The International Lawyer\u27s Deskbook

Note: This is the second book review in the PDF file

Financing Project ECHO: Options for State Medicaid Programs

Project ECHO, a unique model for expanding access to specialty health care services, can bolster state Medicaid program efforts to improve care in underserved areas. With a handful of states using Medicaid funds to support Project ECHO, more states are interested in pursuing ECHO models to enhance services for at-risk populations.This brief outlines an array of financing options, including approaches currently in use as well as new options, and highlights how four states — California, Colorado, New Mexico, and Oregon — leveraged Medicaid support for ECHO. It outlines design considerations for specific delivery system environments as well as broad considerations for long-term sustainability of Project ECHO approaches. The brief was developed by the Center for Health Care Strategies as part of the Project ECHO Medicaid Learning Collaborative, a multi-state learning collaborative to promote long-term Medicaid policy and financing strategies for Project ECHO in states across the country

Getting in : safe water entry competencies

In high income countries, jumping and diving into water are a small but persistent cause of death and serious injury especially among male youth and young adults. Although water entries maintain a high media profile, little is known about what entry competencies and underlying water safety knowledge youth bring to this practice. Undergraduates enrolled in aquatics (N= 76) completed a survey before attempting 7 entry jumping and diving tasks. While safety attitudes and self-reported behaviours were generally good, considerable variation in practical entry competence was evident. Most completed a deep-water compact jump (87%) and PFD jump (88%) with ease. Many completed a crouch dive (57%) and standing dive (53%) into deep water with ease, but only 33% completed a standing dive from a block/bulkhead (<1m height) with ease. Ways of addressing weaknesses in knowledge, attitudes, and behaviours are discussed and recommendations made to enhance the teaching of safe water entry. © 2021 Human Kinetics Publishers Inc.. All rights reserved

Swim Instructor Beliefs About Toddler and Pre-School Swimming and Water Safety Education

To study the teacher component of the parent-teacher-learner triad in preschool aquatics and explore compatibility of instructor messages with current drowning prevention beliefs, 133 preschool aquatics instructors were surveyed. Instructors with basic swim teacher accreditation and those with a preschool/infant instructor extension (“Extension”) were compared. More Extension instructors selected “safety” as an important outcome (χ2 = 7.907, df = 3, p = 0.048). Both instructor groups considered parental education important but Extension instructors held this view more strongly. Disturbingly, more Extension instructors disagreed that increased toddler confidence following lessons necessitates greater supervision around water (χ2 = 4.141, df = 1, p = 0.042). To avoid such messages, instructor education should place even greater emphasis on close and constant adult supervision and counter the misconception that early age lessons protect children from drowning

Prenatal IV Cocaine: Alterations in Auditory Information Processing

One clue regarding the basis of cocaine-induced deficits in attentional processing is provided by the clinical findings of changes in the infants’ startle response; observations buttressed by neurophysiological evidence of alterations in brainstem transmission time. Using the IV route of administration and doses that mimic the peak arterial levels of cocaine use in humans, the present study examined the effects of prenatal cocaine on auditory information processing via tests of the auditory startle response (ASR), habituation, and prepulse inhibition (PPI) in the offspring. Nulliparous Long–Evans female rats, implanted with an IV access port prior to breeding, were administered saline, 0.5, 1.0, or 3.0 mg/kg/injection of cocaine HCL (COC) from gestation day (GD) 8–20 (1×/day-GD8–14, 2×/day-GD15–20). COC had no significant effects on maternal/litter parameters or growth of the offspring. At 18–20 days of age, one male and one female, randomly selected from each litter displayed an increased ASR (>30% for males at 1.0 mg/kg and >30% for females at 3.0 mg/kg). When reassessed in adulthood (D90–100), a linear dose–response increase was noted on response amplitude. At both test ages, within-session habituation was retarded by prenatal cocaine treatment. Testing the females in diestrus vs. estrus did not alter the results. Prenatal cocaine altered the PPI response function across interstimulus interval and induced significant sex-dependent changes in response latency. Idazoxan, an α2-adrenergic receptor antagonist, significantly enhanced the ASR, but less enhancement was noted with increasing doses of prenatal cocaine. Thus, in utero exposure to cocaine, when delivered via a protocol designed to capture prominent features of recreational usage, causes persistent, if not permanent, alterations in auditory information processing, and suggests dysfunction of the central noradrenergic circuitry modulating, if not mediating, these responses

Anthropological Study of Shain Library: Uses, Perceptions, and Recommendations

In the spring of 2009 professor Benoit’s Applied Anthropology class conducted a comprehensive study on Connecticut College’s Shain Library. The class met with the library staff multiple times before deciding how to tackle the project. The research question posed was, how do students use and perceive the library? Does the library satisfy student’s needs, and if not what changes could be implemented to better the student body? The class began by submitting a proposal of our project to the Institutional Review Board, and then proceeded with the investigation. Though the topic as a whole is an examination of Shain Library each member of the class took on a specific aspects of the research. The topics covered range from study habits such as multitasking to how students utilize library resources outside of the library. The class created a DVD of their research and presented their findings to the library staff. This is the complete report of the research to compliment the DVD presentation

Postpartum Haemorrhage and Eclampsia: Differences in Knowledge and Care-seeking Behaviour in Two Districts of Bangladesh

In high- and low-performing districts of Bangladesh, the study explored the demand-side of maternal healthcare by looking at differences in perceived knowledge and care-seeking behaviours of women in relation to postpartum haemorrhage or eclampsia. Haemorrhage and eclampsia are two major causes of maternal mortality in Bangladesh. The study was conducted during July 2006–December 2007. Both postpartum bleeding and eclampsia were recognized by women of different age-groups as severe and life-threatening obstetric complications. However, a gap existed between perception and actual care-seeking behaviours which could contribute to the high rate of maternal deaths associated with these conditions. There were differences in care-seeking practices among women in the two different areas of Bangladesh, which may reflect sociocultural differences, disparities in economic and educational opportunities, and a discrimination in the availability of care

Swim instructor beliefs about toddler and preschool swimming and water safety education

To study the teacher component of the parent-teacher-learner triad in preschool aquatics and explore compatibility of instructor messages with current drowning prevention beliefs, 133 preschool aquatics instructors were surveyed. Instructors with basic swim teacher accreditation and those with a preschool/infant instructor extension ("Extension") were compared. More Extension instructors selected "safety" as an important outcome