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- Title:
- Surveillance Metrics of SARS-CoV-2 Transmission in Central Asia: Longitudinal Trend Analysis
- Original Bibliographic Citation:
- Post LA, Benishay ET, Moss CB, Murphy RL, Achenbach CJ, Ison MG, Resnick D, Singh LN, White J, Chaudhury AS, Boctor MJ, Welch SB, Oehmke JF. Surveillance Metrics of SARS-CoV-2 Transmission in Central Asia: Longitudinal Trend Analysis. Journal of Medical Internet Research. 2021;23(2):15.
- Abstract:
- Background: SARS-CoV-2, the virus that caused the global COVID-19 pandemic, has severely impacted Central Asia; in spring 2020, high numbers of cases and deaths were reported in this region. The second wave of the COVID-19 pandemic is currently breaching the borders of Central Asia. Public health surveillance is necessary to inform policy and guide leaders; however, existing surveillance explains past transmissions while obscuring shifts in the pandemic, increases in infection rates, and the persistence of the transmission of COVID-19. Objective: The goal of this study is to provide enhanced surveillance metrics for SARS-CoV-2 transmission that account for weekly shifts in the pandemic, including speed, acceleration, jerk, and persistence, to better understand the risk of explosive growth in each country and which countries are managing the pandemic successfully. Methods: Using a longitudinal trend analysis study design, we extracted 60 days of COVID-19-related data from public health registries. We used an empirical difference equation to measure the daily number of cases in the Central Asia region as a function of the prior number of cases, level of testing, and weekly shift variables based on a dynamic panel model that was estimated using the generalized method of moments approach by implementing the Arellano-Bond estimator in R. Results: COVID-19 transmission rates were tracked for the weeks of September 30 to October 6 and October 7-13, 2020, in Central Asia. The region averaged 11,730 new cases per day for the first week and 14,514 for the second week. Infection rates increased across the region from 4.74 per 100,000 persons to 5.66. Russia and Turkey had the highest 7-day moving averages in the region, with 9836 and 1469, respectively, for the week of October 6 and 12,501 and 1603, respectively, for the week of October 13. Russia has the fourth highest speed in the region and continues to have positive acceleration, driving the negative trend for the entire region as the largest country by population. Armenia is experiencing explosive growth of COVID-19; its infection rate of 13.73 for the week of October 6 quickly jumped to 25.19, the highest in the region, the following week. The region overall is experiencing increases in its 7-day moving average of new cases, infection, rate, and speed, with continued positive acceleration and no sign of a reversal in sight. Conclusions: The rapidly evolving COVID-19 pandemic requires novel dynamic surveillance metrics in addition to static metrics to effectively analyze the pandemic trajectory and control spread. Policy makers need to know the magnitude of transmission rates, how quickly they are accelerating, and how previous cases are impacting current caseload due to a lag effect. These metrics applied to Central Asia suggest that the region is trending negatively, primarily due to minimal restrictions in Russia.
- Keyword:
- SARS-CoV-2 surveillance, second wave, wave two, global COVID-19 surveillance, Central Asia public health surveillance, Central Asia COVID-19, Central Asia surveillance metrics, dynamic panel data, generalized method of moments, Central Asia econometrics, Central Asia SARS-CoV-2, Central Asia COVID-19 surveillance system, Central Asia COVID-19 transmission speed, Central Asia COVID transmission acceleration, COVID-19 transmission deceleration, COVID-19 transmission jerk, COVID-19 7-day lag, SARS-CoV-2, Arellano-Bond estimator, GMM, COVID-19, surveillance, longitudinal, trend, trend analysis, monitoring, public health, infectious disease, transmission, risk, management, policy, prevention
- Subject: MESH:
- SARS-CoV-2, COVID-19, Public Health Surveillance, Longitudinal Studies, Models, Statistical, Data Interpretation, Statistical, Health Policy
- Subject: Geographic Name:
- Armenia, Azerbaijan, Cyprus, Faroe Islands, Georgia (Republic), Gibraltar, Kazakhstan, Kosovo (Republic), Kyrgyzstan, Macedonia (Republic), Russia, Tajikistan, Turkmenistan, Uzbekistan, Turkey
- Creator:
- Post, Lori Ann, Benishay, Elana Tori, Moss, Charles B, Murphy, Robert Leo, Achenbach, Chad J, Ison, Michael G, Resnick, Danielle, Singh, Lauren Nadya, White, Janine Inui, Chaudhury, Azraa Sofia, Boctor, Michael Jacob, Welch, Sarah, Oehmke, James Francis
- Publisher:
- JMIR PUBLICATIONS, INC
- Language:
- English
- Date Created:
- 2021-02-03
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Article
- Original Identifier:
- (PMID) 33475513
- Title:
- SARS-CoV-2 Surveillance System in Canada: Longitudinal Trend Analysis
- Original Bibliographic Citation:
- Post L, Boctor MJ, Issa TZ, Moss CB, Murphy RL, Achenbach CJ, Ison MG, Resnick D, Singh L, White J, Welch SB, Oehmke JF. SARS-CoV-2 Surveillance System in Canada: Longitudinal Trend Analysis. Jmir Public Health and Surveillance. 2021;7(5):11.
- Abstract:
- Background: The COVID-19 global pandemic has disrupted structures and communities across the globe. Numerous regions of the world have had varying responses in their attempts to contain the spread of the virus. Factors such as public health policies, governance, and sociopolitical climate have led to differential levels of success at controlling the spread of SARS-CoV-2. Ultimately, a more advanced surveillance metric for COVID-19 transmission is necessary to help government systems and national leaders understand which responses have been effective and gauge where outbreaks occur. Objective: The goal of this study is to provide advanced COVID-19 surveillance metrics for Canada at the country, province, and territory level that account for shifts in the pandemic including speed, acceleration, jerk, and persistence. Enhanced surveillance identifies risks for explosive growth and regions that have controlled outbreaks successfully. Methods: Using a longitudinal trend analysis study design, we extracted 62 days of COVID-19 data from Canadian public health registries for 13 provinces and territories. We used an empirical difference equation to measure the daily number of cases in Canada as a function of the prior number of cases, the level of testing, and weekly shift variables based on a dynamic panel model that was estimated using the generalized method of moments approach by implementing the Arellano-Bond estimator in R. Results: We compare the week of February 7-13, 2021, with the week of February 14-20, 2021. Canada, as a whole, had a decrease in speed from 8.4 daily new cases per 100,000 population to 7.5 daily new cases per 100,000 population. The persistence of new cases during the week of February 14-20 reported 7.5 cases that are a result of COVID-19 transmissions 7 days earlier. The two most populous provinces of Ontario and Quebec both experienced decreases in speed from 7.9 and 11.5 daily new cases per 100,000 population for the week of February 7-13 to speeds of 6.9 and 9.3 for the week of February 14-20, respectively. Nunavut experienced a significant increase in speed during this time, from 3.3 daily new cases per 100,000 population to 10.9 daily new cases per 100,000 population. Conclusions: Canada excelled at COVID-19 control early on in the pandemic, especially during the first COVID-19 shutdown. The second wave at the end of 2020 resulted in a resurgence of the outbreak, which has since been controlled. Enhanced surveillance identifies outbreaks and where there is the potential for explosive growth, which informs proactive health policy.
- Keyword:
- global COVID surveillance, COVID-19, COVID-21, new COVID strains, Canada Public Health Surveillance, Great COVID Shutdown, Canadian COVID-19, surveillance metrics, wave 2 Canada COVID-19, dynamic panel data, generalized method of the moments, Canadian econometrics, Canada SARS-CoV-2, Canadian COVID-19 surveillance system, Canadian COVID transmission speed, Canadian COVID transmission acceleration, COVID transmission deceleration, COVID transmission jerk, COVID 7-day lag
- Subject: MESH:
- SARS-CoV-2, COVID-19, Public Health Surveillance, Longitudinal Studies, Models, Statistical, Data Interpretation, Statistical
- Subject: Geographic Name:
- Canada, Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Nunavut, Ontario, Prince Edward Island, Quebec (Province), Saskatchewan, Yukon
- Creator:
- Post, Lori Ann, Boctor, Michael Jacob, Issa, Tariq Ziad, Moss, Charles B, Murphy, Robert Leo, Achenbach, Chad J, Ison, Michael G, Resnick, Danielle, Singh, Lauren, White, Janine Inui, Welch, Sarah, Oehmke, James Francis
- Publisher:
- JMIR PUBLICATIONS, INC
- Language:
- English
- Date Created:
- 2021-05
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Article
- Original Identifier:
- (PMID) 33852410
- Title:
- A SARS-CoV-2 Surveillance System in Sub-Saharan Africa: Modeling Study for Persistence and Transmission to Inform Policy
- Original Bibliographic Citation:
- Post LA, Argaw ST, Jones C, Moss CB, Resnick D, Singh LN, Murphy RL, Achenbach CJ, White J, Issa TZ, Boctor MJ, Oehmke JF. A SARS-CoV-2 Surveillance System in Sub-Saharan Africa: Modeling Study for Persistence and Transmission to Inform Policy. Journal of Medical Internet Research. 2020;22(11):18.
