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https://www.readbyqxmd.com/read/29168016/qualitative-evaluation-of-a-peer-navigator-program-for-latinos-with-serious-mental-illness
#1
Lindsay Sheehan, Alessandra Torres, Juana L Lara, Deysi Paniagua, Jonathon E Larson, John Mayes, Susan Doig, Patrick W Corrigan
Peer navigator programs (PNP) may help reduce physical health disparities for ethnic minorities with serious mental illness (SMI). However, specific aspects of PNP that are important to peer navigators and their clients are under-researched. A qualitative study explored the perspectives of service users (n = 15) and peer navigators (n = 5) participating in a randomized controlled trial of a PNP for Latinos with SMI. Results show PN engagement with service users spans diverse areas and that interactions with peers, trust, and accessibility are important from a service user perspective...
November 22, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29167121/flow-mediated-dilation-stimulated-by-sustained-increases-in-shear-stress-a-useful-tool-for-assessing-endothelial-function-in-humans
#2
Joshua C Tremblay, Kyra Ellen Pyke
Investigations of human conduit artery endothelial function via flow-mediated vasodilation (FMD) have largely been restricted to the reactive hyperemia (RH) technique, wherein a transient increase in shear stress following the release of limb occlusion stimulates upstream conduit artery vasodilation (RH-FMD). FMD can also be assessed in response to sustained increases in shear stress (sustained stimulus (SS)-FMD), most often created with limb heating or exercise. Exercise in particular creates a physiologically-relevant stimulus because shear stress increases, and FMD occurs, during typical day-to-day activity...
November 22, 2017: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/29166812/disparities-in-insurance-coverage-health-services-use-and-access-following-implementation-of-the-affordable-care-act-a-comparison-of-disabled-and-nondisabled-working-age-adults
#3
Jae Kennedy, Elizabeth Geneva Wood, Lex Frieden
The objective of this study was to assess trends in health insurance coverage, health service utilization, and health care access among working-age adults with and without disabilities before and after full implementation of the Affordable Care Act (ACA), and to identify current disability-based disparities following full implementation of the ACA. The ACA was expected to have a disproportionate impact on working-age adults with disabilities, because of their high health care usage as well as their previously limited insurance options...
January 2017: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/29165781/controlling-disasters-local-emergency-management-perceptions-about-federal-emergency-management-and-homeland-security-actions-after-september-11-2001
#4
Sean Hildebrand
This article examines local emergency manager's beliefs regarding control over tasks during various stages of the hazard cycle since federal policies went into effect following the September 11 attacks. The study considers whether a disparity exists between the actions of local officials during each phase of the "hazard cycle" and the policy expectations of the federal government, which call for greater federal control over activities in emergency management and homeland security. To do so, hypothesis testing investigates the jurisdiction's use of comprehensive emergency management (CEM) practices, the perceived "clarity" of the federal policy demands, and if the local actors feel coerced to comply with federal policy demands so that grant funding is not compromised...
September 2017: Journal of Emergency Management: JEM
https://www.readbyqxmd.com/read/29165367/urban-green-space-and-the-pursuit-of-health-equity-in-parts-of-the-united-states
#5
Viniece Jennings, April Karen Baptiste, Na'Taki Osborne Jelks, Renée Skeete
Research has demonstrated that inequitable access to green space can relate to health disparities or inequalities. This commentary aims to shift the dialogue to initiatives that have integrated green spaces in projects that may promote health equity in the United States. Specifically, we connect this topic to factors such as community revitalization, affordable housing, neighborhood walkability, food security, job creation, and youth engagement. We provide a synopsis of locations and initiatives in different phases of development along with characteristics to support effectiveness and strategies to overcome challenges...
November 22, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29164947/trading-equality-for-health-evaluating-the-trade-off-and-institutional-hypotheses-on-health-inequalities-in-the-global-south
#6
Benjamin Sosnaud, Jason Beckfield
It has been suggested that as medicine advances and mortality declines, socioeconomic disparities in health outcomes will grow. Yet, most research on this topic uses data from affluent Western democracies, where mortality is declining in small increments. We argue that the Global South represents the ideal setting to study this issue in a context of rapid mortality decline. We evaluate two competing hypotheses: (1) there is a trade-off between population health and health inequality such that reductions in under-five mortality are linked to higher levels of social inequality in health; and (2) institutional interventions that improve under-five mortality, like the expansion of educational systems and public health expenditure, are associated with reductions in inequalities...
September 2017: Journal of Health and Social Behavior
https://www.readbyqxmd.com/read/29164939/using-cbpr-to-decrease-health-disparities-in-a-suburban-latino-neighborhood
#7
Maren J Coffman, Brisa Urquieta de Hernandez, Heather A Smith, Andrew McWilliams, Yhenneko J Taylor, Hazel Tapp, Johanna Claire Schuch, Owen Furuseth, Michael Dulin
INTRODUCTION: This project tested the feasibility of using a community-based participatory research (CBPR) approach to deliver health and social resources in two high-risk, suburban neighborhoods. METHOD: An established research network was used to engage stakeholders to design and deliver a neighborhood-based intervention targeting a Latino immigrant population. The intervention provided screenings for hypertension, diabetes, and depression; primary care provider visits; and information about navigating health care delivery systems and related community-based resources...
