64,201 research outputs found

    Reflections on supporting research and being a researcher

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    All the people, all of the time? Experiences in using a large scale video capturing and serving infrastructure in an educational environment

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    The School of Nursing, Dublin City University moved to a new, purpose built building in January 2004. As part of the design of the building the Nursing Skills Centre, an area that contains a simulated ward area, a community flat and several communication therapy rooms, includes a web based video recording and content management system. This system allows users (students and staff) to record video and audio from the teaching areas to a video server. The video server can also be used as a multimedia archiving and web distribution system. The video server is a LDAP controlled, dual output system (MPEG 4 for instant on-line access, MPEG 2 for high quality download). Content can be recorded to the server from any one of 53 capture stations located throughout the centre. Most of these cameras are directed at the beds on the ward and these are used primarily for skills teaching. They also have other uses such as being used to aid large scale simulation projects and educational content creation. The cameras in the other areas are used for quite different teaching purposes, usually for communications analysis. The paper will cover: • A system overview, what it is and what it can do • The usage of the system including a breakdown into use of pre-prepared video resources and use of live recording • The teaching and learning outcomes, focusing on the pedagogic outcomes of using the technology; what types of teaching were enabled and flourished, what areas were slower to take off than expected • Evaluation, reporting on the evaluation of individual projects using the technology as well as some overall points • The evolution of the technolog

    The Kids Are Not Alright: Leveraging Existing Health Law to Attack the Opioid Crisis Upstream

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    The opioid crisis is now a nationwide epidemic, ravaging both rural and urban communities. The public health and economic consequences are staggering; recent estimates suggest the epidemic has contracted the U.S. labor market by over one million jobs and cost the nation billions of dollars. To tackle the crisis, scholars and health policy initiatives have focused primarily on downstream solutions designed to help those who are already in the throes of addiction. For example, the major initiative announced by the U.S. Surgeon General promotes the dissemination of naloxone, which helps save lives during opioid overdoses. This Article argues that the urgency and gravity of the opioid crisis demand a very different approach. To stop the epidemic, interventions are needed long before people are on death’s doorstep. Rather, it must focus on upstream interventions that stop people from becoming addicted in the first place. To accomplish this, we should leverage an existing legal infrastructure that is already capable of such a preventive response. Although largely overlooked as a tool in tackling this epidemic, children’s Medicaid, known as the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit, provides a mechanism to identify at-risk children and the treatment necessary to shift their life trajectories off of the road to addiction. This Article lays out a blueprint for the ways in which EPSDT, the largest provider of children’s health insurance in the country, facilitates best practices in substance abuse prevention through (1) regular mental health and substance abuse screening in the doctor’s office and (2) the provision of medically necessary treatment for children at risk for and engaged in opioid and other substance abuse. This upstream approach is consistent with Lifecourse Health Development theory, which emphasizes strategies that address risk factors and burgeoning health conditions in childhood before they become debilitating. Indeed, through the Medicaid statute and its legislative history, executive branch guidance, and judicial precedent, all three branches of the federal government have endorsed the power of Medicaid EPSDT to address health conditions early and preventively. This Article argues that this existing infrastructure should be leveraged so that at-risk children can access mental health and substance abuse services before a next generation falls victim to the greatest public health crisis of our time

    Multiple-mask chemical etching

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    Multiple masking techniques use lateral etching to reduce the total area of the high etch-rate oxide exposed to the chemical etchant. One method uses a short-term etch to remove the top layer from the silicon oxide surface, another acts before the top layer is grown

    Where Scientists Look to the Missionary: The Problem of Leprosy in the Philippines

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    Does Barack Obama Support Socialized Medicine?

