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Articles 241 - 270 of 2582
Full-Text Articles in Public Affairs, Public Policy and Public Administration
Efforts To Improve Roadway Safety: A Collaborative Approach Between Amish Communities And A Professional Engineering Society, S. Dee Jepsen, Andrew "Dewey" Mann
Efforts To Improve Roadway Safety: A Collaborative Approach Between Amish Communities And A Professional Engineering Society, S. Dee Jepsen, Andrew "Dewey" Mann
Journal of Amish and Plain Anabaptist Studies
Lighting and marking recommendations for animal-drawn buggies and wagons were first established in 2001 through an American Society of Agricultural and Biological Engineers (ASABE) Engineering Practice, EP576.1. Many Anabaptist communities who primarily rely on animal-drawn vehicles utilize this practice for marking their buggies and wagons; however they do not utilize the practice for their low-profile vehicles, such as pony carts. Visibility for pony carts on public roads is important to protect the operators, typically women and children. Following a series of tragic deaths in their community, the Holmes and Wayne Counties, Ohio, Amish safety committee raised the concern of having …
Addressing The Challenges Of Uncertainty Affecting Last-Mile Distribution In Disaster Relief, Robert A. Cook, Emmett Lodree
Addressing The Challenges Of Uncertainty Affecting Last-Mile Distribution In Disaster Relief, Robert A. Cook, Emmett Lodree
Faculty Research and Creative Activities Symposium
The study of Disaster Relief has received increasing attention for the better part of 20 years, and particularly in the wake of high-visibility storms like Hurricanes Harvey and Irma, there is little need to provide justification for the field as an area of interest. This presentation will summarize an ongoing effort to study one particular aspect of Disaster Relief, namely last-mile distribution in the face of uncertain supply. This body of work forms the bulk of my dissertation which I completed last year along with my co-author and mentor Dr. Emmett Lodree, a full Professor at the University of Alabama.
U. S. - Moroccan Relations In The Context Of The Anfa Conference, Karim Bejjit
U. S. - Moroccan Relations In The Context Of The Anfa Conference, Karim Bejjit
Journal of Global Initiatives: Policy, Pedagogy, Perspective
This essay seeks to shed new light on the intricate course of U.S.-Moroccan relations following the landing of American troops on the Atlantic coasts of Morocco. The Anfa Conference and Sultan Mohamed V’s dinner meeting with President Roosevelt marked an important stage in the process of Moroccan struggle for independence. Roosevelt’s personal interest in the Moroccan situation may have accentuated the inconsistencies in U.S. foreign policy in the 1940s regarding the French colonial empire and confronted its fundamental idealism with the exigencies of pragmatic politics. The vicissitudes of the war and America’s deep commitment to its French ally as well …
Empowering Rural Participation And Partnerships In Morocco’S Sustainable Development, Yossef Ben-Meir
Empowering Rural Participation And Partnerships In Morocco’S Sustainable Development, Yossef Ben-Meir
Journal of Global Initiatives: Policy, Pedagogy, Perspective
This essay explores the vast potential for participatory and sustainable human development in Morocco. Though Morocco is a country with many diverse resources, it remains burdened by severe levels of poverty and illiteracy, and now growing social discord. There have recently been increased public calls for participatory development programs designed and implemented by and for local people. The essay identifies six existing Moroccan Frameworks intended to initiate decentralized human development programs, and critically examines their efficacy. Ultimately, the purpose of the article is to suggest a new model to implement these Frameworks with maximum impact. The six Frameworks deal with …
The Three Ps Of Resilience: Planning, Partnerships, And Paying For It All (Agenda), Virginia Coastal Policy Center, William & Mary Law School
The Three Ps Of Resilience: Planning, Partnerships, And Paying For It All (Agenda), Virginia Coastal Policy Center, William & Mary Law School
2019, The Three Ps of Resilience: Planning, Partnerships, and Paying For It All
No abstract provided.
