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2022

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Full-Text Articles in Medicine and Health Sciences

Using The Protection Motivation Theory To Understand The Mental Health Impact Of Surviving Covid-19, Kaprea Johnson, Angel Spence, Yousef Sherif, Dana Brookover, Adrienne White Jan 2022

Using The Protection Motivation Theory To Understand The Mental Health Impact Of Surviving Covid-19, Kaprea Johnson, Angel Spence, Yousef Sherif, Dana Brookover, Adrienne White

Adultspan Journal

Due to the widespread effects of COVID-19, mental health professionals need to understand the lived experiences of survivors. Data were collected from YouTube videos (N = 52), which contained firsthand perspectives from COVID-19 survivors. Survivors understood the high stakes of COVID-19, reported the dual threat to physical and mental health, entered “survival mode,” and had both positive and negative reflections on the experience. Implications for mental health professionals and future research directions are included.


A Flexible Mixed-Data Model Applied To Claims Data For Post-Market Surveillance Of Prescription Drug Safety Behavior, Harris Butler, John D. Rice, Nichole E. Carlson, Elaine H. Morrato Jan 2022

A Flexible Mixed-Data Model Applied To Claims Data For Post-Market Surveillance Of Prescription Drug Safety Behavior, Harris Butler, John D. Rice, Nichole E. Carlson, Elaine H. Morrato

Parkinson School of Health Sciences and Public Health

We develop a new modeling framework for jointly modeling first prescription times and the presence of risk-mitigating behavior for prescription drugs using real-world data. We are interested in active surveillance of clinical quality improvement programs, especially for drugs which enter the market under an FDA-mandated Risk Evaluation and Mitigation Strategy (REMS). Our modeling framework attempts to jointly model two important aspects of prescribing, the time between a drug's initial marketing and a patient's first prescription of that drug, and the presence of risk-mitigating behavior at the first prescription. First prescription times can be flexibly modeled as a mixture of component …


Preexisting Psychological Illness And Its Association With Mortality In Lung Cancer Patients With Access To Support Resources, Allison E. Wright, Elycee Sheehan, Fares Qeadan, Lily Stalter, Ali Imran Saeed Jan 2022

Preexisting Psychological Illness And Its Association With Mortality In Lung Cancer Patients With Access To Support Resources, Allison E. Wright, Elycee Sheehan, Fares Qeadan, Lily Stalter, Ali Imran Saeed

Parkinson School of Health Sciences and Public Health

Abstract Introduction: Diagnosis of lung cancer often results in tremendous stress for most patients, especially in patients with underlying psychological illness. Psy- chosocial support (consultation with psychologist, psychotherapist, or social worker) referral is considered standard for quality cancer care; however, which patients utilize these resources and how these resources affect patient out- comes remain unclear. Objectives: We aimed to identify which newly diagnosed lung cancer patients accessed available psychosocial resources and assessed how utilization of these resources correlated with treatment and survival outcomes. Methods: Data were collected from National Cancer Institute-designated can- cer center at the University of New Mexico. …


Trajectories Of Self-Management And Independence In Youth With Spina Bifida: Demographic Predictors Of Growth, Monique M. Ridosh, William Adams, Fabiola Magana, Kathleen J. Sawin, Grayson N. Holmbeck Jan 2022

Trajectories Of Self-Management And Independence In Youth With Spina Bifida: Demographic Predictors Of Growth, Monique M. Ridosh, William Adams, Fabiola Magana, Kathleen J. Sawin, Grayson N. Holmbeck

Nursing: School of Nursing Faculty Publications and Other Works

Aim: The purpose of this study was to examine the trajectories of condition and independent living self-management in youth with spina bifida (SB). MethodsA diverse sample of adolescents and young adults (AYAs) with SB completed the Adolescent/Young Adult Self-Management and Independence Scale (AMIS-II) across four time points. Parents reported on demographic characteristics including age, sex, race/ethnicity, and family income. Growth in self-management and its subscales (condition and independent living) were estimated using linear mixed-effect models as a function of respondents' demographics.ResultsThis study included 99 respondents age 18 to 27 years old. About half were female (52.5%) and White (52.5%); 15.2% …


