546 results match your criteria: "OHSU-PSU School of Public Health; Oregon Health and Science University; Portland[Affiliation]"

Article Synopsis
  • Drug overdose deaths in the U.S. surpassed 100,000 in 2021 and 2022, with stigma surrounding substance use serving as a significant barrier to treatment and harm reduction, particularly in rural areas.
  • A study involving over 2,600 opioid users from rural regions across ten states revealed that 6.6% had experienced a non-fatal overdose in the past month, with felt stigma being significantly linked to this increased risk.
  • The findings highlight the need for stigma reduction initiatives and specialized services aimed at individuals facing high levels of stigma to potentially decrease the risk of overdose.
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Objectives: Growth factor receptor bound protein 7 (GRB7) is a multidomain signaling adaptor. Members of the Grb7/10/14 family, specifically Gbrb10/14, have important roles in metabolism. We ablated the Grb7 gene in mice to examine its metabolic function.

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Estimated Number of Injection-Involved Overdose Deaths in US States From 2000 to 2020: Secondary Analysis of Surveillance Data.

JMIR Public Health Surveill

April 2024

Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.

Background: In the United States, both drug overdose mortality and injection-involved drug overdose mortality have increased nationally over the past 25 years. Despite documented geographic differences in overdose mortality and substances implicated in overdose mortality trends, injection-involved overdose mortality has not been summarized at a subnational level.

Objective: We aimed to estimate the annual number of injection-involved overdose deaths in each US state from 2000 to 2020.

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Assumptions and Limitations of the Synthetic Control Method.

JAMA Psychiatry

June 2024

Center for Health Systems Effectiveness, Oregon Health & Science University (OHSU), OHSU-PSU School of Public Health, Portland.

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Background: Improving health-related quality of life (HRQOL) has emerged as a priority in the management of nontuberculous mycobacterial pulmonary disease (NTM-PD). We aimed to evaluate HRQOL and its changes after 6 months' treatment in patients with NTM-PD.

Methods: The NTM-KOREA is a nationwide prospective cohort enrolling patients initiating treatment for NTM-PD in 8 institutions across South Korea.

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Background: In the US, transgender and gender-diverse (TGD) individuals, particularly trans feminine individuals, experience a disproportionately high burden of HIV relative to their cisgender counterparts. While engagement in the HIV Care Continuum (e.g.

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Background: Gestational weight gain (GWG) is a routinely monitored aspect of pregnancy health, yet critical gaps remain about optimal GWG in pregnant people from socially marginalized groups, or with pre-pregnancy body mass index (BMI) in the lower or upper extremes. The PROMISE study aims to determine overall and trimester-specific GWG associated with the lowest risk of adverse birth outcomes and detrimental infant and child growth in these underrepresented subgroups. This paper presents methods used to construct the PROMISE cohort using electronic health record data from a network of community-based healthcare organizations and characterize the cohort with respect to baseline characteristics, longitudinal data availability, and GWG.

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The COVID-19 pandemic exposed and exacerbated a public health workforce shortage and national strategies have called for the development of clear occupational pathways for students to enter the public health workforce and meaningful public health careers. In response to the immediate need for public health workers during the pandemic, several universities and academic hospitals rapidly mobilized students and employees and partnered with local or state health departments. However, many of those partnerships were based on short-term volunteer effort to support critical COVID-19 public health efforts.

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Causal-loop diagramming, a method from system dynamics, is increasingly used in evaluation to describe individuals' understanding of how policies or programs do or could work ("mental models"). The use of qualitative interviews to inform model development is common, but guidance for how to design and conduct these interviews to elicit causal information in participant mental models is scant. A key strength of semi-structured qualitative interviews is that they let participants speak freely; they are not, however, designed to elicit causal information.

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Background: Cancer health research relies on large-scale cohorts to derive generalizable results for different populations. While traditional epidemiological cohorts often use costly random sampling or self-motivated, preselected groups, a shift toward health system-based cohorts has emerged. However, such cohorts depend on participants remaining within a single system.

