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https://www.readbyqxmd.com/read/28222084/african-american-women-s-recollected-experiences-of-adherence-to-breast-cancer-treatment
#1
Sue P Heiney, DeAnne K Hilfinger Messias, Tisha M Felder, Kenneth W Phelps, Jada C Quinn
PURPOSE/OBJECTIVES: To explore African American women's recollected experiences of breast cancer treatment.
. RESEARCH APPROACH: Qualitative description and narrative analysis.
. SETTING: South Carolina Oncology Associates, an outpatient oncology clinic serving rural and urban populations.
. PARTICIPANTS: 16 African American women with breast cancer previously enrolled in the control arm (n = 93) of a completed randomized, controlled trial...
March 1, 2017: Oncology Nursing Forum
https://www.readbyqxmd.com/read/28218584/occupational-engagement-in-low-income-latina-breast-cancer-survivors
#2
Alix G Sleight
OBJECTIVE: This qualitative study examined the experience of occupational engagement in low-income Latina breast cancer survivors and suggests the potential for occupational therapy practitioners to improve health outcomes in this vulnerable and underserved population. METHOD: Semistructured interviews were conducted with 9 participants. Inductive analysis was used to code for themes and patterns related to occupational engagement and quality of life (QOL). RESULTS: Lack of occupational engagement negatively affected QOL, but participation in occupations such as religious activity and caregiving promoted well-being...
March 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/28218582/primary-care-for-underserved-populations-navigating-policy-to-incorporate-occupational-therapy-into-federally-qualified-health-centers
#3
Aileen D Murphy, Vanessa M Griffith, Tracy M Mroz, Tracy L Jirikowic
Federally qualified health centers (FQHCs) provide low- or no-cost primary care to medically underserved populations such as homeless or low-income people, migrant workers, and members of marginalized cultural groups. Occupational therapy services have the potential to help improve the health and functioning of FQHC patients. Using a FQHC serving American Indian/Alaska Native populations as a case example, we describe how occupational therapy is well suited to help meet the needs of medically underserved populations...
March 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/28214391/correlates-of-willingness-to-initiate-pre-exposure-prophylaxis-and-anticipation-of-practicing-safer-drug-and-sex-related-behaviors-among-high-risk-drug-users-on-methadone-treatment
#4
Roman Shrestha, Pramila Karki, Frederick L Altice, Tania B Huedo-Medina, Jaimie P Meyer, Lynn Madden, Michael Copenhaver
BACKGROUND: Although people who use drugs (PWUD) are key populations recommended to receive pre-exposure prophylaxis (PrEP) to prevent HIV, few data are available to guide PrEP delivery in this underserved group. We therefore examined the willingness to initiate PrEP and the anticipation of HIV risk reduction while on PrEP among high-risk PWUD. METHODS: In a cross-sectional study of 400 HIV-negative, opioid dependent persons enrolled in a methadone program and reporting recent risk behaviors, we examined independent correlates of being willing to initiate PrEP...
February 2, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28213910/the-virtual-dental-home-a-critique
#5
Jay W Friedman, David A Nash, Kavita R Mathu-Muju
The Virtual Dental Home is a concept of the Pacific Center for Special Care of the Arthur A. Dugoni School of Dentistry in San Francisco. It is designed to improve access to dental care for underserved populations, specifically children and institutionalized adults. This article describes the development and implementation of the Virtual Dental Home, subsequently critiquing the concept. The criteria for a dental home are not met by the program. It is the equivalent of a traditional public oral health prevention and screening program, with the additional dimension of allowing dental hygienists and assistants to place interim glass ionomer restorations in dental cavities...
February 18, 2017: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/28212969/lessons-learned-when-introducing-pharmacogenomic-panel-testing-into-clinical-practice
#6
Marc B Rosenman, Brian Decker, Kenneth D Levy, Ann M Holmes, Victoria M Pratt, Michael T Eadon
OBJECTIVES: Implementing new programs to support precision medicine in clinical settings is a complex endeavor. We describe challenges and potential solutions based on the Indiana GENomics Implementation: an Opportunity for the Underserved (INGenious) program at Eskenazi Health-one of six sites supported by the Implementing GeNomics In pracTicE network grant of the National Institutes of Health/National Human Genome Research Institute. INGenious is an implementation of a panel of genomic tests...
January 2017: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/28196828/systematic-review-of-the-effectiveness-barriers-and-facilitators-to-general-practitioner-engagement-with-specialist-secondary-services-in-integrated-palliative-care
#7
REVIEW
Sue-Ann Carmont, Geoffrey Mitchell, Hugh Senior, Michele Foster
: The general practitioner (GP) has a critical role in an integrated model of palliative care as they often know the patient and carer well, are experts in generalist care and have knowledge of health and social services in the community. Specialist palliative services have insufficient capacity to meet demand and those with non-cancer terminal conditions and those from rural and remote areas are underserved. Research has focused on improving access to palliative care by engaging the GP with specialist secondary services in integrated palliative care...
