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Prenatal Oral Health for Black Women.

INTRODUCTION: Prenatal oral care is a huge concern due to hormonal changes women undergo during pregnancy, during which pregnant women becom … ant Black women and dental health care providers with oral health knowledge, oral health practices, insurance, and dental visits. Additionally, it offers perspectives of health care providers and minority pregnant women on how improvements to their dental care and hygiene can be enhanced. METHOD: A purposive sample of 10 participants, including five prenat …

Understanding Failure to Rescue in Geriatric Trauma: A National Analysis of Predictors and Outcomes.

BACKGROUND: Failure to rescue (FTR), defined as mortality following major complications, has become a critical quality metric across medical … ic and clinical variables, including Injury Severity Score (ISS), Modified Frailty Index (mFI), and insurance status, were analyzed. Trauma center level and temporal trends in FTR rates were also assessed. RESULTS: Among 13,744 patients with major complications, the overall FTR rate was 44.5%, with rates increasing annually from 41.8% in 2017 to 47.2% in 2 …

Gender-affirming facial surgery in racially, ethnically, and socioeconomically diverse individuals: Variations and consistencies in procedures and outcomes in a large cohort.

BACKGROUND: Gender-affirming facial surgery (GAFS) is an integral part of the gender-affirming care continuum, but access to surgery is limited, and only 7% of transgender women have undergone GAFS. The intersection of race/ethnicity and insurance coverage significantly impacts access to GAFS. Many insurance plans exclude GAFS, and a vast majority of GAFS operations in the United States have been performed on White patients. Accordingly, there are limited data on GAFS in diverse individuals. METHODS: A retrospective chart review identified transgender women who underwent GAFS at the Universit…

Real-World Adherence to Biologic Therapy for Severe Asthma in Children.

BACKGROUND: Biologic medications improve asthma symptoms, spirometry, and exacerbation rates in patients with severe asthma. However, little … thod of administration (ie, home nursing, clinic, or independent), medication dosing frequency, and insurance was examined using multiple regression models. The effect of biologic therapy on asthma outcomes was analyzed using generalized linear regression models. RESULTS: Patients demonstrated 84% adherence to biologic therapies during the first 6 months o …

"Recover-But Not Too Much": Experiences of Weight-Centric Care and Weight Stigma in Higher Levels of Care for Eating Disorders.

OBJECTIVE: Patients with atypical anorexia (atypical AN) often require higher levels of care (HLOC). Paradoxically, elements of HLOC may neg … erged: (1) Difficulty with admission: patients reported difficulties obtaining diagnoses, accessing insurance approvals, and uncooperative providers, (2) Insufficient nutritional care: participants reported inadequate meal plans and weight restoration, (3) Unhelpful treatment interventions, milieu, and norms: patients reported activities centering thin clie …

Navigation Is Associated With Lower Revision Instrumentation Rates in Pediatric Scoliosis: A Retrospective Review of 15,917 Patients.

BACKGROUND: Navigation-assisted spine surgery has become widely used in adult patients with studies demonstrating improved outcomes. This remains poorly studied in pediatric patients. This study examines the impact of navigation on complication rates in pediatric idiopathic scoliosis surgery. METHODS: A national insurance database, Pearldiver, a national insurance database with claims from Medicare, private insurance, cash pay, and Medicaid Advantage, identified pediatric patients (<21 y old) with idiopathic scoliosis who underwent posterior spine fusion with ≥2 years of follow-up. Patients w…

Initial Treatment and Referral Patterns for Acute Facial Palsy: Insights From Emergency Department Practices.

OBJECTIVES: To investigate variations in Bell's Palsy treatment and referrals within the Emergency Department (ED), with a focus on sociodem … ients were more likely to undergo imaging (OR 1.04, p < 0.001). Patients with Medicare and Medicaid insurance were less likely to receive bimodal therapy (steroids with antivirals) compared to private insurance holders (OR 0.30, p < 0.001 and OR 0.49, p < 0.001, respectively). Residents and fellows were more likely to obtain specialty consults (OR 2.51, p < …

The association between healthcare access and shingles vaccination among older adults in Virginia, United States.

