Digital Commons Network^™

Localities As Equality Innovators, Robin A. Lenhardt

Faculty Scholarship

This Article thus argues that instead of regarding cities and localities that, like Seattle and Louisville, try to develop serious solutions to existing racial disparities as "bad cities" no different from those whose notorious policies spurred the civil rights movement of the 1950s and 1960s, we should be regarding them as potential "equality innovators.” Their on-the-ground experience with the realities of race and its operation in the twenty-first century arguably places them in a better position than courts to develop innovative approaches to the structural racial inequities with which so many municipalities must grapple. Existing doctrine limits dramatically the ability …

Prevalence Of Hearing Impairment And Ear Disorders In Beni, Bolivia: A Population Based Study, Stephen Kelleher

Yale Medicine Thesis Digital Library

Stephen P. Kelleher, Diego Santana-Hernández, M.D.(a) (sponsored by Melinda M. Pettigrew Ph.D., Associate Professor of Epidemiology, Yale School of Public Health, New Haven, Connecticut) (a) Fundación Totaí, Casilla 158, Trinidad, Beni, Bolivia.

ABSTRACT:

Hearing impairment is a significant source of morbidity worldwide. It is estimated that over 278 million people in the world experience moderate to profound hearing loss. The goal of this study was to provide population based data on hearing loss and ear disease in Beni, Bolivia and to specifically answer the question of whether particular population demographics are associated with hearing impairment so that hearing loss prevention …

Urine Microscopy Findings Predict Outcomes In Hospitalized Patients With Acute Kidney Injury, Patricia Peter

Yale Medicine Thesis Digital Library

Though urine microscopy has long been highly regarded by nephrologists as an essential diagnostic tool, its potential utility in predicting outcome in acute kidney injury (AKI) warrants further exploration. In this study, urine sediment microscopy was performed on 165 hospitalized patients on the first day of their clinical AKI diagnosis to determine whether microscopy findings early in the course of this disease correlate with "worsening," a composite of increasing AKI stage and in-hospital mortality. Microscopy findings were recorded as individual cells and casts along with a microscopy score derived from renal tubular epithelial (RTE) cells and granular casts. Our data …

Evaluation Of Need And Feasibility Of Tuberculosis Screening In Buprenorphine Treatment Programs, Ryan Schwarz

Yale Medicine Thesis Digital Library

Background: Buprenorphine's availability in primary care settings offers increased access to treatment and linkage to primary care for opioid-dependent patients. Currently, tuberculin skin testing (TST) is recommended for patients enrolling in methadone maintenance treatment (MMT), but not for those enrolling in buprenorphine maintenance treatment (BMT).

Objectives: To compare TST screening results in enrollees in BMT and MMT programs and assess the correlates of TST positivity among these subjects.

Methods: A cross-sectional analysis of a retrospective cohort study was conducted to compare concurrent TST results among contemporaneously matched groups of MMT and BMT patients in the same community.

Results: TST positivity …

Patient Refusal Of Physician: Institutional Awareness And Hospital Leaders' Perspectives, Natalie Spicyn

Yale Medicine Thesis Digital Library

Patient refusal of physician (PRoP) refers to instances in which a patient refuses to be cared for by a given physician because of the physician's socio-demographic characteristics, such as gender, age, race/ethnicity, religion, national origin, or perceived sexual orientation. Minority physicians experience PRoP more often than non-minority physicians, and thus PRoP may become a growing concern as the healthcare workforce diversifies. Little is known, however, about hospital leadership awareness of and response to these circumstances. This study aims to describe the proportion of teaching hospitals with formal guidance on PRoP and to characterize hospital leaders' perspectives on addressing this issue. …

Patents, Genetically Modified Foods, And Ip Overreaching, Elizabeth A. Rowe

SMU Law Review

No abstract provided.

Influenza Vaccine Given To Pregnant Women Reduces Hospitalization Due To Influenza In Their Infants, Isaac Benowitz

Yale Medicine Thesis Digital Library

The aim of this study was to determine whether giving influenza vaccine to pregnant women can reduce the incidence of hospitalization due to influenza in their infants in the first year of life. This was a matched, hospital-based case-control study at Yale-New Haven Children's Hospital. Case and control subjects were all aged hospitalization, matched to cases by date of birth and date of hospitalization (both within 4 weeks before or after). We contacted parents of all subjects to collect information on the subjects' health and home setting and to get permission to review subjects' and mothers' hospital records and outpatient …

Capturing Changes In Gene Expression Dynamics By Gene Set Differential Coordination Analysis, Tianwei Yu, Yun Bai

