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https://www.readbyqxmd.com/read/27917092/colorectal-cancer-screening-navigation-for-the-underserved-experience-of-an-urban-program
#1
Alicia Lamanna, Heather Sheaffer, Carmen Guerra, Michael Kochman
Colorectal cancer is the third leading cause of cancer deaths in the United States. Although colorectal cancer screenings are effective and recommended by all clinical practice guidelines, only 65.7% of adults ages 50 to 75 years are screened. Colorectal cancer screening is disproportionately underutilized in inner city populations. In 2011, the University of Pennsylvania Health System created a navigation program to specifically address poor colorectal cancer screening rates and increase access to colorectal cancer screening colonoscopies for patients in the underserved areas of West, South, and Southwest Philadelphia...
September 2016: Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/27909211/application-of-material-flow-analysis-to-municipal-solid-waste-in-maputo-city-mozambique
#2
Leticia Sarmento Dos Muchangos, Akihiro Tokai, Atsuko Hanashima
Understanding waste flows within an urban area is important for identifying the main problems and improvement opportunities for efficient waste management. Assessment tools such as material flow analysis (MFA), an extensively applied method in waste management studies, provide a structured and objective evaluating process to characterize the waste management system best, to identify its shortcomings and to propose suitable strategies. This paper presents the application of MFA to municipal solid waste management (MSWM) in Maputo City, the capital of Mozambique...
November 30, 2016: Waste Management & Research
https://www.readbyqxmd.com/read/27908418/lead-pb-exposure-promotes-diabetes-in-obese-rodents
#3
Jannifer B Tyrrell, Samar Hafida, Paul Stemmer, Angie Adhami, Todd Leff
BACKGROUND: Pb (lead) exposure occurs at elevated frequency in urban inner city populations that also have high rates of obesity and diabetes. OBJECTIVES: To determine if Pb can promote the development of diabetes in a setting of obesity, we examined the effect of Pb exposure on glucose metabolism in a rodent model of obesity. METHODS: Adult female ZDF rats were exposed to Pb in drinking water for 24 weeks. Fasting blood glucose, insulin, and glucose tolerance were measured at regular intervals...
January 2017: Journal of Trace Elements in Medicine and Biology
https://www.readbyqxmd.com/read/27902576/implementing-huddles-improves-care-coordination-in-an-academic-health-center
#4
Carolyn S Townsend, Mary McNulty, Adria Grillo-Peck
PURPOSE OF THE STUDY: To determine whether routinely scheduled, organized interdisciplinary huddles result in decreased length of stay and readmissions. PRIMARY PRACTICE SETTING: The study was conducted in an academic health center (AHC) that also fills a community hospital need for a diverse inner-city population. Results are applicable in other care settings. METHODOLOGY AND SAMPLE: Daily interdisciplinary huddles were piloted on 5 medical/surgical units...
January 2017: Professional Case Management
https://www.readbyqxmd.com/read/27894381/understanding-barriers-to-fruit-and-vegetable-intake-in-the-australian-longitudinal-study-of-indigenous-children-a-mixed-methods-approach
#5
Katherine Ann Thurber, Cathy Banwell, Teresa Neeman, Timothy Dobbins, Melanie Pescud, Raymond Lovett, Emily Banks
OBJECTIVE: To identify barriers to fruit and vegetable intake for Indigenous Australian children and quantify factors related to these barriers, to help understand why children do not meet recommendations for fruit and vegetable intake. DESIGN: We examined factors related to carer-reported barriers using multilevel Poisson models (robust variance); a key informant focus group guided our interpretation of findings. SETTING: Eleven diverse sites across Australia...
