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December 2023

Research news in clinical context

Vielot NA, Armstrong H, Zace D. Sex Transm Infect. 2023 Dec;99(8):577-578. doi: 10.1136/sextrans-2022-055711. PMID: 37977657


Pharmacists Colocated with Primary Care Physicians: Understanding Delivery of Interprofessional Primary Care

Hawes EM, Page C, Galloway E, McClurg MR, Lombardi B. Med Care. 2023 Dec 5. doi: 10.1097/MLR.0000000000001960. Epub ahead of print. PMID: 38051204.


Race-ethnicity and sex differences in 1-year survival following percutaneous coronary intervention among Medicare fee-for-service beneficiaries

Savitz ST, Falk K, Stearns SC, Grove LR, Pathman DE, Rossi JS. J Eval Clin Pract. 2023 Dec 13. doi: 10.1111/jep.13954. Epub ahead of print. PMID: 38091249


Understanding the pathway from undergraduate to graduate degrees in social work to diversify the behavioral health workforce

Jensen, T., Zerden, L. D., Lombardi, B., N., Ware, O., & Lombardi, B. M. (2023).  Journal of the Society for Social Work Research, [ahead of print]. https://doi.org/10.1086/727529


Social workers roles in achieving health quality metrics in primary care: a quality improvement case study

Lombardi BM, de Saxe Zerden L, Prentice A, Downs SG. Soc Work Health Care. 2023 Dec 19:1-15. doi: 10.1080/00981389.2023.2292542. Epub ahead of print. PMID: 38111375.


In-Hospital Code Status Updates: Trends Over Time and the Impact of COVID-19

Sahebi-Fakhrabad A, Kemahlioglu-Ziya E, Handfield R, Wood S, Patel MD, Page CP, Chang L.  Am J Hosp Palliat Care. 2023 Dec 18:10499091231222188. doi: 10.1177/10499091231222188. Epub ahead of print. PMID: 38111223


Addressing COVID-19 vaccine hesitancy in rural community pharmacies: a protocol for a stepped wedge randomized clinical trial

Curran G, Mosley C, Gamble A, Painter J, Ounpraseuth S, Brewer NT, Teeter B, Smith M, Halladay J, Hughes T, Shepherd JG, Hastings T, Simpson K, Carpenter D.  Implement Sci. 2023 Dec 18;18(1):72. doi: 10.1186/s13012-023-01327-7. PMID: 38110979.


Invited Commentary: Optimizing Cancer Prevention in Adolescents by Improving HPV Vaccine Delivery.

Nadja A. Vielot, Noel T. Brewer. In press, North Carolina Medical Journal.


Nonsecretor Phenotype Is Associated With Less Risk of Rotavirus-Associated Acute Gastroenteritis in a Vaccinated Nicaraguan Birth Cohort.

Reyes Y, St Jean DT, Bowman NM, González F, Mijatovic-Rustempasic S, Becker-Dreps S, Svensson L, Nordgren J, Bucardo F, Vielot NA. J Infect Dis. 2023 Dec 20;228(12):1739-1747. doi: 10.1093/infdis/jiad202. PMID: 37279878; PMCID: PMC10733742.


Social workers roles in achieving health quality metrics in primary care: a quality improvement case study.

Lombardi BM, de Saxe Zerden L, Prentice A, Downs SG.  Soc Work Health Care. 2024 Jan-Jun;63(2):102-116. doi: 10.1080/00981389.2023.2292542. Epub 2023 Dec 27. PMID: 38111375.

Kane SF. 2022 Paper of the Year. Curr Sports Med Rep. 2023 Dec 1;22(12):397-398. doi: 10.1249/JSR.0000000000001127. PMID: 38055745.


Service spotlight: Run For Life Trinidad and Tobago

Adams Morancie N, Spencer L, Hayes I. Br J Sports Med. 2023 Nov 24:bjsports-2023-107775. doi: 10.1136/bjsports-2023-107775. Epub ahead of print. PMID: 38050020


Improving Family Medicine Residents’ Provision of Gender-Affirming Care

Smith R, Kaplan B. Fam Med. 2023 Dec 21. doi: 10.22454/FamMed.2023.499815. Epub ahead of print. PMID: 38241743.


November 2023

Epigenome-wide methylation and progression to high-grade cervical intraepithelial neoplasia (CIN2+): a prospective cohort study in the United States.

Bukowski A, Hoyo C, Vielot NA, Graff M, Kosorok MR, Brewster WR, Maguire RL, Murphy SK, Nedjai B, Ladoukakis E, North KE, Smith JS.  BMC Cancer. 2023 Nov 6;23(1):1072. doi: 10.1186/s12885-023-11518-6. PMID: 37932662.


Screening and Preventive Interventions for Oral Health in Adults: US Preventive Services Task Force Recommendation Statement.

US Preventive Services Task Force; Barry MJ, Nicholson WK, Silverstein M, Chelmow D, Coker TR, Davis EM, Donahue KE, Jaén CR, Li L, Ogedegbe G, Pbert L, Rao G, Ruiz JM, Stevermer J, Tsevat J, Underwood SM, Wong JB.  JAMA. 2023 Nov 7. doi: 10.1001/jama.2023.21409. Epub ahead of print. PMID: 37934473.


Screening and Preventive Interventions for Oral Health in Children and Adolescents Aged 5 to 17 Years: US Preventive Services Task Force Recommendation Statement.

US Preventive Services Task Force; Barry MJ, Nicholson WK, Silverstein M, Chelmow D, Coker TR, Davis EM, Donahue KE, Jaén CR, Li L, Ogedegbe G, Pbert L, Rao G, Ruiz JM, Stevermer J, Tsevat J, Underwood SM, Wong JB.  2023 Nov 7;330(17):1666-1673. doi: 10.1001/jama.2023.21408. PMID: 37934215.


Natural infection by Zika virus but not DNA vaccination consistently elicits antibodies that compete with two potently neutralising monoclonal antibodies targeting distinct epitopes.

Smith TC, Espinoza DO, Zhu Y, Cardona-Ospina JA, Bowman NM, Becker-Dreps S, Rouphael N, Rodriguez-Morales AJ, Bucardo F, Edupuganti S, Premkumar L, Mulligan MJ, de Silva AM, Collins MH.  EBioMedicine. 2023 Nov 17;98:104875. doi: 10.1016/j.ebiom.2023.104875. Epub ahead of print. PMID: 37983984.


Efficacy of Messenger RNA-1273 Against Severe Acute Respiratory Syndrome Coronavirus 2 Acquisition in Young Adults From March to December 2021.

Stephenson KE, Marcelin JR, Pettifor AE, Janes H, Brown E, Neradilek M, Yen C, Andriesen J, Grunenberg N, Espy N, Trahey M, Fischer RSB, DeSouza CA, Shisler JL, Connick E, Houpt ER, Chu HY, McCulloh RJ, Becker-Dreps S, Vielot NA, Kalbaugh CA, Cherabuddi K, Krueger KM, Rosenberg M, Greenberg RN, Joaquin A, Immergluck LC, Corey L, Kublin JG.  Open Forum Infect Dis. 2023 Nov 2;10(11):ofad511. doi: 10.1093/ofid/ofad511. PMID: 38023544; PMCID: PMC10655942.


Recurrent multinodular goitre and primary hyperparathyroidism due to adenoma arising in a parathyroid autotransplant more than 20 years after near-total thyroidectomy.

Boggiano V, Barnhouse K, Rodriguez TG, Kim L.  BMJ Case Rep. 2023 Nov 17;16(11):e256177. doi: 10.1136/bcr-2023-256177. PMID: 37977844; PMCID: PMC10660904.


October 2023

A Process Evaluation of an Antibiotic Stewardship Intervention for Urinary Tract Infections in Nursing Homes.

Rutten JJS, Smalbrugge M, van Buul LW, van Eijk J, Geerlings SE, Natsch S, Sloane PD, van der Wouden JC, Hertogh CMPM, Gerritsen DL. J Am Med Dir Assoc. 2024 Jan;25(1):146-154.e9. doi: 10.1016/j.jamda.2023.09.016. Epub 2023 Oct 26. PMID: 38173264.


Comparison of virtual and in-person tobacco treatment specialist training

Davis J, Clark S, Greyber J, Dirkes J, Herndon S, Swetlick J, Trout S, Manshaii F, Goldstein AO. Telehealth and Medicine Today; October 27, 2023


A Cost Analysis of Rethink the Strip, De-implementing a Low-value Practice in Primary Care.

Spees, Lisa P. PhD*, Young, Laura A. MD, Rees, Jennifer, Mottus, Kathleen PhD∥; Leeman, Jennifer DrPH, Boynton, Marcella H. PhD§,#; Richman, Erica PhD, Vu, Maihan B. DrPH, MPH, Donahue, Katrina E. MD. Medical Care 61(10):p 708-714, October 2023.


Awareness and perceptions of FDA’s JUUL Marketing Denial Order:A national study of US adolescents.

Rams A, Kowitt S, Ritchie C, Sutfin EL, Sheeran P, Noar SM. ` Nicotine Tob Res. 2023 Oct 9:ntad191. doi: 10.1093/ntr/ntad191. Epub ahead of print. PMID: 37813094.


Perceived effectiveness of cigar warnings in discouraging blunt use

Kowitt SD, Goldstein AO, Cornacchione Ross J, Clark SA, Kristen JL, Sheeran P, Thrasher JF, Ranney LM.  Nicotine Tob Res. 2023 Oct 11:ntad199. doi: 10.1093/ntr/ntad199. Epub ahead of print. PMID: 37819722.


Nontraumatic Subarachnoid Hemorrhage and Ruptured Intracranial Aneurysm: Recognition and Evaluation

Kane SF, Butler E, Sindelar BD. Am Fam Physician. 2023 Oct;108(4):386-395. PMID: 37843947


Utilization and Satisfaction of an On-Demand Telemedicine Service in Urban and Rural Communities. 

Helvey S, Mann J, Barzin A, Edson B, Khairat S. Stud Health Technol Inform. 2023 Oct 20;309:199-203. doi: 10.3233/SHTI230778. PMID: 37869842.


September 2023

Examining the use of psychiatric collaborative care and behavioral health integration codes at federally qualified health centers: A mixed-methods study.

Lombardi BM, Greeno C, de Saxe Zerden L.  Fam Syst Health. 2023 Sep 28. doi: 10.1037/fsh0000827. Epub ahead of print. PMID: 37768626.


Making the Journey

Ruiz J., Fam Med. 2023 Sep 22. doi: 10.22454/FamMed.2023.767230. Epub ahead of print. PMID: 37870800.


For All the Young Trans Folks

Smith R.  Fam Med. 2023 Sep 22. doi: 10.22454/FamMed.2023.514120. Epub ahead of print. PMID: 37870801.


The Distribution of Additional Residency Slots to Rural and Underserved Areas

Rains J, Holmes GM, Pathak S, Hawes EM. 2023 Sep 12;330(10):968-969. doi: 10.1001/jama.2023.14452. PMID: 37556174; PMCID: PMC10413210.


Screening for Hypertensive Disorders of Pregnancy: US Preventive Services Task Force Final Recommendation Statement.

US Preventive Services Task Force; Barry MJ, Nicholson WK, Silverstein M, Cabana MD, Chelmow D, Coker TR, Davis EM, Donahue KE, Jaén CR, Li L, Ogedegbe G, Rao G, Ruiz JM, Stevermer J, Tsevat J, Underwood SM, Wong JB.  2023 Sep 19;330(11):1074-1082. doi: 10.1001/jama.2023.16991. PMID: 37721605.


Defining Speaking Up in the Healthcare System: a Systematic Review.

Kane J, Munn L, Kane SF, Srulovici E. J Gen Intern Med. 2023 Sep 5. doi: 10.1007/s11606-023-08322-0. Epub ahead of print. PMID: 37670070.


Antibiotics for Acute Uncomplicated Diverticulitis.

Baca-Atlas M, Mounsey A.  Am Fam Physician. 2023 Sep;108(3):237-238. PMID: 37725454.


Palliative care for persons with late-stage Alzheimer’s and related dementias and their caregivers: protocol for a randomized clinical trial.

Toles M, Kistler C, Lin FC, Lynch M, Wessell K, Mitchell SL, Hanson LC.  Trials. 2023 Sep 25;24(1):606. doi: 10.1186/s13063-023-07614-4. PMID: 37743478.


August 2023

Pharmacogenetics: Using science to reduce racial bias in pain management?

Austin CA, Sanderson K, Crona D, Kistler C. J Am Geriatr Soc. 2023 Aug 2. doi: 10.1111/jgs.18524. Epub ahead of print. PMID: 37529936.


