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Promising Flex Program Initiatives To Support Critical Access Hospitals During The Covid-19 Pandemic, Celia Jewell RN, MPH, Sara Kahn-Troster MPH, John Gale MS 2021 Maine Rural Health Research Center, University of Southern Maine

Promising Flex Program Initiatives To Support Critical Access Hospitals During The Covid-19 Pandemic, Celia Jewell Rn, Mph, Sara Kahn-Troster Mph, John Gale Ms

Rural Hospitals (Flex Program)

This brief reports on promising State Flex Program (SFP) strategies to support Critical Access Hospitals during the COVID-19 pandemic. SFPs adapted existing initiatives and implemented new activities to address the emerging needs of CAHs during the pandemic. With approval from the Federal Office of Rural Health, the SFPs redirected funds and activities to address the evolving COVID-19 needs of CAHs while maintaining fidelity to Flex Program goals. Based on qualitative interviews with seven SFPs, the authors, members of the Flex Monitoring Team, discuss initiatives such as resiliency training for frontline staff; packaging and dissemination of COVID-19 information; public health messaging ...


Catholic Terminal Sedation-A New Framework For Providing Terminal Palliative Sedation As A Requirement In Catholic Healthcare Organizations, Noah Dimas 2021 Duquesne University

Catholic Terminal Sedation-A New Framework For Providing Terminal Palliative Sedation As A Requirement In Catholic Healthcare Organizations, Noah Dimas

Graduate Student Research Symposium

The present attitudes surrounding death and dying in the United States have been trending toward the acceptance of so-called “Assisted Death” interventions at the end-of-life (EoL), specifically Physician-Assisted Suicide. The acceptance of these interventions is rooted in the notion of autonomy within the American culture of medicine that generally states a patient is allowed to request whatever medical interventions they wish. As such, legislative bodies around the United States have begun to legalize Assisted Death in response to the regularly cited desire to die peacefully and without pain from an expected terminal illness. However, for Catholic healthcare organizations, there is ...


Spatial Analysis Of Health Care Utilization Among Medicare Beneficiaries With Coal Workers’ Pneumoconiosis And Other Related Pneumoconiosis, Ahmed A. Arif, Claudio Owusu, Rajib Paul, Christopher M. Blanchette, Ripsi P. Patel, Tyrone F. Borders 2021 University of North Carolina Charlotte

Spatial Analysis Of Health Care Utilization Among Medicare Beneficiaries With Coal Workers’ Pneumoconiosis And Other Related Pneumoconiosis, Ahmed A. Arif, Claudio Owusu, Rajib Paul, Christopher M. Blanchette, Ripsi P. Patel, Tyrone F. Borders

Rural & Underserved Health Research Center Publications

Overview of Key Findings

  • The states with the highest number of Medicare beneficiaries with coal workers’ pneumoconiosis (CWP) were Kentucky, West Virginia, Virginia, and Pennsylvania.
  • Significant clustering of health care utilization rates for Medicare beneficiaries with CWP was observed in the central Appalachian states of Kentucky, West Virginia, and Virginia.
  • Significant clustering of health care utilization rates for Medicare beneficiaries with Other Related Pneumoconiosis was observed in Appalachia and the southeast parts of Texas and Louisiana. This clustering merits additional research to understand underlying disease etiology.


Disparities In Access To After-Hours Care In The U.S.: A National Study, Kavita Mosalpuria, Fernando A. Wilson, Mohammad Siahpush 2021 University of Nebraska Medical Center

Disparities In Access To After-Hours Care In The U.S.: A National Study, Kavita Mosalpuria, Fernando A. Wilson, Mohammad Siahpush

Journal of Health Disparities Research and Practice

After-hours care provides timely access to continuity of care for chronic illnesses and episodic care for acute illness. Lack of timely access to primary care services is one of the main drivers of emergency department overuse. Our aim was to examine disparities in access to after-hours care based on race, income, geographic location, type of insurance, and health care setting. We used data from the 2010 Health Tracking Household Survey. Multivariable logistic regression was used to assess disparities in access to after-hours care. We found disparities by type of insurance, geographic location, and type of health care setting. People with ...


