51,164 results match your criteria Hispanic journal of behavioral sciences[Journal]


Salivary Biomarkers of Parenting Stress in Mothers Under Community Criminal Justice Supervision.

Nurs Res 2019 Jan/Feb;68(1):48-56

Jenna K. Rieder, BA, is Research Assistant, The Graduate Center, The City University of New York, NY. Lorie S. Goshin, PhD, RN, is Assistant Professor; and D.R. Gina Sissoko, BA, is Research Assistant, Hunter College, The City University of New York, NY. Olena Kleshchova, MS, is Research Assistant, The Graduate Center, The City University of New York, NY. Mariann R. Weierich, PhD, is Associate Professor, Hunter College, The City University of New York, NY.

Background: Community criminal justice supervised mothers are an underserved population who experience high rates of psychological distress and unique parenting challenges, but little is known about physiological stress system function in this population.

Objective: We tested the salivary biomarkers of the sympathetic nervous system (SNS) and hypothalamic-pituitary-adrenal (HPA) axis function as predictors of subjective maternal stress.

Method: We recruited 23 mothers (age: M = 35. Read More

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December 2018

Ethnic, gender, and seasonal difference in heavy drinking and protective behavioral strategies among student-athletes.

J Ethn Subst Abuse 2018 Dec 12:1-18. Epub 2018 Dec 12.

c University of North Carolina Greensboro , Greensboro , North Carolina.

Relations among gender, ethnicity, athlete seasonal status, alcohol consumption, and protective behavioral strategies were examined among student-athletes. The national sample (N = 670, M = 18.90) included Black (n = 199), Hispanic (n = 236), and White (n = 235) college student-athletes who use alcohol. Read More

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December 2018

Bilateral Cerebrovascular Stroke as an Initial Presenting Symptom of Moyamoya Disease.

Case Rep Crit Care 2018 13;2018:2591494. Epub 2018 Nov 13.

Lincoln Medical and Mental Health Center, 234 E 149Th St., Bronx, NY 10451, USA.

Moyamoya disease is a rare condition affecting the circle of Willis and its branching arteries. While the pathogenesis is unclear, it causes progressive occlusion of multiple cerebral vessels leading to severe strokes. We report a case of a 47-year-old Hispanic woman with HTN presented with altered mental status and bilateral upper and lower extremity weakness with dystonic-like upper extremity movement. Read More

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November 2018

Tacrolimus in non-Asian patients with SLE: a real-life experience from three European centres.

Lupus Sci Med 2018 2;5(1):e000274. Epub 2018 Nov 2.

Department of Clinical and Experimental Medicine, Rheumatology Unit, University of Pisa, Pisa, Italy.

Objectives: To analyse the real-life practice on the use of Tacrolimus (TAC) in patients with systemic lupus erythematosus (SLE) from three European SLE referral centres.

Methods: Adult patients with SLE regularly followed at three European referral centres were included. Demographics, cumulative organ involvement, treatment history, Systemic Lupus Disease Activity Index (SLEDAI), laboratory features and physician's judgement were collected at baseline and at 3-6-12 months after starting TAC. Read More

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November 2018

Association of occupational exposures with cardiovascular disease among US Hispanics/Latinos.

Heart 2018 Dec 11. Epub 2018 Dec 11.

Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA.

Objective: Cardiovascular disease (CVD) is a leading cause of mortality and morbidity in the USA. The role of occupational exposures to chemicals in the development of CVD has rarely been studied even though many agents possess cardiotoxic properties. We therefore evaluated associations of self-reported exposures to organic solvents, metals and pesticides in relation to CVD prevalence among diverse Hispanic/Latino workers. Read More

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December 2018

Multivariate base rates for the assessment of executive functioning among children and adolescents.

Child Neuropsychol 2018 Dec 11:1-23. Epub 2018 Dec 11.

a Department of Physical Medicine and Rehabilitation , Harvard Medical School , Boston , MA , USA.

This study provides observed base rates of low executive functioning test scores among healthy children and adolescents, stratifies those base rates by narrow intellectual functioning and age groupings, and provides normative classification ranges to aid the interpretation of performances on the Delis-Kaplan Executive Function System (D-KEFS) in clinical practice and research. Participants included 875 children and adolescents between 8 and 19 years old from the D-KEFS normative sample (48% male; 52% female). Among these participants, 838 had complete data and were included in the current study. Read More

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December 2018

Disparities in Breast Cancer Survival by Socioeconomic Status Despite Medicare and Medicaid Insurance.

