Digital Commons Network^™

Decisions, Decisions: Factors That Influence A Patient's Medical Tourism Choices, Louis K. Falk, Thomas J. Prinsen

Communication Faculty Publications

In the digital age, the amount of information and sources concerning Medical Tourism is overwhelming. Knowledge is power in an era of healthcare uncertainty. As health care options have grown in global proportions, it has become more difficult for potential patients to locate the material necessary to make informed decisions or to even know which factors to consider during their information search. Individual financial circumstances vary greatly. This paper suggests how medical tourism makes financial sense for many patients and payers. Proximity and culture play roles in that medical tourists may prefer locations that are not too far from home. …

Salem For All Ages: An Age-Friendly Action Plan, Caitlin E. Coyle, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

The City of Salem is dedicated to being an ideal place for people of all ages and abilities to live, work, learn and play. Towards this goal the City applied, and was accepted, to the World Health Organization’s Network of Age-Friendly Communities in 2015. Almost entirely directed by passionate resident leaders from Salem and with the support and enthusiasm of Mayor Kimberly Driscoll and participating City Departments, a series of activities were undertaken to assess the needs of Salem’s older adult population. In June 2016, the City of Salem invited collaboration from the Center for Social & Demographic Research on …

Recovery For All? A Snapshot Of Women’S Economic Status In New England, Ann Bookman, Christa Kelleher, Kristin Smith

Publications from the Center for Women in Politics and Public Policy

This November 2016 report, based on pre-recession and post-recession earnings data from the American Community Survey, demonstrates that while women’s overall earnings are now higher than pre-recession levels, other key indicators demonstrate a growing wage gap for many women—especially minorities and low-wage workers.

Minority women in New England who are employed full-time, year-round earned 62 percent as much as white men, both before and after the recession. While the gap between minority women’s and white women’s earnings decreased in Maine, New Hampshire, and Rhode Island after the recession, it stayed the same in Massachusetts and widened in Connecticut and Vermont. …

Positioning Analysis Of Filipino Family Narratives In The Context Of Prisoner Reintegration, Donald Jay M. Bertulfo, Nico A. Canoy, Michael Angelo Celeste

Psychology Department Faculty Publications

Prisoner reintegration may be viewed as a crisis situation that may lead to a period of instability within the family. Existing researches in this area remain focused on the individual perspective of ex-offenders rather than the experiences of receiving families back in their households. In this study, we aim to examine the reintegration experiences of the family as a group from an initial state of chaos to equilibrium upon the reentry of an incarcerated parent. Using a sample of 12 interviews of family members left behind by incarcerated fathers, three major storylines relating to the family’s struggle for moral re-ascendancy …

M(2)-Abks: Attribute-Based Multi-Keyword Search Over Encrypted Personal Health Records In Multi-Owner Setting, Yinbin Miao, Jianfeng Ma, Ximeng Liu, Fushan Wei, Zhiquan Liu, Xu An Wang

Research Collection School Of Computing and Information Systems

Online personal health record (PHR) is more inclined to shift data storage and search operations to cloud server so as to enjoy the elastic resources and lessen computational burden in cloud storage. As multiple patients' data is always stored in the cloud server simultaneously, it is a challenge to guarantee the confidentiality of PHR data and allow data users to search encrypted data in an efficient and privacy-preserving way. To this end, we design a secure cryptographic primitive called as attribute-based multi-keyword search over encrypted personal health records in multi-owner setting to support both fine-grained access control and multi-keyword search …

A Provably Secure Aggregate Signature Scheme For Healthcare Wireless Sensor Networks, Limin Shen, Jianfeng Ma, Ximeng Liu, Meixia Miao

Research Collection School Of Computing and Information Systems

Wireless sensor networks (WSNs) are being used in a wide range of applications for healthcare monitoring, like heart rate monitors and blood pressure monitors, which can minimize the need for healthcare professionals. In medical system, sensors on or in patients produce medical data which can be easily compromised by a vast of attacks. Although signature schemes can protect data authenticity and data integrity, when the number of users involved in the medical system becomes huge, the bandwidth and storage cost will rise sharply so that existing signature schemes are inapplicability for WSNs. In this paper, we propose an efficient aggregate …

