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The Effects Of Insurance Status On Pediatric Traumatic Brain Injury Outcomes: A Literature Review, Anthony Fabio, Austin Murray, Michelle Mellers, Stephen Wisniewski, Michael Bell 2017 University of Pittsburgh

The Effects Of Insurance Status On Pediatric Traumatic Brain Injury Outcomes: A Literature Review, Anthony Fabio, Austin Murray, Michelle Mellers, Stephen Wisniewski, Michael Bell

Journal of Health Disparities Research and Practice

Objective: To review the literature that describes the effects of insurance status on traumatic brain injury (TBI) outcomes among pediatric patients to understand how policies related to access to health insurance changes TBI outcomes. Method: This review was conducted using the Preferred Reporting Items of Systematic Reviews and Meta-Analysis (PRISMA). A search of OVID Medline was conducted in May of 2016 for all years for peer-reviewed articles that included keywords related to “brain injuries” and “insurance status”. Articles were included if authors conducted a separate analysis of children aged 0 to 18. Articles were excluded if the TBI was the ...


Investigation Of The Cultural Context Of Sugars Consumption Behavior In Low-Income Mexican-American Women, Tanya J. Benitez, Colleen Keller, Kathryn Coe, Natasha Tasevska 2017 Arizona State University

Investigation Of The Cultural Context Of Sugars Consumption Behavior In Low-Income Mexican-American Women, Tanya J. Benitez, Colleen Keller, Kathryn Coe, Natasha Tasevska

Journal of Health Disparities Research and Practice

Despite the recent federal dietary recommendations to limit consumption of added sugars to less than ten percent of daily caloric intake, there is a gap in published literature examining the influence of food preparation behaviors on sugars consumption among low-income Mexican-American women. The purpose of the study was to describe the cultural context of Mexican-American women in procuring, preparing and presenting added sugars in their families’ diets.

Five focus groups were conducted to examine sugars consumption behavior in thirteen overweight/obese low-income Mexican-American women ages 27-40 years. Themes that emerged during the sessions included: changes in food procurement to include ...


Exposure To Secondhand Smoke And The Development Of Childhood Caries: Nhanes (2011-2012), Deborah Mattheus PhD, MSN, PNP, Krupa Gandhi MPH, Eunjung Lim PhD, Maureen Shannon CNM, FNP, PhD 2017 University of Hawaii at Manoa, School of Nursing

Exposure To Secondhand Smoke And The Development Of Childhood Caries: Nhanes (2011-2012), Deborah Mattheus Phd, Msn, Pnp, Krupa Gandhi Mph, Eunjung Lim Phd, Maureen Shannon Cnm, Fnp, Phd

Journal of Health Disparities Research and Practice

Dental caries continue to plague young children worldwide with numerous adverse effects including pain, poor growth and development, decreased quality of life as well as the potential for the development of life threatening secondary infections. Factors associated with the development of childhood caries are complex as they relate to social, economic and/or cultural behaviors. Recent evidence has linked secondhand smoke to the development of childhood dental caries. The purpose of the study is to re-examine the association between the frequency and extent of exposure to secondhand smoke with the development of childhood caries in the United States. Cross-sectional data ...


Residential Segregation, Neighborhood Social And Physical Context In Obesity Disparities In Hispanic Preschoolers: A Conceptual Model, Catherina Chang Martinez PhD(c), Nasar U. Ahmed PhD, Ruby A. Natale PhD, PsyD 2017 Robert Stempel College of Public Health and Social Work, Florida International University

Residential Segregation, Neighborhood Social And Physical Context In Obesity Disparities In Hispanic Preschoolers: A Conceptual Model, Catherina Chang Martinez Phd(C), Nasar U. Ahmed Phd, Ruby A. Natale Phd, Psyd

Journal of Health Disparities Research and Practice

During the last decade, there has been a significant inclusion in obesity prevention studies from individual characteristics to household factors then neighborhood factors. The study of place in the context of early childhood obesity studies has been limited to the food and physical built environment. With the persistent disparities in the prevalence of childhood obesity, and Hispanic minorities being increasingly affected, there is a need to reexamine existing models and develop new model conceptual frameworks to examine the role of place and residential segregation in the context of race, ethnicity, social position, and socioeconomic disparities. In the context of place ...


