Medicine and Health Sciences Commons^™

Awareness With Paralysis And Symptoms Of Post-Traumatic Stress Disorder Among Mechanically Ventilated Emergency Department Survivors (Ed-Awareness-2 Trial): Study Protocol For A Pragmatic, Multicenter, Stepped Wedge Cluster Randomized Trial., Brian M Fuller, Brian E Driver, Michael B. Roberts, Christa A Schorr, Kathryn Thompson, Brett Faine, Julianne Yeary, Nicholas M Mohr, Ryan D Pappal, Robert J Stephens, Yan Yan, Nicholas J Johnson, Brian W Roberts

PCOM Scholarly Papers

BACKGROUND: Awareness with paralysis (AWP) is memory recall during neuromuscular blockade (NMB) and can cause significant psychological harm. Decades of effort and rigorous trials have been conducted to prevent AWP in the operating room, where prevalence is 0.1-0.2%. By contrast, AWP in mechanically ventilated emergency department (ED) patients is common, with estimated prevalence of 3.3-7.4% among survivors given NMB. Longer-acting NMB use is a critical risk for AWP, and we have shown an association between ED rocuronium use and increased AWP prevalence. As NMB are given to more than 90% of ED patients during tracheal intubation, this trial provides a …

Nursing Homes In The Mountain West, 2023, Annie Vong, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet presents nursing home data in the Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah. Data from a September 2023 ProPublica publication titled, “Nursing Home Inspect” are presented including the total number of nursing homes, homes with serious deficiencies, homes with infection related deficiencies, the amount nursing homes paid in penalties and the number of payment suspensions for nursing homes in the Mountain West.

Medical Tourism & Communication, Alicia Mason

Faculty Submissions

Medical tourism (MT), sometimes referred to as health tourism or medical travel, involves both the treatment of illness and the facilitation of wellness, with travel. Medical tourism is a multifaceted and multiphase process involving many agents and actors that requires careful planning and execution. The coordinated process involves the biomedical, transportation, tourism, and leisure industries. From the communication perspective, the process can be viewed as a 5-stage model consisting of the: (a) orientation, (b) preparation, (c) experiential and treatment, (d) convalescence, and (e) reflection phases. Medical tourism is uniquely situated in a nexus of academic literature related to communication, business …

Serving Those Who Served: Renegotiating Support And Benefits For U.S. Military Veterans With Less Than Honorable Discharges, Mariah Brennan, Emily Graham

Population Health Research Brief Series

Approximately 1 in 7 veterans are discharged from the military under less than “Honorable” conditions. Veterans with less than “Honorable” discharges experience bias and stigma related to their discharge, which can lead to elevated risk for behavioral and mental health challenges and homelessness. This brief summarizes the different military discharge types, explains how less than “Honorable” discharges can affect veteran health, identifies groups of veterans who are at risk of receiving a less than “Honorable” discharge, and makes policy recommendations for the Department of Defense (DoD), civilian employers, and community healthcare providers.

The Associations Of Parental Smoking, Quitting And Habitus With Teenager E-Cigarette, Smoking, Alcohol And Other Drug Use In Gui Cohort ’98, Salome Sunday, Luke Clancy, Joan Hanafin

Articles

We analyse parental smoking and cessation (quitting) associations with teenager e-cigarette, alcohol, tobacco smoking and other drug use, and explore parental smoking as a mechanism for social reproduction. We use data from Waves 1–3 of Growing Up in Ireland (Cohort ’98). Our analytic sample consisted of n = 6,039 participants reporting in all 3 Waves. Data were collected in Waves 1 and 2 when the children were 9 and 13 years old and in Wave 3 at age 17/18 years. Generalized Estimating Equations (GEE) models were used to analyse teenage substance use at Wave 3. Parental smoking was associated with …

Taking Songs To Heart: An Investigation Into Musical Appreciation, Anna Kate Lockhart, Eric A. Febles, Valeria Draine, Kaitlin Pendasulo

Science University Research Symposium (SURS)