Educational Initiative In An Ncats Tl1 Training Program To Address The Impact Of Systemic Racism On Human Health, Biomedical Research, And The Translational Scientist, Martha D. Gay, Kimberly A. Bell, Emily A. Bujold, Marilla Geraci, Dexter L. Lee, Kathryn Sandberg, Robert C. Speth Jan 2022

Educational Initiative In An Ncats Tl1 Training Program To Address The Impact Of Systemic Racism On Human Health, Biomedical Research, And The Translational Scientist, Martha D. Gay, Kimberly A. Bell, Emily A. Bujold, Marilla Geraci, Dexter L. Lee, Kathryn Sandberg, Robert C. Speth

HPD Articles

INTRODUCTION: The goal of clinical and translational science (CTS) is to fill gaps in medical knowledge toward improving human health. However, one of our most pressing challenges does not reside within the biological map we navigate to find sustainable cures but rather the moral compass to recognize and overcome racial and ethnic injustices that continue to influence our society and hinder diverse research rigor. The Georgetown-Howard Universities Center for Clinical and Translational Science includes an inter-institutional TL1-funded training program for predoctoral/postdoctoral trainees in Translational Biomedical Science (TBS). METHODS: In the fall of 2020, the TBS program responded to the national …


An Opinion On The Impacts Of Covid-19 Worldwide, Robert C. Speth Jan 2022

An Opinion On The Impacts Of Covid-19 Worldwide, Robert C. Speth

HPD Articles

No abstract provided.


Biomedical Applications Of Lanthanide Nanomaterials, For Imaging, Sensing And Therapy, Qize Zhang, Stephen O'Brien, Jan Grimm Jan 2022

Biomedical Applications Of Lanthanide Nanomaterials, For Imaging, Sensing And Therapy, Qize Zhang, Stephen O'Brien, Jan Grimm

Publications and Research

The application of nanomaterials made of rare earth elements within biomedical sciences continues to make significant progress. The rare earth elements, also called the lanthanides, play an essential role in modern life through materials and electronics. As we learn more about their utility, function, and underlying physics, we can contemplate extending their applications to biomedicine. This particularly applies to diagnosis and radiation therapy due to their relatively unique features, such as an ultra-wide Stokes shift in the luminescence, variable magnetism and potentially tunable properties, due to the library of lanthanides available and their multivalent oxidation state chemistry. The ability to …


2022 Location Report, The Office Of Program Evaluation, Education And Research At The University Of New Mexico (Unm) School Of Medicine Jan 2022

2022 Location Report, The Office Of Program Evaluation, Education And Research At The University Of New Mexico (Unm) School Of Medicine

University of New Mexico School of Medicine Location Report

No abstract provided.


Post Masters Doctor Of Nursing Practice Online Program Nursing Student Guide, 2022-2023 Edition, Dr. Susan L. Davis, Rn & Richard J. Henley College Of Nursing Jan 2022

Post Masters Doctor Of Nursing Practice Online Program Nursing Student Guide, 2022-2023 Edition, Dr. Susan L. Davis, Rn & Richard J. Henley College Of Nursing

News, Magazines and Reports

The Nursing Student Guide is the official student handbook and provides essential DHCON policies and procedures for academic progression and graduation. This guide is intended to supplement the University Catalog and provide information specific to the nursing programs.


Information Literacy Data Group 1 And 2, Taralyn Mcmullan, Clista Clanton, Jo Ann Otts, Wilma Powell Stuart, Angela Rand Jan 2022

Information Literacy Data Group 1 And 2, Taralyn Mcmullan, Clista Clanton, Jo Ann Otts, Wilma Powell Stuart, Angela Rand

University Research Data and Datasets

Objective: This exploratory study examined perceived self-efficacy in information literacy skills in nursing students and discusses how collaborative relationships between nursing faculty and librarians can strengthen curricular efforts to support information literacy.

