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Jennifer Hamm, Lee Hilliard, Thomas Howard, Jeffrey Lebensburger
Traveling to and from university-based clinics is a major health care barrier for children with sickle cell disease in Alabama. To reduce this barrier, the University of Alabama at Birmingham (UAB) developed satellite clinics. This study seeks to determine if these satellite clinics provide a similar level of comprehensive care when compared with the university-based clinic using four surrogate markers: 1) attendance rates, 2) percentage of patients on hydroxyurea, 3) percentage of screening MRIs obtained, and 4) percentage of transcranial dopplers (TCD) completed...
2016: Journal of Health Care for the Poor and Underserved
Kyle T Aune, Joseph M Powers
BACKGROUND: Extreme conditioning programs (ECPs) are fitness training regimens relying on aerobic, plyometric, and resistance training exercises, often with high levels of intensity for a short duration of time. These programs have grown rapidly in popularity in recent years, but science describing the safety profile of these programs is lacking. HYPOTHESIS: The rate of injury in the extreme conditioning program is greater than the injury rate of weightlifting and the majority of injuries occur to the shoulder and back...
October 19, 2016: Sports Health
Jason Reich, Ling Guo, Julia Hall, Ashley Tran, Janice Weinberg, Jacob Groshek, Tanya E Rowell, Jack A DiPalma, Francis A Farraye
BACKGROUND: With the recent increase in the use of social media, patients with chronic illnesses are using the Internet as a resource for disease management. As the peak incidence of inflammatory bowel disease (IBD) occurs in patients between the ages of 15 and 30, IBD is a suitable condition to study social media use. The aim of this study was to assess social media usage and preferences in patients with IBD. METHODS: We administered a survey to 118 patients with IBD at our outpatient practice at the Boston Medical Center (BMC), Center for Digestive Disorders, and the University of Southern Alabama (USA) between November 1, 2015, and March 9, 2016...
November 2016: Inflammatory Bowel Diseases
Suzanne Oparil, David A Calhoun, Lama Ghazi, Tanja Dudenbostel
OBJECTIVE: Obesity is associated with a high risk of hypertension and is characterized by hyperaldosteronism and hypercortisolism. We have previously reported that patients with resistant hypertension (RHTN), defined as blood pressure (BP) that remains above goal in spite of the concurrent use of 3 antihypertensive agents of different classes, have a high prevalence of hyperaldosteronism that is positively correlated with body mass index (BMI). Experimental studies indicate that adipocytes secrete a as yet undetermined factor that stimulates aldosterone and cortisol release...
September 2016: Journal of Hypertension
John W Hafner, Stephanie J Kok, Huaping Wang, Dale L Wren, Mary E Aitken, Beverly K Miller, Byron L Anderson, Kathy W Monroe
OBJECTIVES: Motor vehicle crashes are the leading cause of childhood fatality, making use of properly installed child passenger restraint system (CRS) a public health priority. Motor vehicle crashes in rural environments are associated with increased injuries and fatalities, and overall CRS use tends to be lower compared with urban populations. However, it remains unclear if proper installation of car seats is lower in a rural population compared with a similar matched urban population...
October 8, 2016: Pediatric Emergency Care
Brian E Bunnell, Tatiana M Davidson, Daniel Dewey, Matthew Price, Kenneth J Ruggiero
: Background/Introduction: Access to mental healthcare among rural residents is a national concern because unique barriers (e.g., fewer providers, distance to services) create significant challenges for the 60 million Americans who live in these settings. There is now a large body of literature demonstrating the efficacy of a wide range of Internet-based interventions. However, little is known about the extent to which individuals in rural settings will use these approaches and find them acceptable...
October 18, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Helen K White, Chloe H Wang, Patrick L Williams, David M Findley, Alana M Thurston, Rachel L Simister, Christoph Aeppli, Robert K Nelson, Christopher M Reddy
To investigate the long-term weathering of oil from the Deepwater Horizon (DWH) incident, oil-soaked sand patties were collected from Gulf of Mexico beaches from Florida to Alabama over a three-year period from 2012 to 2014. Analysis of oil residues by gas chromatography with flame ionization detection (GC-FID), thin-layer chromatography with flame ionization detection (TLC-FID), and Fourier transform infrared spectroscopy (FT-IR) indicated uniformity in their chemical composition. Some variability within and between samples was observed, arising from differences in exposure to light and water, which increase the amount of weathering...
