Digital Commons Network^™

Energetic Tradeoffs, Infection, And Immunity In Wild Chimpanzees Of Uganda And Tanzania, Sarah Renee Phillips

Anthropology ETDs

Infectious disease is a primary source of mortality for most mammal species, but scientists have little understanding of factors driving variation in infection and immunity between individuals, populations, and species in the wild. Life history theory provides an evolutionary framework for delineating distribution of available energy to competing physiological demands, including growth, reproduction, and maintenance. Early life reproduction should be favored over late life survival, but, in long-lived species, reproductive success is strongly tied to survival to old age. Slower pace of reproduction could allow investment in immunity, reducing risk of morbidity and mortality to infectious disease. Additionally, several host …

Moderate Prenatal Ethanol Exposure, Sex, And Housing Modify Spatial Navigation Behavior And Hippocampal Cell Firing In Adult Rodents, Christy Magcalas

Psychology ETDs

Prenatal alcohol exposure (PAE) is associated with structural and physiological changes that impact the central nervous system and can result in persistent negative consequences in a broad spectrum of cognitive and behavioral domains including deficits in spatial learning and memory and behavioral flexibility. The current study focuses on examining the behavioral and mechanistic consequences of PAE, sex and housing. Rats were tested in the Morris Water Task where they were trained to navigate to a goal location and tested in a pool shift manipulation. There were no significant differences between PAE treatment, sex, or housing groups during training, but there …

Telehealth During The Covid-19 Pandemic: A Cross-Sectional Survey Of Registered Dietitian Nutritionists, Mary Rozga, Deepa Handu, Kathryn Kelley, Elizabeth Yakes Jimenez, Hannah Martin, Marsha Schofield, Alison Steiber

Pediatrics Research and Scholarship

During the current coronavirus disease 2019 (COVID-19) pandemic, health care practices have shifted to minimize virus transmission, with unprecedented expansion of telehealth. This study describes self-reported changes in registered dietitian nutritionist (RDN) practice related to delivery of nutrition care via telehealth shortly after the onset of the COVID-19 pandemic in the United States. This cross-sectional, anonymous online survey was administered from mid-April to mid-May 2020 to RDNs in the United States providing face-to-face nutrition care prior to the COVID-19 pandemic. This survey included 54 questions about practitioner demographics and experience and current practices providing nutrition care via telehealth, including billing …

Burden Of Mycoplasma Genitalium And Bacterial Coinfections In A Population-Based Sample In New Mexico, Anne Hammer, Patti E. Gravitt, Rachael Adcock, Nicole Patterson, Jack Cuzick, Cosette M. Wheeler

Pathology Research and Scholarship

In this population-based US study, the overall prevalence of Mycoplasma genitalium was 1.95% (95% confidence interval [CI], 1.62%-2.34%), declining from 6.12% (95% CI, 4.72%-7.92%) in women aged 21 to 24 years to 0.48% (95% CI, 0.25%-0.94%) in women aged 40 to 64 years. The prevalence of coinfections with Chlamydia trachomatis and Trichomonas vaginalis was low.

Improving Peer Review Of Systematic Reviews By Involving Librarians And Information Specialists: Protocol For A Randomized Controlled Trial, Melissa L. Rethlefsen, Sara Schroter, Lex M. Bouter, David Moher, Ana Patricia Ayala, Jamie J. Kirkham, Maurice P. Zeegers

Publications

BACKGROUND: Problems continue to exist with the reporting quality and risk of bias in search methods and strategies in systematic reviews and related review types. Peer reviewers who are not familiar with what is required to transparently and fully report a search may not be prepared to review the search components of systematic reviews, nor may they know what is likely to introduce bias into a search. Librarians and information specialists, who have expertise in searching, may offer specialized knowledge that would help improve systematic review search reporting and lessen risk of bias, but they are underutilized as methodological peer …

Assessment Of Nutrition Services In Substance Use Disorder (Sud) Treatment Centers In New Mexico, Natalie Kennedy