Methods: Using the Information Competency Assessment Instrument, a survey research design was used to determine student perceptions of their information literacy skills. Participants included nursing Baccalaureate, Master's and Doctoral students in each of these programs.

Results: The Information Competency Assessment Instrument identified low self-efficacy in the following categories: using an index, determining information needed for assignments, use of governmental documents, media sources, producers of information and citing sources. …


No Panacea Attractant For Wild Pigs (Sus Scrofa), But Season And Location Matter, Nathan P. Snow, Caitlin A. Kupferman, Michael J. Lavelle, Kim M. Pepin, Madeline H. Melton, Whitney J. Gann, Kurt C. Vercauteren, James C. Beasley Jan 2022

No Panacea Attractant For Wild Pigs (Sus Scrofa), But Season And Location Matter, Nathan P. Snow, Caitlin A. Kupferman, Michael J. Lavelle, Kim M. Pepin, Madeline H. Melton, Whitney J. Gann, Kurt C. Vercauteren, James C. Beasley

United States Department of Agriculture Wildlife Services: Staff Publications

Wild pigs (Sus scrofa) are a prolific invasive species throughout many regions of the world that cause extensive economic and environmental damage. Trapping is a common strategy for reducing their populations with baits (i.e., food) and attractants (e.g., scents) used to lure wild pigs into traps. However, there is little information on which scent attractants may attract wild pigs more readily and rapidly across regions and seasons. We examined 60 scent attractants for wild pigs that could be used to increase trapping success across three seasons (winter, spring, and fall) and in two geographic regions, including a warm …


Predation Thresholds For Reintroduction Of Native Avifauna Following Suppression Of Invasive Brown Treesnakes On Guam, Robert M. Mcelderry, Eben H. Paxton, Andre V. Nguyen, Shane R. Siers Jan 2022

Predation Thresholds For Reintroduction Of Native Avifauna Following Suppression Of Invasive Brown Treesnakes On Guam, Robert M. Mcelderry, Eben H. Paxton, Andre V. Nguyen, Shane R. Siers

United States Department of Agriculture Wildlife Services: Staff Publications

The brown treesnake (BTS) (Boiga irregularis) invasion on Guåhan (in English, Guam) led to the extirpation of nearly all native forest birds. In recent years, methods have been developed to reduce BTS abundance on a landscape scale. To help assess the prospects for the successful reintroduction of native birds to Guåhan following BTS suppression, we modeled bird population persistence based on their life history characteristics and relative sensitivity to BTS predation. We constructed individual-based models and simulated BTS predation in hypothetical founding populations for each of seven candidate bird species. We represented BTS predation risk in two steps: …


Conserving Endangered Black-Footed Ferrets: Biological Threats, Political Challenges, And Lessons Learned, Travis M. Livieri, Steven C. Forrest, Marc R. Matchett, Stewart Breck Jan 2022

Conserving Endangered Black-Footed Ferrets: Biological Threats, Political Challenges, And Lessons Learned, Travis M. Livieri, Steven C. Forrest, Marc R. Matchett, Stewart Breck

United States Department of Agriculture Wildlife Services: Staff Publications

There may be few stories in the annals of wildlife management that are as dramatic as the near demise and comeback of the black-footed ferret (Mustela nigripes). Endemic only to North America, this charming little carnivore found only in the continent’s central grasslands was hardly known to science until the mid-20th century. By then, vast colonies of the prey it depended on for food and shelter, the prairie dog (Cynomys spp.), had been wiped out through disease (sylvatic plague) and an agricultural industry with little tolerance for burrowing and grazing rodents. At its low point, the species’ …