- Abstract:
- Background: Since the novel coronavirus emerged in late 2019, the scientific and public health community around the world have sought to better understand, surveil, treat, and prevent the disease, COVID-19. In sub-Saharan Africa (SSA), many countries responded aggressively and decisively with lockdown measures and border closures. Such actions may have helped prevent large outbreaks throughout much of the region, though there is substantial variation in caseloads and mortality between nations. Additionally, the health system infrastructure remains a concern throughout much of SSA, and the lockdown measures threaten to increase poverty and food insecurity for the subcontinent's poorest residents. The lack of sufficient testing, asymptomatic infections, and poor reporting practices in many countries limit our understanding of the virus's impact, creating a need for better and more accurate surveillance metrics that account for under-reporting and data contamination. Objective: The goal of this study is to improve infectious disease surveillance by complementing standardized metrics with new and decomposable surveillance metrics of COVID-19 that overcome data limitations and contamination inherent in public health surveillance systems. In addition to prevalence of observed daily and cumulative testing, testing positivity rates, morbidity, and mortality, we derived COVID-19 transmission in terms of speed, acceleration or deceleration, change in acceleration or deceleration (jerk), and 7-day transmission rate persistence, which explains where and how rapidly COVID-19 is transmitting and quantifies shifts in the rate of acceleration or deceleration to inform policies to mitigate and prevent COVID-19 and food insecurity in SSA. Methods: We extracted 60 days of COVID-19 data from public health registries and employed an empirical difference equation to measure daily case numbers in 47 sub-Saharan countries as a function of the prior number of cases, the level of testing, and weekly shift variables based on a dynamic panel model that was estimated using the generalized method of moments approach by implementing the Arellano-Bond estimator in R. Results: Kenya, Ghana, Nigeria, Ethiopia, and South Africa have the most observed cases of COVID-19, and the Seychelles, Eritrea, Mauritius, Comoros, and Burundi have the fewest. In contrast, the speed, acceleration, jerk, and 7-day persistence indicate rates of COVID-19 transmissions differ from observed cases. In September 2020, Cape Verde, Namibia, Eswatini, and South Africa had the highest speed of COVID-19 transmissions at 13.1, 7.1, 3.6, and 3 infections per 100,0000, respectively; Zimbabwe had an acceleration rate of transmission, while Zambia had the largest rate of deceleration this week compared to last week, referred to as ajerk. Finally, the 7-day persistence rate indicates the number of cases on September 15, 2020, which are a function of new infections from September 8, 2020, decreased in South Africa from 216.7 to 173.2 and Ethiopia from 136.7 to 106.3 per 100,000. The statistical approach was validated based on the regression results; they determined recent changes in the pattern of infection, and during the weeks of September 1-8 and September 9-15, there were substantial country differences in the evolution of the SSA pandemic. This change represents a decrease in the transmission model R value for that week and is consistent with a de-escalation in the pandemic for the sub-Saharan African continent in general. Conclusions: Standard surveillance metrics such as daily observed new COVID-19 cases or deaths are necessary but insufficient to mitigate and prevent COVID-19 transmission. Public health leaders also need to know where COVID-19 transmission rates are accelerating or decelerating, whether those rates increase or decrease over short time frames because the pandemic can quickly escalate, and how many cases today are a function of new infections 7 days ago. Even though SSA is home to some of the poorest countries in the world, development and population size are not necessarily predictive of COVID-19 transmission, meaning higher income countries like the United States can learn from African countries on how best to implement mitigation and prevention efforts.
- Keyword:
- global COVID-19 surveillance, African public health surveillance, sub-Saharan African COVID-19, African surveillance metrics, dynamic panel data, generalized method of the moments, African econometrics, African SARS-CoV-2, African COVID-19 surveillance system, African COVID-19 transmission speed, African COVID-19 transmission acceleration, COVID-19 transmission deceleration, COVID-19 transmission jerk, COVID-19 7-day persistence, Sao Tome and Principe, Senegal, Seychelles, Sierra Leone, Somalia, South Africa, South Sudan, Sudan, Suriname, Swaziland, Tanzania, Togo, Uganda, Zambia, Zimbabwe, Gambia, Ghana, Guinea, Guinea-Bissau, Kenya, Lesotho, Liberia, Madagascar, Malawi, Mali, Mauritania, Mauritius, Mozambique, Namibia, Niger, Nigeria, Rwanda, Angola, Benin, Botswana, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Comoros, Congo, Cote d'Ivoire, Democratic Republic of Congo, Equatorial Guinea, Eritrea, Ethiopia, Gabon
- Subject: MESH:
- SARS-CoV-2, Public Health Surveillance, Disease Transmission, Infectious, COVID-19
- Subject: LCSH:
- COVID-19 (Disease), Public health surveillance, Virus diseases--Transmission
- Subject: Geographic Name:
- Africa, Sub-Saharan
- Creator:
- Post, Lori Ann, Argaw, Salem Tibebe, Jones, Cameron Spencer, Moss, Charles B., Resnick, Danielle, Singh, Lauren Nadya, Murphy, Robert Leo, Achenbach, Chad J, White, Janine Inui, Issa, Tariq Ziad, Boctor, Michael Jacob, Oehmke, James Francis
- Publisher:
- JMIR PUBLICATIONS, INC
- Language:
- English
- Date Created:
- 2020-11-19
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Article
- Original Identifier:
- (PMID) 33211026
- Title:
- SARS-CoV-2 Surveillance in the Middle East and North Africa: Longitudinal Trend Analysis
- Original Bibliographic Citation:
- Post L, Marogi E, Moss CB, Murphy RL, Ison MG, Achenbach CJ, Resnick D, Singh L, White J, Boctor MJ, Welch SB, Oehmke JF. SARS-CoV-2 Surveillance in the Middle East and North Africa: Longitudinal Trend Analysis. Journal of Medical Internet Research. 2021;23(1):11.
- Abstract:
- Background: The COVID-19 pandemic has disrupted the lives of millions and forced countries to devise public health policies to reduce the pace of transmission. In the Middle East and North Africa (MENA), falling oil prices, disparities in wealth and public health infrastructure, and large refugee populations have significantly increased the disease burden of COVID-19. In light of these exacerbating factors, public health surveillance is particularly necessary to help leaders understand and implement effective disease control policies to reduce SARS-CoV-2 persistence and transmission. Objective: The goal of this study is to provide advanced surveillance metrics, in combination with traditional surveillance, for COVID-19 transmission that account for weekly shifts in the pandemic speed, acceleration, jerk, and persistence to better understand a country's risk for explosive growth and to better inform those who are managing the pandemic. Existing surveillance coupled with our dynamic metrics of transmission will inform health policy to control the COVID-19 pandemic until an effective vaccine is developed. Methods: Using a longitudinal trend analysis study design, we extracted 30 days of COVID-19 data from public health registries. We used an empirical difference equation to measure the daily number of cases in MENA as a function of the prior number of cases, the level of testing, and weekly shift variables based on a dynamic panel data model that was estimated using the generalized method of moments approach by implementing the Arellano-Bond estimator in R. Results: The regression Wald statistic was significant (chi(2)(5)=859.5, P<.001). The Sargan test was not significant, failing to reject the validity of overidentifying restrictions (chi(2)(294)=16, P=.99). Countries with the highest cumulative caseload of the novel coronavirus include Iran, Iraq, Saudi Arabia, and Israel with 530,380, 426,634, 342,202, and 303,109 cases, respectively. Many of the smaller countries in MENA have higher infection rates than those countries with the highest caseloads. Oman has 33.3 new infections per 100,000 population while Bahrain has 12.1, Libya has 14, and Lebanon has 14.6 per 100,000 people. In order of largest to smallest number of cumulative deaths since January 2020, Iran, Iraq, Egypt, and Saudi Arabia have 30,375, 10,254, 6120, and 5185, respectively. Israel, Bahrain, Lebanon, and Oman had the highest rates of COVID-19 persistence, which is the number of new infections statistically related to new infections in the prior week. Bahrain had positive speed, acceleration, and jerk, signaling the potential for explosive growth. Conclusions: Static and dynamic public health surveillance metrics provide a more complete picture of pandemic progression across countries in MENA. Static measures capture data at a given point in time such as infection rates and death rates. By including speed, acceleration, jerk, and 7-day persistence, public health officials may design policies with an eye to the future. Iran, Iraq, Saudi Arabia, and Israel all demonstrated the highest rate of infections, acceleration, jerk, and 7-day persistence, prompting public health leaders to increase prevention efforts.