October 14, 2016: Marine Pollution Bulletin
Courtenay Sprague, Michael L Scanlon, Bharathi Radhakrishnan, David W Pantalone
Incarcerated women face significant barriers to achieve continuous HIV care. We employed a descriptive, exploratory design using qualitative methods and the theoretical construct of agency to investigate participants' self-reported experiences accessing HIV services in jail, in prison, and post-release in two Alabama cities. During January 2014, we conducted in-depth interviews with 25 formerly incarcerated HIV-positive women. Two researchers completed independent coding, producing preliminary codes from transcripts using content analysis...
October 14, 2016: Qualitative Health Research
Praful Schroff, Jason Hitchcock, Christopher Schumann, J Michael Wells, Mark T Dransfield, Surya P Bhatt
Rationale Current practice guidelines recommend pulmonary rehabilitation as an adjunct to standard pharmacologic therapy for individuals with moderate to severe chronic obstructive pulmonary disease (COPD). Whether pulmonary rehabilitation benefits all subjects with COPD independent of baseline disease burden is not known. Objective To test whether pulmonary rehabilitation benefits patients with COPD independent of baseline exercise capacity, dyspnea and lung function. Methods Data from a prospectively maintained database of participants with COPD enrolled in pulmonary rehabilitation at the University of Alabama at Birmingham from 1996 to 2013 was retrospectively analyzed...
October 14, 2016: Annals of the American Thoracic Society
Andrew P Jaciw
BACKGROUND: Past studies have examined factors associated with reductions in bias in comparison group studies (CGSs). The companion work to this article extends the framework to investigate the accuracy of generalized inferences from CGS. OBJECTIVES: This article empirically examines levels of bias in CGS-based impact estimates when used for generalization, and reductions in bias resulting from covariate adjustment. It assesses potential for bias reduction against criteria from past studies...
October 12, 2016: Evaluation Review
Theresa N Ramos, Anastasia A Arynchyna, Tessa E Blackburn, Scott R Barnum, James M Johnston
BACKGROUND: Children treated with cerebrospinal fluid (CSF) shunts to manage hydrocephalus frequently develop shunt failure and/or infections, conditions that present with overlapping symptoms. The potential life-threatening nature of shunt infections requires rapid diagnosis; however, traditional microbiology is time consuming, expensive, and potentially unreliable. We set out to identify a biomarker that would identify shunt infection. METHODS: CSF was assayed for the soluble membrane attack complex (sMAC) by ELISA in patients with suspected shunt failure or infection...
July 7, 2016: JCI Insight
Matthew Allen Richardson, Daniel Elliott Rousso, William H Replogle
Importance: To our knowledge, long-term, objective results of lip augmentation using superficial musculoaponeurotic system (SMAS) tissue transfer beyond 1 year have not been previously described. Objective: To evaluate the efficacy, longevity, and safety of lip augmentation using SMAS tissue transfer. Design, Setting, and Participants: A retrospective single-blind cohort study was designed to evaluate all patients who underwent surgical lip augmentation using SMAS following rhytidectomy between January 1, 2000, and November, 16, 2015, at a private facial plastic surgery practice in Birmingham, Alabama...
September 29, 2016: JAMA Facial Plastic Surgery
Bradford E Jackson, Gabriela R Oates, Karan P Singh, James M Shikany, Mona N Fouad, Edward E Partridge, Sejong Bae
OBJECTIVE: This study examined differences in socio-demographic characteristics and health behaviors relevant to chronic medical conditions (CMCs) in the Mid-South region (Alabama, Mississippi, Louisiana, Kentucky, Tennessee, and Arkansas), and identified subpopulations with increased burden of chronic disease. METHODS: Data were obtained from the 2013 Behavioral Risk Factor Surveillance System. The top five most prevalent CMCs in the Mid-South were analyzed: asthma, high blood pressure (HBP), obesity, arthritis, and depression...
September 29, 2016: Ethnicity & Health
Brian R Silliman, Philip M Dixon, Cameron Wobus, Qiang He, Pedro Daleo, Brent B Hughes, Matthew Rissing, Jonathan M Willis, Mark W Hester
Ecosystem boundary retreat due to human-induced pressure is a generally observed phenomenon. However, studies that document thresholds beyond which internal resistance mechanisms are overwhelmed are uncommon. Following the Deepwater Horizon (DWH) oil spill, field studies from a few sites suggested that oiling of salt marshes could lead to a biogeomorphic feedback where plant death resulted in increased marsh erosion. We tested for spatial generality of and thresholds in this effect across 103 salt marsh sites spanning ~430 kilometers of shoreline in coastal Louisiana, Alabama, and Mississippi, using data collected as part of the natural resource damage assessment (NRDA)...
