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Psychological Symptom Cluster Severity Profiles Are Associated With Higher Levels of Stress and Worse Quality of Life in Postmenopausal Women With Breast Cancer.
Cancer Nurs
December 2024
Author Affiliations: School of Nursing, University of Pittsburgh, Pennsylvania (Drs Harris, Conley, Rosenzweig, and Bender); Neuroscience Institute, AdventHealth Research Institute, Orlando, Florida (Dr Erickson); School of Nursing, University California, San Francisco, California (Dr Cooper).
Background: Although common, the severity of the psychological symptom cluster (PSC) (ie, co-occurrence of anxiety, depression, fatigue, sleep disturbance) varies among women with breast cancer. In addition, the impact of various types of stress and other risk factors on its severity are understudied, and the influence of the PSC on quality of life (QOL) outcomes remains poorly characterized.
Objective: To identify subgroups of postmenopausal women with breast cancer with distinct PSC severity profiles following surgery and evaluate whether these subgroups differed in terms of demographic and clinical characteristics, symptoms, social and posttraumatic stress, and QOL.
Challenges and Opportunities of Pediatric Mental Health Practice in Rural America.
Pediatr Clin North Am
February 2025
Psychiatry and Behavioral Sciences, University of Kansas School of Medicine-Wichita, 1010 North Kansas, Wichita, KS 67214, USA.
Youth living in Rural America have increased rates of mental illness and inadequate resources to address their mental health concerns. Programs and systems are currently available to build capacity in pediatric clinicians to care for youth with mental illness and to recruit and support rural clinicians. Such programs should continue to be supported with federal and state funding and additional novel programs aimed at addressing the youth mental health crisis in North America should be developed and funded.
View Article and Find Full Text PDFExperiences of the changing illicit drug supply among racial and ethnic minoritized people in three US states: a qualitative study.
Harm Reduct J
November 2024
Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Background: Amidst a national surge in overdose deaths among racial and ethnic minoritized people and people who use stimulants (cocaine or methamphetamines), our objective was to understand how these groups are adapting to a rapidly changing illicit drug supply.
Methods: We conducted semi-structured interviews with 64 people who use drugs and who self-identified as Black, Hispanic, Multiracial, or other Non-White race in three states (Michigan, New Jersey, and Wisconsin). Transcribed interviews were coded thematically.
Electronic Nudges and Influenza Vaccination Among Patients With a History of Myocardial Infarction: Insights From 3 Nationwide Randomized Clinical Trials.
JAMA Cardiol
January 2025
Department of Cardiology, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark.
Article Synopsis
- The study focuses on the significance of influenza vaccination in patients with acute myocardial infarction (AMI) and evaluates methods to enhance vaccine uptake among this high-risk group.
- The research consists of three nationwide randomized clinical trials conducted in Denmark that tested the effectiveness of electronically delivered behavioral nudges against usual care in increasing vaccination rates among AMI patients.
- The primary outcome measured was the rate of influenza vaccinations received, with findings suggesting that these behavioral nudges could potentially improve vaccination uptake in the targeted population.
Categorizing Care Delays and Their Impact on Hospital Length of Stay.
Qual Manag Health Care
November 2024
Author Affiliations: Division of Hospital Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland (Drs Nadler, Kisuule, Michtalik, Kantsiper, Harris, and Gundareddy); Carey Business School, Johns Hopkins University, Baltimore, Maryland (Dr Eid); Integrated Hospital Medicine, Memorial Hermann Health System, Houston, Texas (Dr Eid).
Background And Objective: Unnecessary care delays of hospitalized patients increase the risk of hospital-related complications and drive up health care costs. While health systems focus on reducing the length of stay of hospitalized patients, not many studies looked at specific causes of the care delays that prolong length of stay. In this study, we sought to systematically identify and categorize the various care delays that contribute to prolonged length of stay on a hospital medicine service.
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