From Confrontation To Partnership: City Regulation Of Micromobility, William Henderson
From Confrontation To Partnership: City Regulation Of Micromobility, William Henderson
PSU Transportation Seminars
It has been more than two years since shared scooters first appeared in Santa Monica, California and more than four years since the first dockless bikeshare bikes appeared in China. As shared micromobility has experimented in its deployment and operations across the globe, cities have also been experimenting with ways to regulate and manage this phenomenon in a way that best achieves public outcomes. But how do we best protect individual rights' while still protecting the right-of-way? This seminar will discuss experiences from cities with micromobility programs and considerations for agency staff and elected officials when launching and overseeing a …
Resilience-Focused Journalism: The Motivations, Tactics, And Impact Of The Los Angeles Times Coverage Of Earthquake Risk, Thomas Jamieson, Douglas A. Van Belle
Resilience-Focused Journalism: The Motivations, Tactics, And Impact Of The Los Angeles Times Coverage Of Earthquake Risk, Thomas Jamieson, Douglas A. Van Belle
Public Administration Faculty Publications
As disasters and climate change threaten more and more people around the world, it is increasingly important for communities to adopt resilience policies. However, despite considerable benefits and the high probability of a return on investment, resilience policies are often neglected. In this article, we examine the agenda setting campaign by the Los Angeles Times that helped create the conditions for mandatory retrofitting ordinances to succeed where previous attempts failed. Through in-depth interviews with journalists and editors at the Times, and policymakers involved in the debate, we illustrate the motivations, tactics, and impact of their coverage of earthquake risk in …
Beating The Odds: High-Growth Schools Based On The Act Aspire Examinations, Serving Low-Income Communities, Charlene A. Reid, Sarah C. Mckenzie
Beating The Odds: High-Growth Schools Based On The Act Aspire Examinations, Serving Low-Income Communities, Charlene A. Reid, Sarah C. Mckenzie
Arkansas Education Reports
This edition of the OEP Awards highlights schools in Arkansas based on student growth on the ACT Aspire exams in Mathematics and English Language Arts (ELA). This is a departure from prior awards, which were based on student proficiency.
We choose to focus on student growth for these OEP awards because we think it is a better reflection than proficiency rates of how the school is impacting students. Growth is calculated at the student level, and essentially reflects how much a student improved his or her score from the prior year compared to what was predicted based on prior achievement …
Disciplinary D/Discourses: Navigating And Negotiating Disciplinary Paradigms, Michael R. P. Bailey
Disciplinary D/Discourses: Navigating And Negotiating Disciplinary Paradigms, Michael R. P. Bailey
USF Tampa Graduate Theses and Dissertations
Over the past twenty-five years, in the United States, zero-tolerance policies that were initially implemented to deter gun violence and drugs in schools have expanded to include a wide range of discretionary offenses such as disrespect and defiance. As a result, many students have been denied access to educational opportunities, been excluded from their peers, and had their lives irrevocably changed due to systemic sanctioning of exclusionary practices. Educators, who are caught between competing societal demands, job expectations, and ethical beliefs about their profession are tasked with balancing the instructional and interactional components of their work in an attempt to …
Educators' Perceptions Of Students' Academic And Social Growth In A Collegiate High School Program., John Matthew Legg
Educators' Perceptions Of Students' Academic And Social Growth In A Collegiate High School Program., John Matthew Legg
USF Tampa Graduate Theses and Dissertations
The purpose of this research was to examine educators’ perceptions of high school students’ academic and social growth in a collegiate college program. Collegiate high school programs afford opportunities to minorities and the economically disadvantaged, as well as first-generation college students (Aviles-Reyes, 2007). This research used a qualitative case study framework to collect information about educators’ perceptions of the academic and social integration of students in a collegiate college program. Data were collected in phases—educator focus group interviews and individual interviews—and subsequently coded and reviewed using thematic comparative analysis. The guiding question was as follows: What are educators’ perceptions of …
Reducing Underrepresentation: Promising Practices In Florida, Catherine A. Mullins
Reducing Underrepresentation: Promising Practices In Florida, Catherine A. Mullins
USF Tampa Graduate Theses and Dissertations