Utilizing Title Vi As A Means To Eradicate Health Discrimination, Adrian D. Samuels, Mariah L. Cole 2017 Meharry Medical College

Utilizing Title Vi As A Means To Eradicate Health Discrimination, Adrian D. Samuels, Mariah L. Cole

Journal of Health Disparities Research and Practice

Health disparities among people of color are persistent and detrimental to the overall wellness of these groups. Discrimination in the provision of health care services is one of the primary causes of health disparities. Title VI of the Civil Rights Act of 1964’s availability as a tool to prevent discrimination and, in turn, disparities among these groups is underdocumented. The legislative intent of Title VI and the historical context of the law have been helpful in its use outside of the health care arena to prevent discrimination. This sheds light on the ways that the law can influence the ...


Community-Level Characteristics Of High Infant Mortality: A Tool To Identify At-Risk Communities, Brandi M. White, Lee S. Horton, Kit N. Simpson 2017 Medical University of South Carolina

Community-Level Characteristics Of High Infant Mortality: A Tool To Identify At-Risk Communities, Brandi M. White, Lee S. Horton, Kit N. Simpson

Journal of Health Disparities Research and Practice

Infant mortality (IM) rate is a key indicator of population health and has been gradually improving in the United States. However, it is still a public health problem among minority and low-income communities. Maternal factors explain some of the variation, but community-level factors may also be a contributor. This study examines measures to identify a set of indicators that explain variations in IM at the community-level. Data for 77 communities in a city were obtained from local health databases. We used multivariable linear regression models to examine the strength of the association between IM and maternal, population, community wealth, and ...


Social Determinants Of Health Associated With Hbv Testing And Access To Care Among Foreign-Born Persons Residing In The United States: 2009 - 2012, Kevin M. Greene, Wayne A. Duffus, Jian Xing, Hope King 2017 Centers for Disease Control and Prevention

Social Determinants Of Health Associated With Hbv Testing And Access To Care Among Foreign-Born Persons Residing In The United States: 2009 - 2012, Kevin M. Greene, Wayne A. Duffus, Jian Xing, Hope King

Journal of Health Disparities Research and Practice

Objectives: To describe how select Social Determinants of Health (SDH) are associated with the burden of hepatitis B virus (HBV) infection among foreign-born persons residing in the United States.

Methods: Multivariate logistic regression was used to examine the Racial and Ethnic Approaches to Community Health (REACH) 2010 Risk Factor Survey data to investigate the independent relationship between SDH and HBV testing and access to care.

Results: HBV infected persons with insurance were more likely to see a physician than those without. Respondents worried about money to pay rent or mortgage were more likely to report HBV infection than individuals who ...


An Evaluation Of The University Of Florida 2003 Environmental Health Partnership Workshop, Rebecca A. Penwell, Tracey Riley, Tammy Stundon 2017 Georgia Academy of Science

An Evaluation Of The University Of Florida 2003 Environmental Health Partnership Workshop, Rebecca A. Penwell, Tracey Riley, Tammy Stundon

Georgia Journal of Science

This study consisted of quantitative and qualitative methodologies to evaluate an Environmental Health Partnership (EHP) workshop for high school science teachers. A pretest was given prior to the start of the workshop and a posttest was administered at the end. Teach­ers were asked to respond to questions on a written evaluation form in accordance to the goals of the workshop as a qualitative method of program evaluation. The study sample consisted of 18 teachers from Florida. There were 12 females and six males. All 18 teachers showed increases in their knowledge of superfund and environmen­tal health issues. A ...


