The Implementation and Evaluation of a Stock Epinephrine for Schools Program in Maricopa County, Arizona.

The increasing rate of food allergies in children, combined with the role of food as an integral part of the school day has led to the emergence of anaphylaxis as a daily threat to students, regardless of prior allergy diagnosis. Stock epinephrine-non-patient specific epinephrine auto-injectors that may be used during emergencies-is a means for schools to prepare for anaphylactic events and protect children with allergies. The Maricopa County Department of Public Health initiated the School Surveillance and Medication Program (SSMP), a data capture program, to facilitate the process of stocking epinephrine in schools. Spearheaded by the implementation efforts of the Kyah Rayne Foundation, program enrollment increased 146% between the 2020-2021 and 2021-2022 school years. The increased proportion of schools enrolled in the SSMP and the number of school personnel trained to administer epinephrine demonstrates the feasibility of school-centered stock epinephrine programs and validates strategies for increasing program uptake.

NeuroEthics and the BRAIN Initiative: Where Are We? Where Are We Going?

From its inception, the NIH Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Initiative, an ambitious project focused on understanding the human brain, has made a concerted effort to integrate neuroethics into its science. In the past five years, the BRAIN Initiative has given rise to powerful tools and neurotechnologies capable of probing deeply into the brain circuits in animal models. As these tools mature and move to human applications they will raise a host of important neuroethical considerations not just for the medical community but for society as a whole. Now marks a pivotal moment to assess the status and consider the future of the BRAIN Initiative's neuroethics efforts. Here we describe core issues of neuroscience advances, the state of neurotechnologies in human neuroscience, and how ethics will be incorporated into the BRAIN Initiative as this ten-year project enters its second phase. BRAIN Initiative neurotechnologies have immense potential to transform the way we diagnose and treat neurological disease; therefore, they may become more commonplace in research, medicine, and society. We also discuss future global efforts to ensure continued guidance and open dialogue surrounding neuroethics.

Transforming operational throughput lessons and successes.

To implement an enterprise-wide performance improvement project, Texas Children's Hospital in Houston took the following steps: Conducted an assessment to identify opportunity areas. Used tools and processes to support change management efforts. Adopted a systematic and inclusive approach to change.