499 research outputs found

    Salary Inversion in Business Schools: Does a Rising Tide Lift All Boats?

    Get PDF
    The paper analyzes AACSB salary survey information from 1979 to 2008. The question addressed in this analysis is whether salary inversion is widespread across the three business disciplines of accounting, economics, and finance. We find limited evidence of mean level inversions, which is concentrated in recent years. Stochastic dominance methods confirm these results. We also develop a measure of salary dominance based on comparing the distribution of reported salaries. This statistic shows a significant trend towards salary inversion in finance and accounting

    Stranded research? Leading finance journals are silent on climate change

    Get PDF
    Finance research has shaped the modern financial system, influencing investors and market participants directly through research findings and indirectly through teaching and training programmes. Climate change presents major risks to the global financial system as well as new opportunities for investors. Is climate finance an important topic in finance research? We systematically analyse the content of 20,725 articles published in the leading 21 finance journals between January 1998 and June 2015. We find that only 12 articles (0.06%) are related in some way to climate finance. The three elite finance journals (Journal of Finance, Journal of Financial Economics and Review of Financial Studies) did not publish a single article related to climate finance over the 17.5-year period. We repeat our analysis across a sample of 29 elite business journals spanning accounting, economics, management, marketing and operations research, as well as finance. We find a similar dearth of published climate finance research. We consider four possible explanations for this failure of top finance and business journals to engage with climate finance as a research topic. These include methodological constraints and editorial policies. We conclude by arguing why it is critical for climate-related research to be given greater attention and prominence in finance journals

    Factors shaping prayer frequency among 9- to 11-year-olds

    Get PDF
    This paper begins by reviewing the evidence from international research concerning the personal and social correlates of prayer frequency during childhood and adolescence. Overall these data continue to support the view that young people who pray not only report higher levels of personal wellbeing but also report higher levels of pro-social attitudes. These findings raise a research question of particular relevance within church schools regarding the factors that predict higher levels of prayer activity among students. The Student Voice Project offers data that can illuminate this research question. Among the 3,101 9- to 11-year old students who participated in the project 11% prayed daily, 9% at least once a week, 32% sometimes, 11% once or twice a year, and 37% never. The present paper tests the power of four sets of predictor variables to account for individual differences in prayer frequency among these students: personal factors (age and sex), psychological factors (using the three dimensional model of personality proposed by Eysenck), church attendance (self, mother, and father), and family discussion about prayer (mother, father, and grandparents). Multiple regression analyses identified the discussion of prayer with the mother as the single most important predictor. These findings locate the development of the practice of prayer within the home, even more than within the church

    A standardized handover and transport process for critically ill pediatric patients: An interdisciplinary collaboration

    Get PDF
    Background: The transfer and handover of critically ill pediatric patients from the pediatric emergency department (PED) to the pediatric intensive care unit (PICU) is a period of vulnerability associated with adverse events. The Institute of Medicine (IOM) has emphasized that multiple threats to patient safety exist during the transfer of patients due to the potential for delayed, incorrect, interrupted, or incomplete communications. Furthermore, delays in transfer and handover impact the time for the patient to receive definitive treatment. Aims: Using a Systems Engineering Initiative for Patient Safety framework, the aims of this project were to 1) examine staff members satisfaction with the current handover and transport process, 2) develop a new protocol and process for handover, and 3) evaluate staff satisfaction with the standardized, interdisciplinary, handover and transport process. Methods: Focus groups were conducted to determine barriers and facilitators to the current handover and transport process. Using these data, a multi-disciplinary team convened to establish seven patient criteria for specialized transport as well as a standardized, interdisciplinary handover tool. The seven patient criteria were; 1.) Out of hospital witnessed arrest with return of spontaneous circulation, 2.) Status epilepticus, 3.) Complex cardiac patients with unstable vital signs, 4.) Intubation or ventilation requirements in the form of new BiPAP or CPaP, 5.) Shock physiology with vasopressor requirement, 6.) New Glasgow Coma Scale less than 10, 7.) High risk for acute compensation at the discretion of the attending physician. When patients met the established criteria, the PICU nurse and physician would come directly to the ED for team-to-team (the Pediatric Expedited Team) handover and physically assist with the transport to the PICU. The new process was piloted over a 6-month period, from September 2015 to March 2016. Staff satisfaction regarding the new process was examined pre and post-intervention using mixed methods. Findings: Focus groups revealed five themes: need for improved communication, cultural dissonance among units, defects in system and processes, need for standardization, and ambiguity between providers regarding acuity. During the 6- month pilot period there were 370 PED to PICU transfers, 45 of which activated the PET Team (12.1%). Quantitative data were analyzed using cross-tabulations and descriptive statistics. Staff members reported improvements in their perceptions of satisfaction, safety, communication, and role understanding with the new process