Abstract

Music cross-culturally occupies a central part of day-to-day living (Trehub et al., 2015). Research has demonstrated music’s consistent ability to modulate emotional states, through the investigation of properties like tempo and key (Res, 2011; Bella, 2001; Jongwan,, 2018; Schellenberg, 2010). Heartbeat is a steady rhythm that each human alive and well experiences daily, and heart rate, specifically the resting heart rate, has been suggested to set a baseline rhythm that may influence perception of musical valence (Koelsch & Jancke, 2015). The current study aims to investigate this hypothesis by establishing a resting heart rate level and modulating the speed …

Sexual Minorities Are More Depressed And Anxious Than Heterosexuals In The U.S., Especially Among Women, Joshua Grove

Population Health Research Brief Series

Depression and anxiety are harmful to health. People who suffer from depression or anxiety are more likely to engage in risky health behaviors and have higher risk of various chronic diseases and premature death. This data slice uses data from the 2022 National Wellbeing Survey to explore the prevalence of depression and anxiety among U.S. adults ages 18-64. The results show that sexual minority adults are significantly more likely than those who identify as heterosexual to suffer from depression and anxiety, and differences in prevalence rates between sexual minority and heterosexual women are larger than the differences between men.

Research Data Management Readiness At Uganda Cancer Institute, Edward Mukiibi, Joyce Bukirwa

Library Philosophy and Practice (e-journal)

The study explored research data management readiness at the Uganda Cancer Institute. Its objectives were to; establish the state of research data and the institutional readiness for research data management practices. The case study applied a survey method using a questionnaire modified from the Data Asset Framework and the Community Capability Model Framework. The respondents were 60 staff members at different professional levels purposively selected. The findings show massive data generated from clinical trials, and routine cancer clinics at the institute. The business processes are mainly manual except for the funded research projects which are hybrid. The existing data sets …

Editorial: Resilience, Quality Of Life And Psychosocial Outcomes Of Cancer Patients And Their Caregivers, Nida Zahid, Nargis Asad, Ashraf El-Metwally

Department of Surgery

No abstract provided.

Impaired Discourse Content In Aphasia Is Associated With Frontal White Matter Damage, Junhua Ding, Erica L. Middleton, Daniel Mirman

Moss-Magee Rehabilitation Papers

Aphasia is a common consequence of stroke with severe impacts on employability, social interactions and quality of life. Producing discourse-relevant information in a real-world setting is the most important aspect of recovery because it is critical to successful communication. This study sought to identify the lesion correlates of impaired production of relevant information in spoken discourse in a large, unselected sample of participants with post-stroke aphasia. Spoken discourse (n = 80) and structural brain scans (n = 66) from participants with aphasia following left hemisphere stroke were analysed. Each participant provided 10 samples of spoken discourse elicited in three different …

"You Get What You Need When You Need It": A Mixed Methods Examination Of The Feasibility And Acceptability Of A Tailored Digital Tool To Promote Physical Activity Among Women In Midlife., Danielle Arigo, Jonathan Mathias Lassiter, Kiri Baga, Daija A Jackson, Andrea Lobo, Timothy C Guetterman

Faculty Scholarship for the College of Science & Mathematics

During midlife (ages 40-60), women experience myriad changes that elevate their risk for cardiovascular disease (CVD), including decreased physical activity (PA). Women cite lack of social support for PA and lack of active peers who can serve as role models as key barriers. Digital tools such as web applications can provide exposure to these social inputs; they are also accessible in daily life and require modest time investment. However, as few tools have been designed to meet the unique needs of women in midlife with CVD risk, our research team previously built a web application that is tailored for this …

Graduate Medical Education In The Mountain West, Mohit Pande, Nicole Diaz Del Valle, Yashesvi Sharma, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet examines Graduate Medical Education (GME) metrics in the Mountain West (Arizona, Colorado, Nevada, New Mexico, and Utah). The original report from the Association of American Medical Colleges (AAMC) includes data from all 50 states and includes measures of graduate medical education and the facilities needed to conduct graduate medical education. This fact sheet builds upon data previously published in fact sheets on Nevada medical residencies for the 2021, 2022, and 2023 graduating classes of the Kirk Kerkorian School of Medicine at the University of Nevada, Las Vegas (UNLV) and the University of Nevada, Reno (UNR) School of …