Folic Acid Supplementation to Prevent Neural Tube Defects: US Preventive Services Task Force Reaffirmation Recommendation Statement.

US Preventive Services Task Force; Barry MJ, Nicholson WK, Silverstein M, Chelmow D, Coker TR, Davis EM, Donahue KE, Jaén CR, Li L, Ogedegbe G, Rao G, Ruiz JM, Stevermer J, Tsevat J, Underwood SM, Wong JB.  2023 Aug 1;330(5):454-459. doi: 10.1001/jama.2023.12876. PMID: 37526713.


A National Typology of Health Service Regulation in Assisted Living.

Smith L, Carder P, Hua C, Zimmerman S, Sloane PD, Zhang W, Wretman CJ, Cornell P, Thomas KS. Gerontologist. 2023 Aug 7:gnad109. doi: 10.1093/geront/gnad109. Epub ahead of print. PMID: 37549891.


Are DEA-waivered buprenorphine prescribers colocated with behavioral health clinicians?

Zerden LS, Sullivan C, Galloway E, Richman EL, Gaiser MG, Lombardi B.  Am J Addict. 2023 Aug 9. doi: 10.1111/ajad.13462. Epub ahead of print. PMID: 37559344.


Performance of an embedded algorithm to identify people with dementia in a clinical trial. 

Lynch DH, Lynch ME, Wessell KL, Kistler CE, Hanson LC. J Am Geriatr Soc. 2023 Aug 18. doi: 10.1111/jgs.18558. Epub ahead of print. PMID: 37593793.


Preexposure Prophylaxis to Prevent Acquisition of HIV: US Preventive Services Task Force Recommendation Statement.

US Preventive Services Task Force; Barry MJ, Nicholson WK, Silverstein M, Chelmow D, Coker TR, Davis EM, Donahue KE, Jaén CR, Kubik M, Li L, Ogedegbe G, Rao G, Ruiz JM, Stevermer JJ, Tsevat J, Underwood SM, Wong JB. JAMA. 2023 Aug 22;330(8):736-745. doi: 10.1001/jama.2023.14461. PMID: 37606666.


Acceptability and readiness to promote human papillomavirus vaccination at ages 9-10 years: a feasibility study among North Carolina clinics.

Vielot NA, Lane RM, Loefstedt K, Cunningham JL, Everson J, Tiller E, Johnson Patel SE, Smith JS. Pilot Feasibility Stud. 2023 Aug 31;9(1):153. doi: 10.1186/s40814-023-01379-y. PMID: 37653458.


Infant antibody and B-cell responses following confirmed pediatric GII.17 norovirus infections functionally distinguish GII.17 genetic clusters.

Strother CA, Brewer-Jensen PD, Becker-Dreps S, Zepeda O, May S, Gonzalez F, Reyes Y, McElvany BD, Averill AM, Mallory ML, Montmayeur AM, Costantini VP, Vinjé J, Baric RS, Bucardo F, Lindesmith LC, Diehl SA.  Front Immunol. 2023 Aug 18;14:1229724. doi: 10.3389/fimmu.2023.1229724. PMID: 37662930; PMCID: PMC10471973.


The Distribution of Additional Residency Slots to Rural and Underserved Areas.

Rains J, Holmes GM, Pathak S, Hawes EM. 2023 Aug 9. doi: 10.1001/jama.2023.14452. Epub ahead of print. PMID: 37556174.


Newborn with amniotic band sequence

Ruiz J.  Clin Case Rep. 2023 Aug 22;11(8):e7655. doi: 10.1002/ccr3.7655. PMID: 37621726; PMCID: PMC10444942.


July 2023

Post-Acute Expenditures among Patients Discharged Home after Stroke or Transient Ischemic Attack: The COMprehensive Post-Acute Stroke Services (COMPASS) Trial. Value Health.

Hou Y, D’Souza K, Kucharska-Newton AM, Freburger JK, Bushnell CD, Halladay JR, Duncan PW, Trogdon JG. 2023 Jul 6:S1098-3015(23)03035-8. doi: 10.1016/j.jval.2023.06.018. Epub ahead of print. PMID: 37422076.


Toward a Stronger Post-Pandemic Nursing Workforce.

Buerhaus P, Fraher E, Frogner B, Buntin M, O’Reilly-Jacob M, Clarke S. N Engl J Med. 2023 Jul 15. doi: 10.1056/NEJMp2303652. Epub ahead of print. PMID: 37458259.


Screening for Lipid Disorders in Children and Adolescents: US Preventive Services Task Force Recommendation Statement.

US Preventive Services Task Force; Barry MJ, Nicholson WK, Silverstein M, Chelmow D, Coker TR, Davis EM, Donahue KE, Jaén CR, Li L, Ogedegbe G, Rao G, Ruiz JM, Stevermer J, Tsevat J, Underwood SM. JAMA. 2023 Jul 18;330(3):253-260. doi: 10.1001/jama.2023.11330. PMID: 37462699.


Improving Point-of-Sale Warnings for Single Cigars: Implications for Premium Cigars.

Kowitt SD, Clark SA, Jarman KL, Cornacchione Ross J, Ranney LM, Sheeran P, Thrasher JF, Enyioha C, Goldstein AO. Nicotine Tob Res. 2023 Jul 28;25(Supplement_1):S76-S80. doi: 10.1093/ntr/ntad006. PMID: 37506244; PMCID: PMC10380183.


Southeastern Collaboration to Improve Blood Pressure Writing Group. Implementing practice facilitation in research: how facilitators spend their time guiding practices to improve blood pressure control

Sutton KF, Richman EL, Rees JR, Pugh-Nicholson LL, Craft MM, Peaden SH, Soroka O, Mackey M, Cummings DM, Cherrington AL, Safford MM, Halladay JR; Implement Sci Commun. 2023 Jul 31;4(1):89. doi: 10.1186/s43058-023-00470-y. PMID: 37525267


Implementing a Blood Pressure Measurement Curriculum for First-Year Medical Students.

Fisher M, Harris A, Koonce T, Beck Dallaghan G, Coe CL.  Med Sci Educ. 2023 Jul 6;33(4):841-845. doi: 10.1007/s40670-023-01825-9. PMID: 37546203; PMCID: PMC10403475.


Functional Gastrointestinal Disorders.

Duffy M, Boggiano VL, Ganesh R, Mueller M. Prim Care. 2023 Sep;50(3):429-446. doi: 10.1016/j.pop.2023.03.006. Epub 2023 Apr 29. PMID: 37516512


Implementing a Blood Pressure Measurement Curriculum for First-Year Medical Students.

Fisher M, Harris A, Koonce T, Beck Dallaghan G, Coe CL. Med Sci Educ. 2023 Jul 6;33(4):841-845. doi: 10.1007/s40670-023-01825-9. PMID: 37546203; PMCID: PMC10403475.


Mild traumatic brain injury history is associated with lower brain network resilience in soldiers

Powell JR, Hopfinger JB, Giovanello KS, Walton SR, DeLellis SM, Kane SF, Means GE, Mihalik JP.  Brain Commun. 2023 Jul 27;5(4):fcad201. doi: 10.1093/braincomms/fcad201. PMID: 37545546; PMCID: PMC10400114.


June 2023

Screening for Depression and Suicide Risk in Adults: US Preventive Services Task Force Recommendation Statement.  

US Preventive Services Task Force; Barry MJ, Nicholson WK, Silverstein M, Chelmow D, Coker TR, Davidson KW, Davis EM, Donahue KE, Jaén CR, Li L, Ogedegbe G, Pbert L, Rao G, Ruiz JM, Stevermer JJ, Tsevat J, Underwood SM, Wong JB. JAMA. 2023 Jun 20;329(23):2057-2067. doi: 10.1001/jama.2023.9297. PMID: 37338872.


Screening for Anxiety Disorders in Adults: US Preventive Services Task Force Recommendation Statement.

US Preventive Services Task Force; Barry MJ, Nicholson WK, Silverstein M, Coker TR, Davidson KW, Davis EM, Donahue KE, Jaén CR, Li L, Ogedegbe G, Pbert L, Rao G, Ruiz JM, Stevermer J, Tsevat J, Underwood SM, Wong JB. JAMA. 2023 Jun 20. doi: 10.1001/jama.2023.9301. Epub ahead of print. PMID: 37338866.


Scholarship Criteria for Promotion in the Age of Diverse Faculty Roles and Digital Media.

Helton MR, Pathman DE. [published June 21, 2023]. Fam Med. https://doi.org/10.22454/FamMed.2023.554380.


Non-secretor phenotype is associated with less risk of rotavirus-associated acute gastroenteritis in a vaccinated Nicaraguan birth cohort.

Reyes Y, St Jean DT, Bowman NM, González F, Mijatovic-Rustempasic S, Becker-Dreps S, Svensson L, Nordgren J, Bucardo F, Vielot NA. J Infect Dis. 2023 Jun 5:jiad202. doi: 10.1093/infdis/jiad202. Epub ahead of print. PMID: 37279878.


Is there benefit to adding ezetimibe to a statin for the secondary prevention of CVD?  

Reddy V, Allison J, Mounsey A. J Fam Pract. 2023 Jun;72(5):227-229. doi: 10.12788/jfp.0610. PMID: 37339492.


Scholarship Criteria for Promotion in the Age of Diverse Faculty Roles and Digital Media.

Helton MR, Pathman DE. [published June 21, 2023]. Fam Med. https://doi.org/10.22454/FamMed.2023.554380.


Equitable and timely access to outpatient COVID-19 treatment: A review of centralized workflow implementation at an integrated health system.

Donnowitz K, Rush J, Webb M, Hogan S, Mann J, Reichard J, Ginn MB, O’Bryan L, Lyons M, Barzin AH. J Am Pharm Assoc (2003). 2023 Jun 29:S1544-3191(23)00230-3. doi: 10.1016/j.japh.2023.06.018. Epub ahead of print. PMID: 37392811.


May 2023

Perceived message effectiveness of cigar warning themes among adults in the United States.

Cornacchione Ross J, Kowitt SD, Jarman KL, Ranney LM, Lazard AJ, Thrasher JF, Sheeran P, Goldstein AO. Prev Med Rep. 2023 May 10;34:102236. doi: 10.1016/j.pmedr.2023.102236. PMID: 37234566; PMCID: PMC10206194.


Black Smokers’ Preferences for Features of a Smoking Cessation App: Qualitative Study.  

Enyioha C, Loufman LM, Grewe ME, Cené CW, Khairat S, Goldstein AO, Kistler CE. JMIR Form Res. 2023 May 30;7:e43603. doi: 10.2196/43603. PMID: 37252777.


Screening for Latent Tuberculosis Infection in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force.

Jonas DE, Riley SR, Lee LC, Coffey CP, Wang SH, Asher GN, Berry AM, Williams N, Balio C, Voisin CE, Kahwati LC doi: 10.1001/jama.2023.3954. PMID: 37129650.


Neural tube defects: prevalence, mortality and maternal characteristics in two departmental hospitals in the northwestern region of Nicaragua, 2006-2018.

Bucardo, Dania María Pastora; González, Fredman; Montes, María; Pimienta, Paula; Bonilla, Indiana López; Vielot, Nadja; Finnell, Richard H. In Press, Birth Defects Research.


Data envelopment analysis to evaluate the efficiency of tobacco treatment programs in the NCI Moonshot Cancer Center Cessation Initiative.

Pluta K, Hohl SD, D’Angelo H, Ostroff JS, Shelley D, Asvat Y, Chen LS, Cummings KM, Dahl N, Day AT, Fleisher L, Goldstein AO, Hayes R, Hitsman B, Buckles DH, King AC, Lam CY, Lenhoff K, Levinson AH, Minion M, Presant C, Prochaska JJ, Shoenbill K, Simmons V, Taylor K, Tindle H, Tong E, White JS, Wiseman KP, Warren GW, Baker TB, Rolland B, Fiore MC, Salloum RG. Implement Sci Commun. 2023 May 11;4(1):50. doi: 10.1186/s43058-023-00433-3. PMID: 37170381.


Postgraduate education to expand access to dental care: A roadmap to community dental program development.

Page CP, Koday M, Zamierowski AM, Weidner A, Hawes EM. J Dent Educ. 2023 May 12. doi: 10.1002/jdd.13242.


Synthetic nicotine descriptors: awareness and impact on perceptions of e-cigarettes among US youth.

Kowitt SD, Seidenberg AB, Gottfredson O’Shea NC, Ritchie C, Galper EF, Sutfin EL, Sheeran P, Noar SM. Tob Control. 2023 May 12:tc-2023-057928.


Screening Latent Tuberculosis Infection in Adults: US Preventive Services Task Force Recommendation Statement.

