Digital Commons Network^™

Poets Rooted In Nature: An Ecopoetry Anthology, Ian Chen , '24, Winston Zhang , '27, Riya Rao , '26, Peter Schmidt

English Literature Faculty Works

Anyone who has studied poetry has experienced its elusiveness as well as the profound impact that it brings upon its readers. Although poetry comes in many shapes and forms, the universal theme among impactful poetry is its ability to both evoke powerful emotions and inspire readers to action. In the somewhat bleak time of the present, individuals can easily feel insignificant among the masses; however, poetry can inspire wonder and break readers away from the screens and fickle distractions ever present in the modern world. In this anthology, we focus on the multifaceted genre of ecopoetry, a genre of poetry …

Identifying The Effects Of Environmental Conditions On Listeria Monocytogenes Fitness And Pathogenesis Modified By Transcription Factor Cody, Elizabeth K. Herr

Honors Theses

Listeria monocytogenes is a pathogen with the capability of causing severe illness in individuals who consume contaminated foods. Many foods have been found to harbor the bacterium, but dairy products, produce, and other prepackaged foods are particularly susceptible to contamination. Contaminated foods are exposed to a variety of environmental conditions during packaging, processing, consumption, and digestion, all of which play an essential role in modulating the survival and pathogenesis of L. monocytogenes. Conditions of particular interest include cold storage, presence of food additives, and activity of antimicrobial enzymes such as lysozyme. My honors thesis research has focused on elucidating how …

Dipl 6277 Global Health, Bioterrorism, And International Security, Yanzhong Huang Phd

Diplomacy Syllabi

This course is an interdisciplinary survey that focuses on the issues of global health security. As shown in the COVID-19 pandemic, international trade and travel threaten epidemics by transporting and spreading infectious disease globally at jet speed. The growing risk of exposure to infectious diseases, coupled with the threat of intentional release of dangerous pathogens, creates a situation in which health and security are interacting with greater frequency and intensity. This development parallels efforts to redefine the concept of security to encompass new global challenges such as noncommunicable diseases (NCDs). To what extent does health fit this new security agenda? …

Dipl 4277 Aa Global Health, Bioterrorism, And International Security, Yanzhong Huang Phd

Diplomacy Syllabi

Global health issues have affected world history more extensively than most of us can imagine. As shown in the COVID-19 pandemic, international travel threatens transborder epidemics by transporting and spreading diseases globally at jet speed. The growing risk of exposure to infectious disease, coupled with the threat of intentional release of pathogens, creates a situation in which health and security are interacting with greater frequency and intensity. This development parallels efforts to redefine the concept of security to encompass new global challenges. This interdisciplinary course focuses on global health security by addressing the following questions: How did epidemics function as …

When Governors Prioritize Individual Freedom Over Public Health: Tort Liability For Government Failures, Barbara Pfeffer Billauer Jd, Ma, Phd

Journal of Law and Health

Over half the states have enacted laws diminishing or curtailing the rights of the executive branch (legislatures or governors) to enact laws to preserve, protect, or safeguard public health in the wake of the COVID-19 emergency. Governor DeSantis, of Florida, for example, effectively banned mask mandates in schools during the high point of the epidemic – based on flawed science and erroneous data – and now wants to make that response permanent. The rules effectuating this Executive Order were enacted under an emergency order finding a threat to public health. Nevertheless, the response promulgated by the Florida Department of Health …

How Bodily Autonomy Can Fail Against Vaccination Mandates; The Few Vs. The Many, Jason Yadhram

Journal of Law and Health

Humans have been a communal species since inception and continue to be so to this day. Because of this, if even a small scale of a measured population becomes severely ill, the entire remaining population and surrounding area is thrown into absolute chaos. In fact, we have seen these circumstances throughout history and in the recent COVID-19 pandemic yet, some of us have forgotten that the only way this chaos can be curbed, is by enacting a mandatory vaccination policy. Since COVID-19 however, vaccination mandates have become an uneasy topic of conversation in the United States for essentially one main …

Accommodations And Resources For Audiologists With Hearing Loss, Joseph Thomas Kraus

Doctoral Scholarly Projects & Capstones

Hearing loss affects millions of people worldwide. The audiology profession strives to help all individuals achieve their communicative goals and needs, providing support and expertise to a deserving population. Audiologists themselves are not immune to the challenges of hearing differences themselves. This project has two main objectives to identify and discuss needs and challenges faced by audiologists, both within their professional field, as well as their educational upbringing, and to highlight specific accommodations that can enhance their professional success. The research phase of this project aims to develop a resource guide tailored to the needs of audiologists with hearing loss …