    Prehospital Management of Pediatric Behavioral Health Emergencies: A Scoping Review

    Get PDF
    Pediatric behavioral health emergencies (BHE) are increasing in prevalence, yet there are no evidence-based guidelines or protocols for prehospital management. The primary objective of this scoping review is to identify prehospital-specific pediatric BHE research and publicly available emergency medical services (EMS) protocols for pediatric BHE. Secondary objectives include identifying the next priorities for research and EMS protocol considerations for children with neurodevelopmental conditions. This is a scoping review comprised of a research literature search for publications from 2012-2022 and an internet search for publicly available EMS protocols from the United States. Included publications contain data on the epidemiology of pediatric BHE or describe prehospital management of pediatric BHE. EMS protocols were included if they had advisements specific to pediatric BHE. A total of 50 research publications and EMS protocols from 43 states were screened. Seven publications and four protocols were included in this study. Research studies indicated an increase in pediatric BHE over the last decade, but few papers discuss current prehospital management (n=4). Two EMS protocols were specific to pediatric BHE or pediatric agitation, and the other two EMS protocols focused on adult populations with integrated pediatric recommendations. All four EMS protocols encouraged nonpharmaceutical interventions prior to the use of pharmacologic restraints. Although there is a substantial rise in pediatric BHE, there is sparse research data and clinical EMS protocols to support best practices for prehospital pediatric BHE management. This scoping review identifies important future research aims to inform best practices for the prehospital management of pediatric BHE

    2001-2002 North American Music Festival - Youth Concert

    Get PDF
    Program Shyscrapers (World Premiere) / Gregory J. Hutter A Haunted Landscape / George Crumb The Rite of Spring / Igor Stravinsky North American Music Festival April 10, 2002 - Chamber Music Concert April 12, 2002 - Music of George Crumb (*No program) April 13, 2002 - Lynn University Philharmonia April 14, 2002 - Youth Concert Composers performed in the festival George Crumb Warren Gooch Gregory J. Hunter Timothy Melbinger Kurt Sander Greg A. Steinkehttps://spiral.lynn.edu/conservatory_otherseasonalconcerts/1098/thumbnail.jp

    State emergency medical services guidance and protocol changes in response to the COVID-19 pandemic: A national investigation

    Get PDF
    Objectives: The COVID-19 pandemic has had an impact on emergency medical services (EMS) and its guidelines, which aid in patient care. This study characterizes state and territory EMS office recommendations to EMS statewide operational and clinical guidelines and describes the mechanisms of distribution and implementation during the COVID-19 pandemic. Methods: A mixed-methods study was conducted in 2 phases. In phase 1, changes and development of COVID-19 guidance and protocols for EMS clinical management and operations were identified among 50 states, the District of Columbia, and 5 territories in publicly available online documents and information. In phase 2, structured interviews were conducted with state/territory EMS officials to confirm the protocol changes or guidance and assess dissemination and implementation strategies for COVID-19. Results: In phase 1, publicly available online documents for 52 states/territories regarding EMS protocols and COVID-19 guidance were identified and reviewed. Of 52 (33/52) states/territories, 33 had either formal protocol changes or specific guidance for the pandemic. In phase 2, 2 state and territory EMS officials were interviewed regarding their protocols or guidance for COVID-19 and the dissemination and implementation practices they used to reach EMS agencies (response rate = 65%). Of the 34 state/territory officials interviewed, 22 had publicly available online COVID-19 protocols or guidance. Of the 22 officials with online COVID-19 protocols, all reported providing operational direction, and 19 of 22 officials reported providing clinical direction. Conclusions: Most states provided guidance to EMS agencies and/or updated protocols in response to the COVID-19 pandemic.Lewis Katz School of Medicin

