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  1. Article: Perceptions and Practices of Cannabis Use Among Emergency Department Patients.

    Nunez, Jason / Corroon, Jamie / Vilke, Gary / Castillo, Edward / Alfaraj, Dunya N / Coyne, Christopher J

    The Journal of emergency medicine

    2023  Volume 64, Issue 5, Page(s) 543–554

    Abstract: Background: Nationally, in states where cannabis has been legalized, increases in cannabis-related hospitalizations and emergency department (ED) visits have also been observed.: Objectives: This study aims to: 1) Describe the sociodemographic ... ...

    Abstract Background: Nationally, in states where cannabis has been legalized, increases in cannabis-related hospitalizations and emergency department (ED) visits have also been observed.
    Objectives: This study aims to: 1) Describe the sociodemographic characteristics of cannabis users presenting to two academic EDs in California; 2) Assess cannabis-related behaviors; 3) Assess perceptions of cannabis; 4) Identify and describe reasons for cannabis-related ED utilization.
    Methods: This is a cross-sectional study of patients visiting one of two academic EDs between February 16, 2018 and November 21, 2020. Eligible participants completed a novel questionnaire developed by the authors. Basic descriptive statistics, Pearson correlation coefficients, and logistic regression were used for statistical analysis of responses.
    Results: The questionnaire was completed by 2577 patients. A quarter were categorized as Current Users (n = 628, 24.4%). Current, Regular Users were evenly divided across gender, were relatively younger (18-34 years, 48.1%), and were largely non-Hispanic Caucasian. Over half of all respondents believed that the use of cannabis was less harmful than tobacco or alcohol use (n = 1537, 59.6%). One in five Current Users (n = 123, 19.8%) reported driving while using cannabis in the past month. A small proportion (n = 24, 3.9%) of Current Users reported ever visiting the ED for a cannabis-related chief complaint.
    Conclusions: Overall, many ED patients are currently using cannabis; few report utilizing the ED due to cannabis-related problems. Current, Irregular Users may represent the ideal target group for ED-based educational efforts aimed at improving knowledge of safe cannabis use.
    MeSH term(s) Humans ; Cannabis ; Cross-Sectional Studies ; Hospitalization ; Surveys and Questionnaires ; Emergency Service, Hospital
    Language English
    Publishing date 2023-03-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605559-x
    ISSN 0736-4679
    ISSN 0736-4679
    DOI 10.1016/j.jemermed.2023.02.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: The political economy of state responses to infectious disease.

    Coyne, Christopher J / Duncan, Thomas K / Hall, Abigail R

    Southern economic journal

    2021  Volume 87, Issue 4, Page(s) 1119–1137

    Abstract: How can public policy best deal with infectious disease? In answering this question, scholarship on the optimal control of infectious disease adopts the model of a benevolent social planner who maximizes social welfare. This approach, which treats the ... ...

    Abstract How can public policy best deal with infectious disease? In answering this question, scholarship on the optimal control of infectious disease adopts the model of a benevolent social planner who maximizes social welfare. This approach, which treats the social health planner as a unitary "public health brain" standing outside of society, removes the policymaking process from economic analysis. This paper opens the black box of the social health planner by extending the tools of economics to the policymaking process itself. We explore the nature of the economic problem facing policymakers and the epistemic constraints they face in trying to solve that problem. Additionally, we analyze the incentives facing policymakers in their efforts to address infectious diseases and consider how they affect the design and implementation of public health policy. Finally, we consider how unanticipated system effects emerge due to interventions in complex systems, and how these effects can undermine well-intentioned efforts to improve human welfare. We illustrate the various dynamics of the political economy of state responses to infectious disease by drawing on a range of examples from the COVID-19 pandemic.
    Language English
    Publishing date 2021-02-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2067038-2
    ISSN 2325-8012 ; 0038-4038
    ISSN (online) 2325-8012
    ISSN 0038-4038
    DOI 10.1002/soej.12490
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Procalcitonin as a Predictive Tool for Death and ICU Admission among Febrile Neutropenic Patients Visiting the Emergency Department.

    Coyne, Christopher J / Castillo, Edward M / Shatsky, Rebecca A / Chan, Theodore C

    Medicina (Kaunas, Lithuania)

    2022  Volume 58, Issue 8

    Abstract: Background and Objectives: Risk stratification tools for febrile neutropenia exist but are infrequently utilized by emergency physicians. Procalcitonin may provide emergency physicians with a more objective tool to identify patients at risk of ... ...