An Efficient Privacy-Preserving Outsourced Calculation Toolkit With Multiple Keys, Ximeng Liu, Robert H. Deng, Kim-Kwang Raymond Choo, Jian Weng

Research Collection School Of Computing and Information Systems

In this paper, we propose a toolkit for efficient and privacy-preserving outsourced calculation under multiple encrypted keys (EPOM). Using EPOM, a large scale of users can securely outsource their data to a cloud server for storage. Moreover, encrypted data belonging to multiple users can be processed without compromising on the security of the individual user's (original) data and the final computed results. To reduce the associated key management cost and private key exposure risk in EPOM, we present a distributed two-trapdoor public-key cryptosystem, the core cryptographic primitive. We also present the toolkit to ensure that the commonly used integer operations …

Privacy-Preserving Outsourced Calculation On Floating Point Numbers, Ximeng Liu, Robert H. Deng, Wenxiu Ding, Rongxing Lu

Research Collection School Of Computing and Information Systems

In this paper, we propose a framework for privacy-preserving outsourced calculation on floating point numbers (POCF). Using POCF, a user can securely outsource the storing and processing of floating point numbers to a cloud server without compromising on the security of the (original) data and the computed results. In particular, we first present privacy-preserving integer processing protocols for common integer operations. We then present an approach to outsourcing floating point numbers for storage in a privacy-preserving way, and securely processing commonly used floating point number operations on-the-fly. We prove that the proposed POCF achieves the goal of floating point number …

Five Strategies To Assist Spiritual Leaders In Implementing Self-Care Programs For Compassion Fatigue, Dallas Scales

Doctoral Dissertations and Projects

The purpose of this thesis project is to provide five strategies for spiritual leaders to combat the negative affect of compassion fatigue due to trauma events. Although pastoral care and counseling is an effective instrument by which churches stay germane to changing human needs in a shifting society and churches, pastors and caregivers have grown susceptible to compassion fatigue. The researcher will gather data from a survey of 100 spiritual leaders constructed around four hypotheses related to self-care after a trauma event: psychological, emotional, physiological and theological created uniquely for this thesis process. This research will provide five strategies for …

Exploring The Outdoors: A Multiple Case Study Examining Teacher Beliefs And Practices In Preschool Outdoor Play, Beverly Goodling

Doctoral Dissertations and Projects

The purpose of this multiple case study was to discover the beliefs and practices regarding preschool outdoor play for early care and education teachers at three diverse school locations. Each site, located in central Pennsylvania, represented a different playground environment: manufactured, natural, and a mixed environment. Using purposeful, maximum variation sampling, three teachers from each of the three centers were selected as participants, based on age, number of years teaching, and educational background. Data collection methods consisted of observations, using the Preschool Outdoor Environment Measurement Scale (DeBord, Hestenes, Moore, Cosco & McGinnis, 2005), semi-structured interviews and a document review to …

A Phenomenological Study Of Employers' Perceptions Of Heating, Ventilation, And Air Conditioning (Hvac) Graduates, Howard Hendren

Doctoral Dissertations and Projects

In the state of Kansas, career technical education (CTE) has undergone major changes. The Kansas Board of Regents, the Technical Education Authority, and business and industry joined together to align Heating, Ventilation, and Air Conditioning (HVAC) programs to make a comprehensive program beneficial to students, graduates, and business and industry. CTE provides students and adults with technical skills, knowledge, and training. Post-secondary education is designed to instruct students concerning careers, career readiness, and the 21st century workplace. The purpose of this transcendental phenomenological study was to understand and describe employers’ perceptions of HVAC graduates. Through the use of a survey, …

Bridged: An Autoethnography Exploring How An Alternative School For "At Risk" Middle And High School Youth Overcame The Achievement Gap, Michael Koeniger

Doctoral Dissertations and Projects

The purpose of this autoethnographic study was to discover how an alternative school for at-risk students, bridged the achievement gap. It used autoethnographic approaches to examine the factors that have led to the successes of an urban school. In this study, 19 graduates of Eastend School (all participant and institutional names are replaced with pseudonyms), three parents and six current and former staff members participated in unstructured, individual interviews and shared their experiences. Autoethnographic field notes were composed. Documents and artifacts relating to Eastend School were collected and studied. The collected data were generally coded and specifically coded until themes …