Optimized Protein Purification Of The Mutant 273 Cards Toxin From Mycoplasma Pneumoniae, Jalyn De La Fuente

Posters - 2024

Mycoplasma pneumoniae is an atypical bacterium that is known to cause respiratory distress and can lead to respiratory illnesses such as community-acquired pneumonia, pharyngitis, and tracheobronchitis. M.pneumoniae produces an ADPribosylation and vacuolating toxin called Community Acquired Respiratory Distress Syndrome (CARDS) toxin. Alone, the CARDS toxin is capable of reproducing many of the signs of an M.pneumoniae infection. The CARDS toxin often causes what is commonly referred to as “walking pneumonia”, a term used to characterize the mild symptoms associated with the infection. Patients with “walking pneumonia” can manage the condition without hospitalization, and often can continue with their normal day-to-day …

Immune Cell And Muscle Bioenergetics In Persons With Multiple Sclerosis, Kathryn Anne Kern

Dissertations (1934 -)

The pathology of Multiple Sclerosis (MS) is immune-mediated, associated with excessive lymphocyte activity, and dysregulated immune cell metabolism. Biomarkers readily detected in the blood have superior utility in research and the clinical laboratory for their pathological, diagnostic, and prognostic value as well as translatability. There is a need for additional biomarkers of disease status in MS. Therefore, the purpose of this dissertation was to determine whether peripheral blood immune cell (PBMC) metabolism differed between people with MS and non-MS controls, and whether PBMC bioenergetics correlated to muscle energetics and clinical end points including clinical, psychosocial, and functional outcomes. Specific cellular …

Antibiotic Resistance In Urban Stormwater Runoff And Green Stormwater Infrastructure, Kassidy N. O'Malley

Dissertations (1934 -)

Antibiotic resistance in the environment poses significant risks to human health, especially through the transmission of antibiotic resistance genes (ARGs) and antibiotic-resistant bacteria (ARB) via pathways like food and water. Urban stormwater runoff has been identified as a significant contributor to the release and transport of ARGs in the environment but has remained under-researched. This dissertation aimed to address this gap by investigating the fate of ARGs in urban stormwater runoff to guide future stormwater management decisions. Two phases were completed; the first sought to investigate extracellular antibiotic resistance genes (eARGs) in stormwater runoff, and the second focused on quantifying …

Probiotic Therapy For The Treatment And Prevention Of Bacterial Vaginosis, Chelsea Scheil

Physician Assistant Scholarly Project Posters

Bacterial vaginosis (BV) is a common presenting complaint in healthcare, and patients often experience recurrences at a frustrating rate. The mainstay of current treatment is antibiotic therapy, either via oral or vaginal route. When recurrences occur, stronger antibiotics are often employed. This current method of treatment does not address an underlying component that impacts infection recurrence and rate of recurrence- the patient’s baseline vaginal microbiome and the healthy bacteria that support it. To investigate the use of probiotics in bacterial vaginosis treatment, a comprehensive literature review was completed using databases PubMed and Embase. The results of this literature review confirm …

The Financial Impact Of Health And Wellness, Owen Williams, Walter Fulton, Chad Vaughn, Keaton Spiegel

ENGL 1102 Showcase

This group anthology takes a deeper look into the cross section of health & wellness and business & finance sectors.

In Vitro Activity Of Cefepime/Taniborbactam And Comparator Agents Against Gram-Negative Bacterial Bloodstream Pathogens Recovered From Patients With Cancer, Bahgat Gerges, Joel Rosenblatt, Y-Lan Truong, Ying Jiang, Samuel A Shelburne, Anne-Marie Chaftari, Ray Hachem, Issam Raad

Faculty, Staff and Student Publications

BACKGROUND: Taniborbactam is a β-lactamase inhibitor that, when combined with cefepime, may offer a potential treatment option for patients with serious and resistant Gram-negative bacterial (GNB) pathogens.

