Digital Commons Network^™

United States: Mental Health Issues In An Adolescent Medicine Clinic Patient Population, Abdel Salous, Linah Al-Alem, Hatim A. Omar

Pharmacology and Nutritional Sciences Faculty Publications

The correlation between exposure to forms of violence and development of mental disorders in victims is well established. The purpose of this chapter was to identify mental health problems in an adolescent medicine clinic population in Lexington, Kentucky and to investigate potential correlation of mental disorders with psychosocial factors. Data were gathered from the charts of 169 adolescent clinic patients (age 10-22) seen in the clinic for mental health care and analyzed using Excel. Of the patient population, 68% were urban, whereas 32% were rural. In terms of gender, 40% of the patients were male and 60% were female, 80% …

Lead-Based Paint Awareness, Work Practices, And Compliance During Residential Construction And Renovation, James D. Blando, Nickita Antoine, Daniel Lefkowitz

Community & Environmental Health Faculty Publications

The U.S. Environmental Protection Agency recently implemented the Renovation, Repair and Painting (RRP) rule that applies to pre-1978 residences because of the potential presence of lead-based paint. Enforcement of this rule may be difficult and therefore it is crucial to understand the awareness and beliefs of contractors and the general public because these will likely be major determinants of exposures resulting from residential renovation work. The study described in this article utilized two mailed surveys: one directed to the general public and the other directed to contractors. The surveys were conducted in New Jersey and Virginia. Field observations were also …

Identifying Environmental Health Priorities In Underserved Populations: A Study Of Rural Versus Urban Communities, M. C. Bernhard, M. B. Evans, S. T. Kent, E. Johnson, S. L. Threadgill, S. M. Becker

Community & Environmental Health Faculty Publications

Objectives- Understanding and effectively addressing persistent health disparities in minority communities requires a clear picture of members' concerns and priorities. This study was intended to engage residents in urban and rural communities in order to identify environmental health priorities. Specific emphasis was placed on how the communities: defined the term environment; their perceptions of environmental exposures as affecting their health; specific priorities in their communities; and differences in urban versus rural populations.

Study design- A community-engaged approach was used to develop and implement focus groups and compare environmental health priorities in urban versus rural communities.

Methods- A total of eight …

Predicting Barriers To Primary Care For Patients With Disabilities: A Mixed Methods Study Of Practice Administrators, Jennifer Renee Pharr, Michelle Chino

Environmental & Global Health Faculty Research

Background. People with disabilities continue to be identified as a group who experience disparate health/health care. They are less likely to engage in some health care services. Structural barriers are often identified as one of the reasons for the underutilization of some health care services by people with disabilities. However, to date no study has been conducted to understand why structural barriers persist twenty years after the Americans with Disabilities Act (ADA) became law.

Objectives. We examined the relationship between primary care practice administrators’ knowledge of the ADA and the number of accessibility barriers that patients with mobility disabilities might …

2013 Performance And Accountability Report, United States: Federal Housing Finance Agency (Fhfa)

Documents

Contains the Management's Discussion/Analysis, Performance, Financial, Other Information, and Appendix.

The Federal Reserve And Panic Prevention: The Roles Of Financial Regulation And Lender Of Last Resort, Gary B. Gorton, Andrew Metrick

Documents

No abstract provided.

Financial Report Of The U.S. Government For Fiscal Year 2012, United States: Department Of The Treasury

Documents

No abstract provided.

An Examination Of Prostitution And Sex Trafficking Laws Within The United States, Allison J. Capaul

Departmental Honors Projects

As one of the oldest professions, prostitution has had a continual presence in the United States. This once tolerated activity became a public affront at the turn of the twentieth century. Failed attempts at regulation and changes in societal views then advanced the criminalization of prostitution throughout the United States: it was made completely illegal in all states with the exclusion of thirteen counties in Nevada.