Milbank Q 2018 Dec;96(4):706-754

Leonard and Madlyn Abramson Cancer Center of the University of Pennsylvania.

Policy Points Patients with low socioeconomic status (SES) experience poorer survival rates after diagnosis of breast cancer, even when enrolled in Medicare and Medicaid. Most of the difference in survival is due to more advanced cancer on presentation and the general poor health of lower SES patients, while only a very small fraction of the SES disparity is due to differences in cancer treatment. Even when comparing only low- versus not-low-SES whites (without confounding by race) the survival disparity between disparate white SES populations is very large and is associated with lower use of preventive care, despite having insurance. Read More

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December 2018

Determination of the Minimal Important Change in the Life-Space Assessment.

J Am Geriatr Soc 2018 Dec 7. Epub 2018 Dec 7.

Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.

Background/objectives: The University of Alabama at Birmingham (UAB) Life-Space Assessment (LSA) is a widely used measure of community mobility. To assist clinicians and researchers with assessing the significance of changes in scores, we determined the minimal important change associated with a change in health status.

Setting: Homes of community-dwelling older adults. Read More

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December 2018

Dysglycemia among youth with type 1 diabetes and suboptimal glycemic control in The Flexible Lifestyle Empowering Change (FLEX) trial.

Pediatr Diabetes 2018 Dec 10. Epub 2018 Dec 10.

Department of Pediatrics, School of Medicine, Stanford University, Stanford, CA.

Objective: To examine the prevalence and correlates of non-severe hypoglycemia in adolescents with type 1 diabetes and suboptimal glycemic control, an understudied topic in this group.

Methods: Seven days of blinded continuous glucose monitor data were analyzed in 233 adolescents at baseline of the Flexible Lifestyle Empowering Change (FLEX) trial (13-16 years, type 1 diabetes duration >1 year, and hemoglobin A1c (HbA1c) 8-13% [64-119 mmol]). Incidence of clinical hypoglycemia (54-69 mg/dL) and clinically serious hypoglycemia (<54 mg/dL) was defined as number of episodes ≥15 min. Read More

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December 2018

A Randomized, Double-Blinded, Placebo-Controlled Trial of Sitagliptin for Reducing Inflammation and Immune Activation in Treated and Suppressed HIV Infection.

Clin Infect Dis 2018 Dec 10. Epub 2018 Dec 10.

Washington University, St. Louis, MO, USA.

Background: Dipeptidyl peptidase-4 (DPP-4) inhibitors have pleotropic anti-inflammatory and immune regulatory effects in addition to their glucoregulatory actions. We evaluated inflammation and immune markers in suppressed HIV infection during treatment with the DPP-4 inhibitor sitagliptin.

Methods: Virologically suppressed adults with HIV without diabetes mellitus on stable ART with ≥100/mm 3 CD4 cells were randomized to 16 weeks of sitagliptin 100 mg/d vs. Read More

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December 2018

Persistent disparities over time in the distribution of sugar-sweetened beverage intake among children in the United States.

Am J Clin Nutr 2018 Dec 7. Epub 2018 Dec 7.

Department of Nutrition.

Background: Recent research suggests that sugar-sweetened beverage (SSB) consumption has been declining among US children aged 2-18 y. However, most studies focused on changes in mean intake, ignore high SSB consumers and do not examine intake among vulnerable groups and, including adolescents, low-income households, and several racial/ethnic minorities.

Objective: The aim was to estimate usual SSB intake from NHANES surveys from 2003-2004 to 2013-2014 to examine shifts at both the median and 90th percentile among US children, evaluating the extent to which intake disparities in total SSBs and subtypes have persisted. Read More

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December 2018

Addressing Cultural Barriers to Diagnosis and Treatment of Epilepsy in Hispanic Communities.

JAMA Neurol 2018 Dec 10. Epub 2018 Dec 10.

Doctor of Medicine Program, Eastern Virginia Medical School, Norfolk, Virginia.

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December 2018

Hypercoagulability in End-stage Liver Disease: Review of Epidemiology, Etiology, and Management.

Transplant Direct 2018 Nov 26;4(11):e403. Epub 2018 Oct 26.

Department of Anesthesiology and Perioperative Medicine, The Pennsylvania State University-Milton S. Hershey Medical Center, Hershey, PA.

