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https://www.readbyqxmd.com/read/29150748/an-evaluation-of-a-rural-community-based-breast-education-and-navigation-program-highlights-and-lessons-learned
#1
Essie Torres, Alice R Richman, Ann M Schreier, Nasreen Vohra, Kathryn Verbanac
Cancer has become the leading cause of death in North Carolina (NC) (North Carolina DHHS, State Center for Health Statistics 2015) and the eastern region of North Carolina (ENC) has experienced greater cancer mortality than the remainder of the state. The Pitt County Breast Wellness Initiative-Education (PCBWI-E) provides culturally tailored breast cancer education and navigation to screening services for uninsured/underinsured women in Pitt and Edgecombe Counties in ENC. PCBWI-E created a network of 23 lay breast health educators, and has educated 735 women on breast health and breast cancer screening guidelines...
November 17, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29150151/evaluating-short-and-long-term-impacts-of-a-medicaid-lock-in-program-on-opioid-and-benzodiazepine-prescriptions-dispensed-to-beneficiaries
#2
Rebecca B Naumann, Stephen W Marshall, Jennifer L Lund, Nisha C Gottfredson, Christopher L Ringwalt, Asheley C Skinner
BACKGROUND: Insurance-based "lock-in" programs (LIPs) have become a popular strategy to address controlled substance (CS) (e.g., opioid) misuse. However, little is known about their impacts. We examined changes in CS dispensing to beneficiaries in the 12-month North Carolina Medicaid LIP. METHODS: We analyzed Medicaid claims linked to Prescription Drug Monitoring Program (PDMP) records for beneficiaries enrolled in the LIP between October 2010 and September 2012 (n=2702)...
November 6, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29148733/fluorescence-and-quenching-assessment-eem-parafac-of-de-facto-potable-reuse-in-the-neuse-river-north-carolina-united-states
#3
Martha J M Wells, Gene A Mullins, Katherine Y Bell, Allegra K Da Silva, Eileen M Navarrete
The Neuse River, North Carolina, U.S., exemplifies a typical de facto potable reuse scenario, where drinking water sources are located downstream of treated wastewater effluent discharges. The study results imply that planned potable water reuse, whether in an indirect or direct potable reuse scenario, might provide better control over water quality than the status quo conditions. Using fluorescence excitation-emission matrix (EEM) measurements, anthropogenic influence of a wastewater treatment plant (WWTP) discharge was observed in samples near the location of drinking water treatment plant (WTP) intakes, eight or more miles downstream of the WWTP, implying that anthropogenic compounds were not fully removed or degraded by natural processes in this reach of the river...
November 17, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/29148346/increasing-the-use-of-comparative-quality-information-in-maternity-care-results-from-a-randomized-controlled-trial
#4
Maureen Maurer, Kristin L Carman, Manshu Yang, Kirsten Firminger, Judith Hibbard
This randomized controlled trial tested an intervention to increase uptake of hospital-level maternity care quality reports among 245 pregnant women in North Carolina (123 treatment; 122 control). The intervention included three enhancements to the quality report offered to the control: (a) biweekly text messages or e-mails directing women to the website, (b) videos and materials describing the relevance of quality measures to pregnant women's interests, and (c) tools to support discussions with clinicians...
May 1, 2017: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/29136183/glyphosate-use-and-cancer-incidence-in-the-agricultural-health-study
#5
Gabriella Andreotti, Stella Koutros, Jonathan N Hofmann, Dale P Sandler, Jay H Lubin, Charles F Lynch, Catherine C Lerro, Anneclaire J De Roos, Christine G Parks, Michael C Alavanja, Debra T Silverman, Laura E Beane Freeman
Background: Glyphosate is the most commonly used herbicide worldwide, with both residential and agricultural uses. In 2015, the International Agency for Research on Cancer classified glyphosate as "probably carcinogenic to humans," noting strong mechanistic evidence and positive associations for non-Hodgkin lymphoma (NHL) in some epidemiologic studies. A previous evaluation in the Agricultural Health Study (AHS) with follow-up through 2001 found no statistically significant associations with glyphosate use and cancer at any site...