Descartes Comes Out Of The Closet, Nora E. Culik 2017 Vassar College

Descartes Comes Out Of The Closet, Nora E. Culik

Journal of Humanistic Mathematics

While “Descartes Comes Out of the Closet” is ostensibly about a young woman’s journey to Paris, the descriptive detail borrows language and images from Cartesian coordinate geometry, dualistic philosophy, neuroanatomy (the pineal), and projections of three dimensions onto planes. This mathematical universe is counterpointed in the natural language of the suppressed love story that locates the real in the human. Thus, at the heart of the story is the tension between competing notions of mathematics, i.e., as either an independent realm apart from history or as a culturally produced and historical set of practices. Of course, the central ...


The Immediate Cardiovascular Response To Joint Mobilization Of The Neck - A Randomized, Placebo-Controlled Trial In Pain-Free Adults, Emmanuel Yung, Cheongeun Oh, Michael Wong, Jason Grimes, Erica M. Barton, Muhammad I. Ali, David Cameron 2017 Sacred Heart University

The Immediate Cardiovascular Response To Joint Mobilization Of The Neck - A Randomized, Placebo-Controlled Trial In Pain-Free Adults, Emmanuel Yung, Cheongeun Oh, Michael Wong, Jason Grimes, Erica M. Barton, Muhammad I. Ali, David Cameron

Jason K. Grimes

Background: Some normotensive patients can have a spike in resting systolic blood pressure (SBP) in response to acute neck pain. Applying the typical dosage of mobilization may potentially result in a sympatho-excitatory response, further increasing resting SBP. Therefore, there is a need to explore other dosage regimens that could result in a decrease in SBP. Objectives: To compare the blood pressure (BP) and heart rate (HR) response of pain-free, normotensive adults when receiving unilateral posterior-to-anterior mobilization (PA) applied to the neck versus its corresponding placebo (PA-P). Study design: Double-Blind, Randomized Clinical Trial.


Do Elections Matter For Private Sector Healthcare Management In Brazil.Pdf, Alecia McGregor, Carlos Eduardo Siqueira, Alan M. Zaslavsky, Robert J. Blendon 2017 Tufts University

Do Elections Matter For Private Sector Healthcare Management In Brazil.Pdf, Alecia Mcgregor, Carlos Eduardo Siqueira, Alan M. Zaslavsky, Robert J. Blendon

C. Eduardo Siqueira

Background: This study analyzed several political determinants of increased private-sector management in Brazilian
health care. In Brazil, the poor depend almost exclusively on the public Unified Health System (the SUS), which
remains severely underfunded. Given the overhead costs associated with privately contracted health services,
increased private management is one driver of higher expenditures in the system. Although left parties campaign
most vocally in support of greater public control of the SUS, the extent to which their stated positions translate
into health care policy remains untested.
Methods: Drawing on multiple publicly available data sources, we used linear regression to analyze how ...


At The Center Of Things: How An Academic Library Built A Bridge Between Art And Science On Campus, Michelle Catalano, Catherine Essinger, Suzanne Ferimer, Stephanie Lewin-Lane, Porcia Vaughn 2017 University of Houston

At The Center Of Things: How An Academic Library Built A Bridge Between Art And Science On Campus, Michelle Catalano, Catherine Essinger, Suzanne Ferimer, Stephanie Lewin-Lane, Porcia Vaughn

Collaborative Librarianship

The University of Houston Libraries sponsored an interdisciplinary event for students, faculty, and the public, titled the Artists’ Health and Wellness Colloquium and Resource Fair. Aspiring and working artists were instructed in how to maintain good health and to avoid overstressing their bodies as they practice their art. Scholars presented both historical and trending perspectives on the intersection of art and health science. The event was held in order to facilitate learning in two key research areas and to demonstrate the library's ability to bridge disparate disciplines and forge new partnerships with multiple academic units simultaneously. This article presents ...


