Despite the availability of a highly effective human papillomavirus (HPV) vaccine, uptake remains below Healthy People 2030 targets, particularly in rural areas where HPV-related cancers are more prevalent. This study aimed to explore how social processes influence parents’ HPV vaccination decisions, focusing on vaccine-hesitant parents who vaccinated their child(ren) against despite hesitancy, eg, “hesitant adopters.” We conducted qualitative exploratory analysis in-depth interviews with...

Adverse childhood experiences (ACEs) have lifetime consequences for health and development. This study examined whether there is evidence to support a screening approach that assesses children's current exposures risks act as proxies ACEs, measured in way falls below threshold of explicit abuse, neglect, or illegal behavior.We used data collected during routine home visitations at-risk children aged 0-5. Home visitors the Family Map Inventories (FMI; Whiteside-Mansell et al., 2007) screen...

AbstractThe coronavirus disease (COVID−19) was the third leading cause of death in 2021 United States and has led to historic declines life expectancy for Americans. While vaccination is an effective mitigation strategy COVID−19, vaccine hesitancy remains a major barrier individual population-level protection. An emerging literature on hesitant adopters COVID−19 vaccines highlights co-occurrence uptake as understudied phenomenon, with potential provide insight into factors that lead...

COVID-19 vaccines effectively protect against COVID-19-related hospitalization or death, and 67.1% of the US population is fully vaccinated. However, disparity in vaccination persists among minority rural populations who often report greater hesitancy about vaccines. This exploratory study aimed to understand document trusted sources information vaccine a diverse sample hesitant adopters with in-depth interviews. Participants (

COVID-19 vaccine coverage remains low for US children, especially among those living in rural areas and the Southern/Southeastern US. As of 12 September 2023, CDC recommended bivalent booster doses everyone 6 months older. Emerging research has shown an individual may be hesitant also choose to receive a themselves or their child(ren); however, little is known regarding how adopters evaluate vaccinations. We used exploratory qualitative descriptive study design conducted interviews with...

Few studies have investigated the relationship between influenza vaccination and health care access. Furthermore, despite well-documented disparities in vaccine coverage for communities of color, few examined how experiences discrimination may influence uptake. To fill this gap literature, study associations 5-year rates sociodemographic characteristics, access, racial discrimination. Age, race/ethnicity, education, coverage, primary provider, no medical due to cost, routine doctor checkups...

The literature regarding vaccine hesitancy is limited to specific vaccines rather than general hesitancy. No studies have examined the relationship of healthcare access and experiences racial discrimination. This study fills gaps by examining: (1) socio-demographic factors; (2) associations between access; (3) with discrimination Survey data were obtained from 2022 US adults 7 September 3 October 2021. Racial ethnic minority populations oversampled. Age, gender, race, education predictors...

Our objective was to examine the relationship between low- and high-level depressive symptoms in mothers' children's risks areas of home car safety, monitoring, exposure violence.Participants included 978 mothers preschool-age children who were interviewed about their environment screened for maternal depression.Whereas only 5.7% scored at high levels on screen, another 21.3% low levels. Logistic regression analyses controlling demographics revealed that significantly more likely experience...

Abstract Background Rhabdomyolysis is a syndrome caused by the death of muscle tissue, which leads to release protein myoglobin into circulation. The severity rhabdomyolysis varies widely from asymptomatic life threatening, and has many possible causes, including specific classification associated with medications. This report suggests potential for induction an interaction between ginkgo ( Ginkgo biloba ) cannabis, in addition recent strenuous exercise. Prompt identification aetiology...

As of May 17, 2022, more than a million deaths due to COVID-19 have been recorded in the US. For each death, there are an estimated nine bereaved family members and unknown number friends. This study aimed assess correlates self-reported death exposure (i.e., loss close friend or member) among US adults using online survey data ( n = 1,869) collected between September 2021 October 3, 2021. One four this national sample reported member COVID-19. The odds losing were greater for those age 60...

The purpose of our case report is to generate awareness among the providers about rising abuse loperamide, which a readily available nonprescription medication for its opiate-like actions and risk severe cardiac complications as consequence same. It currently becoming significant concern healthcare fraternity due increasing owing opioid agonistic activity. Our patient was 32-year-old female who presented ED with ventricular dysrhythmias persistent, prolonged QT interval secondary excessively...

Excessive television (TV) viewing by children can lead to negative health and developmental outcomes. Using structural equation modeling, this study tests a conceptual model understand social familial factors associated with TV exposure among sample of 767 Head Start families between the ages 3 5 years. Fit statistics suggested that overall provided an acceptable fit observed data. Specifically, significant paths suggest parents’ support affects child exposure. Additionally, lower levels...

A 57-year-old white man presented with acute abdominal pain and rash without any prodromal symptoms. The skin biopsy confirmed immunoglobulin (IgA) vasculitis small vessel perivascular IgA, C3, fibrin deposition. IgA is diagnosed most commonly in children presents adults only 10% of cases. Treatment usually supportive care, interventions may be required to avoid complications such as nephrotic syndrome or gastrointestinal bleeding. Clinicians should aware a potential cause for adult populations.

Drug-induced haemolytic anaemia (DIHA) is a rare condition that has been associated with multitude of medications. Although few cephalosporins have commonly implicated in DIHA, cephalexin reported only cases.We report case 44-year-old woman who developed after 5 days therapy cephalexin.Although DIHA rare, it should not be overlooked the differential diagnosis. This adds to limited number reports cephalexin-induced anaemia.

Residency programs are expected to meet many requirements in training their residents, including providing adequate numbers of pediatric visits and procedures opportunities. In the residency program studied here, these were inadequate, despite efforts faculty members over years. A self-designated champion (with traits vision, persuasiveness, proactivity, tenacity) launched a series clinical initiatives combat problems.

COVID-19 remains a significant health threat to the United States (U.S.) and world even after development of effective vaccines. Throughout pandemic, rural areas have been more hesitant be vaccinated for than urban counterparts. The purpose this study was assess predictors vaccine hesitancy in small, largely rural, southern state using multivariate model that would allow an assessment independent hesitancy.