Prescription Drugs in Nursing Homes: Managing Costs and Quality in a Complex Environment

This issue brief provides a description of prescription drug use in nursing homes and a summary of policy issues in this area. It first profiles the nursing home pharmaceutical market, outlining the major trends in demographics and drug utilization, the supply chain by which drugs go from manufacturers to pharmacies to nursing home residents, and the alternative arrangements by which prescription drugs in nursing homes are financed. The paper then provides a synopsis of current policy issues, focusing in turn on cost containment and quality improvement initiatives

The Ursinus Weekly, April 16, 1962

Jane Mikuliak is prom queen; New Cub & Key men tapped • Sokoloffs sparkle in Forum program • Dr. Tornetta to address pre-medicals on Tuesday • Christianity versus communism heads weekend Y retreat • Building program rolls as ground broken for new heating and power plant Monday • Y slates 2-part seminar on modern art beginning this Wednesday evening • MSGA elections • PSEA sponsors high school day here • Navy information team to explain training program • Ursinus to give college S.S. qualification tests • IRC represents Yemen in recent Model UN session • Young Republicans slate events for coming month • Editorial: What\u27s wrong?; Two kinds of people; Friday the 13th • Jayne Mansfield exhilarates UC\u27s Martin, Kinzley • Chekhov\u27s Bear is ambitious calling • Letters to the editor • Intramural corner • Siebmen shine in victory over PMC, suffer defeat at hands of Delaware • Cindermen lose to Haverford power, return to stop Albrighters Saturday • Greek gleanings • Conservative coed visits Dixielandhttps://digitalcommons.ursinus.edu/weekly/1317/thumbnail.jp

The Producerers Present: A Table Reading - in two parts

On January 9 Griffin Gallery is delighted to host inaugrual performances by The Producerers. The performances will start at 7pm. The Producerers is a collaborative venture featuring artists, Anne-Marie Creamer and Zoë Mendelson, with invited guests. Utilising the interval between exhibitions at Griffin Gallery as a partial set, The Producerers will stage the first in a series of public events. The Producerers will actively ponder and create, performing and transforming painting, cinema and theatre - without necessarily directly grounding the work made in the literal materials of each medium. We aim to affect a re-contextualisation of relationships between painting, stage and screen as concurrent, sometimes profound. The borrow and the bleed between media will be subjected to active scrutiny via practice. Aside from their work with The Producerers, Creamer and Mendelson’s own practices are multi-disciplinary, connecting with drawing, with technologies, with seated and roving audiences and with duration and temporality. In Creamer’s case this manifests via an interest in narrative, representation and presence; in Mendelson’s case via an interest in cultural, spectacularised interpretations of disorder. For the event at Griffin Gallery The Producerers are interested in making work which foregrounds props, sets, production and preparation of works for stage and screen, using the rehearsal as a point of contact between painting and cinema, painting and theatre. We will stage a theatricalised table-reading - often the first dramatised reading of a future drama for stage - using this form to re-imagine theatre and performance played out through the forms of exhibition and lecture. Using her recent exhibition, A Diagram of Waiting, at Griffin Gallery’s Perimeter Space, engaging lighting, sound and image, Anne-Marie Creamer will perform a new work, The Waiting Room. Using her experience of rehearsal with Italian actress Simona Senzacqua to develop a fantastical outline of the doubling of presence that can occur when an actor materializes into a fictional character. Zoë Mendelson’s performance lecture, animation and accompanying objects suggest the cultural construction of disorder - as collagist. A live work emerges, which reflects on the borders of psychopathological attachments to ‘stuff’; psychologies inherent to accumulation; and conscious and unconscious spaces occupied by both object and analysis. -- Anne-Marie Creamer works with cinematic and theatrical forms using digital film, fiction, animation, drawing, written films, filmed staged scenarios, and live voice-over. For Anne-Marie narrative is complexly entangled in place - always underpinned by her interest in the relationship between representation and presence. Her work develops from a tenacious attitude towards research, which coupled with chance, she develops into highly scripted narratives featuring occluded histories that are melancholic but wry, corporeal, often intense. Anne-Marie's work will feature in a forthcoming solo exhibition at the new Foyle Space, Sir John Soane's Museum, London, in 2018. Exhibitions featuring her work include; FRAC Bretagne, France, Exeter Phoenix Galley, Sogn og Fjordane Kunstmuseum Norway, Kunstvereniging Diepenheim, Netherlands. Publications include The Drawing Book, edited by Tania Kovats (Black Dog Publishing, 2006), and The Lost Diagrams of Walter Benjamin, edited by Sharon Kivland and Helen Clarke, (published by MA BIBLIOTHÈQUE and Anagram Books). Anne-Marie works at Central Saint Martins College of Art, University of the Arts London, where she works in the Fine Art department. http://amcreamer.net Zoë Mendelson is an artist and writer with a collagist practice, using collation as a methodological framework for creating networks between psychoanalytic theory, psychotherapeutic practice, spatial theory, fine art and critical practice. Her work includes various forms of writing (fiction and non-fiction), collage, drawing, performance, animation and installation. Zoë’s research engages disorder as a culturally produced phenomenon, in parallel to its clinical counterpart, suggesting its value to knowledge production within Fine Art and critical theory. Zoë has exhibited widely showing works, performing and publishing, nationally and internationally - largely in public spaces (from Fondation Cartier, Paris to Chapter, Cardiff). Her work is also installed permanently (visibly and covertly) in public buildings, such as at Town Hall Hotel, London. Zoë is Pathway Leader for BA Fine Art, Painting at Wimbledon College of Arts, University of the Arts London. She co-curates the network paintingresearch with Geraint Evans. www.zoemendelson.co.u

