Digital Commons Network^™

Nicotine Replacement Therapies To Decrease Withdrawal Symptoms And Improve Patient Experience, Cheryl Pawloski, Holly Stewart, Devon Gillis, Dena Whitesell, Maya Bulman, Christopher Racine, Raymond Serrano, Leslie Gatcombe-Hynes, Elizabeth Mullany, Amy Mcauliffe, Jayne Weisberg, Amy Sparks, Suneela Nayak, Stephen Tyzik, Ruth Hanselman

Operations Transformation

Smoking is one the leading causes of preventable death in the United States. Patient centered care revolves around encouraging patients to reduce their chances of preventable disease and death. To that end, nicotine replacement therapy (NRT) prescribed within 24 hours of hospital admission increases the chance of quitting and decreases the chance of nicotine withdrawal.

A pilot performance improvement project was initiated on two cardiac units at an academic tertiary medical center. The goal the project was to have NRT ordered within 24 hours of admission 100% of the time. Baseline metrics demonstrated admission NRT orders were below acceptable levels …

Antibiotic Resistance And Molecular Characterization Of Bacteremia Escherichia Coli Isolates From Newborns In The United States., Bryan K. Cole, Marko Ilikj, Cindy B. Mccloskey, Susana Chavez-Bueno

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Escherichia coli is a major cause of neonatal sepsis. Contemporary antibiotic resistance data and molecular characterization of neonatal E. coli bacteremia isolates in the US are limited.

METHODS: E. coli blood isolates, antibiotic susceptibility data, and clinical characteristics were obtained from prospectively identified newborns from 2006 to 2016. The E. coli isolates were classified using an updated phylogrouping method and multi-locus sequence typing. The presence of several virulence traits was also determined.

RESULTS: Forty-three newborns with E. coli bacteremia were identified. Mean gestational age was 32.3 (SD±5.4) weeks. Median age was 7 days (interquartile range 0-10). Mortality (28%) occurred …

Medicare Access And Chip Reauthorization Act And Rural Hospitals, Erica Kelley, Rhea Lipscomb, Jennifer Valdez, Natesh Patil, Alberto Coustasse

Management Faculty Research

The cost of health care within the United States has continued to increase, whereas the quality of patient care has generally decreased in some areas. With the continued use of Medicare's former physician reimbursement algorithm, termed sustainable growth rate, national expenditures within the United States have been expected to increase 5.6% annually. To modernize the delivery and financing of care, Congress has introduced the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which has permanently eliminated and replaced the sustainable growth rate. The purpose of this study was to review MACRA and its implementation to determine how it would …

Droughtscape, Fall 2019, Cory Matteson

DroughtScape: Quarterly Newsletter of the National Drought Mitigation Center (2007–2023)

Contents

From the Director

Quarterly drought summary

Quarterly drought impacts

Ranchers delayed response to drought

Drought Monitor celebrates 20 years

Drought Monitor state impact tables

Directorcontributesto U.N.droughtproject

Updated Drought Risk Atlas

New fact sheet lists recovery resources

Droughtscape, Summer 2019, Cory Matteson

DroughtScape: Quarterly Newsletter of the National Drought Mitigation Center (2007–2023)

Contents

From the Director

Quarterly drought summary

Quarterly drought impacts

NDMC welcomes African visitors

Ready for Drought game debuts

U.S. Virgin Islands added to USDM

Australian programmer visits NDMC

Upcoming events

Partnerships with NDMC extended

A Brief History Of Judicial Appointments From The Last 50 Years Through The Trump Administration, Donald F. Mcgahn Ii

William & Mary Law Review Online

This is the transcript of a lecture Mr. McGahn delivered at William & Mary Law School on November 19, 2018.

Disseminating And Implementing A Lifestyle-Based Healthy Weight Program For Mothers In A National Organization: A Study Protocol For A Cluster Randomized Trial, Rachel G Tabak, Cynthia D Schwarz, Allison Kemner, Kenneth B Schechtman, Karen Steger-May, Veronda Byrth, Debra Haire-Joshu

Open Access Publications

BACKGROUND: Excessive weight gain among young adult women age 18-45 years is an alarming and overlooked trend that must be addressed to reverse the epidemics of obesity and chronic disease. During this vulnerable period, women tend to gain disproportionally large amounts of weight compared to men and to other life periods. Healthy Eating and Active Living Taught at Home (HEALTH) is a lifestyle modification intervention developed in partnership with Parents as Teachers (PAT), a national home visiting, community-based organization with significant reach in this population. HEALTH prevented weight gain, promoted sustained weight loss, and reduced waist circumference. PAT provides parent-child …

Association Of Naloxone Coprescription Laws With Naloxone Prescription Dispensing In The United States, Minji Sohn, Jeffery C. Talbert, Zhengyan Huang, Michelle R. Lofwall, Patricia R. Freeman

Institute for Pharmaceutical Outcomes and Policy Faculty Publications

Importance: To mitigate the opioid overdose crisis, states have implemented a variety of legal interventions aimed at increasing access to the opioid antagonist naloxone. Recently, Virginia and Vermont mandated the coprescription of naloxone for potentially at-risk patients.