Impact Of Receiving Hospital On Out-Of-Hospital Cardiac Arrest Outcome: Racial And Ethnic Disparities In Texas, Ryan Huebinger, Marina Del Rios, Benjamin S Abella, Bryan Mcnally, Carrie Bakunas, Richard Witkov, Micah Panczyk, Eric Boerwinkle, Bentley Bobrow

Journal Articles

Background Factors associated with out-of-hospital cardiac arrest (OHCA) outcome disparities remain poorly understood. We evaluated the role of receiving hospital on OHCA outcome disparities. Methods and Results We studied people with OHCA who survived to hospital admission from TX-CARES (Texas Cardiac Arrest Registry to Enhance Survival), 2014 to 2021. Using census data, we stratified OHCAs into majority (>50%) strata: non-Hispanic White race and ethnicity, non-Hispanic Black race and ethnicity, and Hispanic or Latino ethnicity. We stratified hospitals into performance quartiles based on the primary outcome, survival with good neurologic outcome. We evaluated the association between race and ethnicity and …

Association Between Lack Of Access To A Neighborhood Park And High Blood Pressure In The Philadelphia Metropolitan Area, Stephanie Kjelstrom, Richard W. Hass, Russell K. Mcintire

College of Population Health Faculty Papers

INTRODUCTION: Studies have shown a lower risk of high blood pressure (HBP) among people who live near parks; however, little information exists on how feeling safe and comfortable visiting the park affects blood pressure. We identified associations between neighborhood park access, comfort visiting a park, and HBP to understand how these factors may contribute to disparities in HBP prevalence.

METHODS: The 2018 Southeastern Pennsylvania Household Health Survey of 3,600 residents in the Philadelphia metropolitan area asked if respondents had ever been told they had HBP and whether they had a neighborhood park or outdoor space that they were comfortable visiting …

Examining The Evidence Base For Burnout, Renzo Bianchi, Irvin Schonfeld

Publications and Research

Burnout has elicited growing interest among occupational health specialists in recent decades. Since 2019, the World Health Organization has characterized burnout as a syndrome resulting from chronic, unmanageable workplace stress. Accordingly, three symptoms define the entity: (i) feelings of energy depletion or exhaustion; (ii) increased mental distance from one’s job or feelings of negativism or cynicism towards one’s job; and (iii) a sense of ineffectiveness and lack of accomplishment. We call into question the definition of burnout embodied in the Maslach Burnout Inventory and incorporated into the ICD-11. We draw stakeholders’ attention to the fact that burnout’s symptoms and etiology …

Hmmelfarb Headlines - November/December 2023, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Headlines (2009 - present)

News, information, and resources relating to the Himmelfarb Library that is of interest to patrons

Vol. 13, Issue 2

Library Newsletter (2009-present)

^{This Fall Issue is all about the NEW at Krupp Library!}

New Counseling Services Exhibit- 1

Meet our New Librarian - 2

New Vending Machine - 2

Baking Yesteryear Review New Book - 3

Historical Documents made New again - 4

New Graphic Novels Section - 5

Himmelfarb Library Liaison Letter - November 2023, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Library Liaison Letters

No abstract provided.

Invisible In Plain Sight: A Qualitative Analysis Of The U.S. Public Health Service Syphilis Study And Contemporary Issues Of Iatrophobia In Black Women, Krystal Morgan

Undergraduate Student Research Fellowship

The U.S. Public Health Service Syphilis Study (USPHSSS) is the nation’s most infamous example of biomedical misconduct in the United States. Using the wives and the descendants of the USPHSSS as a case study, this project examines and conceptualizes how the lack of healthcare access and secondhand healthcare the wives and descendants received has had a cumulative impact on Black women and contemporary iatrophobia, using a Black feminist ethical and constructivist theoretical framework. Findings reflect two major themes for contemporary iatrophobia: systemic racism and what Muhjah Shakir terms the cultural constellation of silence.

Delivering Healthcare To The Underserved, Edward Booty

Asian Management Insights

Non-profits, governments, and businesses need to come together and use a data-driven approach to improve local basic healthcare access.

