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An analysis of patterns of distribution of buprenorphine in the United States using ARCOS, Medicaid, and Medicare databases
Get PDFOpioid overdose remains a problem in the United States despite pharmacotherapies, such as buprenorphine, in the treatment of opioid use disorder. This study characterized changes in buprenorphine use. Using the Drug Enforcement Administration\u27s ARCOS, Medicaid, and Medicare claims databases, patterns in buprenorphine usage in the United States from 2018 to 2020 were analyzed by examining percentage changes in total grams distributed and changes in grams per 100 K people in year-to-year usage based on ZIP code and state levels. For ARCOS from 2018 to 2019 and 2019 to 2020, total buprenorphine distribution in grams increased by 16.2% and 12.6%, respectively. South Dakota showed the largest statewide percentage increase in both 2018–2019 (66.1%) and 2019–2020 (36.7%). From 2018 to 2019, the ZIP codes ND-577 (156.4%) and VA-222 (−82.1%) had the largest and smallest percentage changes, respectively. From 2019 to 2020, CA-932 (250.2%) and IL-603 (−36.8%) were the largest and smallest, respectively. In both 2018–2019 and 2019–2020, PA-191 had the second highest increase in grams per 100K while OH-452 was the only ZIP code to remain in the top three largest decreases in grams per 100K in both periods. Among Medicaid patients in 2018, there was a nearly 2000-fold difference in prescriptions per 100k Medicaid enrollees between Kentucky (12 075) and Nebraska (6). Among Medicare enrollees in 2018, family medicine physicians and other primary care providers were the top buprenorphine prescribers. This study not only identified overall increases in buprenorphine availability but also pronounced state-level differences. Such geographic analysis can be used to discern which public policies and regional factors impact buprenorphine access
Call numbers, oh call numbers on ebooks, why have you forsaken us!
No full textILS vendor Knowledge bases (KB) are built in a black box. The quality of the metadata is not the concern of the ILS vendor which then leads to missing data, which impacts discoverability. Comparing records of two ILS vendors KBs has shown a disparity in how they manage metadata. We are evaluating multiple ebook publishers’ data in the KB based on the availability of call numbers and subject headings while looking at resource usage. Exploring ways to improve access by including call numbers and subject headings and discovering the larger problem
The role of culture on psychological intimate partner violence victimization among Latinx males
Get PDFIn this study, I investigated the individual and additive effects of both acculturation and enculturation on experiencing psychological intimate partner violence (IPV) victimization within low-income Latinx males. I hypothesized that there would be a significant positive association between acculturation and psychological IPV victimization, a significant negative association between enculturation and psychological IPV victimization, and a significant negative association between the additive effects of acculturation and enculturation on psychological IPV victimization. To accomplish these aims, this study conducted a secondary analysis of the Future of Families and Child Wellbeing study (FFCWS) data, which assessed low-income mothers and fathers that had just had a child. A total of 722 Latinx fathers were included in a direct binomial logistic regression, in which psychological IPV victimization was the outcome with two additional predictors: acculturation (i.e., interview language) and enculturation (i.e., attachment to ethnic identity). Acculturation was associated with an increase in the likelihood of experiencing psychological IPV victimization, whereas enculturation was not associated with experiencing psychological IPV victimization. These findings point to a potential the severity of acculturation as it relates to experiencing psychological IPV victimization within low-income Latinx males. The implications of Latinx male enculturation and acculturation are discussed
Open Repository @ Binghamton Monthly Additions and Top Downloads - May 2023
Get PDFNewly added work in the Open Repository @ Binghamton (ORB) from 5/1/2023-5/31/2023. Top downloads from same time frame
Pathogen Emergence As Complex Biological Invasion: Lessons From Dynamical Systems Modeling
Get PDFInfectious disease emergence has become the target of cross-disciplinary effortsthat aim to understand and predict the shape of outbreaks. The many challengesinvolved with the prediction of disease emergence events is a characteristic that in-fectious diseases share with biological invasions in many subfields of ecology (e.g.,how certain plants are able to successfully invade a new niche). Like infectiousdiseases, biological invasions by plants and animals involve interactions betweenagents (pathogens and plants in their respective cases) and a recipient niche. Inthis study, we examine the problem of pathogen emergence through the lens of aframework first developed for the study of plant invasions, restructured to applyto pathogen invaders. We utilize mathematical techniques to examine how com-plex dynamics emerge between the various actors in a multi-component pathogeninvasion process, which implies invasion frameworks can offer new insight on theparticulars of infectious disease emergence. Summarizing, we consider these re-sults in context of their application to epidemiology, and more broadly with regards to modern efforts to bring the vernacular of complex systems to more real-world systems and problems. In doing so, we demonstrate the potential power in math-ematizing conceptual models, and connecting ideas across disparate fields, towarda more rigorous picture of the nuances that underlie the dynamics of biologicalsystem
What the World has Learned About Their Governments During the COVID-19 Pandemic
Get PDFAs we take stock of all aspects of the COVID-19 pandemic history, one important lesson to be learned concerns government behavior. While defense by immunity was in the works in vaccine research labs, defense by government action took the front seat, and political incumbents in every country and locale became doctors to the public.” Did some governments perform better than others? Were there any predictable or explainable shortcomings in their crisis responses? Will governments and countries that underperformed in this crisis fall short in other crises where responsible leadership might be required? The contributors to this volume compare and contrast what governments around the world did and did not do when they were called upon to mitigate the COVID-19 pandemic. Despite the synchronicity of the threat and all governments’ initially similar helplessness in the face of the virus, their actions differed greatly around the world. The speed of the responses also varied from country to country, even when we account for the variable time frames on which the virus was initially detected. Importantly, the stringency of the enacted nonmedical interventions (NMIs) varied significantly as well. Arguably, these differences at least partially determined the variation in health outcomes seen in different countries
Highlighting Engineers Diverse Information Sources Through Customized LibGuides For Engineering Design Courses
Get PDFThis case study examines the development and implementation of a customized LibGuide for a freshman engineering design course, aimed at enhancing students’ awareness and utilization of the diverse information resources employed by professional engineers. The redesigned guide featured dedicated pages for each design project, each curated with targeted resources to promote deeper engagement with a broad spectrum of engineering information. User interaction data was examined to assess its effectiveness, and practical recommendations are provided for librarians seeking to implement similar course-integrated guide
A Few Days After She Fled
Get PDFSheree La Puma is an award-winning writer whose work has appeared in The Penn Review, Redivider, Sugar House Review, The Maine Review, The Lascaux Review, Salt Hill Literary Journal, Stand Magazine, Rust + Moth, Mantis, and Catamaran Literary Reader, among others. She earned her MFA in writing from CalArts. Her poetry has been nominated for Best of The Net and three Pushcarts. A reader for the Orange Blossom Review, her latest chapbook, ‘Broken: Do Not Use’ is currently available at Main Street Rag Publishing. www.shereelapuma.com // IG: @shereewrites // X: @shereewrites // FB: Sheree La Pum
Horizon
No full textAustin Lubetkin is a software engineer and artist on the autism spectrum based in Los Angeles, CA. Digital Art. IG: bocaaus
The Accident
Get PDFClara Bosak-Schroeder (she/they) is a writer and academic at the University of Illinois, Urbana-Champaign. She has published essays in Avidly, Bellingham Review, SolLit, and Zone 3. You can follow their work at theburningboy.com and @thaumatic on Twitter