November 9, 2017: Journal of the National Cancer Institute
https://www.readbyqxmd.com/read/29133365/pre-diagnostic-smoking-is-associated-with-binary-and-quantitative-measures-of-er-protein-and-esr1-mrna-expression-in-breast-tumors
#6
Eboneé N Butler, Jeannette T Bensen, Mengjie Chen, Kathleen Conway, David B Richardson, Xuezheng Sun, Joseph Geradts, Andrew F Olshan, Melissa A Troester
Introduction Smoking is a possible risk factor for breast cancer and has been linked to increased risk of estrogen-receptor positive (ER+) disease in some epidemiologic studies. It is unknown whether smoking has quantitative effects on ER expression. Methods We examined relationships between smoking and ER expression from tumors of 1,888 women diagnosed with invasive breast cancer from a population-based study in North Carolina. ER expression was characterized using binary (+/-) and continuous measures for ER protein, ESR1 mRNA, and a multigene luminal score (LS) that serves as a measure of estrogen signaling in breast tumors...
November 13, 2017: Cancer Epidemiology, Biomarkers & Prevention
https://www.readbyqxmd.com/read/29128988/employing-community-voices-informing-practice-and-programming-through-camden-healthy-start-focus-groups
#7
Dianne R Browne, Sherolde Hackett, Allison Burger
Objectives Women living in communities with low-socioeconomic status, substandard healthcare, and ongoing exposure to social disparities encounter barriers to healthcare, often making it difficult to access health services. Barriers may stem from provider interactions with clients, conditions of the healthcare facility, or even language barriers. This prompts a call for providers to be keenly aware of the obstacles women encounter when attempting to access services. Methods In an effort to facilitate better access to services, Camden Healthy Start conducted six focus groups...
November 11, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29125899/demographic-and-clinical-factors-associated-with-non-surgical-osteoarthritis-treatment-use-among-patients-in-outpatient-clinics
#8
Lauren M Abbate, Amy S Jeffreys, Cynthia J Coffman, Todd A Schwartz, Liubov Arbeeva, Leigh F Callahan, Nicole A Negbenebor, Wendy M Kohrt, Robert S Schwartz, Ernest Vina, Kelli D Allen
OBJECTIVE: To identify patient demographic and clinical characteristics associated with osteoarthritis (OA) treatment use. METHODS: This was a secondary data analysis of three clinical trials among patients with hip or knee OA conducted in 1) Duke Primary Care practices, 2) the Durham Veterans Affairs Health Care System (DVAHCS), and 3) the University of North Carolina-Chapel Hill (UNC). At baseline, participants reported socio-demographic characteristics, OA-related pain and function, and OA treatment use including oral analgesia, topical creams, joint injections and physical therapy...
November 10, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/29121791/unexpected-survivors-children-with-life-limiting-conditions-of-uncertain-prognosis
#9
Savithri Nageswaran, Anna Hurst, Andrea Radulovic
OBJECTIVE: Prognostication of survival is difficult in children with life-limiting illnesses because of the rarity of these conditions and technological advances improving survival. The objective of this article is to describe the characteristics of children with life-limiting illnesses who survived longer than the expectations of health-care providers. STUDY DESIGN: This is a retrospective cohort study conducted in a tertiary-care children's hospital in North Carolina...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29118066/use-of-a-self-instructional-radiographic-anatomy-module-for-dental-hygiene-faculty-calibration
#10
Jennifer L Brame, Demah Salem AlGheithy, Enrique Platin, Shannon H Mitchell
Purpose: Dental hygiene educators often provide inconsistent instruction in clinical settings and various attempts to address the lack of consistency have been reported in the literature. The purpose of this pilot study was to determine if the use of a use of a self-instructional, radiographic anatomy (SIRA) module improved DH faculty calibration regarding the identifica-tion of normal intraoral and extraoral radiographic anatomy and whether its effect could be sustained over a period of four months.Methods: A convenience sample consisting of all dental hygiene faculty members involved in clinical instruction (N=23) at the University of North Carolina (UNC) was invited to complete the four parts of this online pilot study: a pre-test, review of the SIRA module, an immediate post-test, and a four-month follow-up post-test...