OBJECTIVES: This study evaluated

METHODS: A total of 270 GNB pathogens (2019-23) isolated from patients with cancer were tested against cefepime/taniborbactam and comparator agents commonly used for these patients. CLSI-approved broth microdilution methods were used. MIC

RESULTS: Cefepime/taniborbactam showed highly potent activity against tested Enterobacterales, including isolates producing ESBLs and carbapenem-resistant Enterobacterales. At a provisional breakpoint of ≤16/4 mg/L, cefepime/taniborbactam inhibited most tested species of GNB pathogens, with overall 98.9% susceptibility, which was …

Prenatal And Postnatal Disparities In Very-Preterm Infants In A Study Of Infections Between 2018–2023 In Southeastern Us, Robin B. Dail Phd, Rn, Faan, Kayla C. Everhart Phd, Rn, Victor N. Iskersky, Weili Chang, Kimberley Fisher, Karen Warren Phd, Rn, Heidi J. Steflik, James W. Hardin Ph.D.

Publications

Background: The birthrate of Black preterm (BPT) infants is 65% higher than White preterm (WPT) infants with a BPT mortality that is 2.3 times higher. The incidence of culture-positive late-onset sepsis is as high as 41% in very-preterm infants. The main purpose of this study was to examine thermal gradients and the heart rate in relation to the onset of infection. This report presents disparities in very-preterm infection incidence, bacteria, and mortality data amongst BPT and WPT infants. Methods: 367 preterms born at < 32 weeks gestational age (GA) between 2019–2023 in five neonatal intensive care units (NICUs) were enrolled to study the onset of infections and dispositions; REDCap data were analyzed for descriptive statistics. Results: The 362 infants for analyses included 227 BPTs (63.7%) and 107 WPTs (29.6%), with 28 infants of other races/ethnicities (Hispanic, Asian, and other), 50.6% female, mean GA of 27.66 weeks, and 985.24 g birthweight. BPT infants averaged 968.56 g at birth (SD 257.50), and 27.68 (SD 2.07) weeks GA, compared to WPT infants with a mean birthweight of 1006.25 g (SD 257.77, p = 0.2313) and 27.67 (SD 2.00, p = 0.982) weeks GA. Of the 426 episodes of suspected infections evaluated across all the enrolled infants, the incidence of early-onset sepsis (EOS) was 1.9%, with BPT infants having 2.50 times higher odds of EOS than WPT infants (p = 0.4130, OR (odds ratio) = 2.50, p_or = 0.408). The overall incidence of late-onset sepsis (LOS) was 10.8%, with LOS in 11.9% of BPT infants versus 9.3% (p = 0.489, OR = 1.21, p_or = 0.637) of WPT infants. BPT infants made up 69.2% of the 39 infants with Gram-positive infections vs. 25.6% for WPT infants; 16 infants had Gram-negative culture-positive infections, with 81.2% being BPT infants versus 18.8% being WPT infants. Of the 27 urinary tract infections, 78% were in BPTs. The necrotizing enterocolitis incidence was 6.9%; the incidence in BPT infants was 7.5% vs. 6.5% in WPT infants. The overall mortality was 8.3%, with BPTs at 8.4% vs. WPT infants at 9.3%, (p = 0.6715). Conclusions: BPTs had a higher rate of positive cultures, double the Gram-negative infections, a much higher rate of urinary tract infections, and a higher rate of mortality than their WPT counterparts. This study emphasizes the higher risk of morbidity and mortality for BPTs.

Personal Data And Vaccination Hesitancy: Covid-19’S Lessons For Public Health Federalism, Charles D. Curran

Catholic University Law Review

During the COVID-19 vaccination campaign, the federal government adopted a more centralized approach to the collection of public health data. Although the states previously had controlled the storage of vaccination information, the federal government’s Operation Warp Speed plan required the reporting of recipients’ personal information on the grounds that it was needed to monitor the safety of novel vaccines and ensure correct administration of their multi-dose regimens.

Over the course of the pandemic response, this more centralized federal approach to data collection added a new dimension to pre-existing vaccination hesitancy. Requirements that recipients furnish individual information deterred vaccination among undocumented …

Sphingosine-1-Phosphate Inhibition Increases Endoplasmic Reticulum Stress To Enhance Oxaliplatin Sensitivity In Pancreatic Cancer, Zachary Gao, Harinarayanan Janakiraman, Yang Xiao, Sung Wook Kang, Jiangling Dong, Jasmine Choi, Besim Ogretmen, Hyun-Sung Lee, Ernest Ramsay Camp

Faculty, Staff and Students Publications

BACKGROUND: Pancreatic ductal adenocarcinoma (PDAC) is an aggressive cancer resistant to current therapies, including oxaliplatin (Oxa). Growing evidence supports the ability of cancers to harness sphingolipid metabolism for survival. Sphingosine-1-phosphate (S1P) is an anti-apoptotic, pro-survival mediator that can influence cellular functions such as endoplasmic reticulum (ER) stress. We hypothesize that PDAC drives dysregulated sphingolipid metabolism and that S1P inhibition can enhance ER stress to improve therapeutic response to Oxa in PDAC.

