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https://www.readbyqxmd.com/read/29128648/a-hypertension-emergency-department-intervention-aimed-at-decreasing-disparities-design-of-a-randomized-clinical-trial
#1
Heather M Prendergast, Marina Del Rios, Renee Petzel-Gimbar, Daniel Garside, Sara Heinert, Sandra Escobar-Schulz, Pavitra Kotini-Shah, Michael Brown, Jinsong Chen, Joseph Colla, Marian Fitzgibbon, Ramon A Durazo-Arvizu, Martha Daviglus
Effective interventions to identify and treat uncontrolled hypertension (HTN), particularly in underrepresented populations that use the emergency department (ED) for primary care, are critically needed. Uncontrolled HTN contributes significantly to cardiovascular morbidity and mortality and is more frequently encountered among patients presenting to the ED as compared to the primary care setting. EDs serve as the point of entry into the health care system for high-risk patient populations, including minority and low-income patients...
November 8, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29112341/the-interaction-effects-between-race-and-functional-disabilities-on-the-prevalence-of-self-reported-periodontal-diseases-national-health-and-nutrition-examination-survey-2011-2012
#2
R Suzuki
BACKGROUND: Racial minority groups and adults with functional disabilities (FDs) disproportionally experience periodontal diseases. However, little is known about the interactions of these two characteristics in disease prevalence. The purpose of this study was to examine the association between FDs and periodontal experiences, and to identify whether race has a particular influence on this relationship. METHODS: Data were derived from the National Health and Nutrition Examination Survey 2011-2012, in a representative sample of adults aged 30 years and older...
November 10, 2017: Community Dental Health
https://www.readbyqxmd.com/read/29093142/dental-student-resident-and-faculty-attitudes-toward-treating-medicaid-patients
#3
Linda S Behar-Horenstein, Xiaoying Feng
Failure to receive proper oral health care including both prevention and maintenance is influenced by myriad and complex social, economic, and dental factors, including access to care. Reducing oral health disparities requires changes in the preparation of future dentists as well as measuring and influencing the attitudes and knowledge of practicing dentists. The aim of this study was to determine the likelihood that future dentists (students and residents) and faculty members at one U.S. dental school would treat Medicaid participants...
November 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/29091958/retention-and-promotion-of-women-and-underrepresented-minority-faculty-in-science-and-engineering-at-four-large-land-grant-institutions
#4
Marcia Gumpertz, Raifu Durodoye, Emily Griffith, Alyson Wilson
RESULTS BY GENDER: In the most recent cohort, 2002-2015, the experiences of men and women differed substantially among STEM disciplines. Female assistant professors were more likely than men to leave the institution and to leave without tenure in engineering, but not in the agricultural, biological and biomedical sciences and natural resources or physical and mathematical sciences. In contrast, the median times to promotion from associate to full professor were similar for women and men in engineering and the physical and mathematical sciences, but one to two years longer for women than men in the agricultural, biological and biomedical sciences and natural resources...
2017: PloS One
https://www.readbyqxmd.com/read/29068497/leveraging-natural-capital-to-solve-the-shared-education-and-conservation-crisis
#5
Kathryn T Stevenson, M Nils Peterson, Robert R Dunn
Education and conservation have a shared crisis: neither fully serves diverse populations. Where poverty, race, and ethnicity covary, those left behind educationally are disproportionately from underrepresented groups. Global achievement gaps associated with socioeconomic and minority status have existed for decades (Morgan et al. 2016). These populations are also underrepresented in conservation professions; thus, conservation decisions often reflect the views of elites (Foster et al. 2014). Conservation and education have shared problems, and we argue they have shared solutions...
October 25, 2017: Conservation Biology: the Journal of the Society for Conservation Biology
https://www.readbyqxmd.com/read/29063662/breast-density-in-multiethnic-women-presenting-for-screening-mammography
#6
Bridget A Oppong, Chiranjeev Dash, Suzanne O'Neill, Yinan Li, Kepher Makambi, Edward Pien, Erini Makariou, Tesha Coleman, Lucile L Adams-Campbell
Data on ethnic variations in breast density are limited and often not inclusive of underrepresented minorities. As breast density is associated with elevated breast cancer risk, investigating racial and ethnic difference may elucidate the observed differences in breast cancer risk among different populations. We reviewed breast density from initial screening of women from the Capital Breast Care Center and Georgetown University Hospital from 2010 to 2014. Patient demographics including race, age at screening, education, menopausal status, and body mass index were abstracted...
October 24, 2017: Breast Journal
https://www.readbyqxmd.com/read/29054921/enhancing-diversity-in-undergraduate-science-self-efficacy-drives-performance-gains-with-active-learning
#7
Cissy J Ballen, Carl Wieman, Shima Salehi, Jeremy B Searle, Kelly R Zamudio
Efforts to retain underrepresented minority (URM) students in science, technology, engineering, and mathematics (STEM) have shown only limited success in higher education, due in part to a persistent achievement gap between students from historically underrepresented and well-represented backgrounds. To test the hypothesis that active learning disproportionately benefits URM students, we quantified the effects of traditional versus active learning on student academic performance, science self-efficacy, and sense of social belonging in a large (more than 250 students) introductory STEM course...
