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Kaan Z Apaydin, Holly B Fontenot, Derri Shtasel, Sannisha K Dale, Christina P C Borba, Christopher S Lathan, Lori Panther, Kenneth H Mayer, Alex S Keuroghlian
BACKGROUND: Young sexual minority individuals have lower human papillomavirus (HPV) vaccine completion rates than the general population, and little is known about how gender minority people perceive HPV vaccination. The aim of this study was to qualitatively identify patient-, provider-, and systems-level barriers and facilitators for HPV vaccination among sexual and gender minority (SGM) people. METHODS: Fifteen SGM-identified individuals, ages 23-26, were recruited at an urban community health center in Boston, MA, that specializes in care for SGM...
May 16, 2018: Vaccine
Kathleen F Gaffney, Albert V Brito, Panagiota Kitsantas, Deborah A Kermer, Graciela Pereddo, Katya M Ramos
PURPOSES: Describe implementation of Institute of Medicine (IOM) early infant feeding recommendations for child obesity prevention by immigrant mothers from Central America; examine potential relationships with food insecurity and postpartum depressive symptoms. DESIGN AND METHODS: Using a cross-sectional, descriptive design, face-to-face interviews were conducted with 318 mothers of 2month old infants at a large pediatric setting for low income families. Logistic regression models assessed feeding practices, food insecurity and postpartum depressive symptoms...
May 2018: Journal of Pediatric Nursing
Conner Gorry
On the 40th anniversary of the Alma Ata Declaration that affirmed health for all a right and primary health care the route to guarantee that right, WHO and PAHO have issued a call to action to convert universal health into reality for the nearly four billion people worldwide lacking full coverage of essential health services. There is some urgency to this movement: WHO estimates the health workforce shortage of nearly 8 million could reach almost 13 million by 2035. And the USA is not exempt: medical associations and special commissions set up to investigate the shortage of primary care physicians, especially "under-represented minority" doctors, have issued report after report on this growing health care emergency...
April 2018: MEDICC Review
Jack Heard, Amanda Morris, Nicole Kirouac, Jennifer Ducharme, Simon Trepel, Brandy Wicklow
Objectives: To describe the paediatric transgender population accessing health care through the Manitoba Gender Dysphoria Assessment and Action for Youth (GDAAY) program, and report youth's experiences accessing health care in Manitoba. Methods: Demographic, medical, surgical and mental health information was extracted from the medical records of youth referred to the GDAAY program (n=174). A 77-item online survey was conducted with a subset of those youth (n=25) to identify common health care experiences and perceptions of trans youth in Manitoba...
May 2018: Paediatrics & Child Health
R Dhanalakshmi, K Diwakar, P Rajkumar, R Subadevi, Wei-Ren Liu, M Sivakumar
In this study, we first focus on effects of PVA surfactant on Li2Fe0.5Mn0.5SiO4/C by using X-ray diffraction, Fourier transform infrared spectroscopy, micro Raman analysis, scanning electron microscope, transmission electron microscope and magnetization measurements. XRD result reveals the formation of new phase (Li2Fe0.5Mn0.5SiO4/C), as a result of embedded carbon, intensity of the peaks was also suppressed. Intensity domination of G-band in micro Raman analysis affirmed that the establishment of graphene formation which was yielded from decomposition of organic materials of both PVA and acetate...
January 1, 2018: Journal of Nanoscience and Nanotechnology
Mireia Jofre-Bonet, Joseph Kamara
PURPOSE: The objective of this project is to study the willingness to pay (WTP) for health insurance (HI) of individuals working in the informal sector in Sierra Leone, using a purposely-designed survey of a representative sample of this sector. METHODS: We elicit the WTP using the Double-Bounded Dichotomous Choice with Follow Up method. We also examine the factors that are positively and negatively associated with the likelihood of the respondents to answer affirmatively to joining a HI scheme and to paying three different possible premiums, to join the HI scheme...
2018: PloS One
Kevin C McMains, Rechell G Rodriguez, Jennifer Peel, Heather C Yun, Mark W True, Woodson S Jones
OBJECTIVES: Mentor relationships are a key component of professional development within academic medicine. To date, there are no investigations into the prevalence and effects of mentor relationships within military academic medicine. This quality improvement initiative aimed to establish the prevalence and effects of mentorship, including whether sex differences exist among faculty at a military academic center, the San Antonio Uniformed Services Health Education Consortium, and identify opportunities to improve faculty development efforts for mentorship to benefit faculty at this institution...
