Publications by authors named "D R Goplerud"

Article Synopsis
  • The US opioid epidemic is escalating, and this study focuses on Georgia, highlighting variations in opioid-related issues in different counties, especially in rural areas.
  • A spatial ecologic study used regression models to examine the relationship between county rurality and various opioid outcomes, including overdose deaths and hospital visits, considering factors like demographics and area deprivation.
  • Results showed significant geographic differences, with metro areas experiencing higher overall counts, while rural areas presented unique challenges; however, rurality alone was not consistently linked to poor outcomes, emphasizing the need to consider multiple factors in assessing community opioid issues.
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Objectives: Clinical reasoning with generation and prioritization of differential diagnoses (DDx) is a key skill for medical students, but no consensus exists on the best method to teach these skills. Meta-memory techniques (MMTs) may be useful, but the efficacy of individual MMTs is unclear.

Methods: We designed a 3-part curriculum for pediatric clerkship students to teach one of 3 MMTs and provide practice in DDx generation through case-based sessions.

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Despite widespread evidence that neighborhood conditions impact health, few studies apply theory to clarify the physical and social factors in communities that drive health outcomes. Latent class analysis (LCA) addresses such gaps by identifying distinct neighborhood typologies and the joint influence that neighborhood-level factors play in health promotion. In the current study, we conducted a theory-driven investigation to describe Maryland neighborhood typologies and examined differences in area-level self-rated poor mental and physical health across typologies.

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