2017: CBE Life Sciences Education
https://www.readbyqxmd.com/read/28987244/implicit-bias-in-pediatric-academic-medicine
#8
Tiffani J Johnson, Angela M Ellison, George Dalembert, Jessica Fowler, Menaka Dhingra, Kathy Shaw, Said Ibrahim
OBJECTIVE: Despite known benefits of diversity, certain racial/ethnic groups remain underrepresented in academic pediatrics. Little research exists regarding unconscious racial attitudes among pediatric faculty responsible for decisions on workforce recruitment and retention in academia. This study sought to describe levels of unconscious racial bias and perceived barriers to minority recruitment and retention among academic pediatric faculty leaders. METHODS: Authors measured unconscious racial bias in a sample of pediatric faculty attending diversity workshops conducted at local and national meetings in 2015...
2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28963112/disparities-in-the-intensity-of-end-of-life-care-for-children-with-cancer
#9
Emily E Johnston, Elysia Alvarez, Olga Saynina, Lee Sanders, Smita Bhatia, Lisa J Chamberlain
BACKGROUND: Many adult patients with cancer who know they are dying choose less intense care; additionally, high-intensity care is associated with worse caregiver outcomes. Little is known about intensity of end-of-life care in children with cancer. METHODS: By using the California Office of Statewide Health Planning and Development administrative database, we performed a population-based analysis of patients with cancer aged 0 to 21 who died between 2000 and 2011...
October 2017: Pediatrics
https://www.readbyqxmd.com/read/28953295/how-many-graduating-family-medicine-residents-have-chosen-financial-support-for-service-commitments
#10
Julie Phillips, Lars E Peterson, Bo Fang, Iris Kovar-Gough, Robert L Phillips
BACKGROUND AND OBJECTIVES: New family physicians have opportunities to avoid accruing educational debt or have loans repaid by making a commitment to public service. Little information is available about the numbers of early career family physicians who have made service commitments to fund their education. The purpose of this study is to describe the proportion of graduating family medicine residents who have enrolled in US military and National Health Service Corps (NHSC) scholarship and loan repayment programs, thus obligating them to future public service...
September 2017: Family Medicine
https://www.readbyqxmd.com/read/28944289/video-intervention-increases-participation-of-black-breast-cancer-patients-in-therapeutic-trials
#11
Brandi N Robinson, Antoinette F Newman, Eshetu Tefera, Pia Herbolsheimer, Raquel Nunes, Christopher Gallagher, Pamela Randolph-Jackson, Adedamola Omogbehin, Asma Dilawari, Paula R Pohlmann, Mahsa Mohebtash, Young Lee, Yvonne Ottaviano, Avani Mohapatra, Filipa Lynce, Richard Brown, Mihriye Mete, Sandra M Swain
There is a striking racial and ethnic disparity in incidence and mortality of cancer yet minorities remain markedly underrepresented in clinical trials. This pilot study set out to determine the impact of a 15-min culturally tailored educational video on three outcomes relating to clinical trials: likely participation, attitudes (assessed based on six barriers), and actual enrollment. Breast cancer patients with Stage I-III, if diagnosed within previous 6 months, or metastatic disease who self-identified as black or African American were invited to participate...
2017: NPJ Breast Cancer
https://www.readbyqxmd.com/read/28943372/gender-differences-in-the-urology-residency-match-does-it-make-a-difference
#12
Carrie M Aisen, Wilson Sui, Jamie S Pak, Matthew Pagano, Kimberly L Cooper, Gina M Badalato
OBJECTIVES: To assess the differences between the male and female urology resident applicant pool. Urology is a competitive field with a selective match process. Women have historically been a minority in medicine. While this has equalized, women continue to be underrepresented in urology. METHODS: All application submitted through the Electronic Residency Application Service (ERAS) to the Columbia University Department of Urology for the 2015 and 2016 match were reviewed...
September 21, 2017: Urology
https://www.readbyqxmd.com/read/28938047/diversity-in-the-us-infectious-diseases-workforce-challenges-for-women-and-underrepresented-minorities
#13
Judith A Aberg, Joel Blankson, Jeanne Marrazzo, Adaora A Adimora
Research documents significant gender-based salary inequities among physicians and ongoing inadequacies in recruitment and promotion of physicians from underrepresented minority groups. Given the complexity of the social forces that promote these disparities, their elimination will likely require quantitative and qualitative research to understand the pathways that lead to them and to develop effective solutions. Interventions to combat implicit bias will be required, and structural interventions that hold medical school leadership accountable are needed to achieve and maintain salary equity and racial and gender diversity at all levels...
