Introduction: Social determinants of health (SDOH) are an important contributor to health status and health outcomes. In this analysis, we compare SDOH measured both at the individual and population levels in patients with high comorbidity who receive primary care at Federally Qualified Health Centers in New York and Chicago and enrolled in the Tipping Points trial.
Methods: We analyzed individual- and population-level measures of SDOH in 1,488 patients with high comorbidity (Charlson Comorbidity Index ≥ 4) enrolled in Tipping Points.
J Clin Transl Sci
October 2024
[This corrects the article DOI: 10.1017/cts.2024.
View Article and Find Full Text PDFImportance: While continuous glucose monitoring (CGM) has been found to improve diabetes care processes and outcomes, adoption remains low.
Objective: To examine the association between CGM prescriptions and individual characteristics among patients with type 1 or 2 diabetes (T1D and T2D, respectively).
Design, Setting, And Participants: Retrospective cross-sectional study using electronic health record data for patients with T1D or T1D from 275 clinic sites nationwide between January 2014 and February 2021.
Objective: Physician associate/assistant (PA) experience in clinical trials is poorly documented in medical literature. This survey aimed to describe the characteristics and experiences of PAs in clinical trial research.
Methods: We performed descriptive analyses of data gathered in 2022 by the American Academy of Physician Associates and published in the organization's annual Salary Report, specifically of respondents who indicated experience in traditional and/or decentralized clinical trials.
Objectives: Hypertension affects 1 in 3 adults in the United States and disproportionately affects African Americans. Kaiser Permanente demonstrated that a "bundle" of evidence-based interventions significantly increased blood pressure control rates. This paper describes a multiyear process of developing the protocol for a trial of the Kaiser bundle for implementation in under-resourced urban communities experiencing cardiovascular health disparities during the planning phase of this biphasic award (UG3/UH3).
View Article and Find Full Text PDFIntroduction: Does telehealth decrease health disparities by improving connections to care or simply result in new barriers for vulnerable populations who often lack access to technology? This study aims to better understand the role of telehealth and social determinants of health in improving care connections and outcomes for Community Health Center patients with diabetes.
Methods: This retrospective analysis of Electronic Health Record (EHR) data examined the relationship between telehealth utilization and glycemic control and consistency of connection to the health care team ("connectivity"). EHR data were collected from 20 Community Health Centers from July 1, 2019 through December 31, 2021.
Background: Watchful waiting management for acute otitis media (AOM), where an antibiotic is used only if the child's symptoms worsen or do not improve over the subsequent 2-3 days, is an effective approach to reduce antibiotic exposure for children with AOM. However, studies to compare the effectiveness of interventions to promote watchful waiting are lacking. The objective of this study is to compare the effectiveness and implementation outcomes of two pragmatic, patient-centered interventions designed to facilitate use of watchful waiting in clinical practice.
View Article and Find Full Text PDFIntroduction: Women with type 2 diabetes (T2DM) are more likely to experience adverse reproductive outcomes, yet preconception care can significantly reduce these risks. For women with T2DM, preconception care includes reproductive planning and patient education on: (1) the importance of achieving glycaemic control before pregnancy, (2) using effective contraception until pregnancy is desired, (3) discontinuing teratogenic medications if pregnancy could occur, (4) taking folic acid, and (5) managing cardiovascular and other risks. Despite its importance, few women with T2DM receive recommended preconception care.
View Article and Find Full Text PDFAccording to perceptual dehumanization theory (PDT), faces are only perceived as "truly human" when processed in a configural fashion. Consistent with this theory, previous research indicates that when faces are inverted, a manipulation hypothesized to disrupt configural processing, the individuals depicted are attributed fewer uniquely human qualities. In a seminal paper, Hugenberg et al.
View Article and Find Full Text PDFEvidence on the affordability and cost-effectiveness of interventions is critical to decision-making for clinical practice guidelines and development of national health policies. This study aimed to develop a repository of primary economic evaluations to support global maternal health guideline development and provide insights into the body of research conducted in this field. A scoping review was conducted to identify and map available economic evaluations of maternal health interventions.
View Article and Find Full Text PDFObjectives: To identify all available studies assessing the use of portable ultrasound devices for pregnant women, with the specific aim of finding evidence for devices used to determine gestational age and their validity when compared with conventional ultrasound machines. We also wanted to determine what portable ultrasound models are commercially available for obstetric use.
Design: Systematic scoping review.
On encountering a stranger, we spontaneously attribute to them character traits (e.g., trustworthiness, intelligence) based on their facial appearance.
View Article and Find Full Text PDFObjectives: To identify and map all trials in maternal health conducted in low and middle-income countries (LMIC) over the 10-year period from 2010 to 2019, to identify geographical and thematic trends, as well as comparing to global causes of maternal death and preidentified priority areas.
Design: Systematic scoping review.
Primary And Secondary Outcome Measures: Extracted data included location, study characteristics and whether trials corresponded to causes of mortality and identified research priority topics.
Background: Preterm birth is a leading cause of neonatal mortality and morbidity, and imposes high health and societal costs. Antenatal corticosteroids (ACS) to accelerate fetal lung maturation are commonly used in conjunction with tocolytics for arresting preterm labour in women at risk of imminent preterm birth.
Methods: We conducted a systematic review on the cost-effectiveness of ACS and/or tocolytics as part of preterm birth management.
Humans spontaneously attribute character traits to strangers based on their facial appearance. Although these 'first impressions' typically have no basis in reality, some authors have assumed that they have an innate origin. By contrast, the Trait Inference Mapping (TIM) account proposes that first impressions are products of culturally acquired associative mappings that allow activation to spread from representations of facial appearance to representations of trait profiles.
View Article and Find Full Text PDFPrevious research has demonstrated that the tendency to form first impressions from facial appearance emerges early in development. We examined whether social referencing is one route through which these consistent first impressions are acquired. In Study 1, we show that 5- to 7-year-old children are more likely to choose a target face previously associated with positive non-verbal signals as more trustworthy than a face previously associated with negative non-verbal signals.
View Article and Find Full Text PDFWhen encountering a stranger for the first time, adults spontaneously attribute to them a wide variety of character traits based solely on their physical appearance, most notably from their face. While these trait inferences exert a pervasive influence over our behaviour, their origins remain unclear. Whereas nativist accounts hold that first impressions are a product of gene-based natural selection, the Trait Inference Mapping framework (TIM) posits that we learn face-trait mappings ontogenetically as a result of correlated face-trait experience.
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