Publications by authors named "M D Wharton"

Article Synopsis
  • The study assessed the feasibility of using co-designed in-home data collection methods with families of youth with developmental disabilities, focusing on youth aged 14-18 with conditions like autism, cerebral palsy, and chronic pain.
  • Over 14 days, participants engaged in data collection by wearing accelerometers, completing questionnaires, and sampling saliva, with results showing decent engagement but some challenges in adherence to the saliva sampling.
  • Families expressed high satisfaction and interest in participating again, highlighting the importance of the research's relevance and the necessity for personalized approaches based on their feedback.
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Background: HIV pre-exposure prophylaxis (PrEP) is a critical biomedical strategy to prevent HIV transmission among cisgender women. Despite its proven effectiveness, Black cisgender women remain significantly underrepresented throughout the PrEP care continuum, facing barriers such as limited access to care, medical mistrust, and intersectional racial or HIV stigma. Addressing these disparities is vital to improving HIV prevention outcomes within this community.

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Objectives: To examine the effect of local aqueous tobramycin injection adjunct to perioperative intravenous (IV) antibiotic prophylaxis in reducing fracture-related infections (FRIs) following reduction and internal fixation of open fractures.

Design: Retrospective cohort study.

Setting: Single academic Level I trauma center.

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Inequities in availability and access to adult vaccinations represent significant gaps in the US public health infrastructure. Adults in racial and ethnic minority groups are less likely to receive routinely recommended vaccinations due to systemic barriers, distribution inequities, and lack of trust in vaccines; similar disparities were seen during early COVID-19 vaccination efforts. However, a deliberate focus on reducing disparities can yield progress.

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Introduction: Efforts to reduce primary cesarean birth may include supporting longer second stages of labor. Although midwifery-led care is associated with lower cesarean use, little has been published on associated outcomes of prolonged second stage (≥3 hours of pushing) for nulliparous individuals in US hospital-based midwifery care. Epidural analgesia and the role of passive descent in midwifery-led care are also underexplored in relation to the second stage.

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