May 2018: Southern Medical Journal
Katherine E Kahn, Tammy A Santibanez, Yusheng Zhai, Carolyn B Bridges
BACKGROUND: Provider recommendation is associated with influenza vaccination receipt. The objectives of this study were to estimate the percentage of children 6 months-17 years for whom a provider recommendation for influenza vaccination was received, identify factors associated with receipt of provider recommendation, and evaluate the association between provider recommendation and influenza vaccination status among children. METHODS: National Immunization Survey-Flu (NIS-Flu) parentally reported data for the 2013-14, 2014-15, and 2015-16 seasons were analyzed...
May 12, 2018: Vaccine
Elizabeth Landrum Michalets, Charlene Williams, Irene Park
INTRODUCTION: Skills gained from research experience allow student pharmacists to evolve as practitioners, innovators and perpetual learners in an increasingly complex healthcare environment. Data published regarding pharmacy resident research are focused on external dissemination rates and research programs. Little is published regarding student research. METHODS: This descriptive study was a five-year before and after comparison between the existing co-curricular model and a new longitudinal, 12-month research advanced pharmacy practice experience (L-APPE) model for student pharmacist research...
March 2018: Currents in Pharmacy Teaching & Learning
Evelyn M Tenenbaum
Live kidney donation involves a delicate balance between saving the most lives possible and maintaining a transplant system that is fair to the many thousands of patients on the transplant waiting list. Federal law and regulations require that kidney allocation be equitable, but the pressure to save patients subject to ever-lengthening waiting times for a transplant has been swinging the balance toward optimizing utility at the expense of justice. This article traces the progression of innovations created to make optimum use of a patient's own live donors...
March 2018: American Journal of Law & Medicine
Yongfu Sun, Ju Wu, Xiaodong Li, Wen Shi, Peiquan Ling, Xingchen Jiao, Shan Gao, Liang Liang, Jiaqi Xu, Wensheng Yan, Chengming Wang, Yi Xie
Solar CO2 reduction efficiency is largely limited by poor photoabsorption, sluggish electron-hole separation and high CO2 activation barrier. Herein, we employ defect engineering to fully optimize these crucial processes. As a prototype, we initially fabricate BiOBr atomic layers, and hence deliberately create abundant oxygen vacancies on their surfaces, affirmed by near-edge X-ray absorption fine structure and electron paramagnetic resonance spectra. Theoretical calculations unveil the new defect level resulting from oxygen vacancy extends photo-response to visible-light region, while the charge delocalization around oxygen vacancies contributes to CO2 activation into COOH* intermediate, confirmed by in-situ FTIR spectra...
May 15, 2018: Angewandte Chemie
Kathleen Nallen, Dale Spence, Sam Porter
OBJECTIVE: To elicit perceptions of midwifery graduates regarding the impact of Enquiry Based Learning (EBL) on their clinical practice. DESIGN: A qualitative approach utilising semi-structured interviews and content analysis. SETTING: A midwifery education provider in the Republic of Ireland. PARTICIPANTS: Purposive sampling was employed to recruit fourteen midwifery graduates, from a total of twenty eight, from two cohorts who had successfully completed a Higher Diploma in Midwifery programme...
April 21, 2018: Midwifery
Antonio Metastasio, Attilio Negri, Giovanni Martinotti, Ornella Corazza
Self-prescribing of sexual hormones for gender affirmation is a potentially widespread and poorly studied phenomenon that many clinicians are unaware of. The uncontrolled use of hormones poses significant health hazards, which have not been previously reported in the literature. We have collected seven clinical cases in general adult psychiatry settings (both inpatient and outpatients), describing transgender and gender non-conforming individuals' (TGNC) self-prescribing and self-administering hormones bought from the Internet without any medical consultation...
