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Combating Counterfeit Meds: Butler Prof Navigates the dotcom World of Prescriptions

BY Marc D. Allan MFA ’18

PUBLISHED ON Apr 17 2019

Before you buy medication from an online pharmacy, you may want to think twice.

And after listening to Butler University Associate Professor of Pharmacy Practice John Hertig, who studies the impact of counterfeit online drug distribution worldwide, rattle off the numbers, you may want to avoid medication sold on the world wide web all together.

62% of medicines purchased online are fake or substandard."At any one time, there are between 35,000 and 45,000 illegal online pharmacies operating worldwide," he says. "The issue with those illegal online pharmacies, in addition to not operating under the laws and regulations of the United States, is that about 50 percent of them sell counterfeit medications. So in addition to just being the criminals who now have your credit card data and home address, about half the time they're going to ship you counterfeit product."

Hertig is a board member of the Alliance for Safe Online Pharmacies (ASOP), whose mission is to protect patient safety. His research looks at why patients are going online ("No surprise, it's because of cost, but it's also because it's an ecommerce world, and people are not aware of the risks"), and whether pharmacists, nurses, and physicians adequately educate their patients about the risks.

The dangers, Hertig says, are the possibility of getting either a substandard or falsified drug. Substandard could be counterfeit, meaning it might not have any of the active ingredient in it—it could be sugar pills—or there might not be enough, or too much, of the active ingredient. Sometimes, counterfeiters might cut 100 real pills into 1,000 pills by diluting them with sugar, brick dust, antifreeze, or chalk.

Falsified drugs are real, but they haven't been labelled, stored, or handled appropriately.

Hertig says there are ways to tell if an online pharmacy is legitimate. The National Association of Boards of Pharmacy (NABP) owns the ".pharmacy" top-level domain, and there's no way to obtain a dot-pharmacy web address without going through the association.

"If you go to cvs.pharmacy, you're good," he says. "If you go to walgreens.pharmacy, you're good. If you go to bestdrugsever.com, even though the website might look legitimate, you need to second-guess that."

The ASOP and NABP are both heavily involved in consumer education (more information is available at BuySafeRx.pharmacy), as is Hertig in conjunction with the Indiana Coalition for Patient Safety, and a network of hospitals. They've developed toolkits and are working to determine how much doctors, nurses, and pharmacists know about online pharmacies.

This summer, Hertig will be working on a Butler Summer Institute project with Kyla Maloney '22, a Pharmacy student whose research will summarize the possible link between illegal online pharmacies and patient harm worldwide. She plans to do a comprehensive review of the available literature regarding this kind of patient harm and unearth data that can be used for patients and providers to make better-informed healthcare decisions.

Maloney says that during an introductory pharmacy class, she was exposed to the world of online pharmacies and the massive issue surrounding adulterated drugs from these sites.

"The impact these pharmacies have on the economy, health system, and patient well-being were quite intriguing to me," she says. "Pharmacists have a professional responsibility to deliver exceptional care for our patients; in many cases, the ease and convenience of online pharmaceuticals may aid in that mission ... I am hoping this literature review will allow me to help make the world of pharmacy just a bit safer for my future patients."

AcademicsResearch

Combating Counterfeit Meds: Butler Prof Navigates the dotcom World of Prescriptions

Before you buy medication from an online pharmacy, you may want to think twice.  

Apr 17 2019 Read more
AcademicsResearch

Young Researchers Flock to Butler for Undergraduate Research Conference

BY Marc D. Allan MFA ’18

PUBLISHED ON Apr 12 2019

Women enroll at Utah Valley University (UVU) at higher rates than the national average. They also drop out at higher rates than the national average.

Since January, UVU undergraduate students Alyssa Jensen, Elizabeht Hansen, Alexis Stallings, and Wendy Covington have been exploring why. They want to know what women are experiencing on campus, and figure out what the school can do to reverse the trend.

On Friday, April 12, they came to Indianapolis from Orem, Utah, to present their preliminary findings at Butler University's 31st Undergraduate Research Conference (URC). The UVU contingent—four students and two faculty sponsors—were among the more than 100 people who came from out of state to present at the conference.

"We wanted to gain some experience as undergrad researchers to present, and Butler seemed like an ideal situation to portray our research, and express our ideas in a setting where people may not be familiar with the research that we're doing," UVU student Alyssa Jensen says.

URC participants came from as far as California and Florida, New York and Colorado. Though the majority of the presenters were from Indiana—and 356 of the 824 were Butler students—23 states were represented.

The UVU project came about when Dr. Stevie Munz, an Assistant Professor in the Department of Communication, and Assistant Professor of Communication Dr. Jessica Pauly received a grant from the university to study women's experiences on campus. Once they assembled the research team, they started looking for undergraduate research conferences where the students could present.

"This conference is one that's really well respected, so we said, 'Let's go. Let's present this,'" Munz says. "So that's what brought us all the way from Utah to Indiana. Actually, there aren't that many undergraduate research conferences that service all the disciplines, so it was a nice fit for us because our project does cross quite a few intersections of education, identity, religion, family life, home life. So we thought we'd be a really good fit for this conference."

Colorado College student Naomi Tsai came to the URC from Colorado Springs. Her research came from a much greater distance—the Red Sea. She studied coral reefs in the Gulf of Aqaba to determine why they are better able than coral reefs elsewhere to withstand rising temperatures.

She decided to undertake a thesis as part of her degree, and that requires presenting at a conference. She researched conferences, and found the URC.

"I feel like it's a very supportive group of people," she said after her 15-minute presentation in Gallahue Hall. "I don't think I've ever presented in a format like this, and it's really nice to be surrounded mostly by your peers and people who are interested in your research."

