Publications by authors named "Sarah Snow"

12 Publications

  • Page 1 of 1

Women in Cardiology Twitter Network: An Analysis of a Global Professional Virtual Community From 2016 to 2019.

J Am Heart Assoc 2021 Feb 23;10(5):e019321. Epub 2021 Feb 23.

Division of Cardiology Department of Medicine University of California Los Angeles CA.

Background Social media is an effective channel for the advancement of women physicians; however, its use by women in cardiology has not been systematically studied. Our study seeks to characterize the current Women in Cardiology Twitter network. Methods and Results Six women-specific cardiology Twitter hashtags were analyzed: #ACCWIC (American College of Cardiology Women in Cardiology), #AHAWIC (American Heart Association Women in Cardiology), #ilooklikeacardiologist, #SCAIWIN (Society for Cardiovascular Angiography and Interventions Women in Innovations), #WomeninCardiology, and #WomeninEP (Women in Electrophysiology). Twitter data from 2016 to 2019 were obtained from Symplur Signals. Quantitative and descriptive content analyses were performed. The Women in Cardiology Twitter network generated 48 236 tweets, 266 180 903 impressions, and 12 485 users. Tweets increased by 706% (from 2083 to 16 780), impressions by 207% (from 26 755 476 to 82 080 472), and users by 440% (from 796 to 4300), including a 471% user increase internationally. The network generated 6530 (13%) original tweets and 43 103 (86%) amplification tweets. Most original and amplification tweets were authored by women (81% and 62%, respectively) and women physicians (76% and 52%, respectively), with an increase in original and amplification tweets authored by academic women physicians (98% and 109%, respectively) and trainees (390% and 249%, respectively) over time. Community building, professional development, and gender advocacy were the most common tweet contents over the study period. Community building was the most common tweet category for #ACCWIC, #AHAWIC, #ilooklikeacardiologist, #SCAIWIN, and #WomeninCardiology, whereas professional development was most common for #WomeninEP. Conclusions The Women in Cardiology Twitter network has grown immensely from 2016 to 2019, with women physicians as the driving contributors. This network has become an important channel for community building, professional development, and gender advocacy discussions in an effort to advance women in cardiology.
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http://dx.doi.org/10.1161/JAHA.120.019321DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8174265PMC
February 2021

Genomic and Epidemiological Evidence of a Dominant Panton-Valentine Leucocidin-Positive Methicillin Resistant Lineage in Sri Lanka and Presence Among Isolates From the United Kingdom and Australia.

Front Cell Infect Microbiol 2019 26;9:123. Epub 2019 Apr 26.

The Florey Institute for Host-Pathogen Interactions and Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, United Kingdom.

To undertake the first detailed genomic analysis of methicillin-resistant (MRSA) isolated in Sri Lanka. A prospective observational study was performed on 94 MRSA isolates collected over a 4 months period from the Anuradhapura Teaching Hospital, Sri Lanka. Screening for A, C, and the Panton-Valentine leucocidin (PVL)-associated genes and molecular characterization by typing was undertaken. Whole genome sequencing (WGS) and phylogenetic analysis was performed on selected multilocus sequence type (MLST) clonal complex 5 (CC5) isolates from Sri Lanka, England, Australia, and Argentina. All 94 MRSA harbored the gene. Nineteen types belonging to nine MLST clonal complexes were identified. Where origin of the sample was recorded, most isolates were from skin and soft tissue infections (70/91; 76.9%), with fewer causing bacteremia (16/91; 17.6%), empyema (3/91; 3.3%) and osteomyelitis (2/91; 2.2%). Sixty two (65.9%) isolates were PVL positive with the majority (56 isolates; 90.3%) belonging to a dominant CC5 lineage. This lineage, PVL-positive ST5-MRSA-IVc, was associated with both community and hospital-onset infections. Based on WGS, representative PVL-positive ST5-MRSA-IVc isolates from Sri Lanka, England and Australia formed a single phylogenetic clade, suggesting wide geographical circulation. We present the most detailed genomic analysis of MRSA isolated in Sri Lanka to date. The analysis identified a PVL-positive ST5-MRSA-IVc that is prevalent among MRSA causing clinical infections in Sri Lanka. Furthermore, this clone was also found among isolates from the United Kingdom and Australia.
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http://dx.doi.org/10.3389/fcimb.2019.00123DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6497808PMC
January 2020

National Rate of Tobacco and Substance Use Disorders Among Hospitalized Heart Failure Patients.

Am J Med 2019 04 16;132(4):478-488.e4. Epub 2018 Dec 16.