    Abstract Background and Objectives: Risk stratification tools for febrile neutropenia exist but are infrequently utilized by emergency physicians. Procalcitonin may provide emergency physicians with a more objective tool to identify patients at risk of decompensation. Materials and Methods: We conducted a retrospective cohort study evaluating the use of procalcitonin in cases of febrile neutropenia among adult patients presenting to the Emergency Department compared to a non-neutropenic, febrile control group. Our primary outcome measure was in-hospital mortality with a secondary outcome of ICU admission. Results: Among febrile neutropenic patients, a positive initial procalcitonin value was associated with significantly increased odds of inpatient mortality after adjusting for age, sex, race, and ethnicity (AOR 9.912, p < 0.001), which was similar, though greater than, our non-neutropenic cohort (AOR 2.18, p < 0.001). All febrile neutropenic patients with a positive procalcitonin were admitted to the ICU. Procalcitonin had a higher sensitivity and negative predictive value (NPV) in regard to mortality and ICU admission for our neutropenic group versus our non-neutropenic control. Conclusions: Procalcitonin appears to be a valuable tool when attempting to risk stratify patients with febrile neutropenia presenting to the emergency department. Procalcitonin performed better in the prediction of death and ICU admission among patients with febrile neutropenia than a similar febrile, non-neutropenic control group.
    MeSH term(s) Adult ; Emergency Service, Hospital ; Febrile Neutropenia ; Fever/etiology ; Humans ; Intensive Care Units ; Procalcitonin ; Retrospective Studies
    Chemical Substances Procalcitonin
    Language English
    Publishing date 2022-07-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2188113-3
    ISSN 1648-9144 ; 1010-660X
    ISSN (online) 1648-9144
    ISSN 1010-660X
    DOI 10.3390/medicina58080985
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book: New thinking in Austrian political economy

    Coyne, Christopher J

    (Advances in Austrian economics ; 19)

    2015  

    Abstract: ... ...

    Author's details ed. by Christopher J. Coyne
    Series title Advances in Austrian economics ; 19
    Abstract Literaturangaben
    Keywords Wirtschaftstheorie ; Österreichische Schule ; Theorie
    Language English
    Size XIV, 241 S.
    Edition 1. ed.
    Publisher Emerald
    Publishing place Bingley u.a.
    Document type Book
    Note Enth. 10 Beitr.
    ISBN 9781785601378 ; 1785601377
    Database ECONomics Information System

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  5. Article ; Online: The effects of a morphine shortage on emergency department pain control.

    Kettler, Ellen / Brennan, Jesse / Coyne, Christopher J

    The American journal of emergency medicine

    2020  Volume 43, Page(s) 229–234

    Abstract: Objective: In 2018, due to a national morphine shortage, our two study emergency departments (EDs) were unable to administer intravenous (IV) morphine for over six months. We evaluated the effects of this shortage on analgesia and patient disposition.!## ...

    Abstract Objective: In 2018, due to a national morphine shortage, our two study emergency departments (EDs) were unable to administer intravenous (IV) morphine for over six months. We evaluated the effects of this shortage on analgesia and patient disposition.
    Methods: This was a retrospective study in two academic EDs. Our control period (with morphine) was 4/1/17-6/30/17 and our study period (without morphine) was 4/1/18-6/30/18. We included all adult patients with a chief complaint of pain, initial pain score ≥4, and ≥2 recorded pain scores. The primary outcome was delta pain score. Secondary outcomes included final pain score, proportion of ED visits with opioids vs. non-opioids administered, and ED disposition.
    Results: We identified 6296 patients during our control period and 5816 during our study period. There was no significant difference in mean final pain score (study 4.45, control 4.44, p = 0.802), delta pain score (study -3.30, control -3.32, p = 0.556), nor admission rates (study 18.8%, control 17.8%, p = 0.131). We saw a decrease in opioid use (study 47.4%, control 60.0%, p < 0.01) and an increased use of non-opioid analgesics (study 27.3%, control 18.44%, p < 0.01).
    Conclusions: Removing IV morphine in the ED, without a compensatory rise in alternative opioids, does not appear to significantly impact analgesia or disposition. These data favor a more limited opioid use strategy in the ED.
    MeSH term(s) Adolescent ; Adult ; Aged ; Analgesics, Non-Narcotic/administration & dosage ; Analgesics, Opioid/administration & dosage ; Analgesics, Opioid/supply & distribution ; Case-Control Studies ; Emergency Service, Hospital/statistics & numerical data ; Female ; Humans ; Male ; Middle Aged ; Morphine/administration & dosage ; Morphine/supply & distribution ; Pain/epidemiology ; Pain Management/methods ; Pain Measurement/methods ; Retrospective Studies ; Young Adult
    Chemical Substances Analgesics, Non-Narcotic ; Analgesics, Opioid ; Morphine (76I7G6D29C)
    Language English
    Publishing date 2020-03-11
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2020.03.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: COVID-19 screening, testing and vaccination: Perceptions from emergency medicine residents and medical students.