November 29, 2016: Public Health Nutrition
https://www.readbyqxmd.com/read/27894316/dietary-patterns-in-obese-pregnant-women-influence-of-a-behavioral-intervention-of-diet-and-physical-activity-in-the-upbeat-randomized-controlled-trial
#6
Angela C Flynn, Paul T Seed, Nashita Patel, Suzanne Barr, Ruth Bell, Annette L Briley, Keith M Godfrey, Scott M Nelson, Eugene Oteng-Ntim, Sian M Robinson, Thomas A Sanders, Naveed Sattar, Jane Wardle, Lucilla Poston, Louise M Goff
BACKGROUND: Understanding dietary patterns in obese pregnant women will inform future intervention strategies to improve pregnancy outcomes and the health of the child. The aim of this study was to investigate the effect of a behavioral intervention of diet and physical activity advice on dietary patterns in obese pregnant woman participating in the UPBEAT study, and to explore associations of dietary patterns with pregnancy outcomes. METHODS: In the UPBEAT randomized controlled trial, pregnant obese women from eight UK multi-ethnic, inner-city populations were randomly assigned to receive a diet/physical activity intervention or standard antenatal care...
November 29, 2016: International Journal of Behavioral Nutrition and Physical Activity
https://www.readbyqxmd.com/read/27893060/association-between-allergen-exposure-in-inner-city-schools-and-asthma-morbidity-among-students
#7
William J Sheehan, Perdita Permaul, Carter R Petty, Brent A Coull, Sachin N Baxi, Jonathan M Gaffin, Peggy S Lai, Diane R Gold, Wanda Phipatanakul
Importance: Home aeroallergen exposure is associated with increased asthma morbidity in children, yet little is known about the contribution of school aeroallergen exposures to such morbidity. Objective: To evaluate the effect of school-specific aeroallergen exposures on asthma morbidity among students, adjusting for home exposures. Design, Setting, and Participants: The School Inner-City Asthma Study was a prospective cohort study evaluating 284 students aged 4 to 13 years with asthma who were enrolled from 37 inner-city elementary schools in the northeastern United States between March 1, 2008, and August 31, 2013...
November 21, 2016: JAMA Pediatrics
https://www.readbyqxmd.com/read/27890047/a-clear-urban-rural-gradient-of-allergic-rhinitis-in-a-population-based-study-in-northern-europe
#8
Stine Holmegaard Christensen, Signe Timm, Christer Janson, Bryndis Benediktsdóttir, Bertil Forsberg, Mathias Holm, Rain Jogi, Ane Johannessen, Ernst Omenaas, Torben Sigsgaard, Cecilie Svanes, Vivi Schlünssen
BACKGROUND: The protective effect of farm upbringing on allergic rhinitis is well known, but how upbringing in other environments influences the development of allergic rhinitis is scarcely investigated. The aim of this study was to investigate the association between place of upbringing and pet keeping in childhood and allergic rhinitis and nasal symptoms in adulthood. METHODS: The population-based Respiratory Health in Northern Europe study includes subjects from Denmark, Norway, Sweden, Iceland, and Estonia born in 1945-1973...
2016: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/27888962/involuntary-hospitalization-of-patients-with-mental-disorders-knowledge-of-health-professionals
#9
Carla Aparecida Arena Ventura, Marciana Fernandes Moll, Rubens Correia, Viviana Carolina Oyan de Moraes, Lucas Duarte Silva, Isabel Amélia Costa Mendes
A descriptive and exploratory study with a qualitative approach was undertaken to describe the knowledge of health professionals at a psychiatric hospital about involuntary hospitalization. Health professionals from the admission ward of a psychiatric hospital located in an inner city of the state of São Paulo, Brazil, participated in the study. Data were collected through semistructured interviews with sixteen health professionals and the analysis was based on thematic analysis. The professionals' lack of knowledge about involuntary hospitalizations was evidenced, including unfamiliarity with the modalities of psychiatric hospitalization, confusion to understand involuntary and compulsory hospitalization as well as the role of the public prosecutor in these cases...
December 2016: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/27885907/the-challenges-of-implementing-a-multi-centre-audit-of-end-of-life-care-in-care-homes
#10
Jean Levy, Julie Kinley, Frances Conway
AIMS: This article aims to share the experience of a hospice in facilitating a multi-centre audit of end-of-life care in care homes, particularly noting the challenges and enablers of carrying out the audit. METHODS: The audit was a retrospective multi-centre survey of bereaved relatives/next of kin of residents who died in the care home, using an anonymous, validated questionnaire: the Family Perception of Care Scale. Questionnaires were sent 3-months after bereavement...
