394 results match your criteria: "George Washington University School of Public Health[Affiliation]"

Addressing STIs through managed care: opportunities in Medicaid and beyond.

Am J Manag Care

December 2024

Department of Health Policy and Management, George Washington University School of Public Health, 950 New Hampshire Ave NW, Washington, DC 20037. Email:

The US is facing a growing epidemic of sexually transmitted infections (STIs), with over 2.5 million cases of chlamydia, gonorrhea, and syphilis reported in 2021 and again in 2022. This public health crisis disproportionately affects youth and racial and ethnic minority communities, exacerbating barriers to accessing sexual health services.

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Background: Adolescents are at high risk for sexually transmitted infections (STIs) and frequently present to emergency departments (EDs) for care. Screening for STIs using confidential patient-reported outcomes represents an ideal use of electronic screening methodology.

Objectives: The objectives of this study were to implement a patient-facing, confidential electronic survey to assess adolescent risk for STIs and consent for testing with integrated provider facing electronic clinical decision support (CDS) across six geographically dispersed pediatric EDs and evaluate implementation based on survey and CDS usage metrics.

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Article Synopsis
  • Gestational diabetes mellitus (GDM) is a common pregnancy complication, requiring glycaemic control to prevent negative outcomes for both the mother and baby, with about 25% needing medication like insulin or metformin.
  • A study will compare the effectiveness and safety of metformin versus insulin in a diverse group of 1572 pregnant individuals needing treatment, tracking their health and their children's health for two years.
  • Ethical approval has been obtained, and plans include publishing detailed results on the findings related to treatment experiences and safety outcomes.
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Addressing Systemic Inequities: An Evaluation of the Resilience Catalysts in Public Health Program.

J Public Health Manag Pract

September 2024

Author Affiliations: Department of Global Health (Drs Ellis and Chen), Resilience Catalysts in Public Health (Ms Hayes), Center for Community Resilience, George Washington University School of Public Health, Washington, District of Columbia; Population Health Innovation Lab (Ms Salas and Dr Bultema), Public Health Institute, Oakland, California; and National Association of County and City Health Officials (Ms Gousse), Washington, District of Columbia.

Context: Resilience Catalysts (RC) in Public Health provides local health departments (LHDs) with a process and technical assistance (TA) to operationalize the Community Health Strategist (CHS) role, foster equity, and support community resilience through policy, practice, and program change across multiple sectors.

Objectives: This evaluation sought to (1) identify essential elements of the RC process and TA that help LHDs address the systemic drivers of adversity and inequity, and (2) expand understanding of RC's preliminary impact and inform implications for theory, practice, and funding in the post-COVID context.

Design: The mixed-methods evaluation incorporated online surveys and semi-structured interviews.

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Importance: Lack of a US dementia surveillance system hinders efforts to support and address disparities among persons living with Alzheimer disease and related dementias (ADRD).

Objective: To review diagnosis and prescription drug code ADRD identification algorithms to develop and implement case definitions for national surveillance.

Design, Setting, And Participants: In this cross-sectional study, a systematic literature review was conducted to identify unique International Statistical Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and prescription drug codes used by researchers to identify ADRD in administrative records.

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Background: National-level coverage estimates of maternal and child health (MCH) services mask district-level and community-level geographical inequities. The purpose of this study is to estimate grid-level coverage of essential MCH services in Nigeria using machine learning techniques.

Methods: Essential MCH services in this study included antenatal care, facility-based delivery, childhood vaccinations and treatments of childhood illnesses.

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Pandemic Planning, Response, and Recovery for Pediatricians: A Focus on Health Equity and Social Determinants of Health.

Pediatr Clin North Am

June 2024

Department of Pediatrics and Emergency Medicine, George Washington University School of Medicine, Washington, DC, USA; Department of Health Policy and Management, George Washington University School of Public Health, Washington DC 20052.