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Background: Health care providers can offer employment-related support to pregnant patients by providing information about occupational risks and benefits, discussing adjustments, and/or completing paperwork to help patients obtain accommodations or benefits, but little research has examined whether and how this support is provided.

Methods: We conducted interviews with 20 adults who had been employed while pregnant within the 5 years preceding data collection. Eligible participants had low incomes, were hourly wage earners, or were employed in service or retail occupations.

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Modeling the Role in pH on Contaminant Sequestration by Zerovalent Metals: Chromate Reduction by Zerovalent Magnesium.

Environ Sci Technol

February 2024

Department of Earth System Sciences, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea.

Article Synopsis
  • The study investigates how pH affects the ability of zerovalent magnesium (ZVMg) to remove hexavalent chromium (Cr(VI)) from water, revealing that ZVMg can effectively reduce Cr(VI) at various pH levels.
  • At pH levels from 2.0 to 6.8, ZVMg not only reduced Cr(VI) concentrations but also caused an increase in pH to around 10, indicating strong interactions between the substances involved.
  • A kinetic model was developed to understand these reactions over time, showing that ZVMg's reactivity changes depending on the pH, with distinct mechanisms acting below and above pH 4.
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Introduction: We set out to map evidence of disparities in Alzheimer's disease and Alzheimer's disease related dementias healthcare, including issues of access, quality, and outcomes for racial/ethnic minoritized persons living with dementia (PLWD) and family caregivers.

Methods: We conducted a scoping review of the literature published from 2000 to 2022 in PubMed, PsycINFO, and CINAHL. The inclusion criteria were: (1) focused on PLWD and/or family caregivers, (2) examined disparities or differences in healthcare, (3) were conducted in the United States, (4) compared two or more racial/ethnic groups, and (5) reported quantitative or qualitative findings.

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This study examines caregiver networks, including size, composition, and stability, and their associations with the likelihood of hospitalization and skilled-nursing facility (SNF) admissions. Data from the National Health and Aging Trends Study linked to Center for Medicare and Medicaid Services data were analyzed for 3855 older adults across five survey waves. Generalized estimating equation models assessed the associations.

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Background: Mailed fecal immunochemical test (FIT) outreach and patient navigation are evidence-based practices shown to improve rates of colorectal cancer (CRC) and follow-up in various settings, yet these programs have not been broadly adopted by health systems and organizations that serve diverse populations. Reasons for low adoption rates are multifactorial, and little research explores approaches for scaling up a complex, multi-level CRC screening outreach intervention to advance equity in rural settings.

Methods: SMARTER CRC, a National Cancer Institute Cancer Moonshot project, is a cluster-randomized controlled trial of a mailed FIT and patient navigation program involving 3 Medicaid health plans and 28 rural primary care practices in Oregon and Idaho followed by a national scale-up trial.

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Serum Cell-Free DNA-based Detection of Complex Infection.

Am J Respir Crit Care Med

May 2024

Center for Cellular and Molecular Diagnostics, Department of Biochemistry and Molecular Biology, School of Medicine, and.

complex (MAC) is the most common cause of nontuberculous mycobacterial (NTM) pulmonary disease (PD), which exhibits increasing global incidence. Current microbiologic methods routinely used in clinical practice lack sensitivity and have long latencies, leading to delays in diagnosis and treatment initiation and evaluation. A clustered regularly interspaced short palindromic repeats (CRISPR)-based assay that measures MAC cell-free DNA (cfDNA) concentrations in serum could provide a rapid means to detect MAC infection and monitor response to antimicrobial treatment.

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It has been reported that tripolyphosphate (TPP) can enhance the oxygenation of natural Fe(II)-containing minerals to produce reactive oxygen species (ROS). However, the molecular structure of the TPP-Fe(II) mineral surface complex and the role of this complex in the generation and transformation of ROS have not been fully characterized. In the present study, a heterogeneous magnetite (FeO)/O/TPP system was developed for the degradation of p-nitrophenol (PNP).