November 2, 2016: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/27884623/relationship-between-toxoplasma-gondii-seropositivity-and-acoustic-startle-response-in-an-inner-city-population
#11
Nick M Massa, Erica Duncan, Tanja Jovanovic, Kimberly Kerley, Lei Weng, Lauren Gensler, Samuel S Lee, Seth Norrholm, Abigail Powers, Lynn M Almli, Charles F Gillespie, Kerry Ressler, Bradley D Pearce
Toxoplasma gondii (TOXO) is a neuroinvasive protozoan parasite that induces the formation of persistent cysts in mammalian brains. It infects approximately 1.1 million people in the United States annually. Latent TOXO infection is implicated in the etiology of psychiatric disorders, especially schizophrenia (Scz), and has been correlated with modestly impaired cognition. The acoustic startle response (ASR) is a reflex seen in all mammals. It is mediated by a simple subcortical circuit, and provides an indicator of neural function...
November 21, 2016: Brain, Behavior, and Immunity
https://www.readbyqxmd.com/read/27849883/241-evaluation-of-telemetry-utilization-at-an-inner-city-academic-medical-center
#12
Amine Bourbia, David Wooldridge, Reem Mustafa, Omar Samarah
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27832579/screening-and-management-of-risk-factors-for-cardiovascular-disease-in-hiv-positive-patients-attending-an-australian-urban-sexual-health-clinic
#13
Sheena Kakar, Douglas Drak, Tahiya Amin, Jason Cheung, Catherine O'Connor, David Gracey
Background: Few data exist regarding cardiovascular risk among HIV-infected patients attending sexual health clinics (SHC) in Australia. Methods: The medical records of 188 patients attending an inner-city SHC between August 2013 and July 2014 were retrospectively reviewed for cardiovascular risk factors and associated screening and management practices. Results: Cardiovascular risk factors were common among attendees of the SHC, including smoking (38%), hypertension (14%) and dyslipidaemia (11%). Of the 188 patients, 23% reported using potentially cardiotoxic recreational drugs, 25% of dyslipidaemic patients were not on therapy and 10% of patients were hypertensive; none were prescribed treatment...
November 11, 2016: Sexual Health
https://www.readbyqxmd.com/read/27832475/recovery-support-mediates-the-relationship-between-parental-warmth-and-quality-of-life-among-women-with-substance-use-disorders
#14
Suzanne Brown, Bryan Victor, Laurel M Hicks, Elizabeth M Tracy
PURPOSE: Historically, recovery from substance use disorders (SUD) has focused exclusively on the use or non-use of the addictive substance(s). More recently, SAMSHA [1] has defined recovery in a more holistic way, using quality of life (QoL) as a measure of recovery for individuals with substance use and mental health disorders. However, little is known about the myriad experiences that inform and affect QoL for individuals with substance use disorders. Using an attachment informed stress-buffering framework, the purpose of this study was to examine the contribution of parental warmth and recovery support to QoL among women in substance abuse treatment...
November 10, 2016: Quality of Life Research
https://www.readbyqxmd.com/read/27826713/trend-of-endurance-level-among-healthy-inner-city-children-and-adolescents-over-three-decades
#15
Raysa Morales-Demori, Omar Jamil, Maria Serratto
The aim of this study was to understand how endurance time, a proxy for physical fitness, has changed in healthy inner-city children and adolescents in the past three decades. This was a retrospective cross-sectional study. This study used exercise stress test in a laboratory of an inner-city teaching hospital. We reviewed all consecutive healthy children and adolescents who underwent an exercise Bruce protocol treadmill test from 1983 to 2010. The study population was divided into five groups of 5-year intervals based on the year of testing...