Moving Past The Binary: Transgender And Gender Non-Conforming Students’ Experiences Of And Perspectives On College Campus Fitness Centers, Rachel E. Petterson 2021 Bridgewater College

Moving Past The Binary: Transgender And Gender Non-Conforming Students’ Experiences Of And Perspectives On College Campus Fitness Centers, Rachel E. Petterson

Honors Projects

Transgender and gender non-conforming (TGNC) people face various mental and physical health disparities. Despite this, spaces related to health and wellness are not always inclusive. Similarly, college campuses are often not as inclusive or accommodating as they should be. This study looks at the experiences of TGNC students at campus fitness centers. Through both quantitative and qualitative data gathered through an online survey, it aims to better understand the following: the presence of inclusive facilities; the perceived importance of facility variables; use of campus fitness facilities by TGNC students; what improvements they would like to see; and how any of ...


The Attitudes And Perceived Barriers Regarding The Practice Of Evidence-Based Management Among Healthcare Managers In Saudi Arabia, Njoud Alsubaie, Bussma Bugis 2021 King Fahad Specialist Hospital in Dammam

The Attitudes And Perceived Barriers Regarding The Practice Of Evidence-Based Management Among Healthcare Managers In Saudi Arabia, Njoud Alsubaie, Bussma Bugis

Internet Journal of Allied Health Sciences and Practice

Purpose: The study purpose was to explore attitudes and identify perceived barriers regarding the practice of evidence-based management (EBMgt) by healthcare managers. Method: A cross-sectional descriptive study was conducted using a simple random sample. The study population included middle- and lower-level healthcare managers at a specialized hospital in Saudi Arabia. A total of 165 healthcare managers were invited to complete a hard copy-survey. Results: The surveys were completed by 120 respondents, yielding a response rate of 72%. The study results showed that most of the participants had a favourable attitude towards the practice of EBMgt. However, a lack of training ...


The Precaution Adoption Process Model In Describing Emergency Action Plan Adoption, Samantha E. Scarneo-Miller, Douglas J. Casa, Shuang Yin, Timothy E. Moore, Yuki Murata, Johna Kay Register-Mihalik, Lindsay J. DiStefano 2021 West Virginia University

The Precaution Adoption Process Model In Describing Emergency Action Plan Adoption, Samantha E. Scarneo-Miller, Douglas J. Casa, Shuang Yin, Timothy E. Moore, Yuki Murata, Johna Kay Register-Mihalik, Lindsay J. Distefano

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to identify the ability of the Precaution Adoption Process Model (PAPM) to classify athletic trainers (ATs) and athletic directors (ADs) readiness to act with regards to adopting an emergency action plan (EAP), and describe factors influencing PAPM stages. Method: We used a cross-sectional questionnaire design to evaluate readiness to act for developing an EAP among ATs and ADs working in United States high schools. The PAPM is a participant-driven model to identify someone’s readiness to act or change and has seven stages: Unaware, Unengaged, Undecided, Decided not to Act, Decided to Act ...


Global Impact Of The Covid-19 On Stroke Care, SVIN COVID-19 global registry, Raul Nogueira, Ajit S. Puri, Anna L. Kuhn, Thanh Nguyen 2021 Emory University

Global Impact Of The Covid-19 On Stroke Care, Svin Covid-19 Global Registry, Raul Nogueira, Ajit S. Puri, Anna L. Kuhn, Thanh Nguyen

COVID-19 Publications by UMMS Authors

BACKGROUND: The COVID-19 pandemic led to profound changes in the organization of health care systems worldwide.

