78,777 results on '"Pollack, A"'
Search Results
152. Spring-Mediated Cranioplasty for Treatment of Sagittal Synostosis
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Bykowski, Michael R., McDowell, Michael M., Smetona, John T., Goldstein, Jesse A., Pollack, Ian F., Di Rocco, Federico, editor, and Kestle, John, editor
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- 2024
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153. Sagittal Suture Synostosis: Key Points for Surgeons and Management Principles (Diagnosis, Surgical Considerations and Timing)
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McDowell, Michael M., Pollack, Ian F., Bykowski, Michael R., Goldstein, Jesse A., Di Rocco, Federico, editor, and Kestle, John, editor
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- 2024
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154. Säkularisierungstheorie – revisited
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Pollack, Detlef, Buchardt, Marian, Series Editor, Hennig, Linda, Series Editor, Köhrsen, Jens, Series Editor, Michalowski, Ines, Series Editor, Pruisken, Insa, Series Editor, Schnabel, Annette, Series Editor, Winkel, Heidemarie, editor, Sammet, Kornelia, editor, and Yendell, Alexander, editor more...
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- 2024
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155. Modelling Demographic Developments Driven by Housing Market Dynamics
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Elsenbroich, Corinna, Colasanti, Ricardo, Boyd, Jennifer, Pollack, Roxana, Gilbert, Nigel, Elsenbroich, Corinna, editor, and Verhagen, Harko, editor
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- 2024
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156. When Delusional Patients Are Really Infested: The Exception to the Rule
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Pollack, Richard J. and Ridge, Gale E., editor
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- 2024
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157. Developing nitrogen bioextraction economic value via off-bottom oyster aquaculture in the northwestern Gulf of Mexico
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Lima, Anthony R., Pollack, Jennifer, Fox, Joe M., Ferreira, João G., Cubillo, Alhambra Martínez, Reisinger, Anthony, and Bricker, Suzanne
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- 2025
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158. Practice patterns for acquiring neuroimaging after pediatric in-hospital cardiac arrest
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Kirschen, Matthew P., Ullman, Natalie L., Reeder, Ron W., Ahmed, Tageldin, Bell, Michael J., Berg, Robert A., Burns, Candice, Carcillo, Joseph A., Carpenter, Todd C., Wesley Diddle, J., Federman, Myke, Fink, Ericka L., Frazier, Aisha H., Friess, Stuart H., Graham, Kathryn, Horvat, Christopher M., Huard, Leanna L., Kilbaugh, Todd J., Maa, Tensing, Manga, Arushi, McQuillen, Patrick S., Meert, Kathleen L., Morgan, Ryan W., Mourani, Peter M., Nadkarni, Vinay M., Naim, Maryam Y., Notterman, Daniel, Palmer, Chella A., Pollack, Murray M., Sapru, Anil, Sharron, Matthew P., Srivastava, Neeraj, Tilford, Bradley, Viteri, Shirley, Wolfe, Heather A., Yates, Andrew R., Topjian, Alexis, Sutton, Robert M., and Press, Craig A. more...
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- 2025
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159. Implementation strategies to support recovery support workers serving criminal legal involved people who use drugs
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Pho, Mai T., Bouris, Alida, Carreon, Erin D., Stinnette, MoDena, Kaufmann, Maggie, Shuman, Valery, Watson, Dennis P., Jimenez, Antonio D., Powell, Borris, Kaplan, Charlie, Zawacki, Stacy, Morris, Stefanie, Garcia, Julio, Hafertepe, Ashley, Hafertepe, Katy, Pollack, Harold A., Schneider, John A., and Boodram, Basmattee more...
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- 2025
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160. Maximally elastic quadratic fields
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Pollack, Paul
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- 2025
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161. Housing Instability Screening and Referral Programs: A Scoping Review
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Asthana, Shravan, Gago, Luis, Garcia, Joshua, Beestrum, Molly, Pollack, Teresa, Post, Lori, Barnard, Cynthia, and Goel, Mita Sanghavi
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- 2025
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162. A listening model of venture growth: entrepreneurs' listening abilities and ventures' listening capabilities
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Shepherd, Dean A. and Pollack, Jeffrey M.
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- 2025
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163. Breast Cancer–Related Lymphedema Results in Impaired Epidermal Differentiation and Tight Junction Dysfunction
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Campbell, Adana-Christine, Baik, Jung Eun, Sarker, Ananta, Brown, Stav, Park, Hyeung Ju, Kuonqui, Kevin G., Shin, Jinyeon, Pollack, Bracha L., Roberts, Arielle, Ashokan, Gopika, Rubin, Jonathan, Kataru, Raghu P., Dayan, Joseph H., Barrio, Andrea V., and Mehrara, Babak J. more...
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- 2025
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164. Incidence, Recognition, and Follow-up of Laboratory Evidence of Acute Kidney Injury in Primary Care Practices: Analysis of 93,259 Creatinine Results
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Mena, Jose, Rodriguez, Marc, Sternberg, Scot B., Graham, Timothy, Fernandez, Leonor, Benneyan, James, Salant, Talya, Pollack, Amie, Ricci, Dru, Phillips, Russell S., Shafiq, Umber, Aronson, Mark D., Schiff, Gordon D., and Denker, Bradley M. more...
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- 2025
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165. Effects of Intensive Coaching on Educator Implementation of a Comprehensive Function-Based Intervention Package
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Pollack, Marney S., Staubitz, Johanna L., and Lloyd, Blair P.
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The effectiveness of a behavior intervention package depends heavily on the ability of authentic educators to implement procedures with fidelity. However, much of the training literature focuses on teaching educators to implement procedures with relatively few components (Kirkpatrick Journal of Behavioral Education 28(3): 344-361, 2019). We used a multiple probe across participants design to evaluate the effects of intensive coaching on educator fidelity of a comprehensive, function-based intervention package (skill-based treatment; Hanley Journal of Applied Behavior Analysis 47(1): 16-36, 2014) for three public school staff members with no previous training in applied behavior analysis. Relative to a workshop-style behavioral skills training session, intensive coaching increased educators' fidelity to criterion levels. Criterion fidelity in one or both major intervention intervals generalized from implementation with an actor to implementation with a target student, and subsequently to implementation with the student in his regularly assigned classroom. Staff reported the training package to be feasible and the intervention to be effective for improving their student's behavior. more...
