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Utilization Of Free Medication Samples In The United States In A Nationally Representative Sample: 2009-2013, Joshua D. Brown, Pratik A. Doshi, Jeffery C. Talbert

Institute for Pharmaceutical Outcomes and Policy Faculty Publications

Background—Manufacturers provide free sample medications as a means to increase use of branded medications. Sample use varies year-to-year as branded product patents expire and new products come to market.

Objective—This study sought to describe the use of sample medications during 2009–2013 and assess individual characteristics associated with sample use.

Methods—Data from the 2009–2013 U.S. Medical Expenditure Panel Survey (MEPS) were used. MEPS asks participants whether they received each medication they are taking as a sample. The top 10 medications and medication classes used each year by volume were identified as well as the proportion of people who …

Monitoring Harm Perceptions Of Smokeless Tobacco Products Among U.S. Adults: Health Information National Trends Survey 2012, 2014, 2015, Shari P. Feirman, Elisabeth A. Donaldson, Mark Parascandola, Kimberly Snyder, Cindy Tworek

United States Food and Drug Administration: Publications

Introduction: Changes to the U.S. smokeless tobacco landscape in recent years include a change to health warnings on packages, the implementation of bans in some stadiums, and the launch of a federal youth pre- vention campaign. It is unclear whether such changes have impacted consumer beliefs about smokeless tobacco. This study examines relative harm perceptions of smokeless tobacco compared to cigarettes among adults and assesses changes in smokeless tobacco harm perceptions over time.

Methods: We analyzed data from three cycles (2012, 2014, 2015) of the Health Information National Trends Survey (HINTS). Using 2015 data, we assessed bivariate associations between smokeless …

Relationship Between Stress Rankings And The Overall Hospital Star Ratings: An Analysis Of 150 Cities In The United States, Jianhui Hu, David R. Nerenz

Center for Health Policy and Health Services Research Articles

No abstract provided.

Mortality Differences Between Traditional Medicare And Medicare Advantage: A Risk-Adjusted Assessment Using Claims Data., Roy A. Beveridge, Sean M. Mendes, Arial Caplan, Teresa L. Rogstad, Vanessa Olson, Meredith C. Williams, Jacquelyn M. Mcrae, Stefan Varga

College of Population Health Faculty Papers

Medicare Advantage (MA) has grown rapidly since the Affordable Care Act; nearly one-third of Medicare beneficiaries now choose MA. An assessment of the comparative value of the 2 options is confounded by an apparent selection bias favoring MA, as reflected in mortality differences. Previous assessments have been hampered by lack of access to claims diagnosis data for the MA population. An indirect comparison of mortality as an outcome variable was conducted by modeling mortality on a traditional fee-for-service (FFS) Medicare data set, applying the model to an MA data set, and then evaluating the ratio of actual-to-predicted mortality in the …

What Is The Purpose Of The Orphan Drug Act?, Matthew Herder

Articles, Book Chapters, & Popular Press

The Orphan Drug Act (ODA) [1], first enacted in the United States in 1983, was set up to encourage the development of drugs for rare diseases. At that time, drug therapies for such diseases were rarely developed. Three decades later, a growing proportion of industry research and development (R&D) [2] and regulatory drug approvals [3] target diseases affecting fewer than 200,000 persons in the United States, the prevalence-based threshold of rare disease under the ODA.

In a new article published in PLOS Medicine, Aaron Kesselheim and colleagues document an embedded trend: within the …

The Financial Choice Act, United States: Congress: House Of Representatives: Committee On Financial Services

Documents

A Republican Proposal to Reform the Financial Regulatory System

A Capital Infusion Program For Community Development: The Case Of Community Development Capital Initiative, Breck L. Robinson

Documents

No abstract provided.

Relationship Between Hospital Procedure Volume And Complications Following Congenital Cardiac Catheterization: A Report From The Improving Pediatric And Adult Congenital Treatment (Impact) Registry., Natalie Jayaram, John A. Spertus, Michael L. O'Byrne, Paul S. Chan, Kevin F. Kennedy, Lisa Bergersen, Andrew C. Glatz

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: The association between institutional volume and outcomes has been demonstrated for cardiac catheterization among adults, but less is known about this relationship for patients with congenital heart disease (CHD) undergoing cardiac catheterization.