September 2017: Hispanic Health Care International: the Official Journal of the National Association of Hispanic Nurses
https://www.readbyqxmd.com/read/29164499/cognitive-disparities-the-impact-of-the-great-depression-and-cumulative-inequality-on-later-life-cognitive-function
#8
Jo Mhairi Hale
Population aging has driven a spate of recent research on later-life cognitive function. Greater longevity increases the lifetime risk of memory diseases that compromise the cognitive abilities vital to well-being. Alzheimer's disease, thought to be the most common underlying pathology for elders' cognitive dysfunction (Willis and Hakim 2013), is already the sixth leading cause of death in the United States (Alzheimer's Association 2016). Understanding social determinants of pathological cognitive decline is key to crafting interventions, but evidence is inconclusive for how social factors interact over the life course to affect cognitive function...
November 21, 2017: Demography
https://www.readbyqxmd.com/read/29162421/past-current-and-future-incidence-rates-and-burden-of-metastatic-prostate-cancer-in-the-united-states
#9
Scott P Kelly, William F Anderson, Philip S Rosenberg, Michael B Cook
BACKGROUND: Metastatic prostate cancer (PCA) remains a highly lethal malignancy in the USA. As prostate-specific antigen testing declines nationally, detailed assessment of current age- and race-specific incidence trends and quantitative forecasts are needed. OBJECTIVE: To evaluate the current trends of metastatic PCA by age and race, and forecast the number of new cases (annual burden) and future trends. DESIGN, SETTING, AND PARTICIPANTS: We derived incidence data for men aged ≥45 yr who were diagnosed with metastatic PCA from the population-based Surveillance, Epidemiology, and End Results registries...
November 18, 2017: European Urology Focus
https://www.readbyqxmd.com/read/29161398/role-of-gabaa-receptor-subtypes-in-the-behavioural-effects-of-intravenous-general-anaesthetics
#10
C J Weir, S J Mitchell, J J Lambert
Since the introduction of general anaesthetics into clinical practice, researchers have been mystified as to how these chemically disparate drugs act to produce their dramatic effects on central nervous system function and behaviour. Scientific advances, particularly during the last 25 years, have now begun to reveal the molecular mechanisms underpinning their behavioural effects. For certain i.v. general anaesthetics, such as etomidate and propofol, a persuasive case can now be made that the GABAA receptor, a major inhibitory receptor in the mammalian central nervous system, is an important target...
December 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29159187/the-role-of-costimulation-blockade-in-solid-organ-and-islet-xenotransplantation
#11
REVIEW
Kannan P Samy, James R Butler, Ping Li, David K C Cooper, Burcin Ekser
Pig-to-human xenotransplantation offers a potential bridge to the growing disparity between patients with end-stage organ failure and graft availability. Early studies attempting to overcome cross-species barriers demonstrated robust humoral immune responses to discordant xenoantigens. Recent advances have led to highly efficient and targeted genomic editing, drastically altering the playing field towards rapid production of less immunogenic porcine tissues and even the discussion of human xenotransplantation trials...
2017: Journal of Immunology Research
https://www.readbyqxmd.com/read/29158660/empowering-one-community-at-a-time-for-policy-system-and-environmental-changes-to-impact-obesity
#12
Katrina Betancourt, Andrea Ridgway, Joy Rockenbach, Sequoya Eady, Joanice Thompson, Lori Brand Bateman, Mona N Fouad, Yu-Mei M Schoenberger
Objective: This article describes Mayors Mentoring Mayors (3M), an initiative of the Arkansas Coalition for Obesity Prevention (ArCOP), which expanded to five states to become the signature community initiative of the Mid-South Transdisciplinary Collaborative Center (Mid-South TCC) for Health Disparities Research. Methods: The 3M program is an extension of the Growing Healthy Communities (GHC) program, which sought to build capacity within communities to reduce obesity by implementing policy, system and environmental (PSE) changes that support healthy living...
2017: Ethnicity & Disease
https://www.readbyqxmd.com/read/29158656/translating-the-birmingham-neighborhood-leaders-survey-into-innovative-action-through-the-community-health-innovation-awards
#13
Shauntice Allen, Alaina Pineda, Anthony C Hood, Jessica F Wakelee
The Carnegie Foundation for the Advancement of Teaching describes community engagement as the collaboration between higher education institutions and their larger communities (local, regional/state, national, global) for the mutually beneficial exchange of knowledge and resources in a context of partnership. This article describes the development, implementation and outcomes of a community-engaged grant-making program, the Community Health Innovation Awards (CHIA). The CHIA program was the by-product of a qualitative study jointly led by researchers at the University of Alabama at Birmingham and neighborhood leaders from the surrounding communities in Birmingham, AL...
