Publications by authors named "Elizabeth Alvarez"

Incorporating curriculum to effectively help veterinary students learn how to provide accessible quality care to is needed. The primary aims of this study are to explore how a 2-week rotation at a veterinary medical service-learning clinic (Wisconsin Companion Animal Resources, Education, and Social Services [WisCARES]) improves (a) comfort in working with clients from diverse race and low socioeconomic (SOCI) backgrounds and (2) confidence in leading cases, communication skills, and providing a spectrum of care options. Students were surveyed at five time points pre-rotation: mid-week 1, mid-week 2, end of rotation, and 1-month post.

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Article Synopsis
  • The systematic review aims to compile and assess existing research on knowledge, attitudes, and practices (KAP) related to HPV and vaccine uptake, particularly among individuals aged 16 and older.
  • Researchers will gather data from various databases like MEDLINE and Embase, ensuring thorough screening and quality assessment of the studies included.
  • Findings from the review will inform academic dissemination through a doctoral thesis and publication in peer-reviewed journals, following ethical guidelines since it relies on previously published data.
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While primary-care clinical rotations are well established and have been incorporated into veterinary colleges over the past 50 years, standardization of teaching small animal primary care across veterinary colleges is unknown. The purpose of this study was to explore and document variations and similarities in the delivery of small animal primary-care clinical education curricula among member programs of the American Association of Veterinary Medicine Colleges (AAVMC). A comprehensive, 114-question online survey was conducted, comprising seven sections, including Rotation Logistics; House Officers; Procedures Performed; Rounds; Spectrum of Care; Diversity, Equity, and Inclusion; Assessment; Leadership Roles; and Research.

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  • A student-driven model of peer simulations using reverse case studies was developed to provide virtual learning for clinical veterinary students during the COVID-19 pandemic.
  • Focus groups found that while this method can't fully replace hands-on experience, it effectively prepares students for clinical work and improves their comfort with clinical reasoning and communication skills.
  • Significant improvements were noted in students' skills after a one-week course, though discrepancies were observed between facilitator and student assessments, highlighting the value of self-reflection and peer learning.
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Poor sleep health has been previously documented in veterinary medical students. However, it is not known how universal or widespread this problem is. This study evaluated Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) scores to measure sleep health among students at seven colleges of veterinary medicine in the United States (US).

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Community care is a creative way of thinking about health care that mobilizes resources within a community and consists of four core principles: recognition of the urgency of access-to-care for the veterinary profession, collaboration within community networks, family-centered health care, and redefining the gold standard of care. The AAHA Community Care Guidelines for Small Animal Practice offer strategies to help busy veterinary practitioners increase access to care within their practice and community by optimizing collaborative networks. While these guidelines do not claim to provide exhaustive solutions to access-to-care issues, they propose a starting point from which private practices can explore and implement workable solutions for their community and their practice.

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Background: An estimated 30% of veterans live with chronic pain, compared to 20% of Canadians in the general population. Veterans face health care challenges upon release from the military, increasing difficulties in obtaining chronic pain care.

Aims: We explored experiences of Canadian Armed Forces veterans living with chronic pain, their transition from military to civilian care, perceived barriers and facilitators to chronic pain care, and impacts of their pain on the domains of well-being.

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Background: Public safety personnel (PSP) such as firefighters, paramedics, and police are exposed to traumatic situations, which increase their risk for mental health issues. However, many PSP do not seek help in a timely manner. Peer support interventions have the potential to decrease stigma and increase treatment-seeking behaviours among PSP.

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COVID-19 responses internationally have depended on physical distancing policies to manage virus transmission, given the initial absence of treatments and limitations on vaccine availability. Different jurisdictions have different contexts affecting their responses such as past epidemic experience, ratings of epidemic preparedness, and income level. COVID-19 responses in African countries have not been well-studied.

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Background: Adequate surveillance of HIV drug resistance prevalence is challenged by heterogenous and inadequate data reporting. To address this issue, we recently published reporting guidance documentation for studies of HIV drug resistance prevalence and incidence.

Objectives: In this study, we describe the methods used to develop this reporting guidance.

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Background: Cannabis for medical purposes has been legal in Canada since 2001; however, physicians receive no formal training in this modality, and clinical use of cannabis remains controversial. This study aims to explore the values and preferences of people living with chronic pain (PLwCP) in using medical cannabis for chronic pain to inform guideline development and shared decision-making in clinical practice.

Methods: We conducted a descriptive qualitative study using in-depth interviews with PLwCP.

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Background: This study presents the prevalence of burnout among the Canadian public health workforce after three years of the COVID-19 pandemic and its association with work-related factors.

Methods: Data were collected using an online survey distributed through Canadian public health associations and professional networks between November 2022 and January 2023. Burnout was measured using a modified version of the Oldenburg Burnout Inventory (OLBI).