Simulated Learning In Musculoskeletal Assessment And Rehabilitation Education: Comparing The Effect Of A Simulation-Based Learning Activity With A Peer-Based Learning Activity, Mark Hecimovich, Simone Volet 2017 Murdoch University

Simulated Learning In Musculoskeletal Assessment And Rehabilitation Education: Comparing The Effect Of A Simulation-Based Learning Activity With A Peer-Based Learning Activity, Mark Hecimovich, Simone Volet

Mark D. Hecimovich

Background: Musculoskeletal disorders and diseases are leading causes of pain, physical disability, and doctor visits throughout the world. Health professionals must be trained to assess, treat through rehabilitation and monitor patients with these disorders. Yet, due to overcrowded curricula, some health education programs struggle to accommodate more than minimal training in musculoskeletal conditions. Consequently, educators in these professions must consider how traditional instruction could be complemented effectively to enhance students’ preparation for the diverse musculoskeletal disorders and pathologies they may encounter. The purpose of this study was to explore the benefits that can be obtained from laboratory practice in musculoskeletal ...


Reliability And Concurrent Validity Of An Alternative Method Of Lateral Lumbar Range Of Motion In Athletes, Mark D. Hecimovich, Jeffrey J. Herbert 2017 University of Northern Iowa

Reliability And Concurrent Validity Of An Alternative Method Of Lateral Lumbar Range Of Motion In Athletes, Mark D. Hecimovich, Jeffrey J. Herbert

Mark D. Hecimovich

Background: Cricket bowling involves combined spinal movements of side bending and rotation and, consequently, injury to the low back is a common problem. Therefore the assessment of lumbar spine kinematics has become a routine component in preseason screening. This includes static measurement of lateral spinal flexion as asymmetrical range of motion may predispose an athlete to low back injury. Objectives: This study examined intra-rater reliability and concurrent validity of the fingertip-to-floor distance test (FFD) when compared to a criterion range of motion measure. Methods: Thirty-four junior-level cricket players aged 13‑16 years were recruited. Lumbar spine lateral flexion was measured ...


Development And Psychometric Evaluation Of Scales To Measure Professional Confidence In Manual Medicine: A Rasch Measurement Approach, Mark D. Hecimovich, Irene Styles, Simone E. Volet 2017 Murdoch University

Development And Psychometric Evaluation Of Scales To Measure Professional Confidence In Manual Medicine: A Rasch Measurement Approach, Mark D. Hecimovich, Irene Styles, Simone E. Volet

Mark D. Hecimovich

Background: Health professionals in athletic training, chiropractic, osteopathy, and physiotherapy fields, require high-level knowledge and skills in their assessment and management of patients. This is important when communicating with patients and applying a range of manual procedures. Prior to embarking on professional practice, it is imperative to acquire optimal situation-specific levels of self-confidence for a beginner practitioner in these areas. In order to foster this professional self-confidence within the higher education context, it is necessary to have valid and reliable scales that can measure and track levels and how they change. This study reports on the development and psychometric analysis ...


Compatibility Of Vancomycin And Oxacillin During Simulated Y-Site Delivery, Chad A. Knoderer, Hilary M. Teibel, Kristen R. Nichols 2017 Butler University

Compatibility Of Vancomycin And Oxacillin During Simulated Y-Site Delivery, Chad A. Knoderer, Hilary M. Teibel, Kristen R. Nichols

Chad A. Knoderer

Background: Vancomycin and oxacillin may be used together as empiric coverage in patients with proven or suspected Staphylococcus aureus infections. Though vancomycin hydrochloride 20 mg/mL and oxacillin sodium 160 mg/mL are reported to be compatible via Y-site delivery, Y-site compatibility of commonly used concentrations, vancomycin 10 mg/mL and oxacillin 20 mg/mL, has not yet been reported. Objective: To determine the Y-site compatibility of vancomycin 10 mg/mL and oxacillin 20 mg/mL. Methods: One vancomycin hydrochloride 1 g vial was reconstituted with 10 mL sterile water for injection (SWFI) and diluted with 90 mL 5% dextrose ...


