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Article ; Online: Clarification Regarding "Outdoor Transmission of SARS-CoV-2 and Other Respiratory Viruses: A Systematic Review".

Razani, Nooshin / Malekinejad, Mohsen / Rutherford, George W

2021 Volume 224, Issue 5, Page(s) 925–926

MeSH term(s)	COVID-19/transmission ; Humans ; Respiratory System/virology ; SARS-CoV-2/pathogenicity ; Viruses/pathogenicity
Language	English
Publishing date	2021-06-04
Publishing country	United States
Document type	Journal Article ; Systematic Review
ZDB-ID	3019-3
ISSN	1537-6613 ; 0022-1899
ISSN (online)	1537-6613
ISSN	0022-1899
DOI	10.1093/infdis/jiab298
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Article ; Online: Public Lands Are Essential to Public Health During a Pandemic.

Razani, Nooshin / Radhakrishna, Rohan / Chan, Curtis

Pediatrics

2020 Volume 146, Issue 2

MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Exercise ; Humans ; Mental Health ; Pandemics ; Parks, Recreational ; Pneumonia, Viral/epidemiology ; Public Health ; Quarantine ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-05-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	207677-9
ISSN	1098-4275 ; 0031-4005
ISSN (online)	1098-4275
ISSN	0031-4005
DOI	10.1542/peds.2020-1271
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Article ; Online: Nature as a Community Health Tool: The Case for Healthcare Providers and Systems.

South, Eugenia C / Kondo, Michelle C / Razani, Nooshin

American journal of preventive medicine

2020 Volume 59, Issue 4, Page(s) 606–610

MeSH term(s)	Health Personnel ; Humans ; Public Health ; Qualitative Research
Language	English
Publishing date	2020-07-09
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	632646-8
ISSN	1873-2607 ; 0749-3797
ISSN (online)	1873-2607
ISSN	0749-3797
DOI	10.1016/j.amepre.2020.03.025
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Article: Transfemoral amputation and prosthesis provision in Tanzania: Patient and provider perspectives.

Urva, Mayur / Donnelley, Claire A / Challa, Sravya T / Haonga, Billy T / Morshed, Saam / Shearer, David W / Razani, Nooshin

African journal of disability

2023 Volume 12, Page(s) 1084

Abstract: Background: The burden of disability because of traumatic limb amputation, particularly transfemoral amputation (TFA) is disproportionately carried by low- and middle-income countries. The need for improved access to prosthesis services in these ... ...

Abstract	Background: The burden of disability because of traumatic limb amputation, particularly transfemoral amputation (TFA) is disproportionately carried by low- and middle-income countries. The need for improved access to prosthesis services in these settings is well-documented, but perspectives on the burden imposed by TFA and the challenges associated with subsequent prosthesis provision vary among patients, caregivers and healthcare providers. Objectives: To examine the burden of TFA and barriers to prosthesis provision as perceived by patient, caregiver and healthcare professional, at a single tertiary referral hospital in Tanzania. Method: Data were collected from five patients with TFA and four caregivers recruited via convenience sampling, in addition to 11 purposively sampled healthcare providers. All participants participated in in-depth interviews regarding their perceptions of amputation, prostheses and underlying barriers to improving care for persons with TFA in Tanzania. A coding schema and thematic framework were established from interviews using inductive thematic analysis. Results: All participants noted financial and psychosocial burdens of amputation, and perceived prostheses as an opportunity for return to normality and independence. Patients worried about prosthesis longevity. Healthcare providers noted significant obstacles to prosthesis provision, including infrastructural and environmental barriers, limited access to prosthetic services, mismatched patient expectations and inadequate coordination of care. Conclusion: This qualitative analysis identifies factors influencing prosthesis-related care for patients with TFA in Tanzania which are lacking in the literature. Persons with TFA and their caregivers experience numerous hardships exacerbated by limited financial, social and institutional support. Contribution: This qualitative analysis informs future directions for research into improving prosthesis-related care for patients with TFA in Tanzania.
Language	English
Publishing date	2023-02-14
Publishing country	South Africa
Document type	Journal Article
ZDB-ID	2733893-9
ISSN	2226-7220 ; 2223-9170
ISSN (online)	2226-7220
ISSN	2223-9170
DOI	10.4102/ajod.v12i0.1084
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Article: Public Lands Are Essential to Public Health During a Pandemic

Razani, Nooshin / Radhakrishna, Rohan / Chan, Curtis

Pediatrics

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #723151
Database	COVID19

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Article ; Online: The Association of Knowledge, Attitudes and Access with Park Use before and after a Park-Prescription Intervention for Low-Income Families in the U.S.

