Digital Commons Network^™

The Impact Of Brief Intervention On Adherence To Medication Regimen Of Low-Income Adults With Type 2 Diabetes, Kathleen E. Kendra

LSU Master's Theses

Patient nonadherence with medication regimen is a common problem facing health care providers treating adult patients with Type 2 diabetes. Poor glycemic control, diabetes related complications, and increased utilization and health care costs are among the outcomes of poor compliance with medical regimen. Prior research indicates moderate success with several techniques to improve medication adherence when used alone. However, the literature suggests a need for an intervention providing a multi-component technique, implementing self-motivating skills and follow-up prompts. Using a 15- minute single exposure intervention, the current study attempted to combine these two procedures (brief intervention including motivational interviewing with follow-up …

Deliberate Extinction: Whether To Destroy The Last Smallpox Virus, David A. Koplow

Georgetown Law Faculty Publications and Other Works

The target problem to be examined is smallpox. Specifically, what should we (the United States and the entire world) now do with the last known residual samples of the virus that causes this uniquely horrific disease? The illness itself has virtually disappeared from the catalogue of human afflictions: due to a stunningly imaginative, concerted, and resolute campaign of the World Health Organization (WHO) through the 1970s, no one has contracted this deadly impairment for twenty-five years. Yet the causative element, an insidious scourge known as the variola virus, still remains, housed for now in high-security freezers at the U.S. Centers …

Lessons From A Story Untold: Nike V. Kasky Reconsidered, David C. Vladeck

Georgetown Law Faculty Publications and Other Works

The Supreme Court's recent dismissal, apparently on jurisdictional grounds, of the writ of certiorari it had granted to review Nike, Inc. v. Kasky has brought into sharp focus a number of critiques of the commercial speech doctrine - some new, some longstanding. At issue in Nike were communications Nike made to customers, newspaper editors, college presidents and athletic directors, and others responding to allegations that Nike had engaged in, or was complicit in, the mistreatment of foreign workers. Respondent Marc Kasky contended that Nike's communications contained significant misstatements of fact and thus were actionable under California's unfair competition and false …

The Effect Of The United States Supreme Court's Eleventh Amendment Jurisprudence On Clean Water Act Citizen Suits: Muddied Waters, Hope M. Babcock

Georgetown Law Faculty Publications and Other Works

This Article focuses on the impact of the Court's Eleventh Amendment jurisprudence on citizen suits authorized under the Clean Water Act (CWA), because that law's cooperative federalism structure is typical of many other environmental laws, and because citizen suits have historically played a critical role in its implementation. The CWA's citizen suit provision (section 505), which specifically incorporates the Eleventh Amendment, has brought on citizen suits the full force and effect of the Court's current state sovereign immunity jurisprudence. The prevailing wisdom is that the Court's state sovereign immunity jurisprudence will not bar CWA citizen suits brought to enforce federal …

The Moral Authority Of Symbolic Appeals In Biomedical Ethics, Sharon Sytsma

Faculty Articles, Papers, and Other Scholarship

No abstract provided.

Structural Levels Of Mental Illness Stigma And Discrimination, Patrick W. Corrigan, Fred E. Markowitz, Amy Watson

Faculty Articles, Papers, and Other Scholarship

Most of the models that currently describe processes related to mental illness stigma are based on individual-level psychological paradigms. In this article, using a sociological paradigm, we apply the concepts of structural discrimination to broaden our understanding of stigmatizing processes directed at people with mental illness. Structural, or institutional, discrimination includes the policies of private and governmental institutions that intentionally restrict the opportunities of people with mental illness. It also includes major institutions' policies that are not intended to discriminate but whose consequences nevertheless hinder the options of people with mental illness. After more fully defining intentional and unintentional forms …

Dirty Bombs: The Threat Revisited, Peter D. Zimmerman, Cheryl Loeb

Defense Horizons

Nuclear radiation, invisible and detectable only with special instruments, has the power to terrify—in part because of its association with nuclear weapons—and to become an instrument of terrorists. Radioactive isotopes can be spread widely with or without high explosives by a radiological dispersion device (RDD) or so-called dirty bomb. This paper provides a general overview of the nature of RDDs and sources of material for them and estimates the effects of an assault, including casualties and economic consequences. Many experts believe that an RDD is an economic weapon capable of inflicting devastating damage on the United States. This paper is …

Technology For Care Networks Of Elders, Sunny Consolvo, Peter Roessler, Brett E. Shelton, Anthony Lamarca, Bill Schilit, Sarah Bly

Instructional Technology and Learning Sciences Faculty Publications

Computer-supported coordinated care uses technology to aid the network of people who support an elder living at home. The authors conducted interviews with people involved in the care of elders to identify their needs and subsequently conducted an in situ evaluation of a technology probe to study how a CSCC system might help satisfy these needs. The authors used these results to identify challenges faced by people caring for elders and offer guidelines for designers of coordinated care technologies.

