Search results

Idiopathic intracranial hypertension (IIH) can be a debilitating disorder that is difficult to identify and treat. Failure to adequately manage IIH symptoms may force patients to present at emergency departments (EDs) seeking symptom relief. The purpose of this paper is to empirically characterize ED use by previously diagnosed IIH patients.

Patients diagnosed with IIH, and who registered with the Intracranial Hypertension Registry by 2014, were solicited for study inclusion. A survey was designed to elicit ED use during the period 2010–2012. Information on demographic and socioeconomic characteristics, IIH signs and symptoms, time since diagnosis, perspectives of ED use and quality of life was collected. Quality of life was assessed using an adaptation of the Migraine-Specific Quality of Life Questionnaire. Data were analyzed using descriptive statistics and nonparametric hypothesis tests.

In total, 39 percent of IIH patients used emergency services over the study period; those that did used the services intensely. These patients were more likely to be non-white, live in households making less than $25,000 annually, have public insurance and have received a diversional shunt procedure. Patients who used the ED were less likely to live in households making $100,000, or more, annually and have private insurance. Participants who used the ED had significantly lower quality-of-life scores, were younger and had been diagnosed with IIH for less time.

ED staff and outside physicians can utilize the information contained in this study to more effectively recognize the unique circumstances of IIH patients who present at EDs.

This paper seeks to explain the possible options detailed in the “Money Market Reform Options” report released by the President's Working Group on Financial Markets on October 21, 2010 for consideration by the Financial Stability Oversight Council (FSOC).

The paper discusses reform options in the areas of: floating net asset values, privately sponsored emergency liquidity vehicles, mandatory redemptions in kind, insurance for money market funds (MMFs), a two‐tier system providing enhanced protections for stable net asset value (“NAV”) MMFs, a two‐tier system reserving stable NAV MMFs solely for institutional investors, regulating stable NAV MMFs as special purpose banks, and enhancing constraints on unregulated MMF substitutes.

The Report concludes that more should be done to address systemic risks presented by MMFs and the structural vulnerabilities of MMFs to runs, and discusses various reform options for the FSOC to consider, but does not recommend any particular reform.

The paper provides expert advice from experienced financial services lawyers.

The purpose of this paper is to explain two recent actions by the US Securities and Exchange Commission (SEC), a “Settlement Order” and a National Examination Risk Alert, that highlight the importance of compliance controls with respect to political contributions and other political activities.

The paper explains Municipal Securities Rulemaking Board Rule G‐37, one of the earliest pay‐to‐play rules; the Settlement Order and how it addresses in‐kind campaign contributions, solicitation activities, and a municipal dealer's compliance failures; and the Risk Alert, including SEC staff observations and concerns based on examinations of the compliance programs of brokers and dealers engaged in the municipal securities business, practices the SEC staff has found problematic and in violation of Municipal Securities Rulemaking Board Rule G‐37, and certain practices firms have incorporated into their pay‐to‐play compliance programs.

The Settlement Order and Risk Alert provide an important reminder for investment advisers and municipal underwriters that are subject to pay‐to‐play restrictions, particularly highlighting issues relating to “in‐kind” contributions and solicitation activities, but also, beyond the municipal financing arena, may be of interest to investment advisers who have less guidance from the SEC on the application of Advisers Act Rule 206(4)‐5.

Because of the harsh consequences for not complying with the law, firms and their employees should be keenly aware of political activity that may cause violations of applicable pay‐to‐play restrictions.

The paper provides practical guidance from experienced financial services lawyers.

The purpose of this article is to analyze the effects patients' socioeconomic characteristics, along with hospital size and location, had on the initial treatment choice for individuals with hypertension with complications and secondary hypertension.

The analysis uses retrospective data and binary logistic regression to analyze treatment choice determinants. Initial diagnostic and/or therapeutic procedures were categorized as invasive or non‐invasive, which served as the dependent variable.

Uninsured people were more likely to get less expensive non‐invasive treatment. Medicare patients were approximately twice as likely to receive an invasive procedure as individuals with private insurance, even after controlling for age and other socioeconomic characteristics. Minorities and males were also more likely to receive an invasive primary procedure. Significant treatment variations across States were also found.

There were insufficient observations to look at variability within patients treated by a single physician. Future research could tie this information into a simultaneous equation system in order to determine whether patients who received one treatment type versus another were better off.

Finding that characteristics other than morbidity affect the type of treatment received indicates that public policy could improve care. Most important, the ability to pay, type of insurance, geographic location and race influence whether patients receive invasive or non‐invasive treatment upon hospitalization for hypertension, indicating that policies prescribing treatment alternatives that remove non‐medical issues from calculation may improve overall outcomes.

Comprehensive treatment‐choice analyzes have been largely overlooked in the hypertension literature. Additionally, few studies analyze choice using data from such a diverse array of geographic areas and socio‐economic strata.

Although many researchers have widely studied additive manufacturing (AM) as one of the most important industrial revolutions, few have presented a bibliometric analysis of the published studies in this area. This paper aims to evaluate AM research trends based on 4607 publications most cited from year 2010 to 2020.

The research methodology is bibliometric indicators and network analysis, including analysis based on keywords, citation analysis, productive journal, related published papers and authors indicators. Two free available software were employed VOSviewer and Bibexcel.

Keywords analysis results indicate that among the AM processes, Selective Laser Melting and Fused Deposition Modeling techniques, are the two processes ranked on top of the techniques employed and studied with 35.76% and 20.09% respectively. The citation analysis by VOSviewer software, reveals that the medical applications field and the fabrication of metal parts are the areas that interest researchers greatly. Different new research niches, as pharmaceutical industry, digital construction and food fabrication are growing topics in AM scientific works. This study reveals that journals “Materials & design”, “Advanced materials”, “Acs applied materials & interfaces”, “Additive manufacturing”, “Advanced functional materials” and “Biofabrication” are the most productive and influential in AM scientific research.

The results and conclusions of this work can be used as indicators of trends in AM research and/or as prospects for future studies in this area.

Recent criticism of the UK's public sector has rekindled the debate about public service leadership in comparison with the private sector, particularly in the context of the financial austerity we face for years ahead. This article first reviews recent research on leadership and compares the public and private sectors, finding both commonalities and differences. The article then considers the kind of leadership required of public service leaders in the present economic climate and to handle crises and emergencies. The place of individual leadership and collective leadership and consensus is discussed, with a suggestion that charismatic individual leadership may play a more important role in the public sector than it typically has done in less turbulent times in the past. The public sector is becoming more like the private sector in this respect. The article ends with key implications of the analysis for leadership in practice.

This paper aims to investigate the long-term impacts autistic adults experienced from childhood participation in the applied behavioural analysis (ABA).

Possible participants were recruited through advertisements on social media and autism and ABA organisations. Possible participants were given the choice between an online or face-to-face interview or an anonymised online questionnaire.

Reflections from 10 participants were indicative of a predominantly detrimental impact of ABA. Reflections gave rise to a core theme “recalling hidden harms of childhood experiences of ABA”. Outcomes are discussed in relation to the impact on autistic identity, current research and progressing understanding of the impacts of early intervention from the autistic perspective.

The practical implications of ABA are discussed alongside recommendations for future practice and research with the involvement of autistic individuals within interventive processes.

This is the first paper to take an in-depth, qualitative approach to autistic experiences of ABA. The findings themselves are driven to conceptualise and give voice to the core impacts which carried through participants’ exploration and understanding of self.