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Provision of DMPA-SC for self-administration in different practice settings during the COVID-19 pandemic: Data from providers across the United States.

Contraception

March 2024

Department of Obstetrics, Gynecology, and Reproductive Sciences, Bixby Center for Global Reproductive Health,  University of California San Francisco, San Francisco, CA, United States.

Article Synopsis
  • The study evaluates the availability of depot medroxyprogesterone acetate-subcutaneous (DMPA-SC) for self-administration via telemedicine during the COVID-19 pandemic, using survey data from 849 healthcare providers across 503 clinics.
  • Findings show a significant increase in DMPA-SC availability for self-administration from 4% pre-pandemic to 14% during the pandemic, with independent abortion clinics and Title X-funded clinics being more likely to provide it.
  • The study also indicates that telemedicine played a crucial role in facilitating access to DMPA-SC during the pandemic, highlighting a shift in contraceptive care delivery methods.
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Primary Care Providers Experiences Implementing Low-Dose Computed Tomography Recommendations for Lung Cancer Screening.

J Am Board Fam Med

January 2024

From the Center to Improve Veteran Involvement in Care, VA Portland Health Care System; Portland, OR (SFG, CGS), Division of Oncological Sciences, Oregon Health & Science University (OHSU); Portland, OR (JC, JS), Oregon Rural Practice-based Research Network, OHSU; Portland, OR, (NPR, MP, MMD), Department of Family Medicine, OHSU; Portland, OR (MMD), OHSU-PSU School of Public Health, OHSU; Portland, OR (MMD), Division of Pulmonary, Allergy, & Critical Care Medicine, OHSU; Portland, OR (CGS), Section of Pulmonary & Critical Care Medicine, VA Portland Health Care System; Portland, OR (CGS).

Purpose: Describe primary care providers' (PCPs) barriers and facilitators to implementation of lung cancer screening programs in rural settings.

Methods: We conducted qualitative interviews with PCPs practicing in rural Oregon from November 2019 to September 2020. The interview questions and analytic framework were informed by the 2009 Consolidated Framework for Implementation Research.

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Z60.5/(En)Coded.

Health Equity

November 2023

Community Health, OHSU-PSU School of Public Health, Portland State University, Portland, Oregon, USA.

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Background: The standard of care for respiratory support of preterm infants is nasal continuous positive airway pressure (CPAP), yet practices are not standardized. Our aim was to survey CPAP practices in infants < 32 weeks gestation among the American Academy of Pediatrics Neonatal-Perinatal section.

Methods: A US, web-based survey inquired about the initiation, management, and discontinuation of CPAP, and chinstrap use and oral feedings on CPAP.

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Cancer prevention and control requires consideration of complex interactions between multilevel factors. System dynamics modeling, which consists of diagramming and simulation approaches for understanding and managing such complexity, is being increasingly applied to cancer prevention and control, but the breadth, characteristics, and quality of these studies is not known. We searched PubMed, Scopus, APA PsycInfo, and eight peer-reviewed journals to identify cancer-related studies that used system dynamics modeling.

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Article Synopsis
  • Dizziness is common among U.S. military personnel and Veterans, but its prevalence and causes, particularly related to traumatic brain injury (TBI) and blast exposure, haven't been fully explored.
  • In a study of 424 service members and 492 Veterans, 22% and 31% reported experiencing dizziness, respectively, with a significant increase in likelihood for those with TBI history.
  • The findings suggest that a history of TBI, regardless of blast exposure, is linked to higher reports of dizziness, indicating that treatment for dizziness related to TBI may not need to differentiate based on how the injury occurred.
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Colorectal cancer (CRC) is a leading cause of cancer death in the US. Screening by fecal immunochemical test (FIT) is a strategy to lower CRC rates. Unfortunately, only half of patients with an abnormal FIT result complete the follow-up colonoscopy, an essential component of screening.

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