Mangione CM, Barry MJ, Nicholson WK, Cabana M, Chelmow D, Coker TR, Davis EM, Donahue KE, Jaén CR, Li L, Ogedegbe G, Rao G, Ruiz JM, Stevermer J, Underwood SM, Wong JB. JAMA. 2023; 329(17):1487-1494.


Visual findings in children exposed to Zika in utero in Nicaragua.

Martinez E, Max R, Bucardo F, Stringer EM, Becker-Dreps S, Toval-Ruíz C, Chavarria M, Meléndez-Balmaceda MJ, Nuñez C, Collins MH, Boivin M, Ortiz-Pujols S, Zepeda O, Cross K, Gower EW, Bowman NM, Grace SF. PLoS Negl Trop Dis. 2023 May 19;17(5):e0011275.


Stagnant daily smoking prevalence between 2008 and 2019 among Black and Hispanic adults with serious psychological distress.  

Rubenstein D, Pacek LR, Smith C, McClernon FJ, Enyioha C, Vilardaga R. Drug Alcohol Depend. 2023 May 23;248:109943.


Black Smokers’ Preferences for Features of a Smoking Cessation App: Qualitative Study.

Enyioha C, Loufman LM, Grewe ME, Cené CW, Khairat S, Goldstein AO, Kistler CE. JMIR Form Res. 2023 May 30;7:e43603.


Evaluating the Child With a Limp.

Morancie NA, Helton MR. Am Fam Physician. 2023 May;107(5):474-485. PMID: 37192073.


Obesity Is Associated with an Impaired Baseline Repertoire of Anti-Influenza Virus Antibodies.

Abd Alhadi M, Friedman LM, Karlsson EA, Cohen-Lavi L, Burkovitz A, Schultz-Cherry S, Noah TL, Weir SS, Shulman LM, Beck MA, Hertz T. Microbiol Spectr. 2023 Jun 15;11(3):e0001023. doi: 10.1128/spectrum.00010-23. Epub 2023 Apr 26. PMID: 37098954; PMCID: PMC10269616.


Athletes With Attention-Deficit/Hyperactivity Disorder: Position Statement of the American Medical Society for Sports Medicine.

Pujalte GGA, Narducci DM, Smith MS, King R, Logan K, Callender SS, Liebman CA, Kane SF, Israel MP, Wolf SF, Nuti R, Khodaee M. Clin J Sport Med. 2023 May 1;33(3):195-208. doi: 10.1097/JSM.0000000000001152. PMID: 37185161.


April 2023

The design and rationale of a multicenter real-world trial: The southeastern collaboration to improve blood pressure control in the US Black Belt – Addressing the triple threat.

Safford MM, Cummings DM, Halladay J, Shikany JM, Richman J, Oparil S, Hollenberg J, Adams A, Anabtawi M, Andreae L, Baquero E, Bryan J, Clark D, Johnson E, Richman E, Soroka O, Tillman J, Cherrington AL. Contemp Clin Trials. 2023 Apr 13:107183. doi: 10.1016/j.cct.2023.107183. Epub ahead of print. PMID: 37061162.


Screening for Skin Cancer: US Preventive Services Task Force Recommendation Statement.

US Preventive Services Task Force; Mangione CM, Barry MJ, Nicholson WK, Chelmow D, Coker TR, Davis EM, Donahue KE, Jaén CR, Kubik M, Li L, Ogedegbe G, Rao G, Ruiz JM, Stevermer J, Tsevat J, Underwood SM, Wong JB. JAMA. 2023 Apr 18;329(15):1290-1295. doi: 10.1001/jama.2023.4342. PMID: 37071089.


Pragmatic evaluation of events and benefits of lipid lowering in older adults (PREVENTABLE): Trial design and rationale.

Joseph J, Pajewski NM, Dolor RJ, Sellers MA, Perdue LH, Peeples SR, Henrie AM, Woolard N, Jones WS, Benziger CP, Orkaby AR, Mixon AS, VanWormer JJ, Shapiro MD, Kistler CE, Polonsky TS, Chatterjee R, Chamberlain AM, Forman DE, Knowlton KU, Gill TM, Newby LK, Hammill BG, Cicek MS, Williams NA, Decker JE, Ou J, Rubinstein J, Choudhary G, Gazmuri RJ, Schmader KE, Roumie CL, Vaughan CP, Effron MB, Cooper-DeHoff RM, Supiano MA, Shah RC, Whittle JC, Hernandez AF, Ambrosius WT, Williamson JD, Alexander KP; PREVENTABLE Trial Research Group. J Am Geriatr Soc. 2023 Apr 20. doi: 10.1111/jgs.18312. Epub ahead of print. PMID: 37082807.


Neural tube defects: Prevalence, mortality, and maternal characteristics in two departmental hospitals in the northwestern region of Nicaragua, 2006-2018.

Pastora Bucardo DM, González F, Montes Pastora M, Pimienta Ramirez PA, Bonilla IL, Vielot NA, Finnell RH. Birth Defects Res. 2023 Apr 6. doi: 10.1002/bdr2.2174. Epub ahead of print. PMID: 37025002.


Enhanced Primary Care for People With Serious Mental Illness: A Propensity Weighted Cohort Study.

Gertner AK, Grove LR, Swietek KE, Lin CC, Ray N, Malone TL, Rosen DL, Zarzar TR, Domino ME, Steiner BD. J Clin Psychiatry. 2023 Apr 5;84(3):22m14496. doi: 10.4088/JCP.22m14496. PMID: 37022757.


Magnetic Resonance Imaging for Diagnosing Acute Appendicitis.  

Mounsey A, Cardon B. Am Fam Physician. 2023 Apr;107(4):353-354. PMID: 37054409.


Atypical Presentation of Left Knee Swelling in a Recreational Rock-Climbing Athlete.

Vijayaraghavan N, Lee J. Curr Sports Med Rep. 2023 Apr 1;22(4):115-116. doi: 10.1249/JSR.0000000000001053. PMID: 37036458.


Take a Deep Breath. Fam Med.

Myerholtz L. 2023 Apr;55(4):284-285. doi: 10.22454/FamMed.2023.731271. PMID: 37042821.


Preparing residents to practice integrated behavioral health care: Multi-site feasibility study of a competency-based curriculum.  

Martin MP, Banks E, Myerholtz L, Zubatsky M, Suri Y, Mauksch L. Int J Psychiatry Med. 2023 May;58(3):201-213. doi: 10.1177/00912174221086930. Epub 2022 Apr 11. PMID: 35404710.


The association of patient age, race, and demographic features on reported pain and sedation dosing during procedural abortion: A retrospective cohort study.

Pace L, Howard M, Makar E, Lee J. Contraception. 2023 Jul;123:110037. doi: 10.1016/j.contraception.2023.110037. Epub 2023 Apr 3. PMID: 37019255.


Obesity Is Associated with an Impaired Baseline Repertoire of Anti-Influenza Virus Antibodies.

Abd Alhadi M, Friedman LM, Karlsson EA, Cohen-Lavi L, Burkovitz A, Schultz-Cherry S, Noah TL, Weir SS, Shulman LM, Beck MA, Hertz T. Microbiol Spectr. 2023 Jun 15;11(3):e0001023. doi: 10.1128/spectrum.00010-23. Epub 2023 Apr 26. PMID: 37098954; PMCID: PMC10269616.


Reflections on Part-Time Residency Training, 15-25 Years Later: A Qualitative Study on Wellness and Career Impact.

Alexander SM, Byerley JS, Page CP, Holmes AV, Beck Dallaghan GL. Teach Learn Med. 2023 Jun-Jul;35(3):315-322. doi: 10.1080/10401334.2022.2050241. Epub 2022 Apr 17. PMID: 35435100.


March 2023

Antibody Immunity to Zika Virus among Young Children in a Flavivirus-Endemic Area in Nicaragua

Viruses

Zepeda O, Espinoza DO, Martinez E, Cross KA, Becker-Dreps S, de Silva AM, Bowman NM, Premkumar L, Stringer EM, Bucardo F, Collins MH.

Objective: To understand the dynamics of Zika virus (ZIKV)-specific antibody immunity in children born to mothers in a flavivirus-endemic region during and after the emergence of ZIKV in the Americas. Methods: We performed serologic testing for ZIKV cross-reactive and type-specific IgG in two longitudinal cohorts, which enrolled pregnant women and their children (PW1 and PW2) after the beginning of the ZIKV epidemic in Nicaragua. Quarterly samples from children over their first two years of life and maternal blood samples at birth and at the end of the two-year follow-up period were studied.  Read more >>


Clinical Team Response to the Impact of COVID-19 on Diabetes Self-Management: Findings From a Qualitative Study

Frontiers of Clinical Diabetes and Healthcare

Hale L, Cameron TC, Donahue KE, Vu MB, Leeman J, Johnson A, Richman E, Rees J, Young L.  Front Clin Diabetes Healthc.

The aims of this study were to explore providers’ perceptions of how COVID-19 affected patients’ psychological wellbeing and diabetes self-care and discover how providers responded to sustain and improve patients’ psychological health and diabetes management during the pandemic. Twenty-four semi-structured interviews were completed with primary care providers (n=14) and endocrine specialty clinicians (n=10) across sixteen clinics in North Carolina. Interview topics included: (1) current glucose monitoring approaches and diabetes management strategies for people with diabetes (2) barriers and unintended consequences encountered with respect to diabetes self-management, and (3) innovative strategies developed to overcome barriers. Interview transcripts were coded using qualitative analysis software and analyzed to identify cross-cutting themes and differences between participants.  Read more >>


Household Surveillance for Norovirus Gastroenteritis in a Nicaraguan Birth Cohort: A Nested Case-Control Analysis of Norovirus Risk Factors

Pathogens

Vielot NA, Zepeda O, Reyes Y, González F, Vinjé J, Becker-Dreps S, Bucardo F.

Norovirus causes a large proportion of pediatric acute gastroenteritis (AGE) worldwide, and no vaccines are currently available. To inform public health measures against norovirus gastroenteritis, we assessed risk factors in a case-control study nested in a birth cohort study in Nicaragua. Between June 2017 and January 2022, we followed children weekly for AGE episodes, and collected stool specimens from symptomatic children. Risk factors for AGE were collected during routine weekly visits. Norovirus was detected in stools using real-time reverse transcriptase polymerase chain reaction and positive specimens were genotyped using Sanger sequencing. Read more >>


Where are the critical care nurses? A statewide analysis of actively practicing nurses’ transitions out of the clinical area

Nursing Outlook

Tran AK, Knafl GJ, Baernholdt M, Fraher EP, Jones CB.

Background: Critical care nurse shortages and burnout have spurred interest in the adequacy of nursing supply in the United States. Nurses can move between clinical areas without additional education or licensure. Purpose: To identify transitions that critical care nurses make into non-critical care areas, and examine the prevalence and characteristics associated with those transitions. Methods: Secondary analysis of state licensure data from 2001-2013. Discussion: More than 75% of nurses (n = 8,408) left critical care in the state, with 44% making clinical area transitions within 5 years. Read more >>


How do current tobacco warnings compare to the WHO FCTC guidelines: a content analysis of combustible tobacco warnings worldwide

BMJ Open

Ranney LM, Clark SA, Jarman KL, Lazard AJ, Kowitt SD, Cornacchione Ross J, Baler G, Thrasher JF, Goldstein AO.

Many countries have adopted warning labels for combustible tobacco products, yet little research exists describing tobacco warning characteristics globally and to what extent they meet the WHO Framework Convention for Tobacco Control (FCTC) Guidelines. This study evaluates characteristics of combustible tobacco warnings. We conducted a content analysis to describe the overall landscape of warnings using descriptive statistics and compared to the WHO FCTC Guidelines. Read more >>


Disparate statin prescribing following hospital discharge for stroke or transient ischemic attack: Findings from COMPASS

Journal of the American Geriatrics Society

Cummings DM, Jones S, Bushnell C, Halladay J, Hart S, Kinlaw AC, Psioda M, Wen F, Sissine M, Duncan P.

Published guidelines recommend high-intensity statins following an ischemic stroke or transient ischemic attack (TIA). The authors examined the potential for disparate patterns of statin prescribing in a cluster randomized trial of transitional care following acute stroke or TIA. Medications taken before hospitalization and statins prescribed at discharge among stroke and TIA patients at 27 participating hospitals were examined. Read more >>


February 2023

Serologic Screening for Genital Herpes Infection US Preventive Services Task Force Reaffirmation Recommendation Statement

JAMA

Carol M. Mangione, MD, MSPH; Michael J. Barry, MD; Wanda K. Nicholson, MD, MPH, MBA; Michael Cabana, MD, MA, MPH; David Chelmow, MD; Tumaini Rucker Coker, MD, MBA; Esa M. Davis, MD, MPH; Katrina E. Donahue, MD, MPH; Carlos Roberto Jaén, MD, PhD, MS; Martha Kubik, PhD, RN; Li Li, MD, PhD, MPH; Gbenga Ogedegbe, MD, MPH; Lori Pbert, PhD; John M. Ruiz, PhD; James Stevermer, MD, MSPH; John B. Wong, MD.