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- 2023
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166. Antihypertensive Medication Adherence and Medical Costs, Health Care Use, and Labor Productivity Among People With Hypertension
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Jun Soo Lee, Raul Segura Escano, Nicole L. Therrien, Ashutosh Kumar, Ami Bhatt, Lisa M. Pollack, Sandra L. Jackson, and Feijun Luo
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antihypertensives ,hypertension ,medical costs ,medication adherence ,productivity loss ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background Hypertension affects nearly half of US adults yet remains inadequately controlled in over three‐quarters of these cases. This study aimed to assess the association between adherence to antihypertensive medications and total medical costs, health care use, and productivity‐related outcomes. Methods and Results We conducted cross‐sectional analyses using MarketScan databases, which included individuals aged 18 to 64 years with noncapitated health insurance plans in 2019. Adherence was defined as ≥80% medication possession ratio for prescribed antihypertensive medications. We used a generalized linear model to estimate total medical costs, a negative binomial model to estimate health care use (emergency department visits and inpatient admissions), an exponential hurdle model to estimate productivity‐related outcomes (number of sick absences, short‐term disability, long‐term disability), and a 2‐part model to estimate productivity‐related costs in 2019 US dollars. All models were adjusted for age, sex, urbanicity, census region, and comorbidities. We reported average marginal effects for outcomes related to antihypertensive medication adherence. Among 379 503 individuals with hypertension in 2019, 54.4% adhered to antihypertensives. Per person, antihypertensive medication adherence was associated with $1441 lower total medical costs, $11 lower sick absence costs, $291 lower short‐term disability costs, and $69 lower long‐term disability costs. Per 1000 individuals, medication adherence was associated with lower health care use, including 200 fewer emergency department visits and 90 fewer inpatient admissions, and productivity‐related outcomes, including 20 fewer sick absence days and 442 fewer short‐term disability days. Conclusions Adherence to antihypertensives was consistently associated with lower total medical costs, reduced health care use, and improved productivity‐related outcomes. more...
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- 2024
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167. Overlapping conditions in Long COVID at a multisite academic center
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Stephanie L. Grach, Daniel V. Dudenkov, Beth Pollack, DeLisa Fairweather, Chris A. Aakre, Bala Munipalli, Ivana T. Croghan, Michael R. Mueller, Joshua D. Overgaard, Katelyn A. Bruno, Nerissa M. Collins, Zhuo Li, Ryan T. Hurt, Michal C. Tal, Ravindra Ganesh, and Dacre T. R. Knight more...
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SARS-CoV-2 ,generalized joint hypermobility ,myalgic encephalomyelitis/chronic fatigue syndrome ,hypermobile Ehlers-Danlos syndrome ,orthostatic intolerance ,pain ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
BackgroundMany patients experience persistent symptoms after COVID-19, a syndrome referred to as Long COVID (LC). The goal of this study was to identify novel new or worsening comorbidities self-reported in patients with LC.MethodsPatients diagnosed with LC (n = 732) at the Mayo Long COVID Care Clinic in Rochester, Minnesota and Jacksonville, Florida were sent questionnaires to assess the development of new or worsening comorbidities following COVID-19 compared to patients with SARS-CoV-2 that did not develop LC (controls). Both groups were also asked questions screening for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), generalized joint hypermobility (GJH) and orthostatic intolerance. 247 people with LC (33.7%) and 40 controls (50%) responded to the surveys.ResultsIn this study LC patients averaged 53 years of age and were predominantly White (95%) women (75%). The greatest prevalence of new or worsening comorbidities following SARS-CoV-2 infection in patients with LC vs. controls reported in this study were pain (94.4% vs. 0%, p more...
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- 2024
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168. Exploring Consumer Experiences of Barriers and Enablers to Accessing Rehabilitation That Meets Their Needs: The Rehabilitation Choices Study, Part 2—Consumer Perspectives
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Gillian Mason, Karen Ribbons, Lucy Bailey, Adrian O'Malley, Tracy Ward, Stephen Ward, Michael Pollack, Frederick R. Walker, Michael Nilsson, and Nicolette Hodyl
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access to healthcare ,accessibility ,decision‐making ,disability ,people with disabilities ,rehabilitation ,Medicine (General) ,R5-920 ,Public aspects of medicine ,RA1-1270 - Abstract
ABSTRACT Introduction Improved access to rehabilitation is highlighted as a key pathway to achieving the World Health Organisation's (WHO) goal of ensuring healthy lives and promoting well‐being for all (Sustainable Development Goal 3). This article is the second in a two‐part series outlining the findings from the Rehabilitation Choices study, which aimed to identify how health professionals and consumers in Australia are informed to make decisions about rehabilitation, and their experience with barriers and enablers to accessing that rehabilitation. In this study, we present the perspectives of consumers with different health conditions and a range of experiences with rehabilitation services. Methods This was a qualitative study using focus groups and semi‐structured interviews. People with self‐reported lived experience of rehabilitation and carers were recruited using maximum variation sampling. Thematic analysis of data was conducted using an inductive approach. Results Fifty‐six consumers with diverse lived experiences of rehabilitation (19–80 years, 49 patients, 7 carers) participated in focus groups and interviews to discuss how they sourced information about rehabilitation and their experiences of what made it hard or easy to access rehabilitative care to meet their needs. Four themes were produced from the data: (1) service‐centricity of options limits access, (2) access is the patient's responsibility, (3) enabling decision‐making about rehabilitation with appropriate information and (4) provision of a psychologically safe environment. Conclusions Any planned (re)design of services to improve consumer access to rehabilitation should consider the themes identified in this study. This will ensure that consumers are provided with rehabilitation options that suit their holistic and unique needs beyond consideration of their medical diagnoses, and are actively supported to navigate this access, provided with information to help them make informed choices and provided a psychologically safe environment to engage effectively with rehabilitation. Patient or Public Contribution Three consumer research partners with lived experience of rehabilitation as patients or carers were core team members. They were involved in the design and implementation of the recruitment and communications strategies, design of the interview approach and discussion guide, contributed to the interpretation and contextualisation of findings and writing of this manuscript and are included as co‐authors (A. O., T. W. and S. W.). more...
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- 2024
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169. Integrated framework for quantitative T2-weighted MRI analysis following prostate cancer radiotherapy
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Evangelia I. Zacharaki, Adrian L. Breto, Ahmad Algohary, Veronica Wallaengen, Sandra M. Gaston, Sanoj Punnen, Patricia Castillo, Pradip M. Pattany, Oleksandr N. Kryvenko, Benjamin Spieler, John C. Ford, Matthew C. Abramowitz, Alan Dal Pra, Alan Pollack, and Radka Stoyanova more...
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Prostate cancer ,T2-weighted MRI ,Radiotherapy ,Image registration ,Intensity normalization ,Harmonization ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Purpose: The aim of this study is to develop a framework for quantitative analysis of longitudinal T2-weighted MRIs (T2w) following radiotherapy (RT) for prostate cancer. Materials and methods: The developed methodology includes: (i) deformable image registration of longitudinal series to pre-RT T2w for automated detection of prostate, peripheral zone (PZ), and gross tumor volume (GTV); and (ii) T2w signal-intensity harmonization based on three reference tissues. The REgistration and HARMonization (REHARM) framework was applied on T2w acquired in a clinical trial consisting of two pre-RT and three post-RT MRI exams. Image registration was assessed by the DICE coefficient between automatic and manual contours, and intensity normalization via inter-patient histogram intersection. Longitudinal consistency was evaluated by the repeatability coefficient and Pearson correlation (r) between the two T2w exams before RT. Results: T2w from 107 MRI exams (23 patients) were utilized. Following REHARM, the histogram intersections for prostate, PZ and GTV increased from median = 0.43/0.16/0.13 to 0.66/0.44/0.46. The repeatability in T2w intensity estimation was better for the automatic than the manual contours for all three regions of interest (r = 0.9, p more...