In this review, we analyze the epidemiology of thromboses related to end-stage liver disease (ESLD), discuss causes of hypercoagulability, describe susceptible populations, and critically evaluate proposed prophylaxis and treatment of thromboses. Classically, ESLD has been regarded as a model for coagulopathy, and patients were deemed to be at high risk for bleeding complications. Patients with ESLD are not auto-anticoagulated, and they do not have a lower risk of portal vein thrombosis, intracardiac thrombus formation, pulmonary embolism or hepatic artery thrombosis. Read More

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November 2018

African Americans are less likely to receive curative treatment for hepatocellular carcinoma.

World J Hepatol 2018 Nov;10(11):849-855

Department of Gastroenterology and Hepatology, The Ohio State Wexner Medical Center, Columbus, OH 43210, United States.

Aim: To determine if racial disparities continue to exist in the treatment of hepatocellular carcinoma (HCC).

Methods: A retrospective database analysis using the Nationwide Inpatient Sample was performed including patients with a primary diagnosis of HCC. Univariate and multivariate analyses were utilized to determine racial disparities in liver decompensation, treatment, inpatient mortality, and metastatic disease. Read More

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November 2018

Cohort Analysis of Immigrant Rhetoric on Timely and Regular Access of Prenatal Care.

Obstet Gynecol 2018 Dec 4. Epub 2018 Dec 4.

Departments of Obstetrics & Gynecology, Divisions of Maternal-Fetal Medicine, Baylor College of Medicine & Texas Children's Hospital, Houston, Texas; St. Olaf College, Northfield, Minnesota; the University of Texas at Austin, Austin, Texas; and the National School for Tropical Medicine at Baylor College of Medicine, and the Department of Molecular & Human Genetics at Baylor College of Medicine, Houston, Texas.

Objective: To assess whether recent anti-immigration rhetoric is significantly associated with inadequate prenatal care.

Methods: This was a population-based cohort study (2011-2017). In their native language, patients were consented and queried regarding country of origin and time in the United States. Read More

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December 2018

Functional Status is Associated With 30-Day Potentially Preventable Readmissions Following Home Health Care.

Med Care 2018 Dec 10. Epub 2018 Dec 10.

Division of Rehabilitation Sciences.

Background: Beginning in 2019, home health agencies' rates of potentially preventable hospital readmissions over the 30 days following discharge will be publicly reported.

Objectives: Our primary objective was to determine the association between patients' functional status at discharge from home health care and 30-day potentially preventable readmissions. A secondary objective was to identify the most common conditions resulting in potentially preventable readmissions. Read More

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December 2018
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How Do Race and Insurance Status Affect the Care of Pediatric Anterior Cruciate Ligament Injuries?

Clin J Sport Med 2018 Nov 28. Epub 2018 Nov 28.

Division of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Objective: To identify associations between race or insurance status and preoperative, intraoperative, and postoperative findings in a large cohort of pediatric anterior cruciate ligament (ACL) reconstructions.

Design: Retrospective cohort study.

Setting: Division of Orthopaedics at an urban tertiary care children's hospital. Read More

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November 2018

A randomized placebo-controlled trial of low versus moderate dose Vitamin D3 supplementation on bone mineral density in postmenopausal women with HIV.

J Acquir Immune Defic Syndr 2018 Nov 29. Epub 2018 Nov 29.

Columbia University Medical Center, New York, NY.

Background: Prevalence of osteoporosis and fracture is increased among older people with HIV. We compared the effects of Low (1000 IU) vs Moderate (3000 IU) Vitamin D3 (VItD) supplementation on areal and volumetric bone mineral density (aBMD and vBMD) in African American and Hispanic postmenopausal women with HIV on antiretroviral therapy.

Methods: We performed a 12-month prospective, randomized, double-blind, placebo-controlled study with primary outcomes of change in aBMD by dual-energy X-ray absorptiometry (DXA) and secondary outcomes of change in vBMD by quantitative computed tomography and bone turnover markers. Read More

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November 2018

Relationships between Adipose Mitochondrial Function, Serum Adiponectin, and Insulin Resistance in Persons with HIV after 96 weeks of Antiretroviral Therapy.

J Acquir Immune Defic Syndr 2018 Nov 29. Epub 2018 Nov 29.

Johns Hopkins Univ., Baltimore, MD.

