205 research outputs found

    Preview of a reading from A Good Enough Daughter by author Alix Kates Shulman,

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    Preview of a reading from A Good Enough Daughter by author Alix Kates Shulman, which will be presented at the Maine Festival in Brunswick on Aug. 7, and at Bookland in Souith Portland on Aug. 9. Shulman, a part-time resident of Casco Bay\u27s Long Island, will also present How to Structure a Book, a lecture and workshop, a the Portland Public Library on Aug. 10

    International Health Regulations

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    On Tuesday, April 6, 2010, the George Washington University School of Public Health and Health Services (GW SPHHS) hosted the annual Southby Distinguished Lectureship in Comparative Health Policy on the International Health Regulations. This lectureship gave an overview of the U.S. Government\u27s approach to addressing the challenges, policies, and opportunities related to both domestic and international implementation of the IHR (2005). Introductory remarks were given by GW School of Public Health faculty, including Josef Reum, Interim Dean; Professor Sara Rosenbaum, Chair of the Department of Health Policy & Hirsh Professor of Health Law and Policy; Richard Southby, Executive Dean Emeritus; and Rebecca Katz, Assistant Professor, Department of Health Policy. The plenary speakers were Mr. Andrew Weber, Assistant to the Secretary of Defense for Nuclear, Chemical and Biological Defense Programs at the Department of Defense; Dr. Nicole Lurie, Assistant Secretary for Preparedness and Response at the Department of Health and Human Services; and Dr. Scott Dowell, Director of the Global Disease Detection Program at the Centers for Disease Control and Prevention. The discussants were: Dr. Julie Fischer, Stimson Center; Ms. Jennifer Kates, Kaiser Family Foundation; and Dr. Stephen Morrison, Center for Strategic and International Studies

    Effect of Deep-Water Multibeam Mapping Activity on the Foraging Behavior of Cuvier’s Beaked Whales and the Marine Acoustic Environment

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    Mid-frequency (\u3c 10 kHz) acoustic sonar, used in naval training exercises, is known to adversely affect sensitive marine mammals. Less is known about the effects of higher frequency sonar sources (\u3e10 kHz) such as multibeam echosounders—on marine mammals. To date, no controlled studies have been conducted to evaluate the effect of multibeam echosounders (MBES) on marine mammals in the wild, despite the widespread use of this sound source in scientific research and geophysical work. Here the temporal and spatial effect of deep-water MBES signals on Cuvier’s beaked whale foraging behavior was assessed during two deep-water MBES ocean mapping surveys of the Southern California Antisubmarine Warfare Range (SOAR). The SOAR contains an array of 89 hydrophones spanning an 1800 km2 area that was used to detect echolocation clicks from foraging beaked whales during the mapping surveys. The acoustic data from the array was also used to assess and characterize the change in sound levels of the marine acoustic environment during one of the MBES ocean mapping surveys. Hilary\u27s advisor is Dr. Jennifer Miksis-Olds and her committee members are Dr. Larry Mayer, Dr. Xavier Lurton, Dr. Kim Lowell, and Dr. Thomas Lippmann. Presenter Bio Hilary Kates Varghese holds a bachelor’s degree in biological science with distinction in research from Cornell University, and a master’s degree in applied mathematics from Florida Gulf Coast University. Hilary worked in the algal biofuel industry as a researcher before pursuing a Ph.D. in earth sciences-oceanography at the University of New Hampshire, focused on the effect of sound on marine life. Her eclectic interests and experience in renewable energy, biology, and acoustics have aligned her well for her next chapter as a bioacoustician in the Center for Marine Acoustics with the Bureau of Ocean Energy Management

    Drug interactions and risk of acute bleeding leading to hospitalisation or death in patients with chronic atrial fibrillation treated with warfarin

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    Summary: Although drug interactions with warfarin are an important cause of excessive anticoagulation, their impact on the risk of serious bleeding is unknown.We therefore performed a cohort study and a nested case-control analysis to determine the risk of serious bleeding in 4152 patients (aged 40–84 years) with nonvalvular atrial fibrillation (AF) taking long-term warfarin (>3 months).The study population was drawn from the UK General Practice Research Database. More than half (58%) of eligible patients used potentially interacting drugs during continuous warfarin treatment. Among 45 identified cases of incident idiopathic bleeds (resulting in hospitalisation within 30 days or death within 7 days) and 143 matched controls, more cases than controls took = 1 potentially interacting drug within the preceding 30 days (62.2% vs. 35.7%) and used >4 drugs (polypharmacy) within the preceding 90 days (80.0% vs. 66.4%). Conditional logistic regression analysis yielded an odds ratio (OR) of 3.4 (95% confidence interval [CI]: 1.4–8.5) for the risk of serious bleeding in patients treated with warfarin and = 1 drugs potentially increasing the effect of warfarin vs. warfarin alone adjusted for polypharmacy, diabetes, hypertension, heart failure, and thyroid disease; the adjusted OR for the combined use of warfarin and aspirin vs. warfarin alone was 4.5 (95% CI: 1.1–18.1). We conclude that concurrent use of potentially interacting drugs with warfarin is associated with a 3 to 4.5-fold increased risk of serious bleeding in long-term warfarin users