The Effect Of Elementary And Middle School Grade Span And Transition On Student Achievement And Graduation, Jeana Conley

Doctoral Dissertations and Projects

Social factors surrounding critical transition periods, school and class size, and grade configuration at the elementary level greatly impact current and future student performance. The expectation is that all of these factors are standard among schools, but in reality, every school is different; therefore, the potential for inconsistent quality of learning exists. This causal-comparative study explored the difference etween school size, grade span configuration, and transitions associated with a district’s seven elementary feeder schools in a small county in rural Western North Carolina. Differences in student performance, in both reading and math, at the elementary, middle, and high school level, …

Product Hopping: A New Framework, Michael A. Carrier, Steve D. Shadowen

Notre Dame Law Review

One of the most misunderstood and anticompetitive business behaviors in today’s economy is “product hopping,” which occurs when a brand-name pharmaceutical company switches from one version of a drug to another. These switches, benign in appearance but not necessarily in effect, can significantly decrease consumer welfare, impairing competition from generic drugs to an extent that greatly exceeds any gains from the “improved” branded product.

The antitrust analysis of product hopping is nuanced. It implicates the intersection of antitrust law, patent law, the Hatch-Waxman Act, and state drug product selection laws. In fact, the behavior is even more complex because it …

Rawls’S Political Liberalism, Matthew Jones

International Dialogue

The contribution that John Rawls has made to political philosophy, and liberal political philosophy more specifically, should not be underestimated. His two key texts, A Theory of Justice (1971), and Political Liberalism (1993), not only reinvigorated social contract theory, but set the foundation for much of the contemporary debate surrounding the nature of the liberal democratic state given the fact of reasonable pluralism. If the European philosophical tradition, as noted by Alfred North Whitehead, should be seen as a series of footnotes to Plato, then contemporary Anglo-American political philosophy, especially if it intersects with aspects of liberal political philosophy, could …

Using Information Systems To Improve A Mid-Sized Local Health Department’S Effectiveness In A Time Of Rapid Change, Kay Lovelace, Gulzar H. Shah

Health Policy & Management: Faculty Publications (2006-2018)

Background: Informatics capacity building is resource and personnel intensive. Many local health departments (LHDs) face tradeoffs between using their resources to carry out existing mandates and using resources to build their capacity, for example, through informatics, to deliver essential services in a more effective and efficient manner.

Objective: The purpose of this case study is to describe how a mid-sized LHD built and used information systems to support its strategic objectives, clinical services, and surveillance.

Methods: The mid-sized LHD described here was chosen for its “best practices” in informatics capacity building and use by NACCHO's study advisory committee. To conduct …

Retention Heterogeneity In New York City Schools, Douglas Almond, Ajin Lee, Amy Ellen Schwartz

Center for Policy Research

Performance on proficiency exams can be a key determinant of whether students are retained or "held back" in their grade. In New York City, passing the statewide proficiency exam essentially guarantees promotion, while roughly 13% of those students who fail the exam are retained. Using regression discontinuity methods, we find that female students are 25% more likely to be retained in their grade due to exam failure than boys. Hispanic students are 60% more likely and Black students 120% more likely to be retained due to exam failure (relative to White students). Poverty and previous poor performance also increase the …

The Health Care Expenditure And Income: A Global Perspective, Badi H. Baltagi, Raffaele Lagravinese, Francesco Moscone, Elisa Tosetti

Center for Policy Research

This paper investigates the long-run economic relationship between health care expenditure and income in the world using data on 167 countries over the period 1995-2012, collected from the World Bank data set. The analysis is carried using panel data methods that allow one to account for unobserved heterogeneity, temporal persistence, and cross-section dependence in the form of either a common factor model or a spatial process. We estimate a global measure of income elasticity using all countries in the sample, and for sub-groups of countries, depending on their geo-political area and income. Our findings suggest that at the global level, …

The International Maritime Law Response To Climate Change: The Quest For The Shipping Industry's 'Fair Share' Of Ghg Emissions Reduction, Aldo Chircop