This article summarizes how pediatricians may be uniquely positioned to mitigate the long-term trajectory of COVID-19 on the health and wellness of pediatric patients especially with regard to screening for social determinants of health that are recognized drivers of disparate health outcomes. Health inequities, that is, disproportionately deleterious health outcomes that affect marginalized populations, have been a major source of vulnerability in past public health emergencies and natural disasters. Recommendations are provided for pediatricians to collaborate with disaster planning networks and lead strategies for public health communication and community engagement in pediatric pandemic and disaster planning, response, and recovery efforts.

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Objective: To understand the relationship between the COVID-19 pandemic and menstrual hygiene management (MHM) among adolescent girls in Ethiopia and to explore which girls were most affected by pandemic disruptions.

Design: Two rounds of data from surveys and interviews were collected with adolescent girls immediately prior to and during the COVID-19 pandemic. The primary analysis is cross-sectional, controlling for pre-COVID-19 covariates.

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Article Synopsis
  • Philip Morris International's IQOS product, which dominates the heated tobacco market, shows a higher usage rate among Arabs than Jews in Israel, prompting a study on its marketing strategies and regulatory compliance in different neighborhoods.
  • The study conducted surveys and audits in Arab and Jewish areas of five Israeli cities, focusing on retail compliance with recent marketing restrictions (like point-of-sale display bans) after these regulations were enacted in January 2020.
  • Results revealed that while many marketing strategies were similar across both communities, Arab neighborhood retailers were more involved in promotional activities and were better at complying with display ban requirements, although less compliant with plain packaging rules.
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Child and adolescent COVID-19 vaccination coverage by educational setting, United States.

Public Health

April 2024

Department of Public Health & Community Medicine, Tufts University School of Medicine, Boston, MA, USA; Department of Civil and Environmental Engineering, Tufts University School of Engineering, Medford, MA, USA.

Objectives: The COVID-19 pandemic changed the setting of education for many children in the U.S. Understanding COVID-19 vaccination coverage by educational setting is important for developing targeted messages, increasing parents' confidence in COVID-19 vaccines, and protecting all children from severe effects of COVID-19 infection.

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Introduction: Hospital-based studies have demonstrated topical applications of sunflower seed oil (SSO) to skin of preterm infants can reduce nosocomial infections and improve survival. In South Asia, replacing traditional mustard with SSO might have similar benefits.

Methods: 340 communities in Sarlahi, Nepal were randomised to use mustard oil (MO) or SSO for community practice of daily newborn massage.

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Vaccination patterns and up-to-date status of children 19-35 months, 2011-2021.

Vaccine

March 2024

Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, GA 30322, USA; Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USA; Emory Vaccine Center, Emory University, Atlanta, GA, USA.

Introduction: Being up-to-date with all recommended vaccines is needed to protect children from vaccine preventable diseases. Understanding vaccination patterns is needed to develop messaging and strategies to increase vaccination uptake and confidence.

Methods: Data from the 2011 to 2021 National Immunization Surveys was used to assess trends and disparities in vaccination patterns, zero vaccination status, and up-to-date status of U.

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Article Synopsis
  • - This study examines how social and psychosocial factors influence cardiovascular health (CVH) among different racial/ethnic groups, including Black, Chinese, Hispanic, South Asian, and White participants in the US.
  • - Using data from nearly 8,000 adults, researchers used a specific statistical method to analyze how income, place of birth, and education contribute to differences in CVH scores across these groups.
  • - Findings reveal that improved income and educational equality could potentially raise CVH scores for Black, Hispanic, and South Asian participants, highlighting the impact of social factors on health outcomes in diverse populations.
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Purpose: Understanding disparities in COVID-19 outcomes, overall and stratified by vaccination status, is important for developing targeted strategies to increase vaccination coverage and protect adolescents from COVID-19.

Design: The 2022 National Health Interview Survey (NHIS) is a cross-sectional nationally representative household survey of U.S.

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Positive thinking about negative studies.