METHODS: Within the IMPACT registry, we identified all catheterizations between January 2011 and March 2015. Hierarchical logistic regression, adjusted for patient and procedural characteristics, was used to determine the association between annual catheterization lab volume and occurrence of a major adverse event (MAE).

RESULTS: Of 56,453 catheterizations at 77 hospitals, an MAE occurred in 1014 (1.8%) of cases. In unadjusted analysis, a MAE occurred in 2.8% (123/4460) …

Should School Boards Discontinue Support For High School Football?, Lewis H. Margolis, Greg Canty, Mark Halstead, John Lantos

Manuscripts, Articles, Book Chapters and Other Papers

A pediatrician is asked by her local school board to help them decide whether to discontinue their high school football program. She reviews the available evidence on the risks of football and finds it hopelessly contradictory. Some scholars claim that football is clearly more dangerous than other sports. Others suggest that the risks of football are comparable to other sports, such as lacrosse, ice hockey, or soccer. She finds very little data on the long-term sequelae of concussions. She sees claims that good coaching and a school culture that prioritizes the health of athletes over winning can reduce morbidity from …

Nursing Skill Mix, Nurse Staffing Level, And Physical Restraint Use In Us Hospitals: A Longitudinal Study., Vincent S. Staggs, Danielle M. Olds, Emily Cramer, Ronald I. Shorr

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Although it is plausible that nurse staffing is associated with use of physical restraints in hospitals, this has not been well established. This may be due to limitations in previous cross-sectional analyses lacking adequate control for unmeasured differences in patient-level variables among nursing units.

OBJECTIVE: To conduct a longitudinal study, with units serving as their own control, examining whether nurse staffing relative to a unit's long-term average is associated with restraint use.

DESIGN: We analyzed 17 quarters of longitudinal data using mixed logistic regression, modeling quarterly odds of unit restraint use as a function of quarterly staffing relative to …

The Abortion Burden: Examining Abortion Access, Undue Burden And Supreme Court Rulings In The United States, Tyler E. Sloan

Honors Papers

This thesis’s driving argument is that the Court’s shift from focusing on analyzing abortion cases with strict scrutiny to using the undue burden standard allows states to create legally permissible loopholes that restrict the fundamental right to abortion access. These provisions disproportionately affect low-income women, the majority of whom are women of color in the United States. Conservative state legislatures take drastic measures to prevent abortions from occurring since Roe still holds, but instead of stopping abortions altogether these policies simply make it difficult for the most vulnerable communities to terminate unwanted pregnancies. Recall the three most commonly cited reasons …

At The Edges Of Queer: Navigating Ambiguity In Identity, Community, And Politics, Madeline Mccray Batzli

Honors Papers

When queer took the world of AIDS activism and the academy by storm in the late 20th century, activists and academics leapt to understand and define this reclaimed word and predict its trajectory. Some academics claimed that queer would avoid obsolescence, remaining an anti-assimilationist beacon for activists, while others worried that lumping anyone with non-normative sexualities or lifestyle practices under the same umbrella would inaccurately homogenize disparate groups and detract from specific causes. This study aims to understand the meanings of the word queer among students at Oberlin College today, over a quarter century after the beginning of the word’s …

Ethnic Differences In Risk Factors For Obesity Among Adults In California, The United States, Liang Wang, Jodi L. Southerland, Kesheng Wang, Beth A. Bailey, Arsham Alamian, Marc A. Stevens, Youfa Want

ETSU Faculty Works

Little attention has been given to differences in obesity risk factors by racial/ethnic groups. Using data from the 2011-2012 California Health Interview Survey, we examined differences in risk factors for obesity among Whites, Latinos, Asians, and African Americans among 42,935 adults (24.8% obese). Estimates were weighted to ensure an unbiased representation of the Californian population. Multiple logistic and linear regression analyses were used to examine the differences in risk factors for obesity. Large ethnic disparities were found in obesity prevalence: Whites (22.0%), Latinos (33.6%), African Americans (36.1%), and Asians (9.8%). Differences in risk factors for obesity were also observed: Whites …

