Search

Search Results

• 1. [Article] Towards Gender-Equitable Small-Scale Fisheries and Markets in Solomon Islands

  Suggested Bibliographic Reference: Challenging New Frontiers in the Global Seafood Sector: Proceedings of the Eighteenth Biennial Conference of the International Institute of Fisheries Economics and Trade, ...

  Citation × Citation Citation Abstract Copy Title: Towards Gender-Equitable Small-Scale Fisheries and Markets in Solomon Islands Author: Barclay, Kate, Payne, Anne Maree, Senoveva, Mauli Year: 2016 Suggested Bibliographic Reference: Challenging New Frontiers in the Global Seafood Sector: Proceedings of the Eighteenth Biennial Conference of the International Institute of Fisheries Economics and Trade, July 11-15, 2016. Compiled by Stefani J. Evers and Ann L. Shriver. International Institute of Fisheries Economics and Trade (IIFET), Corvallis, 2016. Title: Towards Gender-Equitable Small-Scale Fisheries and Markets in Solomon Islands Author: Barclay, Kate, Payne, Anne Maree, Senoveva, Mauli Year: 2016 Suggested Bibliographic Reference: Challenging New Frontiers in the Global Seafood Sector: Proceedings of the Eighteenth Biennial Conference of the International Institute of Fisheries Economics and Trade, July 11-15, 2016. Compiled by Stefani J. Evers and Ann L. Shriver. International Institute of Fisheries Economics and Trade (IIFET), Corvallis, 2016. Close

• 2. [Article] Association of Prescription Drug Monitoring Program Use with Opioid Prescribing and Health Outcomes: a Comparison of Program Users and Non-Users

  Prescription drug monitoring programs (PDMPs) are a response to the prescription opioid epidemic, but their impacts on prescribing and health outcomes remain unclear, with conflicting reports. We sought ...

  Citation × Citation Citation Abstract Copy Title: Association of Prescription Drug Monitoring Program Use with Opioid Prescribing and Health Outcomes: a Comparison of Program Users and Non-Users Author: Deyo, Richard A., Hallvik, Jody, Hildebran, Christi, Marino, Miguel, Springer, Rachel, Irvine, Jessica M., O'Kane, Nicole, Otterloo, Joshua Van, Wright, Dagan A., Leichtling, Gillian, Millet, Lisa M., Carson,, Wakeland, Wayne Year: 2017 Prescription drug monitoring programs (PDMPs) are a response to the prescription opioid epidemic, but their impacts on prescribing and health outcomes remain unclear, with conflicting reports. We sought to determine if prescriber use of Oregon's prescription drug monitoring program (PDMP) led to fewer high-risk opioid prescriptions or overdose events. We conducted a retrospective cohort study from October, 2011 through October, 2014, using statewide PDMP data, hospitalization registry, and vital records.Early PDMP registrants (n=927) were matched with clinicians who never registered during the study period, using baseline prescribing metrics in a propensity score. Generalized estimating equations were used to examine prescribing trends following PDMP registration, using 2-month intervals. We found a statewide decline in measures of per capita opioid prescribing. However, compared with non-registrants, PDMP registrants did not subsequently have significantly fewer patients receiving high-dose prescriptions; overlapping opioid and benzodiazepine prescriptions, inappropriate prescriptions, prescriptions from multiple prescribers, or overdose events. At baseline, frequent PDMP users wrote fewer high-risk opioid prescriptions than infrequent users; this persisted during follow-up with few significant group differences in trend. Thus, although opioid prescribing declined statewide after implementing the PDMP, registrants did not demonstrate greater declines than non-registrants. Title: Association of Prescription Drug Monitoring Program Use with Opioid Prescribing and Health Outcomes: a Comparison of Program Users and Non-Users Author: Deyo, Richard A., Hallvik, Jody, Hildebran, Christi, Marino, Miguel, Springer, Rachel, Irvine, Jessica M., O'Kane, Nicole, Otterloo, Joshua Van, Wright, Dagan A., Leichtling, Gillian, Millet, Lisa M., Carson,, Wakeland, Wayne Year: 2017 Prescription drug monitoring programs (PDMPs) are a response to the prescription opioid epidemic, but their impacts on prescribing and health outcomes remain unclear, with conflicting reports. We sought to determine if prescriber use of Oregon's prescription drug monitoring program (PDMP) led to fewer high-risk opioid prescriptions or overdose events. We conducted a retrospective cohort study from October, 2011 through October, 2014, using statewide PDMP data, hospitalization registry, and vital records.Early PDMP registrants (n=927) were matched with clinicians who never registered during the study period, using baseline prescribing metrics in a propensity score. Generalized estimating equations were used to examine prescribing trends following PDMP registration, using 2-month intervals. We found a statewide decline in measures of per capita opioid prescribing. However, compared with non-registrants, PDMP registrants did not subsequently have significantly fewer patients receiving high-dose prescriptions; overlapping opioid and benzodiazepine prescriptions, inappropriate prescriptions, prescriptions from multiple prescribers, or overdose events. At baseline, frequent PDMP users wrote fewer high-risk opioid prescriptions than infrequent users; this persisted during follow-up with few significant group differences in trend. Thus, although opioid prescribing declined statewide after implementing the PDMP, registrants did not demonstrate greater declines than non-registrants. Close

• 3. [Article] Age-related differences in adaptive decision making: Sensitivity to expected value in risky choice

  9 pages

  Citation × Citation Citation Abstract Copy Title: Age-related differences in adaptive decision making: Sensitivity to expected value in risky choice Author: Levin, Irwin, Weller, Joshua, Pederson, Ashley, Harshman, Lyndsay Year: 2017, 2007 9 pages Title: Age-related differences in adaptive decision making: Sensitivity to expected value in risky choice Author: Levin, Irwin, Weller, Joshua, Pederson, Ashley, Harshman, Lyndsay Year: 2017, 2007 9 pages Close

• 4. [Article] Antimicrobial-Resistant Infections Among Postpartum Women at a Ugandan Referral Hospital

  Introduction Puerperal sepsis causes 10% of maternal deaths in Africa, but prospective studies on incidence, microbiology and antimicrobial resistance are lacking. Methods We performed a prospective cohort ...

