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Prescription opioid abuse has become a serious national problem. To respond to the opioid epidemic, states have created prescription drug monitoring programs (PDMPs) to monitor and reduce opioids use. We conducted a systematic literature review to better understand metrics used to quantify the effect that PDMPs have had on reducing

Prescription opioid abuse has become a serious national problem. To respond to the opioid epidemic, states have created prescription drug monitoring programs (PDMPs) to monitor and reduce opioids use. We conducted a systematic literature review to better understand metrics used to quantify the effect that PDMPs have had on reducing opioid abuse, and solutions and challenges related to the integration of PDMPs with EHRs. Lessons learned can help guide federal and state-based efforts to better respond to the current opioid crisis.
ContributorsPonnapalli, Aditya Somayajulu (Author) / Murcko, Anita (Thesis director) / Grando, Adela (Committee member) / Wertheim, Pete (Committee member) / Biomedical Informatics Program (Contributor) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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Currently conventional Subtitle D landfills are the primary means of disposing of our waste in the United States. While this method of waste disposal aims at protecting the environment, it does so through the use of liners and caps that effectively freeze the breakdown of waste. Because this method can

Currently conventional Subtitle D landfills are the primary means of disposing of our waste in the United States. While this method of waste disposal aims at protecting the environment, it does so through the use of liners and caps that effectively freeze the breakdown of waste. Because this method can keep landfills active, and thus a potential groundwater threat for over a hundred years, I take an in depth look at the ability of bioreactor landfills to quickly stabilize waste. In the thesis I detail the current state of bioreactor landfill technologies, assessing the pros and cons of anaerobic and aerobic bioreactor technologies. Finally, with an industrial perspective, I conclude that moving on to bioreactor landfills as an alternative isn't as simple as it may first appear, and that it is a contextually specific solution that must be further refined before replacing current landfills.
ContributorsWhitten, George Avery (Author) / Kavazanjian, Edward (Thesis director) / Allenby, Braden (Committee member) / Houston, Sandra (Committee member) / Civil, Environmental and Sustainable Engineering Programs (Contributor) / Barrett, The Honors College (Contributor)
Created2013-05
Description

With the recent rise in opioid overdose and death1<br/><br/>, chronic opioid therapy (COT) programs using<br/>Center of Disease Control (CDC) guidelines have been implemented across the United States8<br/>.<br/>Primary care clinicians at Mayo Clinic initiated a COT program in September of 2017, during the<br/>use of Cerner Electronic Health Record (EHR) system. Study

With the recent rise in opioid overdose and death1<br/><br/>, chronic opioid therapy (COT) programs using<br/>Center of Disease Control (CDC) guidelines have been implemented across the United States8<br/>.<br/>Primary care clinicians at Mayo Clinic initiated a COT program in September of 2017, during the<br/>use of Cerner Electronic Health Record (EHR) system. Study metrics included provider<br/>satisfaction and perceptions regarding opioid prescription. Mayo Clinic transitioned its EHR<br/>system from Cerner to Epic in October 2018. This study aims to understand if provider perceptions<br/>about COT changed after the EHR transition and the reasons underlying those perceptions.

ContributorsPonnapalli, Sravya (Author) / Murcko, Anita (Thesis director) / Wallace, Mark (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Description

“Health and Wealthness” is a podcast where your hosts, Emily Weigel and Hanaa Khan, discuss pressing and trending topics about health and wealth that everyone should know about. Our thesis focuses primarily on the opioid epidemic - the science and business sides.

ContributorsWeigel, Emily Elizabeth (Co-author) / Khan, Hanaa (Co-author) / Olive, Foster (Thesis director) / Bonfiglio, Thomas (Committee member) / School of Accountancy (Contributor) / WPC Graduate Programs (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Description

Health and Wealthness is a podcast where your hosts, Emily Weigel and Hanaa Khan discuss pressing and trending topics about health and wealth that everyone should know about. Our first four episodes focus on the opioid crisis. Both the science and healthcare sides. We then go on to talk about

Health and Wealthness is a podcast where your hosts, Emily Weigel and Hanaa Khan discuss pressing and trending topics about health and wealth that everyone should know about. Our first four episodes focus on the opioid crisis. Both the science and healthcare sides. We then go on to talk about burnout and mental health in a conversational episode.

ContributorsKhan, Hanaa S (Co-author) / Weigel, Emily (Co-author) / Olive, Foster (Thesis director) / Bonfiglio, Thomas (Committee member) / Department of Psychology (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Description

As the opioid epidemic continues to rise, so does the incidence of neonatal abstinence syndrome. Neonatal abstinence syndrome, or NAS, is a withdrawal condition that occurs when a fetus has been exposed to addictive drugs prior to birth, most commonly opioids. Newborns with NAS can experience a variety of symptoms

As the opioid epidemic continues to rise, so does the incidence of neonatal abstinence syndrome. Neonatal abstinence syndrome, or NAS, is a withdrawal condition that occurs when a fetus has been exposed to addictive drugs prior to birth, most commonly opioids. Newborns with NAS can experience a variety of symptoms at and after birth, including trembling, sleep problems, seizures, and vomiting. Women who use opioids during pregnancy have a much higher risk of their newborn developing NAS. If a woman is suspected of using drugs during her pregnancy, the newborn will likely be tested toxicologically for NAS or other exposure to drugs. There is debate about the procedures that are used to determine who is tested and who is not. Institutions are currently being left to make their own decisions about how newborn toxicology tests will be performed and who receives such tests. Unless a mother self-reports her use, a test may not be performed unless certain factors are observed. This leaves room for variation and inconsistency across the board. Guidelines have been created in some institutions regarding several indicators of drugs abuse during pregnancy. However, this is not consistent between institutions across the nation and allows for the possibility of misdiagnosis or the lack of one altogether. Standards should be implemented regarding these toxicology tests for newborns to ensure all cases of infants with NAS are identified and able to be treated. This paper will examine neonatal abstinence syndrome, how toxicology testing is performed in newborns, why standards should be implemented, and provide a comparison between an upcoming and a current method of testing in newborns for NAS.

ContributorsKreutzer, Aubrey (Author) / Montero-Quesada, Shirly (Thesis director) / Watanabe-Sailor, Karen (Committee member) / Barrett, The Honors College (Contributor) / School of Mathematical and Natural Sciences (Contributor)
Created2021-12
ContributorsMendoza, Daniel (Author) / Grando, Adela (Thesis director) / Scotch, Matthew (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor) / School of Life Sciences (Contributor)
Created2023-05
ContributorsMendoza, Daniel (Author) / Grando, Adela (Thesis director) / Scotch, Matthew (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor) / School of Life Sciences (Contributor)
Created2023-05
ContributorsMendoza, Daniel (Author) / Grando, Adela (Thesis director) / Scotch, Matthew (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor) / School of Life Sciences (Contributor)
Created2023-05
ContributorsMendoza, Daniel (Author) / Grando, Adela (Thesis director) / Scotch, Matthew (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor) / School of Life Sciences (Contributor)
Created2023-05