AIMS: We sought to measure the global impact of the COVID-19 pandemic on the volumes for mechanical thrombectomy (MT), stroke, and intracranial hemorrhage (ICH) hospitalizations over a 3-month period at the height of the pandemic (March 1 to May 31, 2020) compared with two control 3-month periods (immediately preceding and one year prior).

METHODS: Retrospective, observational, international study, across 6 continents, 40 countries, and 187 comprehensive stroke centers. The diagnoses were identified by their ICD-10 codes and/or classifications in stroke databases at participating ...


Decline In Subarachnoid Haemorrhage Volumes Associated With The First Wave Of The Covid-19 Pandemic, Thanh N. Nguyen, Ajit S. Puri, Anna L. Kuhn, Raul G. Nogueira 2021 Boston Medical Center

Decline In Subarachnoid Haemorrhage Volumes Associated With The First Wave Of The Covid-19 Pandemic, Thanh N. Nguyen, Ajit S. Puri, Anna L. Kuhn, Raul G. Nogueira

COVID-19 Publications by UMMS Authors

BACKGROUND: During the COVID-19 pandemic, decreased volumes of stroke admissions and mechanical thrombectomy were reported. The study's objective was to examine whether subarachnoid haemorrhage (SAH) hospitalisations and ruptured aneurysm coiling interventions demonstrated similar declines.

METHODS: We conducted a cross-sectional, retrospective, observational study across 6 continents, 37 countries and 140 comprehensive stroke centres. Patients with the diagnosis of SAH, aneurysmal SAH, ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases, 10th Revision, codes. The 3-month cumulative volume, monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the ...


Introduction To The Special Issue, Mijung Park 2021 University of California, San Francisco

Introduction To The Special Issue, Mijung Park

Asian / Pacific Island Nursing Journal

This special issue includes seven articles. We have a brief review of mental health issues among Asian and Pacific Island (API) communities. Two papers examine non-biological factors that may be associated with mood disorders, using a nationally representative sample of Asian Americans (AA). These papers are particularly informative because they report disaggregated results across four AA subgroups. Another two articles examine different interventions and their efficacy to improve mood and quality of life among APIs. Finally, the case of a clinical encounter during COVID-19 was examined through the lens of Asian critical theory. Although these papers differ in their focuses ...


Editorial, Jillian Inouye PhD 2021 University of Hawaii at Manoa

Editorial, Jillian Inouye Phd

Asian / Pacific Island Nursing Journal

No abstract provided.


Reviewers Acknowledgment, Jillian Inouye 2021 University of Hawaii

Reviewers Acknowledgment, Jillian Inouye

Asian / Pacific Island Nursing Journal

No abstract provided.


Factors Associated With Attempt For Smoking Cessation Among Hardcore Smokers In Taiwan, Hui-Wen Huang, Ya-Hui Yang, Wen-Wen Li, Chih-Ling Huang 2021 ESH Integration Department, Innolux Corporation, Tainan City, Taiwan

Factors Associated With Attempt For Smoking Cessation Among Hardcore Smokers In Taiwan, Hui-Wen Huang, Ya-Hui Yang, Wen-Wen Li, Chih-Ling Huang

Asian / Pacific Island Nursing Journal

Background: Tobacco control activities have mostly influenced those smokers who found it easier to quit and, thus, remaining smokers are those who are less likely to stop smoking. This phenomenon is called “hardening hypothesis,” which individuals unwilling or unable to quit smoking and likely to remain so. The aim of this study was to identify the factors correlated with smoking cessation among hardcore smokers.

Methods: A cross-sectional descriptive correlational research design was employed. Hardcore smokers from communities in Taiwan were recruited to participate in the study (N = 187). Self-report questionnaires were used to collect demographic data as well as data ...


