Digital Commons Network^™

Low-Lying Placenta Is Associated With Increased Risk Of Hemorrhage And Severe Maternal Morbidity: A Nationwide Analysis, May Abiad, Giulia Bonanni, Nikan Zargarzadeh, Ali Javinani, Scott A. Shainker, Anna M. Modest, George R. Saade, Kjersti Aagaard, Alireza A. Shamshirsaz

Department of Obstetrics & Gynecology Faculty Publications

Background

Placenta previa (PP) is a well-recognized obstetric complication with established maternal risks, particularly hemorrhage, that contribute significantly to maternal morbidity. In contrast, low-lying placenta (LLP) has historically been grouped with previa in both coding and clinical practice, limiting our ability to study its imparted associated outcomes as a distinct entity. However, in 2017, coding revisions allowed for a parsed diagnosis of LLP and PP and enabled the current study of differentiated associated outcomes.

Objectives

To describe and compare the independent rates of hemorrhage and severe maternal morbidity (SMM) associated with LLP and PP relative to normal placentation.

Methods

We …

Medical Students Report Coherent Ethical Orientations Towards Ai Across Academic And Clinical Domains, With No Clear Association With Perceived Technical Readiness: A Cross-Sectional Pilot Study, Ismail El Moudden, Madison Baldauf, John Millerhagen, Anca Dana Dobrian

Department of Obstetrics & Gynecology Faculty Publications

Background

Whether perceived technical AI competency is associated with greater ethical openness to AI integration, a relationship often assumed in curricular design, remains empirically untested. This pilot study examined relationships between perceived AI readiness, ethical perspectives toward AI integration, and curricular needs among medical students.

Methods

A cross-sectional survey was administered to medical students at a single U.S. institution from September through November 2025. The survey assessed self-reported AI readiness, ethical perspectives across academic and clinical domains, and responses to 22 scenario-based ethical items; all measures were student self-reports, and findings reflect student perceptions. Composite indices were created for Perceived …

The American Anomaly: Feasibility Of Universal Healthcare, William Bernstein

Student Research and Publications

No abstract provided.

Guide D’Immersion Français/Francophone Au Connecticut, Isa Amaro Varas

Student Research and Publications

No abstract provided.

A Tribute To Professor Marie Failinger

Mitchell Hamline Law Review

No abstract provided.

Vicarious Liability In Sexual Misconduct Cases In Minnesota, Mike Steenson

Mitchell Hamline Law Review

Employers are vicariously liable for torts committed by their employees acting within the course and scope of their employment. The predominant test turns on whether the employee acted, at least in part, out of a desire to serve the employer’s interests. That test is problematic in cases involving intentional torts committed by an employee, particularly in sexual assault cases. Existing vicarious liability rules have been heavily criticized for the motive rule’s limiting effect, even where the nature of the employment may facilitate the tort. A minority of jurisdictions impose vicarious liability in cases where the tort is a characteristic risk …

Justice For The Accomplice: Minnesota's 2023 Accomplice Liability Amendment And Its Shortcomings, John M. Thompson

Mitchell Hamline Law Review

No abstract provided.

The Role Of Soil In Historical Warfare: A Review, Gian Franco Capra, T. A.R. Nogueira, Cassio Hamilton Abreu-Junior, Arun Dilipkumar Jani, Rafael Barroca Silva, Eleonora Grilli, Alessandro Auzzas, Antonio Ganga

Biology, Agriculture and Chemistry Faculty Publications and Presentations

Soil has played a fundamental yet undervalued role in shaping the fate of historical warfare. While the effects of war on the soil environment have been thoroughly investigated, the impact of soil on military strategies and battle outcomes remains poorly understood. This review aims to: i) explore the multifaceted role of soil in warfare, focusing on its impact on several aspects (mobility, fortifications, camouflage, health, geopolitical strategy, etc.); ii) identify which soil types were usually most associated with conflicts, and iii) how soil features influenced military decision-making. A dataset of over 17,000 recorded battles (1468 BCE–2003) was …

When Washington Won't Answer: The Case For State Civil Rights Enforcement Against Federal Officers, David Schultz

Mitchell Hamline Law Review

The traditional framework for vindicating federal constitutional rights through litigation has long rested on two pillars: the implied damages remedy recognized in Bivens v. Six Unknown Named Agents, available against federal officials, and the statutory cause of action codified at 42 U.S.C. § 1983, available against state and local officials. Both mechanisms are premised on a foundational constitu-tional principle: that governmental power exercised in violation of the Constitution must yield to judicial remedy. Yet recent developments have placed this principle under serious strain. The Supreme Court has systematically narrowed Bivens to near irrelevance, the federal courts have expanded the doctrine …

