Georgetown University

Offshoring and Voting Patterns in the US

This paper studies the impact of offshoring by US firms on voting patterns in the US. Using county-level voting data combined with industry-level offshoring data from 2000 to 2020, we ask whether an increase in employment at foreign affiliates of US multinational firms in vertica...

Rural Family Medicine–General Surgery Dyads and Health Outcomes

Importance Despite a 43% higher age-adjusted mortality rate among rural working-age adults and a 29.1% decline in general surgeon supply between 2001 and 2019, the public health impact of the family medicine–general surgery (FM-GS) specialty dyad remains understudied. Objective T...

Association of Neoadjuvant Versus Adjuvant Chemotherapy on Pre-Pectoral Tissue Expander Based Reconstruction Outcomes Following Mastectomy

Background: Prepectoral implant-based reconstruction has reemerged as a preferred technique for breast reconstruction after mastectomy, but introduces risks of prothesis infection. With increasing reliance on neoadjuvant chemotherapy (NACT), which can modulate the immune system a...

Conscientious objection to euthanasia: a qualitative study of palliative care physicians’ perceptions

Abstract Background Conscientious objection (CO) in healthcare is a pressing issue, particularly in euthanasia, where legal permissibility coexists with moral disagreement. CO is commonly framed as a principled refusal based on moral or religious convictions, often emphasizing te...

Personalized genomic landscape of prostate cancer in African American men reveals novel drivers and therapeutic opportunities

African American (AA) men experience disproportionately high prostate cancer incidence and mortality. Despite this disparity, current genomic repositories are predominantly derived from European populations, and studies using archived tissues are often limited by stromal contamin...

Plasma Phosphorylated Tau 217 Percentage by Race and Ethnicity in Preclinical Alzheimer Disease

Importance In trials targeting preclinical Alzheimer disease (AD), defined as amyloid pathology without cognitive symptoms, racial and ethnic differences in plasma phosphorylated tau 217 percentage (%p-tau217) may influence screening eligibility. Objective To characterize racial...

Context-aware optimization of follow-up intervals for type 2 diabetes care using Markov decision processes

Chronic disease management relies on regular patient-provider interactions to monitor progression and control. For type 2 diabetes (T2D), current guidelines prescribe fixed intervals between primary care visits, overlooking heterogeneity in clinical trajectories and patient chara...

Understanding English as a Foreign Language (EFL) Teachers’ Assessment Literacy in the Chilean Context

This study examines how in-service English as a Foreign Language (EFL) teachers in Chile evaluate their own Language Assessment Literacy (LAL) and how these self-assessments align with national teaching standards. Using a mixed-methods design, survey data from 220 teachers and in...

Timing Matters: Preoperative Lumbar Epidural Steroid Injection and Long-Term Outcomes Following Single-Level Posterior Lumbar Fusion

Study Design Retrospective Cohort Analysis. Objective CESIs are a mainstay of nonoperative treatment for degenerative lumbar spine disease. As increasing numbers of patients undergo sPLF after receiving CESIs, understanding their impact on surgical outcomes is essential. The obje...

Neurologic Stability During Tafamidis Treatment in Transthyretin Amyloidosis with a Mixed Phenotype: A Multicenter Real-World Study

Real-world evidence on the effect of tafamidis in mixed-phenotype transthyretin (TTR) amyloidosis (ATTR amyloidosis) is limited. This study assessed changes in neurologic and other measures in patients with mixed-phenotype ATTR amyloidosis treated with tafamidis free acid 61 mg f...

Gender Bias in Bribe Solicitation: Evidence From Firm–State Interactions

Previous research has shown that women-led businesses are less likely to bribe officials to bypass administrative burdens, assuming that this is because women are less susceptible to corruption. We uncover an additional mechanism that focuses on the beliefs and practices of corru...

Mind the Gap: Disparities in Education on Organ Donation and Transplantation-Results of a Global Survey.

Background: Widely accessible education on organ donation and transplantation (ODT) is a tool to reduce waiting lists, as <10% of transplant needs are met (Global Observatory on Donation and Transplantation). We aimed to assess the current state of access to education on ODT worl...

Acceptance of Organs From Deceased Donors: Results of a Global Survey.

Background: With <10% of transplantation needs being met, one contributing factor may be the potential subjectivity in transplant specialists' acceptance of organs. Such decisions, if influenced by knowledge and/or comfort gaps, warrant intervention. We assessed knowledge and com...

What Would It Mean to Democratize Finance? An Evaluation of Divergent Conceptions of Democracy and Finance

Calls to “democratize finance” abound today. Yet this apparent consensus obscures sharply divergent conceptions of both democracy and finance. This article maps these demands along two axes, distinguishing between access- and power-based conceptions of democracy, and between thre...

Mediating effect of pro-inflammatory cytokines in the association between depression, anxiety, and cardiometabolic disorders in a multiethnic US population

Abstract Neuroinflammation is associated with depression and anxiety risk, both of which demonstrate a bilateral relationship with cardiometabolic disorders. Systemic inflammation was also commonly described in patients with cardiometabolic disorders. It is, thus, unclear whether...

Poverty, Neglect, and Socioemotional Outcomes: An Examination of Child Care as a Promotive and Protective Factor

According to the family stress model (FSM), poverty increases parent's psychological distress and maladaptive parenting behaviors, which contribute to children's behavioral difficulties. Poverty is one of the strongest predictors of neglect, but there is less evidence of neglect...

Review of Shakespeare’s Othello (Directed by Simon Godwin for the Shakespeare Theatre Company) at Harman Hall, Washington, DC, 17 June 2026

Susan Hilferty, the scenic designer for the production, reconfigured the stage at Harman Hall, removing the proscenium arch to create an unusually wide playing space. Members of the audience sat on...

Top Ten Tips Palliative Care Clinicians Should Know About Collaborating with Consultation-Liaison Psychiatry

Palliative care (PC) and consultation-liaison (CL) psychiatry are complementary clinical disciplines that frequently care for the same patients facing serious illness complicated by psychiatric symptoms, psychological distress, neuropsychiatric syndromes, and high-stakes medical...

Comparative Efficacy of Embolic Agents for Single-Session Meningeal Artery Embolization and Surgical Evacuation: Evaluating Liquids, Particles, and Adjunct Coils

BACKGROUND AND OBJECTIVES: Single-session middle meningeal artery embolization (MMAE) combined with surgical evacuation is an emerging strategy for management of patients with chronic subdural hematoma (cSDH). However, comparative outcome data based on embolic material selection...

The anthropogenic fingerprint on emerging infectious diseases

Abstract Emerging infectious diseases are a hallmark of the Anthropocene 1,2 . Human-driven ecosystem changes and human–wildlife–livestock contact can drive the emergence of zoonotic and vector-borne diseases 3–5 , but how much these processes shape landscapes of outbreak risk is...