2017: Ethnicity & Disease
https://www.readbyqxmd.com/read/29157598/chinese-vietnamese-and-asian-indian-parents-perspectives-about-well-child-visits-a-qualitative-analysis
#14
Maya Ragavan, Wendy Li, A Rani Elwy, John Cowden, Megan Bair-Merritt
OBJECTIVES: Well-child visits are a critical component of pediatric healthcare; however, disparities in attendance and quality of care exist for Asian children. Limited research has explored Asian immigrant parents' perspectives about their well-child visit experience. METHODS: Qualitative interviews were conducted with Chinese, Vietnamese, and Asian Indian immigrant parents. Participants were recruited from community-based organizations in the Boston area. Interviews focused on parents' perceptions about well-child visits, including individual attitudes, social and cultural factors impacting their opinions, perceived behavioral control, and improving visits for Asian immigrant families...
November 17, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29157416/the-temporal-dynamics-involved-in-object-representation-updating-to-predict-change
#15
Naomi du Bois, Mark A Elliott
The synchronization of cortically disparate neural assemblies at frequencies in the gamma-band range (30-70Hz) is considered to be involved in the perceptual organization of the environment. In support of this Elliott (2014) demonstrated improved detection of a target stimulus when this target was primed in a matrix that flickered at specific frequencies in the gamma-band range, each found to be separated by regular intervals which correspond with a 6.69Hz period. This can be explained in terms of the interaction of the stimulus (and stimulus-induced) rhythm with a slow endogenous theta rhythm...
2017: Progress in Brain Research
https://www.readbyqxmd.com/read/29157396/ethnic-considerations-and-multiple-sclerosis-disease-variability-in-the-united-states
#16
REVIEW
Erica Rivas-Rodríguez, Lilyana Amezcua
Minorities in the United States such as African Americans and Hispanics may have more severe disease than non-Hispanic whites. Factors contributing to these disparities are reviewed. The variations in disability from non-Hispanic whites may be the result of differences in clinical presentation, genetic underpinnings, and sociocultural factors. Creating awareness and increasing participation in research studies may improve our understanding.
February 2018: Neurologic Clinics
https://www.readbyqxmd.com/read/29154714/improving-measures-of-sexual-and-gender-identity-in-english-and-spanish-to-identify-lgbt-older-adults-in-surveys
#17
Stuart Michaels, Carolina Milesi, Michael Stern, Melissa Heim Viox, Heather Morrison, Paul Guerino, Christina Dragon, Samuel C Haffer
PURPOSE: The goal of this research is to advance the study of health disparities faced by older sexual and gender minorities by assessing comprehension of and improving measures of sexual and gender identity in surveys. METHODS: Cognitive interviews were conducted by expert interviewers with 48 non-lesbian, gay, bisexual, and transgender (non-LGBT) and 9 LGBT older English and Spanish speakers. RESULTS: All respondents were able to answer questions about their sex assigned at birth and current gender identity successfully despite some cisgender respondents' lack of clear understanding of the transgender response option...
November 20, 2017: LGBT Health
https://www.readbyqxmd.com/read/29153315/what-are-the-keys-to-a-longer-happier-life-answers-from-five-decades-of-health-psychology-research
#18
Blair T Johnson, Rebecca L Acabchuk
RATIONALE: It has long been known that factors of the mind and of interpersonal relationships influence health, but it is only in the last 50 years that an independent scientific field of health psychology appeared, dedicated to understanding psychological and behavioral processes in health, illness, and healthcare. OBJECTIVE AND METHOD: This article (a) reviews important research that answers the question of how human beings can have longer, happier lives; and (b) highlights trends in health psychology featuring articles in Social Science & Medicine as well as other related literature...
November 4, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29153296/use-of-self-management-interventions-for-chronic-pain-management-a-comparison-between-rural-and-nonrural-residents
#19
Linda H Eaton, Dale J Langford, Alexa R Meins, Tessa Rue, David J Tauben, Ardith Z Doorenbos
Individuals with chronic pain who live in rural communities often lack access to pain specialists and rely on primary care providers who may be less prepared. Research has indicated that rural residents with chronic pain are more likely to receive an opioid prescription than nonrural residents. Although self-management approaches are available for chronic pain management, it is unclear to what extent rural residents use these interventions. This study compares usage of self-management interventions and opioid-based analgesics for chronic pain management between rural and nonrural residents...
November 15, 2017: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://www.readbyqxmd.com/read/29152992/the-levels-of-physical-activity-and-motor-skills-in-young-children-with-and-without-autism-spectrum-disorder-aged-2-5-years
#20
Leah Ketcheson, Janet Lynn Hauck, Dale Ulrich
Autism spectrum disorder is the fastest growing developmental disability in the United States. As such, there is an unprecedented need for research examining factors contributing to the health disparities in this population. This research suggests a relationship between the levels of physical activity and health outcomes. In fact, excessive sedentary behavior during early childhood is associated with a number of negative health outcomes. A total of 53 children participated in this study, including typically developing children (mean age = 42...
March 1, 2017: Autism: the International Journal of Research and Practice
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