Rapid Pcr In A Continuous Flow Device, Masahiko Hashimoto, Pin Chuan Chen, Michael W. Mitchell, Dimitris E. Nikitopoulos, Steven A. Soper, Michael C. Murphy

Faculty Publications

Continuous flow polymerase chain reaction (CFPCR) devices are compact reactors suitable for microfabrication and the rapid amplification of target DNAs. For a given reactor design, the amplification time can be reduced simply by increasing the flow velocity through the isothermal zones of the device; for flow velocities near the design value, the PCR cocktail reaches thermal equilibrium at each zone quickly, so that near ideal temperature profiles can be obtained. However, at high flow velocities there are penalties of an increased pressure drop and a reduced residence time in each temperature zone for the DNA/reagent mixture, that potentially affect amplification …

Statutory Regulation Of Employment, Janine Benedet, Patricia Hughes, Kerry Rittich

Articles & Book Chapters

No abstract provided.

Voiding Auto Insurance Clauses For Violating Public Policy, Greg Munro

Faculty Journal Articles & Other Writings

This article addresses how a lawyer faced with an unambiguous auto insurance policy provision detrimental to his insured or claimant may analyze the provision to determine if it is potentially void and unenforceable.

Integrating Animal Interests Into Our Legal System, David Favre

Animal Law Review

This article explores the obstacles to obtaining legal rights for animals both within the animal rights movement and within the broader political context. The author examines in which arena legal change might best be sought—the courts, the legislature, state governments, or the federal government. Finally, it makes a number of suggestions as to what type of laws would be the most successful in advancing the interests of animals.

2003 Legislative Review, Emilie Clermont

Animal Law Review

No abstract provided.

The Future Of Veterinary Malpractice Liability In The Care Of Companion Animals, Christopher Green

Animal Law Review

This comment investigates the factual bases of arguments from the veterinary community and of those that support increasing the malpractice liability of veterinarians. Combining law and economics theory with basic mathematics to evaluate the validity of these positions, it then suggests specific measures for legislatively addressing those parties’ concerns.

Resolving Conflicts Of Duty In Fiduciary Relationships, Arthur R. Laby

American University Law Review

No abstract provided.

January - March 2004 Quarterly Report, Unm Health Sciences Library And Informatics Center

Native Health Database project records

No abstract provided.

October - December 2004 Quarterly Report, Unm Health Sciences Library And Informatics Center

Native Health Database project records

Quarterly report for the NHRD.

The Copyrightability Of Sports Celebration Moves: Dance Fever Or Just Plain Sick? , Hennry M. Abromson

Marquette Sports Law Review

No abstract provided.

Anthrax Hoaxes, Ira P. Robbins

American University Law Review

No abstract provided.

Using Optimization To Calibrate Models Of Intracranial Pressure Dynamics To Patients With Intracranial Hypertension, Wayne W. Wakeland, A. Bulbul, Mateo Aboy, James Mcnames, Brahm Goldstein

Complex Systems Faculty Publications and Presentations

Aim: Automatically calibrate ICP Dynamic model to a specific patients.

Method: Use optimization algorithm to estimate parameter values (ICP, compliances, resistances) that minimize the squared error in predicted ICP.

Results: Estimated parameter values are plausible and improve predicted ICP. Optimization time for 18 minute episode = 2.5 min. for 1 parameter, 10 to 200 min. for multiple simultaneous parameters (too long).

A Comparison Of System Dynamics And Agent-Based Simulationapplied To The Study Of Cellular Receptor Dynamics, Wayne W. Wakeland, Edward J. Gallaher, Louis Macovsky, C. Athena Aktipis

Complex Systems Faculty Publications and Presentations

Cellular receptor dynamics are often analyzed using differential equations, making system dynamics (SD) a candidate methodology. In some cases it may be useful to model the phenomena at the biomolecular level, especially when concentrations and reaction probabilities are low and might lead to unexpected behavior modes. In such cases, agent-based simulation (ABS) may be useful. We show the application of both SD and ABS to simulate non-equilibrium ligand-receptor dynamics over a broad range of concentrations, where the probability of interaction varies from low to very low. Both approaches offer much to the researcher and are complementary. We did not find …

The Effect Of Stuttered Speech On Perceptions Of Job Performance, Donna Lakier

Honors Capstones

The purpose of this study was to determine whether identifying a speaker as a person who stutters influences a listener's perception about an individual's ability to perform a job. Forty- four male and female subjects examined two videotaped interview samples, where one of the interviews included an individual who stuttered. Subjects were instructed to rate the individuals on various traits, including speech characteristics, personality traits and competency related characteristics. Findings indicated that there was no difference in the perceptions of listeners between individuals who stutter and normally fluent individuals, except when it comes to speech related characteristics.

Repression Unbound : Validation Of The Index Of Self-Regulation Of Emotion, Mark Christopher Clayton

Electronic Theses and Dissertations

No abstract provided.

Albumin Enhanced Morphometric Image Analysis In Cll., Matthew A. Lunning, Vincent E. Zenger, Ricardo Dreyfuss, Maryalice Stetler-Stevenson, Margaret E. Rick, Therese A. White, Wyndham H. Wilson, Gerald E. Marti

Journal Articles: Oncology and Hematology

BACKGROUND: The heterogeneity of lymphocytes from patients with chronic lymphocytic leukemia (CLL) and blood film artifacts make morphologic subclassification of this disease difficult.

