Background: Compassionate care is a fundamental component of healthcare today; yet, many measures of compassionate care are subjective in focus and lack clarity around what compassionate care looks like in practice. Measures mostly relate to physical healthcare settings, neglecting mental healthcare. They also lack significant involvement of people with lived experience (PLE) of healthcare delivery in their development.
View Article and Find Full Text PDFRadiation protective garments should undergo a quality assurance regime comprising of an acceptance test of the lead equivalence before the garment is introduced into clinical service, followed by routine periodic visual and fluoroscopic inspections throughout its remaining clinical lifespan. The IEC 61331-1:2014 [1] is the leading standard outlining the methodology for testing of lead equivalence of these garments and forms the basis of the Australian/New Zealand Standards (1999) [2]. This study outlines the design and development of an IEC compliant broad beam lead equivalence testing setup, using an in-house custom-built testing kit (CBTK).
View Article and Find Full Text PDFIdentifying gay neighborhoods could help in targeting HIV prevention efforts for men who have sex with men. This study's purpose was to identify gay neighborhoods using latent class analysis (LCA). Data at the ZIP code level were drawn from the American Community Survey, website lists of gay bars and neighborhoods, and the Florida Department of Health HIV surveillance system.
View Article and Find Full Text PDFBackground: Compassion is vital in healthcare. Current understandings of the nature of compassionate care, its aids and barriers, are more theoretically developed than grounded in staff experience. This study explores staff perceptions of compassionate care in child and adolescent mental health wards.
View Article and Find Full Text PDFBacteriophage Mu is a paradigm coliphage studied mainly because of its use of transposition for genome replication. However, in extensive nonsense mutant screens, only one lysis gene has been identified, the endolysin gp22. This is surprising because in Gram-negative hosts, lysis by phages has been shown to require proteins which disrupt all three layers of the cell envelope.
View Article and Find Full Text PDFUnlabelled: In this article, we conduct data mining and statistical analysis on the most effective countries, universities, and companies, based on their output (e.g., produced or collaborated) on COVID-19 during the first wave of the pandemic.
View Article and Find Full Text PDFPurpose: To compare the role of neighborhood social disorganization factors on human immunodeficiency virus (HIV) diagnosis rates in urban and rural areas in Florida, we conducted an ecologic study of HIV diagnosis rates during 2013-2017 and social disorganization components, including concentrated disadvantage, ethnic heterogeneity, and residential instability.
Methods: Indices of social disorganization components were obtained from principal component analyses of American Community Survey variables for 910 postal codes. Rural/urban classification was based on the United States Department of Agriculture Rural Urban Commuting Area codes.
Most phages of Gram-negative hosts encode spanins for disruption of the outer membrane, the last step in host lysis. However, bioinformatic analysis indicates that ∼15% of these phages lack a spanin gene, suggesting they have an alternate way of disrupting the OM. Here, we show that the T7-like coliphage phiKT causes the explosive cell lysis associated with spanin activity despite not encoding spanins.
View Article and Find Full Text PDFThe AIDS and Cancer Specimen Resource (ACSR) was built and maintained to support research into cancers in individuals infected with the HIV by providing specimens at no charge. Numerous methods to reach investigators about this resource have been used, but the possibility of underusage of the resource has been a concern. Using a commercial marketing firm to raise awareness was not a possibility for the ACSR.
View Article and Find Full Text PDFIntermountain Healthcare, an early adopter and champion for newborn video-assisted resuscitation (VAR), identified a reduction in facility-level transfers and an estimated savings of $1. 2 million in potentially avoided transfers in a 2018 study. This study was conducted to increase understanding of VAR at the individual, newborn level.
View Article and Find Full Text PDFThe Internet of Things (IoT) triggers new types of cyber risks. Therefore, the integration of new IoT devices and services requires a self-assessment of IoT cyber security posture. By security posture this article refers to the cybersecurity strength of an organisation to predict, prevent and respond to cyberthreats.
View Article and Find Full Text PDFObjectives: Review, compare and critically assess digital technology responses to the COVID-19 pandemic around the world. The specific point of interest in this research is on predictive, preventive and personalized interoperable digital healthcare solutions. This point is supported by failures from the past, where the separate design of digital health solutions has led to lack of interoperability.
