EVOLVING ENTITLEMENTS: INTERVENING TO PREVENT A COLLECTIVE HARM

When market transactions generate negative externalities, the injured party may initiate court action to prevent harm or to obtain compensation. The political response, in some cases, has been to broaden the set of agents who can intervene through the court, often by admitting entirely new categories of potential intervenors. We employ an experimental market setting to investigate the effect of an increase in the number of potential intervenors (introduced as admitting an additional class of persons having the necessary standing in law). The results suggest that there will be a substantial increase in the number of actual interventions. The increase means that social resources expended on interventions will increase and there may be a consequent reduction in trading activity in the affected markets.Public Economics,

Surface velocity in the equatorial oceans (20N-20S) calculated from historical ship drifts

Ship drift velocity observations were used to calculate and plot monthly mean and yearly mean velocities in 2° latitude by 5° longitude boxes for the Atlantic, Pacific, and Indian Oceans. The vector maps shown here provide a visualization of the mean and seasonally varying currents.Funding was provided by the National Science Foundation through grant Number OCE 87-16509

Evaluation of bexagliflozin in cats with poorly regulated diabetes mellitus.

The aim of this study was to investigate the effect of bexagliflozin on glycemic control in poorly regulated diabetic cats and to evaluate for adverse events associated with this medication. Sodium-glucose cotransporter 2 inhibitors are a newer class of drugs used in the management of humans with type 2 diabetes mellitus. The objective of this study was to evaluate the effect of the orally administered drug, bexagliflozin in a group of poorly regulated diabetic cats over a 4-week study period. Five client-owned cats with poorly controlled diabetes mellitus receiving insulin therapy were enrolled. Bexagliflozin was administered once daily. Serum fructosamine, serum biochemistry profile, and 10-hour blood glucose curves were assessed at baseline (Day 0), Day 14, and Day 28. All cats had a significant reduction in insulin dose requirement (P = 0.015) and insulin was discontinued in 2 cats. There was a significant decrease in blood glucose concentration obtained from blood glucose concentration curves during the study period (P = 0.022). Serum fructosamine decreased in 4 of the 5 cats with a median decrease of 152 μmol/L (range: 103 to 241 μmol/L), which was not statistically significant (P = 0.117). No cats had any documented episodes of hypoglycemia. Adverse effects were mild. The addition of bexagliflozin significantly improved diabetic management in this group of cats

Leadership for Innovation in Healthcare: An Exploration.

Although leadership has been studied extensively, most research has focused on the political and military spheres. More recent work has also examined the role of leadership in sectors such as manufacturing and technology, both areas where it is essential to encourage and nurture innovation. Yet, in the health sector, where innovation is now high on the policy agenda in many countries, there is a paucity of research on how leadership can foster a culture of innovation. In this perspective, written for those seeking to foster innovation in the health sector, we offer a narrative synthesis approach of eight theories and concepts that have been empirically shown to support innovation through all phases of the innovation process

Compulsive sexual behavior among male military veterans: Prevalence and associated clinical factors

Background and aims: Compulsive sexual behavior (CSB) is highly prevalent among men, often co-occurring with psychiatric disorders and traumatic experiences. Psychiatric disorders and trauma are highly prevalent among military veterans, yet there is a paucity of research on CSB among military samples. The aim of this study was to examine the prevalence of and factors associated with CSB among male military veterans. Methods: Surveys were administered to veterans of Operations Iraqi Freedom, Enduring Freedom, or New Dawn at baseline (n = 258), 3 months (n = 194), and 6 months (n = 136). Bivariate analyses and Generalized Estimating Equations were utilized to estimate associations between CSB and the following variables: psychiatric co-morbidity, childhood physical or sexual trauma, pre- and post-deployment experiences, TV/ Internet usage, and sociodemographics. Associations between CSB and specific PTSD symptom clusters were also examined. Results: CSB was reported by 16.7% of the sample at baseline. Several variables were associated with CSB in bivariate analyses; however, only PTSD severity, childhood sexual trauma, and age remained significant in multivariable GEE models. The PTSD symptom cluster re-experiencing was most strongly associated with CSB. Discussion: This exploratory study suggests that CSB is prevalent amongst veterans returning from combat and is associated with childhood trauma and PTSD, particularly re-experiencing. Conclusions: Further study is needed to identify the mechanisms linking PTSD and CSB, define the context and severity of CSB in veterans, and examine the best ways to assess and treat CSB in VA clinical settings

