Digital Commons Network^™

Rabies Postexposure Prophylaxis In The United States: Opportunities To Improve Access, Coordination, And Delivery, Gavin T. Howington, Huy-Binh Nguyen, P Brandon Bookstaver, Peter Akpunonu, Joshua T. Swan

Faculty Publications

No abstract provided.

Allocation Of Special Drawing Rights For The Eleventh Basic Period: Draft Executive Board Decision And Managing Director Report To The Board Of Governors, International Monetary Fund (Imf), International Monetary Fund (Imf): Monetary And Financial Systems Department

Documents

No abstract provided.

Discrepancies In Stroke Distribution And Dataset Origin In Machine Learning For Stroke., Lohit Velagapudi, Nikolaos Mouchtouris, Michael P Baldassari, David Nauheim, Omaditya Khanna, Fadi Al Saiegh, Nabeel Herial, M Reid Gooch, Stavropoula Tjoumakaris, Robert H Rosenwasser, Pascal Jabbour

Department of Neurosurgery Faculty Papers

BACKGROUND: Machine learning algorithms depend on accurate and representative datasets for training in order to become valuable clinical tools that are widely generalizable to a varied population. We aim to conduct a review of machine learning uses in stroke literature to assess the geographic distribution of datasets and patient cohorts used to train these models and compare them to stroke distribution to evaluate for disparities.

AIMS: 582 studies were identified on initial searching of the PubMed database. Of these studies, 106 full texts were assessed after title and abstract screening which resulted in 489 papers excluded. Of these 106 studies, …

Sustained Use Of The Impella 50 Heart Pump Enables Bridge To Clinical Decisions In 34 Patients, Daniel W Nelson, Sakthi Sundararajan, Evan Klein, Lyle D Joyce, Lucian A Durham, David L Joyce, Asim A Mohammed

The Texas Heart Institute Journal

We studied whether sustained hemodynamic support (>7 d) with the Impella 5.0 heart pump can be used as a bridge to clinical decisions in patients who present with cardiogenic shock, and whether such support can improve their outcomes. We retrospectively reviewed cases of patients who had Impella 5.0 support at our hospital from August 2017 through May 2019. Thirty-four patients (23 with cardiogenic shock and 11 with severely decompensated heart failure) underwent sustained support for a mean duration of 11.7 ± 9.3 days (range, ≤48 d). Of 29 patients (85.3%) who survived to next therapy, 15 were weaned from …

Trends In Race/Ethnicity Of Pediatric Residents And Fellows: 2007-2019, Kimberly Montez, Emma A Omoruyi, Kenya Mcneal-Trice, Wendy J Mack, Lahia Yemane, Alissa R Darden, Christopher J Russell

Faculty, Staff and Student Publications

BACKGROUND AND OBJECTIVES: A diverse pediatric workforce reflecting the racial/ethnic representation of the US population is an important factor in eliminating health inequities. Studies reveal minimal improvements over time in the proportions of underrepresented in medicine (URiM) physicians; however, studies assessing trends in pediatric URiM trainee representation are limited. Our objective was to evaluate longitudinal trends in racial/ethnic representation among a cross-section of US pediatric trainees and to compare it to the US population.

METHODS: Repeated cross-sectional study of graduate medical education census data on self-reported race/ethnicity of pediatric residents and subspecialty fellows from 2007 to 2019. To evaluate trends …

Cardiovascular Outcomes In Patients With Mitochondrial Disease In The United States: A Propensity Score Analysis, Tran Nguyen, Talal Alzahrani, Joseph Krepp, Gurusher Panjrath

The Texas Heart Institute Journal

Mitochondrial disease comprises a wide range of genetic disorders caused by mitochondrial dysfunction. Its rarity, however, has limited the ability to assess its effects on clinical outcomes. To evaluate this relationship, we collected data from the 2016 National Inpatient Sample, which includes data from >7 million hospital stays. We identified 705 patients (mean age, 22 ± 20.7 yr; 54.2% female; 67.4% white) whose records included the ICD-10-CM code E88.4. We also identified a propensity-matched cohort of 705 patients without mitochondrial disease to examine the effect of mitochondrial disease on major adverse cardiovascular events, including all-cause in-hospital death, cardiac arrest, and …

Sex-Related Disparities In Cardiovascular Health Care Among Patients With Premature Atherosclerotic Cardiovascular Disease, Michelle T Lee, Dhruv Mahtta, David J Ramsey, Jing Liu, Arunima Misra, Khurram Nasir, Zainab Samad, Dipti Itchhaporia, Safi U Khan, Richard S Schofield, Christie M Ballantyne, Laura A Petersen, Salim S Virani

Faculty, Staff and Students Publications

IMPORTANCE: There is a paucity of data regarding secondary prevention care disparities in women with premature and extremely premature atherosclerotic cardiovascular disease (ASCVD), defined as an ASCVD event at 55 years or younger and 40 years or younger, respectively.

OBJECTIVE: To evaluate sex-based differences in antiplatelet agents, any statin, high-intensity statin (HIS) therapy, and statin adherence in patients with premature and extremely premature ASCVD.