Emily Lemoine Loveridge (1860-1941): Pioneer And Leader In Nursing, Pamela Wheeler Jan 2022

Emily Lemoine Loveridge (1860-1941): Pioneer And Leader In Nursing, Pamela Wheeler

Faculty Publications

The life of Emily L. Loveridge reflects the context of the times in which she practiced as a nurse and assumed leadership roles as a superintendent of nurses and subsequently a hospital superintendent. Over the course of her remarkable 40-year career, she would begin the first training program for nurses in the Northwest and shepherd a foundling hospital from a wooden structure housing 50 patients to a brick structure of over 330 beds. She would also advance the professionalization of nursing while contributing significantly to a variety of professional organizations.

As an 1889 graduate of Bellevue Hospital in New York …


Coaching, Capacity, And Change: Youth Sport Providers' Perceptions On Creating A Health-Promoting Environment, Jennifer Papenfuse Jan 2022

Coaching, Capacity, And Change: Youth Sport Providers' Perceptions On Creating A Health-Promoting Environment, Jennifer Papenfuse

Occupational Therapy Doctorate Capstone Projects

Background: Rising youth public health disparities can be attributed to the social determinants of health that influence health and wellness. Youth sport providers can be influential in creating healthier environments that facilitate positive youth development, positively impacting life-long healthy behaviors.

Purpose: The purpose of this Capstone Project was to explore youth sport provider’s perceptions, after completing an educational module, of their capacity to implement positive youth development and to create a health-promoting environment. Theoretical Framework. The Model of Human Occupation and the Transtheoretical Model of Behavioral Change guided this project’s assumption that the multicontextual environment’s influence on the process of …


Occupational Therapy Practitioners’ Perceptions Of The Effectiveness Of Employer-Sponsored Evidence-Based Practice Activities, Kelli Spayd Jan 2022

Occupational Therapy Practitioners’ Perceptions Of The Effectiveness Of Employer-Sponsored Evidence-Based Practice Activities, Kelli Spayd

Occupational Therapy Doctorate Capstone Projects

Background: Evidence-based practice is an expectation for the practice of occupational therapy, however, practitioners are not engaging regularly in it. Employers have started to offer activities, such as journal clubs and case studies, or access to research articles and continuing education activities, to help increase evidence-based practice use.

Purpose: The purpose of this descriptive open-ended survey study was to evaluate the perceived effectiveness of employer-sponsored evidence-based practice activities by occupational therapy practitioners. It was the goal of the research to answer the question: what are occupational therapists’ perceptions regarding employer-sponsored evidence-based activities?

Theoretical Framework. The Model of Human Occupation provides …


Use Of Concept Mapping Within A Functional Neuroanatomy Course To Promote Critical Thinking Skills In Occupational Therapy Students, Alissa R. Baker Jan 2022

Use Of Concept Mapping Within A Functional Neuroanatomy Course To Promote Critical Thinking Skills In Occupational Therapy Students, Alissa R. Baker

Occupational Therapy Doctorate Capstone Projects

Background: Critical thinking involves examining and reflecting on one’s own biases, assumptions, and thinking processes. Within occupational therapy (OT), critical thinking skills are foundational skills to support effective clinical reasoning and decision making; however, there is limited evidence on how these skills can be developed and applied within OT education to support positive student outcomes.

Purpose: The purpose of this research project was to explore the use of explicit instruction on critical thinking paired with concept mapping as teaching methods to support entry-level OT student mastery of content knowledge related to functional neuroanatomy. This study aimed to answer the following …


The Financial Effect Of Covid-19 On Children's Hospitals Without Pediatric Psychiatric Units, Patricia Tran Jan 2022

The Financial Effect Of Covid-19 On Children's Hospitals Without Pediatric Psychiatric Units, Patricia Tran

Theses, Dissertations and Capstones

Introduction: Boarding of pediatric psychiatric patients in emergency departments and inpatient medical units while awaiting placement in psychiatric facilities was common before the COVID-19 pandemic and was associated with significant hospital cost. The COVID-19 pandemic triggered a mental health crisis in the pediatric population. This study looked at the how the COVID-19 pandemic affected pediatric psychiatric boarding and the effects of pediatric psychiatric boarding on hospital finances.