- Keyword:
- COVID-19, SARS-CoV-2 surveillance, wave two, second wave, global COVID-19 surveillance, MENA public health surveillance, MENA COVID-19, Middle East and North Africa surveillance metrics, dynamic panel data, MENA econometrics, MENA SARS-CoV-2, Middle East and North Africa COVID-19 surveillance system, MENA COVID-19 transmission speed, MENA COVID-19 transmission acceleration, COVID-19 transmission deceleration, COVID-19 transmission jerk, COVID-19 7-day lag, SARS-CoV-2, Arellano-Bond estimator, generalized method of moments, GMM, Bahrain, Iran, Iraq, Israel, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, Syria, United Arab Emirates, Yemen, Algeria, Djibouti, Egypt, Libya, Morocco, Tunisia
- Subject: MESH:
- SARS-CoV-2, Disease Transmission, Infectious , Health Policy, COVID-19
- Subject: LCSH:
- COVID-19 (Disease), Communicable diseases--Transmission, Medical policy
- Subject: Geographic Name:
- Middle East, Africa, North
- Creator:
- Post, Lori Ann, Marogi, Emily Philip, Moss, Charles B., Murphy, Robert Leo, Ison, Michael G, Achenbach, Chad J, Resnick, Danielle, Singh, Lauren, White, Janine Inui, Boctor, Michael Jacob, Welch, Sarah, Oehmke, James Francis
- Publisher:
- JMIR PUBLICATIONS, INC
- Language:
- English
- Date Created:
- 2021-01-15
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Article
- Original Identifier:
- (PMID) 33302252
- Title:
- Local Informal Network Support and Shared Expertise: the 20-year experience of CAMA
- Description:
- Lightning talk presentation made during the virtual SLA Midwest Symposium on June 10, 2022 about CAMA (Chicago Area Medical Archivists), including milestones from its 20 year history. / Presentation also made on-site (with minor updates) during the Midwest/Medical Library Association meeting on October 24, 2022 under the alternate title: "20 Years of Local Informal Network Support and Shared Expertise: Chicago Area Medical Archivists (CAMA)".
- Abstract:
- The Illinois group, Chicago Area Medical Archivists (CAMA) is an informal group, based in the greater Chicagoland area, that was formed in 2002. As an informal network of colleagues, CAMA has provided support for both novice and experienced information professionals charged with organizing their institutions archives or answering internal and external medical history questions, often in addition to other duties. As an informal, open membership group of librarians, archivists, healthcare professionals, and others interested in Chicago area medical history, CAMA complements other professional membership organizations. Members work at various health and clinical specialty associations, academic medical centers, universities, hospitals, and are local historians as well as independent researchers. This presentation, updating and expanding on a poster first presented in 2019 at the Health Science Librarians of Illinois conference *, spotlighted some of the more measurable milestones of the group, such as its long-standing annual medical history symposia. Examples were shared of ways the loosely structured network has been able to persist and thrive over the years, in providing concrete information support and a venue for its members of varied backgrounds who have shared their skills, knowledge, and expertise. Participation of CAMA members in the Chicago Collections Consortium was also highlighted. Could CAMA be useful to special librarians and could its model work for other information groups? Perhaps this presentation will provide some ideas or inspiration.
- Keyword:
- networking, CAMA, Chicago Area Medical Archivists, Health sciences, SLA, Midwest Chapter/ Medical Library Association
- Subject: MESH:
- Libraries, Medical, History of Medicine, History of Nursing
- Subject: LCSH:
- Librarians, Archivists, Libraries, Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Kubilius, Ramune K., Keller Young, Megan
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2022-05-19
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Presentation
- Title:
- Maturity Model Overview for AMIA Summit 2022
- Keyword:
- Maturity, Maturity models
- Subject: MESH:
- Strategic Planning
- Creator:
- Starren, Justin B
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2022-05-23
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Presentation
- Title:
- Global Health Quality Improvement Educational Resources
- Keyword:
- quality improvement , global health education
- Subject: MESH:
- Global Health, Quality of Health Care, Education, Distance
- Creator:
- Visek, Caitlin Anne
- Contributor:
- Doobay-Persaud, Ashti
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Other
- Title:
- Quality Improvement for the Global Health Trainee
- Keyword:
- quality improvement , global health education
- Subject: MESH:
- Global Health, Quality of Health Care
- Creator:
- Visek, Caitlin Anne
- Contributor:
- Doobay-Persaud, Ashti
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Other
- Title:
- 2021-2022 Series 09 NUCATS Articulating your Mentoring Philosophy and Plan
- Description:
- Presentation discusses the different between a mentoring plan and mentoring philosophy, the "how's" and "why's" of mentoring, and creating a mentoring philosophy that is unique to you. This presentation was highly interactive leaving time for participants to reflect and write on their own throughout.
- Keyword:
- NUCATS, Mentoring, Mentoring Philosophy, Mentoring Plan
- Subject: MESH:
- Mentoring
- Creator:
- Goodman, Adam
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2022-06-09
- Rights:
- http://creativecommons.org/licenses/by-nc/3.0/us/
- Resource Type:
- Presentation
- Title:
- Sustainable Agriculture and Natural Resource Management in Sub-Saharan Africa for Climate Change Resilience
- Abstract:
- Climate change repercussions in Sub-Saharan Africa are permeating both natural and human systems in numerous ways. This paper therefore seeks to identify (1) sustainable agricultural policies and (2) natural resource management policies that would improve climate change resilience in Sub-Saharan Africa. It adopts a multi-goal policy analysis approach. The literature review on policy formulation and implementation revealed several themes, such as complex relationships between actors, disjointed policy implementations, and a one-size-fits-all approach. Furthermore, the policy analysis reveals that national policy for alternative agriculture, green economy, and agricultural and environmental schemes have different predicted outcomes in their implementations as climate change resilience strategies in Sub-Saharan Africa. Concerning agricultural policies that would enhance climate change resilience in Sub-Saharan Africa, alternative agricultural practices include dependence on recycled and green practices, animal manure, and localized and friendly land tillage. The green economy entails layered agricultural systems and the cultivation of local plants, while agri-environmental schemes encompass practices such as organic farming and crop rotation. This paper recommends a combination of national policies for alternative agriculture, the green economy, and agri-environmental schemes to build climate change resilience in agriculture and natural resource management in Sub-Saharan Africa.
- Keyword:
- climate change, sustainability, agriculture, natural resources, Sub-Saharan Africa, national policy
- Subject: MESH:
- Climate Change, Natural Resources, Environmental Policy
- Subject: LCSH:
- Sustainable agriculture
- Subject: Geographic Name:
- Africa, Sub-Saharan
- Creator:
- Berbos, Emma
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2021-04-29
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Masters Thesis
- Title:
- Identifying mobile health technology experiences and preferences of low-income pregnant women with diabetes
- Abstract:
- BACKGROUND: Rapid expansion of mobile technology has resulted in the development of many mobile health ("mHealth") platforms for health monitoring and support. However, applicability, desirability, and tailoring of these platforms for pregnant women, particularly in populations who experience the greatest health inequitiessuch as women with diabetes mellitus (DM) and/or those with greater socioeconomic barriersremains unknown. The objective is to understand low-income pregnant women's experiences and preferences for mHealth tools to support pregnancy and improve DM self-management. METHODS: Low-income pregnant and postpartum women were included in individual interviews or focus groups; women with and without type 2 or gestational DM were included. Analysis was performed with the constant comparison method. RESULTS: In this population of 45 (N=37 with DM) low-income, largely minority, pregnant and postpartum women, 100% reported access to smartphones and prior experience with apps. Interest in mHealth to support health and engagement during pregnancy was high. Preferences for general mHealth features included education that reduces uncertainty, support communities, visualizing progress, convenient access to information, and support for better management of pregnancy-related tasks. Preferred design elements included personalization, interactive features, and integrated graphics. Women with DM expressed multiple additional DM-specific needs, including support tools for DM self-management and self-regulation tasks.
- Keyword:
- behavioral intervention, diabetes, mobile health, pregnancy, smartphone
- Subject: MESH:
- Diabetes Mellitus, Psychosocial Intervention, Pregnancy, Smartphone, Telemedicine
- Creator:
- Birch, Eleanor, Leziak, Karolina, Jackson, Jenise, Strohbach, Angelina, Niznik, Charlotte, Yee, Lynn M
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2021-04-12
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Masters Thesis
- Title:
- The Association Between Timely Access to Pediatric Appendicitis Care and Neighborhood Factors
- Abstract:
- BACKGROUND: Appendicitis is the most common acute pediatric surgical condition, with 30% of patients presenting as complicated. Complicated appendicitis may indicate a delay in seeking care, resulting in higher complication rates, longer lengths of stay and higher readmission rates compared to simple appendicitis and can serve as indicator for access to care. Although patient-level and neighborhood-level factors can affect timely access to care, the effect of neighborhood factors on access to pediatric surgical care remains poorly understood. We examined the association between neighborhood social determinants of health and the odds of presenting with complicated appendicitis and unplanned post-discharge healthcare utilization. METHODS: A retrospective, cohort study of pediatric patients with appendicitis between 2016-2018 were identified using the Pediatric Health Information System (PHIS) database. Neighborhood characteristics were captured using the Child Opportunity Index (COI), a validated, comprehensive measure of 29 neighborhood characteristics known to impact childrens health. Nationally-normalized COI measurements were divided into quintiles from very low to very high opportunity. Hierarchical logistic regression was used to model the odds of presenting with complicated appendicitis as a function of COI. Adjustments included age, sex, race/ethnicity and insurance. A similar model was assessed for unplanned healthcare utilization, including emergency department visits and readmissions. RESULTS: A total of 67,489 patients had appendicitis with 21,728 (32.2%) being complicated. Patients were 43.3% non-Hispanic white, 60.1% male, 47.8% publicly-insured, and predominantly aged 10-14 years (42.7%). Patients living in very low COI neighborhoods were 34% more likely to present with complicated appendicitis (OR 1.34, 95%CI 1.26, 1.42) compared to those in very high COI neighborhoods. There was no significant association between COI level and unplanned post-discharge healthcare utilization. CONCLUSIONS: Children living in lower COI neighborhoods had an increased risk of presenting with complicated appendicitis; however, neighborhood characteristics were not associated with unplanned healthcare utilization post-discharge. Given increased interest among health systems, public health organizations and third-party payers in mitigating the effects of disadvantaged neighborhood characteristics on health outcomes, these findings may inform policies and programs that seek to improve equitable outcomes in pediatric surgical care.