Objective: Some antiretroviral therapy (ART) and HIV itself confer metabolic risk, perhaps through altered mitochondrial function and adipokines. In ACTG study A5224s, adipose mitochondrial DNA (mtDNA) levels decreased on ART, and electron transport chain complex I (CI) and IV (CIV) activity decreased. Another study found decreased serum adiponectin on ART with mtDNA mutation m. Read More

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November 2018

Brief Report: Pre-exposure Prophylaxis Awareness and Use Among Cisgender Women at a Sexually Transmitted Disease Clinic.

J Acquir Immune Defic Syndr 2019 Jan;80(1):36-39

Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI.

Background: Pre-exposure prophylaxis (PrEP) is highly effective in preventing HIV transmission. Cisgender women (cis-women) constitute only a small proportion of PrEP users in the United States despite accounting for 19% of new HIV infections in 2016.

Setting: The Rhode Island Sexually Transmitted Diseases (STD) Clinic from 2013 to 2016. Read More

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January 2019

Mobile Health, Information Preferences, and Surrogate Decision-Making Preferences of Family Caregivers of People With Dementia in Rural Hispanic Communities: Cross-Sectional Questionnaire Study.

J Med Internet Res 2018 Dec 10;20(12):e11682. Epub 2018 Dec 10.

School of Information, The University of Texas at Austin, Austin, TX, United States.

Background: Mobile health (mHealth) technology holds promise for promoting health education and reducing health disparities and inequalities in underserved populations. However, little research has been done to develop mHealth interventions for family caregivers of people with dementia, particularly those in rural Hispanic communities, who often serve as surrogate decision makers for their relatives with dementia.

Objective: As part of a larger project to develop and test a novel, affordable, and easy-to-use mHealth intervention to deliver individually tailored materials in rural Hispanic communities, in this pilot study, we aimed to examine (1) characteristics of people with dementia and their family caregivers in rural Hispanic communities, (2) caregivers' preferences for types and amounts of health information and participation in surrogate decision making, and (3) caregivers' mobile device usage and their desire for receiving information via mobile devices. Read More

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December 2018

Executive functioning phenotypes in youth with epilepsy.

Epilepsy Behav 2018 Dec 7;90:112-118. Epub 2018 Dec 7.

Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229-3039, United States of America; University of Cincinnati, College of Medicine, United States of America.

Objective: The objectives of this study were to identify executive functioning (EF) phenotypes in youth with epilepsy and to examine whether phenotypes differ on psychosocial and medical outcomes (i.e., absence/presence of seizures in the past three months), health-related quality of life (HRQOL), and emotional and behavioral functioning. Read More

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December 2018

Significant Increase in Risk of Fibrosis or Cirrhosis at Time of HCV Diagnosis for Hispanics With Diabetes and Obesity Compared with Other Ethnic Groups.

Clin Gastroenterol Hepatol 2018 Dec 6. Epub 2018 Dec 6.

Department of Internal Medicine, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390.

Background & Aims: Advanced liver disease, which includes fibrosis and cirrhosis, has been reported to be more prevalent in Hispanics patients at the time of diagnosis of chronic hepatitis C virus (HCV) infection than non-Hispanic black or non-Hispanic white patients. We performed a propensity score-matched analysis to determine whether metabolic risk factors contribute to this disparity.

Methods: We collected data from persons with 748 HCV infection (22% Hispanic, 53% non-Hispanic black, and 26% non-Hispanic while; 23% with advanced liver disease), born from 1945 through 1965, diagnosed at 6 healthcare systems in Texas. Read More

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December 2018

Employment and Gainful Earnings among those with Multiple Sclerosis.

Arch Phys Med Rehabil 2018 Dec 6. Epub 2018 Dec 6.

College of Education, Health, & Human Services, Kent State University, Kent, OH.

Objective: To identify demographic, educational, and disease-related characteristics associated with the odds of employment and earnings among participants with multiple sclerosis (MS).

Design: Cross-sectional using self-report assessment obtained by mail or online SETTING: Medical University in the southeastern United States.

Participant: Participants with MS (n = 1059) were enrolled from a specialty hospital in the southeastern United States. Read More

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December 2018

Drinking water lead and socioeconomic factors as predictors of blood lead levels in New Jersey's children between two time periods.

Environ Res 2018 Nov 14;169:409-416. Epub 2018 Nov 14.

