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Vesely, Randall S. "Ohio". Journal of Education Human Resources 41, S1 (1 de setembro de 2023): 101–4. http://dx.doi.org/10.3138/jehr-2023-0046.
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Primary and secondary education Ohio public school funding for FY2022 and FY2023 is estimated at $11.4 billion in FY2022, the first year of the state’s biennium budget (a $518.7 million increase), and is estimated at $11.65 billion in FY2023, the second year of the state budget (a $255.6 million increase), representing approximately $1.3 billion in new state spending during the biennium. The General elief Fund (GRF) portion of these appropriations is $8.27 billion in FY2022 and $8.45 billion in FY2023. This represents growth of $389.9 million, or 4.9%, in FY2022, and another $175.5 million, or 2.1%, in FY2023. Lottery appropriations exceed $1.3 billion in both fiscal years. State education spending in this biennium represents the largest commitment of state appropriations. Much of this money is distributed through a new foundation funding formula.
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Glon, Mael G., Laura S. Hughes, Heather E. Glon, Kelly M. Capuzzi, Zachary J. Loughman e Roger F. Thoma. "First Record of the Blue Crawfish, Cambarus monongalensis Ortmann, 1905 (Decapoda: Cambaridae), from Ohio, USA". Ohio Journal of Science 120, n.º 2 (17 de setembro de 2020): 57. http://dx.doi.org/10.18061/ojs.v120i2.7693.
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This paper documents the first record of the blue crawfish, Cambarus monongalensis Ortmann, 1905, in the state of Ohio, United States. The blue crawfish is a small- to medium-sized primary burrowing crayfish common in western Pennsylvania and West Virginia. Because of the prevalence of this species on the east side of the Ohio River, numerous researchers have sought the blue crawfish in Ohio—to no avail. On 16 May 2020, turkey hunters in Monroe County, Ohio, located a blue-colored crayfish and sent photos to one of the authors of this study. On 19 May 2020, the authors sampled in the vicinity of where the photo was taken and located 4 sites that yielded a total of 5 blue crawfish specimens, confirming the existence of this species in Ohio. Further research is needed on the blue crawfish to determine its range and abundance in Ohio, and to explore factors relating to its biogeography.
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Hunold, Rebecca L., e Mary F. Powers. "Role of Approved Ohio High School Training Programs in the Demand for Pharmacy Technicians". Journal of Pharmacy Technology 35, n.º 2 (28 de novembro de 2018): 64–68. http://dx.doi.org/10.1177/8755122518813706.
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Objective: To provide an overview of Ohio Administrative Code 4729 and to identify the potential role of newly approved Ohio high school training programs in preparation of registration-ready pharmacy technicians. Data Sources: Relevant sections of the Ohio Administrative Code and the Ohio public high school pharmacy technician training program application were identified through the Ohio Board of Pharmacy website. Resources on employee training and pharmacy technician demand were used from the Bureau of Labor Statistics, Forbes magazine, Association for Talent Development, and ExploreGate. Information pertaining to the approved high school training programs was identified from the program-specific websites. Related materials were searched for via PubMed and Google Scholar from 2000 to present. Study Selection and Data Extraction: Portions of the Ohio Administrative Code pertaining to pharmacy technician training and registration. Articles describing the cost of employer-based training and the growth of pharmacy technician demand. Data Synthesis: Training and registration requirements for pharmacy technicians have increased over the past decade. In Ohio, pharmacy technicians must now complete an approved training program and become either a registered or certified technician with the Board of Pharmacy. Technicians may complete either a nationally recognized, employer-based, or public high school training program prior to becoming a registered or certified pharmacy technician. Ohio public high school training programs must be Board approved and must prepare students for national certification. After completing a high school training program, pharmacy technicians are adequately prepared to enter the workforce with minimal training burden to potential employers. Conclusions: Newly approved Ohio high school training programs have the potential to fulfill the increased demand for pharmacy technicians at a decreased cost to both students and employers.
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Dormady, Noah, Zhongnan Jiang e Matthew Hoyt. "Do markets make good commissioners?: A quasi-experimental analysis of retail electric restructuring in Ohio". Journal of Public Policy 39, n.º 3 (3 de julho de 2018): 483–515. http://dx.doi.org/10.1017/s0143814x18000168.
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AbstractEmpirical support for the purported benefits of retail electric deregulation is mixed at best. Prior studies that identify states as simply “retail deregulated” overlook complex policy environments in which deregulation is implemented by regulators with a high degree of discretion. Prior studies also rely on Energy Information Administration data that do not account for core regulatory interventions that can take place during the process of implementing deregulation. Using robust time series household final bill survey data from the Public Utilities Commission of Ohio, this article provides a quasi-experimental analysis of the price impacts of retail electric restructuring in Ohio. The results suggest that residential electricity prices have increased following retail restructuring in all service territories in Ohio, with significant favourable welfare effects observed only in the Cincinnati area, where key policy implementation stages were not circumvented.
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Ferree, David C., e Elden J. Stang. "Seasonal Plant Shading, Growth, and Fruiting in ‘Earliglow’ Strawberry". Journal of the American Society for Horticultural Science 113, n.º 3 (maio de 1988): 322–27. http://dx.doi.org/10.21273/jashs.113.3.322.
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Abstract ‘Earliglow’ strawberry (Fragaria × ananassa Duch.) plants were covered with 60% shade cloth in Wisconsin and Ohio during each of the following developmental phases: 1) check, no shade; 2) the runnering period after plant establishment; 3) flower initiation period in Fall 1983; 4) early growing season (from mulch-off until first flowering); 5) the fruiting period, 1984; and 6) constant shade. ‘Earliglow’ has a photosynthetic light response curve typical of a C, plant. Leaf dry weight per plant was decreased at both locations by constant shading during the fruiting period, just prior to plant sampling. Crown dry weight was reduced by constant shading. Leaf nutrient element contents of K, Ca, Mg, B, and Fe varied by location, but were not appreciably affected by shading treatments. Shading during the active runnering period resulted in increased total yield the following spring by 12% in Wisconsin and 17% in Ohio. In Wisconsin, increased total yield was the result of increased number of fruit in midseason harvests. Berry size was increased for constant shading or shading during fruiting, but yield was offset by lower fruit numbers. Usable fruit in Ohio on plants shaded during runnering was increased by 20% compared to the unshaded control. Constant shade resulted in an 18% and 46% reduction in total yield in Wisconsin and Ohio, respectively. Shading during the fruiting period resulted in yield reductions in both Ohio (13%) and Wisconsin (27%). Yield reductions were also noted in Ohio when shading occurred during early spring (21%), just prior to fruiting, or during flower formation (24%) the previous fall. Shading during the spring growth and fruiting period delayed fruit maturity and peak harvest 5 to 7 days.
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Sargand, Shad M., Roger Green e Issam Khoury. "Instrumenting Ohio Test Pavement". Transportation Research Record: Journal of the Transportation Research Board 1596, n.º 1 (janeiro de 1997): 23–30. http://dx.doi.org/10.3141/1596-04.
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The Ohio Department of Transportation (ODOT) constructed a test pavement on US-23 in Delaware County, Ohio. Of the nine Specific Pavement Studies (SPS) formulated by the Strategic Highway Research Program (SHRP), four (SPS-1, SPS-2, SPS-8, and SPS-9) were included at the OH-SHRP DEL-23 site. Sensors were carefully selected and installed to monitor structural response and seasonal parameters on the basis of prior field experiences accumulated in the United States and Canada. Criteria used to select the sensors were cost, accuracy, sensitivity, longevity, and level of success in previous pavement research projects, especially projects in Ohio. Described here is the development of the Ohio test pavement in terms of objectives, overall instrumentation plan, and selection of sensors as well as typical instrumentation plans for asphalt concrete and portland cement concrete sections.
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Dean, Donald H., e Brian Flechsig. "A New Record Mayfly Ephemerella subvaria McDunnough (Ephemeroptera, Ephemerellidae) from Ohio, USA". Ohio Journal of Science 119, n.º 2 (16 de dezembro de 2019): 75. http://dx.doi.org/10.18061/ojs.v119i2.6967.
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In the spring of 2019, a new state record for a mayfly (Ephemeroptera) was collected at Cedar Run and the Mad River in Champaign County, Ohio, United States. Ephemerella subvaria McDunnough, 1931, was collected and identified as nymphs and subsequently reared to adults. This Ohio location is exceptional. The geographic distribution of the species is widespread in the eastern United States; however, its distribution in the upper midwest is limited to northern Michigan and northern Wisconsin, but is absent from the southern counties of those states, and from Illinois. It is rare in Indiana and northern Kentucky. Until this report it was unknown from Ohio. Nymphs were collected on 26 March 2019. Reared in a temperature-controlled aquarium, the subimago emerged on 27 April 2019 and the imago emerged on 30 April 2019. It is hypothesized that Cedar Bog Nature Preserve, Cedar Run, and the Mad River—remnants of streams in a prior swamp in western-central Ohio—provide a refugia for this out-of-place species.