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- 2024
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170. A Smart Water Bottle and Companion App (HidrateSpark 3) to Improve Bladder-Filling Compliance in Patients With Prostate Cancer Receiving Radiotherapy: Nonrandomized Trial of Feasibility and Acceptability
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William Jin, Christopher Montoya, Benjamin James Rich, Crystal Seldon Taswell, Miguel Noy, Deukwoo Kwon, Benjamin Spieler, Brandon Mahal, Matthew Abramowitz, Raphael Yechieli, Alan Pollack, and Alan Dal Pra more...
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
BackgroundPatients with prostate cancer undergoing radiation therapy (RT) need comfortably full bladders to reduce toxicities during treatment. Poor compliance is common with standard of care written or verbal instructions, leading to wasted patient value (PV) and clinic resources via poor throughput efficiency (TE). ObjectiveHerein, we assessed the feasibility and acceptability of a smartphone-based behavioral intervention (SBI) to improve bladder-filling compliance and methods for quantifying PV and TE. MethodsIn total, 36 patients with prostate cancer were enrolled in a single-institution, closed-access, nonrandomized feasibility trial. The SBI consists of a fully automated smart water bottle and smartphone app. Both pieces alert the patient to empty his bladder and drink a personalized volume goal, based on simulation bladder volume, 1.25 hours before his scheduled RT. Patients were trained to adjust their volume goal and notification times to achieve comfortably full bladders. The primary end point was met if qualitative (QLC) and quantitative compliance (QNC) were >80%. For QLC, patients were asked if they prepared their bladders before daily RT. QNC was met if bladder volumes on daily cone-beam tomography were >75% of the simulation’s volume. The Service User Technology Acceptability Questionnaire (SUTAQ) was given in person pre- and post-SBI. Additional acceptability and engagement end points were met if >3 out of 5 across 4 domains on the SUTAQ and >80% (15/18) of patients used the device >50% of the time, respectively. Finally, the impact of SBI on PV and TE was measured by time spent in a clinic and on the linear accelerator (linac), respectively, and contrasted with matched controls. ResultsQLC was 100% in 375 out of 398 (94.2%) total treatments, while QNC was 88.9% in 341 out of 398 (85.7%) total treatments. Of a total score of 5, patients scored 4.33 on privacy concerns, 4 on belief in benefits, 4.56 on satisfaction, and 4.24 on usability via SUTAQ. Further, 83% (15/18) of patients used the SBI on >50% of treatments. Patients in the intervention arm spent less time in a clinic (53.24, SEM 1.71 minutes) compared to the control (75.01, SEM 2.26 minutes) group (P more...
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- 2024
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171. Employing user-centered design and education sciences to inform training of diabetes survival skills
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Grace Prince, Daniel Rees Lewis, Teresa Pollack, Susan Karam, Emilie Touma, Rebeca Khorzad, Stacy Cooper Bailey, David Gatchell, Bruce Ankenman, Jelena Kravarusic, Terri Sabol, Jane Holl, and Amisha Wallia more...
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Diabetes ,Diabetes survival skills ,Patient education ,Learning sciences ,User-centered design ,Remote delivery ,Diseases of the endocrine glands. Clinical endocrinology ,RC648-665 - Abstract
Background: Patients newly diagnosed with diabetes mellitus (diabetes), who require insulin must acquire diabetes “survival” skills prior to discharge home. COVID-19 revealed considerable limitations of traditional in-person, time-intensive delivery of diabetes education and survival skills training (diabetes survival skills training). Furthermore, diabetes survival skills training has not been designed to meet the specific learning needs of patients with diabetes and their caregivers, particularly if delivered by telehealth. The objective of the study was to identify and understand the needs of users (patients newly prescribed insulin and their caregivers) to inform the design of a diabetes survival skills training, specifically for telehealth delivery, through the application of user-centered design and adult learning and education principles. Methods: Users included patients newly prescribed insulin, their caregivers, and laypersons without diabetes. In semi-structured interviews, users were asked about experienced or perceived challenges in learning diabetes survival skills. Interviews were audio-recorded and transcribed. Investigators performed iterative rounds of coding of interview transcripts utilizing a constant comparative method to identify themes describing the dominant challenges users experienced. Themes were then mapped to adult learning and education principles to identify novel educational design solutions that can be applied to telehealth-based learning. Results: We interviewed 18 users: patients (N = 6, 33 %), caregivers (N = 4, 22 %), and laypersons (N = 8, 44 %). Users consistently described challenges in understanding diabetes survival skills while hospitalized; in preparing needed supplies to execute diabetes survival skills; and in executing diabetes survival skills at home. The challenges mapped to three educational strategies: (1) spiral learning; (2) repetitive goal directed practice and feedback, which have the potential to translate into design solutions supporting remote/virtual learning; and (3) form fits function organizer, which supports safe organization and use of supplies to execute diabetes survival skills independently. Conclusion: Learning complex tasks, such as diabetes survival skills, requires time, repetition, and continued support. The combination of a user-centered design approach to uncover learning needs as well as identification of relevant adult learning and education principles could inform the design of more user-centered, feasible, effective, and sustainable diabetes survival skills training for telehealth delivery. more...
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- 2024
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172. Can technology be good for health? Investigating health-promoting strategies in the private sector
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Brittany E. Sigler, Keshia M. Pollack Porter, Lindsay Thompson, Sara Singer, and Darrell J. Gaskin
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consumer technology ,private sector ,health impact ,business strategy ,commercial determinants of health ,Public aspects of medicine ,RA1-1270 - Abstract
IntroductionThis research investigates what might motivate tech companies and impact-driven investors to adopt a health-promoting strategy in their product development and capital allocation strategies.MethodsParticipants were recruited for semi-structured interviews through purposive and snowball sampling. From 83 outreach attempts, thematic saturation required 19 completed interviews out of the 46 consumer technology executives and impact-focused investors who responded. Interviews were analyzed using grounded theory-based content analysis.ResultsSeven coding categories resulted from inductive coding, with 83 sub-codes. The primary themes were: product-based health impact is magnified when matched to user demographics (making an equity mindset important); stakeholders are eager for reliable health metrics, especially those that hold across industry verticals; when capturing health impact, it is critical to include positive (i.e., economically beneficial) externalities. These results allowed for the creation of a logic model with a recommended theory of change for the private sector to develop health strategy.DiscussionIntentional integration of impact strategy with business priorities will allow teams to design products that promote health, driving buy-in and resource allocation while attracting investment and double returns. For policymakers, it is clear that tech policy and regulation for corporate reporting need to keep pace. These findings are limited by the purposive recruitment of participants, introducing potential bias and risk to generalizability. more...
