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| http://dx.doi.org/10.1177/1753495X221087171 | DOI Listing |
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Identification of cardiac wall motion abnormalities in diverse populations by deep learning of the electrocardiogram.
NPJ Digit Med
January 2025
Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Cardiac wall motion abnormalities (WMA) are strong predictors of mortality, but current screening methods using Q waves from electrocardiograms (ECGs) have limited accuracy and vary across racial and ethnic groups. This study aimed to identify novel ECG features using deep learning to enhance WMA detection, referencing echocardiography as the gold standard. We collected ECG and echocardiogram data from 35,210 patients in California and labeled WMA using unstructured language parsing of echocardiographic reports.
View Article and Find Full Text PDFThe first five years of implementing Missouri's medication first approach to opioid use disorder treatment: Plateaus, regressions, and underbellies of progress.
J Subst Use Addict Treat
January 2025
University of Missouri-St. Louis, Addiction Science, Missouri Institute of Mental Health, 1 University Blvd., Benton Hall, Room 206, St. Louis, MO 63121, USA.
Introduction: Missouri's Medication First ("MedFirst") approach promotes same-day and long-term low-threshold access to medications for opioid use disorder (MOUD). Since 2017, Missouri's SAMHSA-funded State Targeted and State Opioid Response (STR/SOR) grants have supported MedFirst services (both medical and psychosocial) for uninsured individuals with opioid use disorder at state-contracted treatment programs. Though MedFirst demonstrated early success, results - with attention to possible racial disparities - must be revisited after five years of implementation.
View Article and Find Full Text PDFPrevalence, characteristics, and adverse birth outcomes of teen births in West Virginia: A population-based study.
J Pediatr Adolesc Gynecol
January 2025
Department of Pediatrics, West Virginia University School of Medicine, Morgantown, West Virginia, 26506.
Study Objective: Despite falling teen birth rates in the United States, there is a disproportionate burden of teen births in rural regions. The study aims to investigate the characteristics of teenage mothers and examine the relationships between teen birth and adverse birth outcomes in the rural Appalachian state of West Virginia (WV).
Methods: Data was obtained from a population-based cohort (Project WATCH) of all singleton live births in WV between May 2018 and April 2023.
Bridging the Gap: Advancing Latine Representation in Child and Adolescent Psychiatry Amidst US Demographic Shifts.
J Am Acad Child Adolesc Psychiatry
January 2025
School of Medicine, University of California, San Diego, La Jolla, California.
The United States is witnessing a demographic transformation, with the Latine population rapidly growing. As the nation's demographics evolve, the underrepresentation of Latine child and adolescent psychiatry (CAP) professionals compared to their proportion in the broader population underscores a pressing gap that requires prompt and focused efforts. This discrepancy is particularly concerning given the documented mental health inequities affecting Latine youth.
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