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Bohrerova, Zuzana, Nichole E. Brinkman, Ritu Chakravarti, Saurabh Chattopadhyay, Seth A. Faith, Jay Garland, James Herrin et al. "Ohio Coronavirus Wastewater Monitoring Network: Implementation of Statewide Monitoring for Protecting Public Health". Journal of Public Health Management and Practice 29, n.º 6 (novembro de 2023): 845–53. http://dx.doi.org/10.1097/phh.0000000000001783.
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Context: Prior to the COVID-19 pandemic, wastewater influent monitoring for tracking disease burden in sewered communities was not performed in Ohio, and this field was only on the periphery of the state academic research community. Program: Because of the urgency of the pandemic and extensive state-level support for this new technology to detect levels of community infection to aid in public health response, the Ohio Water Resources Center established relationships and support of various stakeholders. This enabled Ohio to develop a statewide wastewater SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) monitoring network in 2 months starting in July 2020. Implementation: The current Ohio Coronavirus Wastewater Monitoring Network (OCWMN) monitors more than 70 unique locations twice per week, and publicly available data are updated weekly on the public dashboard. Evaluation: This article describes the process and decisions that were made during network initiation, the network progression, and data applications, which can inform ongoing and future pandemic response and wastewater monitoring. Discussion: Overall, the OCWMN established wastewater monitoring infrastructure and provided a useful tool for public health professionals responding to the pandemic.
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VanNasdale, Dean A., Matthew L. Robich, Lisa A. Jones-Jordan, Erica R. Shelton, Megan S. Hurley, Andrew Wapner, Sherry Williams, David Monder, Marcus J. Molea e John E. Crews. "Vision Care Utilization and Insurance Coverage Prior to and Following Medicaid Expansion in Ohio". Ohio Journal of Public Health 5, n.º 1 (24 de agosto de 2022): 54–63. http://dx.doi.org/10.18061/ojph.v5i1.8685.
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Background: Increased access and utilization of vision care services has the potential to reduce preventable vision loss. The state of Ohio has been uniquely proactive when collecting vision-oriented data through population health surveys, including the Behavioral Risk Factor Surveillance System (BRFSS). These data can be used to better understand vision care utilization patterns and access to insurance. Methods: Responses to 3 items administered in the Ohio BRFSS that assess vision care utilization and insurance coverage were compared between 2 different administration periods, 2005-2011 and 2018-2019, using chi-square tests. Comparable data from 2 items assessing eye care utilization were available in 2005-2011 and 2019. Comparable data for insurance coverage were available in 2005-2011 and in 2018-2019. Responses were further stratified by population characteristics, including age, gender, household income, and education level. Results: The percentages of those reporting eye exams in the previous year were not significantly different between 2005-2011 and 2019 (chi-square, p = 0.06). In Ohio, the primary reason for not seeing a vision care provider in the past 12 months was “No reason to go” in 2005-2011 and in 2019. The second most common reason for not seeing a vision care provider in the past 12 months was “Cost/insurance,” which decreased between 2005-2011 and 2019 (chi-square, p <0.001). Insurance coverage for eye care increased between 2005-2011 and 2018-2019 (chi-square, p <0.001). Important differences were found within the demographic stratification. Conclusion: Population health surveillance data provide useful insight into vision care utilization and insurance coverage. Despite the increase in insurance coverage, eye care provider utilization remains relatively stable.
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Jeter, Joanne M., Heather Hampel, Peter Stanich, Rachel Pearlman, Alice Hinton, John L. Hays e Richard M. Goldberg. "A phase II study of PD-1 inhibition for the prevention of colon adenomas in patients with Lynch syndrome and a history of partial colectomy." Journal of Clinical Oncology 37, n.º 15_suppl (20 de maio de 2019): TPS1587. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.tps1587.
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TPS1587 Background: Colon cancers and adenomas that are associated with Lynch syndrome (LS) often display microsatellite instability (MSI), a characteristic that is associated with increased response to treatment with PD-1 inhibitors. Because LS patients with a history of colon cancer are at increased risk of having a second primary colon cancer or high-risk adenoma, preventive measures are of particular interest in this population. We hypothesize that a maintenance schedule of nivolumab can be safely administered to LS patients with a history of treated colon cancer with remaining colon at risk in order to decrease the incidence of adenomas, advanced adenomas and second primary colon cancers. Methods: OSU 17198 is a phase II multi-center, single-arm study of nivolumab in patients with germline MLH1 or MSH2 mutations and a history of hemicolectomy for colon cancer at least one year prior to study entry. Subjects must have completed any adjuvant therapy at least 6 months prior to study participation and may not have received prior therapy with a PD-1 inhibitor. Nivolumab is given at 240mg IV every 3 months for two years, and colonoscopies will be performed prior to study entry, after the fourth dose, after the eighth dose, and one year after the eighth dose. Subjects will be monitored for auto-immune adverse effects. The primary endpoint is incidence of adenomas at three years, and secondary endpoints are safety, incidence of advanced adenomas, and incidence of colon and non-colon cancers at three years. Approximately 104 subjects will be enrolled to obtain 94 evaluable subjects. This study is currently open for enrollment at the Ohio State University and at various stages of activation at seven additional sites in the United States. Enrollment of this study is anticipated to be completed in 2020, and data collection is anticipated to be complete in 2023. This study has undergone safety review by the FDA and the Ohio State University Institutional Review Board. Clinical trial information: NCT03631641.
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Heston-Mullins, Jennifer, Athena Koumoutzis, Katherine Abbott, Dayna Bennett e Karen Williams. "PROGRAM THEORY VERSUS IMPLEMENTATION: THE IMPORTANCE OF PROCESS IN UNDERSTANDING PROGRAM IMPACT". Innovation in Aging 6, Supplement_1 (1 de novembro de 2022): 187. http://dx.doi.org/10.1093/geroni/igac059.748.
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Abstract An extensive MyCare Ohio process evaluation was conducted to understand factors affecting everyday implementation. This involved a review of MyCare membership enrollment data and qualitative interviews and focus groups with state-level stakeholders (n=29), regional stakeholders comprised of Area Agency on Aging and MyCare Ohio Plan personnel and HCBS service providers (n=418), and MyCare members (n=40); which were audio-recorded, transcribed, and checked for accuracy prior to coding in Dedoose. Results show that while MyCare was originally envisioned as a program to coordinate Medicare and Medicaid services for dual-eligible, physically-disabled older adults, many MyCare members are under age 65 (47%), have opted out of the Medicare Advantage portion of MyCare (42%), and live with behavioral health diagnoses. This presentation will discuss how process evaluation is instrumental to understanding program impact and how younger members, members with behavioral health concerns, and opted-out members have shaped the implementation of MyCare Ohio.
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Abbott, Katherine, Jennifer Heston-Mullins, Athena Koumoutzis, Dayna Bennett, Karen Williams e Robert Applebaum. "THE BLACK BOX OF CARE MANAGEMENT IN MANAGED LONG-TERM SERVICES AND SUPPORTS". Innovation in Aging 6, Supplement_1 (1 de novembro de 2022): 187–88. http://dx.doi.org/10.1093/geroni/igac059.749.
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Abstract Within Ohio’s MyCare demonstration, two distinct care management models were selected by the participating MyCare Ohio health plans (MCOPs): fully-delegated waiver care management and waiver service coordination. The purpose of this presentation is to describe the components of care management operating in MyCare Ohio. Qualitative interviews with n=91 Area Agency on Aging (AAA) and n=131 MCOP care management personnel were audio-recorded, transcribed, and checked for accuracy prior to thematic coding in Dedoose. Results indicate that comprehensive care management is the core element of MyCare Ohio. Fully-delegated care management models were viewed by participants as beneficial to reducing confusion for members however ‘scope creep’ challenged the already strained AAAs. Effective teamwork was identified for waiver service coordination models but the division of labor and communication needed between the AAA and MCOP care management personnel created tensions. The discussion will focus on practice recommendations for training, caseloads, and support staff.
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Wilson, H. R., e J. B. Eisley. "Potato Leafhopper Control in Ohio, 1992". Insecticide and Acaricide Tests 18, n.º 1 (1 de janeiro de 1993): 190. http://dx.doi.org/10.1093/iat/18.1.190.
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Abstract Tests were conducted at the OARDC Western Branch Field Station near South Charleston to evaluate the efficacy of 5 insecticides for control of PLH on 2nd and 3rd cuttings of a 3 year old alfalfa stand. Plots were 13.7 X 15.2 m (45 x 50 ft) with 5 replications per treatment in a randomized complete block design. However, the location of 3rd cutting treatments remained the same as that selected for the 2nd cutting. Treatments were applied on 30 Jun to the 2nd cutting and on 11 Aug to the 3rd cutting with a custom built sprayer having a boom length of 4.6 m (15 ft) and flat spray tip nozzles (Teejet 800VS) mounted at 38.1 cm (15 inch) intervals. The system was calibrated to deliver 280.6 liters/ha (30 gal/ acre) at 30 psi at a tractor speed of 5.6 km/hr (3.5 mi/hr). The 2nd cutting treatment was applied when alfalfa stem length was 43.5 cm (17.1 inches) to evaluate control efficacy in a situation where harvest was delayed but stand was susceptible to very heavy PLH feeding activity. The 3rd cutting treatment was applied when stem length was 27 cm (10.6 inches) following harvest of the 2nd cutting. PLH adult abundance was estimated by talcing 10 pendulum sweeps in each plot within 1 day prior to treatments and 2, 7, and 14 DAT. PLH nymph abundance was estimated 7 and 14 DAT when the stage was present in abundance in the untreated plots. Alfalfa stem length was recorded prior to treatments and at 7 and 14 DAT.