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    Democratic presidential nominee Sen. Barack Obama (IL) has proposed an ambitious plan to restructure America's health care sector. Rather than engage in a detailed critique of Obama's health care plan, many critics prefer to label it "socialized medicine." Is that a fair description of the Obama plan and similar plans? Over the past year, prominent media outlets and respectable think tanks have investigated that question and come to a unanimous answer: no. Those investigations leave much to be desired. Indeed, they are little more than attempts to convince the public that policies generally considered socialist really aren't. A reasonable definition of socialized medicine is possible. Socialized medicine exists to the extent that government controls medical resources and socializes the costs. Notice that under this definition, it is irrelevant whether we describe medical resources (e.g., hospitals, employees) as "public" or "private." What matters-what determines real as opposed to nominal ownership-is who controls the resources. By that definition, America's health sector is already more than half socialized, and Obama's health care plan would socialize medicine even further. Reasonable people can disagree over whether Obama's health plan would be good or bad. But to suggest that it is not a step toward socialized medicine is absurd

    A Better Way to Generate and Use Comparative-Effectiveness Research

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    President Barack Obama, former U.S. Senate majority leader Tom Daschle, and others propose a new government agency that would evaluate the relative effectiveness of medical treatments. The need for "comparative-effectiveness research" is great. Evidence suggests Americans spend $700 billion annually on medical care that provides no value. Yet patients, providers, and purchasers typically lack the necessary information to distinguish between high- and low-value services. Advocates of such an agency argue that comparative- effectiveness information has characteristics of a "public good," therefore markets will not generate the efficiency-maximizing quantity. While that is correct, economic theory does not conclude that government should provide comparative-effectiveness research, nor that government provision would increase social welfare. Conservatives warn that a federal comparative- effectiveness agency would lead to government rationing of medical care -- indeed, that's the whole idea. If history is any guide, the more likely outcome is that the agency would be completely ineffective: political pressure from the industry will prevent the agency from conducting useful research and prevent purchasers from using such research to eliminate low-value care. The current lack of comparative-effectiveness research is due more to government failure than to market failure. Federal tax and entitlement policies reduce consumer demand for such research. Those policies, as well as state licensing of health insurance and medical professionals, inhibit the types of health plans best equipped to generate comparative-effectiveness information. A better way to generate comparative-effectiveness information would be for Congress to eliminate government activities that suppress private production. Congress should let workers and Medicare enrollees control the money that purchases their health insurance. Further, Congress should require states to recognize other states' licenses for medical professionals and insurance products. That laissez-faire approach would both increase comparative-effectiveness research and increase the likelihood that patients and providers would use it

    Towards Convergence: How to Do Transdisciplinary Environmental Health Disparities Research.

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    Increasingly, funders (i.e., national, public funders, such as the National Institutes of Health and National Science Foundation in the U.S.) and scholars agree that single disciplines are ill equipped to study the pressing social, health, and environmental problems we face alone, particularly environmental exposures, increasing health disparities, and climate change. To better understand these pressing social problems, funders and scholars have advocated for transdisciplinary approaches in order to harness the analytical power of diverse and multiple disciplines to tackle these problems and improve our understanding. However, few studies look into how to conduct such research. To this end, this article provides a review of transdisciplinary science, particularly as it relates to environmental research and public health. To further the field, this article provides in-depth information on how to conduct transdisciplinary research. Using the case of a transdisciplinary, community-based, participatory action, environmental health disparities study in California's Central Valley provides an in-depth look at how to do transdisciplinary research. Working with researchers from the fields of social sciences, public health, biological engineering, and land, air, and water resources, this study aims to answer community residents' questions related to the health disparities they face due to environmental exposure. Through this case study, I articulate not only the logistics of how to conduct transdisciplinary research but also the logics. The implications for transdisciplinary methodologies in health disparity research are further discussed, particularly in the context of team science and convergence science

    A Bayesian coincidence test for noise rejection in a gravitational-wave burst search

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    In searches for gravitational-wave bursts, a standard technique used to reject noise is to discard burst event candidates that are not seen in coincidence in multiple detectors. A coincidence test in which Bayesian inference is used to measure how noise-like a tuple of events appears is presented here. This technique is shown to yield higher detection efficiencies for a given false alarm rate than do techniques based on per-parameter thresholds when applied to a toy model covering a broad class of event candidate populations. Also presented is the real-world example of a use of the technique for noise rejection in a time–frequency burst search conducted on simulated gravitational-wave detector data. Besides achieving a higher detection efficiency, the technique is significantly less challenging to implement well than is a per-parameter threshold method
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