    Defending the history of economic thought

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    This book explains the importance of the history of economic thought in the curriculum of economists, whereas most discussions of this kind are devoted only to explaining why such study is of value simply to the individual economist. Steven Kates reaches out past the individual to explain the crucial importance of the history of economic thought in the study of economics itself; without its history at the core of the curriculum, he contends, economics is a lesser subject, less penetrating, less interesting and of much less social value. The author argues that it is the orientation that historians of economic thought give to economics in general that may be one of HETs greatest virtues, with the mainstream continuously challenged because historians of economics keep bringing other, perhaps wrongly neglected, economic traditions into the conversation. This book clarifies not just why anyone who wishes to understand economic theory must understand the history of economics but also, and much more importantly, why the history of economic thought must be preserved as a core component within the economics curriculum if economic theory is to progress. This fascinating and thought-provoking book will prove invaluable reading for academics, researchers, lecturers and students across the expansive economics field

    Medicaid and HIV/AIDS in the United States: A State-Level Analysis of Beneficiaries and Spending

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    People with HIV/AIDS rely disproportionately on the public sector for their health care, particularly Medicaid, estimated to be their single largest source of coverage in the United States. Despite the importance of Medicaid for people with HIV disease, however, few analyses have assessed the extent of its role for this population, either nationally or across the states. Prior studies have been quite limited, hampering the ability of policymakers and others to understand Medicaid's role for this population or to prepare for future changes, such as those expected as the result of the implementation of the Affordable Care Act in 2014. This dissertation helps to fill this gap by conducting the first-ever national analysis of Medicaid beneficiaries with HIV/AIDS, based on data from all states, for the 2003 to 2007 period. It not only provides a detailed description of Medicaid beneficiaries with HIV/AIDS, spending, and services, it documents significant variation by state across these areas. The analysis goes further to analyze the key correlates of variation, pooling data across states and using a state and time fixed effects model, in an effort to identify policy and programmatic levers that could be used to enhance Medicaid access and equity for people with HIV/AIDS. Overall, this study finds that there are two such levers—the federal matching percentage for the Medicaid program (FMAP) and physician supply, although the findings related to the FMAP suggest limits in its ability to promote equity across the states. In addition, those states that already opt to provide more generous Medicaid eligibility have greater Medicaid access for people with HIV/AIDS

    Medicaid and HIV: A National Analysis

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    Analyzes federal spending for HIV care by Medicaid and other programs, demographics and health status of Medicaid enrollees with HIV, and per-capita spending and spending on prescription drugs compared with other enrollees. Considers policy implications

    DIALOGICAL APPROACHES TO ENHANCING DISCUSSION, WRITING, AND THINKING IN A RURAL UNIVERSITY

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    This action research self study explored how dialogic instruction influenced 21 freshman composition students’ quality of discussion, writing practices, and ability to critical think and reflect on their learning. The study participants were enrolled in two blended composition courses. The researcher engaged in a series of structured interventions to ascertain how dialogic teaching methods influenced student in person and online learning. Findings reveal that structured discussion protocols work to invite shy or reluctant students to participate. The protocols increased the overall quality of small and whole group discussions. The efficacy of blog-based discussion was mixed. Many students who actively participate in class do not participate online. However, students who are introverted, shy, or experience discussion anxiety respond positively to discussions online. Small group analysis of model texts helped students understand how targeted writing strategies improve writing. Students were able to see connections between the targeted strategies and recognized how each would be useful in future writing. Students were then able to integrate the strategies into their own writing. The more students engage in discussion based writing strategies, such as peer review, the more students perceive them as useful. Participants perceive that oral and written language skills have a dialogic relationship. This metacognition helps students transfer oral learning to written forms. Discussion can help students (re)embody writing practices and become people who view writing as part of their literate identity. Teachers can instill these skills by purposefully teaching critical discussion skills in a way that resonates with academic writing

    U.S. Government Funding For HIV/AIDS in Resource Poor Settings

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    This report examines US federal funding to address the global HIV/AIDS epidemic in low- and middle-income countries. The data on US international aid for HIV/AIDS is broken down into bilateral and multilateral assistance programmes. Five federal departments and US-funded multilateral organisations are analysed regarding financial support for HIV/AIDS-related activities
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