Addressing cost barriers to healthy eating with Eat Well, a prescription produce subsidy, for patients with diabetes and at risk for food insecurity: Study protocol for a type 1 hybrid effectiveness-implementation pragmatic randomized controlled trial.

Background: Patients with diabetes at risk of food insecurity face cost barriers to healthy eating and, as a result, poor health outcomes. Population health management strategies are needed to improve food security in real-world health system settings. We seek to test the effect of a prescription produce program, 'Eat Well' on cardiometabolic health and healthcare utilization.

Patient Perceived Quality of Virtual Group Contraception Counseling.

Introduction: The study examines the feasibility, quality of counseling, and knowledge after a virtual Group Contraception Counseling (GCC) session.

Methods: At an urban academic hospital, we recruited English-speaking pregnant women aged 15-49 who had access to a video-enabled electronic device. Participants engaged in a standardized 45-minute educational session about contraceptive methods in groups of two to five persons conducted over a video conferencing platform.

Effect of influenza vaccination on resting metabolic rate and c-reactive protein concentrations in healthy young adults.

Objectives: Chronic immune activation and severe inflammatory states are positively associated with resting metabolic rate (RMR; kcal/day), but the impacts of mild immune stimuli on metabolism are poorly understood. This study investigates the within-individual association between the inflammatory response to influenza vaccination and RMR in young adults.

Methods: We evaluated RMRs through indirect calorimetry and circulating c-reactive protein (CRP) concentrations (mg/L)-a direct measure of inflammation-via high-sensitivity immunoassays of dried blood spots (n = 17) at baseline and two- and seven-days post-vaccine.

Early vs Interval Postpartum Intrauterine Device Placement: A Randomized Clinical Trial.

Importance: The early postpartum period, 2 to 4 weeks after birth, may be a convenient time for intrauterine device (IUD) placement; the placement could then coincide with early postpartum or well-baby visits.

Objective: To determine expulsion rates for IUDs placed early postpartum compared with those placed at the standard interval 6-week visit.

Design, Setting, And Participants: In this randomized noninferiority trial, people who had a vaginal or cesarean birth were randomly assigned to undergo early (14-28 days) or interval (42-56 days) postpartum IUD placement.

The effect of Illinois Medicaid coverage of induced abortion on patient access at the University of Illinois in Chicago.

Objectives: Beginning January 1, 2018, Illinois House Bill 40 (HB40) requires Medicaid coverage of induced abortion. The objective of this study was to describe the impact of HB40 on gestational age at time of induced abortion at a single academic medical center in Chicago, IL.

Study Design: We used Current Procedural Terminology (CPT) codes to identify patients who induced abortion one year before (2016) and one year immediately after (2018) HB40 implementation.

Parenting intentions in transgender and gender-nonconforming adults.

Objective: To assess parenting intentions, knowledge and attitudes regarding fertility preservation, and barriers to achieving parenthood in an adult transgender population.

Methods: This was a multi-center online cross-sectional study conducted at three university-affiliated and 15 community-affiliated clinics within a major US city. Inclusion criteria included being aged 18 years and older and self-identification as transgender, gender non-conforming or non-binary.

Increased Clinician Time Using Electronic Health Records During COVID-19 Pandemic.

The COVID-19 pandemic challenged how healthcare systems provided care in socially distanced formats. We hypothesized that the COVID-19 era changes in clinical care delivery models contributed to increased Electronic Health Record (EHR) related work. To evaluate the changes in time and volume metrics of EHR usage, we segregated EHR audit log metric data into PreCOVID2019 March/April/May, initial COVID2020 March/April/May, and late COVID2021 March/April/May for 1262 physician providers.

Electronic Health Record Use by Sex Among Physicians in an Academic Health Care System.

This cohort study examines the association of sex with electronic health record use among physicians and patient satisfaction.

Conservative management of endometrial intraepithelial neoplasia in a patient with cirrhosis undergoing orthotopic liver transplant.

Objective: The aim of the study was to review the management of endometrial hyperplasia in a woman undergoing liver transplantation for alcoholic cirrhosis.

Methods: This is a case presentation on a postmenopausal woman with a tissue diagnosis of endometrial intraepithelial neoplasia managed with a levonorgestrel intrauterine device, before and after liver transplantation. Full written informed consent was obtained from the patient to present her case.

A prospective cohort study comparing expulsion after postplacental insertion: the levonorgestrel versus the copper intrauterine device.

Objectives: To compare the expulsion rate at 6 months after postplacental insertion by intrauterine device (IUD) type.

Study Design: This prospective cohort included participants with a postplacental IUD inserted after vaginal or cesarean delivery, aged 18-45 and ≥24 weeks' gestation. Study enrollment took place after IUD selection and insertion.

Academic Risk and Resilience in the Context of Homelessness.

Family homelessness in the United States has increased over the past two decades, raising concerns about associated risks for child development. In this article, we describe a translational research program focused on academic risk and resilience in homeless and highly mobile children. We find that although these children share many risk factors with other disadvantaged children, they are higher on an underlying continuum of risk.

Applying active learning to high-throughput phenotyping algorithms for electronic health records data.

