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

Alien Registration- Slaunwhite, Wellesley (Oakfield, Aroostook County)

https://digitalmaine.com/alien_docs/34204/thumbnail.jp

Alien Registration- Slaunwhite, Elmore L. (Oakfield, Aroostook County)

https://digitalmaine.com/alien_docs/34316/thumbnail.jp

Alien Registration- Slaunwhite, Lawrence W. (Oakfield, Aroostook County)

https://digitalmaine.com/alien_docs/34203/thumbnail.jp

The intricacies of integration : the case of Graham Creighton High School

iv, 136 leaves : illustrations, maps ; 29 cmIncludes abstract and appendices.Includes bibliographical references (leaves [124]-127).In 1964, when Graham Creighton High School in Cherry Brook, Nova Scotia opened its doors for integration, many of its feeder communities were relatively rural and isolated. Racial tension emerged, creating a legacy of conflict. Graham Creighton was the predecessor to Cole Harbour District High School, which has received considerable attention in the media regarding racial tensions. While racism was undoubtedly a contributing factor to tensions between the communities, it must be considered that integration at Graham Creighton was not simply an integration of two races; rather, it was an integration of several very distinct and relatively rural communities. This thesis examines institutional racism, while adding layers of analysis such as class, socioeconomics, and geographic considerations, to demonstrate the complexity of the situation. In consulting a range of primary source material and oral accounts, this thesis places Graham Creighton High School within the broader context of desegregation

Search for the Higgs boson produced in association with a W boson at CDF Run II

We present a search for standard model Higgs boson production in association with a W boson in proton-antiproton collisions (p{bar p} {yields} W{sup {+-}}H {yields} {ell}{nu}b{bar b}) at a center of mass energy of 1.96 TeV. WH candidate events have a signature of a single lepton (E{sup {+-}}/{mu}{sup {+-}}), missing transverse energy, and two jets. The search looks for candidate events in approximately 2.7 fb{sup -1} of data recorded with the CDF II detector. The high-p{sub T} lepton (e,{mu}) in the events provides a distinct signature for triggering and most of the events in the dataset come from high-p{sub t} lepton triggers. Our analysis improves on prior searches by including events recorded on the E{sub T} + 2 Jets trigger with a lepton reconstructed as an isolated high-p{sub T} charged particle. We increase the sample purity by identifying ('tagging') long-lived b-hadrons in jets. A neural network combines distinguishing kinematic information into a function optimized for WH sensitivity. The neural network output distributions are consistent with the standard model background expectations and we set limits upper limits on the rate of Higgs production. We set 95% confidence level upper limits on the WH production cross section times branching ratio for Higgs masses from 100 to 150 GeV/c{sup 2} and express our results as a ratio of the experimental limit to the theoretical Standard Model production rate. Our limits range from 3.6 (4.3 expected) to 61.1 (43.2 expected) for Higgs masses from 100 to 150 GeV/c{sup 2}, respectively

Studying the Underlying Event in Drell-Yan and High Transverse Momentum Jet Production at the Tevatron

We study the underlying event in proton-antiproton collisions by examining the behavior of charged particles (transverse momentum pT > 0.5 GeV/c, pseudorapidity |\eta| < 1) produced in association with large transverse momentum jets (~2.2 fb-1) or with Drell-Yan lepton-pairs (~2.7 fb-1) in the Z-boson mass region (70 < M(pair) < 110 GeV/c2) as measured by CDF at 1.96 TeV center-of-mass energy. We use the direction of the lepton-pair (in Drell-Yan production) or the leading jet (in high-pT jet production) in each event to define three regions of \eta-\phi space; toward, away, and transverse, where \phi is the azimuthal scattering angle. For Drell-Yan production (excluding the leptons) both the toward and transverse regions are very sensitive to the underlying event. In high-pT jet production the transverse region is very sensitive to the underlying event and is separated into a MAX and MIN transverse region, which helps separate the hard component (initial and final-state radiation) from the beam-beam remnant and multiple parton interaction components of the scattering. The data are corrected to the particle level to remove detector effects and are then compared with several QCD Monte-Carlo models. The goal of this analysis is to provide data that can be used to test and improve the QCD Monte-Carlo models of the underlying event that are used to simulate hadron-hadron collisions.Comment: Submitted to Phys.Rev.

Search for the Higgs boson in events with missing transverse energy and b quark jets produced in proton-antiproton collisions at s**(1/2)=1.96 TeV

We search for the standard model Higgs boson produced in association with an electroweak vector boson in events with no identified charged leptons, large imbalance in transverse momentum, and two jets where at least one contains a secondary vertex consistent with the decay of b hadrons. We use ~1 fb-1 integrated luminosity of proton-antiproton collisions at s**(1/2)=1.96 TeV recorded by the CDF II experiment at the Tevatron. We find 268 (16) single (double) b-tagged candidate events, where 248 +/- 43 (14.4 +/- 2.7) are expected from standard model background processes. We place 95% confidence level upper limits on the Higgs boson production cross section for several Higgs boson masses ranging from 110 GeV/c2 to 140 GeV/c2. For a mass of 115 GeV/c2 the observed (expected) limit is 20.4 (14.2) times the standard model prediction.Comment: 8 pages, 2 figures, submitted to Phys. Rev. Let

Search for a High-Mass Diphoton State and Limits on Randall-Sundrum Gravitons at CDF

We have performed a search for new particles which decay to two photons using 1.2/fb of integrated luminosity from p-pbar collisions at sqrt(s) = 1.96 TeV collected using the CDF II Detector at the Fermilab Tevatron. We find the diphoton mass spectrum to be in agreement with the standard model expectation, and set limits on the cross section times branching ratio for the Randall-Sundrum graviton, as a function of diphoton mass. We subsequently derive lower limits for the graviton mass of 230 GeV/c2 and 850 GeV/c2, at the 95% confidence level, for coupling parameters (k/M_Pl) of 0.01 and 0.1 respectively.Comment: submitted to Phys. Rev. Let

Observation of Orbitally Excited B_s Mesons

We report the first observation of two narrow resonances consistent with states of orbitally excited (L=1) B_s mesons using 1 fb^{-1} of ppbar collisions at sqrt{s} = 1.96 TeV collected with the CDF II detector at the Fermilab Tevatron. We use two-body decays into K^- and B^+ mesons reconstructed as B^+ \to J/\psi K^+, J/\psi \to \mu^+ \mu^- or B^+ \to \bar{D}^0 \pi^+, \bar{D}^0 \to K^+ \pi^-. We deduce the masses of the two states to be m(B_{s1}) = 5829.4 +- 0.7 MeV/c^2 and m(B_{s2}^*) = 5839.7 +- 0.7 MeV/c^2.Comment: Version accepted and published by Phys. Rev. Let