A Brief Review Of Mental Health Issues Among Asian And Pacific Islander Communities In The U.S., Mijung Park 2021 University of California, San Francisco

A Brief Review Of Mental Health Issues Among Asian And Pacific Islander Communities In The U.S., Mijung Park

Asian / Pacific Island Nursing Journal

The purpose of this paper is to provide a brief summary of mental health issues among Asian and Pacific Islander (API) communities in the U.S. APIs include individ­uals from Far East Asia (e.g., Korea, China), Central Asia (e.g., Afghanistan, Uzbekistan), South Asia (e.g., India, Pakistan), South East Asia (e.g., Thailand, Philippines), Western Asia (e.g., Iran, Saudi Arabia), and Pacific islands (e.g., Hawaii, Samoa, Mariana island, Fiji, Palau, French Polynesia, Marshall Islands, Micronesia, New Zealand, Tokelau islands, Niue, and Cook Islands). Collectively they speak more than one hundred languages and dialects. Such a ...


Validation Of Icd-10-Cm Codes For Injuries Complicating Pregnancy, Childbirth And The Puerperium: A Medical Record Review, Anna Hansen, Dana Quesinberry, Peter Akpunonu, Julia Martin, Svetla Slavova 2021 University of Kentucky

Validation Of Icd-10-Cm Codes For Injuries Complicating Pregnancy, Childbirth And The Puerperium: A Medical Record Review, Anna Hansen, Dana Quesinberry, Peter Akpunonu, Julia Martin, Svetla Slavova

Kentucky Injury Prevention and Research Center Faculty Publications

INTRODUCTION: The purpose of this study was to estimate the positive predictive value (PPV) of International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes for injury, poisoning, physical or sexual assault complicating pregnancy, childbirth and the puerperium (PCP) to capture injury encounters within both hospital and emergency department claims data.

METHODS: A medical record review was conducted on a sample (n=157) of inpatient and emergency department claims from one Kentucky healthcare system from 2015 to 2017, with any diagnosis in the ICD-10-CM range O9A.2-O9A.4. Study clinicians reviewed medical records for the sampled cases and used an ...


Virtualized Clinical Studies To Assess The Natural History And Impact Of Gut Microbiome Modulation In Non-Hospitalized Patients With Mild To Moderate Covid-19 A Randomized, Open-Label, Prospective Study With A Parallel Group Study Evaluating The Physiologic Effects Of Kb109 On Gut Microbiota Structure And Function: A Structured Summary Of A Study Protocol For A Randomized Controlled Study [Preprint], John P. Haran, Jose C. Pinero, Yan Zheng, Norma Alonzo Palma, Mark Wingertzahn 2021 University of Massachusetts Medical School

Virtualized Clinical Studies To Assess The Natural History And Impact Of Gut Microbiome Modulation In Non-Hospitalized Patients With Mild To Moderate Covid-19 A Randomized, Open-Label, Prospective Study With A Parallel Group Study Evaluating The Physiologic Effects Of Kb109 On Gut Microbiota Structure And Function: A Structured Summary Of A Study Protocol For A Randomized Controlled Study [Preprint], John P. Haran, Jose C. Pinero, Yan Zheng, Norma Alonzo Palma, Mark Wingertzahn

COVID-19 Publications by UMMS Authors

These 2 parallel studies (K031 and K032) aim to evaluate the safety of KB109 in addition to supportive self-care (SSC) compared with SSC alone in outpatients with mild to moderate coronavirus disease 2019 (COVID-19). KB109 is a novel synthetic glycan that was formulated to modulate the gut microbiome composition and metabolic output in order to increase beneficial short-chain fatty acid (SCFA) production in the gut. The K031 study is designed to evaluate the safety of KB109 and characterize its impact on the natural progression of COVID-19 in patients with mild to moderate disease. The K032 study is evaluating the effect ...


