Publications by authors named "Haeyeon Hong"

Article Synopsis
  • Social determinants of health (SDoH) significantly influence health outcomes, and this study explored how the COVID-19 pandemic affected SDoH among patients in an urban emergency department (ED).
  • A screening method revealed that a majority of patients experienced adverse SDoH, particularly in areas like education, food security, and employment, with over half reporting pandemic-related impacts.
  • Follow-up surveys showed that while many patients attempted to use resources, barriers such as time constraints and forgetfulness hindered their success, highlighting a preference for printed and mobile-based resource guides.
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Article Synopsis
  • There's currently no standardized or evidence-based method for screening social risks and needs in emergency departments (ED), which makes implementation inconsistent and challenging.
  • A comprehensive literature review and expert consensus highlighted three main knowledge gaps: the mechanics of screening implementation, outreach to communities, and addressing barriers in the process.
  • The consensus found that while screening is generally acceptable to both patients and clinicians, more collaborative efforts and innovative research methods are needed to improve its implementation in ED settings.
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Objective: The emergency department (ED) is an opportune venue to screen for unmet social needs and connect patients with social services. This quality improvement study incorporates both qualitative and quantitative data to examine unmet social needs among ED patients and program implementation.

Methods: From September 2020 to December 2021, an urban safety-net hospital adult ED implemented a social needs screening and referral program.

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We developed a quality improvement educational experience to equip third-year medical students (MS3) with tools to address social determinants of health (SDOH) during their internal medicine clerkship. Students used THRIVE, Boston Medical Center's SDOH screening tool and resource referral platform, to screen patients for social needs and provide them with information on resources. We evaluated changes in students' knowledge, attitudes, confidence, and practices in regard to addressing SDOH.

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Purpose: Despite numerous efforts to develop effective medications for the treatment of intermittent claudication (IC) over the past 4 decades, a gold standard medical management option has yet to be defined. Although not life-threatening, IC interferes with mobility and activities of daily living, significantly impairing quality of life and potentially causing depression. Cilostazol, the leading pharmacologic agent for IC in the United States, was approved by the US Food and Drug Administration (FDA) in 1999 based on controversial data.

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The optimal disinfection method for needleless connectors (NCs) is unclear. We used an experimental model of microbial NC contamination to test different scrub times (swipe, 5, 15, 30 seconds) of chlorhexidine-alcohol versus alcohol and for residual disinfectant activity. Swipe with alcohol did not adequately disinfect NCs, particularly when contaminated with Staphylococcus aureus or Pseudomonas aeruginosa.

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Rationale: New vaccine approaches are needed for Pseudomonas aeruginosa, which continues to be a major cause of serious pulmonary infections. Although Th17 cells can protect against gram-negative pathogens at mucosal surfaces, including the lung, the bacterial proteins recognized by Th17 cells are largely unknown and could be potential new vaccine candidates.

Objectives: We describe a strategy to identify Th17-stimulating protein antigens of Pseudomonas aeruginosa to assess their efficacy as vaccines against pneumonia.

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