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- 2024
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173. Non-vanishing of critical $L$-values in Hida families
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Pollack, Robert and Serban, Vlad
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Mathematics - Number Theory ,11F67 (Primary) 11F33, 11M41 (Secondary) - Abstract
We study the vanishing of $L(f,\chi,j)$ as $f$ runs through all classical forms in a $p$-adic Hida family (including forms with arbitrarily high nebentype at $p$), $\chi$ runs through all characters of $p$-power conductor, and $j$ is a critical value. We show that if infinitely many of these $L$-values vanish (apart from the ones forced to vanish by the sign of their functional equation) then this infinitude of vanishing must be exceptionally regular, so regular in fact that one can typically rule out this possibility in any given example. Indeed, we systematically verified that such regular vanishing does not occur in multiple Hida families twisted by a wide range of quadratic characters by computing the corresponding two-variable $p$-adic $L$-functions via overconvergent modular symbols., Comment: 13 pages more...
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- 2022
174. Action learning for simulation design in project portfolios
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Shalbafan, Saeed, Sankaran, Shankar, Leigh, Elyssebeth, and Pollack, Julien
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- 2021
175. Have Taxing Jurisdictions Been Preoccupied with Whether or Not They Could, Without Stopping to Think if They Should?
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Pollack, Sam
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Non-resident aliens -- Laws, regulations and rules -- Taxation ,State taxation -- Laws, regulations and rules ,Exterritoriality -- Laws, regulations and rules ,Tax policy -- Laws, regulations and rules ,Income tax -- Laws, regulations and rules ,Tax treaties -- Laws, regulations and rules ,Jurisdiction (International law) -- Laws, regulations and rules ,Government regulation - Abstract
Since the compromise at the League of Nations in 1928, the international income tax concept of "nexus," under which a jurisdiction may claim the right to tax income, has enjoyed [...]
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- 2024
176. The impact of state paid sick leave policies on weekday workplace mobility during the COVID-19 pandemic.
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Pollack, CC, Deverakonda, A, Hassan, F, Haque, S, Desai, AN, and Majumder, MS
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Humans ,Public Policy ,Workplace ,Sick Leave ,Pandemics ,COVID-19 ,Health policy ,Paid sick leave ,Physical distancing ,Workplace mobility ,Public Health and Health Services ,Public Health - Abstract
ObjectivesThis study aimed to evaluate whether the Families First Coronavirus Response Act (FFCRA) modified the association between pre-existing state paid sick leave (PSL) and weekday workplace mobility between February 15 and July 7, 2020.Study designThis was a longitudinal, observational study.MethodsThe 50 US states and Washington, D.C., were divided into exposure groups based on the presence or absence of pre-existing state PSL policies. Derived from Google COVID-19 Community Mobility Reports, the outcome was measured as the daily percent change in weekday workplace mobility. Mixed-effects, interrupted time series regression was performed to evaluate weekday workplace mobility after the implementation of the FFCRA on April 1, 2020.ResultsStates with pre-existing PSL policies exhibited a greater drop in mobility following the passage of the FFCRA (β = -8.86, 95% confidence interval: -11.6, -6.10, P more...
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- 2023
177. Diastolic Blood Pressure Threshold During Pediatric Cardiopulmonary Resuscitation and Survival Outcomes: A Multicenter Validation Study.
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Berg, Robert, Morgan, Ryan, Reeder, Ron, Ahmed, Tageldin, Bell, Michael, Bishop, Robert, Bochkoris, Matthew, Burns, Candice, Carcillo, Joseph, Carpenter, Todd, Dean, J, Diddle, J, Federman, Myke, Fernandez, Richard, Fink, Ericka, Franzon, Deborah, Frazier, Aisha, Friess, Stuart, Graham, Kathryn, Hall, Mark, Hehir, David, Horvat, Christopher, Maa, Tensing, Manga, Arushi, McQuillen, Patrick, Meert, Kathleen, Mourani, Peter, Nadkarni, Vinay, Naim, Maryam, Notterman, Daniel, Palmer, Chella, Pollack, Murray, Sapru, Anil, Schneiter, Carleen, Sharron, Matthew, Srivastava, Neeraj, Tabbutt, Sarah, Tilford, Bradley, Viteri, Shirley, Wessel, David, Wolfe, Heather, Yates, Andrew, Zuppa, Athena, Sutton, Robert, and Huard, Leanna more...
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Infant ,Child ,Humans ,Adolescent ,Prospective Studies ,Blood Pressure ,Cardiopulmonary Resuscitation ,Heart Arrest ,Patient Discharge - Abstract
OBJECTIVES: Arterial diastolic blood pressure (DBP) greater than 25 mm Hg in infants and greater than 30 mm Hg in children greater than 1 year old during cardiopulmonary resuscitation (CPR) was associated with survival to hospital discharge in one prospective study. We sought to validate these potential hemodynamic targets in a larger multicenter cohort. DESIGN: Prospective observational study. SETTING: Eighteen PICUs in the ICU-RESUScitation prospective trial from October 2016 to March 2020. PATIENTS: Children less than or equal to 18 years old with CPR greater than 30 seconds and invasive blood pressure (BP) monitoring during CPR. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Invasive BP waveform data and Utstein-style CPR data were collected, including prearrest patient characteristics, intra-arrest interventions, and outcomes. Primary outcome was survival to hospital discharge, and secondary outcomes were return of spontaneous circulation (ROSC) and survival to hospital discharge with favorable neurologic outcome. Multivariable Poisson regression models with robust error estimates evaluated the association of DBP greater than 25 mm Hg in infants and greater than 30 mm Hg in older children with these outcomes. Among 1,129 children with inhospital cardiac arrests, 413 had evaluable DBP data. Overall, 85.5% of the patients attained thresholds of mean DBP greater than or equal to 25 mm Hg in infants and greater than or equal to 30 mm Hg in older children. Initial return of circulation occurred in 91.5% and 25% by placement on extracorporeal membrane oxygenator. Survival to hospital discharge occurred in 58.6%, and survival with favorable neurologic outcome in 55.4% (i.e. 94.6% of survivors had favorable neurologic outcomes). Mean DBP greater than 25 mm Hg for infants and greater than 30 mm Hg for older children was significantly associated with survival to discharge (adjusted relative risk [aRR], 1.32; 1.01-1.74; p = 0.03) and ROSC (aRR, 1.49; 1.12-1.97; p = 0.002) but did not reach significance for survival to hospital discharge with favorable neurologic outcome (aRR, 1.30; 0.98-1.72; p = 0.051). CONCLUSIONS: These validation data demonstrate that achieving mean DBP during CPR greater than 25 mm Hg for infants and greater than 30 mm Hg for older children is associated with higher rates of survival to hospital discharge, providing potential targets for DBP during CPR. more...
