Publications by authors named "Stephanie Hernandez"

Article Synopsis
  • * Results showed that the Add Health survey identified more than double the number of sexual minorities compared to the NHIS survey, highlighting a significant difference in response rates.
  • * Individuals who identified as sexual minorities in the Add Health survey but as heterosexual in the NHIS survey exhibited mental health outcomes similar to those consistently classified as sexual minorities, suggesting current surveys may underestimate sexual minority populations and associated health disparities.
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  • The study explores the Racial Context Hypothesis by investigating the health outcomes of U.S.-born Black Americans compared to Black immigrants based on their regions of origin.
  • Using data from the National Health Interview Survey (2000-2018), the researchers focused on various health measures like self-rated health and chronic conditions among 212,269 participants.
  • Findings indicate that Black immigrants from racially mixed and majority-Black backgrounds generally report better health outcomes than U.S.-born Black Americans, whereas those from predominantly White regions show no significant health differences.
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  • Place plays a significant role in health outcomes, and there’s been recent research on estimating health metrics for small areas like census tracts as well as larger ones like congressional districts.
  • This study compares life expectancy estimates for Pennsylvania's congressional districts using two different methods: a census tract-based approach and a direct Vital Statistics approach, validating their accuracy.
  • Findings show a strong correlation between the two methods for overall life expectancy, which can help inform congressional policies aimed at enhancing public health, especially at the assembly level.
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The response of metals and their microstructures under extreme dynamic conditions can be markedly different from that under quasistatic conditions. Traditionally, high strain rates and shock stresses are achieved using cumbersome and expensive methods such as the Kolsky bar or large spall experiments. These methods are low throughput and do not facilitate high-fidelity microstructure-property linkages.

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Background: Online resources are a valuable source of information for patients and have been reported to improve engagement and adherence to medical care. However, readability of online patient educational materials (OPEMs) is crucial for them to serve their intended purpose. The American Medical Association (AMA) recommends that OPEM be written at or below the sixth grade reading level.

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Background: Socioeconomic status (SES) is a fundamental contributor to health, yet it is rarely examined relative to gender expression, particularly gender non-conformity and sexual orientation.

Methods: We use data from 11 242 Wave V respondents (aged 33-44) in the National Longitudinal Study of Adolescent to Adult Health (2016-2018) to examine associations between socially assigned gender expression, sexual orientation and SES, in logistic and multinomial regression models stratified by sex assigned at birth.

Results: Among both women and men a general pattern of heightened risk for lower SES among gender non-conforming sexual minorities relative to gender conforming heterosexuals was observed.

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Unlabelled: Fumarate accumulation due to loss of fumarate hydratase (FH) drives cellular transformation. Germline FH alterations lead to hereditary leiomyomatosis and renal cell cancer (HLRCC) where patients are predisposed to an aggressive form of kidney cancer. There is an unmet need to classify FH variants by cancer-associated risk.

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Importance: Transgender, gender nonbinary, and genderqueer people are at increased risk for negative health outcomes, and medical school education is currently lacking on inclusion of these topics. However, there is little evidence of an association of clinician knowledge with the health of transgender people.

Objective: To evaluate the associations of patients' perceptions of clinician knowledge with self-rated health and severe psychological distress among transgender people.

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Background: There are over 150,000 transgender adolescents in the United States, yet research on outcomes following gender-affirming mastectomy in this age group is limited. We evaluated gender-affirming mastectomy incidence, as well as postoperative complications, including regret, in adolescents within our integrated health care system.

Methods: Gender-affirming mastectomies performed from January 1, 2013 - July 31, 2020 in adolescents 12-17 years of age at the time of referral were identified.

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To investigate the role of (1) antipsychotic medication review (AP-MR) documentation quality of Minimum Data Set 3.0 (MDS) surveys, and (2) treatment-continuity on discharge-to-community and clinical outcomes among long-term care (LTC) residents treated with pimavanserin. A retrospective cohort analysis of Parts A, B, and D claims from Medicare 100% sample merged with MDS data from June 2016 through December 2018 was conducted.