In this study, I examined representation rates of gifted students from diverse backgrounds in Florida county school districts. Florida state legislation governing gifted student education allows for alternative identification methods to be used for students from underrepresented groups if plans for such identification are approved by the Florida Department of Education; however, this option, informally referred to as “Plan B” after subsection B of the legislation governing gifted services, is not a requirement that districts must follow. Consequently, there are large differences in the ways districts identify underrepresented students for gifted services. State legislation identifies underrepresented populations as students with …
European Banking Union D: Cross-Border Resolution—Dexia Group, Rosalind Z. Wiggins, Natalia Tente, Andrew Metrick
European Banking Union D: Cross-Border Resolution—Dexia Group, Rosalind Z. Wiggins, Natalia Tente, Andrew Metrick
Journal of Financial Crises
In September 2008, Dexia Group, SA, the world’s largest provider of public finance, experienced a sudden liquidity crisis. In response, the governments of Belgium, France, and Luxembourg provided the company a capital infusion and credit support. In February 2010, the company adopted a European Union (EU)-approved restructuring plan that required it to scale back its businesses and cease proprietary trading. In June 2011, Dexia withdrew from the government-sponsored credit support program before its expiration date, and in July, the company announced that it had passed an EU stress test. However, just three months later, Dexia wrote down its substantial position …
European Banking Union C: Cross-Border Resolution–Fortis Group, Rosalind Z. Wiggins, Natalia Tente, Andrew Metrick
European Banking Union C: Cross-Border Resolution–Fortis Group, Rosalind Z. Wiggins, Natalia Tente, Andrew Metrick
Journal of Financial Crises
In August 2007, Fortis Group, Belgium’s largest bank, acquired the Dutch operations of ABN AMRO, becoming the fifth largest bank in Europe. Despite its size and its significant operations in the Benelux countries, Fortis struggled to integrate ABN AMRO. Fortis’s situation worsened with the crash of the US subprime market, which impacted its subprime mortgage portfolio. By July 2008, Fortis’s CEO had stepped down, its stock had lost 70% of its value, and it was on the verge of collapse due to a severe liquidity crisis. The governments of Belgium, Luxembourg, and the Netherlands quickly came together and agreed to …
European Banking Union B: The Single Resolution Mechanism, Rosalind Z. Wiggins, Michael Wedow, Andrew Metrick
European Banking Union B: The Single Resolution Mechanism, Rosalind Z. Wiggins, Michael Wedow, Andrew Metrick
Journal of Financial Crises
The options available to European governments to respond to a multinational bank in financial trouble have been severely limited since each country has its own unique laws and authority applicable to banks operating within its borders. The Bank Recovery & Resolution Directive (BRRD), which was adopted in 2013 and scheduled to go into effect January 2015, harmonizes rules across EU countries for how to restructure and resolve failing banks. However, the directive would maintain the existing system of individual national resolution authorities and resolution funds. To better secure the Eurozone banks and to compliment the Single Supervisory Mechanism, which was …
European Banking Union A: The Single Supervisory Mechanism, Rosalind Z. Wiggins, Michael Wedow, Andrew Metrick
European Banking Union A: The Single Supervisory Mechanism, Rosalind Z. Wiggins, Michael Wedow, Andrew Metrick
Journal of Financial Crises
At the peak of the Global Financial Crisis in fall 2008, each of the 27 member states in the European Union (EU) set many of its own banking rules and had its own bank regulators and supervisors. The crisis made the shortcomings of this decentralized approach obvious, and since its formation in January 2011, the European Banking Authority (EBA) has been developing a “Single Rulebook” that will harmonize banking rules across the EU countries. In June 2012, European leaders went even further, committing to a banking union that would better coordinate supervision of banks in the then 18-country Eurozone. A …
European Central Bank Tools And Policy Actions B: Asset Purchase Programs, Chase P. Ross, Rosalind Z. Wiggins, Andrew Metrick
European Central Bank Tools And Policy Actions B: Asset Purchase Programs, Chase P. Ross, Rosalind Z. Wiggins, Andrew Metrick
Journal of Financial Crises
Beginning in August 2007, the European Central Bank (ECB) used standard and non-standard monetary policies as the global financial markets progressed from initial turmoil to a widespread sovereign debt crisis. This case describes the key features of the ECB’s asset purchase programs throughout the Global Financial Crisis and subsequent European sovereign debt crisis. These programs include the Covered Bond Purchase Programs (CBPP1, CBPP2, CBPP3), Securities Markets Program (SMP), Outright Monetary Transactions (OMT), Asset-backed Securities Purchase Program (ABSPP) and the Public Sector Purchase Program (PSPP).