Shared Knowledge Conference

The objective of this study was to assess the utilization of nutrition services and registered dietitian nutritionists (RDNs) at substance use disorder (SUD) treatment centers in New Mexico. This cross-sectional descriptive study used an online survey to gather information from SUD treatment centers offering inpatient, residential, partial hospitalization, and/or intensive outpatient treatment across New Mexico. To locate facilities in New Mexico, where the primary focus of care was substance abuse, a search was conducted using the Substance Abuse and Mental Health Services Administration's (SAMHSA) database of treatment facilities and programs. Out of the 80 facilities initially identified, individuals from 19 …

Small-Quantity Lipid-Based Nutrient Supplements For Children Age 6-24 Months: A Systematic Review And Individual Participant Data Meta-Analysis Of Effects On Developmental Outcomes And Effect Modifiers, Elizabeth L. Prado, Charles D. Arnold, K Ryan Wessells, Christine P. Stewart, Souheila Abbeddou, Seth Adu-Afarwuah, Benjamin F. Arnold, Ulla Ashorn, Per Ashorn, Elodie Becquey, Kenneth H. Brown, Jaya Chandna, Parul Christian, Holly N. Dentz, Sherlie J L Dulience, Lia C H Fernald, Emanuela Galasso, Lotta Hallamaa, Sonja Y. Hess, Lieven Huybregts, Lora L Iannotti, Elizabeth Yakes Jimenez, Patricia Kohl, Anna Lartey, Agnes Le Port, Stephen P. Luby, Kenneth Maleta, Andrew Matchado, Susana L. Matias, Malay K. Mridha, Robert Ntozini, Clair Null, Maku E. Ocansey, Sarker M. Parvez, John Phuka, Amy J. Pickering, Andrew J. Prendergast, Abu A. Shamim, Zakia Siddiqui, Fahmida Tofail, Ann M. Weber, Lee S F Wu, Kathryn G. Dewey

Pediatrics Research and Scholarship

BACKGROUND: Small-quantity (SQ) lipid-based nutrient supplements (LNSs) provide many nutrients needed for brain development.

OBJECTIVES: We aimed to generate pooled estimates of the effect of SQ-LNSs on developmental outcomes (language, social-emotional, motor, and executive function), and to identify study-level and individual-level modifiers of these effects.

METHODS: We conducted a 2-stage meta-analysis of individual participant data from 14 intervention against control group comparisons in 13 randomized trials of SQ-LNSs provided to children age 6-24 mo (total n = 30,024).

RESULTS: In 11-13 intervention against control group comparisons (n = 23,588-24,561), SQ-LNSs increased mean language (mean difference: 0.07 SD; 95% CI: 0.04, …

Hepatitis C Virus Care Cascade In Persons Experiencing Homelessness In The United States In The Era Of Direct-Acting Antiviral Agents: A Scoping Review, Aubrey Del Rosario, Jonathan Eldredge, Sara Doorley, Shiraz I. Mishra, Denece Kesler, Kimberly Page

Publications

The hepatitis C virus (HCV) care cascade has been well characterized in the general United States population and other subpopulations since curative medications have been available. However, information is limited on care cascade outcomes in persons experiencing homelessness. The main objective of this study was to map the available evidence on HCV care cascade outcomes in people experiencing homelessness in the U.S. in the era of direct-acting antiviral agents (DAAs). Primary and secondary outcomes included linkage to care (evaluation by a provider that can treat HCV) and sustained virologic response (SVR) or cure. Exploratory outcomes included other cascade data, like …

Health, Exercise & Sports Sciences 2021 Apr Self-Study & Documents, University Of New Mexico

UNM Academic Program Review

UNM Health, Exercise & Sports Sciences APR self-study report and review team report for Fall 2021, fulfilling requirements of the Higher Learning Commission.

