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inner city

Julie Em Mccullough, Ciara Close, S Dianne Liddle, Marlene Sinclair, Ciara M Hughes
OBJECTIVE: to investigate the effects of antenatal reflexology on labour outcomes. DESIGN: secondary analysis of a pilot three-armed randomised controlled trial conducted between July 2012 and September 2013. SETTING: a large UK inner city hospital maternity department. PARTICIPANTS: ninety primiparous women with a singleton pregnancy experiencing low back and / or pelvic girdle pain. INTERVENTIONS: six weekly 30-minute reflexology treatments compared to sham (footbath) treatments or usual antenatal care only...
September 14, 2017: Midwifery
Elizabeth Peach, Shelley Cogger, Kat Byron, Penny Francis, Daniel O'Keefe, Peter Higgs, Mark Stoove, Kasey Elmore, Paul Dietze, Margaret Hellard
Background: Following a HIV outbreak among Aboriginal people in a culturally diverse inner-city suburb of Melbourne, a blood-borne virus (BBV) screening program was conducted to inform public health interventions to prevent transmission and facilitate timely diagnosis and linkage to care. Methods: In August-September 2014, community health workers recruited people who inject drugs (PWID) from a local needle and syringe program. Participants were tested for hepatitis C virus (HCV), hepatitis B virus (HBV), HIV and syphilis and completed a bio-behavioural questionnaire...
October 12, 2017: Sexual Health
Lynn S Scruby, Mary K Canales, Evelyn Ferguson, David Gregory
Background Health researchers in urban centers recognize the need to engage with inner-city community-based organizations. Funding for face-to-face engagement is often limited because most work done by agencies and academics now focuses on the use of digital technology. Purpose This article presents reflections from a grant project aimed at establishing community engagement between academic health researchers and interdisciplinary inner-city community health and social service providers. Method This study utilized a community-based participatory action approach...
January 1, 2017: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
Michael Casey, Sara Shaw, Deborah Swinglehurst
BACKGROUND: There is a strong policy drive towards implementing alternatives to face-to-face consultations in general practice to improve access, efficiency, and cost-effectiveness. These alternatives embrace novel technologies that are assumed to offer potential to improve care. AIM: To explore the introduction of one online consultation system (Tele-Doc) and how it shapes working practices. DESIGN AND SETTING: Mixed methods case study in an inner-city general practice...
October 9, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Jonathan M Gaffin, Marissa Hauptman, Carter R Petty, William J Sheehan, Peggy S Lai, Jack M Wolfson, Diane R Gold, Brent A Coull, Petros Koutrakis, Wanda Phipatanakul
BACKGROUND: Ambient and home exposure to nitrogen dioxide (NO2) causes asthma symptoms and decreased lung function in children with asthma. Little is known about the health effects of school classroom pollution exposure. OBJECTIVE: We aimed to determine the effect of indoor classroom NO2 on lung function and symptoms of inner-city schoolchildren with asthma. METHODS: Children enrolled in the School Inner City Asthma Study were followed for one academic year...
October 5, 2017: Journal of Allergy and Clinical Immunology
Golfo Tzilos Wernette, Melissa Plegue, Christopher W Kahler, Ananda Sen, Caron Zlotnick
BACKGROUND: Sexually transmitted infections (STIs) are an increasingly critical and costly health problem for American childbearing women. Pregnant women who misuse substances are more likely to engage in risky sexual behavior that leads to STIs. Substance use and risky sex during pregnancy are both associated with numerous negative consequences for the woman and the developing fetus. STUDY DESIGN: A two-group, randomized controlled trial. PARTICIPANTS: Recruitment of 50 pregnant women (30% Latina; 24...
October 5, 2017: Journal of Women's Health
Robert Carroll, Duleeka Knipe, Paul Moran, David Gunnell
PURPOSE: Socioeconomic deprivation is associated with increased rates of self-harm but its association with levels of clinical care has not previously been explored. The aim of the current study was to investigate socioeconomic differences in the clinical management of people who self-harm. METHODS: Cross-sectional analysis of 3607 people presenting to a large inner-city hospital following self-harm. RESULTS: People living in the least deprived quintile were more likely to receive a psychosocial assessment (most vs...