February 14, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28193465/application-of-human-augmentics-a-persuasive-asthma-inhaler
#8
Brent Grossman, Steve Conner, Giselle Mosnaim, Joshua Albers, Jason Leigh, Steve Jones, Robert Kenyon
This article describes a tailored health intervention delivered on a mobile phone platform, integrating low-literacy design strategies and basic principles of behavior change, to promote increased adherence and asthma control among underserved minority adolescents. We based the intervention and design principles on theories of Human Augmentics and the Elaboration Likelihood Model. We tested the efficacy of using electronic monitoring devices that incorporate informative and persuasive elements to improve adherence to a prescribed daily medication regimen intended to reduce use of asthma rescue medications...
February 10, 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/28193321/acute-rehabilitation-after-trauma-does-it-really-matter
#9
Deepika Nehra, Zeynep A Nixon, Claudia Lengenfelder, Eileen M Bulger, Joseph Cuschieri, Ronald V Maier, Saman Arbabi
BACKGROUND: The impact of post-discharge rehabilitation care for the trauma patient remains poorly investigated. Here we describe the functional outcomes of trauma patients discharged to an inpatient rehabilitation facility (IRF), and compare the likelihood of discharge home, 1-year rehospitalization, and 1-year mortality between patients discharged to an IRF and a propensity score-matched cohort of patients not discharged to an IRF. STUDY DESIGN: The Washington State Rehabilitation Registry was used to collect data for all trauma patients discharged to an IRF between 2011 and 2012...
December 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28188201/a-day-of-immersive-physiology-experiments-increases-knowledge-and-excitement-towards-physiology-and-scientific-careers-in-native-american-students
#10
Bryan K Becker, Alicia M Schiller, Irving H Zucker, Eric A Eager, Liliana P Bronner, Maurice Godfrey
Underserved minority groups are disproportionately absent from the pursuit of careers in science, technology, engineering, and mathematics (STEM) fields. One such underserved population, Native Americans, are particularly underrepresented in STEM fields. Although recent advocacy and outreach designed toward increasing minority involvement in health care-related occupations have been mostly successful, little is known about the efficacy of outreach programs in increasing minority enthusiasm toward careers in traditional scientific professions...
March 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/28181290/community-based-flu-outreach-clinics-in-south-los-angeles-client-satisfaction-and-experiences
#11
Zahra Mobasher, Lisa V Smith, Ashley Stegall, Deanna Bressler-Montgomery, Daniela Dominguez, Jan King, Douglas Frye, Jennifer Piron, Leila Family, Tony Kuo
OBJECTIVE: This study sought to better understand and improve influenza vaccination in low-income populations regardless of their health insurance/immigration status. It assessed client satisfaction and experiences with services provided at community-based "flu outreach" clinics in South Los Angeles. The clinics represent a community-public agency partnership-a model of vaccine delivery that was relatively novel to the region. DESIGN AND SAMPLE: During 2011-2012, a self-administered questionnaire was distributed to clients of the local health department's 39 flu outreach clinics in South Los Angeles...
February 9, 2017: Public Health Nursing
https://www.readbyqxmd.com/read/28167589/trypanosoma-cruzi-agent-of-chagas-disease-in-sympatric-human-and-dog-populations-in-colonias-of-the-lower-rio-grande-valley-of-texas
#12
Rachel Curtis-Robles, Italo B Zecca, Valery Roman-Cruz, Ester S Carbajal, Lisa D Auckland, Isidore Flores, Ann V Millard, Sarah A Hamer
The zoonotic, vector-borne parasite Trypanosoma cruzi causes Chagas disease throughout the Americas, but human and veterinary health burdens in the United States are unknown. We conducted a cross-sectional prevalence study in indigent, medically underserved human and cohabiting canine populations of seven south Texas border communities, known as colonias. Defining positivity as those samples that were positive on two or more independent tests, we found 1.3% seroprevalence in 233 humans, including one child born in the United States with only short-duration travel to Mexico...
February 6, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28166575/impact-of-potential-accreditation-and-certification-in-family-medicine-maternity-care
#13
Aimee R Eden, Lars E Peterson
BACKGROUND AND OBJECTIVES: Advanced maternity care training in family medicine is highly variable at both the residency and fellowship levels. Declining numbers of family physicians providing maternity care services may exacerbate disparities in access to maternal and child care, especially in rural and other underserved communities. Accreditation of maternity care fellowships and board certification may be one potential avenue to address this trend. This study sought to understand the perceptions and beliefs of key family medicine stakeholders in advanced maternity care regarding the formalization of maternity care training through fellowship accreditation and the creation of a certificate of added qualification (CAQ)...
