Publications by authors named "R J Christian"
Background: Prevalence of substance use disorders (SUD) is high among adolescents and young adults (AYAs) with complex medical needs. Little is known about risk factors for SUD in this population.
Methods: This retrospective cohort study used electronic health record data from a large academic hospital system (2015-2019) to identify adolescents (aged 10-17) and young adults (aged 18-27) with intellectual/developmental disorders, psychiatric conditions, or complex medical conditions.
Objective: The authors explored whether neighborhood context is associated with psychotropic polypharmacy and psychotherapy among a cohort of children with high needs for psychiatric and general medical care.
Methods: Electronic health record data from a large health care system were used in a cross-sectional design to examine psychotropic polypharmacy and psychotherapy in 2015-2019 among children ages 2-17 years (N=4,017) with geocoded addresses. Inclusion criteria were a diagnosis of a mental health condition, an intellectual and developmental disability, or a complex medical condition and one or more clinical encounters annually over the study period.
Article Synopsis
- - South Africa is a malaria-endemic country with three provinces where the spread of malaria is linked to specific mosquito vectors, making vector control critical for elimination efforts.
- - The Ehlanzeni district in Mpumalanga has been monitored for malaria vectors, particularly the Anopheles gambiae complex, and comprehensive data has been gathered from 2009 to 2021 but has not been analyzed until now.
- - The study found that An. merus and An. arabiensis are the most common species, with different collection methods yielding varying results; however, vector abundance showed no significant link to annual climatic changes, pointing to potential data collection limitations.
This study aimed to compare patient outcomes between prescribing psychologists, psychiatrists, and primary care physicians (PCPs). Private insurance claims (2005-2021; = 307,478) were used to conduct an active comparator, new user longitudinal cohort study developed using target trial emulation. Inverse propensity for treatment weighting was used to adjust for baseline differences in a range of sociodemographic, clinical, and contextual patient factors.
View Article and Find Full Text PDFIntroduction: Ineffective communication between health care professionals is one of the leading causes of medical errors and can result in adverse events and patient harm. Improving the effectiveness of communication in health care is a worldwide necessity.
Objective: The aim of this project was to promote evidence-based practices regarding general communication principles among the nursing staff in one unit of a children's hospital in the southern United States.