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142 results

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  • Comparative Historical Analysis
  • Michael Bernhard, Daniel O’Neill
  • Journal: Perspectives on Politics / Volume 19 / Issue 3 / September 2021
  • Published online by Cambridge University Press: 02 September 2021, pp. 699-704
  • Print publication: September 2021
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  • The Politics of Immigration
  • Michael Bernhard, Daniel O’Neill
  • Journal: Perspectives on Politics / Volume 19 / Issue 2 / June 2021
  • Published online by Cambridge University Press: 21 May 2021, pp. 351-355
  • Print publication: June 2021
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  • Perspectives on Politics Editors' Report, 2020
  • MICHAEL BERNHARD, DANIEL O'NEILL, JENNIFER BOYLAN
  • Journal: Political Science Today / Volume 1 / Issue 2 / May 2021
  • Published online by Cambridge University Press: 14 June 2021, pp. 55-59
  • Print publication: May 2021
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  • Working Class Blues?
  • Michael Bernhard, Daniel O’Neill
  • Journal: Perspectives on Politics / Volume 19 / Issue 1 / March 2021
  • Published online by Cambridge University Press: 26 February 2021, pp. 1-5
  • Print publication: March 2021
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  • Rural–urban differences in antibiotic prescribing for uncomplicated urinary tract infection
  • Abbye W. Clark, Michael J. Durkin, Margaret A. Olsen, Matthew Keller, Yinjiao Ma, Caroline A. O’Neil, Anne M. Butler
  • Journal: Infection Control & Hospital Epidemiology , First View
  • Published online by Cambridge University Press: 24 February 2021, pp. 1-8
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    Objective:

    To examine rural–urban differences in temporal trends and risk of inappropriate antibiotic use by agent and duration among women with uncomplicated urinary tract infection (UTI).

    Design:

    Observational cohort study.

    Methods:

    Using the IBM MarketScan Commercial Database (2010–2015), we identified US commercially insured women aged 18–44 years coded for uncomplicated UTI and prescribed an oral antibiotic agent. We classified antibiotic agents and durations as appropriate versus inappropriate based on clinical guidelines. Rural–urban status was defined by residence in a metropolitan statistical area. We used modified Poisson regression to determine the association between rural–urban status and inappropriate antibiotic receipt, accounting for patient- and provider-level characteristics. We used multivariable logistic regression to estimate trends in antibiotic use by rural–urban status.

    Results:

    Of 670,450 women with uncomplicated UTI, a large proportion received antibiotic prescriptions for inappropriate agents (46.7%) or durations (76.1%). Compared to urban women, rural women were more likely to receive prescriptions with inappropriately long durations (adjusted risk ratio 1.10, 95% CI, 1.10–1.10), which was consistent across subgroups. From 2011 to 2015, there was slight decline in the quarterly proportion of patients who received inappropriate agents (48.5% to 43.7%) and durations (78.3% to 73.4%). Rural–urban differences varied over time by agent (duration outcome only), geographic region, and provider specialty.

    Conclusions:

    Inappropriate antibiotic prescribing is quite common for the treatment of uncomplicated UTI. Rural women are more likely to receive inappropriately long antibiotic durations. Antimicrobial stewardship interventions are needed to improve outpatient UTI antibiotic prescribing and to reduce unnecessary exposure to antibiotics, particularly in rural settings.

  • Moving Beyond the Glass Ceiling?
  • Joan Tronto, Michael Bernhard, Daniel O’Neill
  • Journal: Perspectives on Politics / Volume 18 / Issue 4 / December 2020
  • Published online by Cambridge University Press: 17 December 2020, pp. 1013-1015
  • Print publication: December 2020
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  • The Uses of Violence
  • Michael Bernhard, Daniel O’Neill
  • Journal: Perspectives on Politics / Volume 18 / Issue 3 / September 2020
  • Published online by Cambridge University Press: 08 September 2020, pp. 701-705
  • Print publication: September 2020
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  • Perspectives on Politics Editors’ Report 2019
  • Michael Bernhard, Daniel O’Neill, Jennifer Boylan
  • Journal: PS: Political Science & Politics / Volume 53 / Issue 3 / July 2020
  • Published online by Cambridge University Press: 10 July 2020, pp. 603-607
  • Print publication: July 2020
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  • Whither America?
  • Michael Bernhard, Daniel O’Neill
  • Journal: Perspectives on Politics / Volume 18 / Issue 2 / June 2020
  • Published online by Cambridge University Press: 02 June 2020, pp. 349-352
  • Print publication: June 2020
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  • A Synergistic Approach to Data-Driven Response Planning
  • Marty O’Neill, Michael Poole, Armin R. Mikler
  • Journal: Disaster Medicine and Public Health Preparedness / Volume 15 / Issue 2 / April 2021
  • Published online by Cambridge University Press: 09 March 2020, pp. 232-238
  • Print publication: April 2021
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    Public health practitioners face challenging, potentially high-consequence, problems that require computational support. Available computational tools may not adequately fit these problems, thus forcing practitioners to rely on qualitative estimates when making critical decisions. Scientists at the Center for Computational Epidemiology and Response Analysis and practitioners from the Texas Department of State Health Services (TXDSHS) have established a participatory development cycle where public health practitioners work closely with academia to foster the development of data-driven solutions for specific public health problems and to translate these solutions to practice. Tools developed through this cycle have been deployed at TXDSHS offices where they have been used to refine and enhance the region’s medical countermeasure distribution and dispensing capabilities. Consequently, TXDSHS practitioners planning for a 49-county region in North Texas have achieved a 29% reduction in the number of points of dispensing required to complete dispensing to the region within time limitations. Further, an entire receiving, staging, and storing site has been removed from regional plans, thus freeing limited resources (eg, personnel, security, and infrastructure) for other uses. In 2018, planners from Southeast Texas began using these tools to plan for a multi-county, full-scale exercise which was scheduled to be conducted in October 2019.

