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Full-Text Articles in Health Law and Policy

“You Do It Without Their Knowledge”: Is Nonconsensual Comdom Removal The New Public Health Emergency?, Marwa Awad Mohamed Jun 2019

“You Do It Without Their Knowledge”: Is Nonconsensual Comdom Removal The New Public Health Emergency?, Marwa Awad Mohamed

Electronic Theses, Projects, and Dissertations

Background: Sexual consent is often defined as the voluntary agreement to participate in a sexual act, though the differing definitions across and within countries make legal consensus difficult. In recent years, due to popularization through social media, nonconsensual condom removal, termed stealthing, is becoming common, especially among young adults. Yet, little to no empirical evidence exists on this sexual behavior.

Methods: In this exploratory sequential mixed methods approach, we aimed to address the current perception of stealthing among young adults. College students were recruited from general education courses at a medium-sized four- year public university. Focus groups were conducted to ...


Clinical Decision Making: A Case Study Of The Effects Of Evidence Based Medicine And Past Empirical Experience In The Emergency Department, Olivia Zeman-Renner May 2019

Clinical Decision Making: A Case Study Of The Effects Of Evidence Based Medicine And Past Empirical Experience In The Emergency Department, Olivia Zeman-Renner

Theses/Capstones/Creative Projects

With a growing number of medical malpractice suits and the passage of policy that focuses on patient advocacy, an emphasis has been placed on research regarding the decision-making processes of physicians in everyday practices. Over the past decades, scholars have looked to specific clinical decision-making philosophies, how they can be implemented into practice, and the effects of such implementation, but little research has been done into the culmination of decision-making philosophies on a day-to-day basis. By focusing on single-case study of a Midwestern Emergency Department and asking Attending physicians to self-report their decision-making philosophies, this study serves as a transition ...


Extending Our Promise: Providing Help To Mentally Ill Accused As Soon As Practicable, Cassandra Demelo Apr 2019

Extending Our Promise: Providing Help To Mentally Ill Accused As Soon As Practicable, Cassandra Demelo

Electronic Thesis and Dissertation Repository

This thesis examines the current state of the criminal law’s interaction with mentally ill persons, with a specific interest in this interaction during pre-trial phases such as arrest and bail. It argues that the current provisions in the Criminal Code of Canada that allow for limited instances of pre-trial mental health assessments for adults are insufficient. The current options, including assessments to determine “not criminally responsible for reasons of mental disorder” or “fitness”, are not applicable in many situations. Other options available to accused outside of the Criminal Code are also lacking, as they are limited to the Mental ...


Exploring Locus Of Control In Offender Cognition And Recidivism Paradigms, Anistasha Lightning, Danielle Polage Jan 2019

Exploring Locus Of Control In Offender Cognition And Recidivism Paradigms, Anistasha Lightning, Danielle Polage

All Master's Theses

Working with four Washington State county jails to administer surveys to currently incarcerated inmates, we investigated locus of control and beliefs in the likelihood of continued legal involvement as possible antecedents to criminal recidivism. The surveys examined whether there was any connection between legal involvement frequency and the externalization of locus of control. We investigated external locus of control with specific respect to involvement with the law, the prospect of future incarceration, and feelings concerning the overall cause of original and/or sustained legal involvement utilizing the Revised Causal Dimension Scale (McAuley, Duncan, & Russell, 1992). We identified statistically significant interactions ...


