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Article ; Online: Lanka Mahila Samiti, Mary Rutnam and girl's education.

Albrecht, Jessica Annette

2024

Abstract: ... through the impact of Mary Rutnam's health manuals. Rutnam was a Canadian doctor who had been living in Sri Lanka ...

Abstract	This article engages with the maternal education politics in late colonial Sri Lanka by looking at the implementation of maternal health in the gendered syllabus of middle-class girls' schools. After decades of gender-specific education, the 1930s saw a homogenisation of teachings in these schools through the impact of Mary Rutnam's health manuals. Rutnam was a Canadian doctor who had been living in Sri Lanka for most of her adult life and was seen as a local. She was also active in establishing women's and girls' organisations and political groups. Especially the Lanka Mahila Samiti (LMS) was greatly influential and still is today. The LMS specifically aims at educating the rural women in maternal health and other forms of hygiene with the goal to increase their political and cultural agency. This article examines the relationship between Rutnam's handbooks for girls' schools and the globality of the discourse of motherhood, on the one hand, and the hierarchical divide between the urban middle-class woman and the rural woman, on the other hand. I will argue that by applying the classist discourse of eugenics and hygiene, the teaching of maternal health was transformed in Sri Lanka to create a notion of motherhood that was detached from religion, as it previously was so often framed by it but was highly racialised and classist. This notion of motherhood continues to exist and informs the teaching of sexuality in contemporary Sri Lankan middle-class girls' schools.
Language	English
Publishing date	2024-04-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	2018219-3
ISSN	1473-4265 ; 1468-215X
ISSN (online)	1473-4265
ISSN	1468-215X
DOI	10.1136/medhum-2023-012837
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Article ; Online: Fight Like a Nerdy Girl: The Dear Pandemic Playbook for Combating Health Misinformation.

Leininger, Lindsey J / Albrecht, Sandra S / Buttenheim, Alison / Dowd, Jennifer Beam / Ritter, Ashley Z / Simanek, Amanda M / Valentino, Mary-Jo / Jones, Malia

American journal of health promotion : AJHP

2022 Volume 36, Issue 3, Page(s) 563–567

MeSH term(s)	Communication ; Female ; Humans ; Pandemics ; Social Media
Language	English
Publishing date	2022-02-14
Publishing country	United States
Document type	Editorial
ZDB-ID	645160-3
ISSN	2168-6602 ; 0890-1171
ISSN (online)	2168-6602
ISSN	0890-1171
DOI	10.1177/08901171211070956
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Article ; Online: Environmental impact on young children's participation in home-based activities.

Albrecht, Erin C / Khetani, Mary A

Developmental medicine and child neurology

2016 Volume 59, Issue 4, Page(s) 388–394

Abstract: Aim: To test the effect of child, family, and environmental factors on young children's participation in home-based activities.: Method: Caregivers of young children were recruited using convenience and snowball sampling. Participants were 395 ... ...

Abstract	Aim: To test the effect of child, family, and environmental factors on young children's participation in home-based activities. Method: Caregivers of young children were recruited using convenience and snowball sampling. Participants were 395 caregivers of children (222 males, 173 females) aged from 1 month to 5 years and 11 months. Demographic items and the home section of the Young Children's Participation and Environment Measure were administered online, followed by completion of the daily activities, mobility, and social/cognitive domains of the Pediatric Evaluation of Disability Inventory Computer Adaptive Test by telephone interview. Results: A structural equation model fitted the data well (comparative fit index=0.91) and explained 31.2% of the variance in perceived environmental support and 42.5% of the variance in home involvement. Functional limitations and performance had an indirect effect on young children's participation through their effect on perceived environmental support. Specifically, fewer functional limitations and higher task performance were associated with greater environmental support, which in turn predicted higher levels of home involvement. Interpretation: Results suggest the importance of a young child's functional abilities and task performance on caregiver perceptions of environmental support at home, and the impact of environmental support on a child's participation in home-based activities during the early childhood period. Results warrant replication with more diverse samples to evaluate model generalizability.
MeSH term(s)	Activities of Daily Living/psychology ; Caregivers/psychology ; Child ; Child Behavior/psychology ; Child, Preschool ; Cross-Sectional Studies ; Disability Evaluation ; Environment ; Factor Analysis, Statistical ; Female ; Home Care Services ; Humans ; Infant ; Infant, Newborn ; Male ; Social Participation ; Surveys and Questionnaires
Language	English
Publishing date	2016-12-17
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80369-8
ISSN	1469-8749 ; 0012-1622
ISSN (online)	1469-8749
ISSN	0012-1622
DOI	10.1111/dmcn.13360
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Article ; Online: Uses of video recorded interviews in court by clinical expert witnesses.