Dr. J.C. Blewitt, an Assistant Professor of Management in the School of Business at King's College in Wilkes-Barre, Pennsylvania, was in the audience when one of his students, Rebecca Kinzinger, presented her research showing that millennials going to work at accounting firms want their employers to be active in promoting social entrepreneurship. That is, part of the companies' mission should be to use their professional skills to make a large-scale difference in the world.

Blewitt says it's vital for students planning to go to graduate school to get experience presenting their research at conferences.

"I think a lot of times research conferences can be terrifying," he says. "This conference is a wonderful stepping stone for students to get some exposure, and feel confident, and get some constructive but overall pretty positive feedback from other students and faculty."

Blewitt brought one student to the URC in 2018 and found it "so well run" that he brought two students this year.

"And next year," he says, "maybe three."

AcademicsResearch

Young Researchers Flock to Butler for Undergraduate Research Conference

URC participants came from as far as California and Florida, New York and Colorado.

Apr 12 2019 Read more
AcademicsResearch

Advancing the Field: Highlights of the 2019 Undergraduate Research Conference

BY Rachel Stern

PUBLISHED ON Apr 11 2019

Lillian Southern ‘19 was 12 when her brother, Jack, was born with mitochondrial disease. He couldn’t walk, talk, sit up, and later, lost the ability to eat on his own.

Southern quickly became interested in helping him. She was intrigued by the therapy he received. When Jack died in 2012 at the age of 4, Southern decided she wanted to spend her life helping children just like him.

And now, her first research paper might do just that. Inspired by Jack, Southern spent the last year-and-a-half exploring how hearing impairment, as well as disability, in babies impacts interactions between parents and children. The paper, Parent Interaction Between an Infant with a Cochlear Implant and Additional Disabilities: How Interaction is Affected Due to Stress and Difficulty of Communication, was one of four winners in the Competitive Paper division of the Undergraduate Research Conference.

The URC, which takes place for the 31st time April 12 at Butler University, added a Competitive Paper division two years ago to give students experience submitting papers to outside faculty reviewers—the same process, essentially, that happens when professors, for example, submit a paper to a journal in hopes of publishing their research. That panel of reviewers then picked four winning papers from 36 entries. Southern was one of the winners.

In the fall, the Communication Sciences and Disorders major and Special Education minor, will attend graduate school at Indiana University to study Speech Pathology. But in the meantime, she hopes her first research project will help advance the field.

“Research is like an exciting mystery, where you go from having these questions, to actually having an answer,” she says. “But the most powerful thing is, especially in my field, all therapy practices that help kids are based on research people have done. Without having access to questions and answers, you cannot move forward and discover new ways to help people.”

As Southern’s research progressed, the answers did not line up with what she originally thought. She hypothesized that the addition of a disability to a child with hearing impairment would have a major impact on parent-child interactions. She assumed there would be cascading effects of stress, for example. However, the results showed that the addition of a disability didn’t affect interactions as much as other environmental factors, such as education and financial resources.

Tonya Bergeson-Dana, Assistant Professor of Communication Sciences and Disorders at Butler, worked with Southern on the project. Bergeson-Dana, who has published on this topic before, says Southern’s findings can help get these families the appropriate resources they need to develop child language.

This relevancy was what struck Tracey Quigley Holden, Assistant Professor of Communication at the University of Delaware. Quigley Holden was one of 13 faculty reviewers who looked at the 36 papers that were submitted to the URC’s competitive paper division. Four were selected as winners by the reviewers.

If she’s honest, Quigley Holden wasn’t all that excited to be asked at first. She loves research, but the process of reviewing papers is extremely time consuming. Then she jumped in and was elated.

“These students were really doing work that was innovative and pushing the envelope,” she says. “They were taking on topics that we wouldn’t have touched when I was an undergrad. There was such a range of topics, from race, to class, to politics, there was such a wide range. Students were looking at some of the topics that we are most challenged by in public discourse and society today, not just the confines of academia.”

Quigley Holden, who studies military dissent, has served as a reviewer for fellow colleagues in the world of academia. At times, she says, the process can be monotonous. But not this time.

“Our students are thinking about what they are interested in, what they want to find out about, and they are challenging things,” she says. “Their papers reflect how inquisitive and engaged they are in thinking about the world that they live in and how it works and what they need to know to help them identify larger issues and gain more knowledge. The papers I reviewed looked at questions that are of interest to the public.”

______

If you go to the URC, there’s an endless number of presentations to take in. You may want to start with the winners. Here’s a look at the top four competitive papers:

Lillian Southern, Butler University, Parent Interaction Between an Infant with a Cochlear Implant and Additional Disabilities: How Interaction is Affected Due to Stress and Difficulty of Communication, Faculty Sponsor: Tonya Bergeson-Dana

How does the stress from having a child with hearing loss, or another disability, impact the relationship between parent and child? Southern examined exactly that. She looked at pediatric hearing loss, and how that can contribute to maternal and paternal stress. Because of that stress, she wondered, what other cascading effects on parent-child interactions occur?

Stephanie Mithika, Taylor University, The Curse of Nakedness: African Women’s Use of the Naked Body in Resistance Movements, Faculty Sponsor: Nicholas Kerton-Johnson

The female body typically has had many gendered, cultural, and political inscriptions ascribed to it. As a result, society, more often than not, perceives women as lacking in agency, unfit for public affairs, as well as political roles. Mithika though, explored how African women used their bodies to resist patriarchal, classist, capitalist, and oppressive systems through the act of disrobing. Why, she examined, was the sight of a naked African women’s body protesting serve as a powerful tool for social and political change? Mithika explores how women rewrite the script of vulnerability, and in this case, embody resistance, while reclaiming their bodies as political sites of agency and power.

Maggie Kieffer, Butler University, The Avengers: Hegemonic Depictions of Heroism Present in the Working World, Faculty Sponsor: Kristin Swenson

Kieffer digs into the superhero characters in the 2012 film The Avengers to evaluate how American ideals of heroism and patriotism are reflected through the superhero genre. Kieffer looks at Iron Man and Captain America, and analyzes how the film reaffirms hegemonic American heroism fulfilled by individual heroes coming together under a patriotic leader to combat threats to traditional American values.