Importance  Genital herpes is a common sexually transmitted infection caused by 2 related viruses, herpes simplex type 1 (HSV-1) and herpes simplex type 2 (HSV-2). Infection is lifelong; currently, there is no cure for HSV infection. Antiviral medications may provide clinical benefits to symptomatic persons. Transmission of HSV from a pregnant person to their infant can occur, most commonly during delivery; when genital lesions or prodromal symptoms are present, cesarean delivery can reduce the risk of transmission. Neonatal herpes infection is uncommon yet can result in substantial morbidity and mortality. Read more >>


Serologic Screening for Genital Herpes, Updated Evidence Report and Systematic Review for the US Preventive Services Task Force

JAMA

Gary N. Asher, MD, MPH; Cynthia Feltner, MD, MPH; Wade N. Harrison, MD, MPH; Emmanuel Schwimmer, MPH

Genital herpes is a viral sexually transmitted infection (STI) caused by 1 of 2 herpes simplex virus (HSV) subtypes: HSV-1 or HSV-2. HSV-1 can cause infection at either the orofacial (eg, cold sores) or anogenital region, whereas HSV-2 infection is typically limited to the anogenital region.1 In asymptomatic, seropositive persons who have never knowingly experienced an HSV outbreak, HSV-1 serology cannot predict the future outbreak site. Therefore, serologic screening for genital herpes is limited to HSV-2 only. Read more >>


Transporting monovalent rotavirus vaccine efficacy estimates to an external target population: a secondary analysis of data from a randomized controlled trial in Malawi

Epidemiology and Infection

St Jean DT, Edwards JK, Rogawski McQuade ET, Thompson P, Thomas JC, Becker-Dreps S.

Oral rotavirus vaccine efficacy estimates from randomised controlled trials are highly variable across settings. Although the randomised study design increases the likelihood of internal validity of findings, results from trials may not always apply outside the context of the study due to differences between trial participants and the target population. Here, we used a weight-based method to transport results from a monovalent rotavirus vaccine clinical trial conducted in Malawi between 2005 and 2008 to a target population of all trial-eligible children in Malawi, represented by data from the 2015–2016 Malawi Demographic and Health Survey (DHS). Read more >>


Diabetes distress mediates the relationship between depressive symptoms and glycemic control among adults with type 2 diabetes: findings from a multi-site diabetes peer support intervention

Diabetes Medicine

Qian Y, Emmerling DA, Kowitt SD, Ayala GX, Cherrington AL, Heisler M, Safford MM, Tang TS, Thom DH, Fisher EB.

Diabetes distress is positively associated with HbA1c and may mediate the relationship between depressive symptoms and HbA1c. This study examined these relationships in a geographically, socioeconomically, and ethnically diverse sample of adults with type 2 diabetes. Using data from five US sites evaluating peer support for diabetes management (n=917), Structural Equation Modeling (SEM) examined whether diabetes distress (four items from Diabetes Distress Scale) mediated the relationship between depressive symptoms (PHQ-8) and HbA1c. Read more >>


January 2023

Racial and Ethnic Disparities in Hospital-Based Care Among Dual Eligibles Who Use Health Centers

Wright B, Akiyama J, Potter AJ, Sabik LM, Stehlin GG, Trivedi AN, Wolinsky FD.

Health center use may reduce hospital-based care among Medicare–Medicaid dual eligibles, but racial and ethnic disparities in this population have not been widely studied. We examined the extent of racial and ethnic disparities in hospital-based care among duals using health centers and the degree to which disparities occur within or between health centers. Read more >>


Developing Leadership in a Time of Transformation

Newton W, Bazemore A, Peterson L.

The recently released National Academies of Sciences, Engineering, and Medicine report counts development of strong and coordinated primary care leadership among the 7 critical facilitators required for the United States to succeed in Implementing High-Quality Primary Care. The results of many decades of neglecting primary care as the foundation of an effective health system are manifest as rapid gains in health outcomes over the past century begin to recede despite mounting investment, population health outcomes lag all other comparable developed countries, and life expectancy drops for the first time in American history. The COVID pandemic and a racial reckoning have compounded this problem and reacquainted us with our history of unequal care and shameful disparities. Read more >>


Teaching social determinants through geographic information system mapping

Boggs Z, Beck Dallaghan GL, Smithson S, Lam Y.

Many institutions in undergraduate medical education have developed unique curricula to teach social determinants of health (SDOH). Geographic information system (GIS) mapping is one tool that learners could use to understand our built environment and its correlation with health outcomes through data analysis, visualization and active learning. At the University of North Carolina School of Medicine, medical students participate in a 4-year longitudinal curriculum on social and health systems science with the final year dedicated to self-directed learning. This final year course incorporates a GIS-based online module to help students apply their understanding of the health impacts of SDOH. Students create online maps with simulated patient data and identify ‘hotspots’ with map overlays using ArcGIS software. Read more >>


Recruitment and retention of primary care practices in the Southeastern Collaboration to Improve Blood Pressure Control

Contemporary Clinical Trials Communications

Shikany JM, Safford MM, Cherrington AL, Halladay JR, Anabtawi M, Richman EL, Adams AD, Holt C, Oparil S, Soroka O, Cummings DM.

Racial disparities related to hypertension prevalence and control persist, with Black persons continuing to have both high prevalence and suboptimal control. The Black Belt region of the US Southeast is characterized by multiple critical priority populations: rural, low-income, and minority (Black). In a cluster-randomized, controlled, pragmatic implementation trial, the Southeastern Collaboration to Improve Blood Pressure Control evaluated two multi-component, multi-level functional interventions – peer coaching (PC) and practice facilitation (PF) (separately and combined) – as adjuncts to usual care to improve blood pressure control in the Black Belt. Read more >>


Tonsillitis and Tonsilloliths: Diagnosis and Management

American Family Physician

Smith KL, Hughes R, Myrex P

Tonsillitis, or inflammation of the tonsils, makes up approximately 0.4% of outpati Rent visits in the United States. Tonsillitis is caused by a viral infection in 70% to 95% of cases. However, bacterial infections caused by group A beta-hemolytic streptococcus (Streptococcus pyogenes) account for tonsillitis in 5% to 15% of adults and 15% to 30% of patients five to 15 years of age. It is important to differentiate group A beta-hemolytic streptococcus from other bacterial or viral causes of pharyngitis and tonsillitis because of the risk of progression to more systemic complications such as abscess, acute glomerulonephritis, rheumatic fever, and scarlet fever after infection with group A beta-hemolytic streptococcus. A variety of diagnostic tools are available, including symptom-based validated scoring systems (e.g., Centor score), and oropharyngeal and serum laboratory testing.  Read more >>


The Impact of the COVID-19 Pandemic on Tobacco Treatment Program Implementation at National Cancer Institute-Designated Cancer Centers

Nicotine &Tobacco Research

Hohl SD, Shoenbill KA, Taylor KL, Minion M, Bates-Pappas GE, Hayes RB, Nolan MB, Simmons VN, Steinberg MB, Park ER, Ashing K, Beneventi D, Sanderson Cox L, Goldstein AO, King A, Kotsen C, Presant CA, Sherman SE, Sheffer CE, Warren GW, Adsit RT, Bird JE, D’Angelo H, Fiore MC, Van Thanh Nguyen C, Pauk D, Rolland B, Rigotti NA.

The COVID-19 pandemic disrupted cancer screening and treatment delivery, but COVID-19’s impact on tobacco cessation treatment for cancer patients who smoke has not been widely explored. We conducted a sequential cross-sectional analysis of data collected from 34 National Cancer Institute (NCI)-designated cancer centers participating in NCI’s Cancer Center Cessation Initiative (C3I), across three reporting periods: one prior to COVID-19 (January-June 2019) and two during the pandemic (January-June 2020, January-June 2021). Using McNemar’s Test of Homogeneity, we assessed changes in services offered and implementation activities over time.  Read more >>


A Large Pedunculated Mass

American Family Physician

Fareedat Oluyadi, MD, Bailey Minish, MD, and Michael Evers, MD

A 36-year-old woman presented with a mass on her labia that she first noticed two years earlier. The mass had recently started to bleed, requiring multiple pad changes per day. The patient reported pain with walking and sitting. She did not have trauma or surgery in the affected area. She was obese (body mass index of 40 kg per m2) and had a history of irregular menses. The physical examination revealed a large pedunculated mass stemming from the left labium majus. Read more >>


Relations of Current and Past Cancer with Severe Outcomes among 104,590 Hospitalized COVID-19 Patients: The COVID EHR Cohort at the University of Wisconsin

Cancer Epidemiology, Biomarkers & Prevention

Nolan MB, Piasecki TM, Smith SS, Baker TB, Fiore MC, Adsit RT, Bolt DM, Conner KL, Bernstein SL, Eng OD, Lazuk D, Gonzalez A, Hayes-Birchler T, Jorenby DE, D’Angelo H, Kirsch JA, Williams BS, Kent S, Kim H, Lubanski SA, Yu M, Suk Y, Cai Y, Kashyap N, Mathew J, McMahan G, Rolland B, Tindle HA, Warren GW, Abu-El-Rub N, An LC, Boyd AD, Brunzell DH, Carrillo VA, Chen LS, Davis JM, Deshmukh VG, Dilip D, Goldstein AO, Ha PK, Iturrate E, Jose T, Khanna N, King A, Klass E, Lui M, Mermelstein RJ, Poon C, Tong E, Wilson KM, Theobald WE, Slutske WS.

There is mixed evidence about the relations of current versus past cancer with severe COVID-19 outcomes and how they vary by patient and cancer characteristics. Electronic health record data of 104,590 adult hospitalized patients with COVID-19 were obtained from 21 United States health systems from February 2020 through September 2021. In-hospital mortality and ICU admission were predicted from current and past cancer diagnoses. Moderation by patient characteristics, vaccination status, cancer type, and year of the pandemic was examined. Read more >>


December 2022

 

Evaluation of a COVID-19 convalescent plasma program at a U.S. academic medical center

PloS One

Heather B Root, Matt Gilleskie, Chih-Huan Lu, Andrew Gilmore, Mariama Evans, Bridget G Nelson, William Johnson, Brian Gurney, JoAnn Kuruc, Alena J Markmann, Amir H Barzin, David A Wohl, William A Fischer, Yara A Park, Susan Weiss, Sonia Napravnik, Ralph Baric , Aravinda M de Silva, Anne M Lachiewicz, David van Duin, David M Margolis, Michael E Herce, Luther A Bartelt

Amidst the therapeutic void at the onset of the COVID-19 pandemic, a critical mass of scientific and clinical interest coalesced around COVID-19 convalescent plasma (CCP). To date, the CCP literature has focused largely on safety and efficacy outcomes, but little on implementation outcomes or experience. Expert opinion suggests that if CCP has a role in COVID-19 treatment, it is early in the disease course, and it must deliver a sufficiently high titer of neutralizing antibodies (nAb). Read more >>


2021 Paper of the Year

Current Sports Medicine Reports

Shawn F Kane 

The American College of Sports Medicine’s Publications Committee is pleased to highlight the excellent content its journals are publishing and acknowledges authors whose exemplary work provides readers with unique clinical, scientific, and applied content.  Read more >>


Interprofessional team-based learning to enhance behavioral health care for Latinx patients: Results of a teleconsultation program

Families, Systems & Health

Myerholtz L, Roberts C, Ross Dew K, McClester-Brown M, Castro G.

Culturally sensitive behavioral health services are scarce, particularly in rural and underserved areas. To expand integrated behavioral health care training for providers, specifically those working in rural communities and federally qualified health centers, an interprofessional teleconsultation program was developed. Given the desire to focus on culturally informed care training, this was done in partnership with a nonprofit community mental health agency which focuses on behavioral health within Latinx populations.   Read more >>


What 65 Years Have Taught Us: Reflections from a Career in Post-Acute and Long-Term Care

Journal of the American Medical Directors Association

Sloane PD, Zimmerman S.