View Article and Find Full Text PDFThe study objective was to classify women with newly diagnosed HIV into patterns of retention in care (≥2 HIV care visits ≥3 months apart) and viral suppression over time and identify factors associated with class membership. Florida HIV/AIDS surveillance data were used to conduct Latent Class Analysis to classify women into patterns, and multinomial regression was used to compare the prevalence of class membership by demographic and clinical factors. Four classes were selected based on model fit parameters: (Class 1) consistently retained and suppressed (>90% probability of being retained and suppressed), (Class 2) not consistently retained or suppressed (≤10% probability of being retained and suppressed), (Class 3) increasingly retained and suppressed, and (Class 4) decreasingly retained and suppressed.
View Article and Find Full Text PDFPurpose: This study aimed to estimate the size of the population of men who have sex with men (MSM) in Florida with high-risk behaviors that would indicate eligibility for pre-exposure prophylaxis (PrEP) use.
Methods: Three methods were used to estimate the MSM population. Estimates from the three methods were averaged, and the number of MSM living with HIV in each zone improvement plan (ZIP) code was subtracted.
Youth aged 13‒24, are less likely to be retained in HIV care and be virally suppressed than older age groups. This study aimed to assess predictors of retention in HIV care and viral suppression among a population-based cohort of youth (N=2,872) diagnosed with HIV between 1993 and 2014 in Florida. We used generalized estimating equations (GEE) to estimate prevalence ratios (PRs).
View Article and Find Full Text PDFJ Acquir Immune Defic Syndr
September 2019
Background: Focused attention on Data to Care underlines the importance of high-quality HIV surveillance data. This study identified the number of total duplicate and exact duplicate HIV case records in 9 separate Enhanced HIV/AIDS Reporting System (eHARS) databases reported by 8 jurisdictions and compared this approach to traditional Routine Interstate Duplicate Review resolution.
Methods: This study used the ATra Black Box System and 6 eHARS variables for matching case records across jurisdictions: last name, first name, date of birth, sex assigned at birth (birth sex), social security number, and race/ethnicity, plus 4 system-calculated values (first name Soundex, last name Soundex, partial date of birth, and partial social security number).
The study's objective was to assess temporal changes in birth country and age among newly diagnosed Latino men who have sex with men (MSM). We used records from Hispanics/Latinos (2007-2016) who were reported to the Florida HIV/AIDS surveillance system. We compared trends in birth country/region and age by year using a two-sided Cochran-Armitage Trend Test.
View Article and Find Full Text PDFHealth Aff (Millwood)
December 2018
Clinicians who rarely perform neonatal resuscitation exhibit skill deterioration. Telehealth addresses this challenge by facilitating video connections between neonatologists at tertiary care centers and providers at smaller hospitals. However, there is little empirical evidence about the benefits of telehealth programs for neonatal resuscitation.
View Article and Find Full Text PDFTo combat the influx of sexual assault kits (SAKs) that need to be tested, an exploration of data from Ohio's SAK Testing Initiative was carried out to identify variables that impact whether a SAK contains a probative DNA profile that is eligible for the Combined DNA Index System (CODIS) database. A validation study was completed to confirm the existence of variable relationships from the initial examination of data; new and modified statistical models were introduced to improve the predictive accuracy to determine if a SAK will contain at least one CODIS eligible DNA profile. Descriptive statistics from the validation data set confirmed conclusions about the effects of days between the assault and kit collection, the age of the victim, and consensual sex around the time of the kit collection for obtaining CODIS eligibility of DNA.
View Article and Find Full Text PDFDelayed initiation of human immunodeficiency virus (HIV) care affects disease progression. To determine the role of HIV testing site and neighborhood- and individual-level factors in racial/ethnic disparities in initiation of care, we examined Florida population-based HIV/AIDS surveillance system records. We performed multilevel Poisson regression to calculate adjusted prevalence ratios (APR) for non-initiation of care by race/ethnicity adjusting for HIV testing site type and individual- and neighborhood-level characteristics.
View Article and Find Full Text PDFCoinfection with human immunodeficiency virus (HIV) and viral hepatitis is associated with high morbidity and mortality in the absence of clinical management, making identification of these cases crucial. We examined characteristics of HIV and viral hepatitis coinfections by using surveillance data from 15 US states and two cities. Each jurisdiction used an automated deterministic matching method to link surveillance data for persons with reported acute and chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infections, to persons reported with HIV infection.
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