Publications by authors named "D P Hand"

Introduction: Pregnancy-associated mortality involving opioids represents a significant public health issue. Limited social support is a known factor, contributing to a more complex recovery and a greater risk for relapse and overdose. Community-based doulas have been used in other marginalized populations yet are under-studied among pregnant and parenting persons with Opioid Use Disorder (OUD).

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The tutelage of our mentors as scientists included the analogy that writing a good scientific paper was an exercise in storytelling that omitted unessential details that did not move the story forward or that detracted from the overall message. However, the advice to not get lost in the details had an important flaw. In science, it is the many details of the data themselves and the methods used to generate and analyze them that give conclusions their probative meaning.

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  • Behavioral factors heighten the risk of HIV, prompting a comprehensive prevention services (CPS) intervention in an emergency department (ED) to assess patients' risk and provide referrals.
  • A study conducted in Birmingham, Alabama, from October 2021 to May 2023 involved two screening methods (manual review and electronic medical records) to identify HIV-negative adults with recent risk factors, such as STIs or drug use.
  • Out of 184 patients approached, 147 engaged with the program, with 125 identified at risk for HIV; notable outcomes included interest in CPS follow-up and 30 patients receiving ED-initiated treatment, highlighting the effectiveness of targeted screening in managing HIV risk.
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Problem: Persons with opioid use disorder (OUD) often lack social support, which is associated with improved recovery outcomes.

Background: In the last two decades, the rate of opioid use disorder (OUD) among pregnant people has quadrupled.

Question: This study aimed to describe the prenatal and postpartum social support networks and needs of persons with OUD and assess perceived acceptability of community-based social supports such as doulas.

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  • Inherited metabolic diseases (IMDs) are genetic disorders that lead to problems in metabolic pathways, affecting enzyme, cofactor, transporter, or receptor function and sometimes resulting in intellectual disabilities or cognitive decline.
  • A study at a UK tertiary metabolic center reviewed 2268 IMD patients in a diverse population, revealing that 70.5% had general metabolic conditions and 29.5% had lysosomal storage disorders, with a notable 15.7% experiencing intellectual disability.
  • The findings highlight the necessity for multidisciplinary support from healthcare professionals, emphasizing the importance of educating them to recognize IMDs to improve diagnosis and patient care outcomes.
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