INTRODUCTION: Shingles is a debilitating vaccine preventable disease that poses a health threat to older adults. However, the uptake of shin … lance System (2018, 2019, and 2021). We calculated the prevalence of shingles vaccination by health insurance and access to primary health care provider (used as proxies for healthcare access) and in relation to the COVID-19 pandemic (pre vs during). Log binomial regression models were used to estimate prevalence ratios (PR), adjusting for confounders. RES …

Взгляды врачей на барьеры на пути лечения склероза в Объединенных Арабских Эмиратах: обзорное исследование.

ВВЕДЕНИЕ: Множественная склерозовая помощь в Объединенных Арабских Эмиратах сталкивается с рядом препятствий, влияющих на результаты лечения пациентов и медицинское обслуживание. Цель этого исследования состоит в том, чтобы выявить и проанализировать эти препятствия с точки зрения неюрологов. МЕТОДЫ: В феврале 2024, было проведено обследование, ориентированное на неврологов, участвующих в управлении множественным склерозом в Абу-Даби. Обследование включало в себя вопросы о демографических характеристиках, регулярно измеряемых клинических переменных, предполагаемых барьерах и факторах, способст

Совпадение в аннотации оригинала
INTRODUCTION: Multiple Sclerosis care in the United Arab Emirates faces several barriers impacting patient outcomes and healthcare delivery. … ngs (10, 47.6%). Significant barriers identified included the high cost of medications (11, 52.4%), insurance-related issues (10, 47.6%), and socioeconomic factors (9, 42.9%). Physician-related barriers, such as time constraints (8, 38.1%) and lack of specialist nursing support (4, 19.0%), were also prominent. System-related barriers included insurance prov …

Postoperative Surveillance Adherence in Colorectal Cancer Patients at Urban Medical Centers: Is It Adequate?

Introduction Colorectal cancer (CRC) is among the most frequent cancers in the United States. There are recognized guidelines for monitoring … le, 56.5%; female, 43.5%), 109 (87.9%) were African Americans, and 70 (56.5%) had Medicare/Medicaid insurance. Overall, appropriate clinical evaluation twice per year for three years following surgery was completed in 78 patients (63%). A total of 56 patients (45%) had carcinoembryonic antigen (CEA) levels checked twice a year for three years. Surveillance …

Prevalence and Associated Factors of Fluoride Varnish Application.

OBJECTIVES: To determine rates of fluoride varnish (FV) application at a tertiary care center between 2018 and 2021 and factors associated w … able results for 788 patients identified "Black, Hispanic, or other" race and ethnicity or Medicaid insurance type as factors positively associated with receipt of medical FV. DISCUSSION: This study showed an increase in FV application rates, which may be attributed to a quality improvement project and provider advocates. The prevalence was low and analyse …

Etiological, sociodemographic and clinical characteristics of sexually transmitted infections and M. genitalium resistance in Shenzhen: a multicenter cross-sectional study in China.

INTRODUCTION: This study aims to determine the etiological, sociodemographic, and clinical characteristics of STIs, and the level of resista … education level was associated with increased detection of C. trachomatis, HSV-2 and M. hominis. No insurance coverage was an independent risk factor for T. vaginalis, M. hominis and U. parvum positivity. Three resistance-determining regions related to macrolide and fluoroquinolone were sequenced in 154 M. genitalium positive samples, among which 90.3% harb …

Anatomic Total Shoulder: Predictors of Excellent Outcomes at Five Years after Arthroplasty.

PURPOSE: The objectives of this study were to: report minimum 5-year outcomes in patients undergoing TSA and determine characteristics predi … 1.70-7.31; p < 0.001) and %MPI ≥ 66.7 (OR 2.27, 95% CI 1.11-4.81, p = 0.027). Workers' Compensation insurance was predictive of not obtaining SST ≥ 10 (OR 0.12, 95% 0.02-0.60; p = 0.016) or %MPI ≥ 66.7 (OR 0.16, 95% CI 0.03-0.77, p = 0.025). MCID was passed by the vast majority (95%) of patients undergoing TSA and did not necessarily indicate an excellent, …

Risk factors for hospitalization in subspecialty patients with severe persistent asthma.