- Keyword:
- Social Determinants of Health, pediatric surgery, appendicitis, neighborhood
- Subject: MESH:
- Pediatrics, Appendicitis, Social Determinants of Health, Neighborhood Characteristics
- Creator:
- Bouchard, Megan E, Kan, Kristin, Tian, Yao, Casale, Mia, Smith, Tracie, DeBoer, Christopher, Linton, Samuel C, Abdullah, Fizan, Ghomrawi, Hassan
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2021-03-04
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Masters Thesis
- Title:
- Identifying Predictors of Long Length of Stay and Mortality for General Surgery Patients in Surgical Intensive Care Units: A Comparative Study
- Abstract:
- Objective: Approximately 5 million patients are admitted to intensive care units (ICUs) annually in the United States, with 500,000 of these patients dying per year during their admission. We aim to provide unadjusted rates of complications and mortality in a cohort of surgical ICU patients and to compare outcomes between a large, urban, academic referral center and community hospitals using a risk-adjusted model. Methods: We constructed a retrospective cohort of patients who underwent general surgery procedures and stayed in the surgical ICUs at Northwestern Memorial Hospital (NMH), Central DuPage Hospital (CDH), and Lake Forest Hospital (LFH) from March 2018-April 2021. Patients at the latter suburban community hospital sites were grouped. Patients treated at NMH versus CDH and LFH were compared using univariate analyses of complications and mortality and multivariable analyses adjusted for patient clinical and sociodemographic characteristics. Results: Univariate analysis demonstrated that an ICU stay at NMH was associated with higher rates of hyperglycemia (45.8% vs. 30.7%, p <0.001), malnutrition (33.3% vs. 20.5%, p<0.001), and wound infections (8.9% vs 4.9%, p = 0.03), but lower mortality rates (4.7% vs 8.8%, p = 0.006). BMI, ASA score, surgery type, and having subsequent procedures were the characteristics most commonly associated with adverse events. Multivariate analysis demonstrated that hospital site was not significantly associated with long length of stay (OR = 1.1 [0.60-2.03]) but being treated at CDH/LFH was associated with higher mortality (OR = 2.34 [1.16-4.73]). Discussion: These data provide baseline rates of adverse outcomes in a large cohort of surgical ICU patients, and show that mortality, but not length of stay, may differ between the surgical ICUs studied. Our results provide a foundation for future study of surgical ICU outcomes within the Northwestern Healthcare network and may be hypothesis-generating for additional research within this population.
- Keyword:
- intensive care unit, hospital, mortality
- Subject: MESH:
- Hospital Mortality, Intensive Care Units, Surgical Procedures, Operative, Length of Stay
- Subject: Geographic Name:
- Illinois--Northern
- Creator:
- Bushara, Omar
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2021-05-11
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Masters Thesis
- Title:
- Using Natural Language Processing to Identify and Classify Incidental Findings
- Abstract:
- Over the last few years there has been an explosion of deep learning research leading to quick development of very powerful algorithms that have found their way into every industry. There are a few major reasons why deep learning is particularly attractive for algorithm development. The algorithms can complete complex tasks with surprisingly high accuracy. Deep learning models, unlike machine learning models, automatically extract features that are important for the algorithms task. The deep learning community has established and open-sourced high quality feature extractors and classifier architectures with weights included for most data domains. Lung cancer is a major cause of morbidity and mortality in the US and globally. Lung cancers are conditions that include a silent phase during which intervention is highly effective, but patients are asymptomatic so there is no indication for an exam. It is common that patients with symptoms unrelated to a forming cancer get imaging to work-up their current illness. During these times an incidental nodule in the lungs may be captured and a radiologist may recommend a follow-up, but there are few mechanisms in place to ensure that these patients have their follow-up completed. As a point of quality control, NM would like to maximize the likelihood that a patient with an incidentally noted lung nodule with follow-up recommendations will receive appropriate follow-up. In order to meet this goal, we have developed an EHR ready artificial intelligence pipeline that identifies reports containing text suggesting a lung nodule requiring follow-up. We find that upon retrospective review, we are able to use machine learning to capture reports containing lung nodules requiring follow-up with a sensitivity of 87% and specificity of 87%.
- Keyword:
- deep learning, algorithms, lung cancer, lung nodule
- Subject: MESH:
- Deep Learning, Algorithms, Lung Neoplasms
- Creator:
- Galal, Galal
- Contributor:
- Huang, Jonathan, Mukhin, Vladislav, Soni, Priyanka, Byrd, Thomas, Etemadi, Mozziyar
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2021-04-16
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Masters Thesis
- Title:
- Understand success and challenges in adaptation and implementation of Quality Improvement Collaboratives to help End the HIV Epidemic in Namibia and Zimbabwe
- Abstract:
- Background: Improving HIV health care quality remains an unfulfilled goal necessary to both reduce mortality for people living with HIV and reach epidemic control. Although a common strategy, improvement collaboratives (ICs) are variably effective in improving quality and better understanding of their implementation and adaptation to local contexts is needed. We applied implementation science methods to study how Ministry of health-led ICs supported by UCSF-HEALTHQUAL were implemented in Namibia and Zimbabwe to support and accelerate improvement in the HIV care cascade including rapid uptake of ART and viral load suppression. Methods: We applied two implementation research frameworks, EPIS [Exploration, Preparation, Implementation, and Sustainment] and CFIR [Consolidated Framework for Implementation Research] to guide data collection and analysis for a retrospective mixed methods case study of the ICs. We conducted nine key informant interviews, field observations, and document review to identified implementation strategies contextual factors and implementation outcomes. Results were synthesized using content analysis and organized by EPIS stage. Results: Many implementation strategies for both countries were similar across the exploration, preparation and implementation stages, including alignment with national priorities and guidelines, leveraging existing relationships with stakeholders, QI capacity-building, and adaptations of IC components and data collection tools. Important contextual factors of both ICs were: national leadership, donor funding and country resources, baseline national and local QI knowledge, capacity and culture, existing implementation partnerships, data system integrity, and geography. All sites in both countries completed QI projects. Active peer-to-peer learning occurred; and improvement was demonstrated in many of the targeted measures. Implementation challenges encountered included data validity and quality, finite resources and staff turnover. Limited information was available for sustainment improvement, but both countries have scaled ICs, indicating longer term capacity in QI. Conclusions: Successful implementation of ICs involved adaptation to local context and other strategies which leveraged facilitating factors and addressed barriers with strong adoption and fidelity. Other key lessons included early stakeholder engagement, national leadership engagement, alignment with national priorities, and attention to developing QI capacity. These results can inform future efforts to accelerate improvement of HIV care and treatment through ICs in the region and improving quality more broadly.
- Keyword:
- HIV, health care quality, improvement collaboratives, Namibia, Zimbabwe, epidemic
- Subject: MESH:
- HIV, Quality of Health Care, Intersectoral Collaboration, Epidemics
- Subject: Geographic Name:
- Namibia, Zimbabwe
- Creator:
- Jok, Christie, Hirschhorn, Lisa Ruth, Persaud, Udita, Agins, Bruce, Murungu, Joseph, Basenero, Apollo, Neidel, Julie, Khabo, Bobbie, Mabuko, Japhet, Ikeda, Dan, Schaefer, Willemijn
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2021-05-24
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Masters Thesis
- Title:
- Understanding Racial Disparities in Low Birth Weight
- Abstract:
- This paper summarizes the research on the epidemiology of low birth weight (LBW) births focusing on the evidence about disparities in low birth weight for Black infants in the US. Studies have continually shown that Black mothers and their infants are at higher risk for pregnancy-related complications such as LBW. LBW, a leading cause of infant death for this racial group, is associated with a multitude of risk factors, with the major two dimensions being health status and health care. Evidence suggests that the accumulation of chronic stress over a lifetime culminates in health problems for Black women, thus leading to the conditions for LBW to occur. There is growing acceptance of the context of societal and systemic racism that creates a toxic and harmful environment for Black mothers and how this results in physiological stress that directly causes infant and maternal mortality. Although racial disparities in low birth weight are widely known in the medical community, prevention requires addressing the harmful social conditions that underlie these inequitable outcomes. This paper focuses on the way in which Black women and infants are disproportionately burdened with the effects of LBW. It concludes by discussing how changes can, with careful consideration and implementation, drive efforts to protect the Black infants and mothers as part of a holistic, patient-centered approach.
