96 results match your criteria: "Comprehensive Health Center[Affiliation]"

Dynamics of Trust and Consumption of COVID-19 Information Implicate a Mechanism for COVID-19 Vaccine and Booster Uptake.

Vaccines (Basel)

August 2022

Department of Anatomy, Biochemistry and Physiology, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96813, USA.

Vaccine hesitancy remains a significant barrier to achieving herd immunity and preventing the further spread of COVID-19. Understanding contributors to vaccine hesitancy and how they change over time may improve COVID-19 mitigation strategies and public health policies. To date, no mechanism explains how trust in and consumption of different sources of information affect vaccine uptake.

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Vaccine-Associated Shifts in SARS-CoV-2 Infectivity Among the Native Hawaiian and Other Pacific Islander Population in Hawaii.

Am J Public Health

November 2022

Ruben Juarez is with the Department of Economics and UHERO, University of Hawaii, Honolulu. Krit Phankitnirundorn, Rafael Peres, and Alika K. Maunakea are with the Department of Anatomy, Biochemistry and Physiology, John A. Burns School of Medicine, University of Hawaii, Honolulu. Aaron Ramirez is with the Waianae Coast Comprehensive Health Center, Waianae, HI. May Okihiro is with the Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu.

Native Hawaiians and other Pacific Islanders (NHPIs) across the country have experienced significant disparities because of the COVID-19 pandemic. The Pacific Alliance Against COVID-19 used a community-based participatory approach involving academic and community partners to expand sustainable COVID-19 testing capacity and mitigate the severe consequences among NHPI communities in Hawaii. We describe the approach of this one-year study, some of the results, and how the data are being used to inform next steps for the communities.

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Background: Human immunodeficiency virus (HIV) testing is the first step in the HIV prevention cascade. The Centers for Disease Control and Prevention HIV laboratory diagnostic testing algorithm was developed before preexposure prophylaxis (PrEP) and immediate antiretroviral therapy (iART) became standards of care. PrEP and iART have been shown to delay antibody development and affect the performance of screening HIV assays.

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Background: Artesunate-amodiaquine (ASAQ) and Artemether-lumefantrine (AL) are the recommended treatment for uncomplicated Plasmodium falciparum malaria in Liberia. Intermittent preventive treatment with sulfadoxine/pyrimethamine is also recommended for pregnant women. The therapeutic efficacy of Artesunate-amodiaquine and Artemether-lumefantrine, and the frequency of molecular markers associated with anti-malarial drug resistance were investigated.

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As the use of connected devices rises, an understanding of how digital health technologies can be used for equitable healthcare across diverse communities is needed. We surveyed 1007 adult patients at six Federally Qualified Health Centers regarding wearable fitness trackers. Findings indicate the majority interest in having fitness trackers.

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Article Synopsis
  • Hawai'i has a high prevalence of childhood asthma, particularly among Native Hawaiian children, highlighting a significant health issue.
  • A study utilized Photovoice, allowing Wai'anae Coast students with asthma to identify factors influencing their asthma management through photographs and discussions.
  • The findings emphasized the importance of culture and environment in asthma care, suggesting that tailored education programs and further research are needed to address these disparities effectively.
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Background: Overweight, obesity, and associated comorbidities are a pressing global issue among children of all ages, particularly among low-income populations. Rapid weight gain (RWG) in the first 6 months of infancy contributes to childhood obesity. Suboptimal sleep-wake patterns and gut microbiota (GM) have also been associated with childhood obesity, but little is known about their influences on early infant RWG.

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Purpose: The purpose of this study was to evaluate the prevalence of temporomandibular disorders (TMDs) in schoolchildren.

Materials And Methods: In this study a questionnaire taken as part of RDC/TMD of the samples on TMD symptoms. The samples were school students, who were of the age range 15-17 years old ( = 396), 200 are males and 196 are females.

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Background/objectives: To ascertain the effect on body weight of 14 days of bolus enteral feeding with mixed meal (MM) and electrolyte solution (ES) in ambulatory adults with type 2 diabetes and obesity, and also the safety and feasibility of using a modified, intraorally anchored enteral feeding tube for this purpose.

Subjects/methods: We conducted a randomized, crossover pilot trial with 16 participants. A 140 cm, 8-French feeding tube was placed in the jejunum under electromagnetic guidance and anchored intraorally.

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One in 6 US children experience food insecurity, signifying that at some time during the last year their household did not have sufficient food, money, or resources to feed their family. These children experience little intake of fresh fruits and vegetables (FV), a risk factor for chronic disease, including obesity. Produce prescription programs provide vouchers to purchase fresh FV at participating retailers.

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We evaluated the protective effect and toxicity of extracts from Mylabris phalerata Pallas by measuring the activated partial thromboplastin time, prothrombin time, venous thrombosis and acute toxicity in rats. Results showed the petroleum ether and water fractions of M. phalerata inhibited thrombosis but hardly prolonged the activated partial thromboplastin time and prothrombin time in rats.

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Education and health are vital for children to thrive, especially for those from rural and disparate communities. For Native Hawaiians, the indigenous people of the State of Hawai'i, (balance) frames the concept of (health), consisting of physical, emotional, and spiritual health. The foundation of ola is embedded in the cultural values - (ancestors), 'āina (land), environment, and (family).

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Background: Surveys suggest that most research participants desire access to secondary (incidental) genomic findings. However, few studies clarify whether preferences vary by the nature of the finding.