Jillian Fox, Denison University, Broken Bodies, Evolving Systems: An Evaluation of International Prosecution of Sexual Violence After Genocide, Faculty Sponsor: Taku Suzuki

Using the Nuremburg Trials, the International Criminal Tribunal for the Former Yugoslavia, and the International Criminal Tribunal for Rwanda as case studies, Fox explores the influence of social movements on international humanitarian laws. Essentially, why did prosecutors start to indict individuals for crimes of gender-based violence when they did? Through Fox’s research, it seems that as the world begins to understand the reality of wartime gender-based and sexual violence, coupled with efforts by feminist organizations to raise global consciousness, then humanitarian law adapts to ensure justice prevails regardless of historical precedent.

AcademicsResearch

Advancing the Field: Highlights of the 2019 Undergraduate Research Conference

Familiarize yourself with the winners of the Undergraduate Research Conference.

Apr 11 2019 Read more
AcademicsResearch

Undergraduate Research Conference Goes Beyond Butler

BY Rachel Stern

PUBLISHED ON Apr 10 2019

Dacia Charlesworth remembers her first research presentation well. And the memories aren’t great.

She was peppered with aggressive questions, and it was more competitive than cordial. So when Charlesworth, Butler University’s Director of Undergraduate Research and Prestigious Scholarships, took the reins of the Undergraduate Research Conference four years ago, she was determined to make it as welcoming as possible—both for savvy researchers and those just starting out.

“We want to ensure the URC is a stepping stone for students when it comes to introducing them to the academic world of research, but we also want to make sure it is credible,” she says. “Both of these goals are integral to our mission as a University when it comes to research in addition to this conference. We want to make sure we provide a place for all students with varying levels of interest in research, while also producing legitimate work.”

The URC will kick off for the 31st time on April 12 at Butler. There will be 473 total presentations representing 27 academic disciplines. For the first time, the conference had two international submissions—one from Saudi Arabia and one from Canada—and representatives from 23 states will flock to Indianapolis to present their research.

But more than the numbers, Charlesworth says, it all goes back to the mission. When she took over the URC she was surprised to learn that it was open submission, meaning everything that is submitted is accepted. She wanted to enhance the conference’s credibility.

So, the competitive paper division was added two years ago in an effort to mimic the process of sending a journal article out for review. Students submit their papers, and a panel of faculty members review the work, then select the top four papers.

“But I also remembered my first research experience, and how terrifying it was,” she says. “I wanted to make sure we were simultaneously creating a place at the URC for support for an inexperienced researcher who is in the beginning stages of the research process, but has yet to fully develop that project.”

To compliment the poster presentations, oral presentations, and competitive paper division, research roundtables were also added. The roundtables serve as an opportunity for students to present ideas they have for research projects, and then a panel will give them feedback.

This year, Assistant Professor of Political Science Greg Shufeldt will have 13 students present at the URC. Four of them will be at the research roundtable presenting proposals for potential projects.

“This gives them a unique opportunity to test some of their ideas and thoughts prior to jumping into the research,” he says. “They are early in their research careers, so to get some direction and helpful feedback is crucial.”

Shufeldt, who says the URC is one of his favorite days of the year, right up there with graduation, gives extra credit to students who are not presenting but who go to URC presentations to watch. He, like many professors, cancels classes, too.

Attending the URC as a spectator, Shufeldt says, can spark a student’s interest in research. Presenting in front of others also reinforces the importance of being able to explain one’s work. Discovering something critical is important, he says, but if no one knows about it, or if it’s importance is hard to convey, what is the point?

“If no one reads the research I do, what was the purpose of it all?” Shufeldt says. “This event is so critical because it is not just students doing work to get a good grade. It is all about that next step—building knowledge, contributing to the understanding of the world, presenting new problems and new ways to think about the world, and developing professionally.”

AcademicsResearch

Undergraduate Research Conference Goes Beyond Butler

473 total presentations will represent 27 academic disciplines.

Apr 10 2019 Read more

Success and Support

by Jackson Borman ’20

When Ethan Cunningham started his first year at Butler, he felt confident in the classroom. He was going into engineering, had already taken classes like chemistry before and was confident that his high school had prepared him for the next level.

But Cunningham says that first semester served as a wakeup call for his academics.

“First semester didn’t go as planned,” Cunningham says. “You don’t realize the workload that college comes with—for me, that was a rude awakening.”

During his second semester at Butler, he decided to visit the Learning Resource Center (LRC) for an individualized meeting with their student development specialists. He was unsure about the meeting at first, but by the end of his time in the office, Cunningham says he felt calm and reassured.

“I was so nervous because I did so bad my first semester, but we ended up talking about rap music,” Cunningham says. “It was helpful, knowing that you could talk to them as like a friend instead of someone who is just yelling at you to get better.”

Over the course of a couple of meetings, Cunningham worked with the student development specialists on bettering his time management skills, building new study methods, and coming up with strategies for homework assignments and projects.

While these concrete skills helped him succeed academically during his second semester at Butler, one of the biggest benefits about his time in the LRC was connecting with the people in the office.

“It’s a really positive atmosphere. You can go in and rant about whatever and they will listen,” Cunningham says. “In the office, it is usually upbeat. You can go in when you’re having a bad day, but usually come out with a smile, or at least a slightly less annoyed attitude. They always try to make it better.”

Now, more than halfway through his junior year, Cunningham feels confident about his grades, as well as his adjustment to college.

“It’s been a great experience, just having a positive atmosphere,” Cunningham says. “Ever since then, my grades have gotten better. It has worked out tremendously.”

Janice Ruston is an academic advisor and student development specialist at the LRC. She works with students like Cunningham to help them with school work as well life changes, such as the transition from high school to college.

