Digital Commons Network^™

Gut Microbiota, Blood Metabolites, And Left Ventricular Diastolic Dysfunction In Us Hispanics/Latinos, Kai Luo, Alkis Taryn, Eun-Hye Moon, Brandilyn A Peters, Scott D Solomon, Martha L Daviglus, Mayank M Kansal, Bharat Thyagarajan, Marc D Gellman, Jianwen Cai, Robert D Burk, Rob Knight, Robert C Kaplan, Susan Cheng, Carlos J Rodriguez, Qibin Qi, Bing Yu

Journal Articles

BACKGROUND: Left ventricular diastolic dysfunction (LVDD) is an important precursor of heart failure (HF), but little is known about its relationship with gut dysbiosis and microbial-related metabolites. By leveraging the multi-omics data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), a study with population at high burden of LVDD, we aimed to characterize gut microbiota associated with LVDD and identify metabolite signatures of gut dysbiosis and incident LVDD.

RESULTS: We included up to 1996 Hispanic/Latino adults (mean age: 59.4 years; 67.1% female) with comprehensive echocardiography assessments, gut microbiome, and blood metabolome data. LVDD was defined through a composite criterion …

Pilot Implementation Of A Nutrition-Focused Community-Health-Worker Intervention Among Formerly Chronically Homeless Adults In Permanent Supportive Housing, Jane E Hamilton, Diana C Guevara, Sara F Steinfeld, Raina Jose, Farrah Hmaidan, Sarah Simmons, Calvin W Wong, Clara Smith, Eva Thibaudeau-Graczyk, Shreela V Sharma

Journal Articles

Food insecurity is a known health equity threat for formerly chronically homeless populations even after they transition into permanent housing. This project utilized a human-centered design methodology to plan and implement a nutrition-focused community-health-worker (CHW) intervention in permanent supportive housing (PSH). The project aimed to increase access to healthy foods, improve nutritional literacy, healthy cooking/eating practices, and build community/social connectedness among 140 PSH residents. Validated food-security screening conducted by CHWs identified low or very low food security among 64% of 83 residents who completed the baseline survey, which is similar to rates found in a previous study among formerly homeless …

Plasma Metabolites Associated With Cognitive Function Across Race/Ethnicities Affirming The Importance Of Healthy Nutrition, Einat Granot-Hershkovitz, Shan He, Jan Bressler, Bing Yu, Wassim Tarraf, Casey M Rebholz, Jianwen Cai, Queenie Chan, Tanya P Garcia, Thomas Mosley, Bruce S Kristal, Charles Decarli, Myriam Fornage, Guo-Chong Chen, Qibin Qi, Robert Kaplan, Hector M González, Tamar Sofer

Journal Articles

INTRODUCTION: We studied the replication and generalization of previously identified metabolites potentially associated with global cognitive function in multiple race/ethnicities and assessed the contribution of diet to these associations.

METHODS: We tested metabolite-cognitive function associations in U.S.A. Hispanic/Latino adults (n = 2222) from the Community Health Study/ Study of Latinos (HCHS/SOL) and in European (n = 1365) and African (n = 478) Americans from the Atherosclerosis Risk In Communities (ARIC) Study. We applied Mendelian Randomization (MR) analyses to assess causal associations between the metabolites and cognitive function and between Mediterranean diet and cognitive function.

RESULTS: Six metabolites were consistently associated …

Ic 002 Guide To Texas Medical Center Records, 1907-2019, Texas Medical Center, Mary Schiflett

Institutional Finding Aids

The Texas Medical Center records include TMC charter material, correspondence, committee minutes, interviews and transcripts, photographs and slides, budgetary information, newspapers and clippings, research material for books, surveys, materials related to TMC events and visitors, films and audiocassettes, brochures, architectural renderings, guidebooks and directories, and maps. The materials date from the 1900s to the present. The collection also includes the papers of Mary Schiflett who held leadership positions in the TMC from 1970-2009. See more at IC 002.

A Coalition-Driven Examination Of Organization Capacity To Address Food Insecurity In Greater Houston: A Qualitative Research Study, Jemima C John, Jennifer Gonzalez, Sara-Grace Chan, Heidi Mcpherson, Jennifer N Aiyer, Esperanza Galvan, Nicole Browning, Shreela V Sharma

Journal Articles

BACKGROUND: Economic and social hardships have worsened food insecurity, particularly among low income and racial-ethnic minority groups. Given the core goal of the 150+ member Houston Health Equity Collective (HEC) to reduce food insecurity by 5% in 2025, we explored member organizations' capacity and challenges faced in screening and responding to food insecurity through care coordination efforts.

