MPH
November 23, 2020
Risk of Delirium and Use of Regional Analgesia in Geriatric Trauma Patients with Multiple Rib Fractures
OBJECTIVE To examine the risk of delirium in geriatric trauma patients with rib fractures treated with systemic opioids alone compared to those treated with regional analgesia (RA). METHODS Cohort study of patients ≥ 65 years with ≥ 3 rib fractures admitted to Harborview Medical Center from 2011-2016. The primary outcome was delirium positive ICU days….
Examining psychological distress across intersections of immigrant generational status, race, poverty, and gender
INTRODUCTION While many studies have documented the health outcomes of immigrants, little is known about the direct and intersectional influences of generational status on mental health. METHODS We conducted a population-based cross-sectional study using data from the California Health Interview Survey from 2015-2016 (N=41,754) to examine the prevalence of psychological distress (self-reported experience in the…
Feeding practices among vulnerable newborns in Vietnam: a pre- and post-evaluation of integrating a human milk bank into newborn care services
INTRODUCTION Infant feeding practices and lactation support when mother’s own milk is unavailable, especially among vulnerable infants in neonate intensive care unit situations (i.e. pre-term, low birthweight) are not well understood globally. Integration of human milk banking services and provision of donor human milk as early essential newborn care may offer the support and resources…
The Association of Sleep Apnea and Cancer in Veterans
OBJECTIVE To test the association between pre-existing obstructive sleep apnea (OSA) and subsequent cancer in a large, long-term cohort of veteran patients. METHODS This retrospective matched cohort study included all veteran patients diagnosed with OSA 1993-2013 by ICD-9 codes in any Veterans Affairs facility and probability matched veteran patients without OSA. Cancer diagnoses were identified…
The Effect of the Shikamana Peer-and-Provider Intervention on Depressive Symptoms, Alcohol Use, and Other Drug Use among Gay, Bisexual, and Other Men Who Have Sex with Men (GBMSM) in Kenya
Kenyan gay, bisexual, and other men who have sex with men (GBMSM) face unique stigma and discrimination, which may contribute to adverse mental health symptoms, and could limit antiretroviral therapy (ART) adherence among GBMSM living with HIV. This secondary analysis of data from a randomized pilot study evaluated whether the Shikamana peer-and-provider intervention was associated…
Alcohol, Tobacco, and Illicit Drug Use as Risk Factors for Onward HIV Transmission Among Men Who Have Sex with Men & Transgender Women in Lima, Peru
In 2016, there were about 70,000 (55,00–94,000) people living with HIV in Peru, with a prevalence of 16.4% among men who have sex with men (MSM) and 18.5% among transgender people.1 The aim of this study was to assess the association of heavy drinking, AUDIT score, tobacco use, and illicit drug use as independent risk…
Correlates of Virologic Failure Among Breastfeeding Postpartum Kenyan Women on Option B+
BACKGROUND Option B+ is an HIV/AIDS intervention strategy that streamlines antiretroviral therapy (ART) delivery to pregnant and breastfeeding women in order to improve treatment outcomes, but treatment outcomes have yet to be fully described in field settings. Our study examines the distribution of virologic failure in plasma, breast milk, and endocervical secretions among postpartum breastfeeding…
Epidemiological Evaluation of Phylogenetic Clustering and Meeting Sexual Partners at Social Venues Among Men Who Have Sex With Men and Transgender Women in Lima, Peru
New HIV infections in the Americas are predominately occurring among men who have sex with men (MSM) and transgender women (TW).1 In Peru, there is a concentrated epidemic among MSM and TW, for whom the HIV prevalence exceeds 20% while the general HIV prevalence is less than one percent.2 This study sought to identify geographic…
The association between sexual subjectivity and sexual health outcomes both negative and positive in a sample of women
BACKGROUND The role of psychosocial constructs such as assertiveness and self-efficacy has increasingly been acknowledged as an important component of research and interventions directed at young women’s sexual health. The female sexual subjectivity inventory (FSSI) was developed to measure five distinct factors of young women’s experiences of sexual pleasure and empowerment as agentic sexual beings:…
November 19, 2020
Headache after Moderate-to-Severe Traumatic Brain Injury
Background: Headache symptoms are a major contributor to chronic pain after moderate-to-severe traumatic brain injury (TBI). We investigated associations between headache symptoms after TBI and both psychological symptoms (depression and anxiety) and patient reported outcomes (satisfaction with life and loss of employment). Methods: A cohort of 408 individuals with moderate-to-severe TBI was prospectively followed for…
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