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Liao, Hsin-Chung, e William M. Bowen. "Identifying Areas of Primary Care Shortage in Urban Ohio". Journal of Urban Management 1, n.º 2 (2012): 33–51. http://dx.doi.org/10.1016/s2226-5856(18)30059-1.
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Willson, H. R., e H. R. Eisley. "Alfalfa Weevil Control In Ohio, 1995". Arthropod Management Tests 21, n.º 1 (1 de janeiro de 1996): 200–201. http://dx.doi.org/10.1093/amt/21.1.200a.
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Abstract A test to evaluate the efficacy of 4 foliar insecticide treatments for control of AW was conducted on first cutting alfalfa at the OARDC Western Branch Station near South Charleston. Plots were 30 X 50 ft with 4 replications in a RCBD. Treatments were applied on 13 May with a custom built sprayer having a boom length of 15 ft and flat spray tip nozzles (TeeJet 8003VS) mounted at 15 inch intervals. The system was calibrated to deliver 32.8 gpa at 30 psi at a tractor speed of 3.5 mph. Abundance of AW larvae was estimated prior to treatment and 3, 7 and 14 DAT by collecting 20 stems per plot, shaking the stem samples in a bucket, and counting the number of larvae collected in the bucket.
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Willson, H. R., e J. B. Eisley. "Alfalfa Weevil Control In Ohio, 1995". Arthropod Management Tests 21, n.º 1 (1 de janeiro de 1996): 201. http://dx.doi.org/10.1093/amt/21.1.201.
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Abstract A test to evaluate the efficacy of 4 foliar insecticide treatments for control of AW was conducted on first cutting alfalfa at the OARDC Western Branch Station near South Charleston. Plots were 30 X 50 ft with 4 replications in a RCBD. Treatments were applied on 13 May with a custom built sprayer having a boom length of 15 ft and flat spray tip nozzles (TeeJet 8003VS) mounted at 15 inch intervals. The system was calibrated to deliver 32.8 gpa at 30 psi at a tractor speed of 3.5 mph. Abundance of AW larvae was estimated prior to treatment and 3, 7 and 14 DAT by collecting 20 stems per plot, shaking the stem samples in a bucket, and counting the number of larvae collected in the bucket.
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Valluri, Manoj Kumar, Jimin Zhou, Srikanta Mishra e Kishore Mohanty. "CO2 Injection and Enhanced Oil Recovery in Ohio Oil Reservoirs—An Experimental Approach to Process Understanding". Energies 13, n.º 23 (26 de novembro de 2020): 6215. http://dx.doi.org/10.3390/en13236215.
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Process understanding of CO2 injection into a reservoir is a crucial step for planning a CO2 injection operation. CO2 injection was investigated for Ohio oil reservoirs which have access to abundant CO2 from local coal-fired power plants and industrial facilities. In a first of its kind study in Ohio, lab-scale core characterization and flooding experiments were conducted on two of Ohio’s most prolific oil and gas reservoirs—the Copper Ridge dolomite and Clinton sandstone. Reservoir properties such as porosity, permeability, capillary pressure, and oil–water relative permeability were measured prior to injecting CO2 under and above the minimum miscibility pressure (MMP) of the reservoir. These evaluations generated reservoir rock-fluid data that are essential for building reservoir models in addition to providing insights on injection below and above the MMP. Results suggested that the two Ohio reservoirs responded positively to CO2 injection and recovered additional oil. Copper Ridge reservoir’s incremental recovery ranged between 20% and 50% oil originally in place while that of Clinton sandstone ranged between 33% and 36% oil originally in place. It was also deduced that water-alternating-gas injection schemes can be detrimental to production from tight reservoirs such as the Clinton sandstone.
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Badley, Jessie R., Caleb Ryce e Pamela J. Lein. "Train derailment in East Palestine, Ohio: The toxic risks of transporting hazardous chemicals". Open Access Government 40, n.º 1 (25 de outubro de 2023): 380–81. http://dx.doi.org/10.56367/oag-040-9857.
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Train derailment in East Palestine, Ohio: The toxic risks of transporting hazardous chemicals The toxic risks of vinyl chloride have been debated for years, but a recent train derailment in the US brought this debate into the public eye, say Jessie R Badley, Caleb Ryce and Pamela J Lein. Three days after the 3 February 2023 derailment of a 50-car freight train in East Palestine, Ohio, emergency crews from Norfolk Southern, the chemical transportation company, made the decision to vent and burn toxic vinyl chloride from five tank cars to prevent an explosion. A black mushroom plume of toxic gas that could be seen for miles engulfed the town. The subsequent death of more than 43,000 aquatic animals living in the vicinity of East Palestine during the month after the controlled release prompted public concerns about drinking water and air contamination in not only East Palestine but also neighbouring communities since the East Palestine watershed empties into the Ohio River, which is a primary source of water for many municipalities.
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Mathers, H. M. "Technical Information Requested by Hispanic Nursery Employees – Survey Results from Oregon and Ohio". Journal of Environmental Horticulture 21, n.º 4 (1 de dezembro de 2003): 184–89. http://dx.doi.org/10.24266/0738-2898-21.4.184.
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Abstract The demographics of the nursery industry in the United States have changed dramatically in the past 10–15 years. Today, the majority of the worker level of nursery staff is Spanish-speaking. Approximately 90% of the Oregon and 60% of the Ohio nursery industry work forces are composed of Hispanic employees. Many of these employees understand little English, and Spanish is their primary language. In Oregon and Ohio 375 and 250 surveys, respectively, were distributed to Spanish-speaking nursery employees. One-hundred-ninety-three surveys were completed in Oregon, as compared to 127 in Ohio. The purpose of these surveys was to determine the backgrounds, experience level and work activities of Hispanic nursery employees, their technical information interests, and what resources were available to these employees. The survey responses came from 3 sources: Interviews at training programs, on-farm visits and mailed surveys in a newsletter format. The three sources were pooled and analyzed. The survey targeted nursery workers filling primarily manual labor positions; however, we found this staff level was predominantly Hispanic. Also, the majority of those surveyed were Hispanic employees who had risen to supervisor or crew leader level, such as propagation area supervisors. Plant identification (95%) and weed control (90%) were the foremost technical topics of interest of Ohio surveyed employees. This was significantly different from the survey results in Oregon where 81% chose insect control, 77% weed control, and 66% disease control as leading topics of interest. In Oregon, plant identification rated only 45%. Ninety-three percent of Ohio and 97% of Oregon newsletter readers wanted to receive future issues of the Spanish language newsletter. This finding was consistent with responses from nursery visits and training programs in the two states where respondents indicated their positive reception to receiving technical information in Spanish.
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Nielsen, D. G., e M. J. Dunlap. "Birch, Evaluating Soil-Applied Systemic Insecticides for Control of Birch Leafminer, Wayne Co., Oh, 1984". Insecticide and Acaricide Tests 10, n.º 1 (1 de janeiro de 1985): 270–71. http://dx.doi.org/10.1093/iat/10.1.270a.
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Abstract Efficacy of Standak and Di-Syston was evaluated against birch leafminer on 3- to 4-m-tall birch trees growing in an experimental planting at The Ohio State University, Ohio Agricultural Research and Development Center near Wooster. Standak was applied with a watering can at the rate of 545 ml/m2 of soil surface beneath the entire dripline of 4, single-tree replicates. Di-Syston was applied salt shaker fashion and watered-in at the same rate. Soil beneath all trees was cultivated prior to and immediately following application. Treatments were applied 7 May under cloudy skies at 18°C with a breeze of 8-15 kph. Treatment effectiveness was evaluated 18 June by removing 10 leaves at random from 1 dominant lateral twig per tree and counting the number of mined leaves.
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Cheesman, Fred L., Nicole L. Waters e Hunter Hurst. "Who Gets a Second Chance? An Investigation of Ohio'Sblended Juvenile Sentence". Journal of Health and Human Services Administration 33, n.º 3 (setembro de 2010): 406–50. http://dx.doi.org/10.1177/107937391003300303.
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Factors differentiating blended sentencing cases (Serious Youthful Offenders or SYOs) from conventional juvenile cases and cases transferred to the adult criminal court in Ohio were investigated using a two-stage probit. Conventional juvenile cases differed from cases selected for non-conventional processing (i.e., SYO or transfer) according to offense seriousness, number of prior Ohio Department of Youth Services placements, age and gender. Controlling for probability of selection for nonconventional processing, transfers differed from SYOs according to age, gender, and race. Minorities were significantly more likely than Whites to be transfers rather than SYOs, suggesting possible bias in the decision-making process. Objective risk and needs assessments should be used to identify the most suitable candidates for blended sentences and adult transfer and enhanced services should be provided to juvenile offenders given blended sentences.