September 28, 2016: Scientific Reports
K L Sheehan, K C Hanson-Dorr, B S Dorr, G K Yarrow, R J Johnson
Here the intestinal helminth infracommunities of 218 double-crested cormorants (Phalacrocorax auritus) from 11 locations in Alabama, Minnesota, Mississippi and Vermont are documented. Trematode infections were present in 98% of hosts; 65% of cormorants carried cestode infections, 4% were infected with acanthocephalans and 66% had nematode intestinal parasites. Parasite infracommunities of hosts collected on wintering grounds had higher richness and diversity than did birds collected on breeding grounds. Differences in parasite richness and diversity between male and female P...
September 28, 2016: Journal of Helminthology
Mark W Swanson, Katherine K Weise, Laura E Dreer, James Johnston, Richard D Davis, Drew Ferguson, Matthew Heath Hale, Sara J Gould, Jennifer B Christy, Claudio Busettini, Sarah D Lee, Erin Swanson
PURPOSE: Academic difficulty is reported in children with prolonged post-concussive symptoms. Despite growing evidence that vestibular-ocular and vision-specific dysfunction are common in children after concussion, vision is rarely mentioned in return-to-learn protocols. The purpose of this project was to evaluate a cohort of children with prolonged post-concussive symptoms to determine if vision symptoms are associated with those reporting academic difficulty. METHODS: Data were obtained from the Children's of Alabama Concussion Clinic REDCap dataset from the period January 2007 to October 2013...
September 23, 2016: Optometry and Vision Science: Official Publication of the American Academy of Optometry
Pasquale E Rummo, David K Guilkey, James M Shikany, Jared P Reis, Penny Gordon-Larsen
BACKGROUND: Little is known about how diet-related and activity-related amenities relate to residential location behaviour. Understanding these relationships is essential for addressing residential self-selection bias. METHODS: Using 25 years (6 examinations) of data from the Coronary Artery Risk Development in Young Adults (CARDIA) study (n=11 013 observations) and linked neighbourhood-level data from the 4 CARDIA baseline cities (Birmingham, Alabama; Chicago, Illinois; Minneapolis, Minnesota; Oakland, California, USA), we characterised participants' neighbourhoods as having low, average or high road connectivity and amenities using non-hierarchical cluster analysis...
September 22, 2016: Journal of Epidemiology and Community Health
C Caleb Butts, Kelly Bose, M Amin Frotan, Juvonda Hodge, Salil Gulati
INTRODUCTION: One of the primary intraoperative challenges during burn surgery is to adequately excise the burn while avoiding massive hemorrhage. This has become increasingly important, as we see more burn patients that are older and with more medical comorbidities. While adequate excision down to healthy tissues for deep burns is essential for skin graft to take, it also leads to active bleeding that can be a challenge to control. Good hemostasis is imperative as a hematoma is the most common cause of graft loss...
September 19, 2016: Burns: Journal of the International Society for Burn Injuries
Alexandra Walsh, Joseph Chewning, Xuelin Li, Chen Dai, Kimberly Whelan, Avi Madan-Swain, John Waterbor, Monica L Baskin, Frederick D Goldman
BACKGROUND: While significant improvements have been made for children with acute lymphoblastic leukemia (ALL) in the United States over the past 20 years, black patients continue to have inferior outcomes. The full impact of socioeconomic variables on outcomes in this minority population is not entirely understood. PROCEDURE: Disease characteristics, demographic, and socioeconomic status (SES) variables were collected on black (n = 44) and white (n = 178) patients diagnosed at the University of Alabama at Birmingham...
September 21, 2016: Pediatric Blood & Cancer
Hoehun Ha, Peter A Rogerson, James R Olson, Daikwon Han, Ling Bian, Wanyun Shao
Heavy industrialization has resulted in the contamination of soil by metals from anthropogenic sources in Anniston, Alabama. This situation calls for increased public awareness of the soil contamination issue and better knowledge of the main factors contributing to the potential sources contaminating residential soil. The purpose of this spatial epidemiology research is to describe the effects of physical factors on the concentration of lead (Pb) in soil in Anniston AL, and to determine the socioeconomic and demographic characteristics of those residing in areas with higher soil contamination...
2016: International Journal of Environmental Research and Public Health
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