METHODS: RNA sequencing data of sphingolipid mediators from The Cancer Genome Atlas (TCGA) and Genotype-Tissue Expression Project (GTEx) datasets were analyzed. Murine and human PDAC cell lines were treated …

Monophosphoryl Lipid A-Based Adjuvant To Promote The Immunogenicity Of Multivalent Meningococcal Polysaccharide Conjugate Vaccines, Kishore Alugupalli

Department of Microbiology and Immunology Faculty Papers

Activation of the adaptive immune system requires the engagement of costimulatory pathways in addition to B and T cell Ag receptor signaling, and adjuvants play a central role in this process. Many Gram-negative bacterial polysaccharide vaccines, including the tetravalent meningococcal conjugate vaccines (MCV4) and typhoid Vi polysaccharide vaccines, do not incorporate adjuvants. The immunogenicity of typhoid vaccines is due to the presence of associated TLR4 ligands in these vaccines. Because the immunogenicity of MCV4 is poor and requires boosters, I hypothesized that TLR4 ligands are absent in MCV4 and that incorporation of a TLR4 ligand-based adjuvant would improve their immunogenicity. …

The Moderating Effects Of Hiv Relevant Factors On The Relationship Between Intimate Partner Violence And Intention To Start Hiv Pre-Exposure Prophylaxis (Prep) Among Cisgender Women, Shimrit Keddem, Victoria Frye, Annet Davis, Beryl A Koblin, Hong-Van Tieu, Rachele K Lipsky, Vijay Nandi, Anne M Teitelman

Faculty, Staff and Students Publications

Background:

Intimate partner violence (IPV) and HIV are serious and related public health problems that detrimentally impact women’s health. Because women who experience IPV are more likely to acquire HIV, it is critical to promote HIV prevention strategies, such as HIV pre-exposure prophylaxis (PrEP), that increase autonomy.

Setting:

This study of cis-gender women eligible for HIV PrEP took place between 2017 and 2019 in Philadelphia and New York City.

Methods:

This study aimed to examine the relationship between four types of IPV (control, psychological, psychological, physical, sexual) and intention to start PrEP among PrEP-eligible cisgender women; and assess the extent …

Abatacept Pharmacokinetics And Exposure Response In Patients Hospitalized With Covid-19: A Secondary Analysis Of The Activ-1 Im Randomized Clinical Trial, Stephen J Balevic, Daniel K Benjamin, William G Powderly, P Brian Smith, Daniel Gonzalez, Matthew W Mccarthy, Linda K Shaw, Christopher J Lindsell, Sam Bozzette, Daphne Williams, Benjamin P Linas, John Blamoun, Heta Javeri, Christoph P Hornik, Activ-1 Im Study Group

2020-Current year OA Pubs

IMPORTANCE: The pharmacokinetics of abatacept and the association between abatacept exposure and outcomes in patients with severe COVID-19 are unknown.

OBJECTIVE: To characterize abatacept pharmacokinetics, relate drug exposure with clinical outcomes, and evaluate the need for dosage adjustments.

DESIGN, SETTING, AND PARTICIPANTS: This study is a secondary analysis of data from the ACTIV-1 (Accelerating COVID-19 Therapeutic Interventions and Vaccines) Immune Modulator (IM) randomized clinical trial conducted between October 16, 2020, and December 31, 2021. The trial included hospitalized adults who received abatacept in addition to standard of care for treatment of COVID-19 pneumonia. Data analysis was performed between September 2022 …

Etiology, Clinical, And Laboratory Profiles Of Meningitis A Sample Of Children, Raghad Najem, Arabiya Ali, Mushriq Hussein

