Publications by authors named "Mary Lynn Brecht"

Purpose: Few factors have been identified that increase the risk of visits (hospital emergency room or inpatient stays) due to hyperemesis gravidarum (HG). The purpose of this study is to understand trends in HG management and identify variables increasing visit frequency so that strategies may be developed to reduce hospital utilization.

Study Design: An online survey was posted on the Hyperemesis Education and Research Foundation website and social media between June 2022 and May 2023.

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  • The study investigates the levels of knowledge, awareness, and behavior change regarding cardiovascular disease (CVD) among women aged 25-55, highlighting an increase in risk factors in this demographic despite low awareness.
  • Using an online survey of 149 predominantly minority women, the research examines how perceptions of CVD susceptibility and severity affect intentions to change health behavior.
  • Findings suggest that women who feel at risk for CVD but do not view it as severe are more likely to want to change their behavior, indicating that improving perceptions may be key to reducing risk factors.
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  • Vaccination is essential for fighting COVID-19, but its uptake varies by community due to factors like demographics and access to resources.
  • A pilot study surveyed 280 adults in a safety net healthcare system to explore the links between social factors and COVID-19 vaccination rates.
  • Results showed high vaccine uptake among mainly low-income, Hispanic/Latinx participants, emphasizing the importance of reliable information sources and satisfaction with healthcare communication in promoting vaccination.*
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  • Virtual reality simulation (VRS) was tested as a new teaching method for nursing, comparing its effects on patient care to traditional education methods.
  • The study involved registered nurses in a large hospital and showed that infection rates significantly dropped after using both educational approaches over a three-month period.
  • Financially, VRS proved to provide a better return on investment for professional development activities in nursing compared to traditional methods.
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Background: Tilts can induce alterations in cerebral hemodynamics in healthy neonates, but prior studies have only examined systemic parameters or used small tilt angles (<90°). The healthy neonatal population, however, are commonly subjected to large tilt angles (≥90°). We sought to characterize the cerebrovascular response to a 90° tilt in healthy term neonates.

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Virtual reality simulation (VRS) has emerged as an educational methodology in nursing professional development. A cluster randomized controlled trial was conducted with a sample of clinical registered nurses to compare effectiveness of VRS and traditional education on knowledge and behavior related to Clostridioides difficile prevention. No significant differences were found in the effectiveness of the two modalities, suggesting the usefulness of VRS as a teaching methodology.

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Vaping has risen substantially in recent years, particularly among young adults. Electronic (e-) hookahs are a newer category of vaping devices touted as safer tobacco alternatives. Although e-hookah vaping acutely reduces endothelial function, the role of nicotine and the mechanisms by which it may impair endothelial function remain understudied.

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Background: Congenital heart disease (CHD) is the most common birth defect worldwide. Neurocognitive deficits and psychiatric disorders, which can impact daily life, have been reported in over 50% of adolescents and young adults with moderate to complex CHD.

Objective: Conduct a systematic review of sex, clinical, psychological and social determinants of health (SDoH) factors affecting neurocognition in adults with CHD post-cardiac surgery.

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The purpose of this study is to report the process of adapting the existing Lung Cancer Screening Health Belief Scale to be used in Chinese Americans. Guided by Flaherty et al.'s cross-cultural equivalency model, the methodology used in the adaptation process consists of four steps, including preliminary modification after a comprehensive literature review, forward and backward translation, expert review, and cognitive interviews among participants.

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Hookah smoking has grown to become a global tobacco epidemic. While cigarette smoking is a well-established cardiovascular disease (CVD) risk factor, the CVD risks of hookah smoking are unknown, particularly among regular U.S.

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Unlabelled: The prevalence and morbidity of Asthma in the United States has increased since the 1991 National Asthma Education and Prevention Program (NAEPP) and updated Expert Panel Report -3 (EPR-3) guidelines in 2007 were published. To improve provider adherence to the NAEPP EPR-3 guidelines Children's Hospital of Orange County (CHOC) in California integrated the HealtheIntent Pediatric Asthma Registry (PAR) into the electronic medical record (EMR) in 2015.

Methods: A serial cross-sectional design was used to compare provider management of CHOC MediCal asthma patients before 2014 (N = 6606) and after 2018 (N = 6945) integration of the Registry with NAEPP guidelines into the EMR.