    EMS Administration of Systemic Corticosteroids to Pediatric Asthma Patients: An Analysis by Severity and Transport Interval

    Get PDF
    INTRODUCTION: Pediatric asthma exacerbations are a common cause of emergency medical services (EMS) encounters. Bronchodilators and systemic corticosteroids are mainstays of asthma exacerbation therapy, yet data on the efficacy of EMS administration of systemic corticosteroids are mixed. This study\u27s objective was to assess the association between EMS administration of systemic corticosteroids to pediatric asthma patients on hospital admission rates based on asthma exacerbation severity and EMS transport intervals. METHODS: This is a sub-analysis of the Early Administration of Steroids in the Ambulance Setting: An Observational Design Trial (EASI AS ODT). EASI AS ODT is a non-randomized, stepped wedge, observational study examining outcomes one year before and one year after seven EMS agencies incorporated an oral systemic corticosteroid option into their protocols for the treatment of pediatric asthma exacerbations. We included EMS encounters for patients ages 2-18 years confirmed by manual chart review to have asthma exacerbations. We compared hospital admission rates across asthma exacerbation severities and EMS transport intervals using univariate analyses. We geocoded patients and created maps to visualize the general trends of patient characteristics. RESULTS: A total of 841 pediatric asthma patients met inclusion criteria. While most patients were administered inhaled bronchodilators by EMS (82.3%), only 21% received systemic corticosteroids, and only 19% received both inhaled bronchodilators and systemic corticosteroids. Overall, there was no significant difference in hospitalization rates between patients who did and did not receive systemic corticosteroids from EMS (33% vs. 32%, CONCLUSION: In this study, systemic corticosteroids were not associated with a decrease in hospitalizations of pediatric patients with asthma overall. However, while limited by small sample size and lack of statistical significance, our results suggest there may be a benefit in certain subgroups, particularly patients with mild exacerbations and those with transport intervals longer than 40 min. Given the heterogeneity of EMS agencies, EMS agencies should consider local operational and pediatric patient characteristics when developing standard operating protocols for pediatric asthma

    Examination of Disparities in Prehospital Encounters for Pediatric Asthma Exacerbations

    Get PDF
    INTRODUCTION: There are disparities in multiple aspects of pediatric asthma care; however, prehospital care disparities are largely undescribed. This study\u27s objective was to examine racial and geographic disparities in emergency medical services (EMS) medication administration to pediatric patients with asthma. METHODS: This is a substudy of the Early Administration of Steroids in the Ambulance Setting: An Observational Design Trial, which includes data from pediatric asthma patients ages 2-18 years. We examined rates of EMS administration of systemic corticosteroids and inhaled bronchodilators by patient race. We geocoded EMS scene addresses, characterized the locations\u27 neighborhood-based conditions and resources relevant to children using the Child Opportunity Index (COI) 2.0, and analyzed associations between EMS scene address COI with medications administered by EMS. RESULTS: A total of 765 patients had available racial data and 825 had scene addresses that were geocoded to a COI. EMS administered at least 1 bronchodilator to 84.7% ( CONCLUSIONS: There were no racial differences in EMS administration of medications to pediatric asthma patients. However, there were significantly higher rates of EMS bronchodilator administration for encounters in low/very low COIs. That latter finding may reflect inequities in asthma exacerbation severity for patients living in disadvantaged areas
    corecore