Seguridad Alimentaria En Colombia: Una Propuesta Para La Sostenibilidad De La Política De Seguridad Alimentaria Y Nutricional (Psan), Paola Andrea Méndez Cotrino Jan 2019

Seguridad Alimentaria En Colombia: Una Propuesta Para La Sostenibilidad De La Política De Seguridad Alimentaria Y Nutricional (Psan), Paola Andrea Méndez Cotrino

Maestría en Estudios y Gestión del Desarrollo – MEGD

Colombia ha trabajado en la construcción de políticas alimentarias que respondan a una definición holística de la Seguridad Alimentaria y de sus componentes. Aunque la vigente Política de Seguridad Alimentaria y Nutricional (PSAN) es ambiciosa, la inseguridad alimentaria persiste, las enfermedades asociadas a la alimentación son comunes entre la población colombiana y el sistema alimentario tiene problemas estructurales que impiden su óptimo funcionamiento. De forma paralela, el Desarrollo Sostenible se ha configurado como una apuesta de gobernanza del desarrollo a escala global, a través de un modelo en el que convergen actores e intereses de diversa naturaleza. Teniendo cuenta estos ...


An Analysis And Critique Of Mental Health Treatment In American State Prisons And Proposal For Improved Care, Shelby Hayne Jan 2019

An Analysis And Critique Of Mental Health Treatment In American State Prisons And Proposal For Improved Care, Shelby Hayne

Scripps Senior Theses

Mental health treatment in state prisons is revealed to be highly variable, under-funded, and systematically inadequate. Existing literature exposes this injustice but fails to provide a comprehensive proposal for reform. This paper attempts to fill that gap, outlining a cost-effective, evidence-based treatment proposal, directly addressing the deficits in care revealed through analysis of our current system. In addition, this paper provides historical overviews of the prison system and mental health treatment, utilizing theoretical perspectives to contextualize this proposal in the present state of affairs. Lastly, the evidence is provided to emphasize the potential economic and social benefits of improving mental ...


Bill To Restrict Indoor Tanning For Minors In The State Of Maine, Jamie M. Lowery Jan 2019

Bill To Restrict Indoor Tanning For Minors In The State Of Maine, Jamie M. Lowery

DNP Scholarly Projects

Background: Melanoma is the deadliest and the most common type of cancer in individuals age 15 to 29. Evidence has shown that ultraviolet radiation overexposure at younger ages significantly increases the risk of developing non-melanoma and melanoma skin cancer in later years. Despite these concerns, approximately 1.6 million minors under the age of 18 participate in the use of indoor tanning devices annually. The high prevalence of skin cancer in the United States continues to be a public health issue that warrants continued preventative and regulatory action. In spite of the health risks associated with indoor tanning, the state ...


Pobreza Multidimensional En El Pacífico Colombiano 2010 - 2016, Lizeth Dayana Manzano Murillo, Laura Antonia Maturana Cifuentes Jan 2019

Pobreza Multidimensional En El Pacífico Colombiano 2010 - 2016, Lizeth Dayana Manzano Murillo, Laura Antonia Maturana Cifuentes

Economía

La pobreza es un fenómeno presente en muchos países de mundo, y un problema prioritario en las políticas de desarrollo económico y social, por lo que se hace pertinente estudiarla de manera rigurosa, analizando sus determinantes, y sus vínculos con los diferentes factores socioeconómicos de la población. Como bien se sabe, el Pacífico Colombiano es la región más pobre del país; cuenta con el menor ingreso per cápita, y elevadas tasas de pobreza monetaria y multidimensional. El objetivo de esta monografía de grado es analizar la pobreza en el Pacífico Colombiano, considerando la aproximación multidimensional, implementando de manera detallada la ...


Adapting To $15: As The Minimum Wage Approaches $15 In Nyc, Business Owners Are Finding Ways To Make It Work, Alexandra Semenova, Sharif Paget Dec 2018

Adapting To $15: As The Minimum Wage Approaches $15 In Nyc, Business Owners Are Finding Ways To Make It Work, Alexandra Semenova, Sharif Paget

Capstones

This project examines the impact of minimum wage increases across major industries in New York City and State and concludes they have been manageable and even fueled broader economic growth. Since the incremental wage hikes were first signed into law in 2015, data and anecdotal evidence has shown business owners have been able to make it work and many of critics' concerns that the higher labor costs would lead to disemployment have been misplaced. The story provides an in-depth analysis of how restaurant and food establishments, health care and retail employers have adapted to higher labor costs by innovating their ...


