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  • 1
    In: Journal of Intensive Care Medicine, SAGE Publications, Vol. 37, No. 4 ( 2022-04), p. 500-509
    Abstract: To determine whether surge conditions were associated with increased mortality. Design Multicenter cohort study. Setting U.S. ICUs participating in STOP-COVID. Patients Consecutive adults with COVID-19 admitted to participating ICUs between March 4 and July 1, 2020. Interventions None Measurements and Main Results The main outcome was 28-day in-hospital mortality. To assess the association between admission to an ICU during a surge period and mortality, we used two different strategies: (1) an inverse probability weighted difference-in-differences model limited to appropriately matched surge and non-surge patients and (2) a meta-regression of 50 multivariable difference-in-differences models (each based on sets of randomly matched surge- and non-surge hospitals). In the first analysis, we considered a single surge period for the cohort (March 23 – May 6). In the second, each surge hospital had its own surge period (which was compared to the same time periods in matched non-surge hospitals). Our cohort consisted of 4342 ICU patients (average age 60.8 [sd 14.8], 63.5% men) in 53 U.S. hospitals. Of these, 13 hospitals encountered surge conditions. In analysis 1, the increase in mortality seen during surge was not statistically significant (odds ratio [95% CI] : 1.30 [0.47-3.58], p = .6). In analysis 2, surge was associated with an increased odds of death (odds ratio 1.39 [95% CI, 1.34-1.43] , p  〈  .001). Conclusions Admission to an ICU with COVID-19 in a hospital that is experiencing surge conditions may be associated with an increased odds of death. Given the high incidence of COVID-19, such increases would translate into substantial excess mortality.
    Type of Medium: Online Resource
    ISSN: 0885-0666 , 1525-1489
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2001472-7
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  • 2
    In: The Journal of Vascular Access, SAGE Publications, Vol. 23, No. 6 ( 2022-11), p. 973-980
    Abstract: While access-related dysfunction is a clear driver of clinical outcomes and costs, the full impact of vascular access dysfunction on patient experience and quality of life is not fully characterized in the literature. One way to more comprehensively characterize the patient experience from the patient perspective is through patient reported outcomes (PROs). However, the limited implementation of PROs in clinical trials, patient registries, quality measurement, and other research settings has significantly constrained the patient voice in evaluation of vascular access outcomes and vascular access decision-making. To address these issues, the Kidney Health Initiative, a public-private partnership between the American Society of Nephrology and the U.S. Food and Drug Administration, assembled an interdisciplinary workgroup to enhance uptake of access-related PROs with the aims of: (1) reviewing the domains of HRQOL that are affected by vascular access, collect information on existing instruments that measure access-specific HRQOL in hemodialysis, and identify gaps in existing measures; (2) identifying and critically assessing barriers to widespread use of access-specific PRO measures; and (3) defining initiatives to overcome barriers and make recommendations for strategies to improve the use and utility of access-specific PRO measures. A consensus group process identified potential barriers to use of PRO measures in six categories: (1) PRO misperceptions, (2) patient factors, (3) regulators and payers, (4) instrument factors, (5) study design, and (6) physicians. The workgroup provided recommendations for actions to promote the widespread utilization of vascular access-related PRO measures in five categories: (1) development of vascular access-specific PRO measures, (2) ensuring comprehensive assessment when using vascular access PRO measures, (3) ensuring accessibility and applicability of vascular access PRO measures to all end stage kidney disease populations, (4) establishing universal guidelines and accepted vascular access PRO measures, and (5) engaging stakeholders across all facets.
    Type of Medium: Online Resource
    ISSN: 1129-7298 , 1724-6032
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2079292-X
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  • 3
    In: Clinical Pediatrics, SAGE Publications, Vol. 53, No. 7 ( 2014-06), p. 698-700
    Type of Medium: Online Resource
    ISSN: 0009-9228 , 1938-2707
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2014
    detail.hit.zdb_id: 2066146-0
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  • 4
    Online Resource
    Online Resource
    SAGE Publications ; 2023
    In:  Political Research Quarterly Vol. 76, No. 3 ( 2023-09), p. 1445-1459
    In: Political Research Quarterly, SAGE Publications, Vol. 76, No. 3 ( 2023-09), p. 1445-1459
    Abstract: What factors shape support for the human rights of prisoners and asylum seekers at the individual level? Although the human rights literature has expanded greatly in the last 30 years, comparatively little attention has been paid to (a) the many human rights outside of a very small set of physical or bodily integrity rights and (b) the role of public opinion. We build a theoretical model of various human rights as public opinion-related policy choices, developing the micro-foundations of public support for the human rights of vulnerable subpopulations. Drawing on the broader literature on public policy and international norms, we use experimental methods to test whether calls to rational effectiveness or international norm cascades improve support for the rights of prisoners and asylum seekers. Although we find baseline support for these rights in the United States and Canada, our findings also imply that rhetoric on the potential costs of human rights policy could reduce popular support, even when such policy is consistent with international norms.
    Type of Medium: Online Resource
    ISSN: 1065-9129 , 1938-274X
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2070095-7
    SSG: 8
    SSG: 3,6
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  • 5
    Online Resource
    Online Resource
    SAGE Publications ; 2017
    In:  Political Studies Vol. 65, No. 4 ( 2017-12), p. 767-785
    In: Political Studies, SAGE Publications, Vol. 65, No. 4 ( 2017-12), p. 767-785
    Abstract: Does a country’s abuse of human rights influence its ability to get a loan from the International Monetary Fund? We examine whether human rights conditions matter for the likelihood that a country participates in an International Monetary Fund program. We argue that human rights conditions are unlikely to be enough by themselves to influence International Monetary Fund decision-making; there are simply too many countries with poor human rights conditions that are under economic distress. Instead, it is the publicity and information that human rights organizations provide about countries that reduce the likelihood of International Monetary Fund program participation. We test the implications of this reasoning in a global analysis from 1990 to 2009 using an accepted model of International Monetary Fund program participation. We find much support for our hypothesis. We further demonstrate that it is those countries closer to the United States that are most likely to have human rights organization information reduce their likelihood of International Monetary Fund program participation.
    Type of Medium: Online Resource
    ISSN: 0032-3217 , 1467-9248
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2017
    detail.hit.zdb_id: 1481299-X
    SSG: 3,6
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