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- 2023
178. Acceptability of the LetSync App Wireframes for an mHealth Intervention to Improve HIV Care Engagement and Treatment Among Black Partnered Sexual Minority Men: Findings from In-Depth Qualitative Interviews
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Becker, Nozipho, Kim, Hyunjin C, Bright, Darius J, Williams, Robert, Anguera, Joaquin A, Arnold, Emily A, Saberi, Parya, Neilands, Torsten B, Pollack, Lance M, and Tan, Judy Y
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Health Services and Systems ,Public Health ,Health Sciences ,Prevention ,Clinical Research ,Minority Health ,Sexual and Gender Minorities (SGM/LGBT*) ,Telehealth ,HIV/AIDS ,Networking and Information Technology R&D (NITRD) ,Social Determinants of Health ,Clinical Trials and Supportive Activities ,Health Disparities ,Health Services ,Infectious Diseases ,Behavioral and Social Science ,Sexually Transmitted Infections ,7.1 Individual care needs ,8.1 Organisation and delivery of services ,Infection ,Good Health and Well Being ,digital health ,mobile health ,mHealth ,mobile app ,app ,Black sexual minority men ,couples ,HIV care engagement ,HIV treatment ,United States ,mobile phone ,Biomedical and clinical sciences ,Health sciences - Abstract
BackgroundHIV disparities continue to be a significant challenge affecting Black sexual minority men in the United States. Inadequate engagement and retention of patients in HIV care has been associated with poor health outcomes. Interventions to improve sustained commitment to HIV care are needed. Mobile health interventions can help facilitate access to and use of HIV health services, particularly among individuals at risk for disengaging with care.ObjectiveWe designed the LetSync app wireframes for a mobile health intervention using a couple-centered design approach to improve HIV engagement and treatment among Black sexual minority men and their partners. The objective of this study was to gauge future app user interest and elicit feedback to improve the design, development, and usability of the LetSync app.MethodsWe conducted in-depth interviews with 24 Black sexual minority men to assess the acceptability of the LetSync app wireframes between May 2020 and January 2021. Participants reviewed the LetSync app wireframes and provided feedback regarding perceived usefulness and interest in future app use and suggestions for improvement.ResultsParticipants indicated interest in the future LetSync app and noted that the wireframes' features were acceptable and usable. In our study, the future LetSync app was frequently referred to as a potential resource that could help facilitate users' engagement in HIV care through the following mechanisms: enable scheduling of appointments and timely reminders for clinic visits; help improve HIV medication adherence; encourage and motivate participants to ask questions to their health care provider and stay engaged in conversations during clinic visits; facilitate effective communication by assisting couples with planning, coordination, and management of daily routines; help participants understand their partner's health needs, including access to and use of health care services; and facilitate participants' ability to improve their relationship skills, partner support, and self-efficacy in managing conflict. In addition to near-universal interest in potential daily app use, study participants indicted that they would recommend the LetSync app to other family members, friends, and people in their social networks who are living with HIV.ConclusionsOur findings revealed considerable interest in future app use for HIV care management, which could possibly increase the chance of the LetSync app being successfully adopted by Black sexual minority men in couples. Owing to its interactive and couple-centered approach, the LetSync app could help improve communication between Black sexual minority men and their partners and health providers. In addition, the LetSync app could provide an acceptable modality for these men to receive support in accessing HIV care services. more...
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- 2023
179. Development and Validation of an ICU Delirium Playbook for Provider Education
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Makhija, Hirsh, Fine, Janelle M, Pollack, Daniel, Novelli, Francesca, Davidson, Judy E, Cotton, Shannon A, Diaz De Leon, Bianca, Reyes, Paola Alicea, Montoya, Jessica L, Arroyo-Novoa, Carmen Mabel, Figueroa-Ramos, Milagros I, Song, Yeonsu, Fuentes, Ana Lucia, LaBuzetta, Jamie Nicole, Moore, Alison A, Ely, E Wesley, Malhotra, Atul, Needham, Dale M, Martin, Jennifer L, and Kamdar, Biren B more...
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Biomedical and Clinical Sciences ,Clinical Sciences ,Prevention ,Acquired Cognitive Impairment ,Neurosciences ,Neurodegenerative ,Mental Health ,Brain Disorders ,7.3 Management and decision making ,7.1 Individual care needs ,Quality Education ,critical care ,delirium ,early diagnosis ,nursing education ,validation study ,Clinical sciences - Abstract
Although delirium detection and prevention practices are recommended in critical care guidelines, there remains a persistent lack of effective delirium education for ICU providers. To address this knowledge-practice gap, we developed an "ICU Delirium Playbook" to educate providers on delirium detection (using the Confusion Assessment Method for the ICU) and prevention.DesignBuilding on our previous ICU Delirium Video Series, our interdisciplinary team developed a corresponding quiz to form a digital "ICU Delirium Playbook." Playbook content validity was evaluated by delirium experts, and face validity by an ICU nurse focus group. Additionally, focus group participants completed the quiz before and after video viewing. Remaining focus group concerns were evaluated in semi-structured follow-up interviews.SettingOnline validation survey, virtual focus group, and virtual interviews.SubjectsThe validation group included six delirium experts in the fields of critical care, geriatrics, nursing, and ICU education. The face validation group included nine ICU nurses, three of whom participated in the semi-structured feedback interviews.InterventionsNone.Measurements and main resultsThe 44-question quiz had excellent content validity (average scale-level content validity index [S-CVI] of individual items = 0.99, universal agreement S-CVI = 0.93, agreement κ ≥ 0.75, and clarity p ≥ 0.8). The focus group participants completed the Playbook in an average (sd) time of 53 (14) minutes, demonstrating significant improvements in pre-post quiz scores (74% vs 86%; p = 0.0009). Verbal feedback highlighted the conciseness, utility, and relevance of the Playbook, with all participants agreeing to deploy the digital education module in their ICUs.ConclusionsThe ICU Delirium Playbook is a novel, first-of-its-kind asynchronous digital education tool aimed to standardize delirium detection and prevention practices. After a rigorous content and face validation process, the Playbook is now available for widespread use. more...