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Donohoe, Joseph, Vince Marshall, Xi Tan, Fabian T. Camacho, Roger T. Anderson e Rajesh Balkrishnan. "Spatial Access to Primary Care Providers in Appalachia". Journal of Primary Care & Community Health 7, n.º 3 (23 de fevereiro de 2016): 149–58. http://dx.doi.org/10.1177/2150131916632554.
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Purpose: The goal of this research was to examine spatial access to primary care physicians in Appalachia using both traditional access measures and the 2-step floating catchment area (2SFCA) method. Spatial access to care was compared between urban and rural regions of Appalachia. Methods: The study region included Appalachia counties of Pennsylvania, Ohio, Kentucky, and North Carolina. Primary care physicians during 2008 and total census block group populations were geocoded into GIS software. Ratios of county physicians to population, driving time to nearest primary care physician, and various 2SFCA approaches were compared. Results: Urban areas of the study region had shorter travel times to their closest primary care physician. Provider to population ratios produced results that varied widely from one county to another because of strict geographic boundaries. The 2SFCA method produced varied results depending on the distance decay weight and variable catchment size techniques chose. 2SFCA scores showed greater access to care in urban areas of Pennsylvania, Ohio, and North Carolina. Conclusion: The different parameters of the 2SFCA method—distance decay weights and variable catchment sizes—have a large impact on the resulting spatial access to primary care scores. The findings of this study suggest that using a relative 2SFCA approach, the spatial access ratio method, when detailed patient travel data are unavailable. The 2SFCA method shows promise for measuring access to care in Appalachia, but more research on patient travel preferences is needed to inform implementation.
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Rossi, Robert M., Allison Divanovic e Emily A. DeFranco. "Obstetric Outcomes Associated with Fetal Cyanotic Congenital Heart Disease". American Journal of Perinatology 36, n.º 07 (29 de outubro de 2018): 701–8. http://dx.doi.org/10.1055/s-0038-1673652.
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Objective To characterize obstetric outcomes associated with cyanotic congenital heart disease (CCHD) in a contemporary population. Study Design We conducted a population-based retrospective cohort study of all livebirths in Ohio (2006–2015). Obstetric characteristics of pregnancies complicated by fetal CCHD were compared with those without CCHD, excluding those with other anomalies and aneuploidy. The primary objective was to determine the risk of cesarean delivery among CCHD affected pregnancies. Multivariate logistic regression estimated the influence of CCHD on these obstetric outcomes. Results Among 1,463,506 live births in Ohio, there were 863 (0.06%) CCHD affected births. The overall cesarean rate was 45.9 versus 31.0% (p< 0.001) in CCHD compared with non-CCHD pregnancies. After adjusting for various confounders, CCHD affected pregnancies were associated with a higher risk for cesarean delivery (adjusted relative risk [aRR]: 2.0, 95% confidence interval [CI]: 1.6–2.4), preterm birth (PTB) (aRR: 1.5, 95% CI: 1.1–2.0), induction of labor (aRR: 1.2, 95% CI: 1.04–1.4), small for gestational age (SGA) birthweight (aRR: 2.4, 95% CI: 2.0–2.9), and fetal intolerance of labor (FIOL; aRR: 2.0, 95% CI: 1.6–2.4). Women with CCHD affected pregnancies were also less likely to undergo a trial of labor (aRR: 0.4, 95% CI: 0.3–0.5) prior to cesarean delivery. Conclusion Obstetric outcomes associated with CCHD include higher risk for cesarean delivery, PTB, SGA, and FIOL.
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Borgemenke, Samuel. "Factors Related to Drug Overdose Deaths in Ohio". Ohio Journal of Public Health 5, n.º 2 (17 de abril de 2023): 1–8. http://dx.doi.org/10.18061/ojph.v5i2.8885.
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Background: Drug overdoses have had a devastating impact on public health in Ohio. Improving our understand-ing of the relationships between factors that are associated with drug overdose deaths can enhance the quality of public policy and health care reach in Ohio. Methods: Utilizing data from the Centers for Disease Control and Prevention (CDC) and University of Wisconsin Population Health Institute, this research seeks to quantify the associations between the drug overdose rate for counties in Ohio with various factors via statistical regressions. Results: The overwhelming majority of drug/alcohol overdose deaths during the years 2017-2019 were uninten-tional. Drug overdose deaths and life expectancy are strongly associated. Communities with higher overdose rates have lower life expectancies. Socioeconomic status and health care factors, such as mental distress and physical inactivity, are significantly correlated with increased drug overdose deaths. Household income is significantly correlated with increased access to health care, implying that communities of lower socioeconomic status may lack adequate access to quality care and suffer from increased overdose deaths. Conclusion: The data indicate the importance of access to health care and health care providers in response to drug overdoses in Ohio. Health care access is currently proportional to income; higher income households have a greater proportion of insured, as well as a greater number of primary care physicians. Thus, implementing policies that support health care infrastructure should be prioritized to increase the capacity of treatment in under-resourced (low-income and low socioeconomic status) communities.
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Xu, Lei, Zoë Plakias, Andrew S. Hanks e Jennifer Garner. "Food insecurity, fruit and vegetable consumption, and use of the Supplemental Nutrition Assistance Program (SNAP) in Appalachian Ohio". PLOS ONE 19, n.º 2 (8 de fevereiro de 2024): e0295171. http://dx.doi.org/10.1371/journal.pone.0295171.
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Food insecurity and inadequate nutrition are two major challenges that contribute to poor health conditions among U.S. households. Ohioans continue to face food insecurity, and rates of food insecurity in rural Southeast Ohio are higher than the state average. The main purpose of this project is to evaluate the associations between Supplemental Nutrition Assistance Program (SNAP) participation and food security in rural Ohio, and to explore the association between SNAP participation and fruit/vegetable consumption. We control for food shopping patterns, such as shopping frequency, because previous research reports a significant relationship between shopping patterns and food security. To achieve our purpose, we use novel household-level data on food insecurity and SNAP participation in rural Southeast Ohio, collected during the COVID-19 pandemic. We find that people who experience higher levels of food insecurity than others are more likely to participate in SNAP, though this is likely a function of selection bias. To correct for the bias, we employ the nearest neighbor matching method to match treated (SNAP participant) and untreated (similar SNAP nonparticipant) groups. We find that participating in SNAP increases the probability of being food secure by around 26 percentage points after controlling for primary food shopping patterns. We do not find any significant association between SNAP participation and estimated intake of fruits and vegetables. This study provides policymakers with suggestive evidence that SNAP is associated with food security in rural Southeast Ohio during the pandemic, and what additional factors may mediate these relationships.
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McCloskey, Rebecca J., Gretchen Clark Hammond, Kathleen Gallant, Robert Santucci, Justin Koralewski e Michael Kocinski. "Ohio Physicians’ Retrospective Pre-Post COVID-19 Pandemic Reports of Burnout and Well-Being". Journal of Medical Regulation 108, n.º 3 (1 de outubro de 2022): 8–17. http://dx.doi.org/10.30770/2572-1852-108.3.8.
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ABSTRACT This cross-sectional, retrospective, pre-post repeated measures study aimed to describe Ohio physicians’ burnout and mental health experiences as perceived prior to and during the COVID-19 pandemic. A one-time online survey was completed by 1,613 physicians registered with the State Medical Board of Ohio (SMBO). Wilcoxon signed-rank tests were used to assess differences between physicians’ self-reports of burnout and mental health prior to and during the pandemic. Mann-Whitney U tests examined response differences between physicians and residents. Data revealed statistically significant differences between physicians’ pre-pandemic and pandemic experiences for all measures of burnout and mental health (p < 0.001) with moderate effect sizes for feeling emotionally drained from work (Z = −16.71, r = 0.43); feeling down, depressed, or hopeless (Z = −18.09, r = 0.46); feeling less accomplished (Z = −11.03, r = 0.29); and caring less about what happens to patients (Z = −12.04, r = 0.31). Small effect sizes were found for thoughts of suicide and concerns about one’s substance use. Additionally, resident physicians were more likely than physicians to report many burnout and mental health concerns prior to and during the pandemic, although these effect sizes were small. These findings can inform stakeholders’ efforts toward the prevention and reduction of physician burnout and improvement of well-being.
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Neal, Maxwell Lewis, e Joseph T. Hannibal. "Paleoecologic and taxonomic implications of Sphenothallus and Sphenothallus-like specimens from Ohio and areas adjacent to Ohio". Journal of Paleontology 74, n.º 3 (maio de 2000): 369–80. http://dx.doi.org/10.1017/s0022336000031644.