PCOM Scholarly Works

Analyzing gene expression data at the gene set level greatly improves feature extraction and data interpretation. Currently most efforts in gene set analysis are focused on differential expression analysis - finding gene sets whose genes show first-order relationship with the clinical outcome. However the regulation of the biological system is complex, and much of the change in gene expression dynamics do not manifest in the form of differential expression. At the gene set level, capturing the change in expression dynamics is difficult due to the complexity and heterogeneity of the gene sets. Here we report a systematic approach to detect …

Lying In The Scanner: Covert Countermeasures Disrupt Deception Detection By Functional Magnetic Resonance Imaging, Giorgio Ganis, J. Peter Rosenfeld, John B. Meixner Jr., Rogier Kievit, Haline Schendan

Scholarly Works

Functional magnetic resonance imaging (fMRI) studies have documented differences between deceptive and honest responses. Capitalizing on this research, companies marketing fMRI-based lie detection services have been founded, generating methodological and ethical concerns in scientific and legal communities. Critically, no fMRI study has examined directly the effect of countermeasures, methods used by prevaricators to defeat deception detection procedures. An fMRI study was conducted to fill this research gap using a concealed information paradigm in which participants were trained to use countermeasures. Robust group fMRI differences between deceptive and honest responses were found without, but not with countermeasures. Furthermore, in single participants, …

Can You Really Keep Your Health Care Plan? The Limits Of Grandfathering Under The Affordable Care Act, Elizabeth Weeks Leonard

Scholarly Works

This article examines the rhetoric and reality of President Obama's repeated hallmark promise during federal health reform that "you can keep your health plan," as one example of the Administration's equivocal stance toward deregulation. Although rhetorically supporting the popular preference for decreased government involvement in health care, the Obama Administration, in several instances, has achieved significant re-regulation through the intricacies of executive branch rule-making. The Affordable Care Act's "grandfather rule" (Section 1251, "Preservation of Right to Maintain Existing Coverage") purports to uphold the "you can keep your health plan" promise. But the regulatory requirements for plans to retain grandfathered status …

Paying It Forward: The Case For A Specific Statutory Limitation On Exclusive Rights For User-Generated Content Under Copyright Law, Warren B. Chik

Research Collection Yong Pung How School Of Law

This article examines user-generated content (“UGC”) and the significance of re-inventions in the context of an increasingly user-centric internet environment and an information sharing society. It will explain the need to provide a statutory limitation in the form of an exception or exemption for socially beneficial UGC on the exclusive rights under copyright law. This will also have the effect of protecting the internet intermediary that hosts and shares UGC. Nascent but abortive attempts have been made by Canada to introduce just such a provision into her copyright legislation, while some principles and rules have also emerged from various interest …

A Cohort Study Of A History Of Gestational Diabetes Mellitus And The Risk Of Incident Type 2 Diabetes In Louisiana Women, Yujie Wang

LSU Master's Theses

Gestational diabetes mellitus (GDM) is one of the most common pregnancy complications. It has been shown that a history of GDM is associated with an increased risk of incident type 2 diabetes in women. In this project, we aim to investigate 1) the trend of GDM incidence in Louisiana State University Health Care Services Division (LSUHCSD) hospital system during 1997 to 2009; 2) the race-specific association between a history of GDM and the risk of incident type 2 diabetes and how the risk changes over years after the index pregnancy. We conducted a retrospective study among women aged 13-50 years. …

Finding The Heart Of Medical Family Therapy: A Content Analysis Of Medical Family Therapy Casebook Articles, Richard Bischoff, Paul R. Springer, Daniel S. Felix, Cody S. Hollist

Department of Child, Youth, and Family Studies: Faculty Publications

In an effort to identify the essential ingredients of medical family therapy, a content analysis of 15 peer-reviewed case studies in medical family therapy was conducted. The case studies were published from 1996 to 2007 in Families, Systems, & Health. Through a qualitative content analysis, three main themes emerged that describe the essence of the practice of medical family therapy: (1) The patient’s multisystemic experience of disease, (2) treatment is about caring, not just caregiving, and (3) elevating the patient as collaborator in the care team.

Consumer Behavior In Social Mediums: A Study Of The Impact Of Social Networking Sites And Massively Multiplayer Online Role-Playing Games On College Students' Academic And Social Lives, Laura Johnston

Honors Theses

Consumer Behavior is an interdisciplinary field that marketers use to understand the wants and behavior of consumers. It focuses on how people decide to spend their available resources, such as time or money, on a product or service and examines issues such as why, how often, and the impact of making such a decision. This study will incorporate the Social Cognitive Theory's assessment of expected outcomes based on consumers' own direct experiences that incite continued participation with the Use and Gratification Theory's idea of social need that may result in need gratification, leading to unintended results. Users of SNSs and …

Information Asymmetry And Information Failure: Disclosure Problems In Complex Financial Markets, Steven L. Schwarcz

Faculty Scholarship

Disclosure of information has been a key to regulation of the financial markets in the United States. Indeed, some have argued that the ‘exclusive focus [of federal securities regulation] is on full disclosure’ (Hazen, 2005). Yet there is relatively little dispute that although most if not all of the risks giving rise to the collapse of the market for structured securities backed by subprime mortgages were disclosed, the disclosure was ineffective. Disclosure failed because of the complexity of those securities and transactions.