At the same time, awareness of sex trafficking increased and laws attempted to protect individuals who were being transported by force, deceit, and threat of force for purposes of sex slavery. While states have …

Into A Wild New Yonder: The United States Air Force And The Origins Of Its Information Age, Robert Howard Lass

Theses and Dissertations

The United States Air Force is an organization operationally focused on gathering, processing, and utilizing vast quantities of information, so much so that it added "cyberspace" to its core missions of air and space in 2005. Service leaders have argued that a USAF information revolution - its entrance into the "Information Age" - began as early as the first computers in the 1940s or as late as the proliferation of networks in the 1990s. Upon close inspection, however, it becomes clear that such assertions overlook decades of information operations and management, and overemphasize the concept of a single information age. …

Financial Regulatory Reform, United States: Government Accountability Office (Gao)

Documents

Report to Congressional Requesters -- Financial Regulatory Reform: Financial Crisis Losses and Potential Impacts of the Dodd-Frank Act

Reimagining The Law Of Self-Employment: A Comparative Perspective, Jayesh M. Rathod, Michal Skapski

Hofstra Labor & Employment Law Journal

U.S. employment law has traditionally disfavored bright-line rules to distinguish between traditional “employees” and independent contractors, instead relying on more flexible criteria, to be applied on a case-by-case basis. This fluidity has enabled employers to structure these relationships – and the corresponding bundle of worker rights and benefits – in ways that serve their own material and normative interests. Indeed, recent employment law literature has noted a dramatic shift towards independent contracting and contingent worker schemes in the U.S., even when the actual workplace dynamics are more akin to an employer-employee relationship. These same trends are now visible on the …

Daughters Of Charity: Women, Religious Mission, And Hospital Care In Los Angeles, 1856-1927, Kristine Ashton Gunnell

Vincentian Digital Books

A captivating story, culled from extensive historical research, documents how ingenuity, determination, and faith enabled mission-driven Daughters of Charity to establish, develop, and provide healthcare in Los Angeles. This work contains multiple examples of their flexibility to overcome barriers of culture, religion, language, and scarce resources in the context of frontier politics but without comprise of their faith-based mission of service to persons in need.

Voting For Women : How Views Toward Women Influence Voting Behavior, Colleen Lofton

Undergraduate Theses and Senior Projects

No abstract provided.

Don’T ‘Screw Joe The Plummer’: The Sausage-Making Of Financial Reform, Kimberly D. Krawiec

Faculty Scholarship

This Article examines agency-level activity during the preproposal rulemaking phase—a time period about which little is known despite its importance to policy outcomes—through an analysis of federal agency activity in connection with section 619 of the Dodd–Frank Act, popularly known as the Volcker Rule. By capitalizing on transparency efforts specific to Dodd–Frank, I am able to access information on agency contacts whose disclosure is not required by the Administrative Procedure Act and, therefore, not typically available to researchers.

I analyze the roughly 8,000 public comment letters received by the Financial Stability Oversight Council in advance of its study regarding Volcker …

Identifying Requirements For The Invasion Of A Tick Species And Tick-Borne Pathogen Through Ticksim, Holly Gaff, Robyn Nadolny

Biological Sciences Faculty Publications

Ticks and tick-borne diseases have been on the move throughout the United State over the past twenty years. We use an agent-based model, TICKSIM, to identify the key parameters that determine the success of invasion of the tick and if that is successful, the success of the tick-borne pathogen. We find that if an area has competent hosts, an initial population of ten ticks is predicted to always establish a new population. The establishment of the tick-borne pathogen depends on three parameters: the initial prevalence in the ten founding ticks, the probability that a tick infects the longer-lived hosts and …

Untangling Cultural Differences In Behavioral, Physiological, And Psychological Symptoms Of Dementia And Alzheimer’S Disease, John S. Avant

Calvert Undergraduate Research Awards

According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR; 4^th ed. Revised; American Psychiatric Association) and (BPSD) there are many behavioral, physiological, and psychological issues that have been correlated with the progression of the Alzheimer’s disease and other dementias. Examples of these issues include; emotional regulation problems, variations in eating behavior, and an advancing decline in memory. Though certain symptoms of the disease seem to be widely universal, current literature shows that a number of disparities do exist. There are several differences between and within populations suffering from Alzheimer’s disease and dementia that are influenced by various …