November 8, 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/27818963/prevalence-of-addiction-and-smoking-and-their-relationship-with-blood-parameters-among-drivers-in-zahedan
#16
Alireza Ansari-Moghaddam, Hossein Ansari, Mahdi Mohammadi, Seyed Mehdi Tabatabaei, Mohammadreza Pishevare-Mofrad, Mahmodreza Miri-Bonjar
BACKGROUND: Although smoking and drug use are the major causes of accidents and death of drivers, few studies have been conducted on the prevalence of smoking and its associated factors in this occupational group. OBJECTIVES: The current study aimed to investigate the prevalence of smoking and its relationship with blood parameters among drivers in Zahedan city, Iran. PATIENTS AND METHODS: In this study, 1836 inner and intercity drivers were investigated in 2013 in terms of smoking and drug use and blood parameters...
September 2016: International Journal of High Risk Behaviors & Addiction
https://www.readbyqxmd.com/read/27797813/hoarse-voice-a-rare-presentation-of-tuberculosis-lymphadenitis
#17
Laurie Rigueros Springford, Krishan Ramdoo, Dilip Nair, Ali Taghi
A man aged 37 years from Indian descent presented to an inner city London hospital with hoarseness of voice, fatigue, night sweats and a 2 kg weight loss. Laryngoscopy demonstrated a left vocal fold palsy. Extensive investigations were undertaken with disseminated malignancy being primarily investigated. CT/MRI scanning showed non-specific necrotic mediastinal lymph nodes. Tuberculin skin testing, cytology and PCR were eventually undergone. Tests yielded results consistent with tuberculosis (TB) infection and the patient was started on standard TB treatment protocol, with excellent results...
October 24, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27797628/working-together-using-a-unique-approach-to-evaluate-an-interactive-and-clinic-based-longitudinal-interprofessional-education-experience-with-13-professions
#18
Britta M Thompson, Dale W Bratzler, Mark J Fisher, Amie Torres, Epic Faculty, Rhonda A Sparks
Interprofessional education (IPE) involving an interactive and longitudinal clinic experience at an inner-city charitable clinic from September to May 2013/2014 was evaluated. Pre-, mid-, and post-intervention data were collected from students in 13 different professions including medicine (medical and physician assistant), dentistry (dental and dental hygiene), nursing (undergraduate and clinical nurse specialist), public health, pharmacy, physical therapy, occupational therapy, nutritional sciences, speech and language pathology, and social work...
November 2016: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/27788877/parental-decision-making-associated-with-pediatric-emergency-department-use-for-asthma
#19
Shawna S Mudd, C Jean Ogborn, Mary Elizabeth Bollinger, Tricia Morphew, Joan Kub, Cassie Lewis-Land, Melissa H Bellin, Arlene Butz
BACKGROUND: Disadvantaged minority children are disproportionately affected by asthma. This group is also known to frequently use the emergency department (ED) for asthma care. Understanding decisions for use of the ED is important to prevent high cost. OBJECTIVE: To examine caregiver factors associated with the decision to use the ED for asthma care in inner-city children with asthma. METHODS: One hundred fifty participants in a randomized clinical trial testing the effectiveness of a home-based asthma intervention were enrolled, and questionnaires were administered to caregivers during the child's ED asthma visit...
November 2016: Annals of Allergy, Asthma & Immunology
https://www.readbyqxmd.com/read/27783360/the-contributions-of-places-to-metropolitan-ethnoracial-diversity-and-segregation-decomposing-change-across-space-and-time
#20
Christopher S Fowler, Barrett A Lee, Stephen A Matthews
Although the trend toward greater ethnoracial diversity in the United States has been documented at a variety of geographic scales, most research tracks diversity one scale at a time. Our study bridges scales, asking how the diversity and segregation patterns of metropolitan areas are influenced by shifts in the racial/ethnic composition of their constituent places. Drawing on 1980-2010 decennial census data, we use a new visual tool to compare the distributions of place diversity for 50 U.S. metro areas over three decades...
December 2016: Demography
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