Razani, Nooshin / Hills, Nancy K / Thompson, Doug / Rutherford, George W

International journal of environmental research and public health

2020 Volume 17, Issue 3

Abstract: We conducted secondary data analyses of pooled data from a clinical trial that prescribed park visits to children and their caregivers in a low-income, urban setting. Data were collected at the prescribing visit (baseline) and at one and three months of ... ...

Abstract	We conducted secondary data analyses of pooled data from a clinical trial that prescribed park visits to children and their caregivers in a low-income, urban setting. Data were collected at the prescribing visit (baseline) and at one and three months of follow up from 78 families. Family characteristics were identified at baseline; regression models were used to explore changes during follow up in associations of park use with knowledge, attitudes and perceived access to parks. At baseline, park users differed from non-users in demographics, knowledge of park locations, attitudes about the value of park visits, but not affinity for nature. Park users were also more likely than non-users to feel that their neighborhood was safe for children to play in. Changes in knowledge of park locations, nature affinity, and perceived access to parks were each significantly associated with increased park use by families at one and three months after the park prescription. Adjusting for age, gender, race, poverty, and US birth, increases in knowing the location of parks were associated with an increase of 0.27 weekly park visits (95% CI 0.05, 0.49;
MeSH term(s)	Adolescent ; Adult ; Attitude ; Caregivers ; Child ; Child, Preschool ; Exercise ; Female ; Humans ; Knowledge ; Male ; Middle Aged ; Parks, Recreational ; Poverty ; Public Facilities ; Recreation ; Residence Characteristics ; United States ; Urban Population
Language	English
Publishing date	2020-01-21
Publishing country	Switzerland
Document type	Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph17030701
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Outdoor Transmission of SARS-CoV-2 and Other Respiratory Viruses: A Systematic Review.

Bulfone, Tommaso Celeste / Malekinejad, Mohsen / Rutherford, George W / Razani, Nooshin

The Journal of infectious diseases

2020 Volume 223, Issue 4, Page(s) 550–561

Abstract: Background: While risk of outdoor transmission of respiratory viral infections is hypothesized to be low, there are limited data on SARS-CoV-2 transmission in outdoor compared to indoor settings.: Methods: We conducted a systematic review of peer- ... ...

Abstract	Background: While risk of outdoor transmission of respiratory viral infections is hypothesized to be low, there are limited data on SARS-CoV-2 transmission in outdoor compared to indoor settings. Methods: We conducted a systematic review of peer-reviewed papers indexed in PubMed, EMBASE, and Web of Science and preprints in Europe PMC through 12 August 2020 that described cases of human transmission of SARS-CoV-2. Reports of other respiratory virus transmission were included for reference. Results: Five identified studies found a low proportion of reported global SARS-CoV-2 infections occurred outdoors (<10%) and the odds of indoor transmission was very high compared to outdoors (18.7 times; 95% confidence interval, 6.0-57.9). Five studies described influenza transmission outdoors and 2 adenovirus transmission outdoors. There was high heterogeneity in study quality and individual definitions of outdoor settings, which limited our ability to draw conclusions about outdoor transmission risks. In general, factors such as duration and frequency of personal contact, lack of personal protective equipment, and occasional indoor gathering during a largely outdoor experience were associated with outdoor reports of infection. Conclusions: Existing evidence supports the wide-held belief that risk of SARS-CoV-2 transmission is lower outdoors but there are significant gaps in our understanding of specific pathways.
MeSH term(s)	COVID-19/transmission ; Disease Transmission, Infectious ; Environmental Exposure ; Humans ; Risk Factors ; SARS-CoV-2/isolation & purification
Language	English
Publishing date	2020-11-27
Publishing country	United States
Document type	Journal Article ; Systematic Review
ZDB-ID	3019-3
ISSN	1537-6613 ; 0022-1899
ISSN (online)	1537-6613
ISSN	0022-1899
DOI	10.1093/infdis/jiaa742
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Article ; Online: Association of neighborhood parks with child health in the United States.

Reuben, Aaron / Rutherford, George W / James, Jameze / Razani, Nooshin

Preventive medicine

2020 Volume 141, Page(s) 106265

Abstract: While there is evidence that parks support pediatric health, there have been no national studies looking at both physical and