Thomas Land
Biographic Data
| ID | 1634649 |
|---|---|
| NAME | Thomas Land |
| GIVEN NAMES | Thomas |
| FAMILY NAME | Land |
| SIGNATURE | LAND T |
| AFFILIATIONS | Massachusetts Department of Public Health |
| VERIFIED | No |
| TOTAL WORKS | 15 |
| TOTAL CITATIONS | 37 |
| AUTHOR COUNT | 15 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2009 |
| LATEST PUBLICATION YEAR | 2021 |
| H-INDEX | 4 |
Epistemic agency and the self-knowledge of reason
Opioid overdose deaths and potentially inappropriate opioid prescribing practices (PIP)
Overdose and PIP hotspots were identified, as well as regions where the two overlapped, and where they diverged. Results indicate that PIP clustering alone does not explain overdose clustering patterns. Our findings can inform public health policy decisions at the local level, which include a focus on PIP and misuse of heroin and fentanyl that aim to curb opioid overdoses
Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Association With Mortality
Background: Opioid overdose survivors have an increased risk for death. Whether use of medications for opioid use disorder (MOUD) after overdose is associated with mortality is not known. Objective: To identify MOUD use after opioid overdose and its association with all-cause and opioid-related mortality. Design: Retrospective cohort study. Setting: 7 individually linked data sets from Massachusetts government agencies. Participants: 17 568 Massa…
Estimated Prevalence of Opioid Use Disorder in Massachusetts, 2011–2015
Objectives. To estimate the annual prevalence of opioid use disorder (OUD) in Massachusetts from 2011 to 2015. Methods. We performed a multisample stratified capture–recapture analysis to estimate OUD prevalence in Massachusetts. Individuals identified from 6 administrative databases for 2011 to 2012 and 7 databases for 2013 to 2015 were linked at the individual level and included in the analysis. Individuals were stratified by age group, sex, an…
State and Local Chronic Disease Surveillance Using Electronic Health Record Systems
Objectives. To assess the feasibility of chronic disease surveillance using distributed analysis of electronic health records and to compare results with Behavioral Risk Factor Surveillance System (BRFSS) state and small-area estimates. Methods. We queried the electronic health records of 3 independent Massachusetts-based practice groups using a distributed analysis tool called MDPHnet to measure the prevalence of diabetes, asthma, smoking, hyper…
Nonconceptualist Readings of Kant and the Transcendental Deduction
I give an argument against nonconceptualist readings of Kant’s First Critique , according to which one can enjoy a Kantian intuition without possessing any concepts, and present an alternative reading. The argument is that nonconceptualist readings are forced to construe the Transcendental Deduction in one of three ways, none of which is acceptable: The Deduction is seen either (i) as inconsistent with the Transcendental Aesthetic; or (ii) as add…
Effect of Systems Change and Use of Electronic Health Records on Quit Rates Among Tobacco Users in a Public Hospital System
Objectives. We examined electronic health records (EHRs) to assess the impact of systems change on tobacco use screening, treatment, and quit rates among low-income primary care patients in Louisiana. Methods. We examined EHR data on 79 777 patients with more than 1.2 million adult primary care encounters from January 1, 2009, through January 31, 2012, for evidence of systems change. We adapted a definition of “systems change” to evaluate a tobac…
Declining Trends and Widening Disparities in Overweight and Obesity Prevalence Among Massachusetts Public School Districts, 2009–2014
Objectives. We evaluated the overall and sociodemographic disparities in trends in prevalence of childhood overweight and obesity in Massachusetts public school districts between 2009 and 2014. Methods. In 2009, Massachusetts mandated annual screening of body mass index for students in grades 1, 4, 7, and 10. This was part of the statewide Mass in Motion prevention programs. We assessed trends in the prevalence of overweight and obesity between 2…
Patient Characteristics Associated With Smoking Cessation Interventions and Quit Attempt Rates Across 10 Community Health Centers With Electronic Health Records
Objectives. We used electronic health record (EHR) data to determine rates and patient characteristics in offering cessation interventions (counseling, medications, or referral) and initiating quit attempts. Methods. Ten community health centers in New York City contributed 30 months of de-identified patient data from their EHRs. Results. Of 302 940 patients, 40% had smoking status recorded and only 34% of documented current smokers received an i…
No Other Use than in Judgment
According to the Judgmentalist Reading of Kant (JR), he holds that every act of using a concept is an act of judging. Against this it has been argued that, on the contrary, Kant thinks that concepts are also employed in the perceptual apprehension of objects. However, advocates of this Non-Judgmentalist Reading face the problem that the evidence for JR (primarily in the Metaphysical Deduction) appears to be very strong. The aim of this paper is t…