Gunn, John / Calcedo, Alfredo / Albrecht, Hans-Jörg / Nedopil, Norbert / Schiltz, Kolja / Buchanan, Alec / Kennedy, Harry / Davoren, Mary / Taylor, Pamela J

Criminal behaviour and mental health : CBMH

2021 Volume 31, Issue 4, Page(s) 226–230

MeSH term(s)	Expert Testimony ; Humans
Language	English
Publishing date	2021-08-23
Publishing country	England
Document type	Editorial
ZDB-ID	2042697-5
ISSN	1471-2857 ; 0957-9664
ISSN (online)	1471-2857
ISSN	0957-9664
DOI	10.1002/cbm.2209
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Article ; Online: 45,X/46,XY mosaicism: Clinical manifestations and long term follow-up.

Alkhunaizi, Ebba / Albrecht, Jenna Plamondon / Aarabi, Mahmoud / Witchel, Selma F / Wherrett, Diane / Babul-Hirji, Riyana / Dupuis, Annie / Chiniara, Lyne / Chater-Diehl, Eric / Shago, Mary / Shuman, Cheryl / Rajkovic, Aleksandar / Yatsenko, Svetlana A / Chitayat, David

American journal of medical genetics. Part A

2023 Volume 194, Issue 3, Page(s) e63451

Abstract: 45,X/46,XY chromosomal mosaicism presents a range of clinical manifestations, including phenotypes from Turner syndrome through genital abnormalities to apparently unaffected phenotypic males; however, the full clinical spectrum has not yet been fully ... ...

Abstract	45,X/46,XY chromosomal mosaicism presents a range of clinical manifestations, including phenotypes from Turner syndrome through genital abnormalities to apparently unaffected phenotypic males; however, the full clinical spectrum has not yet been fully delineated since prior studies on the clinical phenotype and associated risk of gonadal tumors included small cohorts and limited follow-up. To better describe the clinical manifestations and long-term outcome of patients with 45,X/46,XY mosaicism. We conducted a retrospective chart review of patients with 45,X/46,XY from three health centers (Hospital for Sick Children and Mount Sinai Hospital in Canada, and University of Pittsburgh Medical Center in United States). Of 100 patients with 45,X/46,XY karyotype, 47 were raised as females and 53 as males. Females were significantly shorter than males (p = 0.04) and height Z-score was significantly decreased with age for both genders (p = 0.02). Growth hormone (GH) treatment did not result in a significant height increase compared to the untreated group (p = 0.5). All females required puberty induction in contrast to majority of males. Five females were diagnosed with gonadal tumors, while no males were affected. Around 58% of patients exhibited at least one Turner syndrome stigmata. This study expands the clinical spectrum, long-term outcomes, and associated tumor risk in a large cohort of patients with 45,X/46,XY mosaicism. Additionally, it highlights our experience with GH therapy and prophylactic gonadectomy.
MeSH term(s)	Child ; Humans ; Male ; Female ; Mosaicism ; Turner Syndrome/diagnosis ; Turner Syndrome/genetics ; Gonadal Dysgenesis, Mixed/genetics ; Follow-Up Studies ; Retrospective Studies ; Phenotype ; Neoplasms
Language	English
Publishing date	2023-10-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	2108614-X
ISSN	1552-4833 ; 0148-7299 ; 1552-4825
ISSN (online)	1552-4833
ISSN	0148-7299 ; 1552-4825
DOI	10.1002/ajmg.a.63451
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Article ; Online: Cannabis use disorder in patients with chronic pain: overestimation and underestimation in a cross-sectional observational study in 3 German pain management centres.

