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1.
J Wound Ostomy Continence Nurs ; 48(6): 504-509, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34781305

RESUMO

PURPOSE: To describe health-related quality of life (HRQoL) using the Wound-Quality of Life (Wound-QoL) questionnaire for those individuals referred to an academic medical center wound clinic. DESIGN: Prospective, descriptive study. SUBJECTS AND SETTING: One hundred eleven participants receiving care in an academic medical center wound clinic in the Southeastern United States. The sample comprised 67 males (60.4%) and 44 females (39.6%) with wounds of 6 major etiologies. METHODS: From June 2019 through May 2020, a convenience sample of 111 individuals completed the Wound-QoL questionnaire at the initial visit to the wound clinic. The Wound-QoL questionnaire is a valid and reliable tool consisting of 17 questions related to wound-QoL measured on a 5-point Likert scale, ranging from 0 (not at all affected) to 4 (very much affected). The questions are assigned to the 3 subscales: "body," "psyche," and "everyday life." The Wound-QoL individual items, subscales, and the total wound score (TWS) were calculated as mean values of the item scores, ranging from 0 to 4, where higher values correspond to decreased HRQoL. The TWS is defined as the sum of the 17 item responses, with values ranging from 0 to 68. Descriptive and parametric statistics were used to analyze the data from the Wound-QoL questionnaire. RESULTS: The mean TWS was approximately 3 points higher for Whites (n = 84) than for Blacks (n = 27) (32.42, SD = 17.96 vs 29.51, SD = 19.39), but this difference was not significant (P = .473). An independent-samples t test of TWS versus sex was not significant (P = .446). The TWS by age category was significant (P = .015), showing differences in mean scores based on age category. We found that the youngest (ages 17-39 years) and oldest (ages 70-98 years) participants were less bothered by their wounds in almost all respects than those in the middle age range (ages 40-69 years). The individual item means varied between 0.84 and 2.72, out of a possible range of 0 to 4. The highest means were for items on the emotional subscale with means from 1.93 to 2.72. Analysis of variance was used to examine the TWS and the 3 subscales over the 6 wound types; none were found to be significant (TWS: P = .454, body: P = .722, psyche: P = .452, everyday life: P = .087). CONCLUSION: Wound-QoL questionnaire scores indicated that the greatest impact of a wound on HRQoL was on the emotional subscale. These 4 items are related to the individual expressing worry, fear, unhappiness, or frustration with wound healing. The Wound-QoL questionnaire may be used to evaluate the impact the wound has on the individual's HRQoL.


Assuntos
Qualidade de Vida , Cicatrização , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Sudeste dos Estados Unidos , Inquéritos e Questionários , Adulto Jovem
2.
Proc Natl Acad Sci U S A ; 118(43)2021 10 26.
Artigo em Inglês | MEDLINE | ID: mdl-34663728

RESUMO

Fire is a common ecosystem process in forests and grasslands worldwide. Increasingly, ignitions are controlled by human activities either through suppression of wildfires or intentional ignition of prescribed fires. The southeastern United States leads the nation in prescribed fire, burning ca. 80% of the country's extent annually. The COVID-19 pandemic radically changed human behavior as workplaces implemented social-distancing guidelines and provided an opportunity to evaluate relationships between humans and fire as fire management plans were postponed or cancelled. Using active fire data from satellite-based observations, we found that in the southeastern United States, COVID-19 led to a 21% reduction in fire activity compared to the 2003 to 2019 average. The reduction was more pronounced for federally managed lands, up to 41% below average compared to the past 20 y (38% below average compared to the past decade). Declines in fire activity were partly affected by an unusually wet February before the COVID-19 shutdown began in mid-March 2020. Despite the wet spring, the predicted number of active fire detections was still lower than expected, confirming a COVID-19 signal on ignitions. In addition, prescribed fire management statistics reported by US federal agencies confirmed the satellite observations and showed that, following the wet February and before the mid-March COVID-19 shutdown, cumulative burned area was approaching record highs across the region. With fire return intervals in the southeastern United States as frequent as 1 to 2 y, COVID-19 fire impacts will contribute to an increasing backlog in necessary fire management activities, affecting biodiversity and future fire danger.


