A5089366524- Healthcare Policy and Management
- Economic and Financial Impacts of Cancer
- Cancer survivorship and care
- BRCA gene mutations in cancer
- COVID-19 and healthcare impacts
- Ethics in Clinical Research
- Palliative Care and End-of-Life Issues
- Breast Cancer Treatment Studies
- Categorization, perception, and language
- Gender, Labor, and Family Dynamics
- Patient-Provider Communication in Healthcare
- Medical Research and Treatments
- Telemedicine and Telehealth Implementation
- Health Systems, Economic Evaluations, Quality of Life
- Migration, Health and Trauma
- Adolescent Sexual and Reproductive Health
- Racial and Ethnic Identity Research
- Food Security and Health in Diverse Populations
- Vaccine Coverage and Hesitancy
- Primary Care and Health Outcomes
- Social and Behavioral Studies
- Cancer Genomics and Diagnostics
- Health, psychology, and well-being
- Mobile Health and mHealth Applications
- Animal Behavior and Welfare Studies
University of Alabama at Birmingham
2012-2023
The University of Sydney
2012
University of Michigan
2011
Michigan United
2011
Saint Louis University
2005
University of Nebraska Medical Center
2005
Policy Analysis (United States)
2005
University of Southern Maine
2004
Despite evidence of clinical benefits, widespread implementation remote symptom monitoring has been limited. We describe a process adapting intervention developed in research setting to real-world at two cancer centers.
The financial impact of an outbreak FMD in 2010 on 62 smallholder cattle farmers four villages southern Cambodia was investigated by a survey questionnaire. Financial losses associated with infection were severe variation depending whether the animal survived or died used for draft. average post-FMD loss varied from USD 216.32, 54% reduction pre-FMD value because weight and treatment costs, to 370.54, 92% values if treated, rental draft replacement required. Partial budget analysis...
Abstract Background Given excellent survival outcomes in breast cancer, there is interest de‐escalating the amount of chemotherapy delivered to patients. This approach may be even greater importance setting COVID‐19 pandemic. Methods concurrent mixed methods study included (1) interviews with patients and patient advocates (2) a cross‐sectional survey women cancer served by charitable nonprofit organization. Questions evaluated de‐escalation trial participation, perceived...
As the combination of systemic and targeted chemotherapies is associated with severe adverse side effects long-term health complications, there interest in reducing treatment intensity for patients early-stage breast cancer (EBC). Clinical trials are needed to determine feasibility while maintaining 3-year recurrence-free survival greater than 92%. To recruit participants these trials, it important understand patient perspectives on chemotherapy.We collected qualitative interview data from...
Information about patterns of individual health insurance coverage is limited. Knowledge gaps include the extent to which provides transitional versus long-term coverage, and participants’ status before after being covered by an plan. In this study we use data from 1996–2000 Survey Income Program Participation (SIPP) examine how long individually insured maintain their coverage; sources enrolling in plan; characteristics those who rely on coverage. Understanding dynamics market will better...
As outcomes improve in early-stage breast cancer, clinical trials are undergoing a paradigm shift from intensification (more therapy) to survival optimization trials, which assess the potential for using less toxic therapy while preserving outcomes. However, little is known about physician perspectives community and academic settings possible barriers facilitators that could affect accrual generalizability of future findings.We conducted qualitative study with semistructured interviews...
MUNICIPAL CONTROL OF TYPHOID FEVER Charles R. GrandyM. D., and C. J. AndrewsM. D. CopyRight https://doi.org/10.2105/AJPH.3.8.746 Published Online: August 30, 2011
148 Background: The World Health Organization cited vaccine hesitancy as one of 2019’s top ten threats to global health, a threat that has been further exacerbated by COVID-19 pandemic. Existing research focuses on the general population, but less is known about specific concerns medically vulnerable populations, including individuals with cancer. Methods: This cross-sectional analysis used data assessed likelihood vaccination (likely vs unlikely/unsure) among past or current patients cancer...
Mexican immigrant women come to the United States in pursuit of what they call la buena vida (the good life) for themselves and their children. The research described here attempts better understand means these terms perceive as necessary achieve this ideal. While theoretical construct acculturation is typically used study happens individuals transitioning from one cultural orientation another, utilizes a cognitive approach resolve some inherent problems research—specifically, failure define...