“It could just be tweaking something that you are already pretty good at and maybe looking at it a different way or attacking it with a different study strategy to help you get where you want to be,” Ruston says.  “Whatever it is, we will figure it out.”

Ruston says that like in Cunningham’s case, one of the most frequent problems that students come to the LRC needing help with is time management.

“Butler students in general are go-getters and want to be involved in all these great things and that also contributes to the time management struggle,” Ruston says. “I think we [help with] that in a very comfortable way.”

But student development specialists at the LRC don’t limit their help to new students.

Katelyn Castiglia is a senior at Butler, but didn’t start coming to meet in the office until just recently. She has gotten help from the LRC with her post college plans, such as studying for the MCAT and advice on her personal life.

“Coming into senior year, there was a lot on my plate and I just wanted someone on campus to talk through everything with,” Castiglia says. “I didn’t go there because I needed a tutor, I went there because I wanted an extra opinion.”

She sees the office as a support system that is helping her achieve her goals for post-graduation.

“Everyone in that office is willing to help. They are very open to meeting you wherever you are in your academic or personal journey,” Castiglia says. “It’s definitely a safe zone where I know I can bring anything to them and talk through it with them and they will listen from an outside perspective.”

Another service offered by the LRC  is workshops on topics that students frequently need help with. The workshops are open to any student who is interested, and cover a range of subjects from decision making to how to prep for finals. The workshops also include sessions where tutors from the Butler Writer’s Studio and Speaker’s Lab come to help students with class papers or presentations.

Jen Mann is another academic advisor and student development specialist at the LRC. She thinks that the workshops can be great for students who might be apprehensive about asking for help.

“[The workshops] are good for students who maybe aren’t brave enough to come through our door to ask for that help themselves,” Mann says. “We like to present it in a different format because it also presents the safety of being in a group and some anonymity.”

Another way that the LRC helps Butler students is through their class called LC100 “Strategies for Success.” The course is one credit hour and is graded as a pass/fail class, but teaches students about different skills that they might need in college or beyond such as goal-setting, study skills, persistence, and emotional intelligence.

“[The class] allows students to get some practice every week with sharpening the skills that they need to be successful as a student at Butler,” Mann says. “Twice a week, these students are getting the full attention of someone who wants them to be successful.”

Emma Hawn is a first year student who was in Mann’s LC100 class last semester and is recommending that her friends take it as well.

Even though she is no longer in the class, Hawn said that she still values lessons learned and the connections that she has made in the LRC. She even visits Mann from time to time just to say hello.

While they offer many services and serve as a resource for students that can guide them in the right direction, the LRC’s main focus is supporting students in whatever ways they can.

“We are willing to meet students wherever they are to help them reach whatever level of success they want,” Mann says. “Our job is to support. I think students take a lot of comfort in knowing that there is a space where they can come and be imperfect, yet supported.”

Academics

Success and Support

Butler’s Academic Success Coaching makes a difference on grades and relationships

Success and Support

by Jackson Borman ’20
Pharmacy
AcademicsCommunity

Butler Provides Critical Clinical Expertise to Insurance Industry

BY Rachel Stern

PUBLISHED ON Apr 04 2019

INDIANAPOLIS—Eric Farmer ’07 remembers being frustrated.

It was around 2014, and Farmer, an HIV Clinical Pharmacist at Indiana University Health Methodist Hospital, was working at one of the largest providers of HIV care in Indiana, yet he was spending most of his time filling out paperwork.

The Affordable Care Act was in the midst of being implemented, and many of Farmer’s patients were having issues with their health insurance marketplace plans covering the HIV medications he prescribed. So, Farmer was looking for an “in” at the Indiana Department of Insurance in hopes of influencing the process on a larger scale.

Then, an email from a former Butler University professor popped into his inbox.

Carriann Smith, professor of pharmacy practice, was working on a project —with the Department of Insurance—on marketplace health insurance plans. Would Farmer be interested in helping?

“It was unbelievable timing,” says Farmer, who graduated from Butler with a degree in Pharmacy in 2007. “I was desperately looking for a way to improve the process when it comes to deciding what drugs insurance companies cover on marketplace plans. We were having issues with plans covering some of the HIV medications and not others, and I wanted to influence the process on a much bigger scale than just my institution.”

Now, about four years later, the partnership between Butler and the Department of Insurance, which has involved about 25 Butler undergrads, five Butler alumni, and 11 Butler faculty, is doing just that—influencing the process. The tool they created, which insurance companies in Indiana fully implemented last year, specifies what medications insurance companies should cover for 17 diseases that are health priorities in the state.

One purpose of health insurance plans available on the marketplace, Smith says, was to provide a level playing field, and to make sure individuals with certain diseases were not discriminated against by insurance companies in terms of the level of coverage provided.

However, prior to this tool, insurance companies were deciding which medications to cover for each disease. There was limited external clinical perspective or dialogue with experts about why certain medications would or would not be covered, Smith says.

“Our tool takes into account all of the latest research, the published literature, and uses the clinical experience and expertise of our faculty, as well as external experts,” Smith says. “The goal is to bridge the gap between the regulators, the insurance companies, and the clinicians, and get everybody on the same page. We look at the evidence and, based on that evidence, say 'Is that side effect of that medication really true, or is a prior authorization really needed, or, from a clinical perspective, this really should be covered.' Medicine is not always black and white, and this now allows for more of a dialogue.”

The Department of Insurance now shares the tool with insurance companies in Indiana, who in turn use it while finalizing their marketplace insurance plans for the year. Plans are then submitted to the Department of Insurance for approval. The tool is used by the insurance companies when deciding which medications to cover for the 17 diseases it looks at.