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- 2023
180. The children's brain tumor network (CBTN) - Accelerating research in pediatric central nervous system tumors through collaboration and open science
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Lilly, Jena V, Rokita, Jo Lynne, Mason, Jennifer L, Patton, Tatiana, Stefankiewiz, Stephanie, Higgins, David, Trooskin, Gerri, Larouci, Carina A, Arya, Kamnaa, Appert, Elizabeth, Heath, Allison P, Zhu, Yuankun, Brown, Miguel A, Zhang, Bo, Farrow, Bailey K, Robins, Shannon, Morgan, Allison M, Nguyen, Thinh Q, Frenkel, Elizabeth, Lehmann, Kaitlin, Drake, Emily, Sullivan, Catherine, Plisiewicz, Alexa, Coleman, Noel, Patterson, Luke, Koptyra, Mateusz, Helili, Zeinab, Van Kuren, Nicholas, Young, Nathan, Kim, Meen Chul, Friedman, Christopher, Lubneuski, Alex, Blackden, Christopher, Williams, Marti, Baubet, Valerie, Tauhid, Lamiya, Galanaugh, Jamie, Boucher, Katie, Ijaz, Heba, Cole, Kristina A, Choudhari, Namrata, Santi, Mariarita, Moulder, Robert W, Waller, Jonathan, Rife, Whitney, Diskin, Sharon J, Mateos, Marion, Parsons, Donald W, Pollack, Ian F, Goldman, Stewart, Leary, Sarah, Caporalini, Chiara, Buccoliero, Anna Maria, Scagnet, Mirko, Haussler, David, Hanson, Derek, Firestein, Ron, Cain, Jason, Phillips, Joanna J, Gupta, Nalin, Mueller, Sabine, Grant, Gerald, Monje-Deisseroth, Michelle, Partap, Sonia, Greenfield, Jeffrey P, Hashizume, Rintaro, Smith, Amy, Zhu, Shida, Johnston, James M, Fangusaro, Jason R, Miller, Matthew, Wood, Matthew D, Gardner, Sharon, Carter, Claire L, Prolo, Laura M, Pisapia, Jared, Pehlivan, Katherine, Franson, Andrea, Niazi, Toba, Rubin, Josh, Abdelbaki, Mohamed, Ziegler, David S, Lindsay, Holly B, Stucklin, Ana Guerreiro, Gerber, Nicolas, Vaske, Olena M, Quinsey, Carolyn, Rood, Brian R, Nazarian, Javad, Raabe, Eric, Jackson, Eric M, Stapleton, Stacie, Lober, Robert M, Kram, David E, Koschmann, Carl, Storm, Phillip B, Lulla, Rishi R, Prados, Michael, Resnick, Adam C, and Waanders, Angela J more...
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Neurosciences ,Pediatric Cancer ,Brain Disorders ,Pediatric Research Initiative ,Pediatric ,Brain Cancer ,Rare Diseases ,Cancer ,Good Health and Well Being ,Adult ,Humans ,Child ,Quality of Life ,Brain Neoplasms ,Collaborative international research infrastructure ,Pediatric brain tumors ,Multi-omic data ,Longitudinal clinical data ,Biospecimens ,Molecular clinical trials ,Clinical Sciences ,Oncology & Carcinogenesis - Abstract
Pediatric brain tumors are the leading cause of cancer-related death in children in the United States and contribute a disproportionate number of potential years of life lost compared to adult cancers. Moreover, survivors frequently suffer long-term side effects, including secondary cancers. The Children's Brain Tumor Network (CBTN) is a multi-institutional international clinical research consortium created to advance therapeutic development through the collection and rapid distribution of biospecimens and data via open-science research platforms for real-time access and use by the global research community. The CBTN's 32 member institutions utilize a shared regulatory governance architecture at the Children's Hospital of Philadelphia to accelerate and maximize the use of biospecimens and data. As of August 2022, CBTN has enrolled over 4700 subjects, over 1500 parents, and collected over 65,000 biospecimen aliquots for research. Additionally, over 80 preclinical models have been developed from collected tumors. Multi-omic data for over 1000 tumors and germline material are currently available with data generation for > 5000 samples underway. To our knowledge, CBTN provides the largest open-access pediatric brain tumor multi-omic dataset annotated with longitudinal clinical and outcome data, imaging, associated biospecimens, child-parent genomic pedigrees, and in vivo and in vitro preclinical models. Empowered by NIH-supported platforms such as the Kids First Data Resource and the Childhood Cancer Data Initiative, the CBTN continues to expand the resources needed for scientists to accelerate translational impact for improved outcomes and quality of life for children with brain and spinal cord tumors. more...
- Published
- 2023
181. Female reproductive health impacts of Long COVID and associated illnesses including ME/CFS, POTS, and connective tissue disorders: a literature review.
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Pollack, Beth, von Saltza, Emelia, McCorkell, Lisa, Santos, Lucia, Hultman, Ashley, Cohen, Alison K, and Soares, Letícia
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Ehlers-Danlos sydrome ,Long COVID ,endometriosis ,female ,myalgic encephalomyelitis ,post-acute sequalae of SARS-CoV-2 infection ,postural orthostatic tachycardia syndrome ,reproductive health ,Clinical Research ,Contraception/Reproduction ,Estrogen ,Infertility ,Reproductive health and childbirth ,Good Health and Well Being - Abstract
Long COVID disproportionately affects premenopausal women, but relatively few studies have examined Long COVID's impact on female reproductive health. We conduct a review of the literature documenting the female reproductive health impacts of Long COVID which may include disruptions to the menstrual cycle, gonadal function, ovarian sufficiency, menopause, and fertility, as well as symptom exacerbation around menstruation. Given limited research, we also review the reproductive health impacts of overlapping and associated illnesses including myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), postural orthostatic tachycardia syndrome (POTS), connective tissue disorders like Ehlers-Danlos syndrome (EDS), and endometriosis, as these illnesses may help to elucidate reproductive health conditions in Long COVID. These associated illnesses, whose patients are 70%-80% women, have increased rates of dysmenorrhea, amenorrhea, oligomenorrhea, dyspareunia, endometriosis, infertility, vulvodynia, intermenstrual bleeding, ovarian cysts, uterine fibroids and bleeding, pelvic congestion syndrome, gynecological surgeries, and adverse pregnancy complications such as preeclampsia, maternal mortality, and premature birth. Additionally, in Long COVID and associated illnesses, symptoms can be impacted by the menstrual cycle, pregnancy, and menopause. We propose priorities for future research and reproductive healthcare in Long COVID based on a review of the literature. These include screening Long COVID patients for comorbid and associated conditions; studying the impacts of the menstrual cycle, pregnancy, and menopause on symptoms and illness progression; uncovering the role of sex differences and sex hormones in Long COVID and associated illnesses; and addressing historical research and healthcare inequities that have contributed to detrimental knowledge gaps for this patient population. more...
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- 2023
182. Novel, Synchronous, First-person Perspective Virtual Simulations for Medical Students in Emergency Medicine
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Sperandeo, Michael, Moadel, Tiffany, Yun, Sezzy, Pollack, Stephanie, and Cassara, Michael
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Simulation ,Emergency Medicine - Published
- 2023
183. Sidewalk Government.
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Pollack, Michael C.