Low Serum Triglyceride Levels As Predictors Of Cardiac Death In Heart Failure Patients, Guliz Kozdag, Gokhan Ertas, Ender Emre, Yasar Akay, Umut Celikyurt, Tayfun Sahin, Gozde Gorur, Kurtulus Karauzum, Irem Yilmaz, Dilek Ural, Mira Sarsekeyeva

The Texas Heart Institute Journal

Understanding the influence of sex differences on predictors of cardiac mortality rates in chronic heart failure might enable us to lengthen lifetimes and to improve lives. This study describes the influence of sex on cardiovascular mortality rates among chronic heart failure patients.

From January 2003 through December 2009, we evaluated 637 consecutive patients (409 men and 228 women) with chronic heart failure, who ranged in age from 18 through 94 years (mean age, 64 ± 13 yr) and ranged in New York Heart Association (NYHA) functional class from II through IV. The mean follow-up period was 38 ± 15 months, …

Some Thoughts About The Historic Events That Led To The First Clinical Implantation Of A Total Artificial Heart, Denton A Cooley

The Texas Heart Institute Journal

No abstract provided.

Distinct Lineage Of Vesiculovirus From Big Brown Bats, United States, Terry Fei Fan Ng, Cindy Driscoll, Maria Paz Carlos, Algernon Prioleau, Robert Schmieder, Bhakti Dwivedi, Jakk Wong, Yunhee Cha, Steven Head, Mya Breitbart, Eric Delwart

Marine Science Faculty Publications

We identified a novel rhabdovirus, American bat vesiculovirus, from postmortem tissue samples from 120 rabies-negative big brown bats with a history of human contact. Five percent of the tested bats were infected with this virus. The extent of zoonotic exposure and possible health effects in humans from this virus are unknown.

Firearm Localism, Joseph Blocher

Faculty Scholarship

Second Amendment doctrine is largely becoming a line-drawing exercise, as courts try to determine which “Arms” are constitutionally protected, which “people” are permitted to keep and bear them, and in which ways those arms and people can be regulated. But the developing legal regime has yet to account for one potentially significant set of lines: the city limits themselves. In rural areas, gun crime and gun control are relatively rare, and gun culture is strong. In cities, by contrast, rates of violent gun crime are comparatively high, and opportunities for recreational gun use are scarce. And from colonial Boston to …

Brief Of Federalism Scholars As Amici Curiae In Support Of Respondent Windsor, Ernest A. Young

Faculty Scholarship

No abstract provided.

The Crucial But (Potentially) Precarious Position Of The Chief Compliance Officer, Deborah A. Demott

Faculty Scholarship

This Article, written for a symposium on compliance issues in financial-services firms, focuses on the role of the chief compliance officer (“CCO”). Contrasting the position with that held by a firm’s general counsel or Chief Legal Officer (CLO), the article argues that a CCO’s position holds distinct challenges. Additionally, although internal compliance systems and personnel may be characterized as functional substitutes for external regulation, assessing the strengths and weaknesses of internal compliance requires a willingness to look deep within firms. The article argues that the law and regulation may enhance firms’ incentives to invest in effective internal compliance but may …

Protecting The Right Of Citizens To Aggregate Small Claims Against Businesses, Paul D. Carrington

Faculty Scholarship

No abstract provided.

The Impact Of Tarp On Bank Efficiency, Oneil Harris, Daniel Huerta, Thanh Ngo

Documents

No abstract provided.