  Citation × Citation Citation Abstract Copy Title: Antimicrobial-Resistant Infections Among Postpartum Women at a Ugandan Referral Hospital Author: Bebell, Lisa M., Ngonzi, Joseph, Bazira, Joel, Fajardo, Yarine, Boatin, Adeline A., Siedner, Mark J., Bassett, Ingrid V., Nyehangane, Dan, Nanjebe, Deborah, van Geertruyden, Jean-Pierre, Mwanga-Amumpaire, Juliet, Bangsberg, David R., Riley, Laura E., Boum, Yap, II Year: 2017 Introduction Puerperal sepsis causes 10% of maternal deaths in Africa, but prospective studies on incidence, microbiology and antimicrobial resistance are lacking. Methods We performed a prospective cohort study of 4,231 Ugandan women presenting to a regional referral hospital for delivery or postpartum care, measured vital signs after delivery, performed structured physical exam, symptom questionnaire, and microbiologic evaluation of febrile and hypothermic women. Malaria rapid diagnostic testing, blood and urine cultures were performed aseptically and processed at Epicentre Mbarara Research Centre. Antimicrobial susceptibility and breakpoints were determined using disk diffusion per EUCAST standards. Hospital diagnoses, treatments and outcomes were abstracted from patient charts. Results Mean age was 25 years, 12% were HIV-infected, and 50% had cesarean deliveries. Approximately 5% (205/4176) with ≥1 temperature measurement recorded developed postpartum fever or hypothermia; blood and urine samples were collected from 174 (85%), and 17 others were evaluated clinically. Eighty-four (48%) had at least one confirmed source of infection: 39% (76/193) clinical postpartum endometritis, 14% (25/174) urinary tract infection (UTI), 3% (5/174) bloodstream infection. Another 3% (5/174) had malaria. Overall, 30/174 (17%) had positive blood or urine cultures, and Acinetobacter species were the most common bacteria isolated. Of 25 Gram-negatives isolated, 20 (80%) were multidrug-resistant and cefepime non-susceptible. Conclusions For women in rural Uganda with postpartum fever, we found a high rate of antibiotic resistance among cultured urinary and bloodstream infections, including cephalosporin-resistant Acinetobacter species. Increasing availability of microbiology testing to inform appropriate antibiotic use, development of antimicrobial stewardship programs, and strengthening infection control practices should be high priorities. Title: Antimicrobial-Resistant Infections Among Postpartum Women at a Ugandan Referral Hospital Author: Bebell, Lisa M., Ngonzi, Joseph, Bazira, Joel, Fajardo, Yarine, Boatin, Adeline A., Siedner, Mark J., Bassett, Ingrid V., Nyehangane, Dan, Nanjebe, Deborah, van Geertruyden, Jean-Pierre, Mwanga-Amumpaire, Juliet, Bangsberg, David R., Riley, Laura E., Boum, Yap, II Year: 2017 Introduction Puerperal sepsis causes 10% of maternal deaths in Africa, but prospective studies on incidence, microbiology and antimicrobial resistance are lacking. Methods We performed a prospective cohort study of 4,231 Ugandan women presenting to a regional referral hospital for delivery or postpartum care, measured vital signs after delivery, performed structured physical exam, symptom questionnaire, and microbiologic evaluation of febrile and hypothermic women. Malaria rapid diagnostic testing, blood and urine cultures were performed aseptically and processed at Epicentre Mbarara Research Centre. Antimicrobial susceptibility and breakpoints were determined using disk diffusion per EUCAST standards. Hospital diagnoses, treatments and outcomes were abstracted from patient charts. Results Mean age was 25 years, 12% were HIV-infected, and 50% had cesarean deliveries. Approximately 5% (205/4176) with ≥1 temperature measurement recorded developed postpartum fever or hypothermia; blood and urine samples were collected from 174 (85%), and 17 others were evaluated clinically. Eighty-four (48%) had at least one confirmed source of infection: 39% (76/193) clinical postpartum endometritis, 14% (25/174) urinary tract infection (UTI), 3% (5/174) bloodstream infection. Another 3% (5/174) had malaria. Overall, 30/174 (17%) had positive blood or urine cultures, and Acinetobacter species were the most common bacteria isolated. Of 25 Gram-negatives isolated, 20 (80%) were multidrug-resistant and cefepime non-susceptible. Conclusions For women in rural Uganda with postpartum fever, we found a high rate of antibiotic resistance among cultured urinary and bloodstream infections, including cephalosporin-resistant Acinetobacter species. Increasing availability of microbiology testing to inform appropriate antibiotic use, development of antimicrobial stewardship programs, and strengthening infection control practices should be high priorities. Close