Division of Cardiology, David Geffen School of Medicine at University of California, Los Angeles; Division of Health Services Research & Development, Veterans Affairs Greater Los Angeles Healthcare System, Calif; Divisionof Cardiology, Veterans Affairs Greater Los Angeles Healthcare System, Calif. Electronic address:

Background: Several cardiotoxic substances impact heart failure incidence. The burden of comorbid tobacco or substance use disorders among heart failure patients is under-characterized. We describe the burden of tobacco and substance use disorders among hospitalized heart failure patients in the United States.

Methods: We calculated the proportion of primary heart failure hospitalizations in the 2014 National Inpatient Sample with tobacco or substance use disorders accounting for demographic factors.

Results: Of 989,080 heart failure hospitalizations, 15.5% (n = 152,965) had documented tobacco (n = 119,285, 12.1%) or substance (n = 61,510, 6.2%) use disorder. Female sex was associated with lower rates of tobacco (odds ratio [OR] 0.72; 95% confidence interval [CI], 0.70-0.74) and substance (OR 0.37; 95% CI, 0.36-0.39) use disorder. Tobacco and substance use disorder rates were highest for hospitalizations <55years of age. Native American race was associated with increased risk of alcohol use disorder (OR 1.67; 95% CI, 1.27-2.20) and black race with alcohol (OR 1.09; 95% CI, 1.02-1.16) or drug (OR 1.63; 95% CI, 1.53-1.74) use disorder. Medicaid insurance or income in the lowest quartile were associated with increased risk of tobacco and substance use disorders.

Conclusions: Tobacco and substance use disorders affect vulnerable heart failure populations, including those of male sex, younger age, lower socioeconomic status, and racial/ethnic minorities. Enhanced screening for tobacco and substance use disorders in hospitalized heart failure patients may reveal opportunities for treatment and secondary prevention.
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http://dx.doi.org/10.1016/j.amjmed.2018.11.038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6615901PMC
April 2019

Being there and reconnecting: Midwives' perceptions of the impact of Mindfulness training on their practice.

J Clin Nurs 2018 Mar 19;27(5-6):1227-1238. Epub 2017 Dec 19.

Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK.

Objective: To ascertain how midwives perceived attending a mindfulness course impacted on their professional practice, particularly in regard to any stress they experienced at work.

Design: A qualitative study using Interpretive Phenomenological Analysis. Semi-structured interviews were conducted with nine midwives.

Setting: A large maternity Trust in the United Kingdom.

Intervention: An eight-week mindfulness course, adapted from mindfulness-based cognitive therapy.

Findings: Four superordinate themes were identified as follows: "being challenged and committing," "containing the self," "reconnecting" and "moving forward with confidence." Focusing on the present moment enabled participants better to identify the boundary between self and other. This led to an increased sense of control and a reconnection with and reframing of relationships with colleagues and the women in their care.

Key Conclusions: Mindfulness may provide an effective way to address the high levels of stress, role dissatisfaction and workplace bullying found in midwifery, by improving both the working environment and patient care. The pivotal role of positive workplace relationships in this process resonates with other nursing research and with contemporary philosophical thought.

Relevance To Clinical Practice: This study adds to a body of evidence which suggests investing in the well-being of midwifery staff improves both job satisfaction and women's experiences of care.
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http://dx.doi.org/10.1111/jocn.14169DOI Listing
March 2018

Faculty experience and engagement in a longitudinal integrated clerkship.

Med Teach 2017 May 10;39(5):527-534. Epub 2017 Mar 10.

a Department of Medicine , University of Colorado School of Medicine , Aurora , CO , USA.

The authors sought to understand rewards and challenges of teaching third-year medical students in the University of Colorado School of Medicine (CUSOM) Denver Health Longitudinal Integrated Clerkship (DH-LIC) compared to teaching in rotation-based clerkships (RBCs). The authors considered implications for the recruitment and retention of faculty in clinical educational programs. Preceptors completed surveys at baseline and year-end. Of eligible faculty, 28 of 40 completed both baseline and year-end surveys. The majority (85.2%) of faculty were satisfied with the DH-LIC and 85.7% continued to teach in year-two of the program. Faculty reported increased satisfaction from teaching and improved teaching and mentoring skills. Faculty familiarity with DH-LIC students was significantly higher than with students previously taught (p = .004); 89.3% of faculty knew their DH-LIC student well enough to tailor instruction to individual learning needs. Teaching techniques utilized at baseline and end of year differed significantly; faculty reported asking questions to promote thinking, providing feedback to students, and providing students with practice in clinical reasoning more frequently in the DH-LIC. Innovative models of education such as LICs offer a strategy to recruit and retain excellent, invested faculty in outpatient settings.
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http://dx.doi.org/10.1080/0142159X.2017.1297528DOI Listing
May 2017

Contraception: a guide for midwives.

Authors:
Sarah Snow

Pract Midwife 2013 Jul-Aug;16(7):24-6

University of Worcester.