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Right of property -- Laws, regulations and rules ,Obligations (Law) -- Laws, regulations and rules ,Adjoining landowners -- Laws, regulations and rules ,Sidewalks -- Laws, regulations and rules ,Public spaces -- Laws, regulations and rules ,Privatization -- Laws, regulations and rules ,Government regulation - Abstract
Table of Contents Introduction I. SIDEWALK LIFE A. Users and Uses 1. Residents 2. Property Owners 3. Nonowner Commercial Interests 4. Communities 5. Governments and Utilities B. Conflicts II. SIDEWALK [...], This Article is about one of the most used, least studied spaces in the country: the sidewalk. It is easy to think of sidewalks simply as spaces for pedestrians, and that is exactly how most scholars, policymakers, and laws treat them. But this view is fundamentally mistaken. In big cities and small towns, sidewalks are also where we gather, demonstrate, dine, exercise, rest, and shop. They are host to commerce and infrastructure. They are spaces of public access and sources of private obligation. And in all of these things, sidewalks are sites of underappreciated conflict. The centrality of sidewalks in our day-to-day lives is rooted in the fact that they are open to everyone and to all of these varied uses, every hour of every day, but it is that very vibrancy that risks being their undoing. As competing claims on sidewalks increase in both number and intensity due to cultural shifts, technological advances, climate change, and more, the sidewalks we take for granted may crumble--both literally and figuratively--under the weight of contradictory and self-defeating governing principles and uncoordinated governmental oversight. This Article is the first to systematically examine the incoherence of the property law of sidewalks and of the fragmented regulatory architecture that municipalities have built to manage them. Drawing on insights from both property and local government law, as well as first-person interviews with current and former municipal officials, it demonstrates how both legal regimes have in fact deepened sidewalk conflict and have confused and undermined accountability for the quality and accessibility of sidewalks. With these shortcomings in mind, this Article charts a new course and constructs from the ground up a new municipal agency to administer the sidewalks--one that would be better positioned to protect and foster the utility and vitality of these critical social, economic, and political spaces. more...
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- 2024
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184. The Antithesis of Inspiration: WHY CHATGPT WILL NEVER WRITE A LITERARY MASTERPIECE
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Pollack, Eileen
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Literature/writing - Abstract
I HAVE been teaching creative writing for forty years, from first-year composition to the most advanced fiction and nonfiction MFA seminars. In the past few months I've been asked many [...]
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- 2024
185. Sentence-Level Gist: Literacy Instruction for Students with Learning Disabilities in Co-Taught Classrooms
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Pollack, Marney S., Shelton, Alexandra, Clancy, Erin, and Lemons, Christopher J.
- Abstract
Several strategies that demonstrate promise are available for educators to improve reading comprehension outcomes for students. However, some students, including students with and at risk for learning disabilities, require more intensive supports to develop proficiency in reading comprehension. To support these students, teachers must intensify instruction. This article describes an intensive main idea identification strategy, "sentence-level gist," for teachers to use with students with persistent reading comprehension difficulties in the co-taught classroom. The sentence-level gist strategy requires students to determine the subject and important words in each sentence and then synthesize this information to write a main idea statement for a section of a text. more...
- Published
- 2021
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186. Teaching World and Word Knowledge to Access Content-Area Texts in Co-Taught Classrooms
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Kearns, Devin M., Lyon, Cheryl P., and Pollack, Marney S.
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In co-taught classes, general education and special education teachers can improve the content-area learning and literacy skills of students with learning disabilities by helping them read texts effectively. Co-teachers can improve comprehension by providing students with background and vocabulary knowledge before reading. In this article, a routine for introducing background (world) and vocabulary (word) knowledge--the world knowledge and word knowledge routine (world and word)--is described. The article includes explanations how each part of the routine works and uses an example to illustrate how co-teachers could use the routine to promote student reading comprehension. more...
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- 2021
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187. Housing Insecurity Among Patients With Cancer
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Fan, Qinjin, Keene, Danya E, Banegas, Matthew P, Gehlert, Sarah, Gottlieb, Laura M, Yabroff, K Robin, and Pollack, Craig E
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Behavioral and Social Science ,Basic Behavioral and Social Science ,Clinical Research ,Prevention ,Cancer ,Health Services ,Zero Hunger ,Good Health and Well Being ,United States ,Humans ,Food Supply ,Housing ,Ethnicity ,Neoplasms ,Oncology and Carcinogenesis ,Oncology & Carcinogenesis - Abstract
Social determinants of health are the economic and environmental conditions under which people are born, live, work, and age that affect health. These structural factors underlie many of the long-standing inequities in cancer care and outcomes that vary by geography, socioeconomic status, and race and ethnicity in the United States. Housing insecurity, including lack of safe, affordable, and stable housing, is a key social determinant of health that can influence-and be influenced by-cancer care across the continuum, from prevention to screening, diagnosis, treatment, and survivorship. During 2021, the National Cancer Policy Forum of the National Academies of Science, Engineering, and Medicine sponsored a series of webinars addressing social determinants of health, including food, housing, and transportation insecurity, and their associations with cancer care and patient outcomes. This dissemination commentary summarizes the formal presentations and panel discussions from the webinar devoted to housing insecurity. It provides an overview of housing insecurity and health care across the cancer control continuum, describes health system interventions to minimize the impact of housing insecurity on patients with cancer, and identifies challenges and opportunities for addressing housing insecurity and improving health equity. Systematically identifying and addressing housing insecurity to ensure equitable access to cancer care and reduce health disparities will require ongoing investment at the practice, systems, and broader policy levels. more...
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- 2022
188. Development and Evaluation of an Intensive Care Unit Video Series to Educate Staff on Delirium Detection.
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Kamdar, Biren B, Makhija, Hirsh, Cotton, Shannon A, Fine, Janelle, Pollack, Daniel, Reyes, Paola Alicea, Novelli, Francesca, Malhotra, Atul, Needham, Dale M, and Martin, Jennifer L
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critical care ,delirium ,early diagnosis ,education ,intensive care unit ,Clinical Research ,Acquired Cognitive Impairment ,Mental Health ,Brain Disorders ,Management of diseases and conditions ,7.1 Individual care needs - Abstract
BackgroundDelirium affects up to 80% of patients who are mechanically ventilated in the intensive care unit (ICU) but often goes undetected because of incomplete and/or inaccurate clinician evaluation and documentation. A lack of effective, feasible, and sustainable educational methods represents a key barrier to efforts to optimize, scale, and sustain delirium detection competencies. Progress with such barriers may be addressed with asynchronous video-based education.ObjectiveTo evaluate a novel ICU Delirium Video Series for bedside providers via a knowledge assessment quiz and a feedback questionnaire.MethodsAn interdisciplinary team scripted and filmed an educational ICU Delirium Video Series, providing detailed instruction on delirium detection using the validated CAM-ICU (Confusion Assessment Method for the ICU). A cohort of bedside nurses subsequently viewed and evaluated the ICU Delirium Video Series using a feedback questionnaire and a previously developed knowledge assessment quiz pre- and post-video viewing.ResultsTwenty nurses from four ICUs viewed the ICU Delirium Video Series and completed the pre-post quiz and questionnaire. Ten (50%) respondents had 10 or more years of ICU experience, and seven (35%) reported receiving no CAM-ICU education locally. After video viewing, overall pre-post scores improved significantly (66% vs. 79%; P more...