METHODS: A twice-administered Qualtrics XM survey (Provo, Utah) with 76 organizations, followed by five focus groups with 22 of these organizations, explored reach and response efforts to food insecurity. Qualitative assessments lasted between 0.5 to 1.5 h, were audio-recorded, cleaned, coded, and thematically …

Annual Report 2021 - 2022, Houston Academy Of Medicine - Texas Medical Center Library

Annual Reports: 1943 - Present

This file contains the Annual Report for the library from 2021-2022.

Ms 241 Guide To The Thomas D. Dow, Dds Papers (1884-1944), Thomas D. Dow (1876-1960)

Manuscript Finding Aids

This collection contains materials related to Thomas D. Dow's collecting of books and journals on dentistry. Correspondence and book lists make up the bulk of the materials, which date from 1884-1944. See more at MS 241.

Ms 059 Guide To Samuel Dreizen, Dds, Md Papers (1946-1992), Samuel Dreizen (1918-1994)

Manuscript Finding Aids

The Samuel Dreizen, DDS, MD papers contains 35mm slides, glass slides, reprints, medical and dental school course notes, lecture notes, faculty workshop records, and models that document Dr. Dreizen's education, work, and colleagues in the field of dentistry. Collection includes records from University of Texas Health Science Center at Houston and UT Dental Branch. See more at MS 059.

Ms 071 Guide To Frederick C. Elliott, Dds Papers (1896-1987), Frederick C. Elliot (1893-1986)

Manuscript Finding Aids

The collection documents Dr. Elliott's career through committee and administrative reports, correspondence, legal papers, and legislative material. Also included are scrapbooks, personal memos, manuscripts, photographs, and audio tapes. There are copies of a number of Dr. Elliot's speeches, as well as materials relating to honors he received.

See more information at MS 071.

Ic 001 Guide To Houston Academy Of Medicine-Texas Medical Center Library Records, 1915-2016, Houston Academy Of Medicine-Texas Medical Center Library

Institutional Finding Aids

Houston Academy of Medicine-Texas Medical Center Library records consist of about 135 boxes and contains photographs, scrapbooks, VHS tapes, reports, printed material, financial documents, correspondence, architectural drawings, and surveys that document the history of HAM-TMC Library. See more at IC 001.

Utilization And Workforce Integration Of Physician Assistants, Tara Harkins Pa-C, Jason Thomas Pa-C, Brian Fontenot Pa-C, Joseph Day Pa-C, Marielle Faraone Pa-C, Alexandra Borden Pa-C, Megan Lomax Pa-C, Darius Dranginis Pa-C, Ryan Krasnosky Mpas, Pa-C, Dfaapa, Drph, Angelo P. Giardino Md, Phd

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Background: The healthcare field is experiencing rapid growth in the number of advanced practice providers (APPs) with projections that demonstrate that this trend will only continue. Even though the number of APPs is growing, the development of facility-specific APP management infrastructure often grows at a slower pace. Specific policies and procedures on APP utilization and clinical efficiency metrics are lacking. This can lead to deficiencies in the understanding of the education and practice boundaries of APPs.

Objective: Our study aimed to analyze the growth and utilization of physician assistants (PAs) in several hospitals located within Texas Medical Center (TMC) …

Ms 044 Guide To H. Grant Taylor, Md Papers (1925-1992), H. Grant Taylor (1903-1995)

Manuscript Finding Aids

Papers consist primarily of personal and professional correspondence; board meeting and committee meeting minutes and reports; drafts, manuscripts, and published professional papers; documentation chronicling his role with the Atomic Bomb Casualty Commission (ABCC) in Japan, his role in the organization and development of a regional medical plan centered in Houston, of the University of Texas (UT) Postgraduate School of Medicine and its Division of Continuing Education, and of M. D. Anderson Hospital and Tumor Institute (MDAH), currently known as UT M. D. Anderson Cancer Center, and its renowned Department of Pediatrics. See more at MS 044.

Ic 009 Gude To University Of Texas Dental Branch Records, 1906-1997, University Of Texas Health Science Center At Houston. Dental Branch

Institutional Finding Aids

The collection includes items such as photographs and elevation drawings for the building that was built in the 1950s. The collection also includes information about the accreditation of the school as well as it's curriculum. Curriculum resources include teacher guides, study materials, and course catalogs and schedules. The collection also directories from UT Dental Branch as well as Texas Dental Journal and Houston District Dental Society. See more at IC 009.

Ms 068 Guide To Carl F. Tessmer, Md Papers (1945-1995), Carl F. Tessmer (1912-2012)

Manuscript Finding Aids

Dr. Tessmer served as the first Director of the Atomic Bomb Casualty Commission (ABCC), NAS-NRC Field Agency, from 1948 to 1951. His archival collection relates to the origin and subsequent progress of the ABCC. The bulk of the material in his collection is administrative in nature. Included are semi-annual and annual reports, NAS and NRC committee reports, early negotiations, reports from the initial clinical surveys, published scientific reports and correspondence dating from 1947. Approximately, 300 photographs and 15 sets of negatives accompanied Dr. Tessmer's Collection. See more at MS 068.