Environmental and Occupational Health Surveillance Program, New Jersey Department of Health, Trenton, NJ, USA; Department of Environmental and Occupational Health, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA. Electronic address:

As blood lead levels have decreased over time, the relative contributions of alternative lead sources warrant further examination. Much attention has been paid to the relative contribution of lead in drinking water, particularly after the discovery of contaminated drinking water in Flint, Michigan which has also renewed interest in the persistent socioeconomic and racial disparities in children's exposure to lead. As the environmental sources of lead exposure are shifting in importance over time, we decided to examine how demographic, socioeconomic, and environmental factors may confound or interact with each other, and whether these relationships have changed over time. Read More

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November 2018

Racial/Ethnic Disparities in Disease Burden and Costs Related to Exposure to Endocrine Disrupting Chemicals in the US: an Exploratory Analysis.

J Clin Epidemiol 2018 Dec 6. Epub 2018 Dec 6.

Departments of Pediatrics, Environmental Medicine; Departments of Pediatrics and Population Health; Departments of Pediatrics, New York University School of Medicine, New York, NY, US; New York University Wagner School of Public Service, New York, NY, US; NYU Steinhardt School of Culture, Education and Human Development, Department of Nutrition, Food & Public Health, New York, NY, US; NYU College of Global Public Health, New York, NY, US. Electronic address:

Objective: Studies have documented disparities in exposure to endocrine disrupting chemicals (EDC), but no studies have investigated potential implications for racial/ethnic disparities in chronic disease and associated costs. Our objective was to examine EDC levels in the US population according to race/ethnicity and to quantify disease burden and associated costs.

Study Design And Setting: EDC exposure levels in 2007-2010 were obtained from the National Health and Nutrition Examination Surveys. Read More

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December 2018

Exposure to Diabetes in Utero Is Associated with Earlier Pubertal Timing and Faster Pubertal Growth in the Offspring: The EPOCH Study.

J Pediatr 2018 Dec 6. Epub 2018 Dec 6.

Department of Epidemiology, Colorado School of Public Health, Aurora, CO.

Objective: To examine the associations of in utero exposure to maternal diabetes with surrogate measures of offspring pubertal timing (age at peak height velocity [APHV]) and speed of pubertal growth (peak height velocity [PHV]).

Study Design: Data from 77 exposed and 340 unexposed youth followed from age 2 to 19 years (51% non-Hispanic white, 50% female) were analyzed using the Exploring Perinatal Outcomes among Children study, a historical prospective cohort. Maternal diabetes status was collected from obstetric records, and child heights from 2 years to current age from pediatric records. Read More

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December 2018

Temporal Trends of Pediatric Hospitalizations with Acute Disseminated Encephalomyelitis in the United States: An Analysis from 2006 to 2014 using National Inpatient Sample.

J Pediatr 2018 Dec 6. Epub 2018 Dec 6.

Department of Pediatrics, Tulane University, New Orleans, LA; Department of Pediatrics, Texas Tech University Health Sciences Center, Amarillo, TX.

Objective: To determine the temporal trends in the epidemiology of acute disseminated encephalomyelitis (ADEM) and hospitalization outcomes in the US from 2006 through 2014.

Study Design: Pediatric (≤18 years of age) hospitalizations with ADEM discharge diagnosis were identified from the National (Nationwide) Inpatient Sample (NIS) for years 2006 through 2014. Trends in the incidence of ADEM with respect to age, sex, race, and region were examined. Read More

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December 2018

Association Between Executive Dysfunction and Instrumental Activities of Daily Living: Racial and Ethnic Differences Among Community-Dwelling Older Adults in the Southeastern US.

J Natl Med Assoc 2018 Dec 4. Epub 2018 Dec 4.

The George Washington School of Medicine and Health Sciences, Washington, DC, USA.

Objective: Examining cultural differences in assessment of cognitive/functional disability among older Americans is needed. This analysis examined associations between day-to-day function, measured by activities of daily living (ADL), and cognition, measured by CLOX scores, among older African American (AA) and non-Hispanic White (nHW) community-dwelling women and men.

Methods: Design- Cross-sectional. Read More

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December 2018

The relationship between pharmacy students' beliefs about medications and their academic achievement in a pharmacy practice counseling course.

Curr Pharm Teach Learn 2019 Jan 4;11(1):33-43. Epub 2018 Oct 4.

Department of Education at St. John Fisher College, School of Education at St. John Fisher College, Rochester, NY, United States. Electronic address:

Introduction: Pharmacists' beliefs about medications have been identified as a potential factor in how patients are counseled. However, no studies have assessed this relationship.