Examining The Evidence Base For Burnout, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Burnout has elicited growing interest among occupational health specialists in recent decades. Since 2019, the World Health Organization has characterized burnout as a syndrome resulting from chronic, unmanageable workplace stress. According to the ICD-11, three symptoms define the entity: feelings of exhaustion, increased mental distance from one’s job, and a sense of ineffectiveness at work, all of which correspond to the structure of the Maslach Burnout Inventory. The ICD-11 includes burnout among the factors that influence health status. This paper calls into question that conceptualization based on a number of lines of evidence. The evidence includes the following: burnout was …

Mosaic Chromosomal Alterations In Blood Across Ancestries Using Whole-Genome Sequencing, Yasminka A Jakubek, Ying Zhou, Adrienne Stilp, Jason Bacon, Justin W Wong, Zuhal Ozcan, Donna Arnett, Kathleen Barnes, Joshua C Bis, Eric Boerwinkle, Jennifer A Brody, April P Carson, Daniel I Chasman, Jiawen Chen, Michael Cho, Matthew P Conomos, Nancy Cox, Margaret F Doyle, Myriam Fornage, Xiuqing Guo, Sharon L R Kardia, Joshua P Lewis, Ruth J F Loos, Xiaolong Ma, Mitchell J Machiela, Taralynn M Mack, Rasika A Mathias, Braxton D Mitchell, Josyf C Mychaleckyj, Kari North, Nathan Pankratz, Patricia A Peyser, Michael H Preuss, Bruce Psaty, Laura M Raffield, Ramachandran S Vasan, Susan Redline, Stephen S Rich, Jerome I Rotter, Edwin K Silverman, Jennifer A Smith, Aaron P Smith, Margaret Taub, Kent D Taylor, Jeong Yun, Yun Li, Pinkal Desai, Alexander G Bick, Alexander P Reiner, Paul Scheet, Paul L Auer

Journal Articles

Megabase-scale mosaic chromosomal alterations (mCAs) in blood are prognostic markers for a host of human diseases. Here, to gain a better understanding of mCA rates in genetically diverse populations, we analyzed whole-genome sequencing data from 67,390 individuals from the National Heart, Lung, and Blood Institute Trans-Omics for Precision Medicine program. We observed higher sensitivity with whole-genome sequencing data, compared with array-based data, in uncovering mCAs at low mutant cell fractions and found that individuals of European ancestry have the highest rates of autosomal mCAs and the lowest rates of chromosome X mCAs, compared with individuals of African or Hispanic ancestry. …

Hospital And Emergency Department Discharge Against Medical Advice In Western Australian Aboriginal Children Aged 0–4 Years From 2002 To 2018: A Cohort Study, Daniel Christensen, Alison Gibberd, Bridgette Mcnamara, Sandra Eades, Carrington Shepherd, David B. Preen, Daniel Mcaullay, Natalie Strobel

Research outputs 2022 to 2026

Background: Discharge against medical advice (DAMA) is a priority issue for the health system. Little is known about the factors associated with DAMA for Aboriginal and/or Torres Strait Islander (Aboriginal) children in Australia. Objectives: Investigate the associations between DAMA for hospital admissions and emergency department (ED) presentations and: (i) child, family and episode of service characteristics and (ii) 30-day readmission/ re-presentation. Methods: We conducted a cohort study of Aboriginal children born in Western Australia (2002–2013) who had ≥ 1 hospital admissions (n = 16,931) or ED presentations (n = 26,546) within the first 5 years of life. The outcome of …