Methodology: The methodology of this study utilized a literature review with semi-structured interviews of local subject matter experts. The literature review analyzed the effects of the COVID-19 precipitated pediatric mental health …


Life In Hampton Roads Survey Press Release #4: Health, Education & Welfare Of Hampton Roads, Social Science Research Center, Old Dominion University Jan 2022

Life In Hampton Roads Survey Press Release #4: Health, Education & Welfare Of Hampton Roads, Social Science Research Center, Old Dominion University

Life in Hampton Roads Survey Report

Life in Hampton Roads 2022 - Health, Education & Welfare of Hampton Roads

More than 81% of respondents rated the quality of their health as excellent (26.2%) or good (55.5%). This is about 9% higher than last year (72%), with most of the increase being in the excellent category (increasing from 17.9%). Thus, we are seeing an increase in self-reported good/excellent health close to levels reported pre-pandemic (e.g., from 82% in 2017).


Understanding Covid-19 Among People Of Dominican Descent In The U.S.: A Comparison Of New York, New Jersey, Florida, Massachusetts, Pennsylvania, Rhode Island And Connecticut, Ramona Hernandez, Pedro Ortega, Nancy Sohler, Sarah Marrara Jan 2022

Understanding Covid-19 Among People Of Dominican Descent In The U.S.: A Comparison Of New York, New Jersey, Florida, Massachusetts, Pennsylvania, Rhode Island And Connecticut, Ramona Hernandez, Pedro Ortega, Nancy Sohler, Sarah Marrara

Publications and Research

The present study “Understanding COVID-19 Among People of Dominican Descent in the U.S.: A Comparison of New York, New Jersey, Florida, Massachusetts, Pennsylvania, Rhode Island and Connecticut” is the first research study to examine the experience of people of Dominican origins residing in the United States (U.S.) amidst the pandemic caused by the SARS-CoV-2 virus. The current study is based on a probabilistic and representative sample of Dominicans across the seven states in which the majority—85%—of Dominicans living in the U.S. reside. The Dominican Studies Institute (CUNY-DSI) at City College and the School of Medicine, both of the City University …


Rurality And Its Effects On Prenatal Care In Southcentral Kentucky, Kylee Eilers Jan 2022

Rurality And Its Effects On Prenatal Care In Southcentral Kentucky, Kylee Eilers

Mahurin Honors College Capstone Experience/Thesis Projects

Despite ongoing efforts to increase positive healthcare outcomes for prenatal care in rural Kentucky, there continues to be limited access to adequate and quality resources. Research questions for this research project explored the prenatal care resources for Allen, Barren, Butler, Edmonson, Hart, Logan, Metcalfe, Monroe, Simpson, and Warren counties, compared healthcare disparities that exist in those counties with other rural regions of Kentucky, and identified limitations of such prenatal care resources in successfully achieving positive care outcomes. In addition to evaluation of applicable online resources through organizations local to the region, some healthcare professional and representatives were interviewed to find …


A Multidisciplinary Collaboration Between Graphic Design And Physics Classes Responding To Covid-19, Szilvia Kadas, Eric M. Edlund Jan 2022

A Multidisciplinary Collaboration Between Graphic Design And Physics Classes Responding To Covid-19, Szilvia Kadas, Eric M. Edlund

The SUNY Journal of the Scholarship of Engagement: JoSE

Students from graphic design and physics classes at SUNY Cortland collaborated during the spring semester of 2020 on a multidisciplinary project related to the COVID-19 pandemic. In these collaborations, the students’ individual contributions were part of a larger project that required a diverse skill set, through which students learned how different skills can complement their own disciplines. The graphic design and physics instructors applied a project-based learning philosophy applying the Common Problem Pedagogy (CPP) framework to construct student-teams composed of both disciplines. This project explored how coordinated social actions can allow the public to exercise control in uncertain times. Students …