Bialas, Patric / Böttge-Wolpers, Claudia / Fitzcharles, Mary-Ann / Gottschling, Sven / Konietzke, Dieter / Juckenhöfel, Stephanie / Madlinger, Albrecht / Welsch, Patrick / Häuser, Winfried

Pain

2022 Volume 164, Issue 6, Page(s) 1303–1311

Abstract: Abstract: There are concerns that cannabis use disorder (CUD) may develop in patients with chronic pain prescribed medical cannabis (MC). The criteria for CUD according to the Statistical Manual for Mental Disorders Version 5 (DSM-5) were not developed ... ...

Abstract	Abstract: There are concerns that cannabis use disorder (CUD) may develop in patients with chronic pain prescribed medical cannabis (MC). The criteria for CUD according to the Statistical Manual for Mental Disorders Version 5 (DSM-5) were not developed for the identification of patients using cannabis for therapeutic reasons. In addition, some items of CUD might be attributed to the desire of the patient to relieve the pain. Therefore, alternative strategies are needed to identify the true prevalence of CUD in persons with chronic pain being treated with MC. The prevalence of CUD in patients with chronic pain according to the DSM-5 criteria was assessed using an anonymous questionnaire in 187 consecutive patients attending 3 German pain centres in 2021. Questionnaires were rated as follows: (1) all criteria included, (2) removal of items addressing tolerance and withdrawal, and (3) removal of positive items if associated with the desire to relieve pain. Abuse was assessed by self-report (use of illegal drugs and diversion and illegal acquisition of MC) and urine tests for illegal drugs. Physicians recorded any observation of abuse. Cannabis use disorder according to the DSM-5 criteria was present in 29.9%, in 13.9% when items of tolerance and withdrawal were removed, and in 2.1% when positive behaviour items were removed. In 10.7%, at least 1 signal of abuse was noted. Urine tests were positive for nonprescribed drugs (amphetamines and tranquilizer) in 4.8% of subjects. Physicians identified abuse in 1 patient. In this study, the DSM-5 criteria overestimated and physicians underestimated the prevalence of CUD in patients prescribed MC for chronic pain.
MeSH term(s)	Humans ; Marijuana Abuse/epidemiology ; Chronic Pain/drug therapy ; Chronic Pain/epidemiology ; Pain Management ; Pain Clinics ; Substance-Related Disorders ; Medical Marijuana/therapeutic use ; Illicit Drugs
Chemical Substances	Medical Marijuana ; Illicit Drugs
Language	English
Publishing date	2022-11-03
Publishing country	United States
Document type	Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	193153-2
ISSN	1872-6623 ; 0304-3959
ISSN (online)	1872-6623
ISSN	0304-3959
DOI	10.1097/j.pain.0000000000002817
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Zs.A 1158: Show issues

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Article: Fatal Spontaneous Clostridium bifermentans Necrotizing Endometritis: A Case Report and Literature Review of the Pathogen.

Hale, Andrew / Kirby, James E / Albrecht, Mary

Open forum infectious diseases

2016 Volume 3, Issue 2, Page(s) ofw095

Abstract: Clostridium bifermentans is a rare pathogen in humans. A fatal case of fulminant endometritis with toxic shock and capillary leak secondary to C bifermentans infection in a young woman is described, and this is compared to all 13 previously described ... ...

Abstract	Clostridium bifermentans is a rare pathogen in humans. A fatal case of fulminant endometritis with toxic shock and capillary leak secondary to C bifermentans infection in a young woman is described, and this is compared to all 13 previously described cases of C bifermentans infection.
Language	English
Publishing date	2016-05-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	2757767-3
ISSN	2328-8957
ISSN	2328-8957
DOI	10.1093/ofid/ofw095
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Article ; Online: Training dementia care professionals to help caregivers improve the management of behavioral and psychological symptoms of dementia using the DICE Approach: A pilot study.