Growth Rates Of Infants Randomized To Continuous Positive Airway Pressure Or Intubation After Extremely Preterm Birth, Ariel A. Salas, Waldemar A. Carlo, Barbara T. Do, Edward F. Bell, Abhik Das, Krisa P. Van Meurs, Brenda B. Poindexter, Seetha Shankaran, Noelle Younge, Kristi L. Watterberg, Rosemary D. Higgins, Eunice Kennedy Shriver National Institute Of Child Health And Human Development Neonatal Research Network

Pediatrics Research and Scholarship

OBJECTIVE: To evaluate the effects of early treatment with continuous positive airway pressure (CPAP) on nutritional intake and in-hospital growth rates of extremely preterm (EPT) infants.

STUDY DESIGN: EPT infants (24

RESULTS: Growth data were analyzed for 810 of 1316 infants enrolled in SUPPORT (414 in the intervention group, 396 in the control group). The median gestational age was 26 weeks, and the mean birth weight was 839 g. Baseline characteristics, total nutritional intake, and in-hospital comorbidities were not significantly different between the 2 groups. In a regression model, growth rates between birth and 36 weeks of PMA, as well …

Trade-Offs In Growth And Development: A Life History Approach, Anna Medendorp Rautman

Anthropology ETDs

Life history theory (LHT) is the conceptualization of tradeoffs in resources allocation. Plasticity, the ability of phenotypes to vary in response to environmental cues, is integral to LHT. Prior to completed maturation, resources are distributed towards maintenance or somatic maturation, a combination of growth and development (G&D). This dissertation presents an examination of intragroup variation in the G&D of the dental and skeletal systems within a sample of 20th century White females to consider whether they provide evidence for tradeoffs within the subadult interval. In a series of individual research chapters, I consider the following: 1) how does the relative …

Decreased Incidence Of Infections Caused By Pathogens Transmitted Commonly Through Food During The Covid-19 Pandemic - Foodborne Diseases Active Surveillance Network, 10 U.S. Sites, 2017-2020, Logan C. Ray, Jennifer P. Collins, Patricia M. Griffin, Hazel J. Shah, Michelle M. Boyle, Paul R. Cieslak, John Dunn, Sarah Lathrop, Suzanne Mcguire, Tamara Rissman, Elaine J. Scallan Walter, Kirk Smith, Melissa Tobin-D'Angelo, Katie Wymore, Joanna Zablotsky Kufel, Beverly J. Wolpert, Robert Tauxe, Daniel C. Payne

Pathology Research and Scholarship

Foodborne illnesses are a substantial and largely preventable public health problem; before 2020 the incidence of most infections transmitted commonly through food had not declined for many years. To evaluate progress toward prevention of foodborne illnesses in the United States, the Foodborne Diseases Active Surveillance Network (FoodNet) of CDC's Emerging Infections Program monitors the incidence of laboratory-diagnosed infections caused by eight pathogens transmitted commonly through food reported by 10 U.S. sites.* FoodNet is a collaboration among CDC, 10 state health departments, the U.S. Department of Agriculture's Food Safety and Inspection Service (USDA-FSIS), and the Food and Drug Administration. This report …

20210920_Display To Celebrate Curanderas Y Parteras, Healers In New Mexico, Robyn Gleasner

HSLIC Blog Post

No abstract provided.

Exercise As A Multi-Modal Disease-Modifying Medicine In Systemic Sclerosis: An Introduction By The Global Fellowship On Rehabilitation And Exercise In Systemic Sclerosis (G-Forss), Henrik Pettersson, Helene Alexanderson, Janet L. Poole, Janos Varga, Malin Regardt, Anne-Marie Russell, Yasser Salam, Kelly Jensen, Jennifer Mansour, Tracy Frech, Carol Feghali-Bostwick, Cecília Varjú, Nancy Baldwin, Matty Heenan, Kim Fligelstone, Monica Holmner, Matthew R. Lammi, Mary Beth Scholand, Lee Shapiro, Elizabeth R. Volkmann, Lesley Ann Saketkoo