Call For Emergency Action To Restore Dietary Diversity And Protect Global Food Systems In Times Of Covid-19 And Beyond: Results From A Cross-Sectional Study In 38 Countries, Maha Hoteit, Reem Hoteit, Ayoub Aljawaldeh, Kathleen Van Royen, Sara Pabian, Paulien Decorte, Isabelle Cuykx, Lauranna Teunissen, Charlotte De Backer, Ina Bergheim, Raphaela Staltner, Amanda Devine, Ros Sambell, Ruth Wallace, Sabika S. Allehdan, Tariq A. Alalwan, Mariam A. Al-Mannai, Gaëlle Ouvrein, Karolien Poels, Heidi Vandebosch, Katrien Maldoy, Christophe Matthys, Tim Smits, Jules Vrinten, Ann Desmet, Nelleke Teughels, Maggie Geuens, Iris Vermeir, Viktor Proesmans, Liselot Hudders, Marcia D. De Barcellos, Cristina Ostermann, Ana L. Brock, Cynthia Favieiro, Rafaela Trizotto, Isadora Stangherlin, Anthonieta L. Mafra, Marco A. C. Varella, Jaroslava V. Valentova, Maryanne L. Fisher, Melanie Maceacheron, Katherine White, Rishad Habib, David S. Dobson, Berta Schnettler, Ligia Orellana, Edgardo Miranda-Zapata, Angela W. Y. Chang, Wen Jiao, Matthew T. Liu, Klaus G. Grunert, Rikke N. Christensen, Lucia Reisch, Meike Janssen, Victoria Abril-Ulloa, Lorena Encalada, Iman Kamel, Annukka Vainio, Mari Niva, Laura Salmivaara, Johanna Mäkelä, Kaisa Torkkeli, Robert Mai, Pamela K. Risch, Efthymios Altsitsiadis, Angelos Stamos, Andreas Antronikidis, Maeve Henchion, Sinead Mccarthy, Mary Mccarthy, Alessandra Micalizzi, Peter J. Schulz, Manuela Farisnosi, Hidenori Komatsu, Nobuyuki Tanaka, Hiromi Kubota, Reema Tayyem, Narmeen J. Al-Awwad, Nahla Al-Bayyari, Mohammed O. Ibrahim, Fadwa Hammouh, Somaia Dashti, Basma Dashti, Dhuha Alkharaif, Amani Alshatti, Maryam Al Mazedi, Rania Mansour, Elissa Naim, Hussein Mortada, Yareni Y. G. Gomez, Kelly Geyskens, Caroline Goukens, Rajshri Roy, Victoria Egli, Lisa T. Morenga, Mostafa Waly, Radwan Qasrawi, Motasem Hamdan, Rania A. Sier, Diala A. A. Halawa, Hazem Agha, María R. L. Domínguez, Lita Palomares, Grazyna Wasowicz, Hiba Bawadi, Manal Othman, Jaafar Pakari, Allam A. Farha, Rasha Abu-El-Ruz, Dacinia C. Petrescu, Ruxandra M. P. Mag, Felix Arion, Stefan C. Vesa, Majid M. Alkhalaf, Khlood Bookari, Jamila Arrish, Zackaria Rahim, Roy Kheng, Yandisa Ngqangashe, Zandile J. R. Mchiza, Marcela Gonzalez-Gross, Lisset Pantoja-Arévalo, Eva Gesteiro, Yolanda Ríos, Peter Yiga, Patrick Ogwok, Denis Ocen, Michael Bamuwamye, Haleama A. Sabbah, Zainab Taha, Leila C. Ismail, Ayesha Aldhaheri, Elisa Pineda, Marisa Miraldo, Dawn L. Holford, Hilde Van Den Bulck, The Corona Cooking Survey Study Group

Research outputs 2022 to 2026

Background: The COVID-19 pandemic has revealed the fragility of the global food system, sending shockwaves across countries' societies and economy. This has presented formidable challenges to sustaining a healthy and resilient lifestyle. The objective of this study is to examine the food consumption patterns and assess diet diversity indicators, primarily focusing on the food consumption score (FCS), among households in 38 countries both before and during the first wave of the COVID-19 pandemic. Methods: A cross-sectional study with 37 207 participants (mean age: 36.70 ± 14.79, with 77 % women) was conducted in 38 countries through an online survey administered …

Public Service Motivation And Job Satisfaction Amid Covid-19: Exploring The Effects Of Work Environment Changes, Seulki Lee, Chongmin Na