January 2017: Family Medicine
https://www.readbyqxmd.com/read/28165368/reducing-low-birth-weight-among-african-americans-in-the-midwest-a-look-at-how-faith-based-organizations-are-poised-to-inform-and-influence-health-communication-on-the-developmental-origins-of-health-and-disease-dohad
#14
Crystal Y Lumpkins, Jarron M Saint Onge
Low birth weight (LBW) rates remain the highest among African Americans despite public health efforts to address these disparities; with some of the highest racial disparities in the Midwest (Kansas). The Developmental Origins of Health and Disease (DOHaD) perspective offers an explanation for how LBW contributes to racial health disparities among African Americans and informs a community directed health communication framework for creating sustainable programs to address these disparities. Trusted community organizations such as faith-based organizations are well situated to explain health communication gaps that may occur over the life course...
February 4, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/28164827/occupational-health-and-sleep-issues-in-underserved-populations
#15
REVIEW
Medhat Kalliny, Judith Green McKenzie
Sleep disorders and occupational hazards, injuries, and illnesses impact an individual's overall health. In the United States, substantial racial, ethnic, and socioeconomic disparities exist in sleep and occupational health. Primary care physicians working in underserved communities should be aware of this disparity and target these higher-risk populations for focused evaluation and intervention.
March 2017: Primary Care
https://www.readbyqxmd.com/read/28164826/cardiovascular-health-disparities-in-underserved-populations
#16
REVIEW
Charles P Mouton, Michael Hayden, Janet H Southerland
African Americans are at increased risk for hypertension, hyperlipidemia, obesity, and diabetes, which contribute to the burden of cardiovascular disease (CVD). The disparities of CVD in underserved populations require targeted attention from primary care clinicians to eliminate. Primary care can provide this targeted care for their patients by assessing cardiovascular risk, addressing blood pressure control, and selecting appropriate intervention strategies. Using community resources is also effective for addressing CVD disparities in the underserved population...
March 2017: Primary Care
https://www.readbyqxmd.com/read/28164823/psychological-issues-in-medically-underserved-patients
#17
REVIEW
Mathew Devine, Lauren DeCaporale-Ryan, Magdalene Lim, Juliana Berenyi
The US population has a subset of those that are underserved who are in need of primary care and also suffer from mental health disorders. In this article, categories of underserved populations are described. Each section defines the population being presented, identifies the mental health problems each is likely to encounter, explores the barriers that prevent access to care, and identifies potential methods to minimize such barriers. The ways in which psychiatric issues vary in underserved settings compared with the general population are differentiated...
March 2017: Primary Care
https://www.readbyqxmd.com/read/28164822/cancer-in-the-medically-underserved-population
#18
REVIEW
Oluwadamilola O Olaku, Emmanuel A Taylor
Cancer is characterized by uncontrolled growth and spread of abnormal cells. It is the second most common cause of death in the United States, and a significant proportion can be prevented. Underrepresented and underserved populations are less likely to receive routine medical procedures and experience a lower quality of health services. Despite the increase in cancer screening, there are disparities in the incidence and mortality of various cancers. These disparities are not fully explained by the correlations between minority race and lower socioeconomic status or minority race and insurance status...
March 2017: Primary Care
https://www.readbyqxmd.com/read/28164821/infectious-disease-issues-in-underserved-populations
#19
REVIEW
Samuel Neil Grief, John Paul Miller
Infectious disease has a major impact on the health outcomes of underserved populations and is reported at significantly higher rates among these populations compared with the general population. Overcoming barriers and obstacles to health care access is key to addressing the disparity regarding the prevalence of infectious disease. Enhancing cultural competency and educating practitioners about underserved populations' basic health needs; optimizing health insurance for the underserved; increasing community resources; and improving access to comprehensive, continuous, compassionate, and coordinated health care are strategies for diminishing the burden of infectious disease in underserved populations...
March 2017: Primary Care
https://www.readbyqxmd.com/read/28164819/women-s-select-health-issues-in-underserved-populations
#20
REVIEW
Luz M Fernandez, Jonathan A Becker
The purpose of this article is to review women's health issues that affect underserved populations. Certain groups have a lack of health care resources or inability to access resources. Individuals encounter barriers to accessing health care due to socioeconomic status, transportation, intimate partner issues, and distrust of the health care system. These factors lead to health care disparities and a lack of appropriate care or quality care as it pertains to breast cancer screening, cervical cancer screening, and obtaining contraceptive care...
March 2017: Primary Care
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