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- 2022
189. Some assembly required: a single-RNA vaccine against enterovirus-D68
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Pollack, Noah and Jackson, William T.
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- 2024
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190. To stay, switch, or leave: A four-year longitudinal study of the situated and stable social influences on women’s STEM major choices
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Lee, Hyewon, Du, Wenyi, Pedersen, Rachelle M., Estrada, Mica, Adams, Amanda S., Barnes, Rebecca T., Bloodhart, Brittany, Burt, Melissa, Clinton, Sandra M., Pollack, Ilana, Fischer, Emily V., and Hernandez, Paul R. more...
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- 2024
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191. Is endometriosis typology a potentially better classification system for assessing risk of female infertility?
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Schliep, Karen C., Pollack, Anna Z., Farland, Leslie V., Shaaban, May, Yan, Bin, Wang, Jing, Ghabayen, Lina, Hemmert, Rachael B., Stanford, Joseph B., and Peterson, C. Matthew
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- 2024
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192. Obesity-driven changes in breast tissue exhibit a pro-angiogenic extracellular matrix signature
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Bamberg, Ellen E., Maslanka, Mark, Vinod-Paul, Kiran, Sams, Sharon, Pollack, Erica, Conklin, Matthew, Kabos, Peter, and Hansen, Kirk C.
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- 2024
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193. Health Care Expenditures and Use Associated with Hypertension Among U.S. Adults
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Wang, Yu, Lee, Jun S., Pollack, Lisa M., Kumar, Ashutosh, Honeycutt, Sally, and Luo, Feijun
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- 2024
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194. Will Actuaries Come Clean on Public Pensions? Model disclosures would obscure trillions of dollars of public pension debt
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Pollack, Larry
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Public debts -- Management ,Actuaries -- Services ,Pensions -- Management ,Company business management ,Business ,Government ,Law - Abstract
Traditional defined benefit pension plans sponsored by state and local governments are dramatically underfunded, requiring large infusions of public funds in future years if they are to deliver promised benefits. [...] more...
- Published
- 2023
195. The effect of conflicting versus consistent messaging on older women’s support for breast cancer screening cessation
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Schoenborn, Nancy L., Gollust, Sarah E., Pollack, Craig E., Schonberg, Mara A., Boyd, Cynthia M., Xue, Qian-Li, and Nagler, Rebekah H.
- Published
- 2025
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196. Hospital-level variation in cardiac rehabilitation metrics
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Pollack, Lisa M., Chang, Anping, Thompson, Michael P., Keteyian, Steven J., Stolp, Haley, Wall, Hilary K., Sperling, Laurence S., and Jackson, Sandra L.
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- 2025
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197. Measuring the impact of obesity on cardiovascular risk for northern Colorado school children: Healthy hearts and minds program 2013–2023
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Pollack, Austin M., Nelson, Tracy L., Jenkins, NaNet A., Willis, Meghan W., Lueders, Paige C., Kingman, Anna K., Hamilton, Landon D., and Luckasen, Gary J.
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- 2025
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198. Disease Burden and Health-Related Quality of Life (HRQoL) of Chronic Obstructive Pulmonary Disease (COPD) in the US – Evidence from the Medical Expenditure Panel Survey (MEPS) from 2016-2019
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Roberts MH, Mannino DM, Mapel DW, Lunacsek O, Amin S, Farrelly E, Feigler N, and Pollack MF
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copd ,burden of illness ,healthcare cost ,race/ethnicity ,Diseases of the respiratory system ,RC705-779 - Abstract
Melissa H Roberts,1 David M Mannino,2,3 Douglas W Mapel,4 Orsolya Lunacsek,5 Shahla Amin,5 Eileen Farrelly,5 Norbert Feigler,6 Michael F Pollack6 1College of Pharmacy, University of New Mexico, Albuquerque, NM, USA; 2College of Medicine, University of Kentucky, Lexington, KY, USA; 3COPD Foundation, Miami, FL, USA; 4Northern Arizona Pulmonary Associates, Flagstaff, AZ, USA; 5Global Consulting, Cencora, Conshohocken, PA, USA; 6BioPharmaceuticals, US Medical, AstraZeneca, Wilmington, DE, USACorrespondence: Michael F Pollack, BioPharmaceuticals, Global Medical Evidence, AstraZeneca, Wilmington, DE, USA, Email michael.pollack1@astrazeneca.comPurpose: Chronic obstructive pulmonary disease (COPD) is a progressive disease associated with reduced life expectancy, increased morbidity, mortality, and cost. This study characterized the US COPD burden, including socioeconomic and health-related quality of life (HRQoL) outcomes.Study Design and Methods: In this retrospective, cross-sectional study using nationally representative estimates from Medical Expenditures Survey (MEPS) data (2016– 2019), adults (≥ 18 years) living with and without COPD were identified. Adults living without COPD (control cohort) and with COPD were matched 5:1 on age, sex, geographic region, and entry year. Demographics, clinical characteristics, socioeconomic, and generic HRQoL measures were examined to include a race-stratified analysis of people living with COPD.Results: A total of 4,135 people living with COPD were identified; the matched dataset represented a weighted non-institutionalized population of 11.3 million with and 54.2 million people without COPD. Among people living with COPD, 66.3% had ≥ 1 COPD-related condition; 62.7% had ≥ 1 cardiovascular condition, compared to 33.5% and 50.5% without COPD. More people living with COPD were unemployed (56.2% vs 45.3%), unable to work due to illness/disability (30.1% vs 12.1%), had problems paying bills (16.1% vs 8.8%), reported poorer perceived health (fair/poor: 36.2% vs 14.4%), missed more working days due to illness/injury per year (median, 2.5 days vs 0.0 days), and had limitations in physical functioning (40.1% vs 19.4%) (all P< 0.0001). In race-stratified analyses for people living with COPD, people self-reporting as Black had higher prevalence of cardiovascular-risk conditions, poorer socioeconomic and HRQoL outcomes, and higher healthcare expenses than White or Other races.Conclusion: Adults living with COPD had higher clinical disease burden, lower socioeconomic status, and reduced HRQoL than those without, with greater disparities among Black people living with COPD compared to White and other races. Understanding the characteristics of patients helps address care disparities and access challenges.Keywords: COPD, burden of illness, healthcare cost, race/ethnicity more...
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- 2024
199. Complex rearrangement in TBC1D4 in an individual with diabetes due to severe insulin resistance syndrome
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Cahn, Avivit, Mor-Shaked, Hagar, Rosenberg-Fogler, Hallel, Pollack, Rena, Tolhuis, Bas, Sharma, Gaurav, Schultz, Eric, Yanovsky-Dagan, Shira, and Harel, Tamar
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- 2024
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200. Gender identity, stimulant drug use, and criminal justice history on internalized stigma among a nationally representative sample of adults who misuse opioids
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Bailey, Amelia, Taylor, Bruce G., Pollack, Harold A., Schneider, John A., and Evans, Elizabeth A.
- Published
- 2024
- Full Text
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