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Sphenothallus and fossils similar to Sphenothallus are found in Ordovician, Devonian, and Mississippian rock units in Ohio and adjacent states and provinces. Although the Ordovician of Québec, Ontario, and Indiana has yielded parts of tubes, Ordovician specimens from southwest Ohio and nearby areas consist almost entirely of holdfasts on hardgrounds and shelly fossils. Sphenothallus is abundant in the Chagrin Shale (Famennian) of northeast Ohio where it is found in about four percent of concretions that contain identifiable fossils. The Chagrin specimens, usually parts of tubes, are occasionally preserved three-dimensionally. The rate of distal expansion of Chagrin Sphenothallus tubes varies intraspecifically; thus, this rate cannot be used to distinguish species. Some Chagrin specimens are attached to larger, conspecific specimens and to articulate brachiopods. Brachiopods have also been found attached to Chagrin Sphenothallus. Bedford-Berea sequence (Famennian) specimens from northern Kentucky and Meadville Member (Kinderhookian or Osagian) specimens from the Cuyahoga Formation of northeast Ohio are usually preserved as flattened tubes. In both occurrences tubes are similar in width, indicating that individuals in each assemblage are probably the same age. Meadville tubes possess characteristics diagnostic of Sphenothallus, but Bedford-Berea specimens, which lack longitudinal thickenings and exhibit little tube tapering, cannot be assigned to Sphenothallus sensu strictu.Sphenothallus was a gregarious, opportunistic species, tolerant of dysaerobic conditions and able to colonize environments ranging from hardgrounds to soft, muddy sea bottoms. No distinct branching was observed among the Chagrin, Bedford-Berea, or Meadville specimens, suggesting that larval dispersal was the primary mode of reproduction for the genus.
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Bird, Broxton W., Robert C. Barr, Julie Commerford, William P. Gilhooly, Jeremy J. Wilson, Bruce Finney, Kendra McLauchlan e G. William Monaghan. "Late-Holocene floodplain development, land-use, and hydroclimate–flood relationships on the lower Ohio River, US". Holocene 29, n.º 12 (31 de julho de 2019): 1856–70. http://dx.doi.org/10.1177/0959683619865598.
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Floodplain development, land-use, and flooding on the lower Ohio River are investigated with a 3100-year-long sediment archive from Avery Lake, a swale lake on the Black Bottom floodplain in southern Illinois, US. In all, 12 radiocarbon dates show that Avery Lake formed at 1130 BCE (3100 cal. yr BP), almost 3000 years later than previously thought, indicating that the Black Bottom floodplain is younger and more dynamic than previously estimated. Three subsequent periods of extensive land clearance were identified by changes in pollen composition, corresponding to Native American occupations before 1500 CE and the current Euro-American occupation beginning in the 18th century. Sedimentation rates prior to 1820 CE changed independently of land clearance events, suggesting natural as opposed to land-use controls. Comparison with high-resolution paleoclimate data from Martin Lake, IN, indicates that lower Ohio River flooding was frequent when cold-season precipitation originating from the Pacific/Arctic predominated when atmospheric circulation resembled positive Pacific North American (PNA) conditions and the Pacific Decadal Oscillation (PDO) was in a positive mean state (1130 BCE to 350 CE and 1150–1820 CE). Conversely, Ohio River flooding was less frequent when warm-season precipitation from the Gulf of Mexico prevailed during negative PDO- and PNA-like mean states (350 and 1150 CE). This flood dynamic appears to have been fundamentally altered after 1820 CE. We suggest that extensive land clearance in the Ohio River watershed increased runoff and landscape erosion by reducing interception, infiltration, and evapotranspiration, thereby increasing flooding despite a shift to negative PDO- and PNA-like mean states. Predicted increases in average precipitation and extreme rainfall events across the mid-continental US are likely to perpetuate current trends toward more frequent flood events, because anthropogenic modifications have made the landscape less resilient to changing hydroclimatic conditions.
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Coven, Scott L., Joseph R. Stanek, Ethan Hollingsworth e Jonathan L. Finlay. "Delays in diagnosis for children with newly diagnosed central nervous system tumors". Neuro-Oncology Practice 5, n.º 4 (9 de março de 2018): 227–33. http://dx.doi.org/10.1093/nop/npy002.
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Abstract Background United States studies documenting time interval from symptom onset to definitive diagnosis for childhood central nervous system (CNS) tumors are more than a quarter-century old. The purpose of this study is to establish an accurate and contemporary Ohio baseline of the diagnostic interval for children with newly diagnosed CNS tumors. Methods Medical records were retrospectively reviewed for 301 children with newly diagnosed CNS tumors from January 2004 to August 2015 at Nationwide Children’s Hospital. We obtained comprehensive data on 171 patients (56.8%). Records were reviewed for age, gender, tumor type, presenting symptoms, number of health care visits prior to diagnosis, time interval (in months) from onset of symptoms to definitive diagnosis, and any associated genetic syndromes. Results Of the 171 patients with newly diagnosed CNS tumors, 25 children (14.6%) had a known cancer predisposition syndrome (all with neurofibromatosis type 1). Among the remaining 146 children, the median and mean time intervals from symptom onset to definitive diagnosis were 42 days and 138 days (range < 1 to 2190 days), respectively. Conclusions We have documented and quantified the contemporary delays in diagnosis of childhood brain tumors in central Ohio to serve as a benchmark for our future planned interventions to reduce the time interval from symptom onset to diagnosis through adaptation of the United Kingdom HeadSmart program throughout the state of Ohio and ultimately throughout the United States.
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Carr, Christopher, e Robert McCord. "Ohio Hopewell Depictions of Composite Creatures". Midcontinental Journal of Archaeology 40, n.º 1 (1 de janeiro de 2015): 18–47. http://dx.doi.org/10.2307/26599908.
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Abstract Archaeological contextual analyses of four artifacts that depicted composite creatures and that were recovered from the Turner earthwork in southwestern Ohio are integrated here with a biological identification of the creatures’ component animals and a survey of historic Woodland–Plains Indian knowledge about their roles in Woodland–Plains life (previously reported in this journal). Together, the three studies reveal that the creatures were likely employed in a ritual drama concerned with the welfare of recently deceased persons on their journey to an afterlife through underwater–underground realm(s), where they encountered the creatures. The location of the journey to an afterlife through Below realm(s) differs from that of nearly all historic Woodland–Plains Indians, who knew the journey to take place on the earth-disk or to occur by ascension. Implications of the ritual drama at Turner for some recent interpretive trends in Woodland archaeology are explored, including an overemphasis on “world renewal” as the primary motivation behind Ohio Hopewell ceremonialism, the scarce attention given to eschatological matters, and the misleading notion that all agentive behaviors, including mortuary rites, are political.
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Kaplan, Heather, Kelly Friar, Sandra Fuller, Susan Ford, Beth White, John Besl, John Paulson et al. "Using a State Birth Registry as a Quality Improvement Tool". American Journal of Perinatology 34, n.º 10 (22 de março de 2017): 0958–65. http://dx.doi.org/10.1055/s-0037-1600898.
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Background Birth registry data are universally collected, generating large administrative datasets. However, these data are typically not used for quality improvement (QI) initiatives in perinatal medicine because the quality and timeliness of the information is uncertain. Objective We sought to identify and address causes of inaccuracy in recording birth registry information so that birth registry data could support statewide obstetrical quality initiatives in Ohio. Study Design The Ohio Perinatal Quality Collaborative and the Ohio Department of Health Vital Statistics used QI techniques in 15 medium-sized maternity hospitals to identify and remove systemic sources of inaccuracy in birth registry data. The primary outcome was the rate of scheduled deliveries without medical indication between 370/7 and 386/7 weeks at participating hospitals from birth registry data. Results Inaccurate birth registry data most commonly resulted from limited communication between clinical and medical record staff. The rate of scheduled births between 370/7 and 386/7 weeks' gestation without a documented medical indication as recorded in the birth registry declined by 35%. Conclusion A QI initiative aimed at increasing the accuracy of birth registry information demonstrated the utility of these data for surveillance of perinatal outcomes and has led to ongoing efforts to support birth registrars in submitting accurate data.
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Nielsen, D. G., e M. J. Dunlap. "Birch, Evaluation of Insecticides for Control of Birch Aphid, Wayne Co., Oh, 1984". Insecticide and Acaricide Tests 10, n.º 1 (1 de janeiro de 1985): 270. http://dx.doi.org/10.1093/iat/10.1.270.
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Abstract B. pendula (4.5 m tall) and B. pubescens (3.5 m tall) growing in an experimental birch planting at The Ohio State University, Ohio Agricultural Research and Development Center near Wooster were chosen for evaluating efficacy of selected insecticides against birch aphid. A KWH backpack mistblower operating at 0.5 throttle and aperature setting 2 was used to deliver 960 ml of finished spray to each of 2 ‘pendula’ and 640 ml to 1 ‘pubescens’ for each treatment. Application was made 4 Sept under clear, evening skies at 18°C with no breeze. Treatment effectiveness was evaluated 1, 3, 7, and 14 DAT (days after treatment) by holding a collection tray beneath 2 branches per tree and striking each branch twice. Collections were placed in glass vials; aphids were counted in the laboratory with the aid of a binocular dissecting microscope. The same procedure was followed to make pre-counts on the day of application, prior to treatment, to provide baseline information on aphid population density.