DESIGN, SETTING, AND PARTICIPANTS: This was a cross-sectional, multicenter, nationwide VA health care system-based study with patients enrolled in the Veterans With Premature Atherosclerosis (VITAL) registry. The study assessed patients who had at least 1 primary …

The New (Version 9) American Joint Committee On Cancer Tumor, Node, Metastasis Staging For Cervical Cancer, Alexander B Olawaiye, Thomas P Baker, M Kay Washington, David G Mutch

2020-Current year OA Pubs

The American Joint Committee on Cancer (AJCC) tumor, node, metastasis (TNM) staging for all cancer sites has been periodically updated as a published manual for many years. The last update, the eighth edition AJCC Cancer Staging Manual went into use on January 1, 2018. The AJCC has since restructured and updated its processes, and all AJCC staging-related data are now housed on its new application programming interface. Consequently, the next AJCC TNM staging update, AJCC version 9 TNM staging, will be published electronically and will be released chapter by chapter. The first chapter of version 9 AJCC TNM staging is …

With Jews Under Attack, Here Is A Chance To Act, Bruce Ledewitz

Ledewitz Papers

Published scholarship collected from academic journals, law reviews, newspaper publications & online periodicals.

Report Of The Managing Director To The Board Of Governors And To The Executive Board Pursuant To Article Xviii, Section 4(C), International Monetary Fund (Imf), International Monetary Fund (Imf): Monetary And Financial Systems Department

Documents

No abstract provided.

The Fourteenth Report Of The Congressional Oversight Commission, United States: Congressional Oversight Commission

Documents

No abstract provided.

Comment Letters May Have Helped Shape Federal Reserve's Municipal Liquidity Facility - Mlf - And Main Street Lending Program -Mslp, Steven Kelly

Documents

No abstract provided.

The Option Value Of Municipal Liquidity: Evidence From Federal Lending Cutoffs During Covid-19, Andrew Haughwout, Benjamin J. Hyman, Or Shachar

Documents

No abstract provided.

Report On The Paycheck Protection Program Liquidity Facility June 28, 2021, Federal Reserve System: Board Of Governors

Documents

No abstract provided.

Responding To The Call: Building A Training Program To Diversify The Academy In Alzheimer's Disease Research, Lucy Annang Ingram Phd, Mph, Marvella E. Ford, Christiana L. Johnson, Brianna Ashford-Carroll, Quentun Mccollum, Daniela B. Friedman Ph.D., Sue Ellen Levkoff

Faculty and Staff Publications

Alzheimer's disease and related dementias (ADRD) are at the forefront of the United States (US) public health agenda due to their tremendous human and financial burden. Further, disproportionately high ADRD rates among racial/ethnic minorities require incorporating the unique perspectives of racially and ethnically diverse scientists, which will necessitate diversifying the scientific workforce that investigates disparities in aging. The purpose of this paper is to describe the training and mentorship initiatives of the National Institute on Aging (NIA)-funded Carolina Center on Alzheimer's Disease and Minority Research, emphasizing lessons learned from our engagement with underrepresented minority and minoritized (URM) Scientists. We highlight …

Paycheck Protection Program Liquidity Facility Term Sheet, Effective June 25, 2021, Federal Reserve System: Board Of Governors

Documents

No abstract provided.

About Gao, United States: Government Accountability Office (Gao)

Documents

No abstract provided.

We Are All Jews Now. To Fight Anti-Semitism, It’S Time To Don A Kippah, Bruce Ledewitz

Newspaper Columns

Collected biweekly contributions to the Pennsylvania Capital-Star, a nonpartisan, nonprofit news site.

Resistance Exercise, Alone And In Combination With Aerobic Exercise, And Obesity In Dallas, Texas, Us: A Prospective Cohort Study, Angelique G. Brellenthin, Duck-Chul Lee, Jason A. Bennie, Xuemei (Mei) Sui M.D., M.P.H., Ph.D., Steven N. Blair

Faculty Publications

Background

Obesity is a significant and growing public health problem in high-income countries. Little is known about the relationship between resistance exercise (RE), alone and in combination with aerobic exercise (AE), and the risk of developing obesity. The purpose of this prospective cohort study was to examine the associations between different amounts and frequencies of RE, independent of AE, and incident obesity.

Methods and findings

Participants were 11,938 healthy adults ages 18–89 years with a BMI < 30 kg/m2 at baseline who completed at least 2 clinical examinations during 1987–2005 as part of the Aerobics Center Longitudinal Study. Self-reported RE participation in minutes/week and days/week was collected from a standardized questionnaire. Incident obesity was defined as a BMI ≥ 30 kg/m2 at follow-up. Incident obesity was also defined by waist circumference (WC) > 102/88 cm for men/women and percent body fat (PBF) ≥ 25%/30% for men/women at follow-up in participants who were not obese by WC (n …

Domestic Outsourcing: Bridging The Gap Between Urban And Rural America, Colby Nelson

Marriott Student Review

With rural communities struggling to keep up with urban powerhouses of economic activity, domestic outsourcing of business services represents one possible solution. As high-skill job opportunities are distributed beyond the suburbs of technology hubs, rural communities will gain much-needed economic hope and reduce the consequences of brain drain. At the same time, urban centers will find relief from the symptoms of growing population pressures like the California housing crisis and the skills gap in local talent pools. Based on research on startup support policies in Southeast Europe, businesses and governments should focus on enabling, educating, and empowering rural business leaders …

The Federal Reserve's Response To The Coronavirus Pandemic, Jerome Powell

Documents

No abstract provided.