Patterns Of Mammal Incidents With U.S. Civil Aircraft, Kristin Michele Biondi

Theses and Dissertations

Wildlife collisions with U.S. civil aircraft (hereafter incidents) pose safety and economic concerns. Terrestrial mammals represented only 2.3% of wildlife incidents, but 59% of these incidents caused damage to aircraft. I examined 2,558 incidents in the Federal Aviation Administration (FAA) National Wildlife Strike Database to characterize and analyze overall mammal incidents by airport type, emphasizing white-tailed deer (Odocoileus virginianus) and bat incidents with U.S. civil aircraft. Mammal incidents caused 5 times greater damage than other wildlife which varied by airport type and appeared associated with species’ behavior. I provided relative hazard scores to determine which species were most hazardous to …

Elevated Cardiovascular Risk Among Adults With Obstructive And Restrictive Airway Functioning In The United States: A Cross-Sectional Study Of The National Health And Nutrition Examination Survey From 2007-2010, Earl S. Ford, Anne G. Wheaton, David M. Mannino, Letitia Presley-Cantrell, Chaoyang Li, Janet B. Croft

Preventive Medicine and Environmental Health Faculty Publications

BACKGROUND: Reasons for the excess risk for cardiovascular disease among people with chronic obstructive pulmonary disease remain unclear. Our objective was to examine the cardiovascular risk profile for adults with obstructive and restrictive impairments of lung functioning in a representative sample of adults from the United States.

METHODS: We used data from adults aged 20-79 years who participated in the National Health and Nutrition Examination Survey from 2007 to 2010 and had a pulmonary function test. The severity of obstructive impairment was defined by adapting the Global Initiative for Chronic Obstructive Lung Disease criteria.

RESULTS: Among 7249 participants, 80.9% had …

Project Echo: A Model For Complex, Chronic Care In The Pacific Northwest Region Of The United States, John D. Scott, Kent T. Unruh, Mary C. Catlin, Joseph O. Merrill, David J. Tauben, Roger Rosenblatt, Dedra Buchwald, Ardith Doorenbos, Cara Towle, Christian B. Ramers, David H. Spacha

Project ECHO Bibliography

The Pacific Northwest of the US is a large, sparsely populated region. A telehealth programme called Project ECHO (Extension for Community Health Outcomes) was tested in this region in 2009. Weekly videoconferences were held in the areas of hepatitis C, chronic pain, integrated addictions and psychiatry, and HIV/AIDS. Rural clinicians presented cases to a panel of experts at an academic medical centre and received management advice and access to best practices. During the trial, more than 900 clinicians participated, and more than 700 patient cases were presented. At the end of June 2012, a total of 23 videoconference clinics for …

Plant Community Composition And Structure Monitoring For Scotts Bluff National Monument, 2012 Annual Report, Isabel W. Ashton, Michael Prowatzke, Stephen K. Wilson

United States National Park Service: Publications

Executive Summary

the last remnants of native mixed-grass prairie in the region. The Northern Great Plains Inventory & Monitoring Network (NGPN) surveyed 8 long-term monitoring plots in Scotts Bluff National Monument in 2012 as part of an effort to better understand the condition of plant communities in the park. We measured plant diversity and cover, estimated tree and shrub density, looked for the presence of exotic species that are of concern to park management, and evaluated the amount of human and natural disturbance at all plots. This effort was the second year in a multiple-year venture to document the current …

Recovery Among Homeless Populations With Severe Mental Illness And Substance Use Disorders, Abigail M. Cross

Intersections Fall 2020

Homelessness among persons with severe mental illness (SMI) and co-occurring substance use disorders (SUD) is a prominent social issue in the United States today. Not only do persons with SMI make up a significant portion of the overall homeless population, SUDs make it more difficult for them to recover successfully. Recovery among these populations is multi-faceted, and all aspects of recovery should be accounted for so that this population has the best chance to succeed. There are a number of programs in place that attempt to place persons with SMI and SUD into housing while providing treatment, including Permanent Supportive …

Comparative Analysis Of Healthcare Expenditure In The United States And Canada, Chris N. Anazia

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Total healthcare expenditures and expenditures as a percentage of GDP have been substantially higher in the U.S. than in Canada between 1975 – 2008. Hospitalcare, physician and clinical services, and drug prescription expenditures have been the principal components contributing to growth in healthcare expenditures in the U.S. compared to Canada. This study reviews the literature on increasing healthcare costs and establishes some comparative and descriptive analysis for high healthcare costs in the two countries during this time period. The study also analyses and compares the growth of healthcare costs.