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Public Health, Workforce, Quality, and Related Provisions in H.R. 3590, as Passed by the Senate

Description: This report summarizes the workforce, prevention, quality, and related provisions in H.R. 3590, as passed by the Senate. It begins with some background on health care delivery reform, followed by an overview of the report’s content and organization
Date: March 1, 2010
Creator: Redhead, C. Stephen & Williams, Erin D.
Partner: UNT Libraries Government Documents Department

Association of residential dampness and mold with respiratory tract infections and bronchitis: a meta-analysis

Description: Dampness and mold have been shown in qualitative reviews to be associated with a variety of adverse respiratory health effects, including respiratory tract infections. Several published meta-analyses have provided quantitative summaries for some of these associations, but not for respiratory infections. Demonstrating a causal relationship between dampness-related agents, which are preventable exposures, and respiratory tract infections would suggest important new public health strategies. We report the results of quantitative meta-analyses of published studies that examined the association of dampness or mold in homes with respiratory infections and bronchitis. For primary studies meeting eligibility criteria, we transformed reported odds ratios (ORs) and confidence intervals (CIs) to the log scale. Both fixed and random effects models were applied to the log ORs and their variances. Most studies contained multiple estimated ORs. Models accounted for the correlation between multiple results within the studies analyzed. One set of analyses was performed with all eligible studies, and another set restricted to studies that controlled for age, gender, smoking, and socioeconomic status. Subgroups of studies were assessed to explore heterogeneity. Funnel plots were used to assess publication bias. The resulting summary estimates of ORs from random effects models based on all studies ranged from 1.38 to 1.50, with 95% CIs excluding the null in all cases. Use of different analysis models and restricting analyses based on control of multiple confounding variables changed findings only slightly. ORs (95% CIs) from random effects models using studies adjusting for major confounding variables were, for bronchitis, 1.45 (1.32-1.59); for respiratory infections, 1.44 (1.31-1.59); for respiratory infections excluding nonspecific upper respiratory infections, 1.50 (1.32-1.70), and for respiratory infections in children or infants, 1.48 (1.33-1.65). Little effect of publication bias was evident. Estimated attributable risk proportions ranged from 8% to 20%. Residential dampness and mold are associated with substantial and statistically significant ...
Date: November 15, 2010
Creator: Fisk, William J.; Eliseeva, Ekaterina A. & Mendell, Mark J.
Partner: UNT Libraries Government Documents Department

The President's Emergency Plan for AIDS Relief (PEPFAR), U.S. Global HIV/AIDS, Tuberculosis, and Malaria Programs: A Description of Permanent and Expiring Authorities

Description: This report explains which authorities within the Leadership and Lantos-Hyde Acts are set to expire and which are permanent. The report in the Appendix A offers a side-by-side comparison of the Leadership Act in its original form and the Lantos-Hyde Act, which amends the Leadership Act and other legislation.
Date: September 27, 2013
Creator: Salaam-Blyther, Tiaji
Partner: UNT Libraries Government Documents Department

The Logic of Uncertainty and Executive Discretion in Decision Making: The Dallas-Fort Worth Metroplex Ebola Response

Description: This article addresses what a highly complex public health situation such as the Dallas-Fort Worth Ebola outbreak tell about the use of discretion by executive level public administrators.
Date: June 2017
Creator: Benavides, Abraham David; Keyes, Laura; McEntire, David & Carlson, Erin K.
Partner: UNT College of Public Affairs and Community Service

Optimizing Scientific and Social Attributes of Pharmaceutical Take Back Programs to Improve Public and Environmental Health

Description: Research continues to show that pharmaceutical environmental contamination has caused adverse environmental effects, with one of the most studied effects being feminization of fish exposed to pharmaceutical endocrine disruptors. Additionally, there are also public health risks associated with pharmaceuticals because in-home reserves of medications provide opportunities for accidental poisoning and intentional medication abuse. Pharmaceutical take back programs have been seen as a remedy to these concerns; however a thorough review of peer-reviewed literature and publicly available information on these programs indicates limited research has been conducted to validate these programs as a purported solution. Furthermore, there are significant data gaps on key factors relating to take back program participants. The purpose of this dissertation was therefore to address these gaps in knowledge and ultimately determine if take back programs could actually improve public and environmental health. This was accomplished by conducting social and scientific research on a take back program called Denton Drug Disposal Day (D4). Socioeconomic, demographic, and geographic characteristics of D4 participants were investigated using surveys and geographic analysis. Impacts on public health were determined by comparing medications collected at D4 events with medications reported to the North Texas Poison Center as causing adverse drug exposures in Denton County. Impacts to environmental health were determined by monitoring hydrocodone concentrations in wastewater effluent released from Denton’s wastewater treatment plant before and after D4 events. Data collected and analyzed from the D4 events and the wastewater monitoring suggests D4 events were successful in contributing to improvements in public and environmental health; however there was insufficient evidence to prove that D4 events were exclusively responsible for these improvements. An additional interesting finding was that willingness to travel to participate in D4 events was limited to a five to six mile threshold. This geographic information, combined with other findings related to socioeconomic, ...
Date: August 2012
Creator: Stoddard, Kati Ireland
Partner: UNT Libraries

Sanitary and Phytosanitary (SPS) and Related Non-Tariff Barriers to Agricultural Trade