Albrecht, Tammi / Schroeder, Molly / LeCaire, Tamara / Endicott, Sarah / Marschall, Katelyn / Felten, Kristen / Sayavedra, Noelia / Russmann, Sydney / Kern, Vince / Blazek, Mary C / Kales, Helen C / Carlsson, Cynthia M / Mahoney, Jane / Walaszek, Art

Geriatric nursing (New York, N.Y.)

2022 Volume 48, Page(s) 74–79

Abstract: Most persons living with dementia (PLWD) exhibit behavioral or psychological symptoms of dementia (BPSD) over the course of the illness. The DICE Approach (DICE) is a framework that enables caregivers to identify, evaluate, and manage BPSD. This pilot ... ...

Abstract	Most persons living with dementia (PLWD) exhibit behavioral or psychological symptoms of dementia (BPSD) over the course of the illness. The DICE Approach (DICE) is a framework that enables caregivers to identify, evaluate, and manage BPSD. This pilot pre-post test study examined the effects of DICE training on dementia care professionals' self-efficacy, knowledge, and attitudes regarding care of patients with BPSD. Participants underwent either in-person DICE training or, during the pandemic, online training. Case consultations were offered as additional learning opportunities in challenging situations. Of 134 participants in the trainings, 122 (91.0%) provided survey data for one or more instruments before and after training. Participants experienced significant improvement in knowledge and attitudes with respect to BPSD and improvement in self-efficacy with respect to helping caregivers respond to BPSD. Training dementia care professionals in DICE can improve their capacity to support caregivers in the management of BPSD.
Language	English
Publishing date	2022-09-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	632559-2
ISSN	1528-3984 ; 0197-4572
ISSN (online)	1528-3984
ISSN	0197-4572
DOI	10.1016/j.gerinurse.2022.08.016
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Article ; Online: Determinants of change in home participation among critically ill children.

Khetani, Mary A / Albrecht, Erin C / Jarvis, Jessica M / Pogorzelski, David / Cheng, Emmy / Choong, Karen

Developmental medicine and child neurology

2018 Volume 60, Issue 8, Page(s) 793–800

Abstract: Aim: To estimate changes in home participation among critically ill children in the first 6 months after discharge from a pediatric intensive care unit (PICU), and to explore the effect of child, service, and environmental factors on change in home ... ...

Abstract	Aim: To estimate changes in home participation among critically ill children in the first 6 months after discharge from a pediatric intensive care unit (PICU), and to explore the effect of child, service, and environmental factors on change in home participation. Method: This was a prospective bi-center, longitudinal cohort study. Caregivers of 180 children, aged 1 to 17 years, who were admitted into the PICU for at least 48 hours were included. Patient-reported outcomes were used to capture caregivers' perspectives of their child's participation and environmental supports for participation in home activities. Data were collected at enrollment, and 3 and 6 months after discharge. Results: There were no significant changes in home participation frequency or involvement, but involvement rates across time were moderated by functional status. Age significantly predicted participation frequency. Pre-PICU functional status and capabilities were significant predictors of participation frequency and involvement, and home environmental support significantly predicted home involvement. Interpretation: Results suggest relatively stable participation trajectories in the 6 months after PICU admission. Children with abnormal baseline function experienced a greater increase in home involvement after PICU. Rehabilitation interventions targeting functional capabilities and home environment may be viable approaches during the early phase of recovery. Environmental interventions may be more time-efficient after PICU stay and merit further study. What this paper adds: Children's pre-pediatric intensive care unit (PICU) functional status and capabilities impact their participation after critical illness. Children's trajectories of home involvement may differ over time based on their pre-PICU functional status. Caregiver perceptions of environmental support impact a child's home involvement after discharge from a PICU.
MeSH term(s)	Activities of Daily Living ; Adolescent ; Child ; Child, Preschool ; Critical Illness/rehabilitation ; Environment ; Family ; Female ; Humans ; Infant ; Intensive Care Units, Pediatric ; Longitudinal Studies ; Male ; Patient Discharge ; Patient Reported Outcome Measures ; Severity of Illness Index ; Time Factors
Language	English
Publishing date	2018-03-25
Publishing country	England
Document type	Journal Article ; Multicenter Study ; Research Support, N.I.H., Extramural
ZDB-ID	80369-8
ISSN	1469-8749 ; 0012-1622
ISSN (online)	1469-8749
ISSN	0012-1622
DOI	10.1111/dmcn.13731
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Article ; Online: Patient Engagement and Provider Effectiveness of a Novel Sleep Telehealth Platform and Remote Monitoring Assessment in the US Military: Pilot Study Providing Evidence-Based Sleep Treatment Recommendations.