Iraqi Postgraduate Medical Journal

BACKGROUND:Meningitis is a significant cause of morbidity and modality in children around the world. Early diagnosis and treatment are the most important way in prevention of the complications. OBJECTIVE:To estimate the frequency and types of meningitis, to describe various clinical and laboratory parameters, and to analyze mortality and early complications of childhood meningitis. PATIENTS AND METHODS:One hundred Children aged 1 month-l5 years admitted to children Welfare Teaching Hospital with clinical suspicion of meningitis during the period from 18 September 2007 to 15 March 2008 were included in this study. They were subjected to clinical examination, blood tests, cerebrospinal fluid tests …

Incidence And Mortality Of Covid-19-Associated Invasive Fungal Infections Among Critically Ill Intubated Patients: A Multicenter Retrospective Cohort Analysis, Julio C Zuniga-Moya, Benjamin Papadopoulos, Armaghan-E-Rehman Mansoor, Patrick B Mazi, Adriana M Rauseo, Andrej Spec

2020-Current year OA Pubs

BACKGROUND: An association between coronavirus disease 2019 (COVID-19)-associated invasive fungal infections (CAIFIs) and high mortality among intubated patients has been suggested in previous research. However, some of the current evidence was derived from small case series and multicenter studies conducted during different waves of the COVID-19 pandemic. We examined the incidence of CAIFIs and their associated mortality using a large, multicenter COVID-19 database built throughout the pandemic.

METHODS: We conducted a retrospective analysis of the National COVID Cohort Collaborative (N3C) database collected from 76 medical centers in the United States between January 2020 and August 2022. Patients were 18 years …

A Protective Role For Type I Interferon Signaling Following Infection With Mycobacterium Tuberculosis Carrying The Rifampicin Drug Resistance-Conferring Rpob Mutation H445y, Suhas Bobba, Kuldeep S. Chauhan, Sadia Akter, Shibali Das, Ekansh Mittal, Barun Mathema, Jennifer A. Philips, Shabaana A. Khader

2020-Current year OA Pubs

Interleukin-1 (IL-1) signaling is essential for controlling virulent Mycobacterium tuberculosis (Mtb) infection since antagonism of this pathway leads to exacerbated pathology and increased susceptibility. In contrast, the triggering of type I interferon (IFN) signaling is associated with the progression of tuberculosis (TB) disease and linked with negative regulation of IL-1 signaling. However, mice lacking IL-1 signaling can control Mtb infection if infected with an Mtb strain carrying the rifampin-resistance conferring mutation H445Y in its RNA polymerase β subunit (rpoB-H445Y Mtb). The mechanisms that govern protection in the absence of IL-1 signaling during rpoB-H445Y Mtb infection are unknown. In this study, …

Evaluation Of Therapeutic Protocol Outcome In Covid-19 Inpatients In Baghdad, Roaa Swayah, Saad Nashtar

Iraqi Postgraduate Medical Journal

 BACKGROUND: Severe acute respiratory syndrome coronavirus-2 (SARSCoV-2) is the causative agent of coronavirus disease 2019 (COVID-19), which was declared as a global pandemic by the World Health Organization (WHO) on 11th March 2020. SARSCoV-2 was discovered in Wuhan City, China, in December 2019. The first patient with COVID-19 was reported in Iraq on 24 February 2020. At 15 July 2022 the Iraqi Ministry of Health reported 2,334,375 confirmed cases, a number of which 25,229  patients died, and 10,813,380 vaccinations were administered.OBJECTIVE: To find out how well a treatment plan works and what associated factors are involved among a group of …

Antimicrobial Duration Stewardship Project: A Qi Approach, Joshua Saucedo, Rana El Feghaly, Amanda Nedved, Leslie Hueschen, Marsha Dannenburg, Tanis Stewart, Patty Philips, Jennifer Floyd

Presentations

A QI project aimed at increasing the percentage of children discharged home from the emergency department with a diagnosis of community acquired pneumonia (CAP) or acute bacterial rhinosinusitis (ABRS) treated with an optimal antibiotic duration (5 days or less for CAP, 7 days or less for ABRS) from 22% to 70% by July 2025. Additionally, assess for differences in care based on demographic and socioeconomic factors such as the area deprivation index. National guidelines and CMH clinical pathways recommend short antibiotic durations (5-7 days) for most infections (5 days for community acquired pneumonia, 5-7 days for acute bacterial rhinosinusitis). At …

Relative Adrenal Insufficiency Is A Risk Factor For Pediatric Sepsis: A Proof-Of-Concept Study, Dan Hao, Ling Guo, Qian Wang, Misa Ito, Bin Huang, Chieko Mineo, Philip W. Shaul, Xiang-An Li

