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Evaluation of a Quality Improvement (QI) Intervention for Maternal, Newborn, and Child Health (MNCH) in Colombia: The Mil Días Intervention of SINERGIAS in the Department of Bolívar
Initiated in 2012, the Mejoramiento de la calidad de la atención a gestantes, niñas y niños en sus primeros mil días (Mil Días) intervention is a strategy for quality improvement (QI) of maternal, child, and newborn health (MNCH) across 6 departments of Colombia. In the department of Bolívar, Mil Días is implemented in 25 ...
Demographic, Physical, and Behavioral Characteristics Associated with TV Parenting Practices Among Latino Parents of Preschool Children
Introduction: Latino children are disproportionately affected by obesity. Television (TV) viewing is linked with childhood obesity, decreased physical activity levels, and increased sedentary time. Valkenburg’s TV Parenting Practices (TVPP) scale characterizes parental mediation of children’s TV viewing. This study assesses ...
Implementation science to expand an mHealth intervention for improving retention in care for women living with HIV and their children
Introduction: The multi-step cascade of care for prevention of mother-to-child HIV transmission (PMTCT) paves the way to potentially eliminating mother-to-child HIV transmission; yet, it also lays the foundation for attrition and disengagement from care, increasing the risk of morbidity and mortality for both mother and child. ...
Primary Care Provider Approaches and Perceptions to Preventive Health Delivery: A Qualitative Study
University of Washington Abstract Primary Care Provider Approaches and Perceptions to Preventive Health Delivery: A Qualitative Study Hemalatha Murugan Chair of the Supervisory Committee: Professor Clarence Spigner Department of Health Services Background: How best to deliver preventive health in primary care continues to be ...
The influence of multimorbidity on hospital, intensive care, and emergency department use at the end of life for patients with chronic conditions
Abstract Background: Multimorbidity, defined as 3 or more co-existing conditions, poses unique challenges for patients, providers, and the health care system overall. These challenges include accurate prediction of prognosis, delivery of appropriate care and provision of coordinated care. An understanding of the impact of ...
Continuity of care in older adults with multiple chronic conditions
Nearly three out of four people over 65 years of age in the United States (U.S.), or greater than 35 million older adults, have two or more chronic conditions. People with multiple chronic conditions (MCCs) pose a significant challenge to the health care system because they are at greater risk for morbidity and mortality, ...
Non-invasive diagnosis of pediatric tuberculosis
Pulmonary tuberculosis (TB) is typically diagnosed by analysis of sputum samples. Sputum is a reliable specimen for TB diagnosis, but it has limitations. Requiring ill patients to cough up sputum can put health care workers at risk. The viscosity of sputum makes it difficult to work with. There are also patients, such as young ...
Prioritizing research: the use of risk prediction, value of information analyses, and portfolio evaluation to improve public investments in cancer clinical trials
Background: Fewer than half of all medical interventions in use today are supported by clinical evidence. Despite allocating more than $11 billion each year to support clinical research, federal funding for medical research lacks a coordinated system for prioritizing and allocating resources to efficiently address these ...
Effect of Depression and Substance Abuse on Antiretroviral Therapy (ART) Adherence in Men Who Have Sex With Men (MSM) of Mexican Descent on the US-Mexico Border
Latinos in the United States bear a disproportionate burden of HIV, suffering a three-fold incidence as compared to Non-Latino Whites (NLWs). People living with HIV (PLHIV) experience high levels of depression, which has been associated with antiretroviral therapy (ART) non-adherence in several meta-analyses; however, the ...
“Dismissingness always matters”: An examination of tobacco smoking, frequency of visits to healthcare providers, and trust in the provider as potential mediators between attachment style dismissingness and diabetes health status
Background: Attachment theory describes highly stable patterns of responses to threats, known as attachment styles, that previous research indicates affect diabetes health outcomes differentially. Multiple studies reported associations between the dismissing attachment style and worse diabetes health outcomes (e.g., increased ...