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Documenting human papillomavirus vaccine refusal among adolescents in electronic health records: A mixed methods study.
Vaccine
December 2024
Department of Family Medicine, University of North Carolina, Chapel Hill, NC, USA; Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
Background: Human papillomavirus (HPV) vaccination is often refused by patients or caregivers. We conducted a mixed-methods study to understand how health care providers document HPV vaccination refusal and use this information in subsequent encounters.
Methods: Using electronic health records (EHR) in a public academic health system, we identified patients aged 9-17 years with documentation of refusal of a recommended vaccination in billing codes or clinic notes from October 15, 2015 and December 31, 2021.
Impact of an Interprofessional HIV Quality Improvement Team on Patient Care and Resident Learning Opportunities.
PRiMER
September 2023
Family Medicine Residency, UPMC Shadyside, Pittsburgh, PA | Department of Pharmacy, UPMC Presbyterian-Shadyside, Pittsburgh, PA.
Introduction: Although human immunodeficiency virus (HIV) care is a recommended competency for family medicine training, many programs report a lack of HIV expertise among faculty. After the departure of faculty with HIV care experience, an interprofessional HIV quality improvement team (HIV-QIT) of physicians and pharmacists aimed to maintain on-site HIV care and retain learning opportunities for residents, using process improvement and panel reviews with a remote HIV specialist faculty member.
Methods: This study reports on a multicycle quality improvement pilot project with pre- and postintervention chart reviews between December 2019 and May 2021.
The Dignity Pack Project is a small-scale, crisis-oriented supply chain in Atlanta, Georgia, designed to meet the acute personal hygiene,menstrual health, and sexual health needs of people experiencing homelessness (PEH). It was organized in response to conditions during the COVID-19 pandemic that continue to illuminate and exacerbate the distinct and complex challenges PEH face when trying to meet their basic needs and maintain their health. In addition to being particularly vulnerable to COVID-19 due to underlying conditions, crowding, and shared living spaces, the pandemic makes it harder for PEH to access already scant resources.
View Article and Find Full Text PDFTowards understanding the evolutionary dynamics of mtDNA.
Mitochondrial DNA A DNA Mapp Seq Anal
December 2020
School of Biotechnology and Biomolecular Sciences, The University of New South Wales, Sydney, Australia.
Historically, mtDNA was considered a selectively neutral marker that was useful for estimating the population genetic history of the maternal lineage. Over time there has been an increasing appreciation of mtDNA and mitochondria in maintaining cellular and organismal health. Beyond energy production, mtDNA and mitochondria have critical cellular roles in signalling.
View Article and Find Full Text PDFEngagement with perinatal mental health services: a cross-sectional questionnaire survey.
BMC Pregnancy Childbirth
May 2019
Redcliffe Hospital, Brisbane, Australia.
Background: Perinatal depression and/or anxiety disorders are undertreated pregnancy complications. This is partly due to low rates of engagement by women. This study aimed to identify barriers and facilitators to women accessing perinatal mental health services in an outer metropolitan hospital in Queensland, Australia.
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