Optimizing Guideline-Recommended Antibiotic Doses For Pediatric Infective Endocarditis, Chad A. Knoderer, Kristen R. Nichols, Emily N. Israel, Christopher A. Thomas 2017 Butler University

Optimizing Guideline-Recommended Antibiotic Doses For Pediatric Infective Endocarditis, Chad A. Knoderer, Kristen R. Nichols, Emily N. Israel, Christopher A. Thomas

Chad A. Knoderer

The American Heart Association recently published an updated scientific statement on the management of infective endocarditis in childhood. The recommendations included for vancomycin, aminoglycoside, and β-lactam dosing and monitoring are based primarily on expert opinion and do not consider available evidence for dose optimization based on pharmacokinetic and pharmacodynamic principles in pediatric patients. This is concerning because even when clinically necessary, some practitioners may be hesitant to deviate from guideline-recommended doses. In this perspective, we highlight potential areas for improvement in the statement-recommended doses and summarize evidence supporting antibiotic dosing optimization. The addition of a pediatric clinical pharmacist with expertise ...


Evaluation Of An Unfractioned Heparin Pharmacy Dosing Protocol For The Treatment Of Venous Thromboembolism In Nonobese, Obese, And Severely Obese Patients, Chad A. Knoderer, Lindsey M. Hosch, Emily Y. Breedlove, Lauren E. Scono 2017 Butler University

Evaluation Of An Unfractioned Heparin Pharmacy Dosing Protocol For The Treatment Of Venous Thromboembolism In Nonobese, Obese, And Severely Obese Patients, Chad A. Knoderer, Lindsey M. Hosch, Emily Y. Breedlove, Lauren E. Scono

Chad A. Knoderer

Background: Despite large interpatient variability in dose response, heparin is utilized for treatment of venous thromboembolism (VTE). Current data on the optimal heparin dosing in obese patients are conflicting. Objective: The objective was to evaluate the time and dose required to achieve a therapeutic activated partial thromboplastin time (aPTT) in nonobese, obese, and severely obese patients using a pharmacist-directed heparin dosing protocol. Methods: This was a retrospective cohort study in a single-center community hospital inpatient setting. Adult patients receiving heparin for VTE treatment from July 1, 2013, to July 31, 2015, were evaluated. Patients were categorized into 3 groups: nonobese ...


Using Visual Analogies To Teach Introductory Statistical Concepts, Jessica S. Ancker, Melissa D. Begg 2017 Weill Cornell Medical College

Using Visual Analogies To Teach Introductory Statistical Concepts, Jessica S. Ancker, Melissa D. Begg

Numeracy

Introductory statistical concepts are some of the most challenging to convey in quantitative literacy courses. Analogies supplemented by visual illustrations can be highly effective teaching tools. This literature review shows that to exploit the power of analogies, teachers must select analogies familiar to the audience, explicitly link the analog with the target concept, and avert misconceptions by explaining where the analogy fails. We provide guidance for instructors and a series of visual analogies for use in teaching medical and health statistics.


Clinician Numeracy: Use Of The Medical Interpretation And Numeracy Test In Foundation Trainee Doctors, Anne A. Taylor, Lucie M. Byrne-Davis 2017 School of Medicine, Keele University

Clinician Numeracy: Use Of The Medical Interpretation And Numeracy Test In Foundation Trainee Doctors, Anne A. Taylor, Lucie M. Byrne-Davis

Numeracy

Patient safety is a priority in healthcare today. Good clinician numeracy in doctors contributes to patient safety, since it is essential for accuracy in prescribing, and in data interpretation. Evidence, however, suggests that although doctors are assumed to be highly numerate, they often make errors in drug dose calculation and struggle to interpret medical statistics. Having developed a new assessment measure, the Medical Interpretation and Numeracy Test (MINT), we describe its use to evaluate clinician numeracy in 135 recently qualified doctors in the UK ("foundation trainees," i.e., in their first two years post-graduation). The maximum possible test score was ...


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