Pediatrics Research and Scholarship

Systemic sclerosis (SSc) is a heterogeneous multisystem autoimmune disease whereby its main pathological drivers of disability and damage are vascular injury, inflammatory cell infiltration, and fibrosis. These mechanisms result in diffuse and diverse impairments arising from ischemic circulatory dysfunction leading to painful skin ulceration and calcinosis, neurovascular aberrations hindering gastrointestinal (GI) motility, progressive painful, incapacitating or immobilizing effects of inflammatory and fibrotic effects on the lungs, skin, articular and periarticular structures, and muscle. SSc-related impairments impede routine activities of daily living (ADLs) and disrupt three critical life areas: work, family, social/leisure, and also impact on psychological well-being. Physical activity and …

A Comprehensive Framework For Navigating Patient Care In Systemic Sclerosis: A Global Response To The Need For Improving The Practice Of Diagnostic And Preventive Strategies In Ssc, Lesley Ann Saketkoo, Tracy Frech, Cecília Varjú, Robyn Domsic, Jessica Farrell, Jessica K. Gordon, Carina Mihai, Nora Sandorfi, Lee Shapiro, Janet L. Poole, Elizabeth R. Volkmann, Monika Lammi, Kendra Mcanally, Helene Alexanderson, Henrik Pettersson, Faye Hant, Masataka Kuwana, Ami A. Shah, Vanessa Smith, Vivien Hsu, Otylia Kowal-Bielecka, Shervin Assassi, Maurizio Cutolo, Cristiane Kayser, Victoria K. Shanmugam, Madelon C. Vonk, Kim Fligelstone, Nancy Baldwin, Kerri Connolly, Anneliese Ronnow, Beata Toth, Maureen Suave, Sue Farrington, Elana J. Bernstein, Leslie J. Crofford, László Czirják, Kelly Jensen, Monique Hinchclif, Marie Hudson, Matthew R Lammi, Jennifer Mansour, Nadia D. Morgan, Fabian Mendoza, Mandana Nikpour, John Pauling, Gabriela Riemekasten, Anne-Marie Russell, Mary Beth Scholand, Elise Seigart, Tatiana Sofia Rodriguez-Reyna, Laura Hummers, Ulrich Walker, Virginia Steen

Pediatrics Research and Scholarship

Systemic sclerosis (SSc), the most lethal of rheumatologic conditions, is the cause of death in >50% of SSc cases, led by pulmonary fibrosis followed by pulmonary hypertension and then scleroderma renal crisis (SRC). Multiple other preventable and treatable SSc-related vascular, cardiac, gastrointestinal, nutritional and musculoskeletal complications can lead to disability and death. Vascular injury with subsequent inflammation transforming to irreversible fibrosis and permanent damage characterizes SSc. Organ involvement is often present early in the disease course of SSc, but requires careful history-taking and vigilance in screening to detect. Inflammation is potentially reversible provided that treatment intensity quells inflammation and other …

"You're Going To Have To Think A Little Bit Different" Barriers And Facilitators To Using Mhealth To Increase Physical Activity Among Older, Rural Cancer Survivors, Tamar Ginossar, Heidi Rishel Brakey, Andrew L. Sussman, Brittany Price, Miria Kano, Sally M. Davis, Cindy K. Blair

Pediatrics Research and Scholarship

Wearable activity trackers (WATs) hold great promise in increasing physical activity among older cancer survivors. However, older cancer survivors who reside in rural regions are at increased risk of being digitally marginalized. The goal of this study was to learn about WATs adoption motivation and needs of rural older cancer survivors who live in New Mexico, one of the most rural states with the lowest broadband Internet connectivity in the United States. We conducted six key informant interviews and recruited 31 older cancer survivors from rural counties statewide who participated in interviews and focus groups. Our results show great interest …

Rheumatic Heart Disease In The United States: Forgotten But Not Gone: Results Of A 10 Year Multicenter Review., Sarah R De Loizaga, Lindsay Arthur, Bhawna Arya, Brian Beckman, Wubishet Belay, Cole Brokamp, Nak Hyun Choi, Sean Connolly, Soham Dasgupta, Tavenner Dibert, Marylou M Dryer, Lakshmi R Gokanapudy Hahn, Elizabeth Anne Greene, Daphney Kernizan, Omar Khalid, Jennifer Klein, Ryan Kobayashi, Subhrajit Lahiri, Raymond P Lorenzoni, Andrea Otero Luna, Jennifer Marshall, Theodore Millette, Lily Moore, Babu Muhamed, Meghna Murali, Kinjal Parikh, Amy Sanyahumbi, Divya Shakti, Elizabeth Stein, Sanket Shah, Hannah Wilkins, Mcallister Windom, Scott Wirth, Meghan Zimmerman, Andrew F Beck, Nicholas Ollberding, Craig Sable, Andrea Beaton

