يعرض 1 - 10 نتائج من 30 نتيجة بحث عن '"Michele Walsh"', وقت الاستعلام: 1.34s تنقيح النتائج
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    دورية أكاديمية

    المصدر: Journal of Human Sciences and Extension, Vol 6, Iss 2, Pp 1-20 (2018)

    الوصف: A Health in All Policies approach engages cross-sector stakeholders to collaboratively improve systems that drive population health. We, the members of the Extension Committee on Organization and Policy (ECOP)’s Health in All Policies Action Team, propose that adopting a Health in All Policies approach within the national Cooperative Extension System will better prepare us to contribute meaningfully to improving the nation’s health. We first explain the Health in All Policies approach and argue for why and how it is relevant for Extension. We then present insights gathered from Extension Family and Consumer Sciences program leaders and state specialists to assess whether national and state leadership are poised to adopt a Health in All Policies approach within their affiliated programs. Although participant leaders saw the value of the approach in contributing to population health improvement, they generally saw the Extension system as having lower levels of readiness to adopt such an approach. Six themes emerged as ways to increase Extension’s engagement in Health in All Policies: a paradigm shift within Extension, professional development of competencies, transformational leaders and leadership support, continued and new partnerships, information access for all levels and disciplines of Extension.

    وصف الملف: electronic resource

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    دورية أكاديمية

    المؤلفون: ASM Nawshad Uddin Ahmed, Abdellatif Maamri, Adegoke G Falade, Adejumoke Idowu Ayede, Adnan Bhutta, Ajay Gambhir, Alfredo Tagarro, Ali Abdelmegeid, Ali Reza Ahmadi, Aluisio JD Barros, Amha Mekasha, Anantha Kumar Srinivasaiyer, Andre Ricardo Araujo da Silva, Andreas Schultz, Batool Fatima, Bishnupada Dhar, Brian Magowan, Bridget Wills, Camille Raynes-Greenow, Caroline Homer, Carolyn Maclennan, Catherine Ward, Daniel Martinez Garcia, David Ross, David Murdoch, Deborah Joy Wilson, Ebun Adejuyigbe, Ecaterina Stasii, Elaine Scudder, Emma Sacks, Eric D McCollum, Fernando Althabe, Fiona Russell, GS Kumar, Halvor Sommerfelt, Hamish Graham, Hannah Blencowe, Hannah Tappis, Haroon Saloojee, Hesham Abdussalam Ben Masaud, Hiresh Tiwary, Ifeyinwa Asiodu, James B Newton, Jessica Bourdaire, Joel Amwe Adze, Jose Martines, Juan M Lozano, Judd Walson, Judith Rankin, Karel Allegaert, Karell G Pelle, Karen Edmond, Katayoun Rabiei, Kathleen M Rasmussen, Khalid Yunis, Laura Ferguson, Leith Greenslade, Lilian Kiapi, Lisa Noguchi, Louis Bont, Louise T Day, Lynne Mofenson, Maher Aboumayaleh, Majda Aquzouz, Mamdouh Wahba, Mari Nagai, Marian Knight, Marina Melkumova, Mariyam Jenyfa, Mark I Neuman, Martin Meremikwu, Mary Kinney, Michael Gravett, Michael T Hawkes, Michel Pacque, Michele Walsh, Michelle K McGuire, Nagiba AAbdulghani AlShawafi, Najwa Khuri-Bulos, Naveen Thacker, Nigel Rollins, Niranjan Kissoon, Olena Starets, Olivier Picone, Olufemi T Oladapo, Omer Erdeve, P Brian Smith, Philippe Van de Perre, Praveen Kumar, Punam Mangtani, Qalab Abbas, Rabeya Khatoon, Rajiv Bahl, Rakesh Lodha, Rebecca Grais, Rebecca Richards-Kortum, Reeta Rasaily, Richmond Aryeetey, Robert Pattinson, Roberta Petrucci, Rodolfo Rossi, Ryan M Pace, Sachiyo Yoshida, Salimah R Walani, Sanjeeva SP Godakandage, Sarah Bauler, Sarah S Comstock, Saurav Basu, Senait Kebede, Senjuti Saha, Shinjini Bhatnagar, Shoo Kim Lee, Shuchita Gupta, Simon Nyovuura Antara, Soo Downe, Stephen Freedman, Stephen J Lye, Suellen Miller, Suha Sulimani, Sylvia H Ley, Tara D Mangal, Tina Lavin, Ting Shi, Todd A Florin, Ulrik Kraemer Sundekilde, Valentina Baltag, Veronica Valdes, William Cherniak, Yasir Bin Nisar, Zainularab Zohra Shamszai, Zohreh Sadat Navabi

    الوصف: Global research priorities on COVID-19 for maternal, newborn, child and adolescent health