In combating the crises, the ECB designed various innovative programs which it successively employed as the …
European Central Bank Tools And Policy Actions A: Open Market Operations, Collateral Expansion And Standing Facilities, Chase P. Ross, Rosalind Z. Wiggins, Andrew Metrick
European Central Bank Tools And Policy Actions A: Open Market Operations, Collateral Expansion And Standing Facilities, Chase P. Ross, Rosalind Z. Wiggins, Andrew Metrick
Journal of Financial Crises
Beginning in August 2007, the European Central Bank (ECB) responded to market turmoil with a variety of standard and non-standard monetary policy tools. This case discusses the operational framework of the ECB’s open market operation tools and standing facilities before and during the financial crisis. Specifically, this case describes the ECB’s use of its main refinancing and longer-term refinancing operations, the expansion of collateral eligible for use in Eurosystem credit operations, and the ECB’s standing facilities, including its marginal lending and deposit facilities.
Ireland And Iceland In Crisis D: Similarities And Differences, Arwin G. Zeissler, Daisuke Ikeda, Andrew Metrick
Ireland And Iceland In Crisis D: Similarities And Differences, Arwin G. Zeissler, Daisuke Ikeda, Andrew Metrick
Journal of Financial Crises
On September 29, 2008—two weeks after the collapse of Lehman Brothers—the government of Ireland took the bold step of guaranteeing almost all liabilities of the country’s major banks. The total amount guaranteed by the government was more than double Ireland’s gross domestic product, but none of the banks were immediately nationalized. The Icelandic banking system also collapsed in 2008, just one week after the Irish government issued its comprehensive guarantee. In contrast to the Irish response, the Icelandic government did not guarantee all bank debt. Instead, the Icelandic government controversially split each of the three major banks into a new …
Ireland And Iceland In Crisis C: Iceland’S Landsbanki Icesave, Arwin G. Zeissler, Thomas Piontek, Andrew Metrick
Ireland And Iceland In Crisis C: Iceland’S Landsbanki Icesave, Arwin G. Zeissler, Thomas Piontek, Andrew Metrick
Journal of Financial Crises
At year-end 2005, almost all of the total assets of Iceland’s banking system were concentrated in just three banks (Glitnir, Kaupthing, and Landsbanki). These banks were criticized by certain financial analysts in early 2006 for being overly dependent on wholesale funding, much of it short-term, that could easily disappear if creditors’ confidence in these banks faltered for any reason. Landsbanki, followed later by Kaupthing and then Glitnir, responded to this criticism and replaced part of their wholesale funding by using online accounts to gather deposits from individuals across Europe. In Landsbanki’s case, these new deposits were marketed under the name …
Ireland And Iceland In Crisis B: Decreasing Loan Loss Provisions In Ireland, Arwin G. Zeissler, Andrew Metrick
Ireland And Iceland In Crisis B: Decreasing Loan Loss Provisions In Ireland, Arwin G. Zeissler, Andrew Metrick
Journal of Financial Crises
All public companies in the European Union, including Ireland’s major banks, were required to adopt IAS 39 for their annual accounting periods beginning on or after January 1, 2005. Under the “incurred loss” model of IAS 39, banks could set aside reserves for loan losses only when objective evidence existed that a loan was impaired, not in anticipation of future losses. As a result, Irish banks saw their aggregate reserve for bad loans drop from 1.2% of loan balances at the end of 2000 to only 0.4% by 2006-07, just before the collapse of the banking industry caused loan losses …
Ireland And Iceland In Crisis A: Increasing Risk In Ireland, Arwin G. Zeissler, Karen Braun-Munzinger, Andrew Metrick
Ireland And Iceland In Crisis A: Increasing Risk In Ireland, Arwin G. Zeissler, Karen Braun-Munzinger, Andrew Metrick
Journal of Financial Crises
Ireland went from being the poorest member of the European Economic Community in 1973 to enjoying the second highest per-capita income among European countries by 2007. Healthy growth in the 1990s eventually gave way to a concentrated boom in property-related lending in the 2000s. The growth in the aggregate loan balances of Ireland’s six major banks greatly exceeded the growth in gross domestic product (GDP); as a result, bank loan balances grew from 1.1 times GDP in 2000 to over 2.0 times GDP by 2007. Given the small size of the domestic retail depositor base, the Irish banks increasingly funded …
Older Adults Responsible For Total Growth In Drug Arrests, Jeffrey A. Butts
Older Adults Responsible For Total Growth In Drug Arrests, Jeffrey A. Butts
Publications and Research
After years of decline, adults 25 and older were responsible for increasing drug crime arrests after 2015. In contrast, young adults, teenagers, and children experienced drug arrest drops. This databit looks at the drug violation arrest rates from 2000 to 2018 and trends between various age groups.