Active Learning And Student Achievement: A Matter Of Space, Experiences, Or Pedagogy?, Justin Bruner, Rebecca Affoo, Angela M. Dietsch Jan 2022

Active Learning And Student Achievement: A Matter Of Space, Experiences, Or Pedagogy?, Justin Bruner, Rebecca Affoo, Angela M. Dietsch

United States Public Health Resources

The goal of this study was to contribute to research on active learning by addressing the problem of disentangling the effects of classroom architecture, student characteristics, and pedagogical design as they relate to student achievement. The study utilized a quasi-experimental design where data was collected on student perceptions of their classroom, their experience in the course, and the pedagogy of the instructor, then analyzed with respect to the course grade. Results indicate that neither student perceptions of the classroom spaces nor the spaces themselves had an impact on course grade, but the pedagogy employed by the instructor and student experiences …


Isolating Bacteriophage For Potential Treatment Of Chronic Multi-Drug Resistant Escherichia Coli Infections, Leila Oswalt Jan 2022

Isolating Bacteriophage For Potential Treatment Of Chronic Multi-Drug Resistant Escherichia Coli Infections, Leila Oswalt

Honors Projects

The misuse and overuse of antibiotics has led to the intense rise in antibiotic resistance. As society transitions into the post antibiotic era, there will be a great need for new therapeutic strategies to address multiple drug resistant bacterial infections. One such method, called bacteriophage therapy, allows for specific targeting of certain pathogenic bacteria through the use of viruses that attack bacteria; termed “bacteriophage” or simply “phage”. Urinary tract infections are among the most common pathological human infections that rely heavily on the use of antibiotics, the major cause of which is the bacterium Escherichia coli. During the Spring 2021-Spring …


Holistic Occupational Therapy Dining Interventions Supporting Individuals With Dementia In Skilled Nursing Facilities, Kathleen Osio, Sabrina Anne Cezar, Ashley Lorton, Lisa Worsham Jan 2022

Holistic Occupational Therapy Dining Interventions Supporting Individuals With Dementia In Skilled Nursing Facilities, Kathleen Osio, Sabrina Anne Cezar, Ashley Lorton, Lisa Worsham

Occupational Therapy | MSOT Capstone Projects

The purpose of this project is to provide occupational therapy practitioners (OTPs) with a Holistic Occupational Therapy Dementia Dining Toolkit to enhance the dining experience in the SNF setting for individuals in all stages of dementia. Dementia is a prevalent condition seen in skilled nursing facilities (SNF) that is expected to continue to rise; in 2016, 47.8 percent of individuals living in a SNF had a diagnosis of dementia (Center of Disease Control, 2020). Dining experiences for individuals with dementia (IwD) are impacted by an individual’s cognition, physical, environmental, and psychosocial factors. Additionally, the task oriented and structured approach to …


Pediatric Stroke Outcome Measures: A Systematic Review, Janice Brown, Jordan Ng, Reilly Todd, Alyssa Vo Jan 2022

Pediatric Stroke Outcome Measures: A Systematic Review, Janice Brown, Jordan Ng, Reilly Todd, Alyssa Vo

Occupational Therapy | Graduate Student Research Posters

In collaboration with SFSU/UCSF Physical Therapy and Dominican University of California Occupational Therapy, this systematic review took a critical look at the pediatric stroke outcome measures in the current literature. By ascertaining what is currently in place,

occupational therapists as members of the interprofessional team, can better advocate for occupation centered outcome measures in research and clinical care for children and families who have experienced pediatric stroke.