- Keyword:
- low birth weight, Black infants, racial disparities, physiological stress
- Subject: MESH:
- Infant, Low Birth Weight, Black People, Health Disparate, Minority and Vulnerable Populations, Psychological Distress
- Subject: Geographic Name:
- United States
- Creator:
- Jones, Kiana A.
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2021-05-17
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Masters Thesis
- Title:
- An Assessment of Multisectoral Factors Influencing Global Trends in Neonatal Mortality Rates
- Abstract:
- Objective: Neonatal mortality continues to be a global burden on healthcare. Multisectoral factors have been identified that are associated with neonatal mortality rate. The primary objective of this study was to determine the extent of the association between these variables and neonatal mortality rate, and which variables are key in targeting for future public health policy to reduce neonatal death. Methods: Preliminary data analysis revealed variables believed to be associated with neonatal mortality rate. The twenty countries that account for 75% of total global neonatal death were identified. STATA statistical analysis software was used to conduct data analysis from 2000 to 2019, in 5-year intervals, for all countries. Regression analyses and correlation matrices were run for neonatal mortality and variables such as median income, stillbirth rates, healthcare spending, low birth weight, relative number of physicians, relative number of nurses, literacy level, and maternal mortality ratio. The variables were entered into a series of models that accounted for different combinations. Model A included neonatal mortality rate, maternal mortality ratio change, and median income change. Model B included low birth weight instead of maternal mortality ratio. Model C included neonatal mortality rate, low birth weight rate, and healthcare spending. Model D included neonatal mortality rate, median income, and literacy level. Results: The mean change in nation-level median income over the last 20 years was found to be 1.63 times the median income in 2000-2004. The regression analysis revealed that an increase in median income was associated with a decrease in neonatal mortality rate. There was a 2.7-unit change in neonatal mortality rate seen for every 1-unit change in low-birth-weight rate, a 0.24 unit decrease for every 1-unit change in literacy level, a 1.47-point decrease for every 1-unit change of healthcare spending, and a 0.02-unit change for every 1-unit change in maternal mortality ratio from 2000-2004 through 2015-2019. Model A demonstrated that there was a 0.02 change in neonatal mortality rate for every 1-unit change in maternal mortality ratio, and a -1.58-unit change for every 1 unit of median income. Model B demonstrated that there was a 2.39-unit change in neonatal mortality rate for every 1-unit change in low-birth-weight rate, and a -1.46-unit change for every 1 unit of median income. Model C demonstrated that there was a 2.56-unit change in neonatal mortality rate for every 1-unit change in low-birth-weight rate, and a -1.32-unit change for every 1 unit of healthcare spending. Model D demonstrated that there was a -0.23-unit change in neonatal mortality rate for every 1 unit increase in literacy level, and a -1.45-unit change for every 1 unit increase in median income. Discussion: The results of this analysis suggest the highest degree of correlation between neonatal mortality rate, maternal mortality ratio, and median income. There results offer foundational starting points for research in neonatal mortality and associated multisectoral factors. Further research is necessary to determine how these results can be used to target mortality reduction in the twenty countries determined to have the highest neonatal total deaths. Focusing on median income as a strongly correlated factor of neonatal mortality rate may allow for the future creation of targeted public health policies. Creating models that account for a higher percentage of the variance would be useful as well. Future analysis should focus on deriving deeper associations between the variables through further literature review or data collection. In addition, future research should focus on determining why the association between maternal mortality ratio and neonatal mortality rate wasnt as high as anticipated. Eventually, these findings could be used to influence public health programs, policy, or planning by aiding in the creation of a dissemination plan for a best practice training program aimed at reducing neonatal mortality rated globally.
- Keyword:
- neonatal mortality, income, health risks, public health
- Subject: MESH:
- Infant Mortality, Income, Risk Factors, Public Health
- Creator:
- Karmazin, Michelle
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2021-05-25
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Masters Thesis
6418. Analysis of National Alliance on Mental Illness (NAMI) Chicago HelpLine Referral Data (2019-2020)
- Title:
- Analysis of National Alliance on Mental Illness (NAMI) Chicago HelpLine Referral Data (2019-2020)
- Abstract:
- Purpose: NAMI Chicago has a HelpLine for those who wish to contact them with mental health & wellness needs.1 There is a lot of data that is logged regarding these calls, and a lot of it is being analyzed already; however, there is an area in which analysis is definitely still needed, specifically with respect to resource connections, i.e., referrals. In other words, data pertains to what happens after a caller interfaces with the NAMI Chicago HelpLine & is directed toward a resource. In some cases, there are specific follow-ups by NAMI Chicago that happen. The objective is to provide quality assurance program evaluation and feedback to NAMI Chicago about using de-identified call data to analyze their processes: potential areas at the outset included barriers to referrals, facilitators, areas for improvement, etc. Procedures: The purpose of this research is quality assurance around barriers to follow-up identified by NAMI Chicago call center responders and to assess the frequency of the most typical barriers. NAMI Chicago provides telephone referrals to callers seeking mental health services throughout the Chicago area. It was estimated that 13,000 calls were fielded by NAMI in 2020 and an analysis of the barriers experienced by callers seeking referrals to mental health services will help NAMI improve services to people in the community. This analysis has ended up examining calls placed across all of 2019, as well as all of 2020.
- Keyword:
- mental health, health call center, Chicago, mental health services, telehealth
- Subject: MESH:
- Mental Health Services, Call Centers, Telemedicine
- Subject: Geographic Name:
- Illinois--Chicago
- Creator:
- Rapoport, Andy
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2021-06-02
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Masters Thesis
- Title:
- Risk of Heart Failure Among Breast Cancer Survivors
- Abstract:
- Background: Cardiovascular disease (CVD) is prevalent among breast cancer survivors, leading to an increased risk of death in this patient population. Shared modifiable risk factors between CVD and cancer, such as obesity, physical inactivity, and diet, could offer a potential explanation for the increasing prevalence of CVD among cancer survivors. Another possible explanation is that frequently used breast cancer therapies, such as trastuzumab, are associated with cardiotoxicity, which could increase the risk of developing heart failure. Objective: The primary objective of this study was to assess if the age at breast cancer diagnosis was associated with the risk of heart failure across various age groups. Another objective of the study was to examine if the risk of heart failure among breast cancer survivors differed by chemotherapy use, specifically trastuzumab. Methods: A retrospective cohort analysis was conducted using 22,205 adult female breast cancer patients treated at the Northwestern Memorial Hospital. Patients were grouped into 50 years, 51-64 years, and 65 years for the age at breast cancer diagnosis. Kaplan-Meier curves for time to heart failure diagnoses were generated for the various age at diagnosis groups, and the Cox Proportional Hazards assumption was evaluated. Multivariable Cox proportional hazards regression models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) with adjustment for important covariates concerning demographics, cancer characteristics, lab values, and comorbidities. Results: In assessing heart failure for all female breast cancer patients, older age at breast cancer diagnosis was associated with an increased risk of heart failure (HR 2.23, 95% CI 1.70-2.91 and HR 6.61, 95% CI 5.16-8.47 for 51-64 years and 65 years compared to 50 years, respectively). When adjusted for race, ethnicity, second cancer, smoking status, baseline cholesterol, baseline HDL, baseline glucose, coronary artery disease, and myocardial infarction, older age at breast cancer diagnosis remained associated with an increased risk of heart failure (HR 2.14, 95% CI 1.50-3.04 and HR 5.33, 95% CI 3.83-7.41 for 51-64 years and 65 years compared to 50 years, respectively). In assessing heart failure among female breast cancer patients treated with trastuzumab, age at breast cancer diagnosis was associated with an increased risk of heart failure only in the 65 years group (HR 1.90, 95% CI 0.84-4.29 and HR 3.29, 95% CI 1.43-7.58 for 51-64 years and 65 years compared to 50 years, respectively). When adjusted for race, ethnicity, and second cancer, age at breast cancer diagnosis was associated with an increased risk of heart failure in all age groups (HR 2.71, 95% CI 1.09-6.73 and HR 4.82, 95% CI 1.88-12.33 for 51-64 years and 65 years compared to 50 years, respectively) in female breast cancer patients treated with trastuzumab. Discussion: This analysis suggested a strong association between the age at breast cancer diagnosis and the risk of heart failure when examining all female breast cancer patients. Individuals diagnosed with breast cancer at an older age were at an increased risk of developing heart failure. However, this association varied when evaluating only female breast cancer patients treated with trastuzumab. This study provides important foundations to assessing the long-term impacts of breast cancer diagnosis and treatments, especially among younger adults compared to healthy peers. Thus, additional large-scale studies conducting a case-control analysis in this population and longitudinal studies in additional populations are required to fully elucidate the effect of age at breast cancer diagnosis on the risk of heart failure.