June 2017: Journal of Dental Hygiene: JDH
https://www.readbyqxmd.com/read/29114354/cytogeography-of-callisia-section-cuthbertia-commelinaceae
#11
Iwan E Molgo, Douglas E Soltis, Pamela S Soltis
Determining the distribution of cytotypes across the geographic distribution of polyploid complexes can provide valuable information about the evolution of biodiversity. Here, the phytogeography of cytotypes in section Cuthbertia (Small, 1903) Hunt, 1986 is investigated. A total of 436 voucher specimens was georeferenced; 133 new specimens were collected. Based on flow cytometry data, DNA content of all cytotypes in section Cuthbertia was estimated. Utilizing chromosome counts and flow cytometric analysis, cytotype distribution maps were generated...
2017: Comparative Cytogenetics
https://www.readbyqxmd.com/read/29108170/stuart-v-camnitz-setting-the-standard-of-care-for-abortion-providers-in-north-carolina
#12
Paul Stam
No abstract text is available yet for this article.
2017: Issues in Law & Medicine
https://www.readbyqxmd.com/read/29103601/comparison-of-outcomes-and-complications-of-transcatheter-aortic-valve-implantation-in-women-versus-men-from-the-national-inpatient-sample
#13
Rajkumar Doshi, Evan Shlofmitz, Perwaiz Meraj
Transcatheter aortic valve implantation (TAVI) is a rapidly emerging procedure for the treatment of intermediate and high-surgical-risk patients with severe aortic stenosis. The impact of gender on in-hospital outcomes has not been studied on a large scale. The aim of this study was to examine gender differences in in-hospital outcomes after TAVI. The National Inpatient Sample (2012 to 2014) using the International Classification of Diseases, 9th Revision, Clinical Modification procedure codes for TAVI (35...
October 10, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/29102115/molecular-epidemiology-of-swine-influenza-a-viruses-in-the-southeastern-united-states-highlights-regional-differences-in-circulating-strains
#14
Constantinos S Kyriakis, Ming Zhang, Stefan Wolf, Les P Jones, Byoung-Shik Shim, Anna H Chocallo, Jarod M Hanson, MingRui Jia, Dong Liu, Ralph A Tripp
Swine influenza A virus (IAV) can cause widespread respiratory disease with high morbidity, low mortality, and have a substantial economic impact to the swine industry. Swine infection may contribute to pandemic IAV given their susceptibility to both avian and human IAVs. Currently, three IAV subtypes (H1N1, H3N2 and H1N2) circulate in swine in North America frequently combining gene segments from avian or human viruses. This study investigated the prevalence of IAV in commercial swine herds. A total of 1878 oral fluid samples were collected from pigs of all ages from 201 commercial farms located in North Carolina and South Carolina...
November 2017: Veterinary Microbiology
https://www.readbyqxmd.com/read/29100222/trends-in-abortion-incidence-and-availability-in-north-carolina-1980-2013
#15
Jeniece Alvey, Amy G Bryant, Siân Curtis, Ilene S Speizer, S Philip Morgan, Rebecca Tippett, Jennifer C Hodgkinson, Krista Perreira
OBJECTIVES: Abortion incidence has declined nationally during the last decade. In recent years, many states, including North Carolina, have passed legislation related to the provision of abortion services. Despite the changing political environment, there is no comprehensive analysis on past and current trends related to unintended pregnancy and abortion in North Carolina. METHODS: This study is a secondary analysis of vital registration data made publicly available by the North Carolina State Center for Health Statistics...