Smokeless tobacco products sold in Massachusetts from 2003 to 2012
The number of smokeless tobacco products increased in the Massachusetts market. Further, mean unionised (free) nicotine levels in smokeless tobacco products of several manufacturers continued to rise despite decreasing levels from other manufacturers. The current success in tobacco control is very likely undermined without government surveillance, regulation and widespread public disclosure of nicotine levels in these products
MDPHnet
Electronic health record systems contain clinically detailed data from large populations of patients that could significantly enrich public health surveillance. Clinical practices’ security, privacy, and proprietary concerns, however, have limited their willingness to share these data with public health agencies. We describe a novel distributed network for public health surveillance called MDPHnet. The system allows the Massachusetts Department o…
Kantian Conceptualism
In the recent debate between conceptualists and nonconceptualists about perceptual content, Kant’s notion of intuition has been invoked on both sides. Conceptualists claim Kant as a forerunner of their position, arguing that Kantian intuitions have the same kind of content as conceptual thought. On the other hand, nonconceptualists claim Kant as a forerunner of their own position, contending that Kantian intuitions have a distinctly nonconceptual…
The Impact of Massachusetts’ Smoke-Free Workplace Laws on Acute Myocardial Infarction Deaths
Objectives. We examined the rate of acute myocardial infarction (AMI) deaths in Massachusetts before and after the implementation of a comprehensive smoke-free workplace law in July 2004. Methods. We used Poisson regression models to examine the impact of the state law in cities and towns with and without previous local smoking bans and the effect of the local laws for the period of 1999 through 2006. Results. The AMI mortality rate decreased by …
Small-Area Estimation and Prioritizing Communities for Tobacco Control Efforts in Massachusetts
Objectives. We developed a method to evaluate geographic and temporal variations in community-level risk factors and prevalence estimates, and used that method to identify communities in Massachusetts that should be considered high priority communities for smoking interventions. Methods. We integrated individual-level data from the Behavioral Risk Factor Surveillance System from 1999 to 2005 with community-level data in Massachusetts. We used sma…
Estimated Prevalence of Opioid Use Disorder in Massachusetts, 2011–2015
Objectives. To estimate the annual prevalence of opioid use disorder (OUD) in Massachusetts from 2011 to 2015. Methods. We performed a multisample stratified capture–recapture analysis to estimate OUD prevalence in Massachusetts. Individuals identified from 6 administrative databases for 2011 to 2012 and 7 databases for 2013 to 2015 were linked at the individual level and included in the analysis. Individuals were stratified by age group, sex, an…
State and Local Chronic Disease Surveillance Using Electronic Health Record Systems
Objectives. To assess the feasibility of chronic disease surveillance using distributed analysis of electronic health records and to compare results with Behavioral Risk Factor Surveillance System (BRFSS) state and small-area estimates. Methods. We queried the electronic health records of 3 independent Massachusetts-based practice groups using a distributed analysis tool called MDPHnet to measure the prevalence of diabetes, asthma, smoking, hyper…
No Other Use than in Judgment
According to the Judgmentalist Reading of Kant (JR), he holds that every act of using a concept is an act of judging. Against this it has been argued that, on the contrary, Kant thinks that concepts are also employed in the perceptual apprehension of objects. However, advocates of this Non-Judgmentalist Reading face the problem that the evidence for JR (primarily in the Metaphysical Deduction) appears to be very strong. The aim of this paper is t…
MDPHnet
Electronic health record systems contain clinically detailed data from large populations of patients that could significantly enrich public health surveillance. Clinical practices’ security, privacy, and proprietary concerns, however, have limited their willingness to share these data with public health agencies. We describe a novel distributed network for public health surveillance called MDPHnet. The system allows the Massachusetts Department o…
Small-Area Estimation and Prioritizing Communities for Tobacco Control Efforts in Massachusetts
Objectives. We developed a method to evaluate geographic and temporal variations in community-level risk factors and prevalence estimates, and used that method to identify communities in Massachusetts that should be considered high priority communities for smoking interventions. Methods. We integrated individual-level data from the Behavioral Risk Factor Surveillance System from 1999 to 2005 with community-level data in Massachusetts. We used sma…
