Chief Executive Officers in United States Hospitals: A Reexamination of Workforce Demographics and Educational Issues

The United States Bureau of Labor Statistics (BLS) reports the “employment of medical and health services mangers is expected to grow by 22 percent from 2010-2020.”The BLS notes this is substantially faster than the national average for other occupations. Information from this report finds its way into popular media, news shows, and other information outlets which increases the number of prospective applicants to College and University Healthcare Management programs. In 2007, the authors conducted a survey of chief executive officers (CEO) in United States hospitals that sought to identify educational and demographic information of individuals holding top management positions in US Healthcare institutions. The survey was repeated in 2012, at the 5-year interval, to determine if CEO information had changed

A Mini-Study of Employee Turnover in US Hospitals

A mini-study was conducted to collect self-reported employee turnover rates in U.S. hospitals. The results indicate many hospitals are struggling with high employee turnover rates. Wide-spread variances in ratings were observed across hospitals which may be due to lack of consistency in how they each calculate their employee turnover. This makes benchmarking for the purposes of performance improvement challenging

Succession Planning: Trends Regarding the Perspectives of Chief Executive Officers in United States Hospitals

A study was conducted to revisit the perceptions of chief executive officers (CEOs) in United States (U.S.) hospitals regarding the origin of leadership and how they felt about internally developed successors versus externally recruited successors. Furthermore, the study sought to understand how this group of executives utilizes the succession planning process, what factors impact successor identification, what positions are applicable for succession planning activities, and who is ultimately held responsible for leadership continuity within the hospital industry. The results of this 2012 study were compared to a previous study conducted in 2007 to determine if the perceptions had changed over time

Proteomic Analysis of a Noninvasive Human Model of Acute Inflammation and Its Resolution: The Twenty-one Day Gingivitis Model

The 21-day experimental gingivitis model, an established noninvasive model of inflammation in response to increasing bacterial accumulation in humans, is designed to enable the study of both the induction and resolution of inflammation. Here, we have analyzed gingival crevicular fluid, an oral fluid comprising a serum transudate and tissue exudates, by LC−MS/MS using Fourier transform ion cyclotron resonance mass spectrometry and iTRAQ isobaric mass tags, to establish meta-proteomic profiles of inflammation-induced changes in proteins in healthy young volunteers. Across the course of experimentally induced gingivitis, we identified 16 bacterial and 186 human proteins. Although abundances of the bacterial proteins identified did not vary temporally, Fusobacterium outer membrane proteins were detected. Fusobacterium species have previously been associated with periodontal health or disease. The human proteins identified spanned a wide range of compartments (both extracellular and intracellular) and functions, including serum proteins, proteins displaying antibacterial properties, and proteins with functions associated with cellular transcription, DNA binding, the cytoskeleton, cell adhesion, and cilia. PolySNAP3 clustering software was used in a multilayered analytical approach. Clusters of proteins that associated with changes to the clinical parameters included neuronal and synapse associated proteins

Effect of Local Norms on Racial and Ethnic Representation in Gifted Education

Educators have sought to understand and address the disproportional representation of students from certain student subgroups in gifted education. Most gifted identification decisions are made with national comparisons where students must score above a certain percentage of test takers. However, this approach is not always consistent with the overall goal of gifted education. Scholars have long argued for the use of local normative criteria to increase the diversity of students identified for gifted services, and although some districts across the country have applied such recommendations, little research has been carried out. In this study, we use a large data set to assess the extent to which identifying gifted students with either school-level norms or a combination of national and school-level norms would improve gifted education representation rates for students who are from African American and Latinx families. A preprint of this registered report and this project’s preregistration documentation are available at https://osf.io/z2egy/

Conflicting Loyalties Facing In-House Counsel: Ethical Care and Feeding of the Ravenous Multi-Headed Client The Fifth Annual Symposium on Legal Malpractice and Professional Responsibility.