Ms 054 Guide To Murdina Macfarquhar Desmond, Md Papers (1948-1986), Murdina Macfarquhar Desmond (1916-2003)

Manuscript Finding Aids

The Murdina MacFarquhar Desmond, MD papers contains photographs of Dr. Desmond as a medical student, Naval officer, and a faculty member of Baylor College of Medicine. The main portion of her papers deal with her work at Jefferson Davis Hospital, including grants she received from the John A. Hartford Foundation, and at Texas Children's Hospital. See more at MS 054.

Ms 041 Guide To Maurice J. Meynier, Md Papers (1904-1989), Maurice J. Meynier Jr

Manuscript Finding Aids

The Maurice J. Meynier, MD papers contains information about Dr. Meynier childhood, education and participation in World War II. Material includes correspondence, reprints, some handwritten manuscripts, certificates and diplomas, newspaper and magazine articles, brochures, glass slides, photographs and photographic slides. See more at MS 041.

Ms 069 Guide To The Harold S. Skjonsby, Dds Papers (1967-1987), Harold S. Skjonsby, Dds

Manuscript Finding Aids

The Harold S. Skjonsby, DDS, papers (MS069) contains reports, committee notes, curriculum and modules for teaching, grant information, faculty workshop programs, and student handbooks that document Harold S. Skjonsby’s time as faculty the University of Texas Dental Branch at Houston. See more at MS 069.

Ms 115 Guide To John P. Mcgovern, Md Papers (1901-2002), John P. Mcgovern (1921 - 2007)

Manuscript Finding Aids

The papers of John P. McGovern document his medical career, the creation of the McGovern Allergy Clinic, his editorial and writing leadership, and his founding assistance and support for the American Osler Society. Dr. McGovern was energetic in leading many medical associations, promoting humanism in medicine. See more at MS 115.

Ms 034 Guide To Paul V. Ledbetter, Md Papers, 1966-1977, Paul V. Ledbetter (1899-1983)

Manuscript Finding Aids

The Paul V. Ledbetter, MD papers contains biographical information, correspondence, administrative records, newspaper clippings, manuals, publications, audio cassettes, notes, notebooks, loose monographs, glass slides, patient data, membership directories, and rosters related to Dr. Ledbetter's life, career, practice (Ledbetter Clinic Association) and professional organizations, such as American Heart Association, Houston Heart Association, Houston Society of Internal Medicine, and Texas Academy of Internal Medicine. See more at MS 034.

Ms 096 Guide To Ernst Knobil, Phd Papers (1942-2000), Ernst Knobil (1926-2000)

Manuscript Finding Aids

The notebooks from Dr. Knobil's research laboratories comprise the largest series (X). General Files, Series IV, contains material including correspondence, lectures and speeches from the early 1980s to 2000. It was retained in the alphabetical order it was received. Material in Series II was labeled Harvard and deals primarily with Dr. Knobil's tenure at Harvard University in the 1950s. Material about his Deanship of the University of Texas Medical School at Houston can be found in Series III and IV. See more at MS 096.

Ms 210 Guide To The Judson L. Taylor, Md Papers (1940-1951), Judson L. Taylor (1881-1949)

Manuscript Finding Aids

The Judson L. Taylor, MD papers consists of one oversize photograph portrait, two full sheet newspapers, and other newspapers clippings related to Judson Taylor and his brother, Dr. Martin Junius Taylor. The collection is in good condition, and all materials are stored in one oversize box. See more at MS 210.

Ms 003 Guide To Edward Trowbridge Wolf, Md Papers (1928-1982), Edward Trowbridge Wolf (1900-1987)

Manuscript Finding Aids

The Edward Trowbridge Wolf, MD, papers (MS003) is 3 cubic feet and consists of 7 document boxes with some materials also located in the communal oversize box. It contains biographical information, personal and professional correspondence, certificates, official documents, news clippings, telegrams, drawings, and books that detail the personal life, professional activities, medical related records and papers associated with the World War II experiences of Dr. Edward Trowbridge Wolf in the Pacific Theater, various stateside military posts and also the Houston Texas Medical Center. See more at MS 003.

