Publications by authors named "D M Bushley"

Background: (1)In limited-resource settings such as the Dominican Republic, many factors contribute to poor health outcomes experienced by adolescent mothers, including insufficient support and/or health knowledge. In response, we designed a digital educational support group, administered through WhatsApp Messenger, for new adolescent mothers. The purpose of this study was to assess if participation in this digital support group could improve health outcomes and health behaviors.

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Background: As digital interventions to improve health become widespread globally, it is critical to include target end-users in their design. This can help ensure interventions are maximally beneficial among intended populations.

Objectives: To generate the content of a digital educational support group, administered through WhatsApp, for new adolescent mothers and establish participants' cellular access and WhatsApp use.

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Background: The Dominican Republic (DR) has some of the highest rates of sexually transmitted infections (STI) and adolescent pregnancy in the Caribbean. Well-designed comprehensive sexuality education programs (CSEP) can reduce risky sexual behavior. This study sought to evaluate the Módulo Anexo Materno Infantil (MAMI) adolescent clinic's CSEP in changing knowledge of STI and pregnancy and attitudes towards risky sexual behavior following implementation.

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Purpose: To determine whether the use of lidocaine gel prior to povidone-iodine antisepsis is associated with increased microbial survival.

Setting: Ophthalmology Department, Madigan Army Medical Center, Fort Lewis, Washington, USA.

Methods: A standardized suspension of Staphylococcus epidermidis was used to inoculate 5 blood agar plates that served as a control.

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Purpose: To describe a case of a traumatic late dislocation of a laser-assisted in situ keratomileusis (LASIK) flap complicated by epithelial ingrowth.

Design: Interventional case report.

Methods: A 50-year-old woman presented 21 months after uncomplicated LASIK with painful vision loss in the right eye after minor trauma.

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