Compare Healthcare Utilization in the First Three Years of Life for Infants with Prenatal Opioid Exposure Based on Type of Neonatal Care Received

Purpose/Background: Infants with prenatal opioid and other drug exposure often experience withdrawal symptoms known as neonatal abstinence syndrome (NAS). Some hospitals have modified clinical environments to promote recovery (reduced stimulation, nursery-like rooms, permitting rooming-in). While existing research has demonstrated efficacy of lower-stimulation environment, there is no known research evaluating longer-term implications of clinical environment on infant health beyond immediate neonatal period in states disproportionately affected by the opioid epidemic with diverse urban-rural populations such as Alaska. Materials & Methods: The goal of this project is to determine whether supportive care decreases the likelihood of foster care placement from birth to age three by the type of neonatal care received using linked administrative health data from Alaska Medicaid and the Alaska Office· of Children\u27s Services (OCS) for infants born between 201O and 2017, in the State of Alaska. Data sourced from Alaska Department of Health and Social Services (DHSS) Medicaid database was linked with data from Vital Statistics (birth and death records), and OCS data. Demographic data (e.g., age of mother, urban and rural residence (based on census classification)) was extracted from Vital Statistics database. Reports of child maltreatment, duration of foster care placement, rates of adoption, and return to the biological family among infants placed in foster care based on NAS status and the type of neonatal care received sourced from OCS data. Regression was used to assess likelihood of infants removed to foster care at birth being returned to their mother by one year, Poisson or negative binomial regression to determine if there are significant differences foster care days and rates of adoption by infants with NAS based on receipt of neonatal supportive care. Results: Based on interim analysis, infants with NAS who have been treated in a supportive care setting (e.g. Alaska Regional NEST) that uses rooming-in and a family oriented approach will have fewer days in foster care. This may be due to increased education and support provided to mothers and infants in lower-stimulation environment. Discussion/Conclusion: Further study is necessary to understand the impact of supportive care interventions on the health outcomes of infants with NAS

Needle exchange provision in Ireland: The context, current levels of service provision and recommendations. A joint report by the National Drugs Strategy Team and the National Advisory Committee on Drugs.

This document emerged out of concerns from the Voluntary Drug Sector about the need for additional needle exchange services to match the increases in injecting drug use nationally. A working group was established to review the current position in relation to needle exchange provision in Ireland and assess how the relevant National Drug Strategy recommendations should be progressed as we enter the last year of the National Drug Strategy

Canine-centered interface design: supporting the work of diabetes alert dogs

Many people with Diabetes live with the continuous threat of hypoglycaemic attacks and the danger of going into coma. Diabetic Alert Dogs are trained to detect the onset of an attack before the human handler they are paired with deteriorates, giving them time to take action. We investigated requirements for designing an alert system allowing dogs to remotely call for help when their human falls unconscious before being able to react to an alert. Through a multispecies ethnographic approach we focus on teasing out the requirements for a physical canine user interface, involving both dogs, their handlers and trainers in the design. We discuss tensions between the requirements for the canine and the human users, argue the need for increased sensitivity towards the needs of individual dogs that goes beyond breed specific physical characteristics and reflect on how we can move from designing for dogs to designing with dogs

Publications of the Space Physiology and Countermeasures Program, Cardiopulmonary Discipline: 1980-1990

A 10-year cumulative bibliography of publications resulting from research supported by the Cardiopulmonary Discipline of the Space Physiology and Countermeasures Program of NASA's Life Sciences Division is provided. Primary subjects included in this bibliography are Fluid Shifts, Cardiovascular Fitness, Cardiovascular Physiology, and Pulmonary Physiology. General physiology references are also included. Principal investigators whose research tasks resulted in publication are identified. Publications are identified by a record number corresponding with their entry in the Life Sciences Bibliographic Database, maintained at the George Washington University

Publications of the space physiology and countermeasures program, regulatory physiology discipline: 1980 - 1990

A 10-year cumulative bibliography of publications resulting from research supported by the Regulatory Physiology discipline of the Space Physiology and Countermeasures Program of NASA's Life Sciences Division is provided. Primary subjects included in this bibliography are circadian rhythms, endocrinology, fluid and electrolyte regulation, hematology, immunology, metabolism and nutrition, temperature regulation, and general regulatory physiology. General physiology references are also included. Principal investigators whose research tasks resulted in publication are identified by asterisk. Publications are identified by a record number corresponding with their entry in the Life Sciences Bibliographic Database, maintained at the George Washington University

Publications of the space physiology and countermeasures program, Musculoskeletal Discipline: 1980-1990

A 10-year cumulative bibliography of publications resulting from research supported by the musculoskeletal discipline of the space physiology and countermeasures program of NASA's Life Sciences Division is provided. Primary subjects are bone, mineral, and connective tissue, and muscle. General physiology references are also included. Principal investigators whose research tasks resulted in publication are identified by asterisk. Publications are identified by a record number corresponding with their entry in the life sciences bibliographic database, maintained by the George Washington University