Assuntos
COVID-19/prevenção & controle , Pandemias , Distanciamento Físico , SARS-CoV-2 , Incêndios Florestais/prevenção & controle , Biodiversidade , COVID-19/epidemiologia , Secas/estatística & dados numéricos , Ecossistema , Florestas , Atividades Humanas , Humanos , Modelos Estatísticos , Pandemias/prevenção & controle , Sudeste dos Estados Unidos/epidemiologia , Tempo (Meteorologia) , Incêndios Florestais/estatística & dados numéricos
3.
BMC Pediatr ; 21(1): 401, 2021 09 13.
Artigo em Inglês | MEDLINE | ID: mdl-34517864

RESUMO

BACKGROUND: The ongoing worldwide COVID-19 pandemic has heightened several risk factors  for child abuse and neglect (CAN). We study whether COVID-19 and the public health response to it affected CAN-related pediatric emergency department (ED) visits in the southeastern United States (US). METHODS: We performed a retrospective chart review on medical records of ED visits from a level I pediatric hospital system serving one of the largest metropolitan areas in the southeastern US from January through June 2018-2020. We used multivariate Poisson regression and linear regression to compare professionally identified CAN-related ED visits before and after a COVID-19 public health emergency declaration in 2020, relative to trends over the same period in 2018 and 2019. RESULTS: Although the number of both overall pediatric ED visits and CAN-related ED visits declined, the number of CAN-related ED visits due to neglect from inadequate adult supervision increased by 62 % (p < 0.01). The number of CAN visits per 1,000 pediatric ED visits also increased by 97 % (p < 0.01). Finally, the proportion of CAN-related ED visits due to neglect from inadequate supervision increased by 100 % (p < 0.01). CONCLUSIONS: Physicians should be aware that patients who present with injuries during a pandemic may be victims of neglect due to changes in social structures in their households. In particular, maltreatment presenting to the ED shifted toward treating injuries and abuse resulting from inadequate supervision. Policymakers should consider the impacts of stay-at-home orders on child well-being when determining appropriate public health responses in the midst of a pandemic. TRIAL REGISTRATION: Not applicable.


Assuntos
COVID-19 , Maus-Tratos Infantis , Adulto , Criança , Serviço Hospitalar de Emergência , Humanos , Pandemias , Saúde Pública , Estudos Retrospectivos , SARS-CoV-2 , Sudeste dos Estados Unidos/epidemiologia , Estados Unidos/epidemiologia
4.
Artigo em Inglês | MEDLINE | ID: mdl-34501973

RESUMO

We develop a local, spatial measure of educational isolation (EI) and characterize the relationship between EI and our previously developed measure of racial isolation (RI). EI measures the extent to which non-college educated individuals are exposed primarily to other non-college educated individuals. To characterize how the RI-EI relationship varies across space, we propose a novel measure of local correlation. Using birth records from the State of Michigan (2005-2012), we estimate associations between RI, EI, and birth outcomes. EI was lower in urban communities and higher in rural communities, while RI was highest in urban areas and parts of the southeastern United States (US). We observed greater heterogeneity in EI in low RI tracts, especially in non-urban tracts; residents of high RI tracts are likely to be both educationally and racially isolated. Associations were also observed between RI, EI, and gestational length (weeks) and preterm birth (PTB). For example, moving from the lowest to the highest quintile of RI was associated with a 1.11 (1.07, 1.15) and 1.16 (1.10, 1.22) increase in odds of PTB among NHB and NHW women, respectively. Moving from the lowest to the highest quintile of EI was associated with a 1.07 (1.02, 1.12) and 1.03 (1.00, 1.05) increase in odds of PTB among NHB and NHW women, respectively. This work provides three tools (RI, EI, and the local correlation measure) to researchers and policymakers interested in how residential isolation shapes disparate outcomes.