- Keyword:
- cardiovascular disease, breast cancer, survivors, risk factors, heart failure
- Subject: MESH:
- Heart Failure, Breast Neoplasms, Heart Disease Risk Factors, Cardiovascular Diseases
- Subject: Geographic Name:
- Illinois--Chicago
- Subject: Name:
- Northwestern Memorial Hospital
- Creator:
- Singam, Manisha
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2021-05-22
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Masters Thesis
6420. Impact of easily accessible health information on decision-making as it regards COVID-19 vaccination
- Title:
- Impact of easily accessible health information on decision-making as it regards COVID-19 vaccination
- Keyword:
- pandemic, COVID-19, vaccination, patient education material
- Subject: MESH:
- COVID-19 Vaccines, Patient Education as Topic, Pandemics, Health Literacy
- Creator:
- Ukeje, Chideraa
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2021-05-12
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Masters Thesis
- Title:
- Inter-ICU Transfer of Patients with Acute Respiratory Failure-A Scoping Review
- Abstract:
- Rationale:Inter-ICU transfer of critically ill Acute Respiratory Failure Patients (ARF) are increasingly common in the current landscape of critical care delivery, especially highlighted during the COVID-19 pandemic. A major driver for inter-ICU transfer of ARF patients is the increasing evidence base that suggests that mortality and morbidity are reduced by receiving care at high-resource hospitals. However, no uniform guidance exists to help clinicians decide who, why, when, or where ICU patients with ARF should be transferred. Unfortunately, due to the lack of current guidance, each interface has opportunities for both implicit and explicit bias to influence decision-making and care. We conduct this scoping review to ask these questions that have been un answered in a comprehensive review the what, who, why, when and where of ARF patient transfers between intensive care units.
- Keyword:
- transfer patients, intensive care units
- Subject: MESH:
- Patient Transfer, Intensive Care Units, Respiratory Insufficiency
- Subject: Geographic Name:
- United States
- Creator:
- Ludwig, Amy, Nadig, Nandita R, Slota, Jennifer Maling, Johnson, Julie
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2022-10
- Rights:
- http://creativecommons.org/publicdomain/zero/1.0/
- Resource Type:
- Review
- Title:
- Food Insecurity among Asian Americans: A Scoping Review Protocol
- Keyword:
- Food Insecurity, Asian American
- Subject: MESH:
- Food Insecurity, Asian
- Subject: Geographic Name:
- United States
- Creator:
- Ro, Suji
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Rights:
- All rights reserved
- Resource Type:
- Study Design
- Title:
- Assessments for Identifying Tactile Deficits in Individuals with Stroke: A Scoping Review
- Description:
- A protocol describing a scoping review to summarize tactile assessments for individuals with stroke at their upper extremities.
- Abstract:
- Accurate perception of objects that one interacts with, through touch, is instrumental to successfully learn and perform physical activities. Studies indicate that the perception of touch, or tactile stimuli, in the upper extremities is commonly negatively impacted after a stroke. In this scoping review, we seek to examine existing tactile assessments for the upper extremity of individuals with stroke. We aim to determine whether there is a gap in existing approaches that limits our understanding of the source of tactile perceptual deficits post-stroke. This information will be beneficial to understand the clinical value of existing assessments and potentially spur the development of new targeted assessments.
- Keyword:
- Tactile Assessment
- Subject: MESH:
- Stroke, Touch Perception, Patient Outcome Assessment
- Creator:
- Nayak, Karan Siddarth, Sydnor, Lindsey, Wafford, Q. Eileen, Sullivan, Jane, Parcetich, Kevin, Miner, Daniel, Paul, Arco, Gurari, Netta
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2022-08-12
- Rights:
- http://creativecommons.org/licenses/by/3.0/us/
- Resource Type:
- Study Design
- Title:
- Getting to Know the NIH Policy on Data Management and Sharing
- Description:
- PowerPoint presentation created for a Galter Health Sciences Library & Learning Center class outlining recommendations for compliance with the 2023 NIH Policy for Data Management and Sharing.
- Keyword:
- research data management, data sharing, data repositories, NIH Policy for Data Management and Sharing
- Subject: MESH:
- Data Management
- Subject: LCSH:
- Institutional repositories
- Creator:
- Gonzales, Sara
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2022-08-22
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Presentation
- Title:
- Institutional Repositories in the Health Sciences: A View of the Landscape
- Description:
- Brief introduction leading into a continuing education event entitled: CE 2: Panel discussion- Institutional Repositories- the joys and challenges, presented during the 2022 virtual Health Science Librarians of Illinois conference, September 8, 2022. The panel presenting use cases consisted of: Amanda Avery (Parkland College), Jennifer Deal (Advocate Aurora Health), Sandra De Groote (University of Illinois-Chicago), and Mingyan Li (University of Illinois-Chicago).
- Keyword:
- institutional repository, Health Science Librarians of Illinois, HSLI, CE
- Subject: MESH:
- Libraries, Medical, Libraries, Hospital
- Subject: LCSH:
- Institutional repositories, Medical libraries, Continuing education
- Subject: Geographic Name:
- Illinois
- Creator:
- Kubilius, Ramune K., Palmer, Lisa A.
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Illinois, Illinois, United States
- Language:
- English
- Date Created:
- 2022-08
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Presentation
- Title:
- Chicago Area Medical Archivists Medical History Symposium- Programs
- Description:
- Programs of medical history symposia organized, sponsored, and hosted by members of Chicago Area Medical Archivists (CAMA). Symposia were first held in 2002 and were not held 2009, 2014, 2015. / The Chicago Area Medical Archivists (CAMA) is an informal group of archivists, librarians, healthcare professionals, and others interested in medical history in the Chicago area.
- Keyword:
- CAMA
- Subject: MESH:
- Chicago, Archives, Libraries, Medical, History of Nursing, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists (CAMA)
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2022
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2003)
- Description:
- Program of the 2nd annual CAMA Medical History Symposium held October 16, 2003 at the American Society for Clinical Pathology building, Chicago, IL.
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2003-10-16
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2005)
- Description:
- Program of the 4th annual CAMA Medical History Symposium held October 21, 2005 at the American Academy of Pediatrics building, Elk Grove Village, IL.
- Keyword:
- CAMA, Symposium, Program
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Elk Grove Village, Illinois, United States
- Language:
- English
- Date Created:
- 2005-10-21
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2007)
- Description:
- Program of the CAMA [Medical] History Symposium held October 26, 2007 at Galter Health Sciences Library [Northwestern University], Chicago, IL.
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2007-10-26
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2008)
- Description:
- Program of the 7th annual CAMA Medical History Symposium held October 24, 2008 at the Library of the Health Sciences, Special Collections Department, University of Illinois at Chicago, Chicago, IL.
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2008-10-24
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2010)
- Description:
- Program of the CAMA Medical History Symposium held October 27, 2010 at Pritzker Auditorium, Northwestern Memorial Hospital, Chicago, IL.
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2010-10-27
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2011)
- Description:
- Program of the 9th annual CAMA Medical History Symposium held October 28, 2011 at Wood Library-Museum of Anesthesiology, American Society of Anesthesiologists, Park Ridge, IL
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Park Ridge, Illinois, United States
- Language:
- English
- Date Created:
- 2011-10-28
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2012)
- Description:
- Program of the 10th annual CAMA Medical History Symposium held October 26, 2012 in the 16th Floor Conference Room at Lurie Childrens Hospital, Chicago, IL
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2012-10-26
- Rights:
- http://creativecommons.org/licenses/by-nc-nd/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2013)
- Description:
- Program of the annual CAMA Medical History Symposium held October 31, 2013 in the Board of Regents Room, American College of Surgeons, Chicago, IL
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2013-10-31
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2016)
- Description:
- Program of the CAMA Medical History Symposium [listed as "Meeting & Presentations" in program], held December 7, 2016 in the Special Collections and Archives Room, at the Library of the Health Sciences, University of Illinois at Chicago, Chicago, IL.
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medial Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2016-12-07
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2018)
- Description:
- Program of the CAMA Medical History Symposium [entitled "Fall History Symposium" in the program] held October 11, 2018 in Classroom J (2nd Floor), Prentice Women's Hospital, Chicago, IL.
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2018-10-11
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2019)
- Description:
- Program of the CAMA Medical History Symposium hosted by and held September 20, 2019 in the Level 2 conference room at Galter Health Sciences Library & Learning Center, Northwestern University Feinberg School of Medicine, Chicago, IL.
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2019-09-20
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2020)
- Description:
- Program of the CAMA Medical History Symposium held virtually on September 18, 2020.
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2020-09-18
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2021)
- Description:
- Program of the CAMA Medical History Symposium held virtually on September 30, 2021.