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Rock, Amy E., Amanda Mullett, Saad Algharib, Jared Schaffer e Jay Lee. "Impact of Spatial Filtering on the Least Cost Path Method". International Journal of Applied Geospatial Research 1, n.º 4 (outubro de 2010): 32–44. http://dx.doi.org/10.4018/jagr.2010100103.
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In the face of renewed interest in High-Speed Rail (HSR) projects, Ohio is one of several states seeking federal funding to relieve pressure on aging, overburdened highway infrastructure by constructing passenger rail routes between major cities. This paper evaluates the creation of a new rail route in Ohio’s 3-C Corridor utilizing GIS. The authors consider two primary cost factors in construction, slope and land cover, to generate alternative least-cost paths. To assess the importance of the cost factors, two separate paths are created using two different weighting methods for the land cover layer. The land cover is weighted first by difficulty of construction, and second by relative acquisition costs. These two paths are then compared against a path selected by the Ohio Hub Project which uses existing track lines, advantages and disadvantages of each are discussed.
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Manchester, Kara, John D. Corrigan, Bhavna Singichetti, Lihong Huang, Jennifer Bogner, Honggang Yi e Jingzhen Yang. "Current health status and history of traumatic brain injury among Ohio adults". Injury Prevention 26, n.º 2 (25 de fevereiro de 2019): 129–37. http://dx.doi.org/10.1136/injuryprev-2018-043056.
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IntroductionLifetime history of traumatic brain injury (TBI) with loss of consciousness (LOC) is prevalent in 21% of adult, non-institutionalised residents of Ohio. Prior history has been associated with lower incomes, inability to work and disability. The current study sought to evaluate the relationship between lifetime history and adverse health conditions.MethodsData came from the 2014 Ohio Behavioral Risk Factors Surveillance System, which included a state-specific module eliciting lifetime history of TBI.ResultsNon-institutionalised adults living in Ohio who have had at least one TBI with LOC were more likely to report fair or poor health, more days of poor health, more days when poor health limited activities, being diagnosed with a chronic condition and having less than 7 hours of sleep per night. The relationship with increasing number of TBIs was monotonic, with the likelihood of adverse health increasing as the number increased. A similar relationship was observed for increasing severity of the worst lifetime TBI. Experiencing a first TBI before age 15 was associated with poorer health but was not statistically different than incurring a first after age 15.ConclusionsAdults who have experienced TBI with LOC in their lifetime are two to three times more likely to experience adverse health conditions when compared with same age-matched, sex-matched and race-matched adults without such history. These findings support re-examining the public health burden of TBI in light of lifetime exposure and not just the consequences of an index injury.
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Nielsen, D. G., e M. J. Dunlap. "Prunus, Peachtree Borer Control, Wayne County, Ohio, 1985". Insecticide and Acaricide Tests 13, n.º 1 (1 de janeiro de 1988): 60a—61. http://dx.doi.org/10.1093/iat/13.1.60a.
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Abstract Prunus cistina growing in 2-gal containers and infested with Synanthedon exitiosa were planted in a research plot at the Ohio State University Agricultural Research and Development Center in early June, prior to moth emergence. These plants were used for evaluating efficacy of selected insecticides for reducing establishment of peachtree borer larvae. A COz compression sprayer with a Teejet SS8004 flat-fan nozzle operating at 16 psi was used to spray four 4-plant replicates/treatment arranged in a randomized complete block design. Sprays were applied 14 Jun under sunny skies at 18�C with a breeze of 8-16 km/h. Each plant received 70 ml of finished spray on its lower trunk and limbs. Treatment effectiveness was evaluated 6 Sep by examining the base of each plant for exudate and frass.
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K. Quaye, Randolph. "The Patient Protection and Affordable Care Act (ACA) of 2010 and Ohio physicians". Leadership in Health Services 27, n.º 2 (28 de abril de 2014): 116–25. http://dx.doi.org/10.1108/lhs-10-2012-0037.
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Purpose – This paper aims to explore the perspectives of Ohio physicians on the Patient Protection and Affordable Care Act (ACA) of 2010. While much has been debated about ACA, relatively few studies have focused on how ACA will impact on physicians' practice behavior. Design/methodology/approach – The research data came from a mailed survey of ninety physicians randomly selected from the Cigna Directory of Physicians practicing in Ohio. Study examined how informed were physicians about ACA, and explored how much the effect of ACA has been discussed in their practice, how they think ACA will impact their practice, and whether or not they are in favor of the provisions under the Act. Findings – Overwhelmingly, while the physicians surveyed were familiar with the specific provisions of ACA, almost half of them opposed it. Primary care physicians reported generally favorable opinions about ACA. All but one of the physicians concluded that ACA, much like managed care provisions, has undermined and will continue to reduce the autonomy and professional independence of physicians. Research limitations/implications – This study is limited by its small sample and reliance on a small set of physicians. Practical implications – This study has practical implications for examining how Ohio physicians are responding to the new health care reform in the United States. It has broader implications for addressing the problem of the uninsured and the role of the federal government in health care provision. Social implications – If physicians are opposed to this reform as the study seems to suggest, it might have broader implications for future career aspirations for physicians. Originality/value – So far as we can tell, there has not been any exploratory study in Ohio examining the perspectives of physicians on ACA.
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Lee, Gabriel, Bashar Shihabuddin e Courtney Shihabuddin. "232 Establishing Quality and Universal Access for LGBTQIA2+ Patients (EQUAL)". Journal of Clinical and Translational Science 8, s1 (abril de 2024): 70. http://dx.doi.org/10.1017/cts.2024.214.
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OBJECTIVES/GOALS: LGBTQIA2+ patients experience many healthcare inequities and often do not seek healthcare due to stigma andprevioustraumatic experiences in the healthcare system. A paucity of healthcare centersprovidesreduced-fee or free healthcare to LGBTQIA2+ individuals. METHODS/STUDY POPULATION: This project was initiated by the primary author who volunteered at an established student-run free clinic in Columbus, OH. The primary author engaged other students and faculty members, including the co-authors. A needs assessment was conducted by the authors, highlighting the unique needs of LGBTQIA2+ patients in central Ohio. In April 2022, members of the community and volunteer faculty providers established the Rainbow Clinic. The Rainbow Clinic provides primary care services including sexual health/STI testing and gynecology care. The Rainbow Clinic exclusively serves members of the LGBTQIA2+ community in central Ohio and creates a safe and inclusive space to educate medical and nurse practitioner students on the care of LGBTQIA2+ patients in a culturally sensitive way. RESULTS/ANTICIPATED RESULTS: The Rainbow Clinic has provided care for 60 patients equating to 78 visits. Most patients sought care for general primary care (17.9%), gynecological care (11.5%) or STI testing and treatment (7.7%). In addition to medical services, social work services are also provided as part of available mental health services and to provide additional linkage to care. To our knowledge, The Rainbow Clinic is the first student-run free clinic in Ohio to offer pre-exposure HIV prophylaxis (PrEP) medication as well as the required laboratory monitoring. The Rainbow Clinic has ongoing research evaluating patient comfortability throughout their encounters and has launched research studies to evaluate how best to address social determinants of health that affect the health and healthcare of the LGBTQIA2+ community. DISCUSSION/SIGNIFICANCE: The Rainbow Clinic deliversfree healthcareand social work servicesto patients who experience healthcare inequities anddisparities.Additionally, the Rainbow Clinic is a source of education for medical and nurse practitionerstudents to ensure their cultural humility in treating future LGBTQ+ patients.
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Woo, Christine, Gino N. Cioffi, Taissa A. Bej, Brigid Wilson, Janet M. Briggs, Sarah C. Markt, Fredrick R. Schumacher et al. "Data Matching to Support Analysis of Cancer Epidemiology Among Veterans Compared With Non-Veteran Populations—An Exemplar in Brain Tumors". JCO Clinical Cancer Informatics, n.º 5 (setembro de 2021): 985–94. http://dx.doi.org/10.1200/cci.21.00052.
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PURPOSE State and national cancer registries do not systematically include Veteran data, which hinders analysis of the diagnosis patterns, treatment trajectories, and clinical outcomes of Veterans compared with non-Veteran populations. This study used data matching approaches to compare cases included in the Oncology Domain of the Veterans Affairs (VA) Corporate Data Warehouse and the Ohio Cancer Incidence Surveillance System, using brain tumors as an exemplar. METHODS We used direct data matching, on the basis of protected health information (PHI) common to both databases, to compare primary brain tumors from Veterans and non-Veterans diagnosed from 2000 to 2016. Working with this matched data set, we used six data elements that did not contain PHI, to assess the feasibility of using deterministic data matching to compare Veterans and non-Veterans. RESULTS Between 2000 and 2016, 223 Veterans from Ohio had a primary brain tumor; of those, 55 (25%) were not included in Ohio Cancer Incidence Surveillance System. Direct data matching showed that Veterans experienced a greater proportion of glioblastomas (41%) compared with non-Veterans (21%). Sex did not account for this difference. Deterministic data matching within the matched data set found that 75% (126 of 168) of Veterans had exact matches for at least five of six non-PHI variables common to both databases. CONCLUSION This study indicated that direct and deterministic data matching approaches to compare brain tumors in Veterans and in non-Veterans is feasible. This approach has the potential to promote comparisons of the distribution of tumors, the impact of chemical and environmental exposures, treatment trajectories, and clinical outcomes among Veteran and non-Veteran populations with brain tumors as well as other cancers and rare diseases.