By providing this expertise, and in turn, this tool, to insurance companies, Butler is adding a clinical perspective to the medication decision-making process when it comes to designing insurance plans. Most insurance companies have limited clinical expertise on staff when thinking through which drugs should be covered. As a result, the clinical perspective is not always taken into consideration or discussed. This process adds that clinical expertise, which in turn could result in a more thorough development of  insurance plans.

“Our goal is not necessarily to make more drugs covered, but to make sure the key products are covered,” Smith says. “We need to weigh the benefits and potential side effects for patients. So our job as clinicians is to carefully consider the literature and evaluate whether or not a treatment is best.”

Keeping up with the latest literature and research has been the main focus of Drew Johnson, a P3 Pharmacy major, who has been involved in the project since 2018. Johnson reviews all of the generic products that come to market and makes sure the tools for bipolar, depression, and MS reflect the most current medications.

To do that, Johnson collaborates with clinical pharmacy specialists, reads up on drug industry newsletters, sifts through literature in the latest databases, and, occasionally, whips out his notes from the clinical experts who recently taught his classes at Butler to see if there is a particular drug in the pipeline that he should be aware of.

“Without having an external clinician looking at these plans, it is possible for the insurance company to look past the clinical perspective,” Johnson says. “Our involvement helps to ensure that quality insurance programs are sold throughout the state of Indiana to all individuals.”

That was essentially why the Department of Insurance reached out to Butler in the first place.

Jenifer Groth, spokesperson for the Department of Insurance, says the Department reached out to Butler in an effort to leverage the pharmacy program’s expertise, as the Department worked to determine if insurance carriers were covering an adequate amount of prescription drugs.

Which all leads back to Eric Farmer and all that paperwork.

As the Affordable Care Act was being implemented, Farmer was noticing that many of his patients with marketplace plans were having trouble getting coverage for the HIV medications he was prescribing.

“Keep in mind, when it comes to HIV, these pills are expensive,” he says. “To control HIV, the first line regimen is usually $2,500 to $3,000, and it only gets more expensive from there.”

The problem was, Farmer was seeing that most of his patients with marketplace plans were getting denied those first line regimens. The insurance companies were asking for prior authorizations for those drugs. Sometimes, insurance companies would not only ask for a prior authorization, but they would instead recommend trying a different drug—usually one from the 1990s, or one that was no longer on the market in the U.S.

“HIV is a field that moves super fast and many insurance companies weren’t keeping up,” Farmer says. “I would spend the majority of my day filling out paperwork, and I am lucky that I was able to. Imagine a small primary care doctor in rural Indiana—if he or she gets a prior authorization back from an insurance company, they likely won’t have the time or person power to fill out that paperwork. Instead, they will just ask the insurance company what will they cover, and just prescribe whatever the insurance company says they will cover. As a result, that patient is not getting the best care.”

Now, Farmer is working on the HIV tool to help guide insurance companies. One aspect of Farmer’s work is determining what medications should be covered, and which should require prior authorizations and which shouldn’t—all from a clinical perspective.

 

MEDIA CONTACT
Rachel Stern
Director of Strategic Communications
rstern@butler.edu
317-940-9257 (mobile: 914-815-5656)

Pharmacy
AcademicsCommunity

Butler Provides Critical Clinical Expertise to Insurance Industry

Butler has developed a tool that could aid in a more thorough development of insurance plans.

Apr 04 2019 Read more
AcademicsCampusResearch

Scholarship Supports Student's Research of Refugees in Germany

BY Marc Allan MFA `18

PUBLISHED ON Apr 03 2019

On a Butler University Honors Program and Modern Languages, Literatures, and Cultures-sponsored “Bulldogs to Berlin” spring break trip in 2018, Addy McKown ’21 became fascinated by how the Germans had taken in 2 million Syrian and Turkish refugees, and how those refugees have integrated and assimilated.

“I saw neighborhoods that were devoted to thousands of people from Turkey and Syria and how the city swallows them up and lets German culture wash over them,” she says. “Yet their native cultures are still prevalent in their neighborhoods with their markets, with their restaurants and cafés, and how they garden. They let them adjust to their new life while retaining the fondness and heritage of their old life.”

Her observation became the impetus for her honors thesis, A Cross-Cultural Comparison of the Assimilation of Twenty-First Century Refugees in Modern Cultures. It also earned her the annual Bruce and Lucy Gerstein Holocaust Education Travel Fund, an endowed fund established by Indianapolis dermatologist and friend of the University Dr. David Gerstein. The Fund, named for Gerstein’s parents, supports travel and research related to the Holocaust.

For her thesis, McKown is comparing how Germany and the United States are handling the current refugee crisis, and how the Holocaust left residual effects on Germany’s foreign policy and relief aid efforts.

McKown, a double major in Critical Communications and Media Studies and Human Communication and Organizational Leadership, is spending the spring 2019 semester at Humboldt University in Germany. She’s also traveled on weekends to Vienna, Prague, and Dresden to see how they're taking in refugees.

In Berlin, she’s visited Tempelhof Airport, where some refugees have been housed in hangars, and she’s planning to go back to talk to people living there.

McKown, who’s from New Castle, Indiana, says she chose Butler after visiting campus and meeting representatives of the study abroad and honors programs, and her future faculty advisor, Associate Professor of Communications Allison Harthcock.

“I immediately fell in love with the possibilities,” she says. “I love to travel. I was fortunate to have parents who exposed me to that from a young age. So hearing about all the study abroad opportunities was great. I came here and you feel like a family, but a family that's going to push you and not let you settle for mediocre. That was really important to me.”

Jason Lantzer, Assistant Director of the University Honors Program, describes McKown as “a wonderful student and a terrific representation of our Honors Program.” He’s taught her in a couple of classes and was one of the professors who led the first trip she took to Germany.

“The Gerstein Fund not only helped her achieve her goal of going back, but is helping to lay the groundwork for her planned honors thesis,” Lantzer says. “Having just returned from the second time of Bulldogs to Berlin, it was great to get to see Addy while we were in the city and see just how much she has grown in the year since she first arrived.”