Epistemic agency and the self-knowledge of reason
Patient Characteristics Associated With Smoking Cessation Interventions and Quit Attempt Rates Across 10 Community Health Centers With Electronic Health Records
Objectives. We used electronic health record (EHR) data to determine rates and patient characteristics in offering cessation interventions (counseling, medications, or referral) and initiating quit attempts. Methods. Ten community health centers in New York City contributed 30 months of de-identified patient data from their EHRs. Results. Of 302 940 patients, 40% had smoking status recorded and only 34% of documented current smokers received an i…
The Impact of Massachusetts’ Smoke-Free Workplace Laws on Acute Myocardial Infarction Deaths
Objectives. We examined the rate of acute myocardial infarction (AMI) deaths in Massachusetts before and after the implementation of a comprehensive smoke-free workplace law in July 2004. Methods. We used Poisson regression models to examine the impact of the state law in cities and towns with and without previous local smoking bans and the effect of the local laws for the period of 1999 through 2006. Results. The AMI mortality rate decreased by …
Effect of Systems Change and Use of Electronic Health Records on Quit Rates Among Tobacco Users in a Public Hospital System
Objectives. We examined electronic health records (EHRs) to assess the impact of systems change on tobacco use screening, treatment, and quit rates among low-income primary care patients in Louisiana. Methods. We examined EHR data on 79 777 patients with more than 1.2 million adult primary care encounters from January 1, 2009, through January 31, 2012, for evidence of systems change. We adapted a definition of “systems change” to evaluate a tobac…
Declining Trends and Widening Disparities in Overweight and Obesity Prevalence Among Massachusetts Public School Districts, 2009–2014
Objectives. We evaluated the overall and sociodemographic disparities in trends in prevalence of childhood overweight and obesity in Massachusetts public school districts between 2009 and 2014. Methods. In 2009, Massachusetts mandated annual screening of body mass index for students in grades 1, 4, 7, and 10. This was part of the statewide Mass in Motion prevention programs. We assessed trends in the prevalence of overweight and obesity between 2…
Small-Area Estimation and Prioritizing Communities for Tobacco Control Efforts in Massachusetts
Objectives. We developed a method to evaluate geographic and temporal variations in community-level risk factors and prevalence estimates, and used that method to identify communities in Massachusetts that should be considered high priority communities for smoking interventions. Methods. We integrated individual-level data from the Behavioral Risk Factor Surveillance System from 1999 to 2005 with community-level data in Massachusetts. We used sma…
The Impact of Massachusetts’ Smoke-Free Workplace Laws on Acute Myocardial Infarction Deaths
Objectives. We examined the rate of acute myocardial infarction (AMI) deaths in Massachusetts before and after the implementation of a comprehensive smoke-free workplace law in July 2004. Methods. We used Poisson regression models to examine the impact of the state law in cities and towns with and without previous local smoking bans and the effect of the local laws for the period of 1999 through 2006. Results. The AMI mortality rate decreased by …
Kantian Conceptualism
In the recent debate between conceptualists and nonconceptualists about perceptual content, Kant’s notion of intuition has been invoked on both sides. Conceptualists claim Kant as a forerunner of their position, arguing that Kantian intuitions have the same kind of content as conceptual thought. On the other hand, nonconceptualists claim Kant as a forerunner of their own position, contending that Kantian intuitions have a distinctly nonconceptual…
Smokeless tobacco products sold in Massachusetts from 2003 to 2012
The number of smokeless tobacco products increased in the Massachusetts market. Further, mean unionised (free) nicotine levels in smokeless tobacco products of several manufacturers continued to rise despite decreasing levels from other manufacturers. The current success in tobacco control is very likely undermined without government surveillance, regulation and widespread public disclosure of nicotine levels in these products
MDPHnet
Electronic health record systems contain clinically detailed data from large populations of patients that could significantly enrich public health surveillance. Clinical practices’ security, privacy, and proprietary concerns, however, have limited their willingness to share these data with public health agencies. We describe a novel distributed network for public health surveillance called MDPHnet. The system allows the Massachusetts Department o…
Nonconceptualist Readings of Kant and the Transcendental Deduction