    Cronin, Alexandrea O / Coyne, Christopher J / Castillo, Edward M / Dameff, Christian

    The American journal of emergency medicine

    2021  Volume 51, Page(s) 418–419

    MeSH term(s) COVID-19/diagnosis ; COVID-19/prevention & control ; COVID-19/therapy ; COVID-19 Testing ; COVID-19 Vaccines/administration & dosage ; Emergency Medicine ; Humans ; Internship and Residency ; Students, Medical ; Surveys and Questionnaires
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2021-03-21
    Publishing country United States
    Document type Letter
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2021.03.048
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Pandemic Police States

    Coyne, Christopher J. / Yatsyshina, Yuliya

    Peace Economics Peace Science and Public Policy

    Abstract: The COVID-19 outbreak prompted governments around the world to employ a range of emergency methods to combat the pandemic In many countries these emergency measures relied heavily on police powers, which refer to the capacity of governments to forcefully ...

    Abstract The COVID-19 outbreak prompted governments around the world to employ a range of emergency methods to combat the pandemic In many countries these emergency measures relied heavily on police powers, which refer to the capacity of governments to forcefully regulate behavior and impose order as defined by those in control of the state apparatus Throughout the world police powers have been used to limit free association through government-imposed stay-at-home orders, impose social distancing rules, close non-essential businesses, and impose lockdowns State orders have been enforced through various forms of direct monitoring, indirect surveillance, and in some instances, violence We discuss the theoretical foundations of the troubling aspects of pandemic police states We then catalog some pandemic police state activities associated with the COVID-19 pandemic We conclude with the implications for peace studies
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #881172
    Database COVID19

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  8. Article ; Online: Immigration Reform Is Key in the Recovery from the COVID-19 Crisis

    Coyne, Christopher J. / Yatsyshina, Yuliya

    SSRN Electronic Journal ; ISSN 1556-5068

    2020  

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    DOI 10.2139/ssrn.3698758
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Pandemic Police States

    Coyne, Christopher J. / Yatsyshina, Yuliya

    Peace Economics, Peace Science and Public Policy

    2020  Volume 26, Issue 3

    Abstract: Abstract The COVID-19 outbreak prompted governments around the world to employ a range of emergency methods to combat the pandemic. In many countries these emergency measures relied heavily on police powers, which refer to the capacity of governments to ... ...

    Abstract Abstract The COVID-19 outbreak prompted governments around the world to employ a range of emergency methods to combat the pandemic. In many countries these emergency measures relied heavily on police powers, which refer to the capacity of governments to forcefully regulate behavior and impose order as defined by those in control of the state apparatus. Throughout the world police powers have been used to limit free association through government-imposed stay-at-home orders, impose social distancing rules, close non-essential businesses, and impose lockdowns. State orders have been enforced through various forms of direct monitoring, indirect surveillance, and in some instances, violence. We discuss the theoretical foundations of the troubling aspects of pandemic police states. We then catalog some pandemic police state activities associated with the COVID-19 pandemic. We conclude with the implications for peace studies.
    Keywords Political Science and International Relations ; Economics and Econometrics ; Sociology and Political Science ; Management, Monitoring, Policy and Law ; covid19
    Publisher Walter de Gruyter GmbH
    Publishing country de
    Document type Article ; Online
    ISSN 1554-8597
    DOI 10.1515/peps-2020-0021
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Conference proceedings: Introduction: Symposium on foreign intervention

    Coyne, Christopher J

    The independent review : journal of political economy Vol. 21, No. 2 , p. 165-166

    2016  Volume 21, Issue 2, Page(s) 165–166

    Title variant Symposium on foreign intervention
    Author's details Christopher J. Coyne
    Language Undetermined
    Publishing place Oakland,Calif
    Document type Article ; Conference proceedings
    ZDB-ID 1477224-3 ; 2070349-1
    ISSN 2169-3420 ; 1086-1653
    ISSN (online) 2169-3420
    ISSN 1086-1653
    Database ECONomics Information System

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