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  • Regular mammogram screenings are crucial in reducing breast cancer mortality, but immigrant Muslim Arab women in the U.S. often don't get them as frequently as needed.
  • A study found that factors like spousal support, knowledge about mammograms, and healthcare provider recommendations positively influenced mammogram utilization among this group, while perceived barriers negatively influenced it.
  • There’s a need for nursing professionals to create interventions that encourage mammogram adherence, potentially by involving the participants' husbands in the process.
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  • * Findings indicated a complex relationship between social media use and depression, with variations in how social media was defined and understood across different studies.
  • * The research highlighted gaps in understanding the characteristics of social media interactions, suggesting that factors like health, social dynamics, and age differences may affect this relationship, calling for more in-depth investigation.
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  • - Sickle cell disease is an inherited blood condition that negatively impacts children’s health and quality of life, both physically and mentally.
  • - A study in Oman analyzed data from 72 parent and child pairs to determine what factors influence health-related quality of life (HRQoL) in children with the disease.
  • - Key findings suggest that parents' knowledge and self-efficacy about the illness, along with children's age and hydroxyurea treatment, significantly impact children's HRQoL; this highlights the need for supportive programs in healthcare.
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Purpose: To (1) Compare vision-related quality of life (VRQOL) in adolescent and young adult (AYA) unilateral versus bilateral retinoblastoma (RB) survivors using a vision-targeted measure and a generic health-related quality of life (HRQOL) measure and (2) Assess associations among VRQOL and generic HRQOL domains and overall QOL and estimate associations of the VRQOL and HRQOL domains with overall QOL.

Methods: The National Institute for Health (NIH) Toolbox® VRQOL instrument, PROMIS®-29 Profile v 2.1, and a single-item QOL measure were administered in a cross-sectional study of 101 RB survivors.

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  • Unnecessary hospital admissions can drive up healthcare costs and divert resources from more critical patients, so this project aimed to assess if referring low- to moderate-risk TIA patients to an NP-led clinic was as safe as inpatient care.
  • The study involved 81 adults with TIA, comparing outcomes between those treated in an NP clinic and those admitted to the hospital, focusing on stroke incidence at 90 days.
  • Results showed no strokes in the NP clinic group and only one in the admission group, with high patient satisfaction rates for the NP, indicating that NP-led care is a safe alternative to hospitalization for these patients.
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Administration of the Einstein Neonatal Neurobehavioral Assessment Scale (ENNAS) can be time-consuming, and items can be highly correlated. We aimed to determine: (1) its factor analytic structure; (2) the validity of the factor structure; and (3) the associations of physiologic measures with factor scores. A factor analysis reduced 21 ENNAS items into 5 factors in 57 congenital heart disease (CHD) and 35 healthy infants.

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Objective: This study aims to explore health beliefs toward lung cancer screening with low dose computed tomography among Chinese American high-risk smokers.

Methods: Guided by the Health Belief Model, semi-structured individual interviews were conducted with Chinese American high-risk smokers via phone. Additional questionnaires on demographic information, history of smoking and lung cancer screening were collected via email or phone before the interview, depending on participants' preference.

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Background: This article reports on the use of hospital Emergency Departments (EDs) in women experiencing homelessness in Los Angeles, California. Women 18 years of age or older were recruited from homeless day centers in Los Angeles to participate in this study.

Materials And Methods: A self-report questionnaire on health status, demographics, and emergency service use was completed by study participants.

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Retinoblastoma (RB) is a malignant intraocular tumor diagnosed in early childhood that requires extensive medical and surgical treatment at a young age. Health-related quality of life (HRQOL) is thought to be diminished due to visual impairment, facial deformities, and fear of recurrence or secondary cancer. However, few studies have identified variables associated with HRQOL among those with RB.

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Study Objectives: Poor sleep, including short sleep duration, is common among caregivers of persons with dementia. However, it is unclear whether poor sleep is consistent across both self-reported and objective measures of sleep in caregivers. This study aimed to test the role of caregiving status (caregivers vs noncaregivers) on the discrepancy between self-reported and objective sleep duration.

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  • The study aimed to investigate the link between delays in seeking medical help for potential acute coronary syndrome (ACS) symptoms, ongoing symptoms, and healthcare usage after hospital discharge.
  • Longer delays in seeking treatment were connected to a decrease in doctor visits within 30 days for ACS patients, but an increase in 911 calls related to chest symptoms within six months.
  • In non-ACS patients, longer delays corresponded to an increased likelihood of experiencing persistent symptoms and higher healthcare usage at the 30-day and 6-month marks after discharge.
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Background: While support from family caregivers is essential in the care of patients with heart failure (HF), caregiving places a considerable burden on family caregivers. We examined the preliminary effects of cognitive behavioral therapy (CBT) for caregivers of individuals with HF.

Methods: In this pilot randomized controlled trial, patients with HF and their primary family caregivers (30 dyads) were randomized into CBT (n = 15) or general health education (GHE, n = 15) groups.

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Introduction: Cigarette smoking is strongly associated with the development of cardiovascular disease (CVD). However, evidence is limited as to whether smokeless tobacco (ST) use is associated with CVD.

Aims And Methods: Using data from 4347 adults in the Population Assessment of Tobacco and Health Study (2013-2014), we compared geometric mean concentrations of CVD-related harm biomarkers and biomarkers of exposure among exclusive ST users and exclusive cigarette smokers-in relation to recent nicotine exposure-and never tobacco users, adjusting for age, sex, race/ethnicity, income, body mass index, and CVD.

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