Methods: We surveyed members of the JHS (Jackson Heart Study, n=960), the FHS (Framingham Heart Study; n=955), and African American members of the FHS Omni cohort (n=160) who had consented to genomic studies.

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The incidence of Hepatitis A virus (HAV) among the general population in the United States has decreased by over 95% since the introduction of HAV vaccination in 1995. However, 10% of all new HAV infections occur among men who have sex with men (MSM). However routine HAV is not part of standard of care for provision of PrEP services.

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Preceptors play a vital role in nurse practitioners' (NPs) clinical education. Based on Bandura's self-efficacy theory, improvement of NPs' self-efficacy is likely to lead to positive changes in behavior. Thus, it can enhance their willingness to precept and increase readiness for a preceptor role.

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Engaging a Predominantly Latino Community in HIV Prevention: Laying the Groundwork for Pre-exposure Prophylaxis and HIV Sexual Health Programs.

J Assoc Nurses AIDS Care

September 2020

Caroline Carnevale, DNP, MPH, is a Principal Investigator, HIV Prevention Program, New York Presbyterian Hospital Comprehensive Health Center, New York City, New York, USA. Jason Zucker, MD, MS, is a Postdoctoral Clinical Fellow, Divisions of Infectious Diseases, Departments of Internal Medicine and Pediatrics, Columbia University Medical Center, New York City, New York, USA. Alexander Borsa, HIV Prevention Program, New York Presbyterian Hospital Comprehensive Health Center, New York City, New York, USA. Bianka Northland, is a Research Assistant, Division of Infectious Diseases, Department of Internal Medicine, Columbia University Medical Center, New York City, New York, USA. Jonathan Castro, MSW, HIV, Prevention Program, New York Presbyterian Hospital Comprehensive Health Center, New York City, New York, USA. Emma Molina, HIV Prevention Program, New York Presbyterian Hospital Comprehensive Health Center, New York City, New York, USA. Paul Richards, MPH, HIV Prevention Program, New York Presbyterian Hospital Comprehensive Health Center, New York City, New York, USA. Jose Dominguez, HIV Prevention Program, New York Presbyterian Hospital Comprehensive Health Center, New York City, New York, USA. William George, HIV Prevention Program, New York Presbyterian Hospital Comprehensive Health Center, New York City, New York, USA. Alwyn Cohall, MD, is a Professor, Divisions of Sociomedical Sciences, Population and Family Health, and Pediatrics at the Columbia University Medical Center. Susan Olender, MD, is an Assistant Professor, Division of Infectious Diseases, Department of Internal Medicine, Columbia University Medical Center, New York City, New York, USA. Peter Gordon, MD, is an Assistant Professor, Division of Infectious Diseases, Department of Internal Medicine, Columbia University Medical Center, New York City, New York, USA. Magdalena E. Sobieszczyk, MD, MPH, is an Associate Professor, Division of Infectious Diseases, Department of Internal Medicine, Columbia University Medical Center, New York City, New York, USA.

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Updates in the Diagnosis and Management of Giant Cell Arteritis.

Curr Neurol Neurosci Rep

August 2019

Maricopa Integrated Health Systems, Division of Rheumatology, Comprehensive Health Center, 2525 East Roosevelt St, Phoenix, AZ, 85008, USA.

Purpose Of Review: Giant cell arteritis is a systemic large vessel vasculitis that affects the older population and can cause progressive and at times, devastating complications including vision loss. While this has been commonly diagnosed and treated among vasculitides, the treatment options are limited and can have long-term adverse effects. The purpose of our review on GCA is to identify and discuss the pathophysiology and clinical aspects of GCA as they relate to the most recent data.

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Insufficient sleep and insomnia promote chronic disease in the general population and may combine with social and economic factors to increase rates of chronic health conditions among AI/AN people. Given that insufficient sleep and insomnia can be addressed via behavioral interventions, it is critical to understand the prevalence and correlates of these disorders among AI/AN individuals in order to elucidate the mechanisms associated with health disparities and provide guidance for subsequent treatment research and practice. We reviewed the available literature on insufficient sleep and insomnia in the AI/AN population.

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We studied Hispanic/Latina women's satisfaction with care after receiving group or individual educational sessions (vs standard of care) with a before screening mammography. A is a culturally appropriate community health worker for the Hispanic/Latino community. have been shown to increase screening mammography rates and follow-up of abnormal mammograms in this population.

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Background: HIV pre-exposure prophylaxis (PrEP) reduces incident HIV infections, but efficacy depends on adherence and retention, among other factors. Substance use disorders, unmet mental health needs, and demographic factors are associated with nonadherence in HIV-infected patients; we studied whether these affect PrEP retention in care.

Methods: To investigate potential risk factors disengagement in a comprehensive HIV prevention program, we conducted a retrospective cohort analysis of individuals starting tenofovir-emtricitabine between January 1, 2015, and November 30, 2017.

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Background: Diabetes self-management education (DSME) programs utilize a multidisciplinary, skills-based approach allowing participants to make self-management choices and follow a comprehensive plan of care, improving their glycemic control.

Objective: The purpose of this quality improvement project was to evaluate the effectiveness of DSME on the reduction of hemoglobin A1c (HgbA1c) and body mass index (BMI) in overweight/obese community health center patients.

Methods: The free program met 2 hours weekly for 6 consecutive weeks.

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