Impact Of Assistive Technology Applications In Higher Education For Students With And Without Disabilities, Continued, Melanie C. Barillas, Alma E. Cortez, Tamera Y. Mcneil, Geneen C. Samaniego, Julia Zasso Jan 2022

Impact Of Assistive Technology Applications In Higher Education For Students With And Without Disabilities, Continued, Melanie C. Barillas, Alma E. Cortez, Tamera Y. Mcneil, Geneen C. Samaniego, Julia Zasso

Occupational Therapy | MSOT Capstone Projects

Assistive technology (AT) research has historically focused on skills that AT features can support (e.g. increased spelling, increased typing speed, etc.). In contrast, new research has examined the impact of AT on occupational engagement for individuals with disabilities, and AT in higher education with varying supports (Camarena et al., 2020; Gameuda et al., 2018; Malcolm & Roll, 2017). Due to the COVID pandemic, distance teaching/learning technology has become central to higher education (HE). Distance learning has caused uncertainties for students including creating an effective study routine (Peloso, et al., 2020). Further research is required for examining AT that can support …


Occupational Therapy Collaboration In Creating Accessible Theatre, Chanelle Bautista, Alyssa Cho, Jazmine Cunanan, Ariana Marino, Miko Ramo Jan 2022

Occupational Therapy Collaboration In Creating Accessible Theatre, Chanelle Bautista, Alyssa Cho, Jazmine Cunanan, Ariana Marino, Miko Ramo

Occupational Therapy | Graduate Student Research Posters

Sensory-friendly theatre programs aim to dismantle social participation barriers for individuals with sensory processing differences by creating a relaxed theatre experience that includes preparatory materials, environmental modifications, and specialized training (Umeda, 2017). We implemented a pilot sensory-friendly performance of Willy Wonka, Jr. in collaboration with youth actors at the Throckmorton Theatre in Mill Valley, CA on February 13th, 2022. Our program illustrates occupational therapists’ ability to collaborate with theatres and contribute knowledge on sensory processing differences and environmental modification to increase community cultural arts participation for people with disabilities and their families.


Fair Access To Scarce Medical Capacity For Non-Covid-19 Patients: A Role For Reserves, Govind C. Persad, Parag A. Pathak, Tayfun Sönmez, M. Utku Unver Jan 2022

Fair Access To Scarce Medical Capacity For Non-Covid-19 Patients: A Role For Reserves, Govind C. Persad, Parag A. Pathak, Tayfun Sönmez, M. Utku Unver

Sturm College of Law: Faculty Scholarship

As hospitals in the US and elsewhere fill again with patients with covid-19, discussions about how to fairly allocate scarce medical resources have come to the fore once again. One frequently voiced concern is that non-covid-19 patients with urgent health needs are facing indefinitely postponed surgeries, long-distance hospital transfers, or even are unable to access medical treatment. In our view, a reserve or categorised priority system could help. It could be used to fairly distribute scarce medical capacity—such as staffing, physical space, and medical treatments—between covid-19 and non-covid-19 patients, just as it has been used or proposed to allocate covid-19 …


Errors In Converting Principles To Protocols: Where The Bioethics Of Us Covid‐19 Vaccine Allocation Went Wrong, William F. Parker, Govind C. Persad, Monica E. Peek Jan 2022

Errors In Converting Principles To Protocols: Where The Bioethics Of Us Covid‐19 Vaccine Allocation Went Wrong, William F. Parker, Govind C. Persad, Monica E. Peek

Sturm College of Law: Faculty Scholarship

For much of 2021, allocating the scarce supply of Covid-19 vaccines was the world's most pressing bioethical challenge, and similar challenges may recur for novel therapies and future vaccines. In the United States, the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) identified three fundamental ethical principles to guide the process: maximize benefits, promote justice, and mitigate health inequities. We argue that critical components of the recommended protocol were internally inconsistent with these principles. Specifically, the ACIP violated its principles by recommending overly broad health care worker priority in phase 1a, using being at least seventy-five …