritative resources to optimize the discoverability and accessibility of data sets in the online library catalog; and proposed next steps to discuss, establish, and document national guidelines for cataloging data sets so that these increasingly important resources are treated in a consistent manner in institutional, consortial, …

Artists’ Studio Archives Managing Your Studio Practice & Building A Creative Legacy Revised Edition (2022): A Comprehensive Guide For Artists & Their Assistants, Heather Gendron, Neal Ambrose-Smith, Joane E. Beaudoin, Eumie Imm-Stroukoff

Library Staff Publications

This guide is based on real-life scenarios and best practices in managing an art studio archive. It will aid artists in every career stage, from emerging artists to late-career artists; the yet-to- be-discovered and the well-established. Increasing productivity in the studio with good documentation helps artists better prepare to sell work and secure grant funding, as well as manage better the legal and financial aspects of an artistic practice.

Paper Sons And Chosen Families: Blurry Archives And Non-Biological Kinship In The Chong Family Album, Sam Battles

Kaplan Senior Essay Prize for Use of Library Special Collections

In the face of Chinese exclusion and Victorian-era morality, this project presents a family photo album as a counter-narrative to racialized and gendered immigration policies. The photo album is from the Chong family who were part of a Chinese American community living in San Francisco around 1915. The paper follows the fluctuating and non-chronological layout of the album and the uncertainties within to analyze Chinese Americans family formations in the context of state control of Asian migrants, including hyper-policing and surveillance around immigration status, queerness, and class. The Chong family album demonstrates how Chinese Americans employed flexible definitions of family …

Assessment Of Emergency Care Services In Nigerian Hospitals: A Cross-Sectional Study, Kelechi Herbert Umoga

Yale Medicine Thesis Digital Library

The Accident and Emergency (A&E) unit in Nigeria is a key entry point to access health care for patients with various diseases. Currently there are limited data assessing the functionality of these units and their capacity for care. This study aims to evaluate the functional capacity of A&Es in Nigeria and to identify factors impeding optimal care.We conducted a cross-sectional study of seven hospitals in Nigeria, randomly selecting one hospital from each of the six geopolitical zones, and purposively including National Hospital Abuja. We used a universal sampling technique interviewing all doctors and nurses identified as routine A&E staff. We …

Is Risk Compensation Real? The Effect Of Perceived Level Of Hiv Acquisition On Risk Behavior In A Pilot Pre-Exposure Prophylaxis Demonstration Project In Men Who Have Sex With Men In Malaysia, Kelsey Rankin

Yale Medicine Thesis Digital Library

Pre-exposure prophylaxis (PrEP) is highly effective in human immunodeficiency virus (HIV) prevention for key populations, including men who have sex with men (MSM). In Malaysia, human immunodeficiency virus (HIV) prevalence among MSM is 22%, and is even higher in key urban areas, including Kuala Lumpur. Despite nationwide campaigns committed to address HIV, scale-up of PrEP for MSM in Malaysia has been suboptimal. This limitation can be attributed partially to concerns that PrEP will lead to increased sexual risk behaviors, based on the controversial theory of risk compensation.

A 2018 PrEP demonstration study of MSM in Malaysia (n=150) was used to …

Mechanisms Of Progestin Resistance In Reproductive-Age Women With Atypical Endometrial Hyperplasia, Katherine Mcmaster Cooke

Yale Medicine Thesis Digital Library

With the rising prevalence of endometrial cancer and its precursor atypical hyperplasia (AH) in reproductive-age women amid the obesity epidemic, understanding the pathogenesis of this disease process is crucial to improving medical management. We sought to identify factors that may contribute to progestin-resistant AH via analysis of clinical data as well as investigation of hormonal regulation of endometrial gene and protein expression. We conducted a retrospective review of women with AH (n=63) compared to those with benign hyperplasia (BH) (n=73), which has a significantly lower risk of progression to malignant disease. Subsequently, we analyzed a sub-cohort of women with progestin-responsive …

Fracture Callus Evaluation In The Setting Of Breast Cancer Metastasis And Rescue Of Healing Via Inhibition Of Erk1/2, Christopher Dussik

Yale Medicine Thesis Digital Library

Background: Pathological fractures of the femoral shaft are devastating complications of metastatic breast cancer that afflict a myriad of women worldwide. Those affected suffer from debilitating pain, loss of function, and diminished quality of life. Intramedullary nailing with locking screw fixation provides the foundation of femoral fracture repair. However, cancer-induced changes within the local osseous environment drastically impair normal bone healing, leading to nonunion, reduced quality of life, and delays in medical oncologic care. At this time, comparatively little is known about the underlying mechanisms involved in impaired pathological fracture healing. A more thorough understanding of the influence breast cancer …

Incidence And Prognosis Of Cranial Neuropathies In Children With Covid-19: A Systematic Review And Meta-Analysis, Priyanka Bisarya