Assuntos
Nascimento Prematuro , Escolaridade , Feminino , Humanos , Recém-Nascido , Michigan , Gravidez , Nascimento Prematuro/epidemiologia , Sudeste dos Estados Unidos
5.
Environ Sci Technol ; 55(19): 12852-12861, 2021 10 05.
Artigo em Inglês | MEDLINE | ID: mdl-34546042

RESUMO

Background ozone in this study is defined as the amount of ozone that is not affected by the emissions of ozone precursors in the region of study and is transported from the distant troposphere or the stratosphere. It is one of the factors that must be considered in regional ozone control strategies. Different methods have been applied to define the background ozone level. We develop a new method based on the O3-CO-HCHO relationships, which can be applied to both observation and modeling data for regions with high isoprene emission ozone, such as the Southeast United States. We make use of the extensive aircraft and surface observations in the Southeast in the summer of 2013. Compared to the diagnostic results using the relationship of O3-NOz (total reactive nitrogen excluding nitrogen oxides), zero-emission (model-only), and 5th percentile methods, the new method is most consistent using observation or model data and the resulting background ozone concentrations are 4-50% lower than the other methods for field campaigns. Using this method, we find that the summertime background ozone at the surface is in the range of 10-15 ppbv in the inland areas of the Southeast, which is lower than that reported in previous studies. This background ozone tends to increase from urban centers to rural regions and from the surface to higher altitude due to changing ozone lifetime driven by anthropogenic emissions and dry deposition to the surface. The better quantification of background ozone using the new method highlights the importance of the contributions by natural emissions to ozone and the necessity to control anthropogenic emissions in ozone nonattainment areas of the Southeast.


Assuntos
Poluentes Atmosféricos , Ozônio , Poluentes Atmosféricos/análise , Monitoramento Ambiental , Óxidos de Nitrogênio/análise , Ozônio/análise , Estações do Ano , Sudeste dos Estados Unidos , Estados Unidos
6.
Vet Ophthalmol ; 24(4): 326-335, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34480390

RESUMO

OBJECTIVE: To describe common bacterial organisms cultured from retrobulbar cellulitis and abscess lesions, in vitro susceptibility patterns, common diagnostic techniques utilized, etiologies encountered, and prevalence of blindness. ANIMALS STUDIED: Thirty-eight dogs diagnosed with retrobulbar cellulitis or abscessation from 2007 to 2017. PROCEDURE: For cases of orbital cellulitis or abscess, signalment, orbital imaging, cytology, histopathology, bacterial culture and susceptibility testing, presence of vision at the initial examination and resolution, and presumed cellulitis/abscess etiology were recorded. RESULTS: Most cases were medically (78.9%) versus surgically managed (18.4%). Most common form of orbital imaging was computed tomography (48.5%) followed by ocular ultrasound (18.2%). Fifteen of eighteen cultures (83.3%) showed growth of aerobic bacterial organisms, anaerobic bacterial organisms, or both. Most common aerobic bacteria were gram-negative bacilli (40.0%) followed by Corynebacterium sp. (26.7%) and α-hemolytic Streptococci sp. (26.7%) but Micrococcus and Bacillus spp. were also identified. Most common anaerobic bacteria were gram-negative bacilli (40.0%). Antibiotics with highest susceptibility patterns included gentamicin, followed equally by amoxicillin/clavulanic acid, cephalothin, chloramphenicol, and imipenem. No bacteria were susceptible to cefovecin. Six cases presented with vision loss due to retrobulbar disease (15.8%). Idiopathic (50%) disease and tooth root abscessation (23.7%) were most commonly diagnosed cause of orbital disease. CONCLUSION: Retrobulbar cellulitis/abscess is a serious and vision-threatening process, which can be effectively managed by broad-spectrum antibiotics such as gentamicin or amoxicillin/clavulanic acid, but not cefovecin. This study identified three organisms that have not been previously reported to be associated with orbital cellulitis (Corynebacterium sp., Bacillus sp. and Micrococcus sp.).


Assuntos
Celulite (Flegmão)/veterinária , Doenças do Cão/diagnóstico , Infecções Oculares Bacterianas/veterinária , Doenças Orbitárias/veterinária , Animais , Bacillus/isolamento & purificação , Cegueira/microbiologia , Cegueira/veterinária , Celulite (Flegmão)/diagnóstico , Celulite (Flegmão)/epidemiologia , Celulite (Flegmão)/terapia , Corynebacterium/isolamento & purificação , Suscetibilidade a Doenças , Doenças do Cão/epidemiologia , Doenças do Cão/microbiologia , Doenças do Cão/terapia , Cães , Infecções Oculares Bacterianas/diagnóstico , Infecções Oculares Bacterianas/epidemiologia , Infecções Oculares Bacterianas/terapia , Feminino , Masculino , Micrococcus/isolamento & purificação , Doenças Orbitárias/diagnóstico , Doenças Orbitárias/epidemiologia , Doenças Orbitárias/terapia , Sudeste dos Estados Unidos/epidemiologia , Tomografia Computadorizada por Raios X/veterinária
7.
Evol Anthropol ; 30(4): 242-252, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34388300

