Background: In the United States, depression is one of the most common mental health disorders. Ambulatory care pharmacists play a critical role in assisting with medication and dosage selection, identifying and managing drug interactions and adverse effects, and increasing medication adherence. Existing data on depression management by ambulatory care pharmacists trained in primary care is limited and outdated.
View Article and Find Full Text PDFAn environmental event that damages housing and the built environment may result in either a short- or long-term out-migration response, depending on residents' recovery decisions and hazard tolerance. If residents move only in the immediate disaster aftermath, then out-migration will be elevated only in the short-term. However, if disasters increase residents' concerns about future risk, heighten vulnerability, or harm the local economy, then out-migration may be elevated for years after an event.
View Article and Find Full Text PDFThe scale of wildfire impacts to the built environment is growing and will likely continue under rising average global temperatures. We investigate whether and at what destruction threshold wildfires have influenced human mobility patterns by examining the migration effects of the most destructive wildfires in the contiguous U.S.
View Article and Find Full Text PDFMaternal morbidity and mortality remain significant challenges in the United States, with substantial burden during the postpartum period. The Centers for Disease Control and Prevention, in partnership with the National Association of Community Health Centers, began an initiative to build capacity in Federally Qualified Health Centers to (1) improve the infrastructure for perinatal care measures and (2) use perinatal care measures to identify and address gaps in postpartum care. Two partner health center-controlled networks implemented strategies to integrate evidence-based recommendations into the clinic workflow and used data-driven health information technology (HIT) systems to improve data standardization for quality improvement of postpartum care services.
View Article and Find Full Text PDFDespite the persistence of relationships between historical racist violence and contemporary Black-White inequality, research indicates, in broad strokes, that the slavery-inequality relationship in the United States has changed over time. Identifying the timing of such change across states can offer insights into the underlying processes that generate Black-White inequality. In this study, we use integrated nested Laplace approximation models to simultaneously account for spatial and temporal features of panel data for Southern counties during the period spanning 1900 to 2018, in combination with data on the concentration of enslaved people from the 1860 census.
View Article and Find Full Text PDFBackground: In the United States, depression is one of the most common mental health disorders. Ambulatory care pharmacists play a critical role in assisting with medication and dosage selection, identifying and managing drug interactions and adverse effects, and increasing medication adherence. Existing data on depression management by ambulatory care pharmacists trained in primary care is limited and outdated.
View Article and Find Full Text PDFGeographically isolated places are often sites of exported environmental risks, intense resource extraction, exploitation and marginalization, and social policy neglect. These conditions create unique challenges related to vulnerability and adaptation that have direct disaster management implications. Our research investigates the relationship between geographic isolation and flood-related social vulnerability across Peru's ecological regions.
View Article and Find Full Text PDFIntroduction: Elevated N-terminal pro B-type natriuretic peptide (NT-proBNP) is a potent predictor of adverse outcomes in hemodialysis initiation. These patients often experience intradialytic hypotension, which may partially reflect cardiac dysfunction, but the association of NT-proBNP with intradialytic hypotension is not clear.
Methods: We performed a post hoc analysis of a randomized trial that tested mannitol versus placebo in 52 patients initiating hemodialysis (NCT01520207).
Within Wisconsin, our residents experience some of the worst health disparities in the nation. Public reporting on disparities in the quality of care is important to achieving accountability for reducing disparities over time and has been associated with improvements in care. Disparities reporting using statewide electronic health records (EHR) data would allow efficient and regular reporting, but there are significant challenges with missing data and data harmonization.
View Article and Find Full Text PDFWe introduce the consideration of human migration into research on economic losses from extreme weather disasters. Taking a comparative case study approach and using data from the Federal Reserve Bank of New York/Equifax Consumer Credit Panel, we document the size of economic losses attributable to migration from 23 disaster-affected areas in the United States before, during, and after some of the most costly hurricanes, tornadoes, and wildfires on record. We then employ demographic standardization and decomposition to determine if these losses primarily reflect changes in out-migration or the economic resources that migrants take with them.
View Article and Find Full Text PDFBackground: In the United Kingdom (UK), whilst nurse educators are responsible for developing compassion through providing high quality education, there is limited literature exploring how their lived experience of compassion is interpreted in nurse education.
