Plain community people (Amish and Mennonites) have increased risk of having recessive genetic disorders. This study was designed to assess the rate of referral of Plain people to genetic services at UPMC Children's Hospital of Pittsburgh. Medical records of Plain patients from a 1-year time period were reviewed. Data collected included demographic information, clinical presentation, referral for genetic services, and diagnosis. Of the 303 patients, 102 (33.7%) had a clinical presentation suggestive of a genetic disorder, yet only 32 of those 102 patients (31.4%) had been evaluated by the division of Medical Genetics. These data indicate that less than half of Plain patients with a clinical presentation suggestive of a genetic disorder had been referred to the division of Medical Genetics for a formal evaluation. Now that under-referral of Plain patients has been confirmed, providers can be educated in order to increase referrals for genetic services and facilitate positive healthcare outcomes for the Plain Community.
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http://dx.doi.org/10.1002/jgc4.1395 | DOI Listing |
Sci Rep
January 2025
College of New Energy and Environment, Jilin University, Changchun, 130012, China.
Land use and land cover changes (LULCC) alter local surface attributes, thereby modifying energy balance and material exchanges, ultimately impacting meteorological parameters and air quality. The North China Plain (NCP) has undergone rapid urbanization in recent decades, leading to dramatic changes in land use and land cover. This study utilizes the 2020 land use and land cover data obtained from the MODIS satellite to replace the default 2001 data in the Weather Research and Forecasting-Community Multiscale Air Quality (WRF-CMAQ) model.
View Article and Find Full Text PDFJ Clin Epidemiol
January 2025
Australian Living Evidence Collaboration, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Background: Living guidelines contain continually updated, and potentially changing, clinical recommendations. The implications of living guidelines for consumers (e.g.
View Article and Find Full Text PDFJ Hazard Mater
January 2025
Jiangsu Key Laboratory of Chemical Pollution Control and Resources Reuse, School of Environmental and Biological Engineering, Nanjing University of Science and Technology, Nanjing 210094, China. Electronic address:
The application of organic substances to the agricultural field has effectively enhanced soil nutrient levels and crop yields. Biodegradable microplastics (bio-MPs), a pervasive emerging contaminant, may potentially impact the soil ecosystem through their aging process. Here, a 150-day dark incubation experiment was conducted to elucidate the disparities in the aging process of polylactic acid bio-MPs (PLA-MPs) in soils with contrasting C/N ratios of organic substances, as the mechanisms underlying this process remain unclear.
View Article and Find Full Text PDFChild Abuse Negl
January 2025
University of Michigan, School of Social Work, United States of America.
Background: Given high rates of adverse childhood experiences (ACEs) among Indigenous youth, it is critical to develop and evaluate strategies to prevent these experiences; one part of evaluation is process evaluation, including analysis of fidelity, attendance and barriers to attendance, contamination, and program acceptability.
Objective: To present a process evaluation of Tiwahe Wicagwicayapi, a strengths-based, family-based program for predominantly Indigenous youth (ages 10 to 14) and their caregivers. The program aimed to prevent ACEs including child abuse and neglect.
Front Nutr
December 2024
United States Agency for International Development, Kathmandu, Nepal.
Introduction: Monitoring and evaluation of maternal and child nutrition programs typically concentrates on overall population-level results. There is limited understanding, however, of how intervention reach and expected outcomes differ among sub-populations, necessary insight for addressing inequalities. These analyses aim to determine if maternal exposure to social and behavior change (SBC) interventions is associated with scales of maternal practices (antenatal care, iron and folic acid in pregnancy, diet in pregnancy, postnatal care, iron and folic acid postpartum, and maternal dietary diversity) and child practices (institutional birth, health mothers' group participation, growth monitoring and promotion, early initiation of breastfeeding and infant and young child feeding) in Nepal, overall and by wealth, caste, and geography.
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