Objective: To assess the association between naloxone coprescription legal mandates and naloxone dispensing in retail pharmacies.

Design, Setting, and Participants: This was a population-based, state-level cohort study. The sample included all prescriptions dispensed for naloxone in the retail pharmacy setting contained in IQVIA's national prescription audit, which represents 90% of all retail pharmacies in the United States. The unit of observation was state-month …

The Rescue Of Fannie Mae And Freddie Mac - Module Z: Overview, Rosalind Z. Wiggins, Ben Henken, Dan Thompson, Andrew Metrick

Documents

No abstract provided.

Reporting That Matters: A Comparative Law Study On Probation Officers In The Juvenile Justice Systems Of The United States And The Republic Of Ireland, Nicholas Minaudo

Indiana Journal of Law and Social Equality

No abstract provided.

The Effect Of Economic Downturns On Mortality Rates, Bethany Koch

Celebration of Learning

My research attempts to show the effect that economic downturns have on overall mortality rates in the United States. I compare mortality rates for several states from 2000 to 2010, attempting to find a pattern in the individual states of lower mortality rates subsequent to the 2008 recession. I do so by running a regression equation to find any sign of correlations.

Use Of And Access To Abortion Services Among Asian And Immigrant Populations In The United States, Sheila Desai

Dissertations and Theses

Background: Abortion is common in the United States (U.S.) and a critical component of comprehensive reproductive health care. Yet, little research has documented patterns of abortion use among Asian populations or potential barriers to abortion care among immigrants in the U.S., two rapidly growing but understudied populations. In response, this dissertation aims to examine use of and access to abortion services among individuals obtaining abortions in the U.S., focusing specifically on Asians in New York City (NYC), immigrants in the U.S., and individuals living in high immigrant concentration neighborhoods in the U.S.

Methods: Using vital statistics data from …

The Effects Of Traditional Cigarette And E-Cigarette Taxes On Adult Tobacco Product Use, Michael F. Pesko, Charles J. Courtemanche, Joanna Catherine Maclean

Institute for the Study of Free Enterprise Working Papers

We study the effects of traditional cigarette tax rate changes and e-cigarette tax adoption on use of these products among US adults. Data are drawn from the Behavioral Risk Factor Surveillance System and National Health Interview Survey data over the period 2011to 2017. Using a difference-in-differences model, we find that higher traditional cigarette taxes reduce adult traditional cigarette use and increase adult e-cigarette use, suggesting that the products are economic substitutes. E-cigarette tax adoption reduces e-cigarette use, with some heterogeneity across groups, and dilutes the own-tax responsiveness of traditional cigarettes.

Bird Monitoring At Herbert Hoover National Historic Site, Iowa, Status Report 2005–2017, David G. Peitz, Lloyd W. Morrison, Kristen L. Mecke

United States National Park Service: Publications

Executive Summary

In 2005, the Heartland Inventory & Monitoring Network initiated breeding bird surveys on Herbert Hoover National Historic Site, Iowa, to address two objectives: (1) to monitor changes in bird community composition and abundance, and (2) to improve our understanding of relationships between breeding birds and habitat, and the effects of management actions on those relationships. This report evaluates trends in the park’s breeding bird populations in the context of trends observed within the North American Bird Conservation Initiative’s (NABCI) Eastern Tallgrass Prairie Bird Conservation Region , the region in which the park is located. By doing so, we …

Initial Management Of Meningiomas: Analysis Of The National Cancer Database, Catherine R. Garcia, Stacey A. Slone, Monica Chau, Janna H. Neltner, Thomas A. Pittman, John L. Villano

Neurology Faculty Publications

BACKGROUND: Meningiomas are the most common central nervous system tumor. We describe current trends in treatment and survival using the largest cancer dataset in the United States.

METHODS: We analyzed the National Cancer Database from 2004 to 2014, for all patients with diagnosis of meningioma.

