The Vision Detroit Project: Integrated Screening and Community Eye-Health Education Interventions Improve Eyecare Awareness.

Purpose: Poor eye-health knowledge and health literacy are pervasive, contributing to worse outcomes. This study aims to examine short- and long-term eye-health knowledge retention following eye-health education interventions in adults.

Methods: Vision Detroit was an outreach vision screening program that integrated a 5-Point Teaching Intervention (5PTI), at a Southwest Community Center (SW-CC) from 2015-2017.

Sustained decrease in pediatric asthma emergency visits during the first year of the COVID-19 pandemic.

On January 20, 2020, the first documented case of novel severe acute respiratory syndrome coronavirus 2 (coronavirus disease 2019 [COVID-19]) was reported in the United States. The U.S.

The Vision Detroit Project: Visual Burden, Barriers, and Access to Eye Care in an Urban Setting.

Purpose: Vision loss and blindness are among the top ten disabilities in the United States, yet access and utilization of eye care remains low. Vision Detroit aimed to address eye-care disparities via community-based screenings. By investigating burden of eye disease and barriers to eye-care utilization in an underserved urban community, we may direct efforts to improve access.

Innovative payment to scale up access to medications for opioid use disorder.

Bundled payments offer promise as a supplement to existing payment models to promote scaling up of opioid use disorder treatment using buprenorphine.

Reversible retinoschisis following high voltage electrical injury evaluated with optical coherence tomography and electrophysiology.

Purpose: To report a carefully studied case of high voltage electrical injury of the retina and optic nerve with anatomically reversible retinoschisis.

Methods: Observational case report.

Results: A 22 year old power company worker was electrocuted with 12,000 V, with his left forehead being the exit point of the current.

Private Coverage of Methadone in Outpatient Treatment Programs.

Among the three medications approved for the treatment of opioid use disorder, methadone has been in use for the longest period and has the most extensive evidence base of effectiveness. Yet it remains underutilized as new insurance policies favor access to buprenorphine and neglect to dismantle barriers to obtaining methadone. In the absence of wholesale regulatory change, private insurance carriers should take the lead in expanding access to this medication.

Perinatal HIV Transmission: Missed Opportunities and Proposed Solutions.

Much progress has been made in the elimination of perinatal human immunodeficiency virus (HIV). Since the 1980s, the transmission rate from pregnant women to their children has dropped from approximately 25% to less than 1% in resource-rich areas. Routine HIV testing in pregnancy, the introduction of multidrug antiretroviral therapy for pregnant women, and the recognition that HIV viral load directly correlates with viral transmission have all led to the elimination of perinatal HIV.

Problem Analysis in Community Violence Assessment: Revealing Early Childhood Trauma as a Driver of Youth and Gang Violence.

Problem analysis conducted by a university-based research partner can provide communities with data-driven options to address the local drivers of serious youth and gang violence. Situated in Worcester, Massachusetts, this article describes how subsequent to early childhood trauma being identified as a potential driver of adolescent and young adult violence; problem analysis using local data confirmed that being the victim or witness of a traumatic incident before the age of 12 years was significantly correlated with involvement in violence in adolescence or young adulthood. Although there is a robust literature on the relationship between early childhood trauma and later delinquency, local decision makers did not consider this knowledge actionable until the research partner used the city's own police records to demonstrate the extent of the problem in the city.