Bluetooth 5.0 Suitability Assessment for Emergency Response within Fire Environments

Natural disasters, such as wildfires, can cause widespread devastation. Future-proofing infrastructure, such as buildings and bridges, through technological advancements is crucial to minimize their impact. Fires in disasters often stem from damaged fuel lines and electrical equipment, such as the 2018 California wildfire caused by a power line fault. To enhance safety, IoT applications can continuously monitor the health of emergency personnel. Using Bluetooth 5.0 and wearables in mesh networks, these apps can alert others about an individual’s location during emergencies. However, fire can disrupt wireless networks. This study assesses Bluetooth 5.0’s performance in transmitting signals in fire conditions. It examined received signal strength indicator (RSSI) values in a front open-fire chamber using both Peer-to-Peer (P2P) and mesh networks. The experiment considered three transmission heights of 0.61, 1.22, and 1.83 m and two distances of 11.13 m and 1.52 m. The study demonstrated successful signal transmission with a maximum loss of only 2 dB when transmitting through the fire. This research underscores the potential for reliable communication in fire-prone environments, improving safety during natural disasters

Estimation of defined daily doses of antimicrobials for dogs and cats treated for bacterial cystitis.

OBJECTIVE: To calculate prescribed daily doses (PDDs) for selected antimicrobials and evaluate application of defined daily doses (DDDs) using an antimicrobial purchasing dataset. ANIMALS: Data from dogs and cats treated for bacterial cystitis at a veterinary practice network were evaluated. PROCEDURE: A dataset containing antimicrobial prescriptions for dogs and cats diagnosed with bacterial cystitis was evaluated. Median dose and frequency and median weight of treated animals were used to calculate PDDs. To account for differences in use between dogs and cats, an adjusted DDD was calculated based on adjustment for proportional use in dogs versus cats. RESULTS: PDDs for dogs and cats were determined and adjusted DDDs were calculated and applied to an antimicrobial purchasing dataset from 886 veterinary clinics, demonstrating the difference between mass-based and DDD data. CONCLUSIONS: DDDs can be estimated using prescription datasets, accounting for differences in weights (between and within species) and relative use between dogs and cats. These can be applied to broader (sales, purchase) datasets to provide a more detailed understanding of how antimicrobials are used. CLINICAL RELEVANCE: DDDs could be a useful measure for assessing mass-based antimicrobial use datasets as part of antimicrobial stewardship surveillance efforts

Leadership for Innovation in Healthcare: An Exploration

Although leadership has been studied extensively, most research has focused on the political and military spheres. More recent work has also examined the role of leadership in sectors such as manufacturing and technology, both areas where it is essential to encourage and nurture innovation. Yet, in the health sector, where innovation is now high on the policy agenda in many countries, there is a paucity of research on how leadership can foster a culture of innovation. In this perspective, written for those seeking to foster innovation in the health sector, we offer a narrative synthesis approach of eight theories and concepts that have been empirically shown to support innovation through all phases of the innovation process

Everyone Can Use Ramps, So Don't Forget These "Steps": Disability Accessibility at COVID-19 Vaccination Sites

The COVID-19 pandemic affected everyone around the globe, but for some the impact was drastic and even more life-threatening. People with disabilities historically struggle with health inequities and inaccessible health care, but many of these disparities are now magnified due to the pandemic. Most of the safeguards put in place by health care systems to manage the pandemic were implemented without any input or consideration from individuals with disabilities. With the arrival of COVID vaccines, health care systems and vaccine administrators have the opportunity to ensure a more inclusive and accessible vaccine rollout plan to prevent further marginalization of our largest minority group. We present our story and list simple steps to ensure that the "shots in arms" get into everyone, not just the most "able bodied."http://deepblue.lib.umich.edu/bitstream/2027.42/167171/1/AFM-203-21_PP.pdfDescription of AFM-203-21_PP.pdf : Main ArticleSEL