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29099330/military-healthcare-providers-knowledge-and-comfort-regarding-the-medical-care-of-active-duty-lesbian-gay-and-bisexual-patients
#16
Caitlyn M Rerucha, Lloyd A Runser, Juliana S Ee, Elizabeth G Hersey
PURPOSE: This study assessed military healthcare providers' knowledge, clinical practice, and comfort in caring for active duty (AD) lesbian, gay, and bisexual (LGB) patients. METHODS: Primary care providers at Fort Bragg, North Carolina were surveyed anonymously. RESULTS: The response rate was 28% (n = 40). Almost two-thirds of the respondents felt comfortable discussing sexual health with AD patients, but only 5% inquired about same-sex sexual activity...
November 3, 2017: LGBT Health
https://www.readbyqxmd.com/read/29097045/are-advanced-practice-pharmacist-designations-really-advanced
#17
Timothy P Frost, Alex J Adams
Four states have created advanced practice pharmacist designations in state law: advanced practice pharmacist (California), clinical pharmacist practitioner (Montana and North Carolina), and pharmacist clinician (New Mexico). To attain an advanced pharmacist designation, states typically require a fee and set a minimum education requirement either through continuing pharmacy education (CPE) or through attainment of a national certification or completion of a residency. Once attained, pharmacists may practice with additional scope of practice authorities, namely the ability to order and interpret drug therapy-related tests, and initiate or adjust/modify medications under a collaborative practice agreement (CPA)...
October 7, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29097024/health-belief-model-offers-opportunities-for-designing-weight-management-interventions-for-college-students
#18
Laura H McArthur, Alysse Riggs, Franchesca Uribe, Trent J Spaulding
OBJECTIVE: Identify weight-related beliefs of college students and test the predictive power of the Health Belief Model for body mass index (BMI). DESIGN: Cross-sectional online survey with beliefs measured on 5-point scales. SETTING: University in North Carolina. PARTICIPANTS: Undergraduates (n = 516; 91.9%), females (n = 399; 71.3%), white non-Hispanic students (n = 507; 86.2%), and 20.3% of overweight or obese status...
October 30, 2017: Journal of Nutrition Education and Behavior
https://www.readbyqxmd.com/read/29096876/a-training-program-for-nurse-scientists-to-promote-intervention-translation
#19
Sheila Judge Santacroce, Jennifer Leeman, Mi-Kyung Song
BACKGROUND: To reduce the burden of chronic illness, prevention and management interventions must be efficacious, adopted and implemented with fidelity, and reach those at greatest risk. Yet, many research-tested interventions are slow to translate into practice. PURPOSE: This paper describes how The University of North Carolina at Chapel Hill School of Nursing's NINR-funded institutional pre- and postdoctoral research-training program is addressing the imperative to speed knowledge translation across the research cycle...
September 19, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/29096779/predicting-persistent-limited-and-delayed-problematic-cannabis-use-in-early-adulthood-findings-from-a-longitudinal-study
#20
Sherika Hill, Lilly Shanahan, E Jane Costello, William Copeland
OBJECTIVE: To identify risk profiles associated with patterns of problematic cannabis use in early adulthood. METHOD: Data came from 1,229 participants in the Great Smoky Mountains Study, a prospective 20-year cohort study from 1993 to 2015 that is representative of western North Carolina with yearly assessments conducted from ages 9 and 16 years, and assessments at ages 19, 21, 26, and 30 years. Patterns of problematic cannabis use (i.e., DSM-5 cannabis use disorder or daily use) in early adulthood included the following: nonproblematic use in late adolescence (ages 19-21) and early adulthood (ages 26-30); limited problematic use in late adolescence only; persistent problematic use in late adolescence and early adulthood; and delayed problematic use in early adulthood only...
November 2017: Journal of the American Academy of Child and Adolescent Psychiatry
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