A New Supreme Court Case Threatens Another Body Blow to Our Democracy

When the Supreme Court overruled Roe v. Wade, the justices in the majority insisted they were merely returning the issue of abortion to the democratic process. But a case the court has announced it will hear in its October term could make that democratic process a lot less democratic

Use of Empirically Supported Interventions for Psychopathology: Can the Participatory Approach Move Us Beyond the Research-to-Practice Gap?

Dissemination, or distribution, of empirically-supported interventions (ESIs) for psychopathology remains a significant challenge. This paper reviews the principles of community-partnership research (CPR) and explores why CPR might improve distribution of psychological ESIs. Benefits of CPR include building trust, pooling resources and knowledge, and better serving a community by directly involving its members in the design and implementation of research. In addition, after establishing a community’s trust using CPR, researchers are likely to be better positioned to partner with communities in the further distribution of ESIs via community networks. This paper reviews the case of dissonance-based eating disorder prevention interventions to provide an example of how CPR can facilitate the adoption and distribution of an ESI by a community, in this case, sororities. CPR also presents a number of challenges, however, because it is time consuming and does not always align with funding mechanisms and research designs used in randomized controlled trials. Further, CPR does not necessarily solve the challenge of training providers, though it may help with problem solving. Ultimately, we suggest that the benefits of CPR far outweigh the challenges, and hope that more researchers will adopt these practices so that more individuals can benefit from empirically supported psychological interventions

Data and the Economist

Economists

Reduced Genetic Variation in Populations of Black Cherry (Prunus serotina subsp. serotina, Rosaceae) at Its Western Range Limit in Kansas

Citation: Beck, J. B., Ferguson, C. J., Mayfield, M. H., & Shaw, J. (2015). Reduced Genetic Variation in Populations of Black Cherry (Prunus serotina subsp. serotina, Rosaceae) at Its Western Range Limit in Kansas. Northeastern Naturalist, 21(3), 472-478. doi:10.1656/045.021.0313We compared genetic variation at five nuclear simple sequence repeat loci between three populations of Black Cherry (Prunus serotina subsp. serotina) at the edge of its western range in Kansas to four populations from within the range interior. Although within-population expected heterozygosity did not differ between edge and core populations, allelic richness was significantly lower in the edge populations. This finding is consistent with a loss of rare alleles due to genetic drift in demographically unstable edge populations

Analysis of Emergency Department Use In Maine: A Study Conducted on Behalf of the Emergency Department Use Work Group of the Maine Advisory Council on Health System Development

This report presents additional statewide analysis of emergency department (ED) utilization and also the results of a comparative analysis of six health service areas in Maine, three selected for above average rates of emergency department visits, and three selected for below average rates of emergency department visits

A Retrospective Descriptive Study of Stat TPN Orders in the Neonatal Intensive Care Unit

BACKGROUND: Total parenteral nutrition (TPN) is used in the Neonatal Intensive Care Unit (NICU) to meet metabolic demand and provide growth. To prevent harm from critical laboratory abnormalities, stat TPNs can be ordered urgently to change the content of infusing TPN. Each stat order breaks the daily cycle and often leads to additional stat orders. Limited supplies of ingredients brought focus on our liberal stat TPN policy and how to reduce the number of stat TPNs safely. The purpose of this project was to evaluate biochemical abnormalities associated with stat TPNs and identify leverage points to reduce stat TPNs in NICU patients. METHODS: Data from 1/1/10 to 6/30/10 were abstracted from Meditech, NeoData, and patient charts for NICU stat TPN orders. Demographics, laboratory results (sodium, potassium, calcium, and glucose), and key variables were gathered and critical laboratory values were identified. RESULTS: A total of 112 patients had evaluable orders for 255 stat TPNs. Mean gestation was 31 weeks (SD = 5) and birth weight was 1.744 kg (SD = 0.993). Seven (3%) were never infused. Twenty (12.6%) of first stat TPNs were from patients taking nothing by mouth. Eighty-eight of first stat TPNs had no critical labs (55% of initial stat TPNs). Of follow-up stat orders, 43% (38/89) followed unnecessary initial stat TPNs. Of the 55 abnormalities that generated the initial stat TPNs, 44 (80%) corrected. CONCLUSIONS: Fifty-two percent of stat TPNs could not be justified. For situations that were justified, 20% of laboratory abnormalities from initial stat TPNs were not corrected. These data provide an opportunity to reduce unnecessary costs and save limited resources