BACKGROUND AND OBJECTIVES: Children with severe persistent asthma managed by subspecialists represent a unique patient population. The facto … ed 244 unique patients with 487 pulmonary clinic visits. Of these, 56 % were black, 58 % had public insurance, and 32 % had a history of ICU admission for asthma. In the 12 months following a clinic visit, 84 (34 %) patients had an ED visit, and 46 (19 %) had at least one hospitalization. Secondhand smoke exposure (OR 2.74, 95 % CI 1.16-6.45), public insura …

Understanding Primary Care Physician Perspectives on the Diagnosis and Management of Non-Alcoholic Fatty Liver Disease: A Qualitative Study.

Primary care physicians (PCPs) are well suited to manage patients with non-alcoholic fatty liver disease (NAFLD), but the limited, existing … ience (1.5-30 years). We found variations in NAFLD diagnosis and management across practices and by insurance status. Patients with abnormal liver imaging who had insurance or were within a safety-net healthcare system were referred by PCPs to specialists. Uninsured patients with persistently elevated liver enzymes received lifestyle recommendations from PC …

Integration and usability of a digital cancer risk stratification tool to optimize identification of patients at risk for hereditary cancers: A pilot study.

BACKGROUND: Patients with a personal or family history of cancer may have elevated risk of developing future cancers, which often remains un … mpted to complete the risk stratification tool; 93 (72%) completed the tool. Race and ethnicity and insurance type were not associated with tool completion. The median System Usability Scale score was 83 out of 100 (interquartile range, 60-95). Health literacy positively correlated with perceived usability. Public insurance and race or ethnicity other than …

Economic hardships during COVID-19 and maternal mental health: Combining samples with low incomes across three cities.

The COVID-19 pandemic increased maternal depression and anxiety, imperiling both mothers' own wellbeing and that of their children. To date, however, little is known about the extent to which these increases are attributable to economic hardships commonly experienced during the pandemic: income loss, job loss, and loss of health insurance. Few studies have examined the individual impacts of these hardships, and none have lasted beyond the first year of the pandemic. This study harmonizes data from six evaluations of pediatric-based parenting programs for women with young children and low incom…

Health Disparities in Exercise Performance in Patients with Repaired Tetralogy of Fallot.

Black patients with tetralogy of Fallot (TOF) have higher mortality than White patients. Health disparities related to other patient-importa … termine if race was associated with exercise performance. We used mediation analysis to investigate insurance coverage and neighborhood Child Opportunity Index as possible mediators of this relationship. The study cohort included 163 patients with TOF (136 non-Hispanic/Latinx White and 27 non-Hispanic/Latinx Black). In multivariable analysis, Black patients …

Japanese clinical practice patterns of rituximab treatment for minimal change disease in adults 2021: A web-based questionnaire survey of certified nephrologists.

BACKGROUND: In Japan, rituximab (RTX) for adult-onset frequently relapsing (FR)/steroid-dependent (SD) minimal change disease (MCD) is not explicitly reimbursed by insurance, and its standard regimen has not been established. METHODS: We conducted a cross-sectional web-based survey between November and December 2021. The participants were nephrologists certified by the Japanese Society of Nephrology and answered 7 items about RTX for adult MCD. Factors related to the experience of RTX administration at their facilities were estimated by generalized estimating equations. RESULTS: Of 380 respo…

Impact of patient demographics and neighborhood socioeconomic variables on clinical trial participation patterns for NHL.

Prior studies have demonstrated that certain populations including older patients, racial/ethnic minority groups, and women are underreprese … ecember 2020. The study cohort was predominantly male and non-Hispanic White (NHW). The most common insurance types were private insurance and Medicare; only 1.1% of patients had Medicaid. There was a high overall participation rate of 30.5%, with 20.9% enrolled in therapeutic trials. In univariate analyses, lower participation rates were associated with lo …