Articles, Book Chapters, & Popular Press

This paper discusses the role of international shipping in climate change mitigation, i.e., its emerging contribution to reduce carbon emissions in the wake of the Paris Agreement, 2015 and the expectation that the International Maritime Organization (IMO) will orchestrate the industry's contribution. The adoption of appropriate targets and standards is expected to be a particularly difficult task because of the global and transnational nature of the shipping industry and the difficulty in establishing the basis for a fair contribution for this industry. While considerable progress has been achieved in enhancing technical and operational regulations to improve efficiencies and reduce harmful …

New Classes Of Univariate Continuous Exponential Power Series Distributions, M. Ahsanullah, Gholamhossein G. Hamedani, M. Shakil, B.M. Golam Kibria, F. George

Mathematics, Statistics and Computer Science Faculty Research and Publications

Recently, many researchers have developed various classes of continuous probability distributions which can be generated via the generalized Pearson differential equation and other techniques. In this paper, motivated by the importance of the power series in probability theory and its applications, we derive some new classes of univariate exponential power series distributions for a realvalued continuous random variable, which we call exponential power series distributions. Various mathematical properties of the proposed classes of distributions are discussed. Based on these distributional properties, we have established some characterizations of these distributions as well. It is hoped that the findings of the paper …

Altered Antibiotic Tolerance In Anaerobic Digesters Acclimated To Triclosan Or Triclocarban, Daniel Elliott Carey, Patrick J. Mcnamara

Civil and Environmental Engineering Faculty Research and Publications

Bench-scale anaerobic digesters were amended to elevated steady-state concentrations of triclosan (850 mg/kg) and triclocarban (150 mg/kg) using a synthetic feed. After more than 9 solids retention time (SRT) values of acclimatization, biomass from each digester (and a control digester that received no antimicrobials) was used to assess the toxicity of three antibiotics. Methane production rate was measured as a surrogate for activity in microcosms that received doses of antibiotics ranging from no-antibiotic to inhibitory concentrations. Biomass amended with triclocarban was more sensitive to tetracycline compared to the control indicating synergistic inhibitory effects between this antibiotic and triclocarban. In contrast, …

Anaerobic Digester Bioaugmentation Influences Quasi Steady State Performance And Microbial Community, Kaushik Venkiteshwaran, K. Milferstedt, J. Hamelin, Daniel Zitomer

Civil and Environmental Engineering Faculty Research and Publications

Nine anaerobic digesters, each seeded with biomass from a different source, were operated identically and their quasi steady state function was compared. Subsequently, digesters were bioaugmented with a methanogenic culture previously shown to increase specific methanogenic activity. Before bioaugmentation, different seed biomass resulted in different quasi steady state function, with digesters clustering into three groups distinguished by methane (CH₄) production. Digesters with similar functional performance contained similar archaeal communities based on clustering of Illumina sequence data of the V4V5 region of the 16S rRNA gene. High CH₄ production correlated with neutral pH and high Methanosarcina abundance, whereas …

Review Of The Search For The Man In The Iron Mask: A Historical Detective Story By Paul Sonnino, Julius R. Ruff

History Faculty Research and Publications

No abstract provided.

Accountabilitea: Assam Tea Workers Demand Action From The World Bank And Tata, Promotion And Advancement Of Justice, Harmony And Rights Of Adivasis (Pajhra), People's Action For Development (Pad), Accountability Counsel, Nazdeek, Human Rights Clinic

Human Rights Institute

New Delhi, India, November 7, 2016 – An investigation published today on Tata’s tea plantations in Assam vindicates the claims of Indian NGOs documenting the failure of the World Bank and Tata to uphold the fundamental rights of workers and their families. Over 155,000 people live and work on tea plantations run by Amalgamated Plantations Private Limited (APPL), the second largest tea producer in Assam. The project has the potential to significantly improve thousands of lives, however the Bank’s initial response to the investigation fails to make the most of this opportunity.