As editors-in-chief of JAMDA for the past 5 years, we’ve had the good fortune to learn of the cutting-edge research being conducted around the world related to older adults at risk for or receiving post-acute and long-term care at home or in group settings. We’ve brought our own experience to bear on editorial decision-making, but largely held our personal perspectives in check. Until now.  Read more >>


November 2022

Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Persons: US Preventive Services Task Force Recommendation Statement

JAMA

US Preventive Services Task Force; Mangione CM, Barry MJ, Nicholson WK, Cabana M, Caughey AB, Chelmow D, Coker TR, Davis EM, Donahue KE, Jaén CR, Kubik M, Li L, Ogedegbe G, Pbert L, Ruiz JM, Stevermer J, Wong JB.

Menopause is defined as the cessation of a person’s menstrual cycle. It is defined retrospectively, 12 months after the final menstrual period. Perimenopause, or the menopausal transition, is the few-year time period preceding a person’s final menstrual period and is characterized by increasing menstrual cycle length variability and periods of amenorrhea, and often symptoms such as vasomotor dysfunction. The prevalence and incidence of most chronic diseases (eg, cardiovascular disease, cancer, osteoporosis, and fracture) increase with age, and US persons who reach menopause are expected on average to live more than another 30 years. Read more >>


Timing and genotype distribution of symptomatic and asymptomatic sapovirus infections and re-infections in a Nicaraguan birth cohort

Clinical Microbiology & Infection

González F, Diez-Valcarce M, Reyes Y, Vielot NA, Toval C, Gutiérrez L, Zepeda O, Cuadra EC, Blandón P, Browne H, Bowman NM, Víchez S, Vinjé J, Becker-Dreps S, Bucardo F.

To characterize the timing and genotype distribution of symptomatic and asymptomatic sapovirus infections and re-infections in a Nicaraguan birth cohort. Infants (n = 444) were enrolled at 10-14 days of life and followed weekly until 2 years of age. Stool were collected for each acute gastroenteritis (AGE) episode and routine stool were collected monthly. Stools were tested for sapovirus by RT-qPCR and positive samples were genotyped.  Read more >>


Responding to One Rural Community’s Primary Care Needs: Investing in Workforce and Broad Community Stakeholder Engagement

North Carolina Medical Journal

Hay S, Hawes EM, Zamierowski A, Hunt SA, Page CP.

Lack of access to high-quality primary care has been shown to contribute to urban-rural health disparities. We describe a model in which an academic health system made targeted primary care investments to address rural health disparities while building the health workforce to ensure sustainability. Read more >>


Sidebar: Creating a Workforce for Health: Next Steps for North Carolina

North Carolina Medical Journal

Lombardi B, Fraher E.

Years of health workforce research, policy, and funding have focused on the question: Do we have enough health care workers?  Read more >>


Let’s Rename Nursing Assistants What They Are: Professional Caregivers

JAMDA

Zimmerman S, Sloane PD, Rashik MI.

Terminology evolves with the times, and rightly so. In the not-too-distant past, terms weren’t needed to “take a selfie, write a blog, purchase a wearable, eat an edible, insert an emoji, be a foodie, have a staycation, develop a podcast, avoid spam” or “Google it.”  Read more >>


The role of communication research to support policy change: The US menthol ban

Nicotine & Tobacco Research

Byron MJ, Enyioha C, Goldstein AO. 

A ban on menthol in combustible tobacco products has the potential to directly and dramatically affect the lives of the 19 million people who smoke menthol cigarettes in the US, including 85% of African American smokers.1 The US Food and Drug Administration (FDA) gained authority over flavors in cigarettes in 2009 and was directed by law to form a Tobacco Product Scientific Advisory Committee to review the state of the science on menthol and make a recommendation.  Read more >>


October 2022

Health center use and hospital-based care among individuals dually enrolled in Medicare and Medicaid

Health Services Research

Wright B, Akiyama J, Potter AJ, Sabik LM, Stehlin GG, Trivedi AN, Wolinsky FD.

Objective: To examine the relationship between federally qualified health center (FQHC) use and hospital-based care among individuals dually enrolled in Medicare and Medicaid. Data sources: Data were obtained from 2012 to 2018 Medicare claims. Study design: We modeled hospital-based care as a function of FQHC use, person-level factors, a Medicare prospective payment system (PPS) indicator, and ZIP code fixed effects. Outcomes included emergency department (ED) visits (overall and nonemergent), observation stays, hospitalizations (overall and for ambulatory care sensitive conditions), and 30-day unplanned returns. We stratified all models on the basis of eligibility and rurality. Read more >>


Screening for Anxiety in Children and Adolescents: US Preventive Services Task Force Recommendation Statement

JAMA

US Preventive Services Task Force; Carol M Mangione, Michael J Barry, Wanda K Nicholson, Michael Cabana, Tumaini Rucker Coker, Karina W Davidson, Esa M Davis, Katrina E Donahue, Carlos Roberto Jaén, Martha Kubik, Li Li, Gbenga Ogedegbe, Lori Pbert, John M Ruiz, Michael Silverstein, James Stevermer, John B Wong

Anxiety disorder, a common mental health condition in the US, comprises a group of related conditions characterized by excessive fear or worry that present as emotional and physical symptoms. The 2018-2019 National Survey of Children’s Health found that 7.8% of children and adolescents aged 3 to 17 years had a current anxiety disorder. Anxiety disorders in childhood and adolescence are associated with an increased likelihood of a future anxiety disorder or depression. Read more >>


Screening for Depression and Suicide Risk in Children and Adolescents: US Preventive Services Task Force Recommendation Statement

JAMA

US Preventive Services Task Force; Carol M Mangione, Michael J Barry, Wanda K Nicholson, Michael Cabana, David Chelmow, Tumaini Rucker Coker, Karina W Davidson, Esa M Davis, Katrina E Donahue, Carlos Roberto Jaén, Martha Kubik, Li Li, Gbenga Ogedegbe, Lori Pbert, John M Ruiz, Michael Silverstein, James Stevermer, John B Wong

Depression is a leading cause of disability in the US. Children and adolescents with depression typically have functional impairments in their performance at school or work as well as in their interactions with their families and peers. Depression can also negatively affect the developmental trajectories of affected youth. Major depressive disorder (MDD) in children and adolescents is strongly associated with recurrent depression in adulthood; other mental disorders; and increased risk for suicidal ideation, suicide attempts, and suicide completion. Read more >>


Outcome Insights: Applying an NPG Lens to Examine a Capacity Building Initiative Among the Government and its Partner

International Journal of Public Administration

Sapna Varkey, Kara Lawrence, Leila Chelbi, Amanda J. Stewart & Richard M. Clerkin

Providing services for a diverse population requires a shift in paradigms and mechanisms. New Public Governance (NPG) provides insights on the need for collaborative actions between organizations from all sectors. This study applies an NPG lens to investigate a state’s effort to enhance mental health and substance use recovery through building capacity in peer-support service providing organizations (SPOs). Read more >>


An Individualized Approach to Kidney Disease Screening in Children With a History of Preterm Birth

Clinical Pediatrics

Keia Sanderson, T Michael O’Shea, Christine E Kistler 

Well-child Bright Futures screenings provide considerable benefits for child health and disease prevention; however, the benchmarks and screening for the many children with medical comorbidities are less well defined. With advancements in pediatric medicine, more children are living well with chronic diseases such as asthma, obesity, and hypertension. For these children, a more individualized approach to screening for comorbidities is needed. Read more >>


Treatment Intensity, Prescribing Patterns, and Blood Pressure Control in Rural Black Patients with Uncontrolled Hypertension

Journal of Racial and Ethnic Health Disparities

Doyle M Cummings, Alyssa Adams, Shivajirao Patil, Andrea Cherrington, Jacqueline R Halladay, Suzanne Oparil, Orysya Soroka, Joanna Bryan Ringel, Monika M Safford

Because racial disparities in hypertension treatment persist, the objective of the present study was to examine patient vs. practice characteristics that influence antihypertensive selection and treatment intensity for non-Hispanic Black (hereafter “Black”) patients with uncontrolled hypertension in the rural southeastern USA. Read more >>


Association between breastfeeding, host genetic factors, and calicivirus gastroenteritis in a Nicaraguan birth cohort

PLoS One

Vielot NA, François R, Huseynova E, González F, Reyes Y, Gutierrez L, Nordgren J, Toval-Ruiz C, Vilchez S, Vinjé J, Becker-Dreps S, Bucardo F.

Norovirus and sapovirus are important causes of childhood acute gastroenteritis (AGE). Breastfeeding prevents AGE generally; however, it is unknown if breastfeeding prevents AGE caused specifically by norovirus and sapovirus. We investigated the association between breastfeeding and norovirus or sapovirus AGE episodes in a birth cohort.  Read more >>


Removing the Financial Barriers to Home-Based Medical Care for Frail Older Persons

Journal of the American Medical Directors Association

Sloane PD, Eleazer GP, Phillips SL, Batchelor F.

Approximately 7.5 million adults in the United States (US) have difficulty making office visits to physicians, either because they are homebound (2 million) or need transport and other assistance (5.5 million).

Although many would qualify for care in a nursing home, these individuals and their families often prefer home-based care, which includes (1) home-based medical services (ie, medical and mental health providers and therapeutics) and (2) home health care (ie, nursing, allied health, rehabilitation, social services, and personal care).  Read more >>

Geriatric Care in the Community Setting: When Older Adults Can No Longer Live Alone at Home

Family Physician Essentials

Kistler CE.

Older adults living alone at home are at risk of many adverse outcomes, including injuries from falls, firearms, and driving; adverse drug events due to drug errors; and self-neglect or elder abuse. An estimated 4.5 million Medicare beneficiaries became homebound between 2012 and 2018. Becoming homebound increases the risk of harm for older adults. Clinicians should evaluate the home safety of older adult patients, which requires assessing their medical conditions, home physical environment, and social circumstances. Identified problems should be addressed with interventions that allow patients to live safely in the least restrictive environment possible. Read more >>


Journal of the Pediatric Infectious Diseases Society
Vielot NA, Brinkman A, DeMaso C, Vilchez S, Lindesmith LC, Bucardo F, Reyes Y, Baric RS, Ryan EP, Braun R, Becker-Dreps S.
We measured antibody binding to diverse norovirus virus-like particles over 12 months in 16 children. All had maternal antibodies at 2 months, with estimated lowest levels at 5 months of age. Antibody increases after 3 months suggested natural infections. This information could guide the timing of future norovirus vaccines. Read more >>

Journal of the Pediatric Infectious Diseases Society
Becker-Dreps S, Brewer-Jensen PD, González F, Reyes Y, Mallory ML, Gutiérrez L, Vielot NA, Diez-Valcarce M, Vinjé J, Baric RS, Lindesmith LC, Bucardo F.
A birth cohort design was used to understand whether heterotypic ligand-blocking norovirus antibodies provide cross-protection within the GII genogroup. We found that almost one-half of children who experienced a norovirus GII episode had preexisting antibodies heterotypic to the infecting genotype; therefore, these antibodies did not provide cross-protection. Read more >>

Sexually Transmitted Diseases
Grabert BK, Islam JY, Kabare E, Vielot NA, Waweru W, Mandaliya K, Shafi J, Adala L, McClelland RS, Smith JS.
We compared detection of Chlamydia trachomatis , Neisseria gonorrhoeae , and Trichomonas vaginalis using dry and wet self-collected samples using brushes among females who engage in sex work in Mombasa, Kenya. Detection of T. vaginalis and N. gonorrhoeae in dry and wet samples was similar, but C. trachomatis detection in dry samples appeared lower. Read more >>

Family Physician Essentials
Halpert KD.
Falls are the leading cause of injury among patients 65 years and older in the United States. Many falls are preventable, and clinicians can help patients reduce the risk of falls. This involves screening for fall risk, assessing for modifiable risk factors, and implementing evidence-based interventions for prevention. Screening for fall risk is required as part of the Welcome to Medicare visit and Annual Wellness Visits. Screening involves asking patients if they have had 2 or more falls in the past 12 months, if they are presenting because of an acute fall, and if they have difficulty with walking or balance. Read more >>
Family Physician Essentials
McClester Brown M.
By 2030, 1 in 5 Americans will be older than 65 years, and the health care system will need to prioritize disease prevention in these patients to help them maintain their health. The Welcome to Medicare visit and Annual Wellness Visits (AWVs) were established to provide the opportunity for clinicians to screen older adult patients for geriatric conditions, review and implement preventive health recommendations, and create an individualized plan for health promotion for the next 5 to 10 years. Any patient enrolled in Medicare Part B is eligible for these visits. Read more >>

Academic Medicine
Price DW, Wang T, O’Neill TR, Newton WP.
Spaced repeated testing over time results in better long-term knowledge retention than repeated study of the same material. It is particularly effective when feedback is provided, initial repetitions occur early, and answering questions requires application of knowledge through use of short-answer or context-rich multiple-choice questions. 1–4 American Board of Medical Specialties boards incorporate longitudinal knowledge assessments in their continuing certification programs, 5 but most have not yet systematically incorporated spaced repetition. Read more >>