Methods: Third year pharmacy students were surveyed using previously validated questionnaires about medication beliefs, including the BMQ-General (General-Overuse and General-Harm subscales), Benefit, and Perceived Sensitivity to Medications (Sensitive Soma) scales; each is rated on a five-point Likert scale (higher scores represent stronger feelings). Read More

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January 2019

Care Delivered by Pediatric Surgical Specialties Through Patient Portal Messaging.

J Surg Res 2019 Feb 11;234:231-239. Epub 2018 Oct 11.

Department of Pediatric Surgery, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee; Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee; Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee.

Background: Patient portals are online applications that typically allow users to interact with providers using secure messaging. Portal messaging use and content have not been studied in pediatric surgical specialties.

Materials And Methods: We obtained all message threads initiated by pediatric patients/caregivers and sent to pediatric surgical providers through the Vanderbilt University Medical Center patient portal from June 1, 2014 to December 31, 2014. Read More

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February 2019

Students' Motivation and Engagement Predict Reading Achievement Differently by Ethnic Group.

J Genet Psychol 2018 Dec 8:1-14. Epub 2018 Dec 8.

a Educational, School and Counseling Psychology , University of Missouri , Columbia , Missouri, USA.

The authors examined Grade 3 and Grade 5 teacher-rated classroom engagement and student self-reported motivation for reading as predictors of reading achievement. They investigated the patterns of prediction of achievement for three racial/ethnic groups (White, Black, and Hispanic) and five levels of socioeconomic status (SES) in a combined within-group model. Groups were created by crossing race/ethnicity with SES to form 15 independent groups for each grade level. Read More

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December 2018

Blood Donation, Sexual Practices, and Self-Perceived Risk for HIV in the United States Among Young Adult Men Who Have Sex With Men.

Public Health Rep 2018 Dec 7:33354918815182. Epub 2018 Dec 7.

7 Fenway Health, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Objectives:: In the United States, all men who have sex with men (MSM) were banned from donating blood from 1985 through 2015. In 2016, the guideline was amended such that men who had sexual contact with other men within the previous 12 months could not donate blood. We aimed to identify blood donation practices and their relationship with HIV risk and testing among young adult MSM (YMSM) at risk for having HIV. Read More

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December 2018

Developing a Process for Returning Medically Actionable Genomic Variants to Latino Patients in a Federally Qualified Health Center.

Public Health Genomics 2018 Dec 6:1-8. Epub 2018 Dec 6.

Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA.

Aim: To develop a process for returning medically actionable genomic variants to Latino patients receiving care in a Federally Qualified Health Center.

Methods: Prior to recruitment, researchers met with primary care providers to (1) orient clinicians to the project, (2) establish a process for returning actionable and nonactionable results to participants and providers through the electronic health record, and (3) develop a process for offering clinical decision support for follow-up education and care. A Community Advisory Board was engaged to provide input on recruitment strategies and materials for conveying results to participants. Read More

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December 2018
3 Reads

Uterine Cancer Incidence and Mortality - United States, 1999-2016.

MMWR Morb Mortal Wkly Rep 2018 Dec 7;67(48):1333-1338. Epub 2018 Dec 7.

Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, CDC.

Uterine cancer is one of the few cancers with increasing incidence and mortality in the United States, reflecting, in part, increases in the prevalence of overweight and obesity since the 1980s (1). It is the fourth most common cancer diagnosed and the seventh most common cause of cancer death among U.S. Read More

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December 2018
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Exposure to Secondhand Smoke Among Nonsmokers - United States, 1988-2014.

MMWR Morb Mortal Wkly Rep 2018 Dec 7;67(48):1342-1346. Epub 2018 Dec 7.

Exposure to secondhand smoke from burning tobacco products can cause sudden infant death syndrome, respiratory infections, ear infections, and asthma attacks in infants and children, and coronary heart disease, stroke, and lung cancer in adult nonsmokers (1). There is no risk-free level of secondhand smoke exposure (2). CDC analyzed questionnaire and laboratory data from the National Health and Nutrition Examination Survey (NHANES) to assess patterns of secondhand smoke exposure among U. Read More

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December 2018
2 Reads

Low-value care: antipsychotic medication use among community-dwelling medicare beneficiaries with Alzheimer's disease and related dementias and without severe mental illness.

Aging Ment Health 2018 Dec 6:1-7. Epub 2018 Dec 6.

a Department of Pharmaceutical Systems and Policy , West Virginia University , Morgantown , WV , USA.