Integration Of Complementary And Alternative Medicine Into The Healthcare System In The United States, Nikki Lu May 2018

Integration Of Complementary And Alternative Medicine Into The Healthcare System In The United States, Nikki Lu

Global Honors Theses

Chronic diseases are a prevalent issue around the world and chronic diseases are hard to prevent due to various systemic factors in the healthcare system. This paper mainly focused on socioeconomic issues and highlighted a few systemic factors in the US healthcare system. These factors have created various health disparities, inequities among socially constructed groups, and financial expenditures in the US healthcare system. Socioeconomic factors significantly impact the health and healthcare among socially constructed groups. Additionally, in this paper there are current approaches in addressing these healthcare factors such as social determinants of health and precision medicine as well as ...


Identifying The Newly Insurable Medicaid Coverage Gap Population Under The Affordable Care Act: Who They Are And Where They Live, Samuel L. Woodruff May 2018

Identifying The Newly Insurable Medicaid Coverage Gap Population Under The Affordable Care Act: Who They Are And Where They Live, Samuel L. Woodruff

Capstone Experience

The goal of this Capstone Project is to better define and geographically locate the potential distribution of individuals who fall within the current Medicaid Coverage Gap and those populations who would be eligible for Medicaid under the expansion of Medicaid within the state of Nebraska. Using data from multiple United States Census Bureau sources, along with available data from the Health Resources and Services Administration (HRSA), this project looks to also locate populations of these individuals that may live within established Medically Underserved Areas (MUA's) or Health Professional Shortage Areas (HPSA's) within the state. American Community Survey 5-year ...


Concussion Protocols For Youth Sport In Tennessee, Corinne C. Oliphant May 2018

Concussion Protocols For Youth Sport In Tennessee, Corinne C. Oliphant

Chancellor’s Honors Program Projects

No abstract provided.


Accessing The Right To Choose: Factors Predicting The Enactment Of State-Level Abortion Clinic Access Laws, Hannah Gourdie May 2018

Accessing The Right To Choose: Factors Predicting The Enactment Of State-Level Abortion Clinic Access Laws, Hannah Gourdie

Undergraduate Honors Theses

During the 1980s and 1990s, anti-abortion violence and harassment targeted at reproductive health clinics spiked in response to religious and political mobilization around the national decriminalization of abortion. To combat violence, harassment, and mass protests at clinics, 16 states and DC enacted abortion clinic access laws. These laws typically prohibit certain activities, such as obstruction and vandalism, and some create no-protest buffer zones that restrict clinic protests. Most research on clinic access laws concentrates on how these laws affect levels of anti-abortion violence and disruption targeted at clinics. Other literature focuses on the tensions between pro-life speech and privacy/abortion ...


Evaluation Of The Associations Between Unplanned Readmissions And The Lace Index And Other Variables, Cathy Stankiewicz, Dnp, Msn, Rn Apr 2018

Evaluation Of The Associations Between Unplanned Readmissions And The Lace Index And Other Variables, Cathy Stankiewicz, Dnp, Msn, Rn

Doctor of Nursing Practice Projects

Background: Unplanned readmissions, within 30 days following an inpatient hospital admission, are common and costly. Research has identified factors that predict readmissions, and predictive algorithms, such as the LACE index, have been studied and widely adopted by hospitals despite demonstrated variability in predictive ability.

Objectives: To examine the associations between unplanned readmissions and the LACE index, and other variables that reflect patient- and encounter-level factors not currently incorporated in the LACE index.

Methods: A retrospective analysis was conducted utilizing data from electronic health records of inpatients discharged from a large quaternary hospital located in the southeastern United States between January ...