September 2022

Residency Learning Networks: Why and How

Annals of Family Medicine

Warren Newton, Gerald Fetter, Grant S. Hoekzema, Lauren Hughes and Michael Magill

One of the most important features of the draft Accreditation Council for Graduate Medical Education (ACGME) family medicine residency requirements is a call for residencies to participate in learning networks. The American Board of Family Medicine (ABFM) believes that such networks are vital to residency redesign. Read more >>


The Face of God Revealed

Annals of Family Medicine

Timothy P Daaleman

Many years have passed since I visited Donny in the hospital, where he was admitted with a newly diagnosed and terminal lung cancer. Despite years of separation, his wife Rose took him back into her home and cared for Donny at the end of his life. In the months after his death, I learned more about their relationship; Donny’s drinking and infidelities, the emotional and verbal abuse that Rose put up with. At the end of one office visit, I was incredulous in silent amazement and asked her, “Why did you do it?” Rose looked at me and simply said, “Because he was one of us; because he was family.” Read more>>


Recommendations for Medical and Mental Health Care in Assisted Living Based on an Expert Delphi Consensus Panel: A Consensus Statement

JAMA Network Open

Sheryl Zimmerman, PhD, Philip D. Sloane, MD, MPH, Christopher J. Wretman, PhD, Kevin Cao, Johanna Silbersack, MSW, Paula Carder, PhD, Kali S. Thomas, PhD, Josh Allen, RN, Kim Butrum, RN, MS, Tony Chicotel, JD, MPP, Pat Giorgio, MPS, Mauro Hernandez, PhD, Helen Kales, MD, Paul Katz, MD, Juliet Holt Klinger, MA, Margo Kunze, RN, Christopher Laxton, CAE, Vicki McNealley, PhD, MN, RN, Suzanne Meeks, PhD, Kevin O’Neil, MD, Douglas Pace, NHA, Barbara Resnick, PhD, RN, Lindsay Schwartz, PhD, Dallas Seitz, MD, PhD, Lori Smetanka, JD, Kimberly Van Haitsma, PhD

Assisted living (AL) is the largest provider of residential long-term care in the US, and the morbidity of AL residents has been rising. However, AL is not a health care setting, and concern has been growing about residents’ medical and mental health needs. No guidance exists to inform this care. Read more >>


The first 20 months of the COVID-19 pandemic: Mortality, intubation and ICU rates among 104,590 patients hospitalized at 21 United States health systems

PLoS One

Michael C. Fiore , Stevens S. Smith, Robert T. Adsit, Daniel M. Bolt, Karen L. Conner, Steven L. Bernstein, Oliver D. Eng, David Lazuk, Alec Gonzalez, Douglas E. Jorenby, Heather D’Angelo, Julie A. Kirsch, Brian Williams, Margaret B. Nolan, Todd Hayes-Birchler, Sean Kent, Hanna Kim, Thomas M. Piasecki, Wendy S. Slutske, Stan Lubanski, Menggang Yu, Youmi Suk, Yuxin Cai, Nitu Kashyap, Jomol P. Mathew, Gabriel McMahan, Betsy Rolland, Hilary A. Tindle, Graham W. Warren, Lawrence C. An, Andrew D. Boyd, Darlene H. Brunzell, Victor Carrillo, Li-Shiun Chen, James M. Davis, Deepika Dilip, Edward F. Ellerbeck, Eduardo Iturrate, Thulasee Jose, Niharika Khanna, Andrea King, Elizabeth Klass, Michael Newman, Kimberly A. Shoenbill, Elisa Tong, Janice Y. Tsoh, Karen M. Wilson, Wendy E. Theobald, Timothy B. Baker

There is limited information on how patient outcomes have changed during the COVID-19 pandemic. This study characterizes changes in mortality, intubation, and ICU admission rates during the first 20 months of the pandemic. Read more >>


Norovirus Infection in Young Nicaraguan Children Induces Durable and Genotype-Specific Antibody Immunity

Viruses

Paul D Brewer-Jensen, Yaoska Reyes, Sylvia Becker-Dreps, Fredman González, Michael L Mallory, Lester Gutiérrez, Omar Zepeda, Edwing Centeno, Nadja Vielot, Marta Diez-Valcarce, Jan Vinjé, Ralph Baric, Lisa C Lindesmith, Filemon Bucardo

There are significant challenges to the development of a pediatric norovirus vaccine, mainly due to the antigenic diversity among strains infecting young children. Characterizing human norovirus serotypes and understanding norovirus immunity in naïve children would provide key information for designing rational vaccine platforms. Read more >>


Outcomes of States’ Loan Repayment and Forgiveness Programs From the Perspective of Safety Net Practice Administrators

Journal of the American Board of Family Medicine

Donald E Pathman, Robert G Sewell, Thomas Rauner, Marc Overbeck, Jackie Fannell, John Resendes

Nearly every state offers loan repayment (LRP) and some offer loan forgiveness to clinicians who commit to work in safety net practices. The effectiveness of these programs from the perspective of safety net practices is largely unknown. OBJECTIVES: To assess safety net practice administrators’ assessments of key outcomes for the 3 principal types of state service programs: LRPs funded by states, LRPs funded jointly by states and National Health Service Corps, and loan forgiveness programs. Read more >>


Immune Imprinting Drives Human Norovirus Potential for Global Spread

mBio

Lisa C Lindesmith, Florencia A T Boshier, Paul D Brewer-Jensen, Sunando Roy, Veronica Costantini, Michael L Mallory, Mark Zweigart, Samantha R May, Helen Conrad, Kathleen M O’Reilly, Daniel Kelly, Cristina C Celma, Stuart Beard, Rachel Williams, Helena J Tutill, Sylvia Becker Dreps, Filemón Bucardo, David J Allen, Jan Vinjé, Richard A Goldstein, Judith Breuer, Ralph S Baric

Understanding the complex interactions between virus and host that drive new strain evolution is key to predicting the emergence potential of variants and informing vaccine development. Under our hypothesis, future dominant human norovirus GII.4 variants with critical antigenic properties that allow them to spread are currently circulating undetected, having diverged years earlier. Read more >>


The Supreme Court of the United States, Disability Rights, and Implications for Mental Health Parity

Family Medicine

Linda Myerholtz, Elizabeth Myerholtz
It was the evening of Monday, May 2, 2022, at the Society of Teachers of Family Medicine (STFM) Annual Spring Conference. Attendees were learning to dance the tango and watching a Backstreet Boys routine at the MediPalooza fundraising event for the STFM Foundation. Then the text messages started flying. Leaked information from the Supreme Court of the United States (SCOTUS) indicated that Roe v Wade was likely to be overturned. Many of us were stunned and experienced strong emotions. Many of our members immediately began to consider actions to take in response. Then, on June 24, 2022, the Supreme Court did overturn Roe v Wade, undoing nearly 50 years of legalized abortion in the United States. Read more >>

The Impact of Self-directed Learning on the Future of Family Medicine Education

Family Medicine

Fareedat Oluyadi, D Jason Frasca

The landscape of health care delivery has changed dramatically in the past 2 years. For better or worse, the COVID pandemic and surges in police brutality resulting in the killings of innocent Black individuals have undoubtedly been catalysts for this evolution in health care systems. As we stand on the frontlines of care with our core focus on reducing health care disparities through a biopsychosocial perspective, family physicians are uniquely poised to rise to meet this evolving scope of care. Read more >>


Patient-level information underlying overdiagnosis of urinary tract infections in nursing homes: A discrete choice experiment

Infection Control and Hospital Epidemiology

Christopher J Wretman, Marcella H Boynton, John S Preisser, Sheryl Zimmerman, Christine E Kistler

The overdiagnosis of urinary tract infections (UTIs) in nursing home residents is a significant public health threat. Using a discrete choice experiment and a diagnostic guideline, we examined which patient-level information was associated with the overdiagnosis of UTIs and found that urinalysis results and lower urinary tract status were most associated. Read more >>


Smoking Status, Nicotine Medication, Vaccination, and COVID-19 Hospital Outcomes: Findings from the COVID EHR Cohort at the University of Wisconsin (CEC-UW) Study

Nicotine & Tobacco Research

Thomas M Piasecki, Stevens S Smith, Timothy B Baker, Wendy S Slutske, Robert T Adsit, Daniel M Bolt, Karen L Conner, Steven L Bernstein, Oliver D Eng, David Lazuk, Alec Gonzalez, Douglas E Jorenby, Heather D’Angelo, Julie A Kirsch, Brian S Williams, Margaret B Nolan, Todd Hayes-Birchler, Sean Kent, Hanna Kim, Stan Lubanski, Menggang Yu, Youmi Suk, Yuxin Cai, Nitu Kashyap, Jomol P Mathew, Gabriel McMahan, Betsy Rolland, Hilary A Tindle, Graham W Warren, Lawrence C An, Andrew D Boyd, Darlene H Brunzell, Victor Carrillo, Li-Shiun Chen, James M Davis, Vikrant G Deshmukh, Deepika Dilip, Edward F Ellerbeck, Adam O Goldstein, Eduardo Iturrate, Thulasee Jose, Niharika Khanna, Andrea King, Elizabeth Klass, Robin J Mermelstein, Elisa Tong, Janice Y Tsoh, Karen M Wilson, Wendy E Theobald, Michael C Fiore

Available evidence is mixed concerning associations between smoking status and COVID-19 clinical outcomes. Effects of nicotine replacement therapy (NRT) and vaccination status on COVID-19 outcomes in smokers are unknown. Electronic health record data from 104 590 COVID-19 patients hospitalized February 1, 2020 to September 30, 2021 in 21 U.S. health systems were analyzed to assess associations of smoking status, in-hospital NRT prescription, and vaccination status with in-hospital death and ICU admission. Read more >>


Creating a Lactation Research Community Through Use and Reuse of Survey Instruments and Scales

Journal of Human Lactation

Ellen Chetwynd

The Journal of Human Lactation contributes to the science that defines the work of lactating people’s bodies. Around the world, from all the places that our researchers, writers, and readers call home, we collectively study human breasts and the process by which that organ is used to feed and nurture human children. Across history and the political milieu, breasts and the process of breastfeeding have been fodder for cultural eccentricities and power dynamics. As scientists, writers, clinicians, and advocates in this field of study and work, our goal is to be unbiased and true to the data that we present. We work hard to speak about the bodies we study—the people we study—in a way that is respectful, transparent, clear, and concise. Read more >>


Being in the room where it happens: Leveraging behavioral scientists’ strengths in leadership

International Journal of Psychiatry in Medicine

Lauren Penwell-Waines, Linda Myerholtz

Studies of leadership have identified several key traits and skills among successful leaders, including honesty, emotional intelligence, setting a vision, effective communication, and interest in providing feedback and developing others. These attributes, in addition to specific knowledge and skills related to health care systems, medical education, and effective team dynamics can propel behavioral scientists to success in graduate medical education. Read more >>


Impact of pharmacist participation in the patient care team on value-based health measures

American Journal of Health System Pharmacy

Michael Patti, Evan W Colmenares, Anna Abrahamson, Sarah Weddle, Jamie Cavanaugh, Zack Deyo, Mary-Haston Vest

To evaluate whether pharmacist engagement on the interdisciplinary team leads to improved performance on diabetes-related quality measures. This was a retrospective observational study of patients seen in primary care and specialty clinics from October 2014 to October 2020. Read more >>


August 2022

Adaptation of a workshop for Japanese primary care professionals on dementia-specific advance care planning communication

Journal of the American Geriatrics Society

Le Donne M, Kistler CE, Hanson L, Kiyota A, Matsui T, Abe M, Inoue M.

Despite having the world’s oldest population and highest prevalence of persons living with dementia, Japan lags behind Western nations in rates of advance care planning.12 Advance care planning (ACP) is defined as discussions and documentation of patients’ preferences for future medical treatment.3 The purpose of this letter is to describe the translation and cultural adaptation of a toolkit to increase its relevance to the Japanese primary care clinician. Read more >>


Moral distress among clinicians working in US safety net practices during the COVID-19 pandemic: a mixed methods study

British Medical Journal

Pathman DE, Sonis J, Rauner TE, Alton K, Headlee AS, Harrison JN.

To explore the causes and levels of moral distress experienced by clinicians caring for the low-income patients of safety net practices in the USA during the COVID-19 pandemic. A cross-sectional survey in late 2020, employing quantitative and qualitative analyses. Read more >>


The impact of the real cost vaping and smoking ads across tobacco products

Nicotine & Tobacco Research

Kowitt SD, Sheldon JM, Vereen RN, Kurtzman RT, Gottfredson NC, Hall MG, Brewer NT, Noar SM.