Research Collection School of Social Sciences

The COVID-19 pandemic has brought critical changes to job demands and resources, which in turn affect employee motivation and outcomes. This study explores how COVID-19–induced work intensity and COVID-19–related organizational support influence public service motivation (PSM) and job satisfaction. Using survey data from a nationally representative sample of 1,430 South Korean central government employees collected during the pandemic (May–June 2020), we find that COVID-19–induced work intensity is positively associated with PSM, which in turn has a positive association with job satisfaction. We also find that COVID-19–related organizational support has both direct and indirect associations with job satisfaction through PSM. These …

Ambulatory Intensive Care For Medically Complex Patients At A Health Care Clinic For Individuals Experiencing Homelessness The Summit Randomized Clinical Trial, Brian Chan, Christina Nicolaidis, Meg Devoe, Priya Srikanth, P. Todd Korthuis, Samuel T. Edwards, Devan Kansagara, Rachel Solotaroff, Somnath Saha

School of Social Work Faculty Publications and Presentations

Importance Intensive primary care interventions have been promoted to reduce hospitalization rates and improve health outcomes for medically complex patients, but evidence of their efficacy is limited.

Objective To assess the efficacy of a multidisciplinary ambulatory intensive care unit (A-ICU) intervention on health care utilization and patient-reported outcomes.

Design, Setting, and Participants The Streamlined Unified Meaningfully Managed Interdisciplinary Team (SUMMIT) randomized clinical trial used a wait-list control design and was conducted at a health care clinic for patients experiencing homelessness in Portland, Oregon. The first patient was enrolled in August 2016, and the last patient was enrolled in November 2019. …

A Word From The Writing Team (November 2023), Pam Walter, Mfa, Liz Declan, Ma, Mfa

A Word From the Writing Team (Newsletter)

This issue includes:

• New!! Check Out Our OPWPC Resources Page in Canvas
• First Friday Writing Retreats Continue - This Friday
• The Annual Yeo Writing Prize is Back
• Learn How AI Impacts Scholarly Writing, Reviewing, and Publishing
• Publication Spotlight
• Reminders
• Consultations Available
• Scott Memorial Library Renovations
• Wiley Open Access Fees Waived for Jefferson Authors

Epidural Catheters For Cervical Epidural Steroid Injections To Target Higher Cervical Pathology: Clinical Images In Practice, Peter D Vu, Christopher L Robinson, Grant H Chen, Jamal J Hasoon

Journal Articles

Cervical radicular pain is commonly treated with cervical epidural steroid injections. The transforaminal approach allows for direct treatment of the steroid at a particular nerve root or level. Still, it carries a significant risk of morbidity and mortality with thromboembolism or injury to cervical vasculature. The interlaminar approach is commonly utilized as it avoids vascular structures. However, the epidural space becomes narrower at higher levels, limiting the ability to perform this approach at higher cervical levels. Cervical epidural catheters can be used and advanced to target higher cervical pathology through the interlaminar approach. We present clinical images demonstrating the utility …

Mountain West State Health System Rankings, 2023, Julia Salangsang, Ivan Sun, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet presents data from the “2023 Scorecard on State Health System Performance” published by The Commonwealth Fund. The original report includes data from all 50 states and measures health system performance based on health care access, quality, use of services, costs, health disparities, reproductive care and women’s health, and health outcomes.

Social Determinants Of Health And Lung Cancer Surgery: A Qualitative Study, Dede K. Teteh, Betty Ferrell, Oluwatimilehin Okunowo, Aidea Downie, Loretta Erhunmwunsee, Susanne B. Montgomery, Dan J. Raz, Rick Kittles, Jae Y. Kim, Virginia Sun

Health Sciences and Kinesiology Faculty Articles

Introduction: Social determinants of health (SDOH) are non-clinical factors that may affect the outcomes of cancer patients. The purpose of this study was to describe the influence of SDOH factors on quality of life (QOL)-related outcomes for lung cancer surgery patients.

Methods: Thirteen patients enrolled in a randomized trial of a dyadic self-management intervention were invited and agreed to participate in semi-structured key informant interviews at study completion (3 months post-discharge). A conventional content analysis approach was used to identify codes and themes that were derived from the interviews. Independent investigators coded the qualitative data, which were subsequently …