METHODS: We reviewed paired blood films prepared from ethylene-diamine-tetraacetic acid (ETDA) samples with and without bovine serum albumin (BSA) from 82 CLL patients. Group 1 adhered to NCCLS specifications for the preparations of EDTA blood films. Group 2 consisted of blood films containing EDTA and a 1:12 dilution of 22% BSA. Eight patients were selected for digital photomicroscopy and statistical analysis. Approximately 100 lymphocytes from each slide were digitally captured.

RESULTS: The mean cell area +/- standard …

Does Dowry Improve Life For Brides? A Test Of The Bequest Theory Of Dowry In Rural Bangladesh, Luciana Suran, Sajeda Amin, Lopita Huq, Kobita Chowdury

Poverty, Gender, and Youth

In recent years, dowry levels in Bangladesh have risen to previously unforeseen levels—sometimes three or four times a family’s total assets. Some recent economic writings suggest that dowry functions as a bequest or pre-mortem inheritance, implying it persists because it is “good for the bride.” Using panel data from an adolescent study in rural Bangladesh, this Population Council working paper explores the association between dowry and the prevalence of domestic abuse to test the bequest theory of dowry. Contrary to the prediction of the bequest theory, married females who paid dowry at marriage have a higher likelihood of reporting domestic …

Les Implications Du Mariage Précoce Pour Les Politiques De Vih/Sida, Judith Bruce, Shelley Clark

Poverty, Gender, and Youth

Ce dossier est basé sur un document contextuel préparé pour la Consultation Technique OMS/ FNUAP/Population Council sur les Adolescentes Mariées, tenue à Genève en Suisse du 09 au 12 Décembre 2003 (le document final intitulé "Inclure les adolescentes mariées dans les politiques de santé reproductive des adolescents et de VIH/SIDA"). La Consultation a réuni des experts provenant des Nations Unies, des bailleurs de fonds et des agences non gouvernementales pour examiner les faits concernant la santé reproductive des adolescentes mariées, leur vulnérabilité face à l’infection du VIH, leurs inégalités sociales et économiques ainsi que leurs droits. Les rapports avec des …

Forced Sexual Relations Among Married Young Women In Developing Countries, Deepika Ganju, William Finger, Shireen J. Jejeebhoy, Vijaya Nidadavolu, K.G. Santhya, Iqbal Shah, Shyam Thapa, Ina Warriner

Poverty, Gender, and Youth

Recent research in developing countries suggests that a considerable number of young women may experience forced sex within marriage, but most women may be inhibited from reporting these experiences due to shame, fear of reprisal, or deep-rooted unequal gender norms. In September 2003, a global consultative meeting on nonconsensual sex among young people in developing countries was held in New Delhi, India. The meeting was organized by the Population Council in collaboration with World Health Organization/Department of Reproductive Health and Research, and Family Health International/YouthNet. Participants included researchers, legal analysts, representatives from community-based NGOs, policy-makers, and young people themselves. Papers …

The Adverse Health And Social Outcomes Of Sexual Coercion: Experiences Of Young Women In Developing Countries, Deepika Ganju, William Finger, Shireen J. Jejeebhoy, Vijaya Nidadavolu, K.G. Santhya, Iqbal Shah, Shyam Thapa, Ina Warriner

Poverty, Gender, and Youth

Although evidence from developing countries is limited, what is available suggests that significant numbers of young women have experienced coercive sex. Studies in diverse settings in Africa, Asia, and Latin America reveal that forced sexual initiation and experiences are not uncommon in all of these settings. Many young victims of abuse fear disclosure as they feel they may be blamed for provoking the incident or stigmatized for having experienced it, and suffer such incidents in silence. Presentations at a meeting held in New Delhi in September 2003 highlighted findings from recent studies that suggest an association between early experiences of …

Population Aging And The Rising Cost Of Public Pensions, John Bongaarts

Poverty, Gender, and Youth

Rapid population aging is raising concerns about the sustainability of public pension systems in high-income countries. The first part of this study identifies the four factors that determine trends in public pension expenditures: population aging, pension benefit levels, the mean age at retirement, and the labor force participation rate. The second part presents projections to 2050 of the impact of demographic trends on public pension expenditures in the absence of changes in pension benefits, labor force participation, and age at retirement. These projections demonstrate that current trends are unsustainable, because without reforms population aging will produce an unprecedented and harmful …

Moyens De Subsistance Des Adolescentes. Questions Primordiales Et Outils Essentiels : Rapport D'Un Atelier, Carey Meyers

Poverty, Gender, and Youth

This report, co-published by the Population Council and the International Center for Research on Women, describes a workshop convened in Cairo in 1999 to learn more about the nature of both younger and older adolescents' work experience, differentiate the particular needs and potentials of adolescent girls, and identify programs and policies that might have promise for supporting them.