Satellite-Based Decadal Change Assessments Of Pan-Arctic Environments, Liza K. Jenkins, Tom Barry, Karl R. Bosse, William S. Currie, Tom Christensen, Sara Longan, Robert A. Shuchman, Danielle Tanzer, Jason J. Taylor
Satellite-Based Decadal Change Assessments Of Pan-Arctic Environments, Liza K. Jenkins, Tom Barry, Karl R. Bosse, William S. Currie, Tom Christensen, Sara Longan, Robert A. Shuchman, Danielle Tanzer, Jason J. Taylor
United States National Park Service: Publications
Remote sensing can advance the work of the Circumpolar Biodiversity Monitoring Program through monitoring of satellite-derived terrestrial and marine physical and ecological variables. Standardized data facilitate an unbiased comparison across variables and environments. Using MODIS standard products of land surface temperature, percent snow-covered area, NDVI, EVI, phenology, burned area, marine chlorophyll, CDOM, sea surface temperature, and marine primary productivity, significant trends were observed in almost all variables between 2000 and 2017. Analysis of seasonal data revealed significant breakpoints in temporal trends. Within the terrestrial environment, data showed significant increasing trends in land surface temperature and NDVI. In the marine environment, …
Use Of The Montreal Cognitive Assessment (Moca) In A Rural Outreach Program For Military Veterans, Michelle M. Hilgeman, Eugenia M. Boozer, A. Lynn Snow, Rebecca S. Allen, Lori L. Davis
Use Of The Montreal Cognitive Assessment (Moca) In A Rural Outreach Program For Military Veterans, Michelle M. Hilgeman, Eugenia M. Boozer, A. Lynn Snow, Rebecca S. Allen, Lori L. Davis
Journal of Rural Social Sciences
The Montreal Cognitive Assessment (MoCA) is a free, easily accessible screener ideal for rural areas where resources are limited. We examined administration and scoring by Veteran Community Outreach Health Workers (VCOHWs); compared positive screening rates using two cutoff scores; and examined predictors of education-adjusted scores in N = 168 rural military Veterans from the Alabama Veteran Rural Health Initiative. Accuracy of administration (95 percent) and scoring (68 percent) was calculated and recommendations are offered. Higher than expected rates of positive screens were observed (40 percent using 24/30 cutoff) in this relatively young (M = 55 years) community-dwelling sample. Age, education, …
Pdx Next: Redesigning Portland International Airport, Mike Coleman, Sean Loughran
Pdx Next: Redesigning Portland International Airport, Mike Coleman, Sean Loughran
PSU Transportation Seminars
If you like PDX now, wait till you see PDX Next. We’re outgrowing our current digs. In the coming years, we expect our annual passengers to jump from 20 million to 35 million. Over the next five years, a series of transformative projects will bring more Pacific Northwest-inspired architecture, local restaurants and shops, inclusive design, and carbon footprint-reducing technology. We’re rolling out a series of improvements over the next few years so that your trip to and from PDX is easier and speedier. We’re making space for light-rail and bike-path enhancements. A dedicated ride hailing pickup area will streamline the …
Seven Steps To Successful Change: How A Large Academic Medical Center Prepared Patients For Organizational Change, Brian Carlson, Madison Agee, Terrell Smith, Paul Sternberg Jr, Jason Morgan
Seven Steps To Successful Change: How A Large Academic Medical Center Prepared Patients For Organizational Change, Brian Carlson, Madison Agee, Terrell Smith, Paul Sternberg Jr, Jason Morgan
Patient Experience Journal
Vanderbilt University Medical Center (VUMC) launched a new electronic health record (EHR) in a “big bang” implementation that saw the new software go live across multiple hospitals, clinics and geographic locations in a single morning. The organization rightly focused most of its energy on preparing its nearly 25,000 employees for the impacts of the transition, but it also considered the effects that would be felt by its patients and families. Survey data indicate that patient satisfaction scores demonstrably dip before, during and after an EHR implementation, and take approximately a year to recover. A team at DMC employed a seven-step …