The Ursinus Weekly, December 4, 1961

Dr. Philip began choral tradition with one hundred voices in \u2738 • Handel\u27s oratorio written in Dublin; German\u27s contemporaries judged his operas best • Wedding present is job well done • Temple psych professor to speak tonight to PSEA • Wide experience, rich talent apply to Thursday\u27s Messiah soloists • Ursinus\u27 24th Messiah hails Christmas season • Who\u27s Who accepts fourteen students • Directors approve insurance policy • Grant, Draeger crowned lord, lady; Griffin named \u2762 permanent prexy • Y executive sees need for more YMCA publicity • Lists posted this week for Christmas banquet • Editorial: Full house; Distributor of the ticket • Latest student concert presents popular pieces • Ursinus in the past • The bear stood up • Syracuse, Miami to battle in third Liberty Bowl game • Mrs. William Ursinus Helfferich \u2793, saluted in Alumni Journal article • Young Republicans show President at summit • Texas take off preparations set for Ursinus\u27 chef • Schedule squeezed for Bowl queen before game day • Community cooperation keynotes Fire Company • Peace Corps information discussed by an interested Ursinus senior • Alpha Psi admits three members • YM-YWCA campus affairs plans bridge tournament • Volleyball intramurals begin with strong entries • Folwell, Shearer captains of 1962 U.C. color guard • Bear basketeers edge Eastern 79-78 as Walt Dryfoos stages scoring spree • Coach to stress speed, substitution for Bear cagers • Rough rebounding, unorthodox moves key to Dryfoos\u27 basketball success • Pi Nu inducts fourteen; Music enthusiasts honored • Greek gleaningshttps://digitalcommons.ursinus.edu/weekly/1306/thumbnail.jp

The Ursinus Weekly, April 24, 1961

Y retreat format includes rustic setting, square dance • Six students join ICG Conference; Bogel a nominee • Church secretary to speak in chapel • Dean Rothenberger lists women\u27s dorm officers • May 5-7 heralds Greek weekend: Buddy Morrow\u27s orchestra opens weekend of dancing, sports, picnics • Curtis Ensemble well received here; Plays difficult pieces proficiently • Juniors ask Ruby Summer delivery • College chaplain haiku authority • Mayes, Moll seek MSGA prexy post • Schellhase announces alumni Spring seminar • Editorial: Curtis String Quartet; MSGA\u27s jurisdiction • Ursinus in the past • Vigil at Fort Detrick • Red China: Whence and whither • Chapel commentary • It\u27s Morgan again; Miler clocks 4:13.3 though team loses to Fords, F&M • Girls\u27 tennis team wins; Men drop initial matches • Siebmen lace Dickinson, Wilkes; Tie Haverford • Pennsylvania offers fine brookies, browns, rainbows • Implications of compromise • Escorts chosen for Spring fete • Meistersingers return; Plan Ursinus concert • The Holy land theme of Lutheran Club meeting • Ursinus alumnus speaks to Beardwood grouphttps://digitalcommons.ursinus.edu/weekly/1340/thumbnail.jp

The Ursinus Weekly, October 23, 1961

Lettinger to lead freshmen; Kelly elected vice-president • Sororities accept sixty new sisters • Two rediscovered works highlight woodwind five\u27s Bomberger performance • Minnich, Weiss win state Young Republican offices • Lawrence calls collegians for press conference: Weekly editor represents Ursinus at Capitol confab • Ursinus to hear Maine\u27s Senator Smith; Receives honorary degree on Founders Day • Efficiency, devotion to duty mark Margaret Chase Smith • Pradervand, Zabarah come to Ursinus from Switzerland, Yemen for studies • President lauds Parents Day; Excellent preparations cited • Editorial: Credit where credit is due • Ursinus in the past • Education by travel • Letters to the editor • 30 yard run breaks Bears backs following 12-6 victory over Wilkes • Hockey lassies remain unbeaten; Defeat Swarthmore, tie Temple girls • Bakermen boot first foes; Lose third tilt to Hens, 2-0 • Hakanson\u27s heft plugs defensive hole; Massachusetts man UC\u27s middle guard • Dean Kellow talks on medical school • Dr. Armstrong organizing second European Tour • German Club members get first-hand Berlin accounthttps://digitalcommons.ursinus.edu/weekly/1301/thumbnail.jp