McKown says she’s unsure of her plans after graduation—she might apply for a Fulbright Award, go to graduate school, or find a job. She’s interested in working within outreach programs, a liaison between the public and the organization.

“I want to be on the people side of things, whether that's organizing training, doing research sessions in groups to find out how to better market products or word our statements,” she says.

In the meantime, she plans to keep her options open and explore the world. She thinks others should do the same.

“It's OK to explore something that hasn't been explored yet,” she says. “To witness this refugee crisis firsthand, to see what such a crisis is doing to the world, you can get involved and step in in some sort of way, whether that just ends up educating yourself or if you come over here and start a thesis, if you join the Peace Corps. Whatever it is, I think it's just important to open your eyes up and see the world and see what you can do with it.”

 

AcademicsCampusResearch

Scholarship Supports Student's Research of Refugees in Germany

Addy McKown '21 has been awarded a scholarship from the Bruce and Lucy Gerstein Holocaust Education Travel Fund.

Apr 03 2019 Read more
AcademicsResearch

Bracket Busted? Turns Out Your Politics May Be The Reason Why

BY Rachel Stern

PUBLISHED ON Mar 27 2019

It’s March. Time to tune in to endless hours of college hoops, fill out a bracket despite having not watched a minute of college basketball all season, and fire up the live stream at the office. This is the one place void of politics. Right?

Right?

Wrong. That’s according to new research from Butler University Assistant Professor of Entertainment Media and Journalism Ryan Rogers. Turns out, according to Rogers’ research, those who lean liberal politically fill out brackets differently than those who lean conservative. And those differences, according to his study, are magnified when decisions are made in groups of like-minded individuals.

“When we broke groups up by political ideology, and had them fill out brackets together over the Internet, even though the task was something seemingly mundane, we saw how certain traits and values became more salient, and then how conformity is even more prevalent when a group thinks similarly,” Rogers says. “This then led to consensus more readily during the decision-making process.”

In his study, 118 people were divided into small groups based on self-identified political ideology—conservative or liberal. Then together, over the Internet, each group filled out an NCAA Men’s Basketball Tournament bracket.

The purpose was to see how groups of political liberals compared to political conservatives when it came to predicting winners in the tournament. The study also examined how political ideology influenced collective intelligence, or the ability of a group to perform a task and make decisions.

Rogers found that the results certainly differed based on political ideology.

Conservatives tended to go with the safe pick, while liberals went with more underdogs. Conservatives picked more upsets correctly, though, as they tended to pick the safer ones, such as a nine-seed over an eight-seed, while liberals picked riskier upsets, such as a 16-seed over a one-seed. Conservatives were more effective in picking first round wins, and liberals were more effective in correctly picking winners in later rounds.

In short, conservatives were more likely to predict a lower risk team, and tended to play it safe. If an expert picked a team, it was likely the conservative would go with the expert’s pick. Liberals tended to struggle in the early rounds, going with the risky upsets, but then performed better in the later rounds, as some of their risky choices paid off later.

When next March rolls around, he says, it might be a good idea to consider your own political leanings when filling out a bracket, and how that might impact the teams you pick.

“Traits inherent to these groups provided different strengths and weaknesses in their decision making,” Rogers says. “Broadly speaking, prior research and literature shows that conservatives are likely to be more risk averse, and liberals tend to be more optimistic, and more open to emotion.”

Filling out brackets confirmed that these groups have different cognitive dimensions consistent with these ideologies, Rogers says, and when interacting within like-minded groups on the Internet, those differences are only magnified.

“Look at websites today like the Huffington Post, Breitbart, The Blaze, Slate, these sites highlight the traits and values of the groups they represent,” Rogers says. “Basically, these sites reinforce traits and values, creating a feedback loop appealing to those who conform to those respective political ideologies already.”

So, when it comes to something as simple as filling out a bracket, or as important as discussing the issues of the day or reading the news, it might be beneficial to cultivate as many different perspectives as possible, Rogers says.

“Conformity in decision making is even more prevalent when a group shares traits, and as we see with this study, that even carries over to a bracket,” he says. “A mixed group might be most effective.”

AcademicsResearch

Bracket Busted? Turns Out Your Politics May Be The Reason Why

It might be a good idea to consider your own political leanings when filling out a bracket.

Mar 27 2019 Read more
AcademicsResearch

Bracket Busting in the Classroom

BY Marc Allan MFA ’18

PUBLISHED ON Mar 27 2019

If you believe the data, there will be no Cinderella winner of this year's NCAA men's and women's basketball tournaments.

Those are the findings of the students in Professor of Pharmacy Practice Chad Knoderer's Bracket Busting class, which focuses on how to use data analytics to make decisions. Knoderer, a Pediatric Pharmacist by training, has been teaching at Butler since 2008—typically in the College of Pharmacy and Health Sciences. But after using some sports-related statistics in his Pharmacy Statistics class and seeing the students' positive reaction to it, he created the Bracket Busting course for Butler's Core Curriculum.

Before the class considered college hoops, they turned to the pros. Early in the semester, the students looked at five years of NBA data to determine where the best places are to shoot from and what kind of shot a player should take (is a catch-and-shoot jumper better than a dribble-drive, pull-up jumper?).

The students were able to see trends over time and better understand why so many NBA teams rely on the three-point shot, as well as shots close to the hoop, from a value standpoint.

Just before spring break, the class turned their attention to March Madness. Knoderer had everyone  predict the top four seeds in each region of the men's bracket. But he gave them data only—no team names attached.

"They just had numbers associated with a team ID," he says. "So Team 956 could have been Duke. It could have been Gonzaga. They didn't necessarily know. They just knew performance data from the season. They knew the type of conference the team came from, but not the actual conference. They had to rank the team just as the selection committee would do."