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Siganga, Walter W., e Homa B. Dastani. "An Overview of Four Nonpharmacologic Complementary and Alternative Medicine Modalities". Journal of Pharmacy Technology 18, n.º 4 (julho de 2002): 171–77. http://dx.doi.org/10.1177/875512250201800401.
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Objective To provide an overview of 4 nonmedical complementary and alternative medicine (CAM) modalities with an emphasis on 1 mind-body approach (yoga), 2 alternative systems (acupuncture, tai chi), and 1 energy therapy (therapeutic touch). Support in the scientific literature for the usefulness of each technique is presented. Data Sources Primary articles on alternative medicine were obtained by performing a MEDLINE search. An online book search was conducted on the Ohio Library and Information Network, a consortium of 79 Ohio colleges, universities, and community colleges and the State Library of Ohio. Data Synthesis All 4 CAM modalities had a scientific basis and were supported in the literature. Main drawbacks to many scientific studies were in methodologic flaws such as small sample sizes, variable interventions, and the absence of controls. Many researchers are beginning to include evidence-based and scientific techniques in their studies that more closely meet established scientific standards. This will lead to more robust, valid, reliable, and uniform methodologic approaches. Discussion Many patients use both CAM and mainstream therapies for their medical conditions. As the quality of scientific studies improves, pharmacists can gain confidence in using the results to provide pharmaceutical care to such patients. It is the pharmacists' responsibility to educate themselves about CAM therapies. Conclusions Embracing a holistic approach to care may enable pharmacists to optimize the pharmaceutical care they provide to all their patients.
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Katz, Mira L., Mary Ellen Wewers, Nancy Single e Electra D. Paskett. "Key Informants' Perspectives Prior to Beginning a Cervical Cancer Study in Ohio Appalachia". Qualitative Health Research 17, n.º 1 (janeiro de 2007): 131–41. http://dx.doi.org/10.1177/1049732306296507.
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Ervin, Emma, Barbara Poppe, Amanda Onwuka, Hannah Keedy, Stephen Metraux, Leslie Jones, Megan Sandel e Kelly Kelleher. "Characteristics Associated with Homeless Pregnant Women in Columbus, Ohio". Maternal and Child Health Journal 26, n.º 2 (6 de outubro de 2021): 351–57. http://dx.doi.org/10.1007/s10995-021-03227-y.
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Abstract Introduction The effects of homelessness on pregnant women are substantial. We aim to identify key characteristics of a group of women identified as homeless and pregnant in order to understand their history of housing, family composition, health, and demographics as a first step for future intervention. Methods We present cross-sectional survey data on a sample of 100 women reporting homelessness and pregnancy in the prior year in Columbus, Ohio, identified through social service and housing not for profit agencies. Our analysis uses data collected from a survey of health behaviors, housing, employment status, and demographics. Continuous measures are described with means and standard deviations, and categorical variables are described with percentages. Results The majority (81%) of the women identified as African American. Over 95% of the women were single, and 74 women reported a prior pregnancy. Almost half of the women reported being behind on rent at least one time in the last 6 months, and 43% indicated that they had lived in more than three places in the last year. Approximately 34% of the sample reported cigarette use during pregnancy, while 12% and 30% reported alcohol and illicit drug use, respectively. Discussion Women who were pregnant and experiencing homelessness in our study reported a multitude of complex and severe problems ranging from high rates of substance use, longstanding housing insecurity and financial stress. Programs hoping to successfully support women will need to address a variety of service needs while recognizing the resilience of many women.
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Johnson-Motoyama, Michelle, Deborah Moon, Nancy Rolock, David Crampton, C. Bailey Nichols, Hanna Haran, Yiran Zhang, Yasuyuki Motoyama, Eric Gonzalez e Nicole Sillaman. "Social Determinants of Health and Child Maltreatment Prevention: The Family Success Network Pilot". International Journal of Environmental Research and Public Health 19, n.º 22 (21 de novembro de 2022): 15386. http://dx.doi.org/10.3390/ijerph192215386.
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Child maltreatment is a highly prevalent public health concern that contributes to morbidity and mortality in childhood and short- and long-term health consequences that persist into adulthood. Past research suggests that social determinants of health such as socioeconomic status and intergenerational trauma are highly correlated with child maltreatment. With support from the U.S. Children’s Bureau, the Ohio Children’s Trust Fund is currently piloting the Family Success Network, a primary child maltreatment prevention strategy in Northeast Ohio that seeks to address these social determinants through pillars of service that include family coaching, financial assistance, financial education, parenting education, and basic life skills training. This study highlights the initial development phase of a pilot study. Plans for in-depth process and outcome evaluations are discussed. The project seeks to improve family functioning and reduce child protective services involvement and foster care entry in an economically disadvantaged region.
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Lowell, Thomas V., e Robert Stuckenrath. "Late Wisconsin Advance and Retreat Pattern in the Miami Sublobe, Laurentide Ice Sheet". Annals of Glaciology 14 (1990): 172–75. http://dx.doi.org/10.3189/s026030550000851x.
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Ice-sheet advance and retreat chronologies reflect climatic change in a manner that is difficult to decipher. Especially difficult is the placement of records into a chronologic sequence. Multiple age estimates obtained from three stratigraphic positions at a site in Ohio show that organics within deposits of the Miami sublobe, along the southern margin of the Laurentide ice sheet, may be up to 3000 years older than the age of the maximum Late Wisconsin extension of that sublobe. In addition, recent studies on organic accumulations above glacial drift provide bracketing ages for ice recession. When the existing radiometric ages for the Miami sublobe are interpreted with these new radiometric constraints, several fluctuations suggested by prior workers are unsupported. A simpler chronology for the Miami sublobe suggests that in late Wisconsin time the southern margin of the Laurentide ice sheet advanced through Ohio about 22 ka to its maximum extent at 19.7 and remained near there until 15 ka. This is in agreement with newly-refined stratigraphic histories of other Laurentide lobes.
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Lowell, Thomas V., e Robert Stuckenrath. "Late Wisconsin Advance and Retreat Pattern in the Miami Sublobe, Laurentide Ice Sheet". Annals of Glaciology 14 (1990): 172–75. http://dx.doi.org/10.1017/s026030550000851x.
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Ice-sheet advance and retreat chronologies reflect climatic change in a manner that is difficult to decipher. Especially difficult is the placement of records into a chronologic sequence. Multiple age estimates obtained from three stratigraphic positions at a site in Ohio show that organics within deposits of the Miami sublobe, along the southern margin of the Laurentide ice sheet, may be up to 3000 years older than the age of the maximum Late Wisconsin extension of that sublobe. In addition, recent studies on organic accumulations above glacial drift provide bracketing ages for ice recession. When the existing radiometric ages for the Miami sublobe are interpreted with these new radiometric constraints, several fluctuations suggested by prior workers are unsupported. A simpler chronology for the Miami sublobe suggests that in late Wisconsin time the southern margin of the Laurentide ice sheet advanced through Ohio about 22 ka to its maximum extent at 19.7 and remained near there until 15 ka. This is in agreement with newly-refined stratigraphic histories of other Laurentide lobes.
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Tankersley, Kenneth B., e Nichelle Lyle. "Holocene faunal procurement and species response to climate change in the Ohio River valley". North American Archaeologist 40, n.º 4 (outubro de 2019): 192–235. http://dx.doi.org/10.1177/0197693119889256.
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This paper examines the temporal distribution of 163 distinct species recovered from 21 well-dated Holocene age archaeological sites in the Ohio River valley to determine patterns of faunal resource procurement and their response to periods of climate change. Climate change proxies include bison, long-billed curlew, pine marten, porcupine, prairie vole, and swamp rabbit. While the rice rat may be a proxy of climate change, its initial appearance in the Archaic cultural period co-occurs with storable starchy and oily seed crops such as erect knotweed, little barley, marsh elder, maygrass, and sunflower. Subsistence proxies that transcend climate change include variety of aquatic (bass/sunfish, buffalo, channel catfish, freshwater drum, gar, mussels, snails, snapping and spiny softshell turtles, and river redhorse sucker), avian (blue-wing teal, Canada goose, and turkey), and terrestrial species (dog, eastern cotton-tail, elk, gray and fox squirrels, opossum, raccoon, timber rattlesnake, and woodchuck). Caldwell’s Primary Forest Efficiency remains a valid theoretical model of Holocene subsistence strategy in the Ohio River valley.