Yale Medicine Thesis Digital Library

Objective:In addition to experiencing classic respiratory symptoms, pediatric COVID-19 patients have presented with neurological manifestations including cranial nerve dysfunction. The evidence regarding these presentations has yet to be synthesized, and the aim of this work was to determine how commonly cranial neuropathies are associated with pediatric COVID-19 cases and what the prognosis is for these children. Methods: A systematic review was conducted using a comprehensive search strategy of OVID Medline, OVID Embase, and Web of Science databases. The inclusion criteria were research articles that described pediatric COVID-19 patients with cranial nerve involvement. Results: The search yielded 5497 articles. Thirty-four (34/5497) …

The Real Cause Of The Broken Rib: Developments In Pediatricians' Approach To Child Abuse; 1960 - 2020, Sofia Charania

Yale Medicine Thesis Digital Library

In 1962, C. Henry Kempe published his landmark work, The Battered Child Syndrome, and set into motion a new discourse on child abuse within the American pediatrics community. This paper discusses the tension pediatricians felt between longstanding assumptions of parental virtue and the implications of the emerging conversation on child abuse started by Kempe. It also discusses the resistance shown by some pediatricians to accepting the reality of abuse and the slow process by which that resistance was overcome, aided by factors such as pediatricians’ involvement in adoption procedures. As pediatricians began confronting and understanding child abuse more deeply, their …

Atypical Presentation Of Hereditary Hypophosphatemic Rickets With Hypercalciuria Due To Digenic Mutations, Bryan Bo-Ran Ho

Yale Medicine Thesis Digital Library

Loss-of-function (LOF) mutations in SLC34A3 cause renal phosphate wasting due to loss of sodium phosphate co-transporter NPT2c, generally presenting in childhood with hereditary hypophosphatemic rickets with hypercalciuria (HHRH). Described here are two individuals with atypical presentations of HHRH due to additional heterozygous mutations in SLC34A1 and NPHP4, genetic causes of idiopathic infantile hypercalcemia type 2 and nephronophthisis, respectively. The first case has a 10-year history of well-controlled ulcerative colitis and atrial fibrillation. He wore braces briefly at age 5 for lower extremity bowing, which resolved spontaneously. He was without fractures until age 41, when he sustained a tibial plateau fracture …

Treating Children With Physical Disabilities: Development Of A Video-Based Education Resource Using Simulated Participants, Alexandra Kimmel

Yale Medicine Thesis Digital Library

Introduction: Children with physical disabilities (CWPD) represent an important population that has historically experienced inadequate and insensitive care across medical settings. A lack of comfort and knowledge about CWPD is common among health professionals and trainees. We created and evaluated a new educational resource enhanced by videotaped clips of a model pediatric outpatient visit for a CWPD and his mother, both portrayed by simulated participants.Methods: We created a curriculum working group composed of multiple stakeholders, including patients with disabilities, parents of children with disabilities, and physician experts in treating disabilities. Using recommendations from the curriculum working group, we developed a …

The Impact Of Clinical Follow-Up After Revascularization On The Outcomes Of Patients With Chronic Limb Threatening Ischemia, Gathe Kiwan

Yale Medicine Thesis Digital Library

Objective: Guidelines for optimal follow-up for patients undergoing lower extremity revascularization (LER) for peripheral arterial disease (PAD) recommend multiple visits with imaging during the first year followed by yearly monitoring thereafter. Patients with chronic limb-threatening ischemia (CLTI) are at greater risk for mortality and major amputation than patients treated for claudication and thus necessitate closer monitoring. The goal of this paper is to study the effects of compliance with follow-up after revascularization for patients with CLTI on major amputation rates and mortality.Methods: A single-center retrospective chart review of consecutive patients undergoing LER for CLTI was performed. Patients were stratified based …

Epidemiology Of Giant Cell Arteritis Related Hospital Admissions In The United States From 2007-2016, Karen Meixin Qiang

Yale Medicine Thesis Digital Library

The primary objective of this retrospective cross-sectional study is to investigate the national and regional incidence, epidemiology, and clinical characteristics of Giant Cell Arteritis (GCA) related hospital admissions in the United States (US) from 2007 to 2016. The secondary objectives are to investigate the rate of systemic complications, ocular involvement, resource utilization, and predictors of mortality in GCA. The Nationwide Inpatient Sample was queried to identify all patients hospitalized with an ICD 9 or ICD 10 code for GCA between 2007-2016. Incidence was calculated using US Census data, and risk factors for in-hospital mortality were analyzed with logistic regression. A …

Gender Differences In Outcomes Of Coordinated Specialty Care For Early Psychosis, Seong Im Hong

Yale Medicine Thesis Digital Library

BACKGROUNDThere has been growing interest in early intervention in psychotic disorders. However, gender differences in the outcomes of treatment have not been \studied in a clinical trial.

METHODSPatients diagnosed with schizophrenia or schizoaffective disorder with less than 6 months exposure to antipsychotics entered a cluster randomized trial of coordinated specialty care in the Recovery After an Initial Schizophrenia Episode Early Treatment Program (RAISE-ETP). Secondary analyses examined gender differences in baseline characteristics as well as two-year gender outcomes, and the response to treatment controlling for baseline differences. Blinded evaluators assessed the Quality of Life Scale and the Positive and Negative Syndrome …

Impact Of Single-Family-Room Nicu Design On Infant Neurodevelopment And Breast Milk Provision, Lucille Kohlenberg

Yale Medicine Thesis Digital Library

NEONATAL INTENSIVE CARE UNIT DESIGN IMPACTING INFANT OUTCOMES AND BREAST MILK PROVISION.