When the students had ranked teams 1-16, he released the names of each school to go along with the data. Students then could adjust their brackets, if they chose to do so.

In the men’s tournament, most of Knoderer's students chose either Duke University or the University of North Carolina to win it all. (Knoderer picked Gonzaga, though he didn't make his choice strictly through analytics.)

In the women's tournament, the data pointed the students to Notre Dame or the University of Connecticut to cut down the net. (Knoderer picked Baylor, "but not too many were with me," he says.)

"They enjoyed the activity," he says. "A few of them said it was a lot more challenging than they thought—even when they knew which team was which."

After the NCAA unveiled the 2019 bracket, Knoderer assigned his students to predict the outcomes of the first-round games based on data alone. There, the students picked some upsets—"There's been some lean toward St. Mary's over Villanova, and Murray State-Marquette was a game of interest," he says—and learned the difference between choosing with their head versus their heart.

Jaret Rightley, a junior from New Palestine, Indiana, says the class, which combines his passions for statistics and sports, has been a great experience.

“It has changed the way I think about and watch sports, and it has been awesome to see the direct impact that the data actually plays in sports such as basketball and the NCAA tournament,” he says. “I look forward to going to this class each and every day, and I’m excited to see how this class evolves and the role analytics will continue to play in sports moving forward.”

Knoderer says he's also enjoying Bracket Busting, especially because he has an opportunity to teach students he doesn't normally interact with. Most of the students are from outside the College of Pharmacy and Health Sciences.

And he plans to teach the course again this summer—this time using baseball.

AcademicsResearch

Bracket Busting in the Classroom

If you believe the data, there will be no Cinderella winner of this year's NCAA basketball tournaments.

Mar 27 2019 Read more
Academics

Physician Assistant Program Among Best in Nation According to US News & World Report

BY Marc Allan MFA ’18

PUBLISHED ON Mar 14 2019

Butler University's Physician Assistant program continues to climb in the national rankings, moving up to 37th in the U.S. News & World Report ratings of the Best Physician Assistant Programs.

Since 2013, Butler's program—the longest-accredited program in the state of Indiana—has moved up 60 places in the rankings. The most recent report, released in 2015, had Butler ranked 40th.

"These rankings are based on reputation, a survey of other leaders in the PA field," says Butler College of Pharmacy and Health Sciences Dean Robert Soltis. "The fact that we've gone from 97th in 2013, to 70th in 2014, to 40th in 2015, to now 37th is really impressive."

PAs have many of the same responsibilities as doctors and work in collaboration with a physician or surgeon. A PA can diagnose a patient, order tests and procedures, and prescribe treatments.

Soltis attributed the boost in reputation to faculty members becoming more visible among their peers and colleagues.

"They're publishing, they're making more appearances at national meetings," he says. "Professor Jennifer Snyder's been President of the PA Education Association. So some is just the visibility—you get your reputation from people seeing who you are and what you do."

The Physician Assistant program also has a 99 percent pass rate on the PA certification examination over the past 5 years, a 100 percent job-placement rate within six months of graduation over the past three years, and a championship in the Indiana Academy of PA Student Challenge Bowl for three of the past four years.

As the profession has increased in popularity in the past few years, Butler's PA program has grown. In 2016, the program switched from three years to two years, and the class grew from 50 to 75.

Soltis says the PA ranking is another reflection of the many happenings in the College of Pharmacy and Health Sciences. Earlier this year, Butler moved up to fourth in the nation for the highest passing rates for Pharmacy students taking the North American Pharmacist Licensure Examination.

"We've got good things happening in our programs in both pharmacy and PA," he says.

Academics

Physician Assistant Program Among Best in Nation According to US News & World Report

As the profession has increased in popularity in the past few years, Butler's PA program has grown.

Mar 14 2019 Read more
Academics

Eleven Butler Students Selected for Elite Orr Fellowships

BY Marc Allan MFA ’18

PUBLISHED ON Mar 12 2019

In his three years as Butler University's starting quarterback, Will Marty '18 learned lessons that transcended the football field. He discovered that the ability to communicate with all different kinds of people is vital. You can't sweep issues under the rug. You've got to be upfront with people. And you have to be able to achieve in high-pressure situations.

"It's the same thing in the business world," says Marty, who graduated in December with a degree in finance and marketing. "You've got to make quick decisions. You've got to be able to communicate with people directly. And you can't be afraid to go forward."

Marty is seeing the parallels between football and business play out in his post-graduation role as an Orr Fellow. As part of the two-year fellowship, he's working as a growth analyst for Greenlight Guru, a downtown Indianapolis company that makes quality-management software for medical devices.

The Orr Fellowship program guarantees participants a two-year position at an Indianapolis host company as well as executive mentorship and training in areas like growing a strong network, entrepreneurial law, and personal finance.

With a 5 percent acceptance rate, the Orr Fellowship program is extremely selective. This year, 1,259 graduates from 48 states applied. The program accepted 68 from 19 universities. Of those 68, 11 were Butler graduates—more than any other school. (The full list of Butler students accepted is below.)These students will not only receive guaranteed job placement for their first two years out of undergrad, they will also receive executive mentorship, and participate in a unique curriculum intended to develop business and professional acumen in the real world. These combined factors fast-track students from college to career success as young professionals.

Marty, who threw for 5,550 yards and 30 touchdowns in three years, thinks teamwork is why Butler has been so successful in placing Orr Fellows.

"What Butler teaches you is how important your role is within teams," he says. "I'm doing such a small part of the bigger picture here at Greenlight, but I also see how valuable my little part is. I think Butler stresses collaborative work, communication, and overall group dynamics to bring out the best in the entire organization. The Lacy School of Business did a great job of that as well."

Jen Agnew, Director of Programming and Engagement for the Orr Fellowship, says Butler graduates have been successful in applying to the program in part because they make a commitment to the arduous two-month recruiting process. Orr Fellow alumni from Butler also do a great job of recruiting qualified candidates, she says.