October 4, 2017: Social Psychiatry and Psychiatric Epidemiology
S H Lu, A-M McLaren
OBJECTIVE: Patients with diabetic foot ulcers (DFU) have an increased risk of lower extremity amputation. A retrospective chart review of patients with DFUs attending the Foot Treatment and Assessment chiropodist-led outpatient clinic at an inner-city academic hospital was conducted to determine wound healing outcomes and characteristics contributing to outcomes. METHOD: We reviewed the complete clinical history of 279 patients with 332 DFUs spanning over a five-year period...
October 1, 2017: Journal of Wound Care
Anna Kobylianskii, Thivia Jegathesan, Elizabeth Young, Kimmy Fung, Joelene Huber, Ripudaman S Minhas
We aim to explore the experiences of fathers from inner-city families caring for children affected by chronic health conditions or disabilities. A systematic scoping review was conducted using the Arskey and O'Malley framework. Fourteen of the 5114 articles were included in the full review and were qualitatively evaluated in terms of stressors, resources, perception, coping, and adaptation according to the Double ABCX model. Stressors included financial strain and health care access barriers. Resources ranging from immediate to extended family members depended on ethnicity...
September 1, 2017: Clinical Pediatrics
Tina Hu, Kelly Anne Cox, Joyce Nyhof-Young
Many health profession schools have student-run free clinics (SRFCs), but their educational relevance has not been well studied. The aim of this study was to evaluate the learning experiences and skills developed among interprofessional healthcare students at an SRFC serving marginalised populations, in order to provide data for ongoing programme improvement and recommendations for other SRFCs based on lessons learned. Under 1:1 supervision with a preceptor, interprofessional students completed three clinical shifts at an SRFC and attended a reflection session...
September 28, 2017: Journal of Interprofessional Care
Tavis J Glassman, Tom Castor, Monita Karmakar, Alexis Blavos, Paige Dagenhard, Julianne Domigan, Erin Sweeney, Aaron Diehr, Ruthie Kucharewski
BACKGROUND: Water-related injuries and fatalities pose serious public health issues, especially to African American youth, a demographic group that drowns at disproportionately high rates. AIM: The purpose of this study was to determine if a social marketing intervention targeting the parents and guardians of inner-city youth (U.S. Midwest) could positively influence their perceptions concerning water safety. METHOD: Researchers employed a quasi-experimental design using matched pairs to evaluate the intervention...
September 1, 2017: Health Promotion Practice
Muhammad Waseem, Patrick Iyahen, Hilary Bryan Anderson, Kevin Kapoor, Ramnath Kapoor, Mark Leber
BACKGROUND: A report of loss of consciousness (LOC) is frequently considered reason enough to obtain a computed tomography (CT) scan in the evaluation of head trauma. We conducted this study to reduce exposure to radiation from CT, while still not overlooking clinically significant injuries. OBJECTIVE: The objective of the study is to determine the correlation between LOC status and brain CT scan results in patients with blunt head trauma and to determine whether there is a subset of patients for whom CT scan need not be performed, without missing clinically significant intracranial injuries...
September 25, 2017: International Journal of Emergency Medicine
Charee E Green, Ramin Mojtabai, Bernadette A Cullen, Amethyst Spivak, Melissa Mitchell, Stanislav Spivak
OBJECTIVE: This study explored the association of exposure to direct-to-consumer advertising (DTCA) with medication nonadherence among individuals with serious mental disorders. METHODS: Results of an anonymous survey administered at an inner-city mental health clinic were examined by using logistic regression. Nonadherence was defined as not taking prescribed medications for at least two out of seven days. RESULTS: Of 246 respondents, 48% reported DTCA exposure and 43% reported nonadherence...
September 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
Isabel M McFarlane, David J Ozeri, Joshy Pathiparampil, Randolph Sanchez, Justin Levinson, Odeth Barrett-Campbell, Carla Saladini-Aponte, Beatrix Boisette, Moro Salifu
OBJECTIVES: Rheumatoid arthritis (RA) has been rarely reported in association with sickle cell disease (SCD). Our study aimed to estimate the prevalence of RA in SCD population and to describe the clinical characteristics of RA associated with SCD. METHODS: Retrospective chart review of SCD and RA patients followed at 2 large urban hospitals. Seven RA/SCD patients were identified and compared to age and sex matched cohort of SCD only and of RA only group. All patients were Black...