RESUMO

African-descended peoples of the Americas represent an amalgamation of West, Central, and Southeast African regional and ethnic groups with modest gene flow from specific non-African populations. Despite 16+ generations of residence in the Americas, there is a deficit of evolutionary knowledge about these populations. Focusing on Legacy African American, the African North American descendants of survivors of the transatlantic trade in enslaved Africans, we report on emic evolutionary perspectives of their self-identity gleaned from our interviews of 600 individuals collected over 2 years. Gullah-Geechee peoples of Carolina Coastal regions are a model case study due to their historical antiquity, substantial African retentions, relative geospatial isolation, and proposed progenitor status to other Legacy African American microethnic groups. We identify salient research questions for future studies that will begin to bridge the evolutionary gaps in our knowledge of these diverse peoples and the historical evidence for specific evolutionary processes.


Assuntos
Afro-Americanos/genética , Evolução Molecular , Antropologia Física , Feminino , Variação Genética/genética , Humanos , Masculino , Racismo , South Carolina , Sudeste dos Estados Unidos
8.
J Econ Entomol ; 114(4): 1480-1488, 2021 08 05.
Artigo em Inglês | MEDLINE | ID: mdl-34260688

RESUMO

In blueberry crops, there are multiple pest species, and some of those can be suppressed by natural enemies including parasitoid wasps and predators. Parasitoid wasps occur within the environment often tracking pest species for food resources to complete their lifecycle. These small wasps are also sensitive to agricultural environments including agrichemicals, habitat availability, and climate. We investigated how the structure of parasitoid communities varied between organic and conventional blueberry systems, and how the communities of these parasitoids varied within field spatial scales (forested border vs edge vs interior). With the lower intensity of agricultural interventions occurring in organic systems and forested borders, we predicted more stable parasitoid numbers that would be insulated from predicted climate variability. In our study, parasitoids were observed in low abundance in each cropping system, with community structure dependent on both management practice and field position. Unmanaged blueberry fields and forested field borders contained more parasitoid families, and in conventional systems, we saw fewer families present in the field interior as compared to field borders. In this first study to characterize Southern parasitoid communities in blueberry production systems, we observed over 50 genera of parasitoids, with a few dominant families (Braconidae and Ichneumonidae) that would contribute to biological control in blueberry systems. Overall, we captured few parasitoids, which indicates a potential vulnerability in biological control, and the need for further research using other sampling techniques to better understand these parasitoid communities.


Assuntos
Mirtilos Azuis (Planta) , Vespas , Agricultura , Animais , Ecossistema , Sudeste dos Estados Unidos
9.
Artigo em Inglês | MEDLINE | ID: mdl-34205273

RESUMO

This study investigated the role of social support in self-management within education/employment settings for young adults (YA) with end-stage renal disease (ESRD) as well as barriers and facilitators to social support formation. Nineteen YA with ESRD (mean age 24 years, 10 males, 9 African American) recruited from a pediatric nephrology clinic in the Southeast United States completed in-person semi-structured interviews. The grounded theory was used to analyze transcribed interviews to identify emergent themes. Absences hindered participants' school/work attendance and performance. Social support was necessary for illness management and success in academic/vocational settings. Facilitators to establishing support included self-awareness and view of disclosure as a way to access accommodations. Barriers included fear of judgment, job loss, and the belief that the condition was too personal to disclose. Educators and employers must acknowledge the needs of YA with ESRD to promote development and educational/vocational success. Fear of disclosure and poor disease self-management interferes with accessing social support. Communication skills and autonomy in patients' medical and personal lives can promote success in education and employment settings.


