Naloxone Accessibility Across Mississippi

Background/Objectives Despite widespread standing orders allowing pharmacies to dispense naloxone under protocol or without a prescription, there is substantial variation in naloxone availability and cost geographically. This study geospatially assessed naloxone availability and cost across community pharmacies within Mississippi. Additionally, this study examined the association of county-level characteristics, including rurality, race, household income, overdose numbers, and percent uninsured, with naloxone availability. This study aims to inform health policymakers about effectiveness of current naloxone standing orders, and to guide potential interventions for improving naloxone accessibility at the community-level. Methods This study was a “mystery shopper” telephone census of naloxone availability and cost at all Mississippi pharmacies. Naloxone availability and cost were descriptively analyzed. T-tests were used to detect differences in naloxone availability based on county racial makeup, income, overdose deaths, and percentage uninsured. Chi-square tests were used to detect differences in naloxone availability based on pharmacy type and county rurality. Results Overall, there were 591 publicly-available community pharmacies surveyed in Mississippi. Overall, only 36.6% (n=216) of Mississippi pharmacies indicated that naloxone was available under state standing order. The mean cost for naloxone nasal spray was $105.58 (range$38.11 to $229.39). Differences existed in naloxone availability based on pharmacy type (X2 (2, 591) =41.09, p \u3c 0.001), but not pharmacy rurality (X2 (2, N = 591) = 3.06, p = 0.216). There was no difference in naloxone availability according to county-level measures. Mapping naloxone availability revealed that 16 (19.25$100. Implications This study demonstrates that, despite lawful availability, naloxone is not widely available across the state of Mississippi. Lack of external drivers of naloxone availability suggest that naloxone availability may be driven by pharmacies. Further studies examining reasons for low naloxone availability, particularly among community pharmacies, should be conducted. Additionally, follow-up analyses of pharmacy pricing for naloxone are warranted

Hope in Ancient Greek Philosophy

This chapter aims to illuminate ways in which hope was significant in the philosophy of classical Greece. Although ancient Greek philosophies contain few dedicated and systematic expositions on the nature of hope, they nevertheless include important remarks relating hope to the good life, to reason and deliberation, and to psychological phenomena such as memory, imagination, fear, motivation, and pleasure. After an introductory discussion of Hesiod and Heraclitus, the chapter focuses on Plato and Aristotle. Consideration is given both to Plato’s direct comments on hope and to the narrative contexts of his dialogues, with analysis of Plato’s positive and negative representations of hope, hope’s relationship to reason, and Plato’s more psychological approach in the Philebus, where hope finds a place among memory, recollection, pleasure, and pain. The chapter then reviews Aristotle’s discussions of confidence, hope, and courage, observing that although Aristotle does not mention hope as a virtue, he does note its importance to human agency and deliberation and as a foundation for the further development of virtue. The chapter concludes that discussions surrounding hope in ancient Greek philosophy are rich and challenging and can serve as a lively stimulus to further exploration of the concept of hope

Boas's Changes in Bodily Form: The Immigrant Study, Cranial Plasticity, and Boas's Physical Anthropology

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/65980/1/aa.2003.105.2.326.pd

CRYOTE (Cryogenic Orbital Testbed) Concept

Demonstrating cryo-fluid management (CFM) technologies in space is critical for advances in long duration space missions. Current space-based cryogenic propulsion is viable for hours, not the weeks to years needed by space exploration and space science. CRYogenic Orbital TEstbed (CRYOTE) provides an affordable low-risk environment to demonstrate a broad array of critical CFM technologies that cannot be tested in Earth's gravity. These technologies include system chilldown, transfer, handling, health management, mixing, pressure control, active cooling, and long-term storage. United Launch Alliance is partnering with Innovative Engineering Solutions, the National Aeronautics and Space Administration, and others to develop CRYOTE to fly as an auxiliary payload between the primary payload and the Centaur upper stage on an Atlas V rocket. Because satellites are expensive, the space industry is largely risk averse to incorporating unproven systems or conducting experiments using flight hardware that is supporting a primary mission. To minimize launch risk, the CRYOTE system will only activate after the primary payload is separated from the rocket. Flying the testbed as an auxiliary payload utilizes Evolved Expendable Launch Vehicle performance excess to cost-effectively demonstrate enhanced CFM

A comparison of the effectiveness of two methods of teaching a four-week unit on selected motor skills to first grade children

The purpose of this study was to determine which teaching method, a games approach or a movement exploration approach, was more effective in teaching selected motor skills to first grade children over a four-week period. The study was conducted in two schools in Greensboro, North Carolina. Two first grade classes were selected from each school, making a total of one hundred and twenty subjects. The classes were randomly assigned to one of the teaching methods by rolling a die. At each school one class was in the experimental group and the other class was in the control group

Interventions to increase uptake of the human papillomavirus vaccine in unvaccinated college students: A systematic literature review

© 2019, American Association of Colleges of Pharmacy. All rights reserved. The Committee was charged with the responsibility for examining the need for change in pharmacy education and the models of leadership that would enable that change to occur across the academy. They also examined the question of faculty wellbeing in a time of change and made several recommendations and suggestions regarding both charges. Building upon the work of the previous Academic Affairs Committee, the 2018-19 AAC encourages the academy to implement new curricular models supporting personalized learning that creates engaged and lifelong learners. This will require transformational leadership and substantial investments in faculty development and new assessment strategies and resources. Recognizing that the magnitude of the recommended change will produce new stress on faculty, the committee identified the need for much additional work on student, faculty and leaders’ wellbeing, noting the limited amount of empirical evidence on pharmacy related to stress and resilience. That said, if faculty and administrators are not able to address personal and community wellbeing, their ability to support their students’ wellbeing will be compromised

Senior Recital: Kristen Laurice Gravlee, trumpet

This recital is presented in partial fulfillment of requirements for the degree Bachelor of Music in Music Education. Ms. Gravlee studies trumpet with Douglas Lindsey.https://digitalcommons.kennesaw.edu/musicprograms/1181/thumbnail.jp

Cryogenic Orbital Testbed (CRYOTE) Ground Test Article, Final Report

Liquid propulsion has been used since Robert Goddard started developing a liquid oxygen (LO2) and gasoline powered rocket and fired it in 1923 (Ref. 1). In the following decades engineers settled on the combination of liquid hydrogen (LH2) and LO2 as the most efficient propellant combination for in-space travel. Due to their low temperatures (LH2 at 20 K and LO2 at 90 K), they require special handling and procedures. General Dynamics began developing LO2 and LH2 upper stages in 1956 in the form of Centaur, these efforts were soon funded by the Department of Defense in conjunction with NASA (beginning in 1958) (Ref. 2). Meanwhile NASA also worked with McDonnell Douglas to develop the SIV-B stage for the Saturn V rocket. In the subsequent years, the engineers were able to push the Centaur to up to 9 hr of orbital lifetime and the SIV-B to up to 6 hr. Due to venting the resultant boil-off from the high heat loads through the foam insulation on the upper stages, both vehicles remained in a settled configuration throughout the flights, thus the two phases of propellant (liquid and vapor) were separated at a known location. The one exception to this were the Titan/Centaur missions, which thanks to the lower boil-off using three layers of multilayer insulation (MLI), were able to coast unsettled for up to 5.25 hr during direct geosynchronous orbit insertion missions. In the years since there has been a continuous effort to extend the life of these upper stages from hours to days or even months