Feasibility Of Using Mobile Technology To Improve Physical Activity Among People Living With Diabetes In Asia, Nada Lukkahatai, Pratum Soivong, Dongmei Li, Phakjira Jaiman, Supornphan Thamkaew, Duenapen Chaiwong, Nutchari Hiranlalit, Jillian Inouye 2021 School of Nursing, Johns Hopkins University, Baltimore, Maryland

Feasibility Of Using Mobile Technology To Improve Physical Activity Among People Living With Diabetes In Asia, Nada Lukkahatai, Pratum Soivong, Dongmei Li, Phakjira Jaiman, Supornphan Thamkaew, Duenapen Chaiwong, Nutchari Hiranlalit, Jillian Inouye

Asian / Pacific Island Nursing Journal

Background: Chronic conditions such as diabetes (DM) and cardiovascular disease are associated with disability and poor quality of life. Asians are 30% more likely than non-Hispanic Whites to develop type 2 DM. The important roles of wearable technological applications or devices in maintaining individuals’ motivation to attain their physical activity (PA) goal have been reported. However, evidence of the feasibility and impact of the mobile technology on the PA in Thailand is limited. This study aims to examine the feasibility and the impact of the immediate performance feedback feature of the wearable device on PA.

Methods: This pilot study recruited ...


Deconstructing Racialized Experiences In Healthcare: What A Missed Opportunity For Healing Looks Like And Healthcare Resources For Children And Their Families, Connie K. Y. Nguyen-Truong Dr., Shameem Rakha Dr., Deborah U. Eti Dr., Lisa Angelesco 2021 Washington State University College of Nursing in Vancouver

Deconstructing Racialized Experiences In Healthcare: What A Missed Opportunity For Healing Looks Like And Healthcare Resources For Children And Their Families, Connie K. Y. Nguyen-Truong Dr., Shameem Rakha Dr., Deborah U. Eti Dr., Lisa Angelesco

Asian / Pacific Island Nursing Journal

Some patients and families of color, including Asian Americans, face significant adverse stressors due to living within a White-dominant society. Xenophobia and racism can impact health. Research evidence points to early exposure to adverse childhood experiences such as racial discrimination as being detrimental and having significant short-term and long-term impact on physical and mental health. The purpose of this commentary article is to illuminate the need of patients and their families who may seek health care providers (HCPs) to express their concerns and fears when issues of xenophobia and racism arise. Patients and families need space in a healthcare setting ...


Risk Indicators Of Food Insecurity In The Cf Population, Semret Seyoum, Marsha Regenstein, Lea Nolan 2021 George Washington University

Risk Indicators Of Food Insecurity In The Cf Population, Semret Seyoum, Marsha Regenstein, Lea Nolan

Health Policy and Management Issue Briefs

No abstract provided.


Vietnam’S Healthcare System Decentralization: How Well Does It Respond To Global Health Crises Such As Covid-19 Pandemic?, Huy Van Nguyen, Joseph Debattista, Minh Duc Pham, An Thi Minh Dao, Stuart Gilmour, Hoa L. Nguyen, Tien Van Nguyen, Phuong Mai Le, Phuong The Nguyen, Anh Thi Ngoc Tran, Kien Duy Vu, Son Thai Dinh, Minh Van Hoang 2021 St. Luke’s International University

Vietnam’S Healthcare System Decentralization: How Well Does It Respond To Global Health Crises Such As Covid-19 Pandemic?, Huy Van Nguyen, Joseph Debattista, Minh Duc Pham, An Thi Minh Dao, Stuart Gilmour, Hoa L. Nguyen, Tien Van Nguyen, Phuong Mai Le, Phuong The Nguyen, Anh Thi Ngoc Tran, Kien Duy Vu, Son Thai Dinh, Minh Van Hoang

COVID-19 Publications by UMMS Authors

This article discussed Vietnam’s ongoing efforts to decentralize the health system and its fitness to respond to global health crises as presented through the Covid-19 pandemic. We used a general review and expert’s perspective to explore the topic. We found that the healthcare system in Vietnam continued to decentralize from a pyramid to a wheel model. This system shifts away from a stratified technical hierarchy of higher- and lower-level health units (pyramid model) to a system in which quality healthcare is equally expected among all health units (wheel model). This decentralization has delivered more quality healthcare facilities, greater ...


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