Br J Psychiatry

March 2024

Department of Liaison Psychiatry, Cornwall Partnership NHS Trust, Bodmin, UK.

The non-reporting of negative studies results in a scientific record that is incomplete, one-sided and misleading. The consequences of this range from inappropriate initiation of further studies that might put participants at unnecessary risk to treatment guidelines that may be in error, thus compromising day-to-day clinical practice.

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Objectives: A diverse set of trauma scoring systems are used globally to predict outcomes and benchmark trauma systems. There is a significant potential benefit of using these scores in low and middle-income countries (LMICs); however, its standardized use based on type of injury is still limited. Our objective is to compare trauma scoring systems between neurotrauma and polytrauma patients to identify the better predictor of mortality in low-resource settings.

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Objectives: To assess the association between maternal characteristics, adverse birth outcomes (small-for-gestational-age (SGA) and/or preterm) and neonatal mortality in rural Nepal.

Design: This is a secondary observational analysis to identify risk factors for neonatal mortality, using data from a randomised trial to assess the impact of newborn massage with different oils on neonatal mortality in Sarlahi district, Nepal.

Setting: Rural Sarlahi district, Nepal.

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Objective: The COVID-19 pandemic has disproportionately affected older people, people with underlying health conditions, racial and ethnic minorities, socioeconomically disadvantaged, and people living with HIV (PWH). We sought to describe vaccine hesitancy and associated factors, reasons for vaccine hesitancy, and vaccine uptake over time in PWH in Washington, DC.

Methods: We conducted a cross-sectional survey between October 2020 and December 2021 among PWH enrolled in a prospective longitudinal cohort in DC.

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Vaccines are the most effective mechanism for ending the COVID-19 pandemic. However, reluctance to accept vaccines has hindered the efforts of health authorities to combat the virus. In Haiti, as of July 2021, less than 1% of the country's population has been fully vaccinated in part due to vaccine hesitancy.

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As decolonisation awareness and activism amplifies in the mainstream masses and within academic realms across a variety of fields, the time is right to converge parallel movements to decolonise the fields of global health and evaluation by restructuring relations of dependency and domination reified through the "foreign gaze"1 or "white gaze." We conducted a review of relevant records with the following inclusion criteria-they define or advocate for the decolonisation of global health evaluation or explicate methods, policies or interventions to decolonise global health evaluation published by advocates of the decolonisation movement from both fields. These records were derived following a systematic article search by the lead autthor on Google, Google Scholar, NewsBank, and PubMed using the following keywords: "decolonising" and "global health," "evaluation," or "global health evaluation" replicating a digital search strategy utilized by scoping reviews across a variety of topics.

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KRAS G12D mutation in Brunner gland adenoma.

BMJ Case Rep

January 2023

Department of Pathology, George Washington University, Washington, District of Columbia, USA

Brunner gland lesions (BGLs) encompass benign proliferations of the homonymous glands and have been designated as hyperplasia, adenoma (BGA), hamartoma or nodule. In general terms, lesions larger than 0.5 cm are considered true neoplasia with unknown malignant potential and unclear pathogenesis.

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Paediatricians as champions for ending folic acid-preventable spina bifida, anencephaly globally.

BMJ Paediatr Open

December 2022

Center for Spina Bifida Prevention, Department of Epidemiology, Emory University Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.

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Article Synopsis
  • The study aimed to identify the prevalence and predictors of spontaneous preterm birth among pregnant women in rural Nepal, highlighting socioeconomic factors and pregnancy-related complications as significant influences on preterm birth risk.
  • Analyzing data from over 40,000 pregnant women, the study found a preterm birth prevalence of 14.5%, with increased risks linked to maternal age under 18, being Muslim, experiencing first pregnancies, multiple births, and having male children.
  • Conversely, lower risks were associated with maternal education beyond 5 years, greater maternal height, and wealthier family backgrounds, while certain pregnancy-related issues like vaginal bleeding and high blood pressure in later trimesters increased the risk of preterm
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