Assuntos
Emprego , Falência Renal Crônica , Adulto , Criança , Humanos , Falência Renal Crônica/terapia , Masculino , Pesquisa Qualitativa , Apoio Social , Sudeste dos Estados Unidos , Adulto Jovem
10.
Artigo em Inglês | MEDLINE | ID: mdl-34205311

RESUMO

Agriculture remains a highly dangerous industry for occupational health and safety. This study sought to understand the perspective of agricultural professionals with respect to the current state of the industry, challenges, and opportunities relevant to occupational health and safety. Additional questions related to the COVID-19 pandemic emerged in the findings as well. Eleven industry professionals were interviewed, and the transcripts were qualitatively analyzed for emergent themes following a constant comparative method. Three themes emerged in our findings: a description of the current state of occupational health and safety in the agricultural industry, barriers to improving occupational health and safety, and enablers of occupational health and safety. Each theme contained subthemes. The description of the industry encompassed regulations, inherent danger, and attitudes and education. Barriers included education, health care access, logistics, discrimination and cultural competency, economic considerations, and the labor contracting system. Enablers included education, regulations, and health care and prevention. These findings are consistent with existing literature, revealing interconnected and overlapping challenges and opportunities. Further research is recommended with a broader sample of participants, especially farmworkers.


Assuntos
COVID-19 , Saúde do Trabalhador , Agricultura , Humanos , Pandemias , Percepção , SARS-CoV-2 , Sudeste dos Estados Unidos
11.
J Nurs Educ ; 60(7): 400-403, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34232815

RESUMO

BACKGROUND: Doctoral programs continue to have high attrition rates. This article discusses barriers and success strategies for developing a new PhD program in nursing. METHOD: A university in the southeastern United States surveyed current Master of Science in Nursing students and graduates regarding barriers to enrolling in a doctoral program. The faculty and administrators developed strategies to guide students to success in a new PhD program. RESULTS: Significant barriers to entering nursing doctoral education included financial constraints, job and family responsibilities, lack of program flexibility and faculty mentoring, and fear of research and the dissertation process. Strategies instituted were accelerated learning, convenient scheduling, and early guided dissertation work. CONCLUSION: Recommendations for strengthening doctoral education are aimed at three significant components to guide the dissertation process: commitment, connectedness, and continuous improvement. [J Nurs Educ. 2021;60(7):400-403.].


Assuntos
Educação de Pós-Graduação em Enfermagem , Tutoria , Estudantes de Enfermagem , Docentes de Enfermagem , Humanos , Mentores , Sudeste dos Estados Unidos
13.
Nurs Educ Perspect ; 42(5): 278-284, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34149012

RESUMO

AIM: The aim was to explore 1) the relationship between nursing faculty attributes and their experiences with workplace incivility and 2) the impact of experiences with workplace incivility on the physical and psychological health of nursing faculty. BACKGROUND: Qualitative evidence suggests that workplace incivility impacts the physical and psychological health of nursing faculty. This has not been explored in a quantitative manner. METHOD: A cross-sectional, correlational survey was distributed to nursing faculty teaching in the southeastern United States. Data were analyzed using multiple linear regression and hierarchical multivariate multiple regression. RESULTS: Faculty age, full-time status, highest degree earned, orientation programs, and program type were significantly related to experiences with workplace incivility. Workplace incivility was significantly related to an increase in headaches, sleep disturbances, and digestive problems and a decrease in subjective well-being. CONCLUSION: Workplace incivility significantly impacts the physical and psychological health of nursing faculty.


Assuntos
Incivilidade , Estudos Transversais , Docentes de Enfermagem , Humanos , Saúde Mental , Sudeste dos Estados Unidos
14.
Psychiatry Res ; 302: 114055, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34144509

RESUMO

The COVID-19 pandemic has increased the need for mental health care despite novel barriers to services. Little is known about how the pandemic has affected mental health providers and their practice. In July 2020, we conducted a web-based survey of 500 licensed mental health providers to assess their employment and caseloads, logistics of care, quality of care, and patient-provider relationships and communication during the pandemic. Over 90% of providers reported changes to their employment (e.g., furloughs), with 64% no longer practicing. Providers who reported no longer practicing were older in age, racial minorities, served rural communities, worked in small clinics/provider networks, were social workers and marriage and family therapists, and relied on private insurance or out-of-pocket payment. Most practicing providers reported similar-to-increased caseloads (62%), new patients seeking services (67%), and appointment frequency (70%). Approximately 97% of providers used telemedicine, with 54% providing services mostly-to-exclusively via telemedicine. Most providers reported losing contact with patients deemed unstable (76%) or a danger to themselves/others (71%). Most providers reported maintained-to-improved quality of care (83%), patient-provider relationships (80%), and communication (80%). Results highlight concerns relating to mental health services during the pandemic, however practicing providers have demonstrated resilience to coordinate and provide high quality care.