The Lantern Vol. 28, No. 2, Spring 1961

• A New Bedlam • A Priori • Germ Warfare • Verse for a Sympathy Card • On Lamartine\u27s Crucifix • On Art • Hope • Hymn to the Morning • An Educator Speaks • Come Out • Insemination • A Day\u27s Hope • Laura • Walking Together • 20 September 1960 • 15 October 1960 • The Governor\u27s Dog • One of the Gang • Poem • Knowledge is Freedom • To Conservative Child • Seventeen American Skating Careers at the Zenithhttps://digitalcommons.ursinus.edu/lantern/1080/thumbnail.jp

The Lantern Vol. 27, No. 3, Fall 1960

• Thoughts in DaVinici\u27s Coffeehouse • Kinesiology Class • No One is Named Alistair • The Beat Generation • The Super Highway Blues • Panic and the Mountain Peak • The Lake • Later • Ares • The Light • The Room • Thoughts After Three-Thirty • Critique • There • Organized Religion - Pro • Organized Religion - Con • Longing • Apologies to Francois Villon • The Fortune Teller • At Twilight • The Ledge • Waiting at Evening for the Sky to Fall • In Memory of a Friend • The Gentleman • Consumption • Post-Panegyric • The Everglades • Awareness • The Art of Two-Timing • Meditations of an Egyptologist • Sonnet to Mao Tse-Tung • A Strange Affair • With Us Tonight • The Form in Fronthttps://digitalcommons.ursinus.edu/lantern/1078/thumbnail.jp

The Customary International Law Game

Structural realists in political science and some rationalist legal scholars argue that customary international law cannot affect state behavior: that it is “epiphenomenal.” This article develops a game theoretic model of a multilateral prisoner’s dilemma in the customary international law context that shows that it is plausible that states would comply with customary international law under certain circumstances. Our model shows that these circumstances relate to: (i) the relative value of cooperation versus defection, (ii) the number of states effectively involved, (iii) the extent to which increasing the number of states involved increases the value of cooperation or the detriments of defection, including whether the particular issue has characteristics of a commons problem, a public good, or a network good, (iv) the information available to the states involved regarding compliance and defection, (v) the relative patience of states in valuing the benefits of long-term cooperation compared to short-term defection, (vi) the expected duration of interaction, (vii) the frequency of interaction, and (viii) whether there are also bilateral relationships or other multilateral relationships between the involved states. This model shows that customary international law is plausible in the sense that it may well affect state behavior where certain conditions are met. It shows what types of contexts, including malleable institutional features, may affect the ability of states to produce and comply with customary international law. This article identifies a number of empirical strategies that may be used to test the model

A Very Large Number of GABAergic Neurons Are Activated in the Tuberal Hypothalamus during Paradoxical (REM) Sleep Hypersomnia

We recently discovered, using Fos immunostaining, that the tuberal and mammillary hypothalamus contain a massive population of neurons specifically activated during paradoxical sleep (PS) hypersomnia. We further showed that some of the activated neurons of the tuberal hypothalamus express the melanin concentrating hormone (MCH) neuropeptide and that icv injection of MCH induces a strong increase in PS quantity. However, the chemical nature of the majority of the neurons activated during PS had not been characterized. To determine whether these neurons are GABAergic, we combined in situ hybridization of GAD67 mRNA with immunohistochemical detection of Fos in control, PS deprived and PS hypersomniac rats. We found that 74% of the very large population of Fos-labeled neurons located in the tuberal hypothalamus after PS hypersomnia were GAD-positive. We further demonstrated combining MCH immunohistochemistry and GAD67 in situ hybridization that 85% of the MCH neurons were also GAD-positive. Finally, based on the number of Fos-ir/GAD+, Fos-ir/MCH+, and GAD+/MCH+ double-labeled neurons counted from three sets of double-staining, we uncovered that around 80% of the large number of the Fos-ir/GAD+ neurons located in the tuberal hypothalamus after PS hypersomnia do not contain MCH. Based on these and previous results, we propose that the non-MCH Fos/GABAergic neuronal population could be involved in PS induction and maintenance while the Fos/MCH/GABAergic neurons could be involved in the homeostatic regulation of PS. Further investigations will be needed to corroborate this original hypothesis