Mexican-born women in the U.S. are at high risk of depression. While acculturation is primary analytical framework used to study immigrant mental health, this research suffers from (1) a lack specificity regarding how cultural models living and being take shape among migrants converging new destinations U.S., (2) methods empirically capture impact positioning on individual health outcomes. Instead relying proxy measures age arrival time indicate where an located spectrum, uses consensus...
Historically, clinical trials involved adding novel agents to standard of care improve survival. There has been a shift an individualized approach with testing less intense treatment, particularly in breast cancer where risk recurrence is low. Little known about physician perspectives on delivering treatment for patients who are not well represented trials.Open-ended, individual qualitative interviews medical oncologists explored their that test cancer, focus cancer. Interviews were...
Polyurethane shape memory polymers (PU-SMPs) are active materials that can be transformed into complex shapes with the ability to recover their original even after undergoing large deformations. Because of light weight, recoverability, low cost, and high compliance, SMPs potentially employed as actuators, MEMS devices, temperature sensors, damping elements name a few. One key challenges in implementing is response time which limited by method heating cooling material. Unlike alloys,...
We describe a case study involving obesity, health, and body image on the small island of Nayau, in Lau Group, Fiji. Nayau is remote Fiji where traditional subsistence activities are practiced. They have only recently had exposure to Western media television. Traditionally, large sizes valued as signs health happiness. As such, obesity can be considered culture bound syndrome. The key aims our were 1) conduct qualitative quantitative research eating behaviors, image, activity patterns; 2)...
Abstract Background Cancer recurrence after treatment is a concern for patients and oncologists alike. The movement towards optimization, with trials testing less than the current standard of care (SoC), complicates this experience. Our objective was to assess oncologists' psychological response patient on optimization‐focused identify factors that influence those experiences. Methods Clinical participated in semi‐structured interview regarding enrollment optimization trials. We identified...
This paper presents a pilot ethnoarchaeological study, exploring Fijian consumption and waste behaviors through the analysis of household garbage. Over two field-seasons, we examined contemporary Lauan garbage dump-site interviewed islanders who engage in subsistence-based economy. We investigated four households varying demographics (household make-up, age, social rank) collected their rubbish each day over one-week period. Discarded material was recorded, identified, described. Later,...
While vaccine hesitancy has been described for the general population, among chronically ill not well explored. This study assesses COVID‑19 and uptake individuals with chronic illness using nationwide survey data. We analyzed prior to after approval of vaccines multinomial logistic regression binomial regression, respectively. In first survey, 39% reported they were unlikely or unsure about receiving vaccine. adjusted analyses, female sex, Black race, anti‑vaccination attitudes, media...
ABSTRACT: Context : The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) created the Advantage (MA) program, which promotes entry private Preferred Provider Organization (PPO) plans into regions that have not previously had managed care plans. assumption a competitive environment will develop is based on experiences in Federal Employees Health Benefits Program (FEHBP). Purpose authors test hypothesis FEHBP has fostered an competing health plans, especially...
To identify factors associated with reproductive decision-making for women living HIV in Western Jamaica, to assess their confidence anti-retroviral therapy reduce the chances of mother child transmission HIV, and better understand experience stigmatization surrounding becoming pregnant after diagnosis.Two focus groups were conducted among four parishes Jamaica 2011. A trained moderator along two student notetakers. Qualitative coding content analysis used common themes exemplary quotations...
521 Background: Clinical trials provide the foundation for evidence-based practices, yet trial participants are often not representative of all patients. Historically, clinical involved adding novel agents to standard care improve survival. There has been a shift an individualized approach with testing less intense treatment, vulnerable patient groups at risk underrepresentation. Little is known about physician perspectives on implementing treatment approaches patients who represented in...
421 Background: For successful remote symptom monitoring using patient-reported outcomes, nurses should respond to alerts in a timely fashion. Where clinical trials utilized research staff for alert management, the shift standard-of-care delivery necessitates that this responsibility be added as task an already strained nursing workforce. Little is known about strategies engage improve timeliness of management. Methods: In quality improvement initiative, we aimed closures generated by...
254 Background: As the combination of systemic and targeted chemotherapies is associated with severe adverse side effects long-term health complications, there interest in reducing treatment intensity for patients early-stage breast cancer (EBC). Currently, this approach being described as “de-escalation,” though some concern that language framing are not well understood or preferred by patients. Methods: We collected qualitative interview data from twenty-four Stage II-III sixteen patient...