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Testing the Racial Context Hypothesis (Read and Emerson 2005), we examine the relationship between racial context of origin and three health behaviors (smoking, drinking, and physical activity) among Black immigrants in the USA. We conduct multinomial logistic regression analyses using data from the 2000-2018 National Health Interview Survey (N = 248,401) to determine if racial context of origin is a mechanism of health differential between Black immigrants and US-born Black Americans. Supporting the Racial Context Hypothesis, we find that Black immigrants from racially mixed (Mexico, Central America, the Caribbean, South America) and majority-Black contexts (Africa) are significantly less likely to be current or former smokers and drinkers than US-born Black Americans.

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Objective: Online resources can be a valuable source of information for patients and have been shown to result in more inquiry during medical office visits, following physician medical recommendation more closely, and making self-directed lifestyle changes. The accessibility to these resources is limited by the readability level of the article and the literacy level of the population. Peripheral artery disease (PAD) is estimated to affect between 8 and 12 million people in the United States with greater disease severity among under insured or uninsured populations.

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Introduction: We examined the scope of literature including non-parental caregiver involvement in child obesity prevention interventions.

Methods: We conducted a scoping review following the Arksey and O'Malley framework, including only studies reporting the effect of an intervention on growth, weight, or early childhood obesity risk among children ages 0 to three years, published between 2000 and 2021. Interventions that did not include non-parental caregivers (adults regularly involved in childcare other than parents) were excluded.

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Article Synopsis
  • Spinal anesthesia, first performed by Dr. August Bier on August 16, 1898, involved injecting cocaine into the spinal cord to provide pain relief during surgery, marking a significant advancement in anesthesia techniques.
  • Despite its initial success, concerns about the potential toxic effects of local anesthetics led to the development of newer drugs with a wider therapeutic window and the addition of adjuvants like epinephrine and alpha-2 agonists to enhance safety and effectiveness.
  • This review aims to explore the current understanding of spinal anesthesia, its indications and contraindications, and the role of adjuvants, drawing insights from recent literature on alpha-2 agonists from 2015 to the present.
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Purpose: Some progress has been made in gender diversity in undergraduate medical education and the physician workforce, but much remains to be done to improve workforce disparities for women, particularly women from underrepresented populations, such as Latinas. This study examines the current level of representation and demographic characteristics of Latina physicians, including age, language use, nativity, and citizenship status.

Method: The authors used data from the 2014-2018 U.

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As we enter an era of health care that incorporates telehealth for routine provision of care, we can build a system that consciously and proactively includes vulnerable patients, thereby avoiding further exacerbation of health disparities. A practical way to reach out to Latino patients is to use media they already widely use. Rather than expect patients to adapt to suboptimal systems of telehealth care, we can improve telehealth for Latinos by using platforms already familiar to them and thereby refocus telehealth delivery systems to provide patient-centered care.

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Chlamydia trachomatis (C. trachomatis) is a major pathogen implicated in the formation of hydrosalpinx in the female reproductive tract. In mice, a related strain of Chlamydia, Chlamydia trachomatis (C.

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To examine the relationship between minoritized identity and barriers to health care in the United States. Nationally representative data collected from the 2013 to 2017 waves of the National Health Interview Survey were used to conduct descriptive and logistic regression analyses. Men and women were placed in 1 of 4 categories: no minoritized identities, minoritized identities of race/ethnicity (MIoRE), minoritized identities of sexuality (MIoS), or minoritized identities of both race/ethnicity and sexuality (MIoRES).

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The efficacy of three common fish anesthetics (clove oil, 2-phenoxyethanol, and tricaine methanesulfonate) was evaluated in the Pacific hagfish (Eptatretus stoutii). The overarching aim of our study was to identify the best anesthetic and concentration for the purposes of routine laboratory use of Pacific hagfish (i.e.

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Hepatitis A is a common worldwide cause of acute hepatitis. It has been classically associated with epidemics and is increasingly prevalent in the developing world. Generally, the illness is self-limited and only requires supportive management, reassurance, and proper hygiene instructions.

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