I give an argument against nonconceptualist readings of Kant’s First Critique , according to which one can enjoy a Kantian intuition without possessing any concepts, and present an alternative reading. The argument is that nonconceptualist readings are forced to construe the Transcendental Deduction in one of three ways, none of which is acceptable: The Deduction is seen either (i) as inconsistent with the Transcendental Aesthetic; or (ii) as add…
Effect of Systems Change and Use of Electronic Health Records on Quit Rates Among Tobacco Users in a Public Hospital System
Objectives. We examined electronic health records (EHRs) to assess the impact of systems change on tobacco use screening, treatment, and quit rates among low-income primary care patients in Louisiana. Methods. We examined EHR data on 79 777 patients with more than 1.2 million adult primary care encounters from January 1, 2009, through January 31, 2012, for evidence of systems change. We adapted a definition of “systems change” to evaluate a tobac…
Declining Trends and Widening Disparities in Overweight and Obesity Prevalence Among Massachusetts Public School Districts, 2009–2014
Objectives. We evaluated the overall and sociodemographic disparities in trends in prevalence of childhood overweight and obesity in Massachusetts public school districts between 2009 and 2014. Methods. In 2009, Massachusetts mandated annual screening of body mass index for students in grades 1, 4, 7, and 10. This was part of the statewide Mass in Motion prevention programs. We assessed trends in the prevalence of overweight and obesity between 2…
Patient Characteristics Associated With Smoking Cessation Interventions and Quit Attempt Rates Across 10 Community Health Centers With Electronic Health Records
Objectives. We used electronic health record (EHR) data to determine rates and patient characteristics in offering cessation interventions (counseling, medications, or referral) and initiating quit attempts. Methods. Ten community health centers in New York City contributed 30 months of de-identified patient data from their EHRs. Results. Of 302 940 patients, 40% had smoking status recorded and only 34% of documented current smokers received an i…
No Other Use than in Judgment
According to the Judgmentalist Reading of Kant (JR), he holds that every act of using a concept is an act of judging. Against this it has been argued that, on the contrary, Kant thinks that concepts are also employed in the perceptual apprehension of objects. However, advocates of this Non-Judgmentalist Reading face the problem that the evidence for JR (primarily in the Metaphysical Deduction) appears to be very strong. The aim of this paper is t…
State and Local Chronic Disease Surveillance Using Electronic Health Record Systems
Objectives. To assess the feasibility of chronic disease surveillance using distributed analysis of electronic health records and to compare results with Behavioral Risk Factor Surveillance System (BRFSS) state and small-area estimates. Methods. We queried the electronic health records of 3 independent Massachusetts-based practice groups using a distributed analysis tool called MDPHnet to measure the prevalence of diabetes, asthma, smoking, hyper…
Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Association With Mortality
Background: Opioid overdose survivors have an increased risk for death. Whether use of medications for opioid use disorder (MOUD) after overdose is associated with mortality is not known. Objective: To identify MOUD use after opioid overdose and its association with all-cause and opioid-related mortality. Design: Retrospective cohort study. Setting: 7 individually linked data sets from Massachusetts government agencies. Participants: 17 568 Massa…
Estimated Prevalence of Opioid Use Disorder in Massachusetts, 2011–2015
Objectives. To estimate the annual prevalence of opioid use disorder (OUD) in Massachusetts from 2011 to 2015. Methods. We performed a multisample stratified capture–recapture analysis to estimate OUD prevalence in Massachusetts. Individuals identified from 6 administrative databases for 2011 to 2012 and 7 databases for 2013 to 2015 were linked at the individual level and included in the analysis. Individuals were stratified by age group, sex, an…
Opioid overdose deaths and potentially inappropriate opioid prescribing practices (PIP)
Overdose and PIP hotspots were identified, as well as regions where the two overlapped, and where they diverged. Results indicate that PIP clustering alone does not explain overdose clustering patterns. Our findings can inform public health policy decisions at the local level, which include a focus on PIP and misuse of heroin and fentanyl that aim to curb opioid overdoses
Epistemic agency and the self-knowledge of reason
Medicine (11 works) · Environmental health (9 works) · Population (8 works) · Demography (5 works) · Internal Medicine (5 works) · Public health (5 works) · Smoking Behavior and Cessation (5 works) · Confidence interval (4 works) · Epistemology (4 works) · Internal Medicine (4 works)