Background: Antipsychotic medication use among elderly with Alzheimer's disease and related dementias (ADRD) and without severe mental illness is considered as low-value care. Our objective was to assess the factors associated with this inappropriate use of antipsychotic medications among community-dwelling Medicare beneficiaries with ADRD and without severe mental illness.

Methods: This study used a retrospective cross-sectional design. Read More

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December 2018

Association of Audiometric Age-Related Hearing Loss With Depressive Symptoms Among Hispanic Individuals.

JAMA Otolaryngol Head Neck Surg 2018 Dec 6. Epub 2018 Dec 6.

Department of Psychiatry, New York State Psychiatric Institute, Vagelos College of Physicians and Surgeons, NewYork-Presbyterian/Columbia University Irving Medical Center, Columbia University, New York.

Importance: Age-related hearing loss is highly prevalent and has recently been associated with numerous morbid conditions of aging. Late-life depression is also prevalent and can be resistant to available treatments. Preliminary studies examining the association between hearing loss and late-life depression have been limited by subjective hearing measures, small sample sizes, and primarily white populations. Read More

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December 2018
7 Reads

Outcomes of minority patients with very severe hypertension (>220/>120 mmHg).

J Hypertens 2018 Dec 4. Epub 2018 Dec 4.

Clinical Pharmacology Research Unit (CPRU), Division of Clinical Pharmacology, Department of Medicine, Miller School of Medicine, University of Miami.

Objectives: Acute severe hypertension is a common problem among inner-city ethnic minority populations. Nevertheless, the effects of currently employed treatment regimens on blood pressure have not been determined in a clinical practice setting. We determined the SBP responses to acute antihypertensive drug protocols and the 2-year natural history of patients presenting with severe hypertension. Read More

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December 2018

Indirect Estimation of Race/Ethnicity for Survey Respondents Who Do Not Report Race/Ethnicity.

Med Care 2018 Dec 4. Epub 2018 Dec 4.

RAND Corporation, Santa Monica, CA.

Background: Researchers are increasingly interested in measuring race/ethnicity, but some survey respondents skip race/ethnicity items.

Objectives: The main objectives of this study were to investigate the extent to which racial/ethnic groups differ in skipping race/ethnicity survey items, the degree to which this reflects reluctance to disclose race/ethnicity, and the utility of imputing missing race/ethnicity.

Research Design: We applied a previously developed method for imputing race/ethnicity from administrative data (Medicare Bayesian Improved Surname and Geocoding 2. Read More

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December 2018
6 Reads

Prevalence of pharmacogenomic variants affecting the efficacy of clopidogrel therapy in the Hispanic Community Health Study/Study of Latinos cohort.

Pharmacogenomics 2018 Dec 6. Epub 2018 Dec 6.

Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, USA.

Purpose: Although clopidogrel is the most widely used oral P2Y12 receptor antagonist, up to 10% of acute coronary syndrome patients treated with clopidogrel will experience a recurrent myocardial infarction and 2-3% will experience stent thrombosis within 1 year. The purpose of this research is to describe the prevalence of pharmacogene variants associated with clopidogrel responsiveness (CYP2C19, B4GALT2, ABCB1, PON1, CES1 and P2RY12) in Hispanic/Latino patients of diverse backgrounds.

Methods: Minor allele frequencies of nine variants from participants of Hispanic Community Health Study/Study of Latinos were compared between subpopulations as well as to continental ancestry references using z-test for independent proportions. Read More

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December 2018
3 Reads

Racial and Ethnic Trends in Prostate Cancer Incidence and Mortality in Philadelphia, PA: an Observational Study.

J Racial Ethn Health Disparities 2018 Dec 5. Epub 2018 Dec 5.

Center for Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, USA.

Background: To learn more about local prostate cancer (PCa) disparities, we conducted descriptive analyses of the role of race and age in PCa using the Pennsylvania Cancer Registry data for Philadelphia (2005-2014).

Methods: We focused on the most prevalent race/ethnic groups: white (33%), black (44%), and Hispanic (9%). Outcomes included PCa rates, tumor stage, and tumor grade. Read More

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December 2018

Esophageal Adenocarcinoma with Extensive Metastasis to Unexpected Sites: A Case Report.

Case Rep Oncol 2018 Sep-Dec;11(3):742-750. Epub 2018 Nov 12.

Hematology/Oncology, University of Texas Medical Branch, Galveston, Texas, USA.