This chapter examines disclosure’s insufficiency in addressing information asymmetry, arguing that complexity can cause information failure. There are …

Rhetoric: Video Games Are Not Evil!, Brian Middaugh

Fresh Voices: Composition at Cal Poly

No abstract provided.

Financial Industry Self-Regulation: Aspiration And Reality, Steven L. Schwarcz

Faculty Scholarship

This essay on financial industry self-regulation responds to Professor Saule Omarova’s recent article on that topic, Wall Street as Community of Fate: Toward Financial Industry Self-Regulation, 159 U. PA. L. REV. 411 (2011).

Psychometric Evaluation Of A Proposed, Alzheimer's Aggression Scale, Kristina Little

LSU Master's Theses

Aggressive behavior is a common symptom of mid- to late-stage Alzheimer’s disease, causing unique challenges for caregivers and healthcare professionals. In previous research, aggressive behavior related to dementia was linked to higher caregiver distress and burden. The purpose of this study was to examine the psychometric properties of an aggressive behavior subscale of the Revised Memory and Behavior Problem Checklist (RMBPC) among Alzheimer’s disease caregivers. The subscale measures the frequency of aggressive behavior and the caregiver’s reaction. The sample consisted of 419 caregivers reporting some frequency of aggressive behavior by the care recipient. Exploratory factor analysis was favorable. Convergent validity …

Intraocular Pressure Fluctuations In Professional Brass And Woodwind Musicians During Common Playing Conditions, Gunnar Schmidtmann, Susanne Jahnke, Egbert J. Seidel, Wolfgang Sickenberger, Hans Jürgen Grein

School of Health Professions

No abstract provided.

Rethinking Novelty In Patent Law, Sean B. Seymore

Duke Law Journal

The novelty requirement seeks to ensure that a patent will not issue if the public already possesses the invention. Although gauging possession is usually straightforward for simple inventions, it can be difficult for those in complex fields like biotechnology, chemistry, and pharmaceuticals. For example, if a drug company seeks to patent a promising molecule that was disclosed but never physically made in the prior art, the key possession question is whether a person having ordinary skill in the art (PHOSITA) could have made it at the time of the prior disclosure. Put differently, could the PHOSITA rely on then-existing knowledge …

Apache-Ii Score Correlation With Mortality And Length Of Stay In An Intensive Care Unit, Saad Ahmed Naved,, Shahla Siddiqui, Fazal Hameed Khan

Department of Anaesthesia

Objective: To correlate the APACHE-II score system with mortality and length of stay in ICU. Study Design: Cohort study. Place and Duration of Study: The Intensive Care Unit (ICU) of the Aga Khan University Hospital, Karachi, from May 2005 to May 2006. Methodology: All adult patients who were admitted in the ICU were included. APACHE-II score was calculated at the second and seventh days of admission in the ICU. Patients who were discharged alive from the ICU or died after first APACHE-II Score (at 2nd day) were noted as the primary outcome measurement. Second APACHE-II score (at 7th day) was …

Post-Dural Puncture Posterior Reversible Encephalopathy Syndrome, Fauzia N. Minai, Syeda Fauzia Hasan, Mughis Sheerani

Department of Anaesthesia

We report the case of a young patient with 36 weeks pregnancy, and an acute respiratory infection with severe bronchospasm, who developed an occipital headache and neck pain on the third day of inadvertent dural puncture during placement of combined epidural spinal anaesthesia for caesarian section. It was diagnosed as post-dural puncture headache until generalised tonic clonic siezures occurred the next day raising the suspicion of postpartum eclampsia or meningitis. Posterior reversible encephalopathy syndrome was diagnosed on MRI of the brain which showed features of reversible ischemia in the posterior region of the brain. With anticonvulsant therapy and antibiotics there …

Anaesthetic Challenges In Emergency Surgical Repair Of Acute Aortic Dissection Rupturing Into The Pericardium In A Pregnant Patient, Mohammad Irfan Akhtar, Khalid Samad

Department of Anaesthesia

Acute aortic dissection in pregnancy is a serious situation, because rapid and appropriate surgical decision making is required to save the life of both mother and baby. Aortic dissection is rare in young women but is likely during pregnancy (third trimester) secondary to the hyperdynamic and hypervolaemic circulatory state associated with pregnancy. A 35 years old 27 weeks pregnant patient weighing 90 kg presented in the emergency with severe chest pain. In the immediate post cardiopulmonary bypass period, the patient started bleeding profusely from the anastamotic sites irrespective of utilization of all the conventional methods of haemostasis including multiple units …