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2021-09-30
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2017), Edith Ayres and Helen Burnett Wood Memorial Symposium (The)
- Description:
- The Edith Ayres and Helen Burnett Wood Memorial Symposium, jointly sponsored by Midwest Nursing History Research Center, College of Nursing, UIC, and the Chicago Area Medical Archivists, was held April 20, 2017 at University of Illinois College of Nursing, 3rd Floor Event Center, Chicago, IL. (This jointly sponsored event in 2017 occurred in lieu of the traditional (fall) CAMA medical history symposium.)
- Keyword:
- CAMA, Midwest Nursing History Research Center, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine, History of Nursing
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists, Midwest Nursing History Research Center
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2017-04-17
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2004)
- Description:
- Program of the 3rd CAMA Medical History Symposium that was held on October 15, 2004 at Northwestern Memorial Hospital, Feinberg Pavilion Conference Rooms, Chicago, IL.
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine, History of Nursing
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2004-10-15
- Rights:
- http://creativecommons.org/licenses/by-nc-nd/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2002)
- Description:
- Program of the 1st CAMA Medical History Symposium that was held on October 24, 2002, hosted by the American Medical Association's Archives Department at the American Medical Association Headquarters, Chicago, IL.
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine, History of Dentistry
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2002-10-24
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2006)
- Description:
- Program (draft version #2- final version not yet located) of the 5th CAMA Medical History Symposium that was co-sponsored with the National Archives on October 6, 2006 at National Archives and Records Administration-Great Lakes Region, Chicago, IL., Source: CAMA correspondence file housed at Rush University Medical Center Archives (used with permission). Draft schedule packet (not included here) includes correspondence among organizers and information about an event held after the CAMA symposium on October 6th- "Ask the Archivists" - A Chicago Area Archivists' Open House for History Researchers, Students, Educators, and Librarians.
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2006-10-06
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- Chicago Area Medical Archivists Medical History Symposium (2022)
- Description:
- Program of the CAMA Medical History Symposium that was held virtually on October 6, 2022.
- Keyword:
- CAMA, Program, Symposium
- Subject: MESH:
- Libraries, Medical, Archives, History of Medicine
- Subject: LCSH:
- Archives
- Subject: Geographic Name:
- Illinois--Chicago Metropolitan Area
- Creator:
- Chicago Area Medical Archivists
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Chicago, Illinois, United States
- Language:
- English
- Date Created:
- 2022-10-06
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Programs
- Title:
- 2022-2023 Series 01 NUCATS Establishing and Aligning Expectations
- Keyword:
- NUCATS, Mentoring, Establishing Expectations, Aligning Expectations
- Subject: MESH:
- Mentoring, Mentors, Communication
- Creator:
- Cameron, Kenzie A, Liem, Robert I
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2022-10-12
- Rights:
- http://creativecommons.org/licenses/by-nc-nd/3.0/us/
- Resource Type:
- Presentation
6446. Surveying the Medical IR Landscape for Presentations or Publication: Challenges and Opportunities
- Title:
- Surveying the Medical IR Landscape for Presentations or Publication: Challenges and Opportunities
- Description:
- Lightning talk for the Medical Repositories in Libraries (MIRL) virtual symposium, November 17, 2022.
- Abstract:
- The medical institutional repository landscape is ever evolving and presents challenges for anyone who wishes to research it for presentation or publication. Librarians are one of the central stakeholders in the medical IR world, but not all librarians may be equally immersed in this area. Those who are directly involved may research and report on use cases and institution or platform-specific IR scenarios. Yet, it can be argued that in many instances, there is an important reason for introductory material on the world of repositories, in providing background and context. No matter one's job title or responsibilities, there are opportunities to become involved in exploring the world of repositories- for internal work at an institution, or externally in professional work. Contributions can vary: doing background research, providing introductory slides (on statistics, platforms, aspirational IRs to examine, other information) for an in-service workshop for colleagues, identifying and seeking out colleagues who can contribute expertise for professional collaborative research, publication, or presentation projects. Based on examples from the past half dozen years, this presentation consists of some sources, tips, and caveats for those who might be called upon to be part of the work involved in surveying the world of medical institutional repositories.
- Keyword:
- IR, MIRL, Medical Institutional Repositories in Libraries, Scholarly communication
- Subject: MESH:
- Libraries, Medical
- Subject: LCSH:
- Institutional repositories, Scholarly publishing
- Creator:
- Kubilius, Ramune K.
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2022-11-17
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Presentation
- Title:
- Down Long Wiggled Roads: Familiar and New Health Sciences Information Places (22nd Health Sciences Lively Lunchtime Discussion): Developments 2021-2022
- Description:
- Compilation includes: 1) Handout, prepared for and presented in synopsis during a brief (traditional) annual update of interesting and noteworthy trends in the health publishing and health information sectors that occurred or were noticed since the 2021 Health Sciences Lively Lunch at the Charleston Conference: Issues in Book and Serial Acquisition. 2-4) Session presentation slides of: Sarah McClung (University of San Francisco Library), Andrea McLennan (McMaster University Health Sciences Library), and Karen Gau (Virginia Commonwealth University Libraries). (The 22nd Lively Lunch took place on Wednesday, November 2, 2022 in Charleston, SC and was repeated during virtual week on November 16, 2022).
- Keyword:
- Charleston Conference, DEIA, VR, DEI, Grants
- Subject: MESH:
- Libraries, Medical, Virtual Reality, Medical Library Association, Library Collection Development, Cultural Diversity
- Subject: LCSH:
- Scholarly publishing, Grants-in-aid, Collection development (Libraries), Collection management (Libraries)
- Creator:
- Kubilius, Ramune K., McClung, Sarah, McLellan, Andrea, Gau, Karen
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Location:
- Charleston, South Carolina, United States
- Language:
- English
- Date Created:
- 2022-11-02
- Rights:
- http://creativecommons.org/licenses/by-nc-sa/3.0/us/
- Resource Type:
- Presentation
- Title:
- Northwestern University Medical School 1859-1979
- Description:
- A history of the Feinberg School of Medicine, written by Leslie B. Arey, PhD, a faculty member in the Department of Anatomy from 1919 to 1987.
- Keyword:
- History
- Subject: MESH:
- History, Schools, Medical
- Subject: Geographic Name:
- Chicago (Ill.)
- Subject: Name:
- Northwestern University (Evanston, Ill.). Medical School
- Creator:
- Arey, Leslie Brainerd, 1981 -
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 1979
- Rights:
- All rights reserved
- Resource Type:
- Book
- Title:
- Medical Oncology Education for Medical Students - Where do we stand? A scoping review protocol for updating a literature review
- Keyword:
- Medical Oncology Education, Medical Student Education, Undergraduate Medical Education, Oncology, Medical Oncology, Medical Student Training
- Subject: MESH:
- Education, Medical, Undergraduate, Medical Oncology
- Creator:
- Theros, Jonathan Spero, Fuchs, Jeffrey William, Nunes, Denise A, Fuchs, Joseph Robert
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Rights:
- All rights reserved
- Resource Type:
- Review
- Title:
- 2022-2023 Series 02 NUCATS Articulating your Mentoring Philosophy and Plan
- Keyword:
- NUCATS, Mentoring , Mentoring Philosophy, Mentoring Plan, Northwestern Center for Leadership
- Subject: MESH:
- Mentoring
- Creator:
- Goodman, Adam
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Language:
- English
- Date Created:
- 2022-11-09
- Rights:
- http://creativecommons.org/licenses/by-nc/3.0/us/
- Resource Type:
- Presentation
- Title:
- NO WAIT: new organised well-adapted immediate triage: a lean improvement project
- Original Bibliographic Citation:
- Elkholi A, Althobiti H, Al Nofeye J, et al. NO WAIT: new organised well-adapted immediate triage: a lean improvement project. BMJ Open Quality 2021;10:e001179. doi:10.1136/bmjoq-2020-001179
- Abstract:
- Long waiting times in the emergency department (ED) are associated with decreased patient satisfaction and increased morbidity and mortality. Triage may be a contributing factor to prolonged wait times in the ED. At Alhada Armed Forces Hospital (Taif, Saudi Arabia), patients other than level 1 and 2 on the Canadian Triage and Acuity Scale are requested to wait until triage. During peak hours (08:0022:00), the waiting time prior to triage is prolonged, and several patients leave the ED before triage. In this project, a multidisciplinary team was assembled to revise patient flow from the time of arrival at the ED to the time of triage. Lean methodology was used to identify the redundancies and design a seamless flow process for ED patients. Through reorganising the triage area using minimal additional resources, the project team devised a novel floor plan for the triage area which provided a unique patient flow in the ED. The median patient wait time from arrival to triage was reduced from 27 min to 4.09 min and the percentage of patients leaving the ER before triage was reduced to 0%. This project is the first of its kind in Saudi Arabia, as well as in the Gulf region, and provides a radical solution to the problem of patient waiting in the ED during peak hours.