Introduction: Little research has examined the spillover effects of tobacco communication campaigns, such as how anti-smoking ads affect vaping. Methods: Participants were a national sample of 623 US adolescents (ages 13-17) from a probability-based panel. In a between-subjects experiment, we randomly assigned adolescents to view one of four videos online: 1) a smoking prevention video ad from the Food and Drug Administration’s (FDA) The Real Cost campaign, 2) a neutral control video about smoking, 3) a vaping prevention video ad from The Real Cost campaign, or 4) a neutral control video about vaping. We present effect sizes as Cohen’s d, standardized mean differences, with 95% confidence intervals (CIs). Read more >>


Systematic review of smoking relapse rates among cancer survivors who quit at the time of cancer diagnosis

Cancer Epidemiology

Feuer Z, Michael J, Morton E, Matulewicz RS, Sheeran P, Shoenbill KGoldstein A, Sherman S, Bjurlin MA.

Tobacco cessation, at the time of cancer diagnosis, has been associated with better oncologic outcomes. Cancer diagnosis has been shown to serves as a “teachable moment,” inspiring tobacco cessation. However, the sustainability of abstinence from smoking is understudied. Similarly, there is a paucity of data regarding the utility of behavioral/pharmacologic intervention to support continued smoking cessation. A systematic literature review was conducted in August 2021 with no date limits. Relevant studies that reported tobacco smoking relapse rates for patients who quit at the time of cancer diagnosis were included. Our literature search identified 1620 articles and 29 met inclusion criteria. Read more >>


History of the relationship between smoking and bladder cancer: A public health perspective

Urology

Weiss KG, Matulewicz RS, Moreton E, Shoenbill KA, Milowsky MI, Rose TL, Kim WY, Goldstein AO, Bjurlin MA.

Cigarette smoking is the leading preventable cause of cancer worldwide and associated with substantial morbidity. Here, we chronicle how the relationship between smoking and the development of bladder cancer came to be understood. We describe the evidence that established the causal effect of smoking cigarettes on bladder cancer and highlight the scientists involved in these discoveries. Using Surgeon General’s Reports, from the mid-1900’s to 2020, we provide a historical narrative of the discovery of the link between cigarette smoking and bladder cancer. Read more >>


Intravenous iron vs. oral iron in iron deficiency anemia

American Family Physician

Mounsey A, Peacock E, Magnusson L.

Is intravenous iron infusion superior to oral iron for avoiding blood transfusion in adults with iron deficiency anemia? No, intravenous iron administration does not reduce the need for blood transfusion compared with oral iron supplementation. (Strength of Recommendation [SOR]: A, multiple meta-analyses of randomized controlled trials [RCTs].) Compared with oral iron, intravenous iron has no effect on mortality. (SOR: B, multiple meta-analyses of RCTs.) Intravenous iron may increase the risk of infection compared with oral iron. (SOR: B, inconsistent evidence from meta-analyses of RCTs.).  Read more >>


Rural-urban outcome differences associated with COVID-19 hospitalizations in North Carolina

PLoS One

Denslow S, Wingert JR, Hanchate AD, Rote A, Westreich D, Sexton L, Cheng K, Curtis J, Jones WS, Lanou AJ, Halladay JR.

People living in rural regions in the United States face more health challenges than their non-rural counterparts which could put them at additional risks during the COVID-19 pandemic. Few studies have examined if rurality is associated with additional mortality risk among those hospitalized for COVID-19. We studied a retrospective cohort of 3,991 people hospitalized with SARS-CoV-2 infections discharged between March 1 and September 30, 2020 in one of 17 hospitals in North Carolina that collaborate as a clinical data research network. Patient demographics, comorbidities, symptoms and laboratory data were examined. Logistic regression was used to evaluate associations of rurality with a composite outcome of death/hospice discharge. Comorbidities were more common in the rural patient population as were the number of comorbidities per patient. Read more >>


Disability as diversity: educational opportunities for family medicine

International Journal of Psychiatry in Medicine

Young KM, Newell KG.

Disability is an aspect of diversity that often receives less attention in healthcare and medical education than other aspects of diversity, such as gender or race. Approximately one in four Americans has some type of disability, and individuals with disabilities have less access to healthcare, greater dissatisfaction with their healthcare, and report being in poorer health than individuals without a disability. Although many factors likely contribute to these disparities, physician perception and understanding of disability have been examined as potential pathways that influence health inequity. Read more >>


The geriatric-focused emergency department: opportunities and challenges

Journal of the American Medical Directors Association

Sloane PD.

Emergency departments are an important site of medical care for older persons and serve as a gateway to hospital entry. In the United States, persons aged 65 years and older comprise 18% of emergency department visits and a whopping 40% of emergency department-to-hospital admissions. The primary focus of emergency departments is acute, potentially life-threatening conditions, which has led these settings to be characterized by a restive staff mindset, limited history taking, extensive use of laboratory and radiologic tests, and a focus on rapid decision making and patient disposition. This approach is in many ways antithetical to care of older persons, for which the key elements of quality include concern for comfort and homeostasis, understanding of the patient’s complex medical and psychosocial history, avoidance of unnecessary interventions, and observation over time. Read more >>


Relationship between anterior pituitary volume and IGF-1 serum levels in soldiers with mild traumatic brain injury history

Medicine & Science in Sports & Exercise

Castellano AK, Powell JR, Cools MJ, Walton SR, Barnett RR, Delellis SM, Goldberg RL, Kane SF, Means GE, Zamora CA, Depenbrock PJ, Mihalik JP.

A high mild traumatic brain injury (mTBI) incidence rate exists in military and sport. Hypopituitarism is an mTBI sequela; however, few studies have examined this phenomenon in those with an mTBI history. This cross-sectional study of Special Operations Forces combat soldiers aimed 1) to relate anterior pituitary gland volumes (actual and normalized) to insulin-like growth factor 1 (IGF-1) concentrations, 2) to examine the effect of mTBI history on anterior pituitary gland volumes (actual and normalized) and IGF-1 concentrations, and 3) to measure the odds of demonstrating lower anterior pituitary gland volumes (actual and normalized) or IGF-1 concentrations if self-reporting mTBI history. Read more >>


The pharmacogenetics of opiates and its impact on delirium in mechanically ventilated adults: A pilot study

The Journal of Pharmacy Technology

Austin CA, Szeto A, Gupta A, Wiltshire T, Crona DJ, Kistler C.J Pharm Technol.

Background: Pharmacogenetics may explain a substantial proportion of the variation seen in the efficacy and risk profile of analgesosedative drugs and the incidence of delirium in critically ill adults. Objectives: Conduct a feasibility study to demonstrate the reliability of collecting and analyzing pharmacogenetic information from critically ill patients and to assess the impact of pharmacogenetics on intensive care unit (ICU) outcomes. Read more >>


Critical analysis of reliability and validity in literature reviews

Journal of Human Lactation

Chetwynd E.J.

Literature reviews can take many forms depending on the field of specialty and the specific purpose of the review. The evidence base for lactation integrates research that cuts across multiple specialties (Dodgson, 2019) but the most common literature reviews accepted in the Journal of Human Lactation include scoping reviews, systematic reviews, and meta-analyses. Read more >>


Developing a toolkit to improve resident and family engagement in the safety of assisted living: Engage-A stakeholder-engaged research protocol

Research in Nursing & Health

Beeber AS, Hoben M, Leeman J, Palmertree S, Kistler CE, Ottosen T, Moreton E, Vogelsmeier A, Dardess P, Anderson RA.

Assisted living (AL) communities are experiencing rising levels of resident acuity, challenging efforts to balance person-centered care-which prioritizes personhood, autonomy, and relationship-based care practices-with efforts to keep residents safe. Safety is a broad-scale problem in AL that encompasses care concerns (e.g., abuse/neglect, medication errors, inadequate staffing, and infection management) as well as resident issues (e.g., falls, elopement, and medical emergencies). Person and family engagement (PFE) is one approach to achieving a balance between person-centered care and safety. In other settings, PFE interventions have improved patient care processes, outcomes, and experiences. In this paper, we describe the protocol for a multiple methods AHRQ-funded study (Engage) to develop a toolkit for increasing resident and family engagement in AL safety. Read more >>


July 2022

When less Is more: identifying patients with Type 2 Diabetes engaging in unnecessary blood glucose monitoring

Clinical Diabetes

Marcella H. Boynton; Katrina E. Donahue; Erica Richman; Asia Johnson; Jennifer Leeman; Maihan B. Vu; Jennifer Rees; Laura A. Young

This study examined whether certain patient characteristics are associated with the prescribing of self-monitoring of blood glucose for patients with type 2 diabetes who are not using insulin and have well-controlled blood glucose. Read more >>


Progesterone and preterm birth: using empirical research to explore structural racism within midwifery-led care

The Journal of Perinatal and Neonatal Nursing

Venus Standard, Kimberly Jones-Beatty, Lodz Joseph-Lemon, Ebony Marcelle, Charlotte E Morris, Trinisha Williams, Tracie Brown, Haley Shizuka Oura, Susan Stapleton, Diana R Jolles

Progesterone has been the standard of practice for the prevention of preterm birth for decades. The drug received expedited Food and Drug Administration approval, prior to the robust demonstration of scientific efficacy.

Methods: Prospective research from the American Association of Birth Centers Perinatal Data Registry, 2007-2020. Two-tailed t tests, logistic regression, and propensity score matching were used.

Results: Midwifery-led care was underutilized by groups most at risk for preterm birth and was shown to be effective at maintaining low preterm birth rates. The model did not demonstrate reliable access to progesterone. Read more >>


Physicians’ perceptions of race and engagement in race-based clinical practice: a mixed-methods systematic review and narrative synthesis

Journal of General Internal Medicine

Ebiere Okah, LáShauntá Glover, Katrina E Donahue, Giselle Corbie-Smith, Gaurav Dave

Using race-a socially assigned identity that does not adequately capture human genetic variation-to guide clinical care can result in poor outcomes for racially minoritized patients. This study assessed (1) how physicians conceptualize and use race in their clinical care (race-based care) and (2) physician characteristics associated with race-based care. Read more >>


Factors leading to successful performance on U.S. national licensure exams for medical students: a scoping review

Academic Medicine

Maniraj Jeyaraju , Henry Linford, Thiago Bosco Mendes, Christine Caufield-Noll, Sean Tackett

To synthesize the evidence of the factors leading to successful performance on knowledge-based national licensure exams (NLEs) for medical students. The authors conducted a scoping review to summarize the peer-reviewed empiric literature that used United States Medical Licensing Examination (USMLE) Step 1 or Step 2 Clinical Knowledge or Comprehensive Osteopathic Medical Licensing Examination (COMLEX) Level 1 or Level 2 Cognitive Evaluation scores as outcomes. The authors searched PubMed and Scopus without date restrictions through April 30, 2021. Two reviewers independently screened and selected studies for inclusion. Data were summarized narratively and with descriptive statistics. Read more >>


Behavioral counseling interventions to promote a healthy diet and physical activity for cardiovascular disease prevention in adults without cardiovascular disease risk factors: US Preventive Services Task Force Recommendation Statement

JAMA

Mangione CM, Barry MJ, Nicholson WK, Cabana MD, Coker TR, Davidson KW, Davis EM, Donahue KE, Jaén CR, Kubik M, Li L, Ogedegbe G, Pbert L, Ruiz JM, Stevermer J, Wong JB.

Cardiovascular disease (CVD), which includes heart disease, myocardial infarction, and stroke, is the leading cause of death in the US. A large proportion of CVD cases can be prevented by addressing modifiable risk factors, including smoking, obesity, diabetes, elevated blood pressure or hypertension, dyslipidemia, lack of physical activity, and unhealthy diet. Adults who adhere to national guidelines for a healthy diet and physical activity have lower rates of cardiovascular morbidity and mortality than those who do not; however, most US adults do not consume healthy diets or engage in physical activity at recommended levels. Read more >>


The association between primary care use and potentially-preventable hospitalization among dual eligibles age 65 and over

BMC Health Services Research

Oh NL, Potter AJ, Sabik LM, Trivedi AN, Wolinsky F, Wright B.

Individuals dually-enrolled in Medicare and Medicaid (dual eligibles) are disproportionately sicker, have higher health care costs, and are hospitalized more often for ambulatory care sensitive conditions (ACSCs) than other Medicare beneficiaries. Primary care may reduce ACSC hospitalizations, but this has not been well studied among dual eligibles. We examined the relationship between primary care and ACSC hospitalization among dual eligibles age 65 and older. Read more >>


Breadth and dynamics of Human Norovirus-specific antibodies in the first year of life

Journal of the Pediatric Infectious Diseases Society

Vielot NA, Brinkman A, DeMaso C, Vilchez S, Lindesmith LC, Bucardo F, Reyes Y, Baric RS, Ryan EP, Braun R, Becker-Dreps S.