Objectives: To explore how nurse educators make meaning of compassion through their lived experiences in the UK.
Design: Hermeneutic phenomenology.
Background: Of the more than 550,000 patients receiving maintenance hemodialysis (HD) in the United States, each has an average of 1.6 admissions annually (>880,000 inpatient HD sessions). Little is known about the temporal changes in laboratory values, ECGs, and intravascular and extravascular volume during inpatient HD sessions.
View Article and Find Full Text PDFThe U.S. Internal Revenue Service (IRS) makes publicly and freely available period migration data at the state and county levels.
View Article and Find Full Text PDFEach decade since the 1950s, demographers have generated high quality net migration estimates by age, sex, and race for US counties using decennial census data as starting and ending populations. The estimates have been downloaded tens of thousands of times and widely used for planning, diverse applications, and research. Census 2020 should allow the series to extend through the 2010-2020 decade.
View Article and Find Full Text PDFBackground: Several large dialysis organizations have lowered the dialysate sodium concentration (DNa) in an effort to ameliorate hypervolemia. The implications of lower DNa on intra-dialytic hypotension (IDH) during hospitalizations of hemodialysis (HD) patients is unclear.
Methods: In this double-blind, single center, randomized controlled trial (RCT), hospitalized maintenance HD patients were randomized to receive higher (142 mmol/L) or lower (138 mmol/L) DNa for up to six sessions.
This study investigates how geographic isolation interacts with declining environmental and economic conditions in Kiribati, an island nation wherein which limited access to financial resources amidst degrading environmental conditions potentially constrain capital-intensive, long distance migration. We examine whether geographic isolation modifies the tenets of two dominant environmental migration theses. The environmental scarcity thesis suggests that environmental degradation prompts migration by urging households to reallocate labor to new environments.
View Article and Find Full Text PDFIn recent decades, racial and ethnic diversity has expanded from the city into the suburbs, the rural-urban interface, and remote rural places across all regions in the United States. This study examines how these population trends shape the possibility of racial residential integration across the American rural-urban continuum and regions. Using the information theory index (H) and racial and ethnic composition thresholds, we identify integrated cities, suburbs, and rural towns and villages that are stably integrated between the 2000 and 2010 censuses.
View Article and Find Full Text PDFBackground: Our goal was to identify racial and ethnic disparities in health outcome and care measures in Wisconsin.
Methods: We used electronic health record data from 25 health systems submitting to the Wisconsin Collaborative for Healthcare Quality to identify disparities in measures, including vaccinations, screenings, risk factors for chronic disease, and chronic disease management.
Results: American Indian/Alaska Native and Black populations experienced substantial disparities across multiple measures.
Despite increasing evidence of a contemporary legacy of slavery in the US South, scholars do not have a clear empirical understanding of the ways in which demographic forces can alter local connections to racial histories. In this study, we examine the influence of long-run trends in population change on the relationship between historical slave concentration and contemporary black-white poverty inequality in the American South. We combine one century and a half of county-level population data, including estimates of the slave and total populations in 1860, estimates of black and white population change starting in 1880, and black-white poverty disparities from the 2011-2015 American Community Survey.
View Article and Find Full Text PDFNurs Older People
March 2020
Background: Digital health technology (DHT), which includes digital algorithms and digital records, is transforming the way healthcare services are delivered. In nursing homes, DHT can enhance communication and improve the identification of residents' health risks, but its implementation has so far been inconsistent. Therefore, the LAUNCH (Leadership of digitAl health technology Uptake among Nurses in Care Homes) study was undertaken to identify factors that may affect DHT implementation in these settings.
View Article and Find Full Text PDFPrior research on the "Great American Migration Slowdown," or the declining rate of U.S. internal migration in recent decades, is dominated by two research foci.
View Article and Find Full Text PDFObjectives: To examine intensive care nurses' main concerns in respect of ethical practice, and to investigate how nurses continue to practise in an ethical way despite challenges in order to offer a conceptualisation of moral resilience.
Research Methodology/design: This qualitative study followed Glaser and Strauss' version of grounded theory. The study was reviewed, and approved, by research ethics committees in Switzerland and in England.