Retrospective review of antimicrobial use for gastroschisis patients in Kigali, Rwanda: can improved stewardship reduce late inpatient deaths?

Unlabelled: Gastroschisis mortality is 75-100% in low-resource settings. In Rwanda, late deaths are often due to sepsis. We aimed to understand the effect of antimicrobial use on survival.

Structural evaluation of child physical abuse in trauma: Social determinants of health at the population level.

Purpose: Child physical abuse (CPA) is closely linked to social factors like insurance status with limited evaluation at a structural population-level. This study evaluates the role of social determinants of health within the built environment on CPA.

Methods: A single-institution retrospective review of pediatric trauma patients was conducted between January 2016 and December 2020.

Social determinants of health in pediatric scald burns: Is food access an issue?

Background: Burn injury risk, severity, and outcomes have been associated with socioeconomic status. Limited data exist to evaluate health access-related influences at a structural population level. This study evaluated factors at the Census-tract level, specifically evaluating food access and social vulnerability in pediatric scald burns.

Predictors of Survival: A Retrospective Review of Gastroschisis and Intestinal Atresia in Rwanda.

Introduction: Neonatal surgical diseases are prime examples of the global disparity in surgical access and outcomes, with survival for conditions like gastroschisis reaching above 95% in high-income settings but usually fatal in low-income settings. This study aims to examine outcomes and predictors of mortality in patients with two specific neonatal surgical conditions that often require early transfer and prolonged inpatient care (gastroschisis and intestinal atresia) at Rwanda's main pediatric referral hospital.

Methods: A single-institution retrospective chart review of neonates with gastroschisis and intestinal atresia was conducted between January 2016 and June 2019.

Examining Psychological Self-Sufficiency Among Low-Income Jobseekers with Mental Health Barriers.

The study is to investigate psychological self-sufficiency-the force within someone that activates cognitive and non-cognitive process of shifting perceived barriers into hope actions-as it relates to economic self-sufficiency among jobseekers with mental health barriers. Among a sample of 2455 low-income jobseekers in job readiness programs at six community-based agencies in Chicago, a subsample of 424 who self-identified as having mental illness barriers are selected to analyze the relationships between employment hope, employment barriers, and economic self-sufficiency using structural equation modeling. Results indicate that employment hope mediates the path between perceived employment barriers and economic self-sufficiency.

Examining Psychological Self-Sufficiency among African American Low-Income Jobseekers in a Health Profession Career Pathways Program.

The aim of this study was to explore the experiences and perceptions of low-income African American jobseekers participating in the Health Profession Opportunity Grants (HPOG) program by employing a mixed method (Qual-Quant) approach. For qualitative data, two in-depth focus groups were conducted with a total of 12 participants who either completed one program or graduated from the HPOG program. With quantitative data, amediation path analysis was conducted using Model 4 of the PROCESS macro (3.

A Cross-National Validation of the Short Employment Hope Scale (EHS-14) in the United States and South Korea.

The Short Employment Hope Scale (EHS-14) has been developed in the United States to assess an individual's level of psychological self-sufficiency-a complementary measure to the widely used economic self-sufficiency in workforce development programs. This study examined the comparability of the EHS-14 between U.S.

Evaluation of an intensive in-home family treatment program to prevent out-of-home placement.

Family preservation programs were developed out of concern that some abused or neglected children were being placed unnecessarily in foster care without adequate attempts first being made to rehabilitate and retain the intact family. This study evaluated the effectiveness of an intensive, in-home family preservation program, which provides counseling services to families at imminent risk of having a child or children removed from the home. Pre- and post-intervention scores showed statistically significant, positive change between the initial and termination assessments across five domains: family environment, family social support, family interactions, parent(s)/caregivers, and child well-being.