Research Diary: A Tool For Scaffolding, Marion Engin

All Works

Diaries have long been seen as tools for reflection in learning languages, and learning about teaching. Despite this recognition of the importance of narratives in diary writing, little attention has been paid to the role of research diaries in the process of learning about research, and learning how to be a researcher. During the author's own research into the construction of teaching knowledge by pre-service trainees, she became aware that her research diary was scaffolding her own construction of research knowledge. In this article the author discusses the role of a research diary based on a socio-cultural theory of learning. …

Vitamin D Deficiency And Sun Avoidance Among University Students At Abu Dhabi, United Arab Emirates, Fatme Al Anouti, Justin Thomas, Laila Abdel-Wareth, Jaishen Rajah, William B. Grant, Afrozul Haq

All Works

This study offers evidence that vitamin D deficiency could be a major public health burden among young Emirati adults, mostly because of sun deprivation in a sun-blessed country. This study included a random sample of 138 females and 70 males tested for serum 25-hydroxyvitamin D [25(OH)D] status. To further evaluate the predictors of vitamin D status in this population, the study examined diet, obesity and sun exposure. In summer, the mean serum 25(OH)D concentration for females was 20.9 ± 14.9 nmol/L, whereas that for males was 27.3 ± 15.7 nmol/L. Females scored significantly higher than males on the sun avoidance …

Maintaining And Enhancing The Integrity Of Adr Processes: From Principles To Practice Through People, Kellam, Nadja Alexander, Nadja Marie Alexander, Andrew Bickerdike, Andrew Greenwood, Margaret Halsmith, Norah Hartnett, Ian Hanger Hanger, Tom Howe, Elizabeth Kelly, Stephen Lancken, Gaye Sculthorpe, Lindsay Smith, Warwick Soden, Tania Sourdin

Research Collection Yong Pung How School Of Law

Nadja Alexander was contributor to the Report as council member of National Alternative Dispute Resolution Advisory Council.In this Report, the National Alternative Dispute Resolution Advisory Council (NADRAC) canvasses particular issues that support the integrity of alternative dispute resolution (ADR) processes, and that are identified in the Terms of Reference. These are: conduct obligations, rules about confidentiality and inadmissibility of communications within ADR processes, and immunity of ADR practitioners from being sued. The Report explains NADRAC’s understanding of the breadth of the concept of integrity as it applies to ADR processes, canvasses the views of interested parties about the integrity of …

The Influence Of Auditory Feedback On Speed Choice, Violations And Comfort In A Driving Simulation Game, E. Hellier, A. Naweed, G. Walker, P. Husband, J. Edworthy

School of Psychology

No abstract provided.

Ogalala Sioux Tribal Profile, Karen Kimbro Chase

Tribal Law Journal

This profile offers an excellent overview of Oglala Sioux law, both traditional and modern. Like many tribes, the Indian Reorganization Act had a major impact on the contemporary law of the Oglala Sioux. While the IRA resulted in tribal constitutions that reflected the values of the U.S. Constitution, this profile examines the traditional and customary law that was subsequently incorporated into the Oglala Sioux Constitution. This profile includes a brief history of the Oglala Sioux, overview of traditional law, governmental structure, summary of contemporary law, and history of political activism.

An Historical Analysis Of Character Education, Michael Watz

Journal of Inquiry and Action in Education

What is termed character education in today’s world has been called many things throughout the history of education in this country. Character education has been both a formal and informal part of schools. At times it has been integrated in small ways into many other pieces of the curriculum. At other times it has been a unique piece of the curriculum as highlighted by the variety of standalone character education programs that are currently running in schools today. Much of character education in the United States can be closely tied in its roots to the education of character in Europe, …

Influence Of Low Sonication Intensities At Different Temperatures On Acid Tolerance, Bile Tolerance, Protease Activity And Growth Of Yogurt Culture Bacteria Lactobacillus Delbrueckii Ssp. Bulgaricus And Streptococcus Salivarius Ssp. Thermophilus, Marvin L. Moncada Reyes

LSU Master's Theses

Streptococcus salivarius ssp. thermophilus and Lactobacillus delbrueckii ssp. bulgaricus are dairy cultures widely used in the dairy industry. Low sonication intensity condition is a non-destructive technique that uses sound waves to cause cavitation in aqueous solutions and may improve the permeability of membranes, speed up the transfer of substrates and promote cellular growth and propagation. The objective of this study was to determine the effect of low sonication intensities at different temperatures on acid tolerance, bile tolerance, protease activity and growth of the two dairy cultures. The cultures were freshly thawed and suspended in 0.1% peptone water and 18 ml …