  • Celebrity and Politics
  • Samantha Majic, Daniel O’Neill, Michael Bernhard
  • Journal: Perspectives on Politics / Volume 18 / Issue 1 / March 2020
  • Published online by Cambridge University Press: 17 February 2020, pp. 1-8
  • Print publication: March 2020
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  • Who wants to be a psychiatrist? Northern Ireland foundation doctors (2006–2018) are positive toward psychiatry as career choice
  • Michael Doris, Amy Grimason, Damien Hughes, Edel O'Neill, Lorraine Parks, Angela Carragher
  • Journal: BJPsych Bulletin / Volume 44 / Issue 4 / August 2020
  • Published online by Cambridge University Press: 31 January 2020, pp. 134-138
  • Print publication: August 2020
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    Aims and method

    Northern Ireland presents itself as an anomaly – a region in which only 31.8% of doctors enter into any training programme after completion of the Foundation Programme, but where Core Psychiatry has been consistently oversubscribed. Here, we aim to find what other regions can learn from this success. All doctors of any grade, working in psychiatry, who had been though the Foundation Programme were questioned on their motivations for becoming a psychiatry trainee.

    Results

    Sixty-two doctors currently working in psychiatry responded, including over 60% of current trainees, and 45% stated they had not considered a career in psychiatry before their foundation attachment. Over 80% preferred foundation placements in FY2 only, rather than in either foundation year 1 or FY2.

    Clinical implications

    This survey identifies that for the majority of people who ultimately chose to train in psychiatry, in a region that has consistently attracted candidates to core and higher level training, completion of a foundation psychiatry post was an influencing factor in this decision. A strong majority of doctors prefer the foundation psychiatry placement to be offered in FY2.

  • Perspectival Political Theory
  • Daniel O’Neill, Michael Bernhard
  • Journal: Perspectives on Politics / Volume 17 / Issue 4 / December 2019
  • Published online by Cambridge University Press: 13 November 2019, pp. 953-956
  • Print publication: December 2019
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  • Trump: Causes and Consequences (the Sequel)
  • Michael Bernhard, Daniel O’Neill
  • Journal: Perspectives on Politics / Volume 17 / Issue 3 / September 2019
  • Published online by Cambridge University Press: 21 August 2019, pp. 643-644
  • Print publication: September 2019
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  • Perspectives on Politics Editors’ Report 2018–19
  • Michael Bernhard, Daniel O’Neill, Jennifer Boylan
  • Journal: PS: Political Science & Politics / Volume 52 / Issue 3 / July 2019
  • Published online by Cambridge University Press: 06 June 2019, pp. 588-592
  • Print publication: July 2019
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  • Trump: Causes and Consequences
  • Michael Bernhard, Daniel O’Neill
  • Journal: Perspectives on Politics / Volume 17 / Issue 2 / June 2019
  • Published online by Cambridge University Press: 13 May 2019, pp. 317-324
  • Print publication: June 2019
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  • Issues in Qualitative Research
  • Michael Bernhard, Daniel O’Neill
  • Journal: Perspectives on Politics / Volume 17 / Issue 1 / March 2019
  • Published online by Cambridge University Press: 13 February 2019, pp. 1-3
  • Print publication: March 2019
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  • Digital Politics
  • Michael Bernhard, Daniel O’Neill
  • Journal: Perspectives on Politics / Volume 16 / Issue 4 / December 2018
  • Published online by Cambridge University Press: 23 November 2018, pp. 915-917
  • Print publication: December 2018
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