RESULTS: 201,765 cases were analyzed. Patients were most commonly White (81.9%) females (73.2%) with a median age of 64 years. Fifty percent of patients were diagnosed by imaging. Patients were reported as grade I (24.9%), grade II (5.0%), grade III (0.7%), or unknown WHO grade (69.4%). Patients diagnosed by imaging were older, received treatment in …

Reforming Recidivism: Making Prison Practical Through Help, Katelyn Copperud

The Scholar: St. Mary's Law Review on Race and Social Justice

While Texas has long been recognized as “Tough Texas” when it comes to crime, recent efforts have been made to combat that reputation. Efforts such as offering “good time” credit and more liberal parole standards are used to reduce the Texas prison populations. Although effective in reducing prison populations, do these incentives truly reduce a larger issue of prison overpopulation: recidivism?

In both state and federal prison systems, inmate education is proven to reduce recidivism. Texas’s own, Windham School District, provides a broad spectrum of education to Texas Department of Criminal Justice inmates; from General Education Development (GED) classes to …

Cross-Cultural Media Effects Research, Jinhee Kim, Kimin Eom

Research Collection School of Social Sciences

Despite the substantial development of media effects research, one critical dimension, cultures, has not been actively examined. Most of the theoretical accounts have been derived from Western thought systems, and relevant empirical studies have been conducted mostly in the U.S. or Western Europe. Except for the areas of advertising and health campaigning, very little media effects research has used a cross-cultural framework. In this chapter, we review scholarly work that compares and contrasts portrayals of media messages and their uses/effects/processes of one culture with those from a different culture. Cultures are often equated with national groups, but concept of cultures …

Surgical Thrombectomy For Pulmonary Embolism: Updated Performance Rates And Outcomes, Fahad Alqahtani, Muhammad Bilal Munir, Sami Aljohani, Abdul Tarabishy, Ahmad Almustafa, Mohamad Alkhouli

The Texas Heart Institute Journal

Treatments for pulmonary embolism are numerous and often complex. Current data on surgical thrombectomy are important but are not readily available. We studied the National Inpatient Sample to evaluate trends in the performance rates and outcomes of surgical thrombectomy in the United States from 2003 through 2014. We think that our findings have meaningful application to the triage and risk stratification of patients who have hemodynamically significant pulmonary embolism.

Incidence And Predictors Of Obstructive Coronary Artery Disease And The Role Of Cardiac Troponin Assays In Patients With Unstable Angina, Sushan Yang, Nirmanmoh Bhatia, Meng Xu, John A Mcpherson

The Texas Heart Institute Journal

In a time when cardiac troponin assays are widely used to detect myocardial injury, data remain scarce concerning the incidence and predictors of substantial obstructive coronary artery disease that causes unstable angina. This retrospective single-center study included consecutive patients hospitalized for unstable angina from January 2015 through January 2016. Patients with troponin I levels above the upper reference limit and those who did not undergo angiography were excluded. Multivariate logistic regression analysis was used to identify predictors of obstructive coronary artery disease that warranted revascularization and of major adverse cardiac events up to 6 months after discharge from the hospital. …

Yerba Mate: National Project To Emerging Superfood, Ana Fochesatto

Theses and Dissertations

Yerba mate, Ilex paranguariensis, is a shrub commonly found in the Atlantic Forest of South

America which covers part of northeast Argentina, eastern Paraguay, and southern Brazil. The

dried leaves and stem of the tree are used to make an infusion, called mate, used first by indigenous

Guaraní people. Today, yerba mate is widely consumed in the Southern Cone region and is

regarded as the national drink of Argentina, Paraguay, and Uruguay. I argue that yerba mate has

entered the U.S. as a “superfood,” marketed as a product with nutritional and symbolic medicinal

values.

In this thesis, I trace yerba …

Analyzing The United States’ Limited Response To The Syrian Refugee Crisis, Carolina Romero

Political Analysis

The Syrian refugee crisis can be described as one of the biggest, if not largest, humanitarian crisis of the 21st century. The crisis is a result of an ongoing civil war between rebel groups and the government forces of the Assad regime. Since the beginning of the war in 2011, over 400,000 have been killed and a combined 11 million have been displaced either internally or externally from their homes (Human Rights Watch, World Report 2018). The United Nations and the international community have openly expressed discontent with the dealings of the Assad regime, and as a result, have attempted …

Supporting Marin County Youth Suffering From Anxiety And Depression, Victoria L. Grajeda

Counseling Psychology | Master's Theses

This toolkit was created to help shed light on the impact a stressful high school environment can have on today’s youth, and provide teachers, students, and parents with up-to-date information on what resources are available within the county of Marin. When working with adolescents, it is important to consider environmental threats to their mental health (i.e., lack of sleep) in order to make proper referrals and treatment plans. A study done by Kelley, Lockley, Kelley, & Evans (2017) implemented a 10:00 a.m. start time at an urban school in England. By delaying school start times, Kelley et al., found that …

Prioritizing Public Budget Allocations: The Politics Involved In The United States And Egypt, Laila El Baradei

Faculty Journal Articles

No abstract provided.