Wickwire, Emerson M / Collen, Jacob / Capaldi, Vincent F / Williams, Scott G / Assefa, Samson Z / Adornetti, Julianna P / Huang, Kathleen / Venezia, Janet M / Jones, Rachell L / Johnston, Christine W / Thomas, Connie / Thomas, Mary Ann / Mounts, Charles / Drake, Christopher L / Businelle, Michael S / Grandner, Michael A / Manber, Rachel / Albrecht, Jennifer S

JMIR formative research

2023 Volume 7, Page(s) e47356

Abstract: Background: Sleep problems are common and costly in the US military. Yet, within the military health system, there is a gross shortage of trained specialist providers to address sleep problems. As a result, demand for sleep medicine care far exceeds the ...

Abstract	Background: Sleep problems are common and costly in the US military. Yet, within the military health system, there is a gross shortage of trained specialist providers to address sleep problems. As a result, demand for sleep medicine care far exceeds the available supply. Telehealth including telemedicine, mobile health, and wearables represents promising approaches to increase access to high-quality and cost-effective care. Objective: The purpose of this study was to evaluate patient engagement and provider perceived effectiveness of a novel sleep telehealth platform and remote monitoring assessment in the US military. The platform includes a desktop web portal, native mobile app, and integrated wearable sensors (ie, a commercial off-the-shelf sleep tracker [Fitbit]). The goal of the remote monitoring assessment was to provide evidence-based sleep treatment recommendations to patients and providers. Methods: Patients with sleep problems were recruited from the Internal Medicine clinic at Walter Reed National Military Medical Center. Patients completed intensive remote monitoring assessments over 10 days (including a baseline intake questionnaire, daily sleep diaries, and 2 daily symptom surveys), and wore a Fitbit sleep tracker. Following the remote monitoring period, patients received assessment results and personalized sleep education in the mobile app. In parallel, providers received a provisional patient assessment report in an editable electronic document format. Patient engagement was assessed via behavioral adherence metrics that were determined a priori. Patients also completed a brief survey regarding ease of completion. Provider effectiveness was assessed via an anonymous survey. Results: In total, 35 patients with sleep problems participated in the study. There were no dropouts. Results indicated a high level of engagement with the sleep telehealth platform, with all participants having completed the baseline remote assessment, reviewed their personalized sleep assessment report, and completed the satisfaction survey. Patients completed 95.1% of sleep diaries and 95.3% of symptom surveys over 10 days. Patients reported high levels of satisfaction with most aspects of the remote monitoring assessment. In total, 24 primary care providers also participated and completed the anonymous survey. The results indicate high levels of perceived effectiveness and identified important potential benefits from adopting a sleep telehealth approach throughout the US military health care system. Conclusions: Military patients with sleep problems and military primary care providers demonstrated high levels of engagement and satisfaction with a novel sleep telehealth platform and remote monitoring assessment. Sleep telehealth approaches represent a potential pathway to increase access to evidence-based sleep medicine care in the US military. Further evaluation is warranted.
Language	English
Publishing date	2023-11-16
Publishing country	Canada
Document type	Journal Article
ISSN	2561-326X
ISSN (online)	2561-326X
DOI	10.2196/47356
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