Description: This report discuses sanitary and phytosanitary (SPS) measures, which are laws, regulations, standards, and procedures that governments employ as "necessary to protect human, animal or plant life or health" from the risks associated with the spread of pests, diseases, or disease-carrying and causing organisms, or from additives, toxins, or contaminants in food, beverages, or feedstuffs.
Date: March 31, 2014
Creator: Johnson, Renée
Partner: UNT Libraries Government Documents Department

Phthalates in Plastics and Possible Human Health Effects

Description: This report provides background information about human exposure to phthalates in plastics and possible health effects. It also discusses evaluation and regulation of pthalates in the U.S. and internationally, as well as related legislative proposals.
Date: July 29, 2008
Creator: Schierow, Linda-Jo & Lee, Margaret Mikyung
Partner: UNT Libraries Government Documents Department

Requiring Individuals to Obtain Health Insurance: A Constitutional Analysis

Description: This report discusses the Patient Protection and Affordable Care Act (ACA), P.L. 111-148, as amended, Congress enacted a “minimum coverage provision,” which compels certain individuals to have a minimum level of health insurance. This report provides an analysis of the constitutionality of this provision requiring individuals to obtain health insurance.
Date: April 6, 2012
Creator: Staman, Jennifer; Brougher, Cynthia; Liu, Edward C.; Lunder, Erika K. & Thomas, Kenneth R.
Partner: UNT Libraries Government Documents Department

Sanitary and Phytosanitary (SPS) Concerns in Agricultural Trade

Description: This report categorizes, describes, and in some cases quantifies these barriers on a country-by-country basis. Sixty-two major trading partners are covered in the 2008 report.10 Sanitary and phytosanitary (SPS) measures and technical barriers to trade (TBTs) are generally detailed in each country’s profile and, where feasible, their impacts on U.S. exports are quantified by U.S. Trade Representative (USTR).
Date: December 15, 2008
Creator: Becker, Geoffrey S.
Partner: UNT Libraries Government Documents Department

Tax-Advantaged Accounts for Health Care Expenses: Side-by-Side Comparison

Description: This report provides brief summaries and background information about four accounts related to medical expenses: Health Savings Accounts (HSAs), Archer Medical Savings Accounts (MSAs), Flexible Spending Accounts (FSAs), and Health Reimbursement Accounts (HRAs). It also compares them with respect to characteristics such as eligibility, contribution limits, and use of funds.
Date: August 10, 2004
Creator: Lyke, Bob & Peterson, Chris L.
Partner: UNT Libraries Government Documents Department

Medicaid Coverage of Long-Term Services and Supports

Description: This report provides a description of the various statutory authorities that either require or otherwise allow states to cover LTSS under Medicaid. The Appendix provides a brief legislative history of Medicaid LTSS from Medicaid’s enactment and initial coverage requirements for institutional care through the evolution of HCBS options available to states.
Date: December 5, 2013
Creator: Colello, Kirsten J.
Partner: UNT Libraries Government Documents Department

Centers for Medicare & Medicaid Services (CMS) Proposed Rule on Medicaid Managed Care: Frequently Asked Questions

Description: This report responds to a series of frequently asked questions (FAQs) identified to address some of the major updates included in the proposed rule. The FAQs summarize provisions such as the introduction of a minimum medical loss ratio (MLR), guidance on enrolling the long-term services and supports (LTSS) population in managed care, and network adequacy.
Date: July 15, 2015
Creator: Blom, Kirstin B.
Partner: UNT Libraries Government Documents Department

Requiring Individuals to Obtain Health Insurance: A Constitutional Analysis

Description: This report first analyzes the authority of Congress to enact the minimum essential coverage requirement contained in Patient Protection and Affordable Care Act (PPACA), as well as how a court might analyze this provision if challenged based on various provisions of the Fifth and Tenth Amendments. This report discusses whether there must be exceptions to a requirement to purchase health insurance based on First Amendment freedom of religion, and finally, discusses some of the legal challenges to this federal requirement.
Date: February 1, 2011
Creator: Staman, Jennifer; Brougher, Cynthia; Liu, Edward C.; Lunder, Erika K. & Thomas, Kenneth R.
Partner: UNT Libraries Government Documents Department

Requiring Individuals to Obtain Health Insurance: A Constitutional Analysis

Description: This report first analyzes the authority of Congress to enact the minimum essential coverage requirement contained in the Patient Protection and Affordable Care Act (PPACA), as well as how a court might analyze this provision if challenged based on various provisions of the Fifth and Tenth Amendments. This report discusses whether there must be exceptions to a requirement to purchase health insurance based on First Amendment freedom of religion, and finally, discusses some of the legal challenges to this federal requirement.
Date: December 16, 2010
Creator: Staman, Jennifer; Brougher, Cynthia; Liu, Edward C.; Lunder, Erika K. & Thomas, Kenneth R.
Partner: UNT Libraries Government Documents Department

Requiring Individuals to Obtain Health Insurance: A Constitutional Analysis

Description: This report first analyzes the authority of Congress to pass a law of this nature, as well as how a court could analyze this provision in light of a constitutional challenge based on various provisions of the Fifth and Tenth Amendments. Finally, this report discusses whether the exceptions to the individual responsibility requirement to purchase health insurance satisfy First Amendment freedom of religion protections.
Date: May 7, 2010
Creator: Staman, Jennifer; Brougher, Cynthia; Liu, Edward C.; Lunder, Erika K. & Thomas, Kenneth R.
Partner: UNT Libraries Government Documents Department