Development Of A Culinary Nutrition-Based Training For Dietitians And A Clinic-Based Nutrition Intervention To Improve Health Outcomes Among Low-Income Minority Patients, John Wesley Mcwhorter

Dissertations & Theses (Open Access)

Substantial evidence demonstrates the relations between a healthy dietary pattern rich in fruits, vegetables, and whole grains and a lower risk of chronic diseases including type 2 diabetes. Despite well supported studies, programs, and public health campaigns presenting the health benefits of consuming a healthy dietary pattern, most Americans fall far short of the recommendations. Further, the compounding effects of food insecurity and the consumption of energy-dense and nutrient-deficient foods disproportionately affect low income minority populations. Culinary medicine (CM) and food prescription programs are gaining popularity as tools for (1) decreasing food insecurity; (2) increasing personal agency; (3) promoting healthy …

Using Technology To Reduce Barriers In Community Health: An Intersection Between Broadband Access, Ehr & Telehealth Adoption In Federally Qualified Health Centers, Renita Madu

Dissertations & Theses (Open Access)

While Federally Qualified Health Centers (FQHCs) provide affordable, high quality, accessible and cost–effective primary health care to all individuals regardless of their inability to pay, patients continue to have difficulty accessing affordable primary care as well as broader specialty services that other patients may receive living near larger health systems and hospitals. Health information technology (HIT) serves as a cost-effective means to overcome barriers related to accessing care, particularly for individuals living in rural and remote areas. We examined if the key influencers of an FQHC’s structure, broadband access and/ or state and federal policies impacted the utilization of telehealth …

An Assessment Of Outpatient Clinic Room Ventilation Systems And Possible Relationship To Disease Transmission, Kristin G. King

Dissertations & Theses (Open Access)

The delivery of healthcare in the United States is shifting from a largely inpatient model to an outpatient services model, but the physical infrastructure for outpatient clinics or medical offices may not be as robust as inpatient hospitals regarding whole room ventilation requirements. Guidelines for the design of healthcare facilities and national standards for ventilation establish generally acceptable ventilation rates for outpatient clinics, but it is unclear if these standards are actually being integrated into these settings. Published peer reviewed literature indicates that inadequate ventilation rates can be a risk factor in airborne transmission of infectious diseases in outpatient clinics, …

The Health And Wellness Characteristics Of Food And Beverage Service Industry Workers In Austin, Texas: A Participatory Cross-Sectional Survey, Alexandria Abbott

Dissertations & Theses (Open Access)

Food and beverage service industry workers are prone to tobacco use, alcohol abuse, illicit drug use, and mental health conditions. These workers are also highly likely to not have health insurance. Despite the poor health outcomes that stem from these conditions, little to no empirical evidence currently exists to explain the factors that contribute to the poor health condition of the service industry workforce. This study used a cross-sectional online survey to gather preliminary information on the health and wellness condition of service industry workers over the age of 18 in Austin, Texas. Survey respondents revealed high rates of alcohol …

Ms 220 Guide To The Sister Agnes Mary Joy Papers (1970-2013), Agnes Mary Joy (1931-2020)

Manuscript Finding Aids

Sister Agnes Mary Joy papers include ephemera, photographs, handwritten detailed patient notes, lectures, administrative material, correspondence, and professional material. The bulk of the material in this collection is linked to her work at the director of chaplaincy services for the Institute of Religion. See more at MS 220.

Patient-Perceived Patient-Centered Medical Home Characteristics And Healthcare Utilization, Expenditure And Quality, Alissa Ratanatawan

Dissertations & Theses (Open Access)

The patient-centered medical home (PCMH) model is a care delivery model which patient treatment is coordinated through their primary care physician to ensure they receive the necessary care when and where they need it, in a manner they can understand with the aims to improve healthcare quality while keeping healthcare cost growth under control. The objective of this study was to analyze health service utilization, expenditure and quality of civilian noninstitutionalized US adult population in healthcare facilities that have 3 domains of PCMH features, which are comprehensive care, patient-centered care, and accessible care, using patient’s perspective from the 2016 Medical …

Physical Activity Among Preschool-Aged Children: Considerations For Waking Activity Patterns And Health, Erin Dooley

Dissertations & Theses (Open Access)

With nearly one-quarter (23%) of U.S. preschool children (ages 3-5 years) having overweight or obesity, supporting healthy growth and development is paramount. Hispanic children have the highest prevalence within this age group (15.6%) and a large projected population growth. Energy expenditure through physical activity is one way to combat excess development of obesity and poor health outcomes. Yet there is limited evidence about the correlates associated with physical activity and health within this population. The three studies of this dissertation examined sociodemographic-, cultural-, and context-related factors related to waking activity patterns and the subsequent impact on health indicators. The overall …

Hiv-Related Discriminatlon And Cervical Cancer Screening In Zambia, Crystal J. Cazier

Dissertations & Theses (Open Access)

Background: The Republic of Zambia has the third-highest incidence of cervical cancer in the world, where approximately 700,000 women over age 15 are living with HIV. Women living with HIV (WLHIV) are at increased risk for cervical cancer. While literature suggests that discrimination is a barrier to HIV care, no studies have explored if discrimination experienced in HIV clinics is related to cervical cancer screening using nationally representative datasets. Objective: The primary objective of this study was to examine whether perceived discrimination by healthcare workers due to HIV status is related to having been screened for cervical cancer among WLHIV. …