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    المصدر: Pediatric Research. 93:1772-1779

    مصطلحات موضوعية: Pediatrics, Perinatology and Child Health

    الوصف: Background While the health, social, and economic impacts of opioid addiction on adults and their communities are well known, the impact of maternal opioid use on the fetus exposed in utero is less well understood. Methods This paper presents the protocol of the ACT NOW Outcomes of Babies with Opioid Exposure (OBOE) Study, a multi-site prospective longitudinal cohort study of infants with antenatal opioid exposure and unexposed controls. Study objectives are to determine the impact of antenatal opioid exposure on brain development and neurodevelopmental outcomes over the first 2 years of life and explore whether family, home, and community factors modify developmental trajectories during this critical time period. Results Primary outcomes related to brain development include cortical volumes, deep cerebral gray matter volumes, resting-state functional connectivity measures, and structural connectivity measures using diffusion tensor imaging. Primary neurodevelopmental outcomes include visual abnormalities, cognitive, language, and motor skills measured using the Bayley Scales of Infant Development and social–emotional and behavioral problems and competence measured by the Brief Infant-Toddler Social and Emotional Assessment. Conclusions The OBOE study has been designed to overcome challenges of previous studies and will help further understanding of the effects of antenatal opioid exposure on early infant development. Impact This study will integrate MRI findings and comprehensive neurodevelopmental assessments to provide early insights into the functional topography of the brain in this high-risk population and assess MRI as a potential biomarker. Rather than conducting neuroimaging at a single time point, the study will include serial MRI assessments from birth to 2 years, allowing for the examination of trajectories throughout this period of rapid brain development. While previous studies often have had limited information on exposures, this study will use umbilical cord assays to accurately measure amounts of opioids and other substances from 20 weeks of gestation to birth.

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    المصدر: Hospital Pediatrics. 12:726-734

    الوصف: BACKGROUND Clinician documentation is highly variable, and awareness of documentation requirements remains low despite post-training experience. At our hospital, critical care (CC) documentation was inconsistent. Our aim was to increase appropriate CC attestations from 51% to 90% for status asthmaticus, anaphylaxis, and diabetic ketoacidosis in the pediatric emergency department by December 2021. METHODS A physician team developed a key driver diagram. Retrospective baseline data using International Classification of Diseases, Ninth and Tenth Revision codes were obtained from January 2018 to September 2020, after which data were followed prospectively in consecutive groups of 20 encounters. Statistical process control charts were used to analyze data. Nelson rules were used to detect special cause variation. Primary outcome was the inclusion of appropriate CC attestations. Interventions included education, CC attestation templates, and provider feedback. We also tracked charges for the 3 diagnoses studied. Process measures included template use. Balancing measure was refusal of payment by insurers. RESULTS P-charts were used to analyze primary outcome and process measures. X-bar charts were used to analyze charges. Baseline data represented 706 encounters with 51% including CC documentation. Following clinician education and release of the CC template, special cause variation was detected, and centerline shifted to 88.1% (Fig 2). Average charges per encounter increased from $4527 to $5385. There was no reported refusal of payment. CONCLUSIONS We successfully achieved improvements in CC documentation in the 3 diagnoses of interest through education and process changes in documentation, leading over $1 million in new charges over the past 15 months.

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    المصدر: Archives of Disease in Childhood - Fetal and Neonatal Edition. 107:638-643

    الوصف: ObjectiveDevelop an online estimator that accurately predicts bronchopulmonary dysplasia (BPD) severity or death using readily-available demographic and clinical data.DesignRetrospective analysis of data entered into a prospective registry.SettingInfants cared for at centres of the United States Neonatal Research Network between 2011 and 2017.PatientsInfants 501–1250 g birth weight and 23 0/7–28 6/7 weeks’ gestation.InterventionsNone.Main outcome measuresSeparate multinomial regression models for postnatal days 1, 3, 7, 14 and 28 were developed to estimate the individual probabilities of death or BPD severity (no BPD, grade 1 BPD, grade 2 BPD, grade 3 BPD) defined according to the mode of respiratory support administered at 36 weeks’ postmenstrual age.ResultsAmong 9181 included infants, birth weight was most predictive of death or BPD severity on postnatal day 1, while mode of respiratory support was the most predictive factor on days 3, 7, 14 and 28. The predictive accuracy of the models increased at each time period from postnatal day 1 (C-statistic: 0.674) to postnatal day 28 (C-statistic 0.741). We used these results to develop a web-based model that provides predicted estimates for BPD by postnatal day.ConclusionThe probability of BPD or death in extremely preterm infants can be estimated with reasonable accuracy using a limited amount of readily available clinical information. This tool may aid clinical prognostication, future research, and center-specific quality improvement surrounding BPD prevention.Trial registration numberNCT00063063

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