June 2017: Rheumatology: Current Research
Peggy S Lai, Amir H Massoud, Mingcan Xia, Carter R Petty, Amparito Cunningham, Talal A Chatila, Wanda Phipatanakul
An interleukin 4 receptor genetic variant (IL4Rα-Q576R) is common in children of African ancestry. There is a gene-environment interaction between this variant, school endotoxin exposure, and asthma symptoms.
September 21, 2017: Journal of Allergy and Clinical Immunology
George T O'Connor, Susan V Lynch, Gordon R Bloomberg, Meyer Kattan, Robert A Wood, Peter J Gergen, Katy F Jaffee, Agustin Calatroni, Leonard B Bacharier, Avrahman Beigelman, Megan T Sandel, Christine C Johnson, Ali Faruqi, Clark Santee, Kei E Fujimura, Douglas Fadrosh, Homer Boushey, Cynthia M Visness, James E Gern
BACKGROUND: Environmental exposures in early life appear to play an important role in the pathogenesis of childhood asthma, but the potentially modifiable exposures that lead to asthma remain uncertain. OBJECTIVE: We sought to identify early-life environmental risk factors for childhood asthma in a birth cohort of high-risk inner-city children. METHODS: We examined the relationship of prenatal and early-life environmental factors to the occurrence of asthma at 7 years of age among 442 children...
September 12, 2017: Journal of Allergy and Clinical Immunology
Benedicta Nneoma Nnodum, Meredith C McCormack, Nirupama Putcha, Seungyoung Hwang, Laura M Paulin, Emily P Brigham, Ashraf Fawzy, Karina Romero, Gregory B Diette, Nadia N Hansel
This study aims to determine the impact of physical activity on asthma symptom reporting among children living in an inner city. Among 147 children aged 5-12 years with physician-diagnosed asthma, we assessed asthma symptoms using twice-daily diaries and physical activity using the physical activity questionnaire for children during three 8-day periods (baseline, 3 and 6 months). Linear, logistic, and quasi-poisson regression models were used to determine the association between physical activity and asthma symptoms; adjusting for age, sex, race, BMI, caregiver's education, asthma severity, medication use, and season...
September 15, 2017: Lung
Natalie Banniettis, Sirisha Thumu, Jeremy Weedon, Kobkul Chotikanatis, Aviva Szigeti, Margaret R Hammerschlag, Stephan A Kohlhoff
BACKGROUND: Prevention of Chlamydia trachomatis infection is an ideal application for a vaccine program, which should optimally be administered before sexual debut. However, there are limited epidemiologic studies of C. trachomatis infection in an unselected pediatric population since routine screening and treatment of pregnant women was implemented in the United States in 1993. METHODS: Anonymized serum samples were obtained from children younger than 21 years in 2 medical centers in Brooklyn, New York, from 2013 to 2015...
July 19, 2017: Sexually Transmitted Diseases
Michelle A Gill, Andrew H Liu, Agustin Calatroni, Rebecca Z Krouse, Baomei Shao, Allison Schiltz, James E Gern, Alkis Togias, William W Busse
BACKGROUND: Atopy and viral respiratory tract infections synergistically promote asthma exacerbations. IgE cross-linking inhibits critical virus-induced IFN-α responses of plasmacytoid dendritic cells (pDCs), which can be deficient in patients with allergic asthma. OBJECTIVE: We sought to determine whether reducing IgE levels in vivo with omalizumab treatment increases pDC antiviral IFN-α responses in inner-city children with asthma. METHODS: PBMCs and pDCs isolated from children with exacerbation-prone asthma before and during omalizumab treatment were stimulated ex vivo with rhinovirus and influenza in the presence or absence of IgE cross-linking...
September 1, 2017: Journal of Allergy and Clinical Immunology
Asli Kacar, Burcu Omuzbuken
The presence of fecal bacteria in seawater is one of the most important bio-indicator parameters of fecal pollution. In this study, the Bay of İzmir (in the eastern Aegean Sea), which is a critical area because of its relationship with marine transportation and industrial and commercial activities, was evaluated for its microbiological and physicochemical parameters through a monitoring program. The data were obtained from seasonally assembled surface seawater samples from 2015 to 2017 at 23 sampling stations...
August 29, 2017: Marine Pollution Bulletin
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