In the end, "there's a real understanding and buy-in from the Butler students about what we're doing and what we're achieving in the Indianapolis community," Agnew says. "I think Butler students are interested in serving their community beyond their four years at Butler and finding unique opportunities that are going to help the Indianapolis community grow. I think that Orr does that."

Orr Fellowships are open to students from across all majors—not just business. Carly McCarthy '18 majored in Science, Technology, and Society at Butler and started her fellowship in January with Greenlight Guru. The Galesburg, Illinois, native is now working in product marketing.

McCarthy heard about the program from several friends who were business majors and wondered if there was a place for her. Everyone she talked to at Butler encouraged her to apply.

"They showed me that Orr was made for a diverse group of people with diverse educational background," she says.

Meanwhile, she says she felt ready and confident, thanks to Butler, which helped her develop the interpersonal skills and receive the interdisciplinary education needed to relate to people in different ways.

At Greenlight, McCarthy says, she gets to work with experienced professionals in healthcare, which is the field in which she ultimately wants to work.

"So working here has enabled me to learn other skills that will be applicable in my other education and career endeavors," she says. "And in my role here as a product developer and product marketer, I get to learn about a company and how a company works, rather than taking one position."

That's the kind of experience Kendall Povilaitis '19 is hoping for. Povilaitis, a Creative Writing major and Digital Media Production minor, will be working for Covideo, a video email communications company based in Broad Ripple.

Povilaitis heard about the Orr Fellowship through friends she had worked with in Ambassadors of Change, the Butler program that welcomes new students to campus. They were in the Orr program and encouraged her to apply.

"Our community looks out for one another," she says. "And I think when you have students who were part of Butler, they know what Butler students offer. We are reaching out to our own."

At Covideo, she’ll be working in several departments over the two years—sales, marketing, video—to see the business from all sides.

She says all the things she learned at Butler helped her land the fellowship.

"I think the experiential learning really showed through," she says. "I’ve had the internships and the real experiences—at The Children’s Museum, in Butler’s Marketing and Communications Department, and other places. I think that gave me more confidence going in: I’ve done this before, and I know I can take on a real job and be different than somebody else."

 

Class of 2019 Butler Orr Fellows:

  • Addyson Aiman, The Heritage Group
  • Alex Adams, Torchlite
  • Carly McCarthy, Greenlight Guru*
  • Kendall Povilaitis, Covideo
  • Lyndsey Isenhower, Apex Benefits
  • Olivia Schwan, Lessonly
  • Rachel Schafer, Sigstr
  • Sarah Burkhart, OneCause
  • Sarah Forhan, IU Health
  • Tanner Cline, enVista
  • Will Marty, Greenlight Guru*

*December graduate

 

 

Academics

Eleven Butler Students Selected for Elite Orr Fellowships

Teamwork is why Butler has been so successful in placing Orr Fellows.

Mar 12 2019 Read more
AcademicsResearch

New Butler Research Shows Hearing Loss Linked to Cognitive Ability in Babies

BY Rachel Stern

PUBLISHED ON Mar 01 2019

INDIANAPOLIS—It is fairly typical for individuals with profound hearing loss to experience other cognitive issues. There could be issues with memory or paying attention, for example. But are those other problems related to a lack of experience with language, or is there something else at play?

That is the very question Butler University Assistant Professor of Communication Sciences and Disorders Tonya Bergeson-Dana wanted to answer. Does hearing loss have an effect on other systems of development?

According to new research Bergeson-Dana co-authored in the journal PLOS One, the answer is yes.

“When one thinks about hearing loss, they think about hearing impairment, hearing aids, or maybe American Sign Language (ASL). No one thinks about the cascading effects on other systems as the child is developing,” she says. “What we are really seeing here is that hearing loss certainly has an effect on other systems in development, and not only that, but it starts very, very early, when the individual is an infant.”

Individuals who have hearing loss have other cognitive issues separate from their hearing impairment, she says. The assumption, though, she says, has largely been that those issues are related to a lack of experience with language.

The bigger question at play is if hearing loss is connected to the larger cognitive system, and therefore has a cascading effect on cognitive development. This is important, Bergeson-Dana says, because that would mean hearing loss has a direct effect on cognitive functions.

“What we are really looking at is whether congenital hearing loss has an effect on other systems in development,” she says. “We wanted to know how early this might start, and how impactful hearing loss is on the rest of the whole system.”

Forty-three infants, half of them hearing impaired and half of them hearing, aged seven-to-23 months, were presented with the same image over and over again. Once they acted like they were bored of the image, a new image appeared.

The purpose was to see how quickly the babies tired of the photos. Previous studies show that babies who get bored quickly have increases in cognitive functions. So, this was used as a measure to see if deafness slows cognitive development.

The rate of habituation, or how quickly a baby got bored with an image, was different between hearing babies and deaf babies. Babies with typical hearing were faster to habituate than babies with hearing loss. It took hearing impaired babies an average of eight-and-a-half trials before they got bored, compared to seven trials for hearing babies.

These findings, Bergeson-Dana says, can have major implications on how hearing loss is treated.

“We definitely should be treating hearing impairments much earlier than we do because of these clear cascading effects,” she says. “But more than that, we also need to provide children with cognitive skill interventions, in addition to just treating their hearing impairment.

“Before, we have just focused on their hearing impairment, but this study shows we have to think about the baby as a whole child, not just as a child with a hearing loss. The ear is connected to the brain.”

 

Media Contact:
Rachel Stern
Director of Strategic Communications
rstern@butler.edu
914-815-5656

AcademicsResearch

New Butler Research Shows Hearing Loss Linked to Cognitive Ability in Babies

Hearing loss is connected to the larger cognitive system, and has a cascading effect on cognitive development.

Mar 01 2019 Read more

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