Resident Opinions Of Diabetes Management In Training: A Survey., Amber M Healy, Jarrod L Uhrig, Jay H Shubrook, Nay Linn Aung, Archana R Sadhu

Medical Education Articles

CONTEXT: Primary care physicians need a strong foundation in diabetes management, as they are the first line of care for patients with this complex disease, which is increasing in frequency in the United States. This foundational training begins in medical school, but its applications become more important during residency.

OBJECTIVES: To quantify osteopathic and allopathic family medicine residents' amount of exposure to diabetes in residency training, investigate referral patterns related to diabetes management, and assess comfort levels with various diabetes treatment modalities.

METHODS: An 18-item cross sectional survey was sent via email using Qualtrics to program directors and chief residents …

Primary Markets For Short-Term Debt And The Stabilizing Effects Of The Pdcf, Mark Carlson, Marco Macchiavelli

Documents

No abstract provided.

Cruel And Unusual Circumstances: The Fed's Use And Misuse Of Penalty Rates, Steven Kelly

Documents

No abstract provided.

Designing The Main Street Lending Program: Challenges And Options, William "Bill" English, Nellie Liang

Documents

No abstract provided.

Dietary Fiber Intake, The Gut Microbiome, And Chronic Systemic Inflammation In A Cohort Of Adult Men, Wenjie Ma, Yin Cao, Et Al.

2020-Current year OA Pubs

BACKGROUND: A higher intake of dietary fiber is associated with a decreased risk of chronic inflammatory diseases such as cardiovascular disease and inflammatory bowel disease. This may function in part due to abrogation of chronic systemic inflammation induced by factors such as dysbiotic gut communities. Data regarding the detailed influences of long-term and recent intake of differing dietary fiber sources on the human gut microbiome are lacking.

METHODS: In a cohort of 307 generally healthy men, we examined gut microbiomes, profiled by shotgun metagenomic and metatranscriptomic sequencing, and long-term and recent dietary fiber intake in relation to plasma levels of …

Legal Lying?, Robert Angyal, Nicholas Saady

Pepperdine Dispute Resolution Law Journal

Mediation has become very common in the USA and Australia—at least partly because of court-mandated mediation initiatives. Lawyers often represent clients at mediations, so the increased use of mediation makes it important to understand how both jurisdictions regulate lawyers’ advocacy on behalf of their clients during mediation. This article comparatively analyzes how professional standards regulate the truthfulness of lawyers’ advocacy during mediation in Australia and the United States. It focuses on uniform regulation in those jurisdictions. Part One will comparatively analyze the relevant regulations in Australia and the United States, and the types of obligations contained in those regulations—for example, …

Hubungan Iran-Amerika Serikat Masa Pemerintahan Hassan Rouhani (Telaah Perjanjian Jcpoa), Ayu Maulida Alkholid, Firmanda Taufiq

Journal Of Middle East and Islamic Studies

Relations between Iran and the United States show fluctuating dynamics. The historical relationship and cooperation between the two countries represents how the process works. In fact, during the reign of Shah Reza Pahlavi, Iran-US relations looked good and established important cooperation in several sectors. The political constellation of Iran that continues to intertwine makes the US also respond and issue various policies, including the issue of the nuclear development program. The program during the reign of Hassan Rouhani was also one of the priority policies. Until, the JCPOA agreement was formed between Iran and the P5+1 group countries (US, UK, …

Major Foreign Holders Of Treasury Securities, United States: Department Of The Treasury

Documents

No abstract provided.

The Aric (Atherosclerosis Risk In Communities) Study: Jacc Focus Seminar 3/8, Jacqueline D Wright, Aaron R Folsom, Josef Coresh, A Richey Sharrett, David Couper, Lynne E Wagenknecht, Thomas H Mosley, Christie M Ballantyne, Eric A Boerwinkle, Wayne D Rosamond, Gerardo Heiss

Faculty, Staff and Student Publications

ARIC (Atherosclerosis Risk In Communities) initiated community-based surveillance in 1987 for myocardial infarction and coronary heart disease (CHD) incidence and mortality and created a prospective cohort of 15,792 Black and White adults ages 45 to 64 years. The primary aims were to improve understanding of the decline in CHD mortality and identify determinants of subclinical atherosclerosis and CHD in Black and White middle-age adults. ARIC has examined areas including health disparities, genomics, heart failure, and prevention, producing more than 2,300 publications. Results have had strong clinical impact and demonstrate the importance of population-based research in the spectrum of biomedical research …