Women will generally spend more of their reproductive lifetime preventing pregnancy than experiencing it. The choice of contraceptive methods can be confusing for women, each one having its own set of advantages and disadvantages. For new mothers, a method of contraception is important if a reasonable gap between pregnancies is the desired outcome. Given that ovulation can resume four weeks following childbirth, midwives have a clear role in the provision of up to date contraceptive health advice to women, including the availability of emergency contraception. Midwives, especially those working in the community, also need to be familiar with the range of contraceptive health clinics in their locality, together with a working knowledge of the various services offered by them.
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September 2013

Making friends at antenatal classes: a qualitative exploration of friendship across the transition to motherhood.

J Perinat Educ 2012 ;21(3):178-85

This study explored how friendships made at antenatal classes preserve new mothers' well-being, postnatally. Eight women from the United Kingdom who had attended antenatal classes in the third trimester were interviewed following the birth of their first baby. Transcripts were analyzed using a constant comparative method. Findings suggest that friendships made at antenatal classes are not only unique but also support women's mental health and enhance self-efficacy because the women give and gain reassurance that their babies are developing normally. Such friendships may reduce demands on overstretched social and health-care services. Childbirth educators, midwives, and nurses can be encouraged to capitalize on the opportunity provided by antenatal classes to facilitate the formation of friendships that can help mothers to find "a new equilibrium."
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http://dx.doi.org/10.1891/1058-1243.21.3.178DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3392600PMC
June 2013

Nutrition health issues in self-reported postpartum depression.

Gastroenterol Hepatol Bed Bench 2011 ;4(3):120-36

Institute of Health & Society, The University of Worcester, Henwick Grove, Worcester, WR2 6AJ, United Kingdom.

Aim: In this retrospective survey women with and without self-reported postpartum depression (PPD) were compared in regards to consumption-frequency of foods and supplements rich in nutrients beneficial to nervous system (NS) health, in regards to consumption-frequency of compounds which may counteract the effect of the above and in regards to nutritional support provided to them during a pregnancy between 2003 and 2008.

Background: Postpartum depression (PPD) is defined as a major depressive episode that begins within 1 month of delivery and is experienced by roughly 13% of mothers.

Patients And Methods: Four Hundred participants were recruited through the internet. Data gathered via multiple choice questionnaires was statistically analyzed using SPSS and Statistical software; statistical procedures included discriminant analysis, Pearson's product moment correlation, independent t-test and cross-tabulations.

Results: Out of 400 participants 83 (20.8%) were affected by self-reported depression after a pregnancy between 2003 and 2008. Depressed subjects consumed oily fish and offal significantly more often than non depressed subjects. Depression was more prevalent among women with vegetarian diets. No significant difference concerning food group intake or the ratios between foods rich in nutrients beneficial to NS health and foods rich in compounds antagonising their effect were found between depressed and non depressed subjects. Iron supplementation correlated positively with zinc supplementation in both groups. Roughly 70% of women reported to have received no information about n-3 fatty acid fish oils during pregnancy; informed subjects consumed fish oils more often. The majority of subjects with self-reported depression described nutritional support during pregnancy as inadequate.

Conclusion: Within this Austrian sample, the prevalence rate of postpartum depression was high; while the consumption of oily fish and vegetarian diets negatively correlated with depression, Patient information positively correlated with the consumption of fish oil supplements. These results indicate that further studies will be required in order to establish the exact relationship between nutrition and mental health during and after pregnancy.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017421PMC
May 2014

Making it real--an evaluation of a taster day initiative.

Authors:
Sarah Snow

Pract Midwife 2010 May;13(5):44-7

University of Worcester.

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May 2010

Midwifery basics: caring for women with medical conditions (3). Haemoglobin disorders in pregnancy.

Authors:
Sarah Snow

Pract Midwife 2008 Dec;11(11):36-9

University of Worcester.

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December 2008

A video database of moving faces and people.

IEEE Trans Pattern Anal Mach Intell 2005 May;27(5):812-6

School of Behavioral and Brain Sciences, GR41, University of Texas at Dallas, Richardson, TX 75083-0688, USA.

We describe a database of static images and video clips of human faces and people that is useful for testing algorithms for face and person recognition, head/eye tracking, and computer graphics modeling of natural human motions. For each person there are nine static "facial mug shots" and a series of video streams. The videos include a "moving facial mug shot," a facial speech clip, one or more dynamic facial expression clips, two gait videos, and a conversation video taken at a moderate distance from the camera. Complete data sets are available for 284 subjects and duplicate data sets, taken subsequent to the original set, are available for 229 subjects.
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http://dx.doi.org/10.1109/TPAMI.2005.90DOI Listing
May 2005

Midwifery taster days.

Authors:
Sarah Snow

RCM Midwives 2005 Apr;8(4):170-1

University College Worcester.

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April 2005
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