Pediatrics Research and Scholarship

Background Recent evaluation of rheumatic heart disease (RHD) mortality demonstrates disproportionate disease burden within the United States. However, there are few contemporary data on US children living with acute rheumatic fever (ARF) and RHD. Methods and Results Twenty-two US pediatric institutions participated in a 10-year review (2008-2018) of electronic medical records and echocardiographic databases of children 4 to 17 years diagnosed with ARF/RHD to determine demographics, diagnosis, and management. Geocoding was used to determine a census tract-based socioeconomic deprivation index. Descriptive statistics of patient characteristics and regression analysis of RHD classification, disease severity, and initial antibiotic prescription according to community …

Hermeneutical Analysis Of The Determinants Of Obesity Using Neutrosophic Cognitive Maps, María De Lourdes Llerena Cepeda, Jhofre Vinicio Prado Quilambaque, Alba Margot Núñez Quispe, Edid Tatiana Mejía Álvarez, José Felipe Ramírez Pérez

Neutrosophic Sets and Systems

Obesity is a chronic, non-contagious disease to which attention has been paid worldwide at all times, but current studies are focused on childhood and adolescent obesity after the Covid-19 pandemic. The reason lies in the fact that the younger the child, the greater the risk of developing complications during his life. That is why it is established as a problem to be analyzed from various points of view. Consequently, this study aims to develop a causal analysis of the determinants of childhood and adolescent obesity in post-COVID-19 Ecuador using Neutrosophic Cognitive Maps from a hermeneutical point of view. The authors …

Neutrosophic Analysis Of The Educational Orientation To The Diabetic Patient That Reflects Its Impact On The Quality Of Life, Ronelsys Martínez Martínez, Elizabeth Cristina Mayorga Aldaz, Olga Pampin Copa, Kenia Peñafiel Jaramillo

Neutrosophic Sets and Systems

This investigation is founded on the premise of the need to carry out a neutrosophic analysis of the educational orientation of the diabetic patient, which shows its impact on quality of life. To deal with the subject, it relies on an educational guide. We used a questionnaire consisting of seven questions to investigate the state of knowledge on diabetes in a sample of 210 diabetic patients. We defined a scale, where patients can answer in the form of intervals, such that we obtain as accurately as possible the patients’ opinions. We processed the data utilizing Neutrosophic Statistics, which extends statistical …

Nutrition Information Resources Used By People With Systemic Sclerosis And Perceived Advantages And Disadvantages: A Nominal Group Technique Study, Nora Østbø, Elizabeth Yakes Jimenez, Sami Harb, Angelica Bourgeault, Marie-Eve Carrier, Brett D. Thombs, Scleroderma Patient-Centered Intervention Network (Spin) Diet And Nutrition Education Patient Advisory Team

Pediatrics Research and Scholarship

OBJECTIVE: Where people with systemic sclerosis (SSc) (or scleroderma) obtain diet and nutrition information to manage their disease is not known. Objectives were to identify 1) resources used by people with SSc for nutrition and diet information and 2) perceived advantages and disadvantages of resources.