Markey Cancer Center Faculty Publications

Glucocorticoid (GC) therapy had been strongly recommended for pediatric sepsis (grade 1A). However, the recommendation was changed to grade 2C in 2020 due to weak evidence. About 32.8% of patients with pediatric septic develop relative adrenal insufficiency (RAI). But whether GC therapy should be determined by RAI status is controversial. This study utilized 21-day- old SF1CreSRBIfl/fl mice as the first pediatric RAI mouse model to assess the pathogenesis of RAI and evaluate GC therapy. RAI mice exhibited a substantially higher mortality rate in cecal ligation and puncture and cecal slurry–induced sepsis. These mice featured persistent inflammatory responses and were effectively …

Association Of Abo, Rh-D And Kell Blood Groups With Transfusion Transmitted Infections Among Blood Donors From The Asir Region, Saudi Arabia: A Retrospective Observational Study, Ahmad A. Shaikh, Hassan M. Alqasem, Yahya A. Alshubruqi, Sultan Z. Alasmari, Mohammed H. Makkawi

Saudi Medical Journal

Objectives: To evaluate the association between transfusion-transmitted infections (TTIs) and ABO, Rh-D, and Kell blood systems among blood donors. Methods: This was a retrospective study of 10,095 donors who visited the Blood Bank at Asir Hospital, Abha, Saudi Arabia. Data including demographic information, ABO, Rh-D, and Kell blood groups, and serological and molecular test results of TTIs (the TTIs were obtained from each donor’s records). Chi-squared and Fisher’s exact tests were employed to establish possible associations between blood groups and TTIs. Results: The prevalence rate of TTIs among donors was 6.3%, with HBcAb (70%) being the most prevalent biomarker among …

Infected Pulmonary Hydatid Cyst: A Challenging Diagnosis, Fahad M. Alrashed, Dayel A. Alshahrani

Saudi Medical Journal

ABSTRACT Echinococcosis is a parasitic infection that is distributed worldwide. Its clinical presentation depends on the size and location of the cyst. A 7-year-old was found with a superimposed infected pulmonary hydatid cyst that was initially misdiagnosed as complicated pneumonia. Our case underscores the challenges of diagnosing and managing echinococcosis, emphasizes the need for a high index of suspicion, and describes the disease’s ability to mimic other clinical entities.

Diagnostic Stewardship To Improve Patient Outcomes And Healthcare-Associated Infection (Hai) Metrics., Harjot K. Singh, Kimberly C. Claeys, Sonali D. Advani, Yolanda Ballam, Jessica Penney, Kirsten M. Schutte, Christopher Baliga, Aaron M. Milstone, Mary K. Hayden, Daniel J. Morgan, Daniel J. Diekema

Manuscripts, Articles, Book Chapters and Other Papers

Diagnostic stewardship seeks to improve ordering, collection, performance, and reporting of tests. Test results play an important role in reportable HAIs. The inclusion of HAIs in public reporting and pay for performance programs has highlighted the value of diagnostic stewardship as part of infection prevention initiatives. Inappropriate testing should be discouraged, and approaches that seek to alter testing solely to impact a reportable metric should be avoided. HAI definitions should be further adapted to new testing technologies, with focus on actionable and clinically relevant test results that will improve patient care.

Predicting Antibiotic Resistance In Recreational Areas, Daniela Azevedo

Honors Capstones

No abstract provided.

Does A Reduction In Receiving Assistance With Daily Activities Among Older Adults In Mexico Indicate An Increase In Unmet Needs Or A Decrease In Needs For Care?, Brian Downer, Rafael Samper-Ternent, Philip Cantu, Matthew Miller, Rebeca Wong

Faculty, Staff and Student Publications

OBJECTIVES: The percentage of older adults in Mexico with difficulty completing activities of daily living (ADL) who receive assistance from family appears to be decreasing. We compared 2 birth cohorts of older adults in Mexico to investigate whether this trend reflects an increase in unmet caregiving needs or a decrease in the need for care.

METHODS: We selected Mexican Health and Aging Study participants aged 60-76 in 2001 (n = 4,805) and 2018 (n = 6,494). ADL tasks were dressing, walking, bathing, getting in and out of bed, and toileting. Participants who reported difficulty with an ADL were asked if …