Effect Of Change In The Cg Cahps Survey Instrument Recall Period On Patient Experience Scores On Healthcare Utilization, Kimberley Marshall-Aiyelawo Phd, Usn, Msc (Ret), Richard Bannick Phd, Usaf, Msc (Ret), Sharon Beamer Aud, Melissa Gliner Phd, Terry Mcdavid Ms, Daniel Muraida Phd, Janice Ellison Usaf Nursing Services (Ret), Beatrice Abiero Phd, Alan Roshwalb Phd, Mark Andrews
Effect Of Change In The Cg Cahps Survey Instrument Recall Period On Patient Experience Scores On Healthcare Utilization, Kimberley Marshall-Aiyelawo Phd, Usn, Msc (Ret), Richard Bannick Phd, Usaf, Msc (Ret), Sharon Beamer Aud, Melissa Gliner Phd, Terry Mcdavid Ms, Daniel Muraida Phd, Janice Ellison Usaf Nursing Services (Ret), Beatrice Abiero Phd, Alan Roshwalb Phd, Mark Andrews
Patient Experience Journal
Standardized patient experience survey instruments play an important role in informing healthcare quality and process improvement. However, any changes in standardized instruments can impact the interpretation, trending, and analysis of patient reported data. This study investigates how the change in Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG CAHPS) survey recall period, from 12- to 6-months, can impact the accuracy and quality of patient experience data. This study used primary survey data on patient experience collected in 2016. Analyses included tests of proportion and t-tests for a comparison of: 1) experience ratings, and 2) administrative data to …
Volunteer Contributions In The Emergency Department: A Scoping Review, Sophie Glanz, Brittany Ellis, Shelley L. Mcleod, Cameron Thompson, Don Melady, Michelle Nelson
Volunteer Contributions In The Emergency Department: A Scoping Review, Sophie Glanz, Brittany Ellis, Shelley L. Mcleod, Cameron Thompson, Don Melady, Michelle Nelson
Patient Experience Journal
The objective of this scoping review was to identify published and unpublished reports that described volunteer programs in the emergency department (ED) and determine how these programs impacted patient experiences or outcomes. Electronic searches of Medline, EMBASE, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews and CINAHL were conducted and reference lists were hand-searched. A grey literature search was also conducted. Two reviewers independently screened titles and abstracts, reviewed full text articles, and extracted data. The search strategy yielded 4,589 potentially relevant citations; 87 reports were included in the review. Volunteer activities were categorized as non-clinical tasks …
Conceptual Frameworks And Degrees Of Patient Engagement In The Planning And Designing Of Health Services: A Scoping Review Of Qualitative Studies, Umair Majid, Anna Gagliardi
Conceptual Frameworks And Degrees Of Patient Engagement In The Planning And Designing Of Health Services: A Scoping Review Of Qualitative Studies, Umair Majid, Anna Gagliardi
Patient Experience Journal
Increasingly, patients are being recognized as essential partners in the solutions to healthcare system problems. Patient engagement has been referred to as the “holy grail” and next “blockbuster drug” of health care because it may be revolutionary for transforming the design, delivery, and responsiveness of health services. Patients engage in a variety of healthcare activities, and there are multiple frameworks that depict the degrees of patient engagement in these activities. The literature also uses a variety of terms and concepts to depict the degrees of patient engagement. Moreover, meaningful patient engagement is a concept widely utilized in the literature without …
Patient-Initiated Second Opinions During Acute Hospital Care, Roni Gagin, Neta Hagani, Esti Zigelboim, Shiri Shinan-Altman
Patient-Initiated Second Opinions During Acute Hospital Care, Roni Gagin, Neta Hagani, Esti Zigelboim, Shiri Shinan-Altman
Patient Experience Journal
Second opinions are used in medicine in order to make better-informed decisions. Only a few studies have examined patient-initiated second opinions, and even fewer have examined it in the context of acute hospitalization. It is not clear whether patients and families are aware of this right and how often they exercise it during acute hospitalization. The objective of this paper is to identify factors associated with the awareness and utilization of patient-initiated second opinions. A survey was conducted among 92 neurosurgical patients who completed a questionnaire that included information regarding: awareness of second opinion consultations, reasons for not seeking a …