METHODS: We conducted nominal group technique (NGT) sessions in which people with SSc reported nutrition and diet information resources they have used and perceived advantages and disadvantages of accessing and using resources. Participants indicated whether they had tried each resource. They rated helpfulness and importance of possible advantages and disadvantages. Items elicited across sessions were …

Examining Self-Care Practices From A Sytemic Perspective: Understanding The Lived Experiences Of Hispanic Female Counselors In Rural New Mexico, Melissa C. Henry

Individual, Family, and Community Education ETDs

This interpretative phenomenological analysis (IPA) explored the experiences of Hispanic female counselors in rural New Mexico conceptualization and practice of self-care and wellness. The aim of the study was to understand the systemic, environmental, and cultural factors that reinforce and prevent resilience and wellness. Data consisted of two interviews: one structured hour-long demographic interview and one semi-structured hour-long interview related to the participant’s experience of identity, professional counseling, and self-care. Participants included 9 Hispanic women practicing professional counseling and living in various rural communities in New Mexico. Six main themes identified systemic, environmental, and cultural strengths and barriers for participants …

Lysmd3: A Mammalian Pattern Recognition Receptor For Chitin, Xin He, Brad A. Howard, Yang Liu, Aaron K. Neumann, Liwu Li, Nidhi Menon, Tiffany Roach, Shiv D. Kale, David C. Samuels, Hongyan Li, Trenton Kite, Hirohito Kita, Tony Y. Hu, Mengyao Luo, Caroline N. Jones, Uju Joy Okaa, Diane L. Squillace, Bruce S. Klein, Christopher B. Lawrence

Pathology Research and Scholarship

Chitin, a major component of fungal cell walls, has been associated with allergic disorders such as asthma. However, it is unclear how mammals recognize chitin and the principal receptor(s) on epithelial cells that sense chitin remain to be determined. In this study, we show that LYSMD3 is expressed on the surface of human airway epithelial cells and demonstrate that LYSMD3 is able to bind chitin, as well as β-glucan, on the cell walls of fungi. Knockdown or knockout of LYSMD3 also sharply blunts the production of inflammatory cytokines by epithelial cells in response to chitin and fungal spores. Competitive inhibition …

Stronger Transition: Coping With Natural Disasters, And Health-Economic Investment For Adolescents In Developing Countries, Mengqi Liu

Economics ETDs

This dissertation investigates the period of adolescence as another important window for human capital development. The first chapter provides the introduction of my three research papers, highlighting the research motivation, goals, and contributions. The final chapter summarizes the conclusions and discusses the future research trajectory. The first paper examines the long-term health and socioeconomic implications of exposure to natural disasters during adolescence and childhood. In the second paper, I survey the current awareness of Human Papillomavirus (HPV) and HPV vaccine in Nepal and test the different indicators for HPV vaccination, precisely the mother’s intention to vaccinate their adolescent girls against …

The Effect Of Interval And Continuous Work On Markers Of Acute Kidney Injury In A Hot Environment, Jonathan M. Houck, Fabiano Amorim, Christine Mermier, Michael Deyhle, Orlando Laitano, Zachary Mckenna, Zac Fennel, Jeremy Ducharme, Andrew Wells

Health, Exercise, and Sports Sciences ETDs

Purpose: To examine the effect of high intensity interval work (HIIW) and moderate intensity continuous work (MICW) patterns on markers of acute kidney injury (AKI) and kidney damage in a hot environment. Methods: Nine males completed two hours of physical work in a hot environment, performing either HIIW [2 minutes at 80% maximum oxygen consumption (VO₂max) and 3 minutes at 30% VO₂max] or MICW. Blood and urine samples were collected immediately before (Pre) and after (Post), one hour (1hr Post), and 24 hours after (24hr Post) the trials. Urine flow rate (UFR), osmolality (Uosm), and …

Factors Influencing Rural Women’S Physical Activity Behaviors: A Social Ecological Perspective, Karen Lynn Webb

Nursing ETDs

ABSTRACT

Chronic disease and poor mental health are disproportionally impacting adults living in rural America. Regular physical activity has been shown to promote overall well-being and prevent many chronic diseases. Yet, research shows that many rural adults do not engage in enough physical activity to meet the recommended levels put forth by the federal government. The purpose of this descriptive qualitative study was to explore and describe the experiences of physical activity as perceived by rural women in their own words. Data were collected through semi-structured individual interviews of 20 women aged 25 to 34 living in McDowell County, West …