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SOTO, S. M., N. MARTÍNEZ, B. GUERRA, M. A. GONZÁLEZ-HEVIA e M. C. MENDOZA. "Usefulness of genetic typing methods to trace epidemiologically Salmonella serotype Ohio". Epidemiology and Infection 125, n.º 3 (dezembro de 2000): 481–89. http://dx.doi.org/10.1017/s0950268800004921.
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Different genetic typing procedures were applied in an epidemiological study of Salmonella serotype Ohio. Isolates that generated identical DNA fingerprints (HincII ribotypes, ERIC and RAPD profiles) were clustered into the same lineage, and the addition of data from plasmid, integron and resistance profiles was used to differentiate types. Results led to the determination of the endemic and the emergent epidemic types at specific times, and to ascertain the clinical and epidemiological impact of each type. In the series analysed (47 clinical isolates and 3 non-clinical isolates) 11 lineages and 32 types were found. Two lineages were considered prevalent and endemic, and during an epidemiological alert (Spain, 1998) a re-emergence and spread of organisms mainly from the most frequent lineage had occurred. The combination of H-ribotype with ERIC profile, as primary markers, and resistance profile with plasmid profile, as secondary markers, was shown to be the most useful tool to trace epidemiologically Ohio.
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Hammerslag, Lindsey R., Aimee Mack, Redonna K. Chandler, Laura C. Fanucchi, Daniel J. Feaster, Marc R. LaRochelle, Michelle R. Lofwall et al. "Telemedicine Buprenorphine Initiation and Retention in Opioid Use Disorder Treatment for Medicaid Enrollees". JAMA Network Open 6, n.º 10 (18 de outubro de 2023): e2336914. http://dx.doi.org/10.1001/jamanetworkopen.2023.36914.
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ImportanceEarly COVID-19 mitigation strategies placed an additional burden on individuals seeking care for opioid use disorder (OUD). Telemedicine provided a way to initiate and maintain transmucosal buprenorphine treatment of OUD.ObjectiveTo examine associations between transmucosal buprenorphine OUD treatment modality (telemedicine vs traditional) during the COVID-19 public health emergency and the health outcomes of treatment retention and opioid-related nonfatal overdose.Design, Setting, and ParticipantsThis retrospective cohort study was conducted using Medicaid claims and enrollment data from November 1, 2019, to December 31, 2020, for individuals aged 18 to 64 years from Kentucky and Ohio. Data were collected and analyzed in June 2022, with data updated during revision in August 2023.ExposuresThe primary exposure of interest was the modality of the transmucosal buprenorphine OUD treatment initiation. Relevant patient demographic and comorbidity characteristics were included in regression models.Main Outcomes and MeasuresThere were 2 main outcomes of interest: retention in treatment after initiation and opioid-related nonfatal overdose after initiation. For outcomes measured after initiation, a 90-day follow-up period was used. The main analysis used a new-user study design; transmucosal buprenorphine OUD treatment initiation was defined as initiation after more than a 60-day gap in buprenorphine treatment. In addition, uptake of telemedicine for buprenorphine was examined, overall and within patients initiating treatment, across quarters in 2020.ResultsThis study included 41 266 individuals in Kentucky (21 269 women [51.5%]; mean [SD] age, 37.9 [9.0] years) and 50 648 individuals in Ohio (26 425 women [52.2%]; mean [SD] age, 37.1 [9.3] years) who received buprenorphine in 2020, with 18 250 and 24 741 people initiating buprenorphine in Kentucky and Ohio, respectively. Telemedicine buprenorphine initiations increased sharply at the beginning of 2020. Compared with nontelemedicine initiation, telemedicine initiation was associated with better odds of 90-day retention with buprenorphine in both states (Kentucky: adjusted odds ratio, 1.13 [95% CI, 1.01-1.27]; Ohio: adjusted odds ratio, 1.19 [95% CI, 1.06-1.32]) in a regression analysis adjusting for patient demographic and comorbidity characteristics. Telemedicine initiation was not associated with opioid-related nonfatal overdose (Kentucky: adjusted odds ratio, 0.89 [95% CI, 0.56-1.40]; Ohio: adjusted odds ratio, 1.08 [95% CI, 0.83-1.41]).Conclusions and RelevanceIn this cohort study of Medicaid enrollees receiving buprenorphine for OUD, telemedicine buprenorphine initiation was associated with retention in treatment early during the COVID-19 pandemic. These findings add to the literature demonstrating positive outcomes associated with the use of telemedicine for treatment of OUD.
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Covington, Edward C., Paul Rodenhauser, Marvin E. Gottlieb e Alma Houston. "Psychiatric Training for Primary Care Residents: Proposed Standards". International Journal of Psychiatry in Medicine 17, n.º 4 (dezembro de 1988): 327–40. http://dx.doi.org/10.2190/n176-a1u7-08h5-eglv.
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Most of the nation's psychiatric care is provided by primary care physicians, and this trend is expected to continue. Primary care physicians see themselves as poorly trained in psychiatry, and evidence supports a high incidence of missed diagnosis and inadequate or inappropriate treatment. In addition, poor training may underlie the indifference to psychiatric problems often demonstrated by primary physicians. The Ohio Psychiatric Association Foundation has designated an annual award to be given to the primary care program which provides the best psychiatric training in the state, and the psychiatric training directors met to develop criteria for selecting the recipients. The resulting standards emphasize the importance of training which is relevant to a medical care setting, provided by psychiatrists, and supportive of the integration of psychiatric methods into-medical care.
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Berzofsky, Marcus E., Naomi Freedner, Caroline Scruggs, Robert Ashmead, Timothy Sahr, Bo Lu, Michael Nau, Eric Seiber, Hilary Rosebrook e Tom Duffy. "The Design and Methodology of the Ohio COVID-19 Survey". Ohio Journal of Public Health 4, n.º 1 (21 de junho de 2021): 5–10. http://dx.doi.org/10.18061/ojph.v4i1.8068.
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Background: Governments worldwide are balancing contrasting needs to curtail the toll that coronavirus disease 2019 (COVID-19) takes on lives and health care systems and to preserve their economies. To support decisions, data that simultaneously measure the health status of the population and the economic impact of COVID-19 mitigation strategies are needed. In the United States, prior to the onset of COVID-19, surveys or tracking systems usually focused on public health or economic indicators, but not both. However, tracking public health and economic measures together allow policy makers and epidemiologists to understand how policy and program decisions are associated. The Ohio COVID-19 Survey (OCS) attempts to track both measures in Ohio as one of the first statewide population surveys on COVID-19. To achieve this there are several methodological challenges which need to be overcome. Methods: The OCS utilizes a representative panel offering both cross-sectional and longitudinal analyses. It targets 700 to 1000 respondents per week for a total of 12 600 to 18 000 respondents over an 18-week period. Leveraging a sample of 24 000 adult Ohioans developed from a statewide population health survey conducted in fall 2019, the OCS produces weekly economic and health measures that can be compared to baseline measures obtained before the COVID-19 pandemic began. Results: The OCS was able to quickly launch and achieve high participation (45.2%) and retention across waves. Conclusion: The OCS demonstrates how it is possible to leverage an existing health-based survey in Ohio to generate a panel which can be used to quickly track fast-breaking health issues like COVID-19.
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Amey, Katherine Springer. "Revised Predictive Model for Successful Introduction of Native Ohio Brook Trout (Salvelinus fontinalis) in Select Streams in Geauga and Lake Counties, Ohio a". Ohio Journal of Science 114, n.º 2 (2 de outubro de 2014): 19. http://dx.doi.org/10.18061/ojs.v114i2.4433.
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Eight cold-water streams in Lake and Geauga Counties, Ohio were evaluated to develop a revised predictive model to assess future streams for the introduction of threatened native Ohio Brook Trout (Salvelinus fontinalis). A 15-month study was conducted, ending May 2010, in streams where Brook Trout were previously introduced during the years 1997-2002. Fifty percent of the sixteen original reintroduction streams failed to support the establishment of self-sustaining populations of Brook Trout, indicating there were additional factors contributing to their success and failure. Of the 8 streams included in this study, 4 streams were designated successful, 2 variable, and 2 failed, in terms of the Brook Trout’s ability to establish self-sustaining populations by the Ohio Department of Natural Resources (ODNR). Multivariate statistical methods including Principal Component Analysis (PCA) and Agglomerative Hierarchical Cluster Analysis (AHCA) were implemented to determine the most important characteristics in Brook Trout stream selection. Factors found to be significant for Brook Trout success were stream velocities within the range of 1.4-4.7 cm/s, high hydraulic conductivity of the headwater bedrock aquifer (K>4.7 x 103 cm/s), lighter average δ18O ‰ (-9.8 to -10.4), either high percent canopy cover (40%-55%) or high percent instream cover (18%-37%), a high number of cold-water adapted benthic macroinvertebrate cold-water taxa (10-16 species), yearly average hyporheic water temperature of 4.6°C-17.2°C, average surface water turbidity of 7 to 31 NTU and long-term surface water temperature and dissolved oxygen monitoring over both winter and summer seasons is recommended prior to Brook Trout introduction to ensure their sustainability.