We measured antibody binding to diverse norovirus virus-like particles over 12 months in 16 children. All had maternal antibodies at 2 months, with estimated lowest levels at 5 months of age. Read more >>


Preexisting heterotypic ligand-blocking antibody does not protect against genogroup II Norovirus episodes in young children

Journal of the Pediatric Infectious Diseases Society

Becker-Dreps S, Brewer-Jensen PD, González F, Reyes Y, Mallory ML, Gutiérrez L, Vielot NA, Diez-Valcarce M, Vinjé J, Baric RS, Lindesmith LC, Bucardo F.J.

A birth cohort design was used to understand whether heterotypic ligand-blocking norovirus antibodies provide cross-protection within the GII genogroup. Read more >>


Frontline, essential, and invisible: the needs of low-wage workers in hospital settings during COVID-19

Workplace Health & Safety

Zerden LS, Richman EL, Lombardi B, Forte AB.

Frontline health care workers are particularly vulnerable to burnout and diminished well-being as they endure COVID-19 pandemic-related stressors. While physicians and nurses are the public face of those experiencing burnout in hospitals, these stressors also affect low-wage workers such as food and housekeeping/janitorial service workers whose roles largely remain “invisible” when conceptualizing the essential health workforce and understanding their needs. This study sought to understand the experiences of frontline essential workers to better support them and prevent burnout. Read more >>


The Impact of Cannabis Packaging Characteristics on Perceptions and Intentions

American Journal of Preventative Medicine

Kowitt SD, Yockey RA, Lee JGL, Jarman KL, Gourdet CK, Ranney LM.

As cannabis increasingly becomes a consumer product in the U.S., its product packaging has become critically important to regulators. This study examined the influence of recreational cannabis packaging characteristics. Read more >>


Reducing misperceptions about very low nicotine content cigarettes: insights from adults who smoke

Nicotine & Tobacco Research

Ranney LM, Jarman KL, Clark S, Baler G, Gourlay M, Brewer NT, Goldstein AOByron MJ.

Many people incorrectly think that very low nicotine content (VLNC) cigarettes are less carcinogenic than current cigarettes. This risk misperception by people who smoke could reduce motivation to quit under a nicotine reduction policy. We qualitatively examined perspectives of campaign messages designed to reduce misperceptions. Read more >>


The impact of the COVID-19 pandemic on tobacco treatment program implementation at NCI-Designated Cancer Centers

Nicotine & Tobacco Research

Hohl SD, Shoenbill KA, Taylor KL, Minion M, Bates-Pappas GE, Hayes RB, Nolan MB, Simmons VN, Steinberg MB, Park ER, Ashing K, Beneventi D, Cox LS, Goldstein AO, King A, Kotsen C, Presant CA, Sherman SE, Sheffer CE, Warren GW, Adsit RT, Bird JE, D’Angelo H, Fiore MC, Nguyen CVT, Pauk D, Rolland B, Rigotti NA.

The COVID-19 pandemic disrupted cancer screening and treatment delivery, but COVID-19’s impact on tobacco cessation treatment for cancer patients who smoke has not been widely explored. Read more >>


Enriched marine oil supplement increases specific plasma specialized pro-resolving mediators in adults with obesity

The Journal of Nutrition

Al-Shaer AE, Regan J, Buddenbaum N, Tharwani S, Drawdy C, Behee M, Sergin S, Fenton JI, Maddipati KR, Kane S, Butler E, Shaikh SR.

Specialized pro-resolving mediators (SPMs), synthesized from PUFAs, resolve inflammation and return damaged tissue to homeostasis. Thus, increasing metabolites of the SPM biosynthetic pathway may have potential health benefits for select clinical populations, such as subjects with obesity who display dysregulation of SPM metabolism. However, the concentrations of SPMs and their metabolic intermediates in humans with obesity remains unclear. Read more >>


Progesterone and preterm birth: using empirical research to explore structural racism within midwifery-led care

The Journal of Perinatal & Neonatal Nursing

Standard V, Jones-Beatty K, Joseph-Lemon L, Marcelle E, Morris CE, Williams T, Brown T, Oura HS, Stapleton S, Jolles DR.

Progesterone has been the standard of practice for the prevention of preterm birth for decades. The drug received expedited Food and Drug Administration approval, prior to the robust demonstration of scientific efficacy. Prospective research from the American Association of Birth Centers Perinatal Data Registry, 2007-2020. Two-tailed t tests, logistic regression, and propensity score matching were used. Midwifery-led care was underutilized by groups most at risk for preterm birth and was shown to be effective at maintaining low preterm birth rates. The model did not demonstrate reliable access to progesterone. Read more >>


Factors leading to successful performance on U.S. National Licensure exams for medical students: a scoping review

Academic Medicine

Jeyaraju M, Linford H, Mendes TB, Caufield-Noll C, Tackett S.

To synthesize the evidence of the factors leading to successful performance on knowledge-based national licensure exams (NLEs) for medical students. The authors conducted a scoping review to summarize the peer-reviewed empiric literature that used United States Medical Licensing Examination (USMLE) Step 1 or Step 2 Clinical Knowledge or Comprehensive Osteopathic Medical Licensing Examination (COMLEX) Level 1 or Level 2 Cognitive Evaluation scores as outcomes. The authors searched PubMed and Scopus without date restrictions through April 30, 2021. Two reviewers independently screened and selected studies for inclusion. Data were summarized narratively and with descriptive statistics. Read more >>


June 2022

New Opportunities for Expanding Rural Graduate Medical Education to Improve Rural Health Outcomes: Implications of the Consolidated Appropriations Act of 2021

Academic Medicine

Emily M Hawes, Mark Holmes, Erin P Fraher, Alyssa Zamierowski, Judith Pauwels, Louis A Sanner, Jacob Rains, Cristen P Page

Evidence shows that those living in rural communities experience consistently worse health outcomes than their urban and suburban counterparts. One proven strategy to address this disparity is to increase the physician supply in rural areas through graduate medical education (GME) training. However, rural hospitals have faced challenges developing training programs in these underserved areas, largely due to inadequate federal funding for rural GME. Read more >>


Improving the Health of Rural Communities Through Academic-Community Partnerships and Interprofessional Health Care and Training Models

Academic Medicine

Erin P Fraher, Brianna Lombardi, Barbara Brandt, Emily Hawes 

Health disparities between rural and urban areas are widening at a time when urban health care systems are increasingly buying rural hospitals to gain market share. New payment models, shifting from fee-for-service to value-based care, are gaining traction, creating incentives for health care systems to manage the social risk factors that increase health care utilization and costs. Read more >>


Reduction and persistence of co-circulating respiratory viruses during the SARS-CoV-2 pandemic

American Journal of Infection Control

Jason R Smedberg, Lauren M DiBiase, Shawn E Hawken, Anika Allen, Suniti Mohan, Courtney Santos, Tandy Smedberg, Amir H Barzin, David A Wohl, Melissa B Miller

To evaluate the co-circulation of respiratory viruses during the SARS-CoV-2 Alpha surge, we performed a molecular respiratory panel on 1,783 nasopharyngeal swabs collected between January 15 and April 15, 2021, from symptomatic outpatients that tested negative for SARS-CoV-2 in North Carolina. Read more >>


First Episodes of Norovirus and Sapovirus Gastroenteritis Protect Against Subsequent Episodes in a Nicaraguan Birth Cohort

Epidemiology

Nadja A Vielot, Yaoska Reyes, Bryan Blette, Fredman González, Christian Toval-Ruiz, Lester Gutiérrez, Samuel Vilchez, Marta Diez-Valcarce, Jan Vinjé, Sylvia Becker-Dreps, Filemón Bucardo

Norovirus and sapovirus cause a large burden of acute gastroenteritis (AGE) in young children. We assessed protection conferred by norovirus and sapovirus AGE episodes against future episodes. Read more >>


Dementia and COVID-19 infection control in assisted living in seven states

Journal of American Geriatrics Society

Sheryl Zimmerman, Philip D Sloane, Johanna Silbersack Hickey, Christopher J Wretman, Selen P Gizlice, Kali S Thomas, Paula Carder, John S Preisser

ssisted living (AL) is the largest residential long-term care provider in the United States, including for persons with Alzheimer’s disease and related dementias. Despite recognizing the challenge of infection control for persons with dementia, this study of 119 AL communities is the first to describe dementia-relevant COVID-19 infection control across different types of AL communities, and to discuss implications for the future. Read more >>


May 2022

A national study of moral distress among U.S. internal medicine physicians during the COVID-19 pandemic

PLoS ONE

Sonis J, Pathman DE, Read S, Gaynes BN.

There have been no studies to date of moral distress during the COVID-19 pandemic in national samples of U.S. health workers. The purpose of this study was to determine, in a national sample of internal medicine physicians (internists) in the U.S.: 1) the intensity of moral distress; 2) the predictors of moral distress; 3) the outcomes of moral distress. Read more >>


Staff Attitudes Related to Antipsychotic Prescribing in Assisted Living

Journal of the American Medical Directors Association

Christopher J Wretman, Sheryl Zimmerman, Philip D Sloane, John S Preisser

Assisted living (AL) provides the majority of residential long-term care in the United States. 1 Almost 40% of AL residents display behaviors such as aggression and refusing care, 57% of whom receive medications for these behaviors. 2 In nursing homes, concerns about inappropriate antipsychotic prescribing led to initiatives to reduce prescribing, 2 and although there has been concern regarding similar prescribing in AL, 3 there has been no such action to date. Read more >>


Effects of Healthcare Organization Actions and Policies Related to COVID-19 on Perceived Organizational Support Among U.S. Internists: A National Study

Journal of Healthcare Management

Jeffrey Sonis, Donald E Pathman, Susan Read, Bradley N Gaynes, Courtney Canter, Patrick Curran, Cheryl B Jones, Thomas Miller

Perceived organizational support (POS) may promote healthcare worker mental health, but organizational factors that foster POS during the COVID-19 pandemic are unknown. The goals of this study were to identify actions and policies regarding COVID-19 that healthcare organizations can implement to promote POS and to evaluate the impact of POS on physicians’ mental health, burnout, and intention to leave patient care. Read more >>

 


April 2022


March 2022

Preferences for different features of ENDS products by tobacco product use: a latent class analysis

Chineme Enyioha, Marcella H Boynton, Leah M Ranney, M Justin Byron, Adam O Goldstein, Christine E Kistler

From a public health perspective, electronic nicotine delivery devices (ENDS) use may be beneficial for some populations (e.g., smokers who fully switch to ENDS) but detrimental for others (e.g., nonsmokers). Understanding the importance placed on different ENDS product features by user groups can guide interventions and regulations. Read more >>

 


February 2022

Effectiveness of Mobile Phone and Web-Based Interventions for Diabetes and Obesity Among African American and Hispanic Adults in the United States: Systematic Review.

JMIR Public Health and Surveillance

Chineme Enyioha, Matthew Hall, Christiane Voisin, Daniel Jonas

Mobile health (mHealth) and web-based technological advances allow for new approaches to deliver behavioral interventions for chronic diseases such as obesity and diabetes. African American and Hispanic adults experience a disproportionate burden of major chronic diseases. This paper reviews the evidence for mHealth and web-based interventions for diabetes and obesity in African American and Hispanic adults. Read more >>

 


January 2022

Prevalence and Characteristics of Providers’ Care Coordination Communication With Schools

Academic Pediatrics

Krissy Moehling Geffel, Brianna M Lombardi, Justin A Yu, Debra Bogen

Care coordination between schools and medical providers promotes child health, particularly for children with physical, emotional, and behavioral challenges. The purpose of this study was to assess caregivers’ reports of provider-school communication for their children. Further, the study assessed if communication rates varied by child demographic or health conditions. Read more >>


Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline

Journal of American Geriatrics Society

Christine E Kistler, Christopher J Wretman, Sheryl Zimmerman, Chineme Enyioha, Kimberly Ward, Claire E Farel, Philip D Sloane, Marcella H Boynton, Anna S Beeber, John S Preisser

To inform overprescribing and antibiotic stewardship in nursing homes (NHs), we examined the concordance between clinicians’ (NH primary care providers and registered nurses) diagnosis of suspected UTI with a clinical guideline treated as the gold standard, and whether clinician characteristics were associated with diagnostic classification. Read more >>




2021 Publications

2020 Publications

2019 Publications

2017 Publications

2015 Publications

2013 Publications