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Background: Obesity is a chronic disease and is an established risk factor for other chronic diseases and mortality. Young adulthood is a period when people may be highly amenable to healthy behavior change, develop lifelong healthy behaviors, and when primary prevention of obesity may be feasible. Interventions in early adulthood have the potential for primary or primordial prevention (i.

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  • The World Health Organization aims to improve maternal health care quality by boosting skilled birth attendance and emergency obstetric care access, but high maternal morbidity and mortality persist due to care quality issues.
  • This study reviews existing frameworks for assessing maternal care quality at healthcare facilities, utilizing a comprehensive search across multiple health databases.
  • A proposed framework for facility-based maternal quality of care includes key components like human resources, infrastructure, and respect for patients, highlighting both care provision and patient experience factors.
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Background: Physical activity and a healthy diet are important in helping to maintain mobility and quality of life with aging. Delivery of physical activity and nutrition interventions in a group setting adds the benefits of social participation. Several published systematic reviews have explored a broad range of PA and/or nutrition interventions for older adults, making it challenging to bring together the best scientific evidence to inform program design and to inform multicomponent intervention development.

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Objective: Evaluate whether general practitioners' formal small animal (canine and feline) nutrition instruction in veterinary school and the amount and type of continuing education engagement affect perceived self-reported confidence and frequency in discussing nutrition with clients.

Sample: 403 small animal veterinarians who responded to an online survey distributed through the American Animal Hospital Association.

Procedures: Veterinarians were surveyed regarding perceived amount of formal instruction received in veterinary school, interest, time committed to self-education, and confidence in both self and staff knowledge in small animal nutrition.

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Background: Using the comparatively new environmental scan methodology, a protocol was developed and conducted to inform the co-design and implementation of a novel intervention to promote mobility among older adults in Hamilton, Ontario, Canada. The EMBOLDEN program seeks to promote physical and community mobility in adults 55 years and older who face barriers accessing community programs and who reside in areas of high inequity in Hamilton, and to address the following areas of focus: physical activity, nutrition, social participation, and system navigation supports.

Methods: The environmental scan protocol was developed using existing models and drew insights from census data, a review of existing services, organizational representative interviews, windshield surveys of selected high-priority neighbourhoods, and Geographic Information System (GIS) mapping.

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Background: Coronavirus disease 2019 (COVID-19) became a pandemic within a matter of months. Analysing the first year of the pandemic, data and surveillance gaps have subsequently surfaced. Yet, policy decisions and public trust in their country's strategies in combating COVID-19 rely on case numbers, death numbers and other unfamiliar metrics.

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Objective: To evaluate the voluntary acceptance of 10 commercially available compounding flavors in cats.

Animals: 46 healthy cats between 1 and 12 years of age.

Procedures: Each cat underwent a 14-day study period consisting of a 4-day acclimation period followed by a 10-day trial period in which each cat was randomly offered 10 different compounding flavors.

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This study aims to understand mental health issues among Irish employees arising from COVID-19 adaptation from the perspective of Occupational Safety and Health (OSH) and/or Human Resource (HR) professionals. Fifteen focus groups including 60 OSH/HR professionals from various sectors were conducted covering four predetermined themes. The data were transcribed verbatim, with transcripts entered into Nvivo for thematic analysis incorporating intercoder reliability testing.

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Objective: To determine what perceived factors prevent small animal general practitioners from discussing pet nutrition with clients during healthy and sick pet appointments.

Sample: 403 veterinarians in small animal general practice.

Procedures: An online survey was used to gather veterinarians' opinions on perceived barriers, knowledge levels, and confidence regarding pet nutrition discussions.

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Cassava frogskin disease (CFSD) is a graft-transmissible disease of cassava reported for the first time in the 1970s, in Colombia. The disease is characterized by the formation of longitudinal lip-like fissures on the peel of the cassava storage roots and a progressive reduction in fresh weight and starch content. Since its first report, different pathogens have been identified in CFSD-affected plants and improved sequencing technologies have unraveled complex mixed infections building up in plants with severe root symptoms.

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Objectives: To understand how essential workers with confirmed infections responded to information on COVID-19.

Design: Qualitative analysis of semistructured interviews conducted in collaboration with the national contact tracing management programme in Ireland.

Setting: Semistructured interviews conducted via telephone and Zoom Meetings.

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Background: Physical activity and a healthy diet are important in helping to maintain mobility with aging. This umbrella review aims to identify group-based physical activity and/or nutrition interventions for community-dwelling older adults that improve mobility-related outcomes.

Methods: Five electronic databases (MEDLINE, Embase, CINAHL, Cochrane CENTRAL, Sociological Abstracts) were searched from inception to December 2021.

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