The Constitutionality Of Restrictions On Recreational Cannabis Advertising: Balancing Public Health And Freedom Of Expression, Melanie L. Mcphail Dec 2017

The Constitutionality Of Restrictions On Recreational Cannabis Advertising: Balancing Public Health And Freedom Of Expression, Melanie L. Mcphail

Electronic Thesis and Dissertation Repository

On April 20, 2016, Health Minister Jane Philpott announced that legislation legalizing recreational marijuana would be introduced in Spring 2017, with the goal of keeping marijuana out of the hands of children and profit out of the hands of criminals. Bill C-45, An Act Respecting Cannabis passed the second reading in the House of Commons, and contains restrictions on advertising cannabis, with a few exceptions. Advertising is recognized as a protected form of expression under the Charter of Rights and Freedoms, so if the government infringes on this right, they must be able to prove that it is justified in ...


Caring For Humanity: Non-Profit Elderly Law, Sierra Samp Dec 2017

Caring For Humanity: Non-Profit Elderly Law, Sierra Samp

Capstone Projects and Master's Theses

This Capstone was an internship that focused on care in Humanity at Legal Services for Seniors. There is a journal that includes the observations of care in the law office. I focus on how attorneys care for each clients humanness while they are working on their cases. Attorneys may be doing work that can be quite intimidating, but the care they give is quite extraordinary.


The Fight Against Breast Cancer: A Policy And Programmatic Approach, Nandi Robinson Aug 2017

The Fight Against Breast Cancer: A Policy And Programmatic Approach, Nandi Robinson

Master's Projects and Capstones

Abstract

Breast cancer continues to remain a significant health issue for women. Previously thought to only occur among postmenopausal women, breast cancer has impacted women of different ages; and rates of breast cancer have various impacts among different ethnic groups. For women living in a toxic environment, many of them have become the new wave of breast cancer cases. Screening and detection have succeeded in decreasing mortality rates. However, more research is needed in finding an efficient method of treatment. In the effort to assist in the fight against breast cancer through a policy and programmatic angle, I am fulfilling ...


A Cross-Sectional Exploration Of Household Financial Reactions And Homebuyer Awareness Of Registered Sex Offenders In A Rural, Suburban, And Urban County., John Charles Navarro Aug 2017

A Cross-Sectional Exploration Of Household Financial Reactions And Homebuyer Awareness Of Registered Sex Offenders In A Rural, Suburban, And Urban County., John Charles Navarro

Electronic Theses and Dissertations

As stigmatized persons, registered sex offenders betoken instability in communities. Depressed home sale values are associated with the presence of registered sex offenders even though the public is largely unaware of the presence of registered sex offenders. Using a spatial multilevel approach, the current study examines the role registered sex offenders influence sale values of homes sold in 2015 for three U.S. counties (rural, suburban, and urban) located in Illinois and Kentucky within the social disorganization framework. Homebuyers were surveyed to examine whether awareness of local registered sex offenders and the homebuyer’s community type operate as moderators between ...


Public Company Health Insurers And Medical Loss Ratios: An Event Study Of Dates Associated With The Affordable Care Act, Rachelle Quinn Mar 2017

Public Company Health Insurers And Medical Loss Ratios: An Event Study Of Dates Associated With The Affordable Care Act, Rachelle Quinn

Doctor of Business Administration (DBA)

The Affordable Care Act (ACA) has proved to be a contentious regulatory and political topic. Although key features were established within the law the complexity of the new provisions and political opposition resulted in a series of federal and state governmental process changes, rule clarifications, and legal challenges. One component of the ACA is the introduction of a federal Medical Loss Ratio (MLR), which requires insurers to spend specified percentages of their premium revenue dollars on medical services and quality improvement actions. If thresholds are not met, insurers must refund premiums to their members, potentially removing millions of dollars from ...