Assuntos
COVID-19/epidemiologia , Pessoal de Saúde/estatística & dados numéricos , Transtornos Mentais/terapia , Serviços de Saúde Mental/organização & administração , Pandemias , Adulto , Emprego/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade da Assistência à Saúde , Sudeste dos Estados Unidos/epidemiologia , Inquéritos e Questionários , Telemedicina/estatística & dados numéricos
15.
Am J Transplant ; 21(11): 3780-3784, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34173328

RESUMO

Cryptococcus gattii infection is a rare cause of severe pulmonary disease and meningoencephalitis that has only recently been detected in the southeastern United States. We describe an organ transplant-associated outbreak of C. gattii infection involving an HIV-negative immunosuppressed donor in this region who died following new-onset headache and seizure of unknown cause. Retrospective cryptococcal antigen (CrAg) testing of donor serum was positive. Two of the three transplant recipients developed severe C. gattii infection 11 and 12 weeks following transplantation. One recipient died from severe pulmonary infection, identified on autopsy, and the other ill recipient survived following treatment for cryptococcal meningitis. This outbreak underscores the importance of considering cryptococcosis in patients with clinical findings suggestive of subacute meningitis or other central nervous system (CNS) pathology, and the potential benefit of routine pre-transplant donor CrAg screening using lateral flow assay to guide recipient antifungal prophylaxis. The case also adds to emerging evidence that C. gattii is a potential threat in the southeastern United States.


Assuntos
Criptococose , Cryptococcus gattii , Transplante de Rim , Criptococose/diagnóstico , Criptococose/tratamento farmacológico , Criptococose/etiologia , Humanos , Transplante de Rim/efeitos adversos , Estudos Retrospectivos , Sudeste dos Estados Unidos/epidemiologia , Doadores de Tecidos , Transplantados
16.
J Econ Entomol ; 114(4): 1607-1612, 2021 08 05.
Artigo em Inglês | MEDLINE | ID: mdl-34041540

RESUMO

Brown stink bug, Euschistus servus (Say) (Hemiptera: Pentatomidae), is a common insect that can infest corn fields in the Mid-South and Southeastern U.S. Infestations and damage are sporadic, thus little research has been conducted on the impact of brown stink bug infesting corn seedlings. Two experiments were conducted in eleven commercial corn fields in the Mississippi Delta to evaluate the impact of damage from natural stink bug infestations during the seedling stage (

Assuntos
Heterópteros , Zea mays , Animais , Mississippi , Plântula , Sudeste dos Estados Unidos
17.
Public Health Nurs ; 38(5): 715-719, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-33938032

RESUMO

The COVID-19 pandemic has impacted routine health care services including immunization delivery. The most common sexually transmitted infection in the United States is the human papillomavirus (HPV), and its sequelae may be prevented by vaccination. Sequelae that can develop if one's immune system is not able to clear the infection include warts, precancerous lesions, and cancer. The American College of Obstetricians & Gynecologists (ACOG) reports almost everyone who is sexually active will encounter the virus at some time during their life. Most of the estimated 79 million infections occur among people who are in their late teens or early 20s. Since 2006, there has been a vaccine available to prevent HPV infections in both males and females; however, administration of this vaccine has only been about half the rate of other vaccines and vaccine hesitancy may play a role. Public health nurses are vital in providing accurate and nonjudgmental vaccine education to their clients, especially unaccompanied minors seeking care in public health department clinics. This paper will explore the recommendations for providing this vaccine as well as a snapshot of current practice in two health departments in the Southeast region of the United States during the COVID-19 pandemic.