State Regulations Are Failing Our Children: An Analysis Of Child Marriage Laws In The United States, Rachel L. Schuman

William & Mary Law Review

No abstract provided.

A Prospective, Single-Arm, Multicenter Trial Of Catheter-Directed Mechanical Thrombectomy For Intermediate-Risk Acute Pulmonary Embolism: The Flare Study., Thomas Tu, Catalin Toma, Victor F Tapson, Christopher Adams, Wissam A Jaber, Mitchell Silver, Sameer Khandhar, Rohit Amin, Mitchell Weinberg, Tod Engelhardt, Monica Hunter, David Holmes, Glenn Hoots, Hussam Hamdalla, Robert L Maholic, Scott M Lilly, Kenneth Ouriel, Kenneth Rosenfield, Flare Investigators

Ambulatory and Primary Care Articles

OBJECTIVES: The aim of this study was to evaluate the safety and effectiveness of percutaneous mechanical thrombectomy using the FlowTriever System (Inari Medical, Irvine, California) in a prospective trial of patients with acute intermediate-risk pulmonary embolism (PE).

BACKGROUND: Catheter-directed thrombolysis has been shown to improve right ventricular (RV) function in patients with PE. However, catheter-directed thrombolysis increases bleeding risk and many patients with PE have relative and absolute contraindications to thrombolysis.

METHODS: Patients with symptomatic, computed tomography-documented PE and RV/left ventricular (LV) ratios ≥0.9 were eligible for enrollment. The primary effectiveness endpoint was core laboratory-assessed change in RV/LV ratio. The …

Denied To Serve: Gay Men And Women In The American Military And National Security In World War Ii And The Early Cold War, Gianni Barbera

War, Diplomacy, and Society (MA) Theses

Gay men and women have existed in the United States and in the armed forces much longer than legally and socially permitted. By World War II, a cultural shift began within the gay communities of the United States as thousands of gay men and women enlisted in the armed forces. Military policies barred gay service members by reinforcing stereotypes that gay men threatened the wellbeing of other soldiers. Such policies fostered the idea that only particular kinds of men could adequately serve. There were two opposing outcomes for the service of returning gay and lesbian veterans. For many hiding their …

Comparison Of Opioid Prescribing By Dentists In The United States And England, Katie J. Suda, Michael J. Durkin, Gregory S. Calip, Walid F. Gellad, Hajwa Kim, Peter B. Lockhart, Susan A. Rowan, Martin H. Thornhill

Open Access Publications

Importance: The United States consumes most of the opioids worldwide despite representing a small portion of the world's population. Dentists are one of the most frequent US prescribers of opioids despite data suggesting that nonopioid analgesics are similarly effective for oral pain. While oral health and dentist use are generally similar between the United States and England, it is unclear how opioid prescribing by dentists varies between the 2 countries.

Objective: To compare opioid prescribing by dentists in the United States and England.

Design, Setting, and Participants: Cross-sectional study of prescriptions for opioids dispensed from outpatient pharmacies and health care …

Racial And Economic Disparities And The Correlation To Adverse Events In Minority Populations In The United States, Jordan Davis

Honor’s College Freeman Research Journal

The United States is a multiracial, multiethnic society. The major racial/ethnic categories in American society are white, African-American, Hispanic, Asian, and Native American. Racism, an insidious social problem in the United States since the founding of the country, is the belief that members of one or more races are inferior to members of other races. Racism in the United States has been directed primarily by the white majority against racial and ethnic minorities. Historically, the white majority has singled out racial/ethnic minority groups for differential and unequal treatment in the areas of housing, employment, education, and criminal justice. As a …

Transition In Occupations Of Refugees During Resettlement, Jacqueline-Elizabeth Cantrell, Kimberley K. Banuelos, Adam Chan, Jennifer H. Daine

Occupational Therapy | MSOT Capstone Projects

Purpose: In 2016, there were 22.5 million refugees worldwide (UNHCR, 2017). California resettled just over 5,000 of those 85,000 (Igielnik & Krogstad, 2017). Limited research has been conducted in the United States (U.S.) focusing on the refugee experience; furthermore, there is a significant gap in research regarding the impact of the refugee experience on the occupations of refugees as they transition to living in the U.S. Smith (2012) explored the adaptation of cultural weaving among Karen refugees to maintain their previous occupations and the impact of daily weaving on their lives within Western culture; however, the study focused only …

Understanding The Mental And Physical Health Needs And Acculturation Processes Of International Graduate Students In The United States, Mehrete Girmay, Gopal K. Singh, Sosanya Jones, Juliane Wallace

Journal of Comparative & International Higher Education

No abstract provided.