Lucille Kohlenberg and Angela Montgomery, MD, MSEd. Section of Neonatal-Perinatal Medicine, Department of Pediatrics, Yale School of Medicine. New Haven, CT.

Single-family room (SFR) NICUs have gradually replaced open-bay (OB) units over the last three decades. Compared to OB units, SFR units provide increased opportunities for parental rooming and maternal breast milk (MBM) provision; however, they may also present fewer sensory exposures and parental learning opportunities. Due to the presence of potentially beneficial and detrimental effects, it remains uncertain whether the SFR design offers aggregate advantages over the …

Some Notes On The "Needs Washed" Construction, Jim Wood, Josephine Holubkov, Ian Neidel, Kaija Gahm

Yale Working Papers in Grammatical Diversity

This paper describes the geographic and social factors that correlate with the acceptability of the needs washed construction, based on the results of recent survey data. After briefly describing the survey methods, we discuss several ways to analyze the geographic distribution of the construction, focusing on the distribution of “hot” and “cold” spots across different versions of the construction. We find certain core areas where the construction is highly accepted, as well as core areas where the construction is highly rejected. Our survey looks at the effect of verb (need, want, like, and love), tense/modality …

Comorbid Pad And Mvd: A Retrospective Nrd Analysis Of Trends, Outcomes, And Readmissions, Miguel Algara

Yale Medicine Thesis Digital Library

ABSTRACTBackground: Previous studies on select populations have shown worsened limb outcomes among patients with comorbid Peripheral artery disease (PAD) and Microvascular disease (MVD), however this connection has not been studied in larger populations. Using a national database, we aimed to analyze the frequency of Major Adverse Limb Events (MALE), as well as Major Adverse Cardiac Events (MACE), Mortality, and other comorbidities for patients with comorbid PAD/MVD, as compared to patients with PAD or MVD alone. Methods: Using 2011 to 2018 National Readmission Database (NRD) data, we identified the frequency of PAD and MVD-related admissions based on ICD-9/10 codes. The primary …

Analyzing Trends In Intermittent Exotropia With Adhd Medication Use, Kevin Wang

Yale Medicine Thesis Digital Library

ANALYZING TRENDS IN INTERMITTENT EXOTROPIA WITH ADHD MEDICATION USE.

Kevin K. Wang, Marez M. Megalla, and Martha A. Howard. Department of Ophthalmology and Visual Science, Yale University, School of Medicine, New Haven, CT.

Objective: This study aims to examine whether ADHD medication usage is associated with changes in intermittent exotropia in children, and whether such ADHD medication use is associated with prevention of strabismus surgery.

Design/Participants: We conducted a retrospective cohort study of children with both ADHD and intermittent exotropia seen at the Yale Eye Center between 2005 and 2020 who were taking medications for ADHD.

Methods: A list of …

Leptospiral Proteins As Potential Immunity Targets To Protect Individuals Against Reinfection, Yicong Liu

Public Health Theses

Leptospirosis is a disease caused by pathogenic species of spirochetes of the genus Leptospira. The bacteria are widespread globally and can survive in the environment for weeks after being excreted through the urine of infected animals. Humans get infected through contact with contaminated water or soil. Leptospirosis is a life-threatening disease with a wide range of symptoms. It is believed that after infection, individuals acquire natural immunity against the same infecting serovar. However, there are over 300 serovars of Leptospira that can cause disease in humans and animals, and reinfections are common. Nevertheless, recent studies have shown that reinfection caused …

Yale School Of Medicine Facts & Figures 2022-2023, Yale School Of Medicine Office Of Communications

Facts & Figures – annual Yale School of Medicine numbers

Provided by the Office of Communications, the Facts and Figures brochure is produced annually as a way to provide a snapshot of key facts and data related to the School of Medicine as well as the Medical Campus. This includes enrollment data, research activity, financial summaries, and more.

History Of Pepp Purchases Broken Down By Asset Category, European Central Bank (Ecb)

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data disaggregating PEPP purchases over time by asset category

What Are Current Account Deposits At The Bank? Are Interest Rates Applied To The Deposits?, Bank Of Japan/Central Bank Of Japan

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No abstract provided.

Jmd/Gbp Currency, Yahoo Finance

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No abstract provided.

Cumulative Disaster Exposure And Hypertension Among Mothers Who Survived Hurricane Katrina, Marie-Claire Meadows

Public Health Theses

Introduction: Hurricanes and other weather-related disasters are increasing in frequency and virulence as a result of climate change. While post-disaster mental health outcomes are robustly studied, post-disaster physical health conditions are not, especially in the longer-term aftermath of disasters. Hypertension is of particular concern due to its links with stress and traumatic events. To address this gap in the literature, this study examined the association between cumulative disaster exposure and hypertension over several years.Methods: Data were from the Resilience in Survivors of Katrina (Project), a longitudinal cohort study of primarily Black mothers. A total of 505 women who had not …