Because of corporate scandals that shook the business world, legislative, corporate, and public fingers immediately pointed at corporate attorneys for allowing such egregious conduct to occur. In 1983, the American Bar Association (ABA) passed Model Rule 1.13, which promoted the entity theory. Under the entity theory, the organization is the in-house counsel’s only client; and the in-house counsel’s primary duty is to act in the best interest of the organization. Whether the issue is deciding to make an executive compensation disclosure in a proxy statement, taking on a dual role within the organization, acting in compliance with heightened professional responsibility requirements under the Sarbanes-Oxley Act of 2002 (SOX), or preparing witnesses for corporate investigations, in-house counsel will avoid ethical hot water if they consistently act in the best interest of the organization. In an effort to protect stakeholders, the Securities and Exchange Commission (SEC) passed Rule 205. Rule 205 is designed to increase confidence in public companies by ensuring that attorneys who represent issuers report up the corporate ladder evidence of material violations by their officers and employees. The result is that Rule 205 has made corporate attorneys into “gatekeepers.” Rule 205’s permissive disclosure provision acts essentially as a whistleblower license for attorneys to use in a last-ditch effort to protect third parties when the highest authorities within the organization fail to take appropriate remedial measures. Thus, in-house counsel is expected to be the first line of defense against corporate irresponsibility and is expected to take a stand against impropriety

Conflicting Loyalties Facing In-House Counsel: Ethical Care and Feeding of the Ravenous Multi-Headed Client The Fifth Annual Symposium on Legal Malpractice and Professional Responsibility.

Because of corporate scandals that shook the business world, legislative, corporate, and public fingers immediately pointed at corporate attorneys for allowing such egregious conduct to occur. In 1983, the American Bar Association (ABA) passed Model Rule 1.13, which promoted the entity theory. Under the entity theory, the organization is the in-house counsel’s only client; and the in-house counsel’s primary duty is to act in the best interest of the organization. Whether the issue is deciding to make an executive compensation disclosure in a proxy statement, taking on a dual role within the organization, acting in compliance with heightened professional responsibility requirements under the Sarbanes-Oxley Act of 2002 (SOX), or preparing witnesses for corporate investigations, in-house counsel will avoid ethical hot water if they consistently act in the best interest of the organization. In an effort to protect stakeholders, the Securities and Exchange Commission (SEC) passed Rule 205. Rule 205 is designed to increase confidence in public companies by ensuring that attorneys who represent issuers report up the corporate ladder evidence of material violations by their officers and employees. The result is that Rule 205 has made corporate attorneys into “gatekeepers.” Rule 205’s permissive disclosure provision acts essentially as a whistleblower license for attorneys to use in a last-ditch effort to protect third parties when the highest authorities within the organization fail to take appropriate remedial measures. Thus, in-house counsel is expected to be the first line of defense against corporate irresponsibility and is expected to take a stand against impropriety

Reliability and Validity of Instruments for Assessing Perinatal Depression in African Settings: Systematic Review and Meta-Analysis

Background: A major barrier to improving perinatal mental health in Africa is the lack of locally validated tools for identifying probable cases of perinatal depression or for measuring changes in depression symptom severity. We systematically reviewed the evidence on the reliability and validity of instruments to assess perinatal depression in African settings. Methods and Findings: Of 1,027 records identified through searching 7 electronic databases, we reviewed 126 full-text reports. We included 25 unique studies, which were disseminated in 26 journal articles and 1 doctoral dissertation. These enrolled 12,544 women living in nine different North and sub-Saharan African countries. Only three studies (12%) used instruments developed specifically for use in a given cultural setting. Most studies provided evidence of criterion-related validity (20 [80%]) or reliability (15 [60%]), while fewer studies provided evidence of construct validity, content validity, or internal structure. The Edinburgh postnatal depression scale (EPDS), assessed in 16 studies (64%), was the most frequently used instrument in our sample. Ten studies estimated the internal consistency of the EPDS (median estimated coefficient alpha, 0.84; interquartile range, 0.71-0.87). For the 14 studies that estimated sensitivity and specificity for the EPDS, we constructed 2 x 2 tables for each cut-off score. Using a bivariate random-effects model, we estimated a pooled sensitivity of 0.94 (95% confidence interval [CI], 0.68-0.99) and a pooled specificity of 0.77 (95% CI, 0.59-0.88) at a cut-off score of ≥9, with higher cut-off scores yielding greater specificity at the cost of lower sensitivity. Conclusions: The EPDS can reliably and validly measure perinatal depression symptom severity or screen for probable postnatal depression in African countries, but more validation studies on other instruments are needed. In addition, more qualitative research is needed to adequately characterize local understandings of perinatal depression-like syndromes in different African contexts

Vortex oscillations in confined Bose-Einstein condensate interacting with 1D optical lattice

We study Bose-Einstein condensate of atomic Boson gases trapped in a composite potential of a harmonic potential and an optical lattice potential. We found a series of collective excitations that induces localized vortex oscillations with a characteristic wavelength. The oscillations might be observed experimentally when radial confinement is tight. We present the excitation spectra of the vortex oscillation modes and propose a way to experimentally excite the modes.Comment: 5 pages, 7 figures. Title, abstract and references are update