Assessing Survival And Grading The Severity Of Complications In Octogenarians Undergoing Pulmonary Lobectomy., Andrew Feczko, Elizabeth Mckeown, Jennifer L Wilson, Brian E Louie, Ralph W Aye, Jed A Gorden, Eric Vallières, Alexander S Farivar

Articles, Abstracts, and Reports

No abstract provided.

"So Close, Yet So Far": The United States Follows The Lead Of The European Union In Mandating Gmo Labeling. But Did It Go Far Enough?, Courtney Begley

Fordham International Law Journal

No abstract provided.

Laughing In The Face Of Oppression: The Nature Of Political Satire Under Different Types Of Political Regimes, Victoria Villavicencio Pérez

Honors Program Theses

This research examines how different types of political regimes shape the nature of the political satire produced under them. Unlike traditional journalism, the sly character of political humor may enable it to operate with more freedom than other forms of media while still providing social critique. This research examines three different case studies: the United States (democracy), Venezuela (semi-authoritarian), and Cuba (authoritarian) and evaluates their satire on how openly critical it is and what type of censorship it suffers. Through extensive content analysis of satirical work produced within the country, as well as a historical research into the censorship of …

Workers' Compensation: Analysis For Its Second Century, H. Allan Hunt, Marcus Dillender

Upjohn Press

Hunt and Dillender review the status of workers' compensation programs on three critical performance areas: 1) the adequacy of compensation for those disabled in the workplace, 2) return-to-work performance for injured workers, and 3) prevention of disabling injury and disease.

When Military Fitness Standards No Longer Apply: The High Prevalence Of Metabolic Syndrome In Recent Air Force Retirees, Marcus M. Cranston, Mark W. True, Jana L. Wardian Phd, Rishawn M. Carriere, Tom J. Sauerwein

Journal Articles: Hospital Medicine

BACKGROUND: Metabolic syndrome (MetS) is strongly associated with cardiovascular disease. With MetS prevalence rates increasing in the U.S. population, prevention efforts have largely focused on diet and exercise interventions. Before retirement, military service members have met fitness requirements for at least 20 years, and have lower MetS rates compared to age-matched U.S. population controls (23.4% vs. 39.0%), which suggests a protective effect of the lifestyle associated with military service. However, MetS rates in military retirees have not been previously reported, so it is unknown whether this protective effect extends beyond military service. The purpose of this study was to examine …

Learning Race And Racism While Learning: Experiences Of International Students Pursuing Higher Education In The Midwestern United States, Donald Mitchell Jr. Et Al.

Education Faculty Publications and Presentations

Researchers have documented how race and racism influence the college experiences of U.S. citizens. However, research on the ways that race and racism affect international students warrants similar attention. This qualitative study explored how international students learned about U.S. concepts of race and racism and how such concepts shaped their college experiences. The participating international college students learned about U.S. concepts of race and racism through media, relationships, formal education, and lived experiences. They defined these concepts in varying ways and had varying racial ideologies.

Brief Of Amici Curiae Glbtq Legal Advocates & Defenders Et Al. In Support Of Respondent In Gloucester County School Board V. G.G., Sjc 16-273, Jennifer Levi, Shannon P. Minter, Dean Richlin, Amanda Hainsworth, Rachel Hutchinson, Emily J. Nash

Faculty Scholarship

Amici brief submitted by the GLBTQ Legal Advocates & Defenders, the National Center for Lesbian Rights, and Foley Hoag, LLP. to the Supreme Court of the United States in the case of Gloucester County School Board v. G.G., by His Next Friend and Mother, Deirdre Grimm. The brief argues that the Court should reject the school board’s claim that privacy interests justify its discriminatory policy for three reasons. First, there is no basis for the creation of a new privacy right that justifies excluding transgender students from shared restrooms. Second, nothing in Title IX or its regulations supports the School …

The Hall Memorial Lectures, Lewis Karstensson

Molasky Family Department of Economics and Real Estate Faculty Research

This publication is a record of the Hall Memorial Lectures in Economics delivered at the University of Nevada, Las Vegas, in the 1980s.