May 14, 2018: Brain Sciences
Gisele Marchetti, Fabian Calixto Fraiz, Willian Muniz do Nascimento, Geisla Mary Silva Soares, Luciana Reichert da Silva Assunção
BACKGROUND: Adolescence is a decisive period in the construction of new conduits. OBJECTIVE: The influence of an App associated with conventional educational methods in adolescents' oral health. STUDY DESIGN: Randomized controlled trial including 291 participants (mean age = 16.1 years) in baseline. The study consisted of four phases. Interventions were evaluated through the knowledge score (KS) and oral indexes (OHI-S/GBI). KS was obtained through five affirmations about periodontal diseases applied in different moments (pre-test, post-test, and follow-up test)...
May 13, 2018: International Journal of Paediatric Dentistry
James J Sabra, Celestia X Fang, Roopal V Kundu
Dermatologic care plays an important role in the transitioning process for transgender women, with changes occurring to the skin from hormone therapy (HT) and gender affirming procedures. We sought to identify knowledge gaps in a group of transgender women pertaining to both skin and hair changes during the transitioning process. The study was conducted as a cross-sectional survey. Our results demonstrate potential gaps in knowledge that transgender women have regarding HT and gender affirming procedures.
2018: Transgender Health
William Byne, Dan H Karasic, Eli Coleman, A Evan Eyler, Jeremy D Kidd, Heino F L Meyer-Bahlburg, Richard R Pleak, Jack Pula
Regardless of their area of specialization, adult psychiatrists are likely to encounter gender-variant patients; however, medical school curricula and psychiatric residency training programs devote little attention to their care. This article aims to assist adult psychiatrists who are not gender specialists in the delivery of respectful, clinically competent, and culturally attuned care to gender-variant patients, including those who identify as transgender or transsexual or meet criteria for the diagnosis of Gender Dysphoria (GD) as defined by The Diagnostic and Statistical Manual of Mental Disorders (5th edition)...
2018: Transgender Health
Jill Setaro, Ruth Reinsel, Dana Brun
PURPOSE: Practice guidelines from the perianesthesia community suggest that preoperative identification of patients with obstructive sleep apnea (OSA) and standardized longer observation in postanesthesia care unit (PACU) promotes safety after general anesthesia. The purpose of this study was to determine if longer monitoring of patients with OSA in the PACU improves patient outcomes after general anesthesia. DESIGN: Evidence-based best practices literature review...
May 10, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Marlice Oliveira de Oliveira Ulbrecht, Daniel Araujo Gonçalves, Lourdes Zélia Garcia Zanoni, Valter Aragão do Nascimento
The present work describes a method to quantify the level of oxidative stress in infantile cardiac surgery. Fifteen patients, 6 girls and 9 boys, aged between 3 months and 16 years were divided into three groups. The first group sought to quantify the oxidative stress from differing concentrations of selenium. The second group used malondialdehyde as an indicator of oxidative stress. Finally, the third group quantified oxidative stress by normalizing the selenium concentration via malondialdehyde. Blood aliquots of 1...
May 12, 2018: Biological Trace Element Research
Rafael Caldas Pereira, Carla de Fátima Alves Nonato, Cicera Janaine Camilo, Henrique Douglas Melo Coutinho, Fabíola Fernandes Galvão Rodriguesa, Jianbo Xiao, José Galberto Martins da Costa
A method using high performance liquid chromatography with diode array detector (HPLC-DAD) for identification and quantification of pilocarpine in the extract of Pilocarpus microphyllus, popularly known as jaborandi. The analysis was conducted using RP-18 column (250 mm × 4.6 mm x 5 μm id) and a buffer solution composed of acidified water, phosphoric acid and triethylamine and methanol as a mobile phase in a flow rate of 1.0 mL/min and detection at 215  nm at 25 °C. Excellent linearity with r2 equal to 0...
May 10, 2018: Food and Chemical Toxicology
Dorien Hofmans, Laleh Khodaparast, Ladan Khodaparast, Els Vanstreels, Mohammad Shahrooei, Johan Van Eldere, Lieve Van Mellaert
OBJECTIVES: The opportunistic pathogen Staphylococcus epidermidis is progressively involved in device-related infections. Since these infections involve biofilm formation, antibiotics are not effective. Conversely, a vaccine can be advantageous to prevent these infections. In view of vaccine development, predicted surface proteins were evaluated on their potential as a vaccine target. METHODS: Immunoglobulins directed against S. epidermidis surface proteins SesB, M, O, Q and R, were used to firstly affirm their surface location...
May 9, 2018: Journal of Infection
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