- Keyword:
- Quality Improvement, Lean, Emergency Department, Alhada Armed Forces Hospital
- Subject: MESH:
- Emergency Service, Hospital, Triage, Time-to-Treatment
- Subject: Geographic Name:
- Taif (Saudi Arabia)
- Creator:
- Hasan, Mohamed Mosaad Ismail, Elkholi, Ahmed, Althobiti, Huda, Al Nofeye, Jamal, Ibrahim, Ahmed Sherif
- Publisher:
- BMJ Journals
- Language:
- English
- Date Created:
- 2021
- Rights:
- http://creativecommons.org/licenses/by-nc/3.0/us/
- Resource Type:
- Journal Article
- Title:
- Is there variation in utilization of preoperative tests among patients undergoing total hip and knee replacement in the US, and does it affect outcomes? A population-based analysis
- Original Bibliographic Citation:
- Hasan, M.M., Kang, R., Lee, J. et al. Is there variation in utilization of preoperative tests among patients undergoing total hip and knee replacement in the US, and does it affect outcomes? A population-based analysis. BMC Musculoskelet Disord 23, 972 (2022). https://doi.org/10.1186/s12891-022-05945-y
- Abstract:
- Study objectiveTo describe recent practice patterns of preoperative tests and to examine their association with 90-day all-cause readmissions and length of stay.DesignRetrospective cohort study using the New York Statewide Planning and Research Cooperative System (SPARCS).SettingSPARCS from March 1, 2016, to July 1, 2017.ParticipantsAdults undergoing Total Hip Replacement (THR) or Total Knee Replacement (TKR) had a preoperative screening outpatient visit within two months before their surgery.InterventionsElectrocardiogram (EKG), chest X-ray, and seven preoperative laboratory tests (RBCs antibody screen, Prothrombin time (PT) and Thromboplastin time, Metabolic Panel, Complete Blood Count (CBC), Methicillin Resistance Staphylococcus Aureus (MRSA) Nasal DNA probe, Urinalysis, Urine culture) were identified.Primary and secondary outcome measuresRegression analyses were utilized to determine the association between each preoperative test and two postoperative outcomes (90-day all-cause readmission and length of stay). Regression models adjusted for hospital-level random effects, patient demographics, insurance, hospital TKR, THR surgical volume, and comorbidities. Sensitivity analysis was conducted using the subset of patients with no comorbidities.ResultsFifty-five thousand ninety-nine patients (60% Female, mean age 66.1+/9.8 SD) were included. The most common tests were metabolic panel (74.5%), CBC (66.8%), and RBC antibody screen (58.8%). The least common tests were MRSA Nasal DNA probe (13.0%), EKG (11.7%), urine culture (10.7%), and chest X-ray (7.9%). Carrying out MRSA testing, urine culture, and EKG was associated with a lower likelihood of 90-day all-cause readmissions. The length of hospital stay was not associated with carrying out any preoperative tests. Results were similar in the subset with no comorbidities.ConclusionsWide variation exists in preoperative tests before THR and TKR. We identified three preoperative tests that may play a role in reducing readmissions. Further investigation is needed to evaluate these findings using more granular clinical data.
- Keyword:
- Preoperative testing, Preoperative EKG, Total knee replacement, Total hip replacement, MRSA screening, Asymptomatic bacteriuria
- Subject: MESH:
- Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee, Preoperative Care, Patient Readmission, Length of Stay
- Subject: Geographic Name:
- New York (State)
- Creator:
- Hasan, Mohamed Mosaad Ismail, Kang, Raymond H, Lee, Julia, Beal, Matthew D, Ahmed, Abdalrahman G, Tian, Yao, Ghomrawi, Hassan
- Publisher:
- Springer Nature
- Language:
- English
- Date Created:
- 2022-11-10
- Rights:
- http://creativecommons.org/licenses/by/4.0/
- Resource Type:
- Journal Article
- Title:
- An umbrella review comparing computer-assisted and conventional total joint arthroplasty: quality assessment and summary of evidence
- Original Bibliographic Citation:
- Hasan MM, Zhang M, Beal M, et al. An umbrella review comparing computer-assisted and conventional total joint arthroplasty: quality assessment and summaryof evidence. BMJ Surg Interv Health Technologies2020;2:e000016. doi:10.1136/bmjsit-2019-000016
- Abstract:
- Background Systematic reviews (SRs) of computer-assisted (CA) total knee arthroplasty (TKA) and total hip arthroplasty (THA) report conflicting evidence on its superiority over conventional surgery. Little is known about the quality of these SRs; variability in their methodological quality may be a contributing factor. We evaluated the methodological quality of all published SRs to date, summarized and examined the consistency of the evidence generated by these SRs.Methods We searched four databases through December 31, 2018. A MeaSurement Tool to Assess systematic Reviews 2 (AMSTAR 2) was applied to assess the methodological quality. Evidence from included meta-analyses on functional, radiological and patient-safety outcomes was summarized. The corrected covered area was calculated to assess the overlap between SRs in including the primary studies.Results Based on AMSTAR 2, confidence was critically low in 39 of the 42 included SRs and low in 3 SRs. Low rating was mainly due to failure in developing a review protocol (90.5%); providing a list of excluded studies (81%); accounting for risk of bias when discussing the results (67%); using a comprehensive search strategy (50%); and investigating publication bias (50%). Despite inconsistency between SR findings comparing functional, radiological and patient safety outcomes for CA and conventional procedures, most TKA meta-analyses favored CA TKA, whereas most THA meta-analyses showed no difference. Moderate overlap was observed among TKA SRs and high overlap among THA SRs.Conclusions Despite conclusions of meta-analyses favoring CA arthroplasty, decision makers adopting this technology should be aware of the low confidence in the results of the included SRs. To improve confidence in future SRs, journals should consider using a methodological assessment tool to evaluate the SRs prior to making a publication decision.
- Keyword:
- Overview of systematic review, total joint arthroplasty, computer-assisted surgery
- Subject: MESH:
- Arthroplasty, Replacement, Knee, Arthroplasty, Replacement, Hip, Surgery, Computer-Assisted, Meta-Analysis
- Creator:
- Hasan, Mohamed Mosaad Ismail, Zhang, Manrui, Beal, Matthew, Ghomrawi, Hassan
- Publisher:
- BMJ Journals
- Language:
- English
- Date Created:
- 2020
- Rights:
- http://creativecommons.org/licenses/by-nc/3.0/us/
- Resource Type:
- Journal Article
6455. Disaster and Mass Casualty Incident Responses by Intensive Care Units: A Scoping Review Protocol
- Title:
- Disaster and Mass Casualty Incident Responses by Intensive Care Units: A Scoping Review Protocol
- Description:
- An a priori scoping review protocol submission to the Northwestern DigitalHub (an institutional repository for the research and scholarly output of Northwestern Medicine) following Preferred Reporting Items for Systematic Review and Meta-analysis Protocols.
- Abstract:
- Critical care has displayed an interest in the field of disaster and mass casualty incident response (2). A disaster refers to a man-made or natural event requiring resources from outside a local community to return to pre-event status (3). An incident occurs secondary to similar hazards, requiring an emergency response to protect life, however, may not require resources from outside a local community (4). A mass casualty incident focuses on healthcare system capacity, where casualties rapidly exceed capabilities (5). Here we focus on the timeframe of acute response by intensive care units (ICUs) themselves: a relief phase - where lifesaving and mitigation efforts dominate - and a subsequent recovery phase - where efforts return systems to pre-event status. Significant infrastructure, personnel and equipment resources are required to operate ICUs (6). Disasters and mass casualty incidents are known to result in an influx of critically ill patients (2). Thus, ICU populations must be thought of as especially at risk.Yet, there remains a paucity of well-compiled data from the front-lines of ICU response initiatives, hampering evidence-based guideline production (2). Disaster research theory, though, is well-established (3). Categorical, continuous, or even narrative data reported by responders in the midst of response initiatives represent evidence (7). It is possible that through initial publication and valuating of such reports, we may illuminate intervention effects, variation in experience and practice, and identify gaps and inconsistencies in the literature.The purpose of this scoping review will be to compile and analyze ICU disaster and mass casualty incident response experiences. We intend to characterize ICU experiences - reported by ICUs themselves - to organize quantitative and qualitative data. Quantitative data, in the form of categorical and continuous items reported, will be assessed. Qualitative analyses will be undertaken through narrative inquiry of anecdotes. Outcomes of interest include identification of trends, analyses of existing reports for consistency, typical experience strengths or weaknesses, lessons learned, and best practices. This scoping review represents the first published data compilation and analysis of ICU disaster and mass casualty incident response initiatives.
- Keyword:
- Disaster, Mass casualty, Incident, Critical care, Intensive care unit, Response
- Creator:
- Moffet, Eric Warren
- Contributor:
- Wescott, Annie B
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Date Created:
- January 13, 2023
- Rights:
- All rights reserved
- Resource Type:
- Review
- Title:
- Quantitative approaches for the evaluation of implementation research studies
- Keyword:
- Implementation measurement, Implementation research, Summative evaluation
- Creator:
- Hasan, Mohamed Mosaad Ismail
- Publisher:
- DigitalHub. Galter Health Sciences Library & Learning Center
- Rights:
- All rights reserved
- Resource Type:
- Journal Article