Objectives: Generalizable, high-throughput phenotyping methods based on supervised machine learning (ML) algorithms could significantly accelerate the use of electronic health records data for clinical and translational research. However, they often require large numbers of annotated samples, which are costly and time-consuming to review. We investigated the use of active learning (AL) in ML-based phenotyping algorithms.

Academic achievement trajectories of homeless and highly mobile students: resilience in the context of chronic and acute risk.

Analyses examined academic achievement data across third through eighth grades (N = 26,474), comparing students identified as homeless or highly mobile (HHM) with other students in the federal free meal program (FM), reduced price meals (RM), or neither (General). Achievement was lower as a function of rising risk status (General > RM > FM > HHM). Achievement gaps appeared stable or widened between HHM students and lower risk groups.

Physician knowledge of and adherence to the revised breast cancer screening guidelines by the United States Preventive Services Task Force.

Objective: We sought to assess knowledge and adherence to the revised US Preventive Services Task Force breast cancer screening guidelines among gynecologic care providers.

Study Design: This was a cross-sectional descriptive study based on a survey conducted among gynecologic care providers.

Results: Forty providers completed the survey (80%).

Academic achievement of homeless and highly mobile children in an urban school district: longitudinal evidence on risk, growth, and resilience.

Longitudinal growth trajectories of reading and math achievement were studied in four primary school grade cohorts (GCs) of a large urban district to examine academic risk and resilience in homeless and highly mobile (H/HM) students. Initial achievement was assessed when student cohorts were in the second, third, fourth, and fifth grades, and again 12 and 18 months later. Achievement trajectories of H/HM students were compared to low-income but nonmobile students and all other tested students in the district, controlling for four well-established covariates of achievement: sex, ethnicity, attendance, and English language skills.

The influence of pregnancy on intestinal parasite infection in Thai women.

The relationship between pregnancy and both the susceptibility and pathogenicity of parasite infections is disputed. This study compares the prevalence and intensity (as measured by density of eggs in stool samples) of intestinal helminth infections in pregnant and control groups of women from Khon Kaen Province in the northeast of Thailand. Stool samples were taken at the end of the first, second and third trimesters of pregnancy as well as 2 months after parturition and compared for the two groups.

Angiostrongylus infections in rats and snails in northeast Thailand.

A survey of Angiostrongylus infections in rats and snails was carried out in the provinces of Ubon Ratchathani, Udon Thani. Kalasin, Chaiyaphum and Khon Kaen in northeast Thailand. Only two Rattus norvegicus (3.

Morphology and ultrastructure of the redia and pre-emergent cercaria of Opisthorchis viverrini (Trematoda: Digenea) in the intermediate host Bithynia siamensis goniomphalus (Prosobranchia: Bithyniidae).

The intramolluscan stages of the human liver fluke Opisthorchis viverrini were investigated by light, scanning, and transmission electron microscopy. The morphology of the tegument, and the excretory system of the redia and pre-emergent cercaria as well as glandular cells, tail structure, and the eye spots of the cercarial stage are described. Possible environmental adaptations are discussed.

Morphology and ultrastructure of the digestive gland of Bithynia siamensis goniomphalus (Prosobranchia: Bithyniidae) and alterations induced by infection with the liver fluke Opisthorchis viverrini (Trematoda: Digenea).

The morphology and ultrastructure of the digestive gland of Bithynia siamensis goniomphalus and its alteration by infection with Opisthorchis viverrini were investigated by light and electron microscopy. The digestive gland of B. s.

Opisthorchiasis control in northeast Thailand: proposal for a new approach.

Opisthorchiasis, i.e. infection with the liver fluke Opisthorchis viverrini is an important health problem in Thailand and adjacent Laos, and its control is therefore of high priority.

Studies on metacercariae from naiads in northeast Thailand.

One hundred and eleven naiads from six different dragonfly species were investigated for the presence of metacercariae. Sixty-nine animals (62.2%) were infected with intensities up to more than 150 cysts per animal.

Studies on lophocercous cercariae from Bithynia siamensis goniomphalus (Prosobranchia: Bithyniidae).

Cercariae from Bithynia siamensis goniomphalus were studied in an area endemic for opisthorchiasis. Snails emitted different types of cercariae when shedding was induced by illumination. In addition to two lophocercous cercariae, a monostome cercaria (probably Notocotylus sp), two different furcocercariae and a xiphidiocercaria were found.

Ultrastructural hepatic alterations in hamsters and jirds after experimental infection with the liver fluke Opisthorchis viverrini.

Changes in the hepatocytes of male hamsters (Mesocricetus auratus) and jirds (Meriones unguiculatus) at 220 days after experimental infection with the liver fluke Opisthorchis viverrini were studied by light and electron microscopy. The hepatocytes of the control group were characterized by an intracellular compartmentation. A globular nucleus was located centrally.

Current status of food-borne parasitic zoonoses in West Germany.

The present status of food-borne parasitic zoonoses in West Germany is characterized by a relatively high frequency of toxoplasmosis, sarcocystosis and Taenia saginata infections. From empirical data it can be estimated that 4% of the German population become infected per year by Toxoplasma gondii as well as by Sarcocystis species (S. hominis, S.