Contents include:

Wallace C. Peterson, "Contemporary Macroeconomics: A House Divided" (Dec. 1, 1983)

Wallace C. Peterson, "Economic Stabilization and Inflation" (May 8, 1984)

Murray N. Rothbard, "The Five Faces of Reaganomics" (Nov. 27, 1984)

Murray N. Rothbard, "The Terrible Simplifiers: The Case Against the Flat Tax" (May 7, 1985)

Larry D. Singell, "Youth Unemployment: An American Crisis" (May 14, 1986)

Murray N. Rothbard, "Is There Life After Reaganomics?" (Oct. 22, 1987)

Murray N. Rothbard, "Deficits and Taxes: …

Mexican Migration Flows To The United States: A State-To-State Panel Data Analysis Of The Consular Identification Card From 2011 To 2014, Jesus Elias Mendoza Hernandez

Open Access Theses & Dissertations

This analysis explores migration flows from Mexico to the United States at the state level. This study finds empirical evidence to support the idea that social and economic factors can help predict state-to-state migration flows. Using an alternative measure of migration flows, the Matricula Consular de Alta Seguridad (Consular Identification Card) data from 2011 to 2014, a panel data model is constructed from yearly data to analyze the effects of different determinants of migration flows. The migration flows' determinants analyzed are distance, established immigrant networks in the United States, the US and Mexican states' business cycles, populations, and crime rates, …

Hydraulic Fracturing In The United States: A Framing Analysis, Kenneth Stephen Cardell Jr.

Theses and Dissertations

This research considers the issue of hydraulic fracturing, a controversial method of extracting natural gas from shale and coal deposits. The technology, commonly referred to as “fracking,” has only been employed on an industrial scale since the late 1990s and is increasingly becoming the focus of news coverage. In this thesis research, a representative sample of both national and regional newspaper coverage on the issue of hydraulic fracturing is analyzed, looking at several key elements of framing. This study also examines differences in issue framing between the national elite press and regional news sources, as well as based upon partisanship. …

Toxocara Seroprevalence And Associated Risk Factors In The United States, Bruce L. Brown, Andrew N. Berrett, Lance D. Erickson, Shawn D. Gale, Allison Stone, Dawson W. Hedges

Faculty Publications

Caused by the parasitic nematodes Toxocara canis and cati, toxocariasis in humans can result in covert toxocariasis, ocular toxocariasis, visceral larval migrans, and neurotoxocariasis. A common infection, toxocariasis exposure varies widely within and between countries, with a previous estimate of Toxocara seroprevalence using data from 1988 to 1994 in the United States of approximately 13%. Age, poverty, sex, educational attainment, ethnicity, and region have been associated with Toxocara seroprevalence. In this study, we sought to determine the seroprevalence of and factors associated with Toxocara seropositivity in the United States using data from the National Health and Nutrition Examination Survey from …

Understanding Community Character As A Socio-Ecological Framework To Enhance Local-Scale Adaptation: An Interdisciplinary Case Study From Rural Northwest Connecticut, Joanna Wozniak-Brown

Antioch University Dissertations & Theses

Around the world, municipalities are facing new challenges, not the least of which is climate change. This is especially true for rural communities that, for a variety of reasons, will be disproportionately affected by the climatic changes and accompanying policies or programs.

This dissertation, written in manuscript-style, integrates climate change and social-ecological scholarship to address the unique character of rural communities, to communicate the complexity of rural identity through the term "rural character"; and to empower rural communities to incorporate adaptation strategies into their daily municipal operations and planning.