September 15, 2017: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/28930761/factors-associated-with-medical-school-graduates-intention-to-work-with-underserved-populations-policy-implications-for-advancing-workforce-diversity
#14
Andrea N Garcia, Tony Kuo, Lisa Arangua, Eliseo J Pérez-Stable
PURPOSE: Given projected U.S. physician shortages across all specialties that will likely impact underserved areas disproportionately, the authors sought to explore factors most correlated with medical school graduates' intention to work with underserved populations (IWUP). METHOD: Data from the 2010-2012 Association of American Medical Colleges Medical School Graduation Questionnaire (n = 40,846) were analyzed. Variables (demographics, career preference, debt burden, intention to enter loan forgiveness programs) were examined using chi-square tests and logistic regression models...
September 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28924727/the-fermi-paradox-in-stem-where-are-the-women-leaders
#15
Heike E Daldrup-Link
This commentary summarizes insights and discussions about the status of women leaders in STEM (science, technology, engineering, and medicine). While many academic institutions now train close to 50 % female students in STEM disciplines, there is a major underrepresentation of qualified women in leadership roles. Women are admitted to the basements of STEM institutions, but only few make it to the top floor. We see male superstars receiving well-deserved recognitions and advancements. Unfortunately, their female counterparts are often held back or cut down by both male and female colleagues...
September 18, 2017: Molecular Imaging and Biology: MIB: the Official Publication of the Academy of Molecular Imaging
https://www.readbyqxmd.com/read/28922842/on-faculty-development-of-stem-inclusive-teaching-practices
#16
Bryan M Dewsbury
Faculty development of inclusive teaching practices has become more common in response to significant differences in STEM student retention between underrepresented minorities in the USA and students from other ethnic groups. Approaches to solve this have shifted from focusing on student deficits to changing campus culture, including the mindsets of instructors who teach STEM courses. In this article, I argue that based on the literature informing the conceptual frameworks used for faculty development in inclusive teaching, faculty developers should reframe the message of their workshops to focus participants more on the scope of the journey, and shift the direction of overall efforts some to redevelop pedagogical training at the graduate and postdoc levels...
October 2, 2017: FEMS Microbiology Letters
https://www.readbyqxmd.com/read/28919649/expanding-stem-opportunities-through-inclusive-stem-focused-high-schools
#17
Barbara Means, Haiwen Wang, Xin Wei, Sharon Lynch, Vanessa Peters, Viki Young, Carrie Allen
Inclusive STEM high schools (ISHSs) (where STEM is science, technology, engineering, and mathematics) admit students on the basis of interest rather than competitive examination. This study examines the central assumption behind these schools-that they provide students from subgroups underrepresented in STEM with experiences that equip them academically and attitudinally to enter and stay in the STEM pipeline. Hierarchical modeling was applied to data from student surveys and state longitudinal data records for 5113 students graduating from 39 ISHSs and 22 comprehensive high schools in North Carolina and Texas...
September 2017: Science Education
https://www.readbyqxmd.com/read/28914405/managing-asthma-in-low-income-underrepresented-minority-and-other-disadvantaged-pediatric-populations-closing-the-gap
#18
REVIEW
Margee Louisias, Wanda Phipatanakul
PURPOSE OF REVIEW: In this article, we review current understanding of the epidemiology and etiology of disparities in asthma. We also highlight current and emerging literature on solutions to tackle disparities while underscoring gaps and pressing future directions. RECENT FINDINGS: Tailored, multicomponent approaches including the home, school, and clinician-based interventions show great promise. Managing asthma in disadvantaged populations can be challenging as they tend to have disproportionately worse outcomes due to a multitude of factors...
September 15, 2017: Current Allergy and Asthma Reports
https://www.readbyqxmd.com/read/28890573/institutional-and-ethnic-variations-in-postgraduate-enrollment-and-completion
#19
Marta Tienda, Linda Zhao
Using the B&B:93/03 longitudinal cohort survey, we investigate (1) whether and how much variations in the timing of enrollment, the type of undergraduate institution attended, and type of graduate program pursued contribute to observed racial and ethnic differentials in post-baccalaureate enrollment, and (2) whether the observed enrollment differentials carry over to degree attainment. Dynamic event history methods that account both for the timing of matriculation and the hazard of enrolling reveal that compared to whites underrepresented minorities enroll earlier and also are more likely to enroll in doctoral and advanced professional degree programs relative to nonenrollment...
2017: Journal of Higher Education
https://www.readbyqxmd.com/read/28866843/a-culturally-sensitive-approach-to-large-scale-prevention-studies-a-case-study-of-a-randomized-controlled-trial-with-low-income-latino-communities
#20
REVIEW
David E Rangel, Carmen R Valdez
In response to U.S. federal mandates to increase the presence of underrepresented populations in prevention research, investigators have increasingly focused on using culturally sensitive research practices. However, scholars have rarely discussed these practices in terms of a larger culturally sensitive framework. Further, while the literature has explored how culturally sensitive approaches can be employed in a variety of methods, there has been little examination of how to incorporate such approaches into experimental designs...
December 2017: Journal of Primary Prevention
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