Patient Outcomes And Managed Care: What Was The Impact Of The State Regulatory Backlash?, Tina C. Highfill Jan 2017

Patient Outcomes And Managed Care: What Was The Impact Of The State Regulatory Backlash?, Tina C. Highfill

Theses and Dissertations

Hundreds of state regulations were passed during the “managed care backlash” of the late 1990s and early 2000s. Many of these anti-managed care regulations eased or eliminated constraints on patient utilization of health care services imposed by managed care organizations. Other regulations gave managed care providers more flexibility in the way they practiced care or helped patients appeal denials of claims. Despite the effort undertaken to pass these regulations, limited research exists on whether the regulations achieved their goal. To fill this gap, this study takes advantage of the variety of regulations enacted during the managed care backlash of the ...


Mental Health Parity Legislation (2008-2015): Effects On Mental Health Outcomes, Tyler Shearer Jan 2017

Mental Health Parity Legislation (2008-2015): Effects On Mental Health Outcomes, Tyler Shearer

Honors Theses at the University of Iowa

Mental health parity legislation has gone through a series of distinct iterations each resulting in more strict regulations being placed on insurance providers in order to ensure equality of access to mental health treatment. Parity, by requiring that health insurance plans offer the same coverage and benefits for physical and mental ailments, attempts to expand both coverage and access. From 2008-2015 two distinct federal mental health parity laws were implemented from the Mental Health Parity and Addiction Equality Act to the Affordable Care Act’s essential health benefits package. Alongside these reforms, states responded in kind implementing, expanding, or neglecting ...


The Process Of Reclaiming Tribal Sovereignty Through Healthcare Autonomy, Karolina A. Serhan Jan 2017

The Process Of Reclaiming Tribal Sovereignty Through Healthcare Autonomy, Karolina A. Serhan

Honors Theses

This honors thesis explores the complex interplay between health status, healthcare, and tribal sovereignty among native communities in the United States. These relationships are explored through analyzing the paradoxical and condescending nature of the Federal Trust Responsibility in relation to government-organized healthcare programs for natives. In establishing this relationship, the thesis goes on to illustrate how native communities have effectively fought to regain sovereignty through reclaiming autonomy of their healthcare systems through the use of the 1975 Indian Self-Determination and Education Assistance Act. The impact of tribal-led healthcare systems is further explored through an in-depth case study conducted regarding the ...


The Limits Of Accessibility Under The Affordable Care Act, Nimrah H. Imam Jan 2017

The Limits Of Accessibility Under The Affordable Care Act, Nimrah H. Imam

Scripps Senior Theses

The Patient Protection and Affordable Care Act (ACA) aimed to increase accessibility to medical resources for those previously uninsured. Certainly, the ACA has expanded insurance to millions of Americans, however, the evidence and discourse surrounding health accessibility calls into question why, despite the growth of insured Americans, the increase in health insurance coverage under the ACA has not lead to greater accessibility for low income minorities. I propose that disparities in preventive care, the emergency room, and primary care provider services stand as barriers for low income minorities. Insurance coverage does not necessarily equate to greater accessibility if individuals do ...


Quality Of Death People With Terminal Illnesses Are Turning To An Age-Old Method To End It All: Self-Starvation, Kazi E. Awal, Alyssa Pagano Dec 2016

Quality Of Death People With Terminal Illnesses Are Turning To An Age-Old Method To End It All: Self-Starvation, Kazi E. Awal, Alyssa Pagano

Capstones

Voluntarily stopping eating and drinking (VSED) is getting more attention in the medical community. Though physician assisted dying legislation passed in two more states in 2016--there are now 7 states where it is legal--the practice, where doctors prescribe a lethal dose of sedatives so that terminally ill patients can end their own lives, is inaccessible to many. But fasting to death is a way for patients suffering from terminal illnesses or other debilitating diseases to end their lives on their own terms that is legal everywhere. As extreme as it sounds, research shows the process can be made comfortable with ...