Background: Esophageal cancer (EC) with unexpected metastasis (UM) to unusual sites have been increasingly reported. EC with metastasis in general has a very high mortality and morbidity rate, and those with UM to unusual sites present another specific field that needs to be further studied in order to understand and manage the presentation. An extensive systematic review was recently completed regarding this field which identified characteristics and findings concerning patients with EC with UM sites. Read More

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November 2018
7 Reads

Cutaneous Ewing Sarcoma and Ewing Sarcoma of the Bone: Distinct Diseases.

Case Rep Oncol 2018 Sep-Dec;11(3):729-734. Epub 2018 Nov 12.

Kaiser Permanente, Los Angeles, California, USA.

Ewing sarcoma is an aggressive mesenchymal malignancy. It is the second most common bone tumor among children and adolescents and less commonly presents as a soft tissue or primary skin lesion. Cutaneous Ewing sarcoma has only been reported in case reports and case series. Read More

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November 2018
1 Read

Ethnic Differences in Magnesium Intake in U.S. Older Adults: Findings from NHANES 2005⁻2016.

Nutrients 2018 Dec 4;10(12). Epub 2018 Dec 4.

Department of Epidemiology, Centre for Public Health, Medical University of Vienna, 1090 Vienna, Austria.

Magnesium plays a crucial role in hundreds of bodily processes relevant to aging, but consumption of dietary magnesium intake has been shown to be inadequate in a large proportion of older adults. Identifying groups at risk of low magnesium intake is important for informing targeted advice. Using data from the National Health and Nutrition Examination Survey (NHANES) 2005⁻2016, we examined the association between ethnicity (Caucasian/African American/Hispanic/other) and magnesium intake in a large representative sample of U. Read More

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December 2018

Disparities in 17-Hydroxyprogesterone Caproate Offer and Uptake in Pregnancies at a Risk of Preterm Birth.

Am J Perinatol 2018 Dec 3. Epub 2018 Dec 3.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts.

Objective:  To evaluate the offer, acceptance, uptake, and patient experience with 17-hydroxyprogesterone caproate (17OHP-C) over the course of 10 years.

Study Design:  This is a retrospective cohort study with a qualitative component. We identified all women with spontaneous preterm deliveries with subsequent births in our hospital between 2005 and 2015. Read More

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December 2018

The Food Parenting Inventory: Factor structure, reliability, and validity in a low-income, Latina sample.

Appetite 2018 Nov 30. Epub 2018 Nov 30.

USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, 1100 Bates, Houston, TX, 77030-2600, USA. Electronic address:

Currently, a number of questionnaires exist assessing a wide range of food parenting practices with young children. In 2016, a concept map covering three food parenting domains-coercive control, parental structure, and autonomy support-was published along with a critical review of the literature. Mapping existing food parenting questionnaires onto these concepts showed that the major focus had been on coercive control. Read More

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November 2018

Screening initiation with FIT or colonoscopy: Post-hoc analysis of a pragmatic, randomized trial.

Prev Med 2018 Dec 1;118:332-335. Epub 2018 Dec 1.

Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX, United States of America; Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, United States of America; Harold C. Simmons Comprehensive Cancer Center, Dallas, TX, United States of America; Department of Medicine, UC San Diego Medical Center, San Diego, CA, United States of America; Veterans Affairs San Diego Healthcare System, San Diego, CA, United States of America.

Screening with FIT or colonoscopy can reduce CRC mortality. In our pragmatic, randomized trial of screening outreach over three years, patients annually received mailed FITs or colonoscopy invitations. We examined screening initiation after each mailing and crossover from the invited to other modality. Read More

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December 2018

Women's Reproductive History and Pre-Clinical Peripheral Arterial Disease in Late Life: The San Diego Population Study.

J Womens Health (Larchmt) 2018 Dec 1. Epub 2018 Dec 1.

5 Premier Applied Sciences, Premier, Inc., Charlotte, North Carolina.

Objective: Reproductive events have been linked with increased cardiovascular risk in women, but whether they are associated with pre-clinical peripheral arterial disease (PAD) has been understudied. We evaluated associations between reproductive factors and later-life ankle-brachial index (ABI), femoral artery intima-media thickness (fIMT), and femoral plaques.

Methods: Cross-sectional analysis of 707 multiethnic women who participated in a follow-up exam of the San Diego Population Study in 2007-2011. Read More

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December 2018