Examination Of Intuitive Eating At The Momentary Level, Jamie M. Smith

Psychology ETDs

Background: Intuitive eating involves following internal cues of hunger and satiety to guide eating choices, as opposed to responding to external signals, strong emotions, or dietary rules. This style of eating consistently has been shown to be related to better physical and psychological health indicators. This construct would be better understood if studied at the individual momentary level instead of globally or cross-sectionally. Therefore, the proposed study sought to employ ecological momentary assessment (EMA) to examine the validity of intuitive eating at the momentary level. Additionally, the acceptance and expanded acceptance models of intuitive eating and the roles of weight …

Southwest Harvest For Health: An Adapted Mentored Vegetable Gardening Intervention For Cancer Survivors, Cindy K. Blair, Prajakta Adsul, Dolores D. Guest, Andrew L. Sussman, Linda S. Cook, Elizabeth M. Harding, Joseph Rodman, Dorothy Duff, Ellen Burgess, Karen Quezada, Ursa Brown-Glaberman, Towela V. King, Erika Baca, Zoneddy Dayao, Vernon Shane Pankratz, Sally M. Davis, Wendy Demark-Wahnefried

Pediatrics Research and Scholarship

Harvest for Health is a home-based vegetable gardening intervention that pairs cancer survivors with Master Gardeners from the Cooperative Extension System. Initially developed and tested in Alabama, the program was adapted for the different climate, growing conditions, and population in New Mexico. This paper chronicles the feasibility, acceptability, and preliminary efficacy of "Southwest Harvest for Health". During the nine-month single-arm trial, 30 cancer survivor-Master Gardener dyads worked together to establish and maintain three seasonal gardens. Primary outcomes were accrual, retention, and satisfaction. Secondary outcomes were vegetable and fruit (V and F) intake, physical activity, and quality of life. Recruitment was …

Democratizing Type 1 Diabetes Specialty Care In The Primary Care Setting To Reduce Health Disparities: Project Extension For Community Healthcare Outcomes (Echo) T1d, Ashby F. Walker, Nicolas Cuttriss, Michael J. Haller, Korey K. Hood, Matthew J. Gurka, Stephanie L. Filipp, Claudia Anez-Zabala, Katarina Yabut, Xanadu Roque, Jessie J. Wong, Linda Baer, Lauren Figg, Angelina Bernier, Sarah Westen, Eugene Lewit, Eleni Sheehan, Marina Basina, Rayhan Lal, Jennifer Maizel, David M. Maahs

Project ECHO Bibliography

INTRODUCTION: Project ECHO (Extension for Community Healthcare Outcomes) is a tele-education outreach model that seeks to democratize specialty knowledge to reduce disparities and improve health outcomes. Limited utilization of endocrinologists forces many primary care providers (PCPs) to care for patients with type 1 diabetes (T1D) without specialty support. Accordingly, an ECHO T1D program was developed and piloted in Florida and California. Our goal was to demonstrate the feasibility of an ECHO program focused on T1D and improve PCPs' abilities to manage patients with T1D.

RESEARCH DESIGN AND METHODS: Health centers (ie, spokes) were recruited into the ECHO T1D pilot through …

Unm Pathology Pathfinder Summer 2021, Unm Department Of Pathology

Newsletters

No abstract provided.

Post-Discharge Healthcare Utilization In Infants With Neonatal Opioid Withdrawal Syndrome, Shikhar Shrestha, Melissa H Roberts, Jessie R Maxwell, Lawrence M Leeman, Ludmila N Bakhireva

Pediatrics Research and Scholarship

The opioid epidemic in the United States has led to a significant increase in the incidence of neonatal opioid withdrawal syndrome (NOWS); however, the understanding of long-term consequences of NOWS is limited. The objective of this study was to evaluate post-discharge healthcare utilization in infants with NOWS and examine the association between NOWS severity and healthcare utilization. A retrospective cohort design was used to ascertain healthcare utilization in the first year after birth-related discharge using the CERNER Health Facts® database. ICD-9/ICD-10 diagnostic codes were used to identify live births and to classify infants into two study groups: NOWS and uncomplicated …