Conference Report: Climate Change And Sustainable Investment In Natural Resources: From Consensus To Action, Columbia Center On Sustainable Investment, Sustainable Development Solutions Network, Sabin Center For Climate Change Law

Columbia Center on Sustainable Investment Staff Publications

The Columbia Center on Sustainable Investment has produced this conference report on CCSI’s Conference on Climate Change and Sustainable Investment in Natural Resources: From Consensus to Action. A shorter outcome document, which was disseminated at COP22, is also available. These documents summarize the discussions at the eleventh annual Columbia International Investment Conference, which took place on November 2-3, 2016, at Columbia University. The Conference offered a high-level opportunity to discuss how countries can reduce their greenhouse gas emissions in accordance with the Paris Agreement, while also advancing the Sustainable Development Goals, and in particular the important implications for the …

Submission To Opic On Revisions To Its Environmental And Social Policy Statement, Kaitlin Y. Cordes

Columbia Center on Sustainable Investment Staff Publications

In November 2016, CCSI sent a submission to the Overseas Private Investment Corporation (OPIC) regarding its draft revised Environmental and Social Policy Statement (ESPS). CCSI’s input focused on two discrete issues that CCSI has been working on: (1) contract transparency for natural resource and infrastructure projects, and (2) redress for harms in the context of project abandonment or failure. The submission urged OPIC to add into the ESPS a requirement that Applicants involved in natural resource or infrastructure projects commit to publicly disclosing any investor-state contracts related to the underlying Project. CCSI’s submission also suggested that OPIC incorporate into the …

National Smokejumper Assocation Trail Maintenance Annual Report For 2016, National Smokejumper Association Trails Committee

Trails Reports

The Trails Maintenance Program Annual Reports compiled by the National Smokejumper Association Trails Committee summarizes the activities of the Trails Program. The members of the program also go by the title Trails Restoration and Maintenance Project Specialists (TRAMPS). The contents of the 2011 report include: Volunteer of the Year; Program summary; Tax Exemption note; Editor's Note; Base abbreviations; Bear Creek Ranger Station; Bear Creek Trails; Bonners Ferry Trails & Fence; Hondo Cabin; Horse Creek Trails Maintenance; Horse Camp; Lewis & Clark; Mann Gulch (two tales); Rio Medio; Snyder Guard Station; Rocky Mtn. NP; East Fork Blacktail Cr. Bridge; BWCAW; Pretty …

Conceptualizing The Mindful Teacher: Examining Evidence For Mindfulness Skills In Teachers' Classroom Speech And Behavior, Cynthia Lynn Taylor

Dissertations and Theses

Mindfulness-based interventions can improve teachers' capacities for attention and emotion regulation, as well as their prosocial dispositions like compassion and forgiveness. The purpose of this set of research studies (including three case studies and a larger non-randomized treatment -- control group quasi-experimental study) was to examine whether or not capacities like these, learned through participation in a mindfulness training (MT) program for teachers, become embodied and show through as changes in teachers' mindful behavior in the classroom -- specifically, their ability to be calm, clear-minded and kind-hearted in their speech and behavior with students in the classroom. These studies used …

Methemoglobin And Nitric Oxide Therapy In Ugandan Children Hospitalized For Febrile Illness: Results From A Prospective Cohort Study And Randomized Double-Blind Placebo-Controlled Trial, Andrea Conroy, Michael Hawkes, Kyla Hayford, Laura Hermann, Chloe Mcdonald, Suparna Sharma, Sophie Namasopo, Robert Opoka, Chandy John, Conrad Liles

Paediatrics and Child Health, East Africa

Background: Exposure of red blood cells to oxidants increases production of methemoglobin (MHb) resulting in impaired oxygen delivery to tissues. There are no reliable estimates of methemoglobinemia in low resource clinical settings. Our objectives were to: i) evaluate risk factors for methemoglobinemia in Ugandan children hospitalized with fever (study 1); and ii) investigate MHb responses in critically ill Ugandan children with severe malaria treated with inhaled nitric oxide (iNO), an oxidant that induces MHb in a dose-dependent manner (study 2).

Methods: Two prospective studies were conducted at Jinja Regional Referral Hospital in Uganda between 2011 and 2013. Study 1, a …

Family Law, Allison Anna Tait

Law Faculty Publications

In the past year, Virginia courts have addressed a range of family law questions—new and old—that reflect the changing landscape of families and marriage. Questions related to same-sex marriage and divorce have begun to appear on Virginia court dockets, including an important case the Supreme Court of Virginia decided this year with respect to same-sex couples cohabiting and the termination of spousal support. Family law courts also saw shifts in gender norms—wives paying spousal support to their husbands and fathers being awarded physical custody of their children. These legal questions tested the limits of statutory language and helped to expand …