Increasing Access To Primary Care Using Np’S: The Framework For An Academic Based Nurse-Managed Center In California, Prabjot (Jodie) Sandhu May 2016

Increasing Access To Primary Care Using Np’S: The Framework For An Academic Based Nurse-Managed Center In California, Prabjot (Jodie) Sandhu

Doctor of Nursing Practice (DNP) Projects

The dynamics of health care delivery and the role of health care providers is a changing canvas in the United States. The implementation of the Affordable Care Act (ACA), sets a goal to increase access to health care. The systems that support the ACA are constantly under scrutiny as failing to provide key answers to provider shortage and health care access issues. Nurse Practitioners (NPs) who are recognized by the ACA as a comprehensive part of this revolution are in a unique place to find opportunities to promote increased access to health and primary care services. While NPs in California ...


The Crazy Quilt Of Laws: Bringing Uniformity To Surrogacy Laws In The United States, Makenzie B. Russo Apr 2016

The Crazy Quilt Of Laws: Bringing Uniformity To Surrogacy Laws In The United States, Makenzie B. Russo

Senior Theses and Projects

Modern technology and innovative procedures have opened the possibility of parenthood to a variety of people who can’t have children of their own—single people, people with medical issues or infertility problems, same-sex couples and other nontraditional families. The demand has spawned a proliferation of new businesses, including fertility clinics, surrogacy agencies, and online brokers specializing in matching Indian- or Ukrainian-based surrogates for prospective parents who have been confronted with surrogacy in the U.S. being either unaffordable or illegal in their home state. Since the 1980s, surrogacy has swept the nation and helped thousands of individuals realize their ...


Conscience Collisions: The Search For Public Policy Solutions To The Problem Of Doctrine In Medicine, Christina M. Claxton Apr 2016

Conscience Collisions: The Search For Public Policy Solutions To The Problem Of Doctrine In Medicine, Christina M. Claxton

Senior Theses and Projects

No abstract provided.


A Feuding House: An Examination Of The Causes And Effects Of The Decline Of Bipartisanship In The United States Congress, Aaron Jackson Horner Jan 2016

A Feuding House: An Examination Of The Causes And Effects Of The Decline Of Bipartisanship In The United States Congress, Aaron Jackson Horner

Undergraduate Honors Theses

Excerpt from Introduction

In October of 2016, a Gallup poll reported that Congress had an approval rating of 18%.[1] Compared to the President’s approval rating, Congress is seen as ineffective and too bipartisan for many Americans. While there has always been a natural tension between the opposing parties, it has magnified within recent years. Within Congress itself, many members are seeing their political opposition even more unfavorably today than their counterparts did two decades ago. Carol Doherty of the Pew Research Center claims that it is the “intensity of negativity that’s increased.”[2] The 2008 election marked ...


Neuroimaging And Jury Decision Making: In Defense Of The Defense?, Alana A. Snyder Jan 2016

Neuroimaging And Jury Decision Making: In Defense Of The Defense?, Alana A. Snyder

Williams Honors College, Honors Research Projects

Neurobiological evidence in the form of brain scans (MRI images, PET images, etc.) is being introduced with increasing frequency in the courtroom as potentially mitigating evidence in criminal cases as part of an attempt to show regions of neurological abnormality affecting a defendant’s decision-making or emotional control. Empirical studies have shown two biases associated with the presentation of such evidence. One of these biases resides in that laypeople’s interpretation of such evidence may be weighted too heavily towards scientific fact – as is DNA evidence – rather than an association between a specific crime, and a brain region and its ...


Financial Implications Of The Medicaid Expansion For Academic Medical Centers, Madeleine Oritt Jan 2016

Financial Implications Of The Medicaid Expansion For Academic Medical Centers, Madeleine Oritt

MPA/MPP Capstone Projects

On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (ACA), with the goal of reforming the United States health care system and providing insurance for millions of uninsured citizens and residents. One component of the legislation was the expansion of Medicaid eligibility, which would extend to include all individuals “under age 65 whose family income is at or below 138 percent of the federal poverty guidelines ($14,484 for an individual and $29,726 for a family of four in 2011)” (NCSL, 2015). This provision was challenged in the United States Supreme Court ...