Medicine and Health Sciences Commons^™

Corticostriatal Functional Connectivity Of Bothersome Tinnitus In Single-Sided Deafness, Jennifer Henderson-Sabes, Yingying Shang, Philip L. Perez, Jolie L. Chang, Seth E. Pross, Anne M. Findlay, Danielle Mizuiri, Leighton B. Hinkley, Srikantan S. Nagarajan, Steven W. Cheung

All Faculty Scholarship

Subjective tinnitus is an auditory phantom perceptual disorder without an objective biomarker. Bothersome tinnitus in single-sided deafness (SSD) is particularly challenging to treat because the deaf ear can no longer be stimulated by acoustic means. We contrasted an SSD cohort with bothersome tinnitus (TIN; N = 15) against an SSD cohort with no or non-bothersome tinnitus (NO TIN; N = 15) using resting-state functional magnetic resonance imaging (fMRI). All study participants had normal hearing in one ear and severe or profound hearing loss in the other. We evaluated corticostriatal functional connectivity differences by placing seeds in the caudate nucleus and …

The Best Is The Enemy Of The Good, David B. Gillette

All Faculty Scholarship

When I began my residency, I wanted to deepen my clinical expertise so I could better serve the growing population of older adults. I thought my perfectionism would be an asset in this process and help me be successful. As a high achiever, I focused on meeting internal and external expectations, not on growth. What I did not think of was how to better myself as a person—or that I even needed to do so. I did not know that perfectionism can be a weakness that affects not only me but also those around me.

I am not alone in …

“Being On Ssi Is A Full-Time Job:” How Ssi And Ssdi Beneficiaries Work Around And Within Labor Incentive Programs, Katie Savin

All Faculty Scholarship

Background and Purpose: Disabled individuals, their families, and communities are more likely to live in poverty than their non-disabled counterparts. The Social Security Administration (SSA) is social safety net that provides cash assistance programs through social insurance (Social Security Disability Insurance, or SSDI) and public assistance (Supplemental Security Income, or SSI) programs to people who meet eligibility criteria. The SSA offers work incentive programs that encourage enrolled disabled people to return to the workforce yet has found that these programs are infrequently utilized. This research aims to fill both knowledge and methodological gaps in the literature on why those support …

Who Defines My Quality Of Life? Perspectives From People With Developmental Disabilities And Their Caregivers, M. Chris-Cooper, Katie Savin, P. Mejia, J. Cummins

All Faculty Scholarship

No abstract provided.

Who Defines My Quality Of Life? Perspectives From People With Developmental Disabilities And Their Caregivers, Katie Savin, M. Chris-Cooper

All Faculty Scholarship

No abstract provided.

Neurohype And The Law: A Cautionary Tale, Stephen J. Morse

All Faculty Scholarship

This chapter suggests that for conceptual, empirical, and practical reasons, neuroscience in general and non-invasive brain imaging in particular are not likely to revolutionize the law and our conception of ourselves, but may make modest contributions to legal policy and case adjudication if the legal relevance of the science is properly understood.

How Liability Insurers Protect Patients And Improve Safety, Tom Baker, Charles Silver

All Faculty Scholarship

Forty years after the publication of the first systematic study of adverse medical events, there is greater access to information about adverse medical events and increasingly widespread acceptance of the view that patient safety requires more than vigilance by well-intentioned medical professionals. In this essay, we describe some of the ways that medical liability insurance organizations contributed to this transformation, and we catalog the roles that those organizations play in promoting patient safety today. Whether liability insurance in fact discourages providers from improving safety or encourages them to protect patients from avoidable harms is an empirical question that a survey …

Chapter: “Health Law And Ethics”, Allison K. Hoffman, I. Glenn Cohen, William M. Sage

All Faculty Scholarship

Law and ethics are both essential attributes of a high-functioning health care system and powerful explainers of why the existing system is so difficult to improve. U.S. health law is not seamless; rather, it derives from multiple sources and is based on various theories that may be in tension with one another. There are state laws and federal laws, laws setting standards and laws providing funding, laws reinforcing professional prerogatives, laws furthering social goals, and laws promoting market competition. Complying with law is important, but health professionals also should understand that the legal and ethical constraints under which health systems …

Health Care's Market Bureaucracy, Allison K. Hoffman

All Faculty Scholarship

The last several decades of health law and policy have been built on a foundation of economic theory. This theory supported the proliferation of market-based policies that promised maximum efficiency and minimal bureaucracy. Neither of these promises has been realized. A mounting body of empirical research discussed in this Article makes clear that leading market-based policies are not efficient — they fail to capture what people want. Even more, this Article describes how the struggle to bolster these policies — through constant regulatory, technocratic tinkering that aims to improve the market and the decision-making of consumers in it — has …

Chronotropic Intolerance: An Overlooked Determinant Of Symptoms And Activity Limitation In Myalgic Encephalomyelitis/Chronic Fatigue Syndrome?, Todd E. Davenport, Mary Lehnen, Staci R. Stevens, J. Mark Vanness, Jared Stevens, Christopher R. Snell

All Faculty Scholarship

Post-exertional malaise (PEM) is the hallmark clinical feature of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). PEM involves a constellation of substantially disabling signs and symptoms that occur in response to physical, mental, emotional, and spiritual over-exertion. Because PEM occurs in response to over-exertion, physiological measurements obtained during standardized exertional paradigms hold promise to contribute greatly to our understanding of the cardiovascular, pulmonary, and metabolic states underlying PEM. In turn, information from standardized exertional paradigms can inform patho-etiologic studies and analeptic management strategies in people with ME/CFS. Several studies have been published that describe physiologic responses to exercise in people with ME/CFS, …