Effectiveness of Patient Navigation During Transition to Adult Care: A Randomized Clinical Trial.

Importance: Transition to adult care is a challenging and complex process for youth and emerging adults with chronic health and/or mental health conditions. Patient navigation has been proposed to improve care during transition, but previous studies have used single disease cohorts with a nonrandomized design.

Objective: To compare the effectiveness of a patient navigator service to reduce emergency department (ED) use among adolescents and emerging adults with chronic health and/or mental health conditions undergoing transition to adult-oriented health care.

Two new species and a new record of Hypoxylaceae (Xylariales, Ascomycota) from Mexico.

The family Hypoxylaceae has a cosmopolitan distribution with greater diversity in tropical regions, its growth habit is saprotrophic, endophytic and potentially phytopathogenic. From the revision of herbarium specimens and field collections from the Yucatan Peninsula, two new species were described: , characterized by having fusiform spores and which is distinguished by having stromata vinaceous and dark brown KOH-extractable pigments. The species are described based on morphological characters and Bayesian Inference analyses of four molecular markers (ITS, LSU, RPB2 and TUB2).

Transition experiences of adolescents and young adults working with a patient navigator.

Introduction: The transition from pediatric to adult care poses challenges for adolescents and young adults (AYA) with chronic conditions and their caregivers. A patient navigator (PN) intervention may mitigate transition-related barriers.

Methods: A qualitative study was conducted within a pragmatic randomized controlled trial.

Harlem Health Advocacy Partners: A Local Health Department's Place-Based Community Health Worker Program.

In January 2015, the New York City Department of Health and Mental Hygiene launched Harlem Health Advocacy Partners (HHAP), a place-based initiative to demonstrate the capacity of a CHW workforce to improve the health of residents of public housing. The long-term goal of HHAP is to improve the population health of residents of public housing in East and Central Harlem and to close racial gaps in health and social outcomes. A variety of evaluation approaches have been used to assess the initiative.