Specifically, this dissertation seeks to answer the following questions: What is …

The Experience Of Qigong Among Women Cancer Survivors, Jennifer Sveund

Antioch University Dissertations & Theses

Research has shown that qigong can be beneficial for a variety of health related conditions; However, evidence suggests that in the United States, a lack of well designed clinical trials limits the efficacy of qigong in the context of cancer treatment. Research has indicated that careful consideration should be given to the design of randomized control trials using qigong due to the conflicting philosophical methodologies. In the United States, qigong has been under investigated, particularly lacking are qualitative inquiries into qigong use and cancer survivorship. This study is an interpretative phenomenological inquiry that sought to understand women’s experience of qigong …

Intimate Partner Violence-Related Hospitalizations In Appalachia And The Non- Appalachian United States, Danielle M. Davidov, Stephen M. Davis, Motao Zhu, Tracie O. Afifi, Melissa Kimber, Abby L. Goldstein, Nicole Pitre, Kelly K. Gurka, Carol Stocks

Faculty & Staff Scholarship

The highly rural region of Appalachia faces considerable socioeconomic disadvantage and health disparities that are recognized risk factors for intimate partner violence (IPV). The objective of this study was to estimate the rate of IPV-related hospitalizations in Appalachia and the non-Appalachian United States for 2007–2011 and compare hospitalizations in each region by clinical and sociodemographic factors. Data on IPV-related hospitalizations were extracted from the State Inpatient Databases, which are part of the Healthcare Cost and Utilization Project. Hospitalization day, year, in-hospital mortality, length of stay, average and total hospital charges, sex, age, payer, urban-rural location, income, diagnoses and procedures were …

Predictors Of Uti Antibiotic Resistance For Female Medicaid Recipients In U.S. Ambulatory Care Settings, Wendy Denise Wiesehuegel

Walden Dissertations and Doctoral Studies

Urinary tract infections are diagnosed in female populations primarily in ambulatory care settings in the United States. Yet, published evidence documents that many of the antibiotics prescribed in these settings are unnecessary, erroneous, or, inappropriately prescribed. Improper management of uncomplicated urinary tract infections in nonpregnant women has resulted in higher morbidity rates due to antibiotic resistance. The purpose of this retrospective observational cohort study was to explore a current national database for associations between nonpregnant American female patients who were exposed to poverty and at risk for urinary tract infection antibiotic resistance in an ambulatory care setting. Krieger's ecosocial theory …

Factors Associated With Post-Arrest Withdrawal Of Life-Sustaining Therapy., Anne V. Grossestreuer, David F. Gaieski, Benjamin S. Abella, Douglas J. Wiebe, Ari Moskowitz, Daniel J. Ikeda, Jason S. Haukoos, Sarah M. Perman

Department of Emergency Medicine Faculty Papers

INTRODUCTION: Most successfully resuscitated cardiac arrest patients do not survive to hospital discharge. Many have withdrawal of life sustaining therapy (WLST) as a result of the perception of poor neurologic prognosis. The characteristics of these patients and differences in their post-arrest care are largely unknown.

METHODS: Utilizing the Penn Alliance for Therapeutic Hypothermia Registry, we identified a cohort of 1311 post-arrest patients from 26 hospitals from 2010 to 2014 who remained comatose after return of spontaneous circulation. We stratified patients by whether they had WLST post-arrest and analyzed demographic, arrest, and post-arrest variables.

RESULTS: In our cohort, 565 (43%) patients …

Home Delinquency Rates Are Lower Among Aca Marketplace Households: Evidence From A Natural Experiment, Emily A. Gallagher, Radhakrishnan Gopalon, Michal Grinstein-Weiss, Stephen P. Roll, Genevieve Davison

Center for Social Development Research

This brief uses administrative income tax data coupled with survey responses from roughly 5,000 households living near the poverty line to estimate how access to the Affordable Care Act’s health insurance Marketplaces have affected households’ experiences of extreme illiquidity, which is measured by delinquencies on home payments. To estimate this relationship, we exploit a natural experiment underway in states that did not expand Medicaid and created by the eligibility rules for Marketplace subsidies. Results suggest that insured households living near the poverty line are better able to make timely rent and mortgage payments compared with similar, uninsured households. Given housing …