A Tree Story

A Tree story as heard by Willis Huston from Carl Keiser, who lived on the blacktop two miles south of Bushong Old timers tell the story about an old elm tree that was the only landmark on the trail between Osage City and Americus , a distance o

Hospital Community Benefits After the ACA: Partnerships for Community Health Improvement

Examines states' and localities' efforts to promote community health and systemic change through collaborations focused on community health needs assessments, priority setting, strategic planning, and the implementation of health improvement initiatives

Study of the Effects of Programmed Human Relations Training on a Selected Group of High School Dropouts

Student Personnel and Guidanc

Using Marion County, Indiana coroner records and deputy field officer reports to understand heroin and prescription painkiller overdoses

Indiana University-Purdue University Indianapolis (IUPUI)Deaths due to prescription painkillers and heroin have quickly become national, state, and local public health concerns. Studies using data from Medical Examiners or Coroner Offices throughout the United States have been conducted and are contributing to the understanding of this epidemic. However, the analysis of these fatalities are specific to the communities where the study was conducted and cannot be assumed that the decedents in one community are similar to decedents in another community. Many local governments and agencies throughout the U.S. are aware that this problem exists in their communities, but are not prepared to adequately respond to and intervene in these fatalities as an analysis of those who have died has rarely been conducted. This dissertation is a replication study of longitudinal epidemiological analyses of opiate related fatalities that was implemented in a location where an analysis of opiate-related fatalities had not been conducted, Marion County, Indiana. The purpose of the dissertation was twofold: (1) to describe the demographic characteristics of the decedents using publicly available data from the Marion County Coroner’s Office to be used in informing future preventative efforts to decrease opiate-related fatalities in Marion County and (2) to inform other communities on how to conduct a similar analysis in their own community. This dissertation describes the methods of the replication study, provides descriptive results of the people who died from opiate-related overdoses, and: (a) Report the types of opiates identified in blood toxicology reports and (b) Present the histories of opiate-related decedents as reported in the Deputy Coroner Field Officer’s Reports (DCFOR). Additionally, analysis was conducted to determine if decedent characteristics deferred depending on the type of opiate fatality based on the toxicology in 1) heroin alone, 2) painkillers alone, and 3) heroin and painkillers combined

Hospital Community Benefits After the ACA: The Emerging Federal Framework

Outlines the federal framework on requirements for hospitals to provide community benefit activities in exchange for tax-exempt status under the 2010 healthcare reform, including community health needs assessments; state policy options; and challenges

Hospital Community Benefits After the ACA: Building on State Experience

Analyzes hospitals' requirements to conduct community health needs assessments, financial assistance and billing and collection policies, and community benefit reporting and oversight strategies. Notes implications for federal and state law and practice

The genetics of cholesteatoma study. Loss‐of‐function variants in an affected family

The aetiology of cholesteatoma remains elusive. In a recent systematic review, we discussed reports of multiple cases of cholesteatoma within families, which suggests a genetic predisposition in some cases (1). We have established a U.K. database and DNA sample bank that can be used to identify genetic variants that co‐segregate with cholesteatoma in multiply‐affected families. Recruitment to this Genetics of Cholesteatoma (GOC) Study is via the U.K. National Institute of Health Research Clinical Research Network. This preliminary communication describes the results of whole exome sequencing (WES) of DNA extracted from participants in the first fully sequenced family recruited to the study. Rare variants were filtered for co‐segregation with the cholesteatoma phenotype, and for their putative functional impact. We have identified loss of function variants in the genes EGFL8 and BTNL9 as candidate variants of interest. These are preliminary observations and the variants are of unknown significance to the disease pathology without replication or further investigation

The Ocean Enterprise–understanding and quantifying business activity in support of observing, measuring and forecasting the ocean

Sustained ocean observations, measurements and models provide a wide range of societal benefits underpinning the safety, operational and compliance needs of beneficiaries that operate around, on and under the ocean (In the context of this paper, the term ‘ocean’ is defined as encompassing the global ocean, enclosed seas and the US Great Lakes.) They also provide an essential input to ocean scientific research and the effective protection of the marine environment. Delivering the means to collect and use ocean data and information on a sustained basis constitutes a significant business undertaking. The companies that enable sustained ocean observation, measurement and forecasting, and deliver its benefits as commercial services, combine to create a unique and growing industry cluster; the Ocean Enterprise. Ocean Enterprise businesses underpin the ability to provide societal benefit from sustained ocean observations, measurements and models, as well as delivering significant economic and employment benefits in their own right. In this paper, we describe a systematic evaluation of the scale, scope and characteristics of the Ocean Enterprise in the United States. We explore the ways in which this industry cluster interacts with the US Integrated Ocean Observing System and how the United States Ocean Enterprise compares to that of the United Kingdom

Field and Forage Crop Fertilization in the Trans-Pecos and Edwards Plateau Regions.

4 p