Assuntos
COVID-19 , Promoção da Saúde , Infecções por Papillomavirus , Vacinas contra Papillomavirus , Adolescente , Feminino , Humanos , Masculino , Enfermeiras de Saúde Pública , Infecções por Papillomavirus/epidemiologia , Infecções por Papillomavirus/prevenção & controle , Vacinas contra Papillomavirus/administração & dosagem , Administração em Saúde Pública , Sudeste dos Estados Unidos/epidemiologia , Adulto Jovem
18.
Poult Sci ; 100(6): 101122, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33975043

RESUMO

Contamination of poultry products by Campylobacter is often associated with farm management practices and processing plant practices. A longitudinal study was conducted on 11 pastured poultry farms in southeastern United States from 2014 to 2017. In this study, farm practices and processing variables were used as predictors for a random forest (RF) model to predict Campylobacter prevalence in pastured poultry farms and processing environments. Individual RF models were constructed for fecal, soil and whole carcass rinse after processing (WCR-P) samples. The performance of models was evaluated by the area under curve (AUC) from the receiver operating characteristics curve. The AUC values were 0.902, 0.894, and 0.864 for fecal, soil, and WCR-P models, respectively. Relative importance plots were generated to predict the most important variable in each RF model. Animal source of feces was identified as the most important variable in fecal model and the soy content of the brood feed was the most important variable for soil model. For WCR-P model, the average flock age showed the strongest impact on RF model. These RF models can help pastured poultry growers with food safety control strategies to reduce Campylobacter prevalence in pastured poultry farms.


Assuntos
Infecções por Campylobacter , Campylobacter , Animais , Infecções por Campylobacter/epidemiologia , Infecções por Campylobacter/veterinária , Galinhas , Fazendas , Estudos Longitudinais , Aves Domésticas , Prevalência , Sudeste dos Estados Unidos/epidemiologia
19.
J Appl Psychol ; 106(4): 489-500, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34014705

RESUMO

This study takes an affiliative coping theory perspective to examine whether working adults reactivated dormant ties with individuals they had not contacted for at least 3 years to cope with stressors experienced due to the COVID-19 pandemic. Stressors originating in the workplace (job insecurity and remote work) and in the family (stressful familial social ties) were examined in a sample of 232 working adults in the southeastern United States. Individuals were more likely to reactivate their dormant ties when their job was insecure, and the magnitude of the reactivations was greater among individuals experiencing stressful social ties with family members than those not experiencing those stressors. We also found that there was a significant interaction between remote work and having a stressful tie within the household in dormant tie reactivation. Although previous theory has focused mostly on the benefits of frequent, active social relationships for coping, our results suggest that reactivating dormant ties might be a coping mechanism as well. Our study also suggests that workplace dormant tie research should broaden its focus beyond exchanged instrumental support to consider emotional support that might be transferred during reactivation. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Adaptação Psicológica , COVID-19/psicologia , Relações Interpessoais , Distanciamento Físico , Estresse Psicológico/psicologia , Local de Trabalho/psicologia , Adulto , Feminino , Humanos , Masculino , Pandemias , SARS-CoV-2 , Sudeste dos Estados Unidos , Teletrabalho
20.
Fam Syst Health ; 39(1): 77-88, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-34014732

RESUMO

INTRODUCTION: Integrated health care is utilized in primary care clinics to meet patients' physical, behavioral, and social needs. Current methods to collect and evaluate the effectiveness of integrated care require refinement. Using informatics and electronic health records (EHR) to distill large amounts of clinical data may help researchers measure the impact of integrated care more efficiently. This exploratory pilot study aimed to (a) determine the feasibility of using EHR documentation to identify behavioral health and social care components of integrated care, using social work as a use case, and (b) develop a lexicon to inform future research using natural language processing. METHOD: Study steps included development of a preliminary lexicon of behavioral health and social care interventions to address basic needs, creation of an abstraction guide, identification of appropriate EHR notes, manual chart abstraction, revision of the lexicon, and synthesis of findings. RESULTS: Notes (N = 647) were analyzed from a random sample of 60 patients. Notes documented behavioral health and social care components of care but were difficult to identify due to inconsistencies in note location and titling. Although the interventions were not described in detail, the outcomes of screening, referral, and brief treatment were included. The integrated care team frequently used EHR to share information and communicate. DISCUSSION: Opportunities and challenges to using EHR data were identified and need to be addressed to better understand the behavioral health and social care interventions in integrated care. To best leverage EHR data, future research must determine how to document and extract pertinent information about integrated team-based interventions. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Prestação Integrada de Cuidados de Saúde/estatística & dados numéricos , Registros Eletrônicos de Saúde/estatística & dados numéricos , Análise de Dados , Prestação Integrada de Cuidados de Saúde/métodos , Registros Eletrônicos de Saúde/instrumentação , Humanos , Processamento de Linguagem Natural , Sudeste dos Estados Unidos
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