Putting The L In Elsi: Legal Methods For Bioethics Research, Anya E R Prince, Benjamin Berkman, Donald Ford, Dov Fox, Christi Guerrini, Amy Koopmann, Natalie Ram, Jessica L Roberts, Kayte Spector-Bagdady, Sonia Suter

Center for Medical Ethics and Health Policy Staff Publications

Lawyers and law professors are increasingly involved in interdisciplinary scientific teams and grant research to answer ethical, legal and policy questions related to biomedical topics. Yet, the methods that lawyers use to conduct legal research and analysis are not always familiar to scientists and social scientists conducting peer review of a proposed project with legal aims or a publication reporting a legal study. To better facilitate interdisciplinary ethical, legal, and social implications collaboration, there is a need to better explain how legal research methodologies can provide robust tools to address a range of nuanced biomedical questions. This paper explores …

Access To Digital Health Technologies: Personalized Framework And Global Perspectives, Sanjiv M Narayan, Mina K Chung, Demilade Adedinsewo, Luisa C C Brant, Leslie L Davis, David Duncker, Jennifer L Hall, Janet K Han, Carolyn S P Lam, Eldrin Lewis, Joseph Loscalzo, Manlio F Márquez, Vasiliki Rahimzadeh, Fatima Rodriguez, Prashanthan Sanders, Emma Svennberg, Kenneth Stein, Mintu Turakhia, Clyde Yancy, Antonis A Armoundas

Center for Medical Ethics and Health Policy Staff Publications

The emergence and rapid adoption of digital health technologies (DHT) present unprecedented opportunities to democratize and reduce disparities in health care by monitoring health and disease at the point of care in all patients. However, limited access to DHT is becoming a major obstacle to realizing these goals. Access to DHT is influenced not only by well-recognized social determinants of health, but also by digital determinants of health, such as digital literacy and the need for broad access to digital infrastructure, as well as commercial and economic factors. Addressing these challenges and designing unbiased systems of care are essential to …

Can I Get A Witness? The Ethical Dimensions Of Family Presence In Patient Suffering, Jennifer Blumenthal-Barby, Trevor M Bibler, Holland Kaplan, Adam Omelianchuk, Joanna Smolenski

Center for Medical Ethics and Health Policy Staff Publications

For patients who are suffering, the bedside presence of a family member can provide comfort, and many people hold that there is moral value in being present with a conscious, suffering patient. Yet what is the moral significance of the absence of family members when a patient is minimally conscious or unconscious and not aware of their absence? Clinicians are often troubled when family members and surrogate decision-makers who are able to spend a significant amount of time at an unconscious, seriously ill patient's bedside do not do so. Clinicians feel frustrated that they must bear the burden of witnessing …

Clinicians’ Views On A Patient Decision Aid For Deep Brain Stimulation In Parkinson’S Disease, Hillary S King, Jennifer Blumenthal-Barby, Benjamin H Levi, Sol De Jesus, Harini Sarva, Laura Y Cabrera

Center for Medical Ethics and Health Policy Staff Publications

Introduction: For people with Parkinson's disease (PD), deciding whether to pursue deep brain stimulation (DBS) has become increasingly complex. Evidence suggests current approaches to collaborative decision-making may fall short of accepted standards. Thus, a decision support intervention, such as a patient decision aid (PtDA) may be warranted. PtDAs have been shown to improve patients' knowledge, expectations, and participation in decision-making for other, similar healthcare decisions. We therefore sought to assess neurologists' awareness of, and experience using, PtDAs, and to solicit their opinions on the ideal features of a PtDA for PD patients considering DBS.

Methods: Sixteen United States-based neurology clinicians …

Toward Ethical Provenance Tracking: The Ga4gh Model Data Access Agreement (Daa), Alexander Bernier, Bartha Maria Knoppers, Jonathan Lawson, Robyn Mcdougall, Maili Raven-Adams, Vasiliki Rahimzadeh

Center for Medical Ethics and Health Policy Staff Publications

Purpose: Standardizing contractual clauses that govern data access enables research institutions to responsibly steward genomic and related health data while enabling its efficient downstream reuse.

Methods: We describe a document analysis study using both qualitative and comparative law analytical approaches to identify the most common categories of clauses from 29 different data access agreements used by human biomedical research consortia globally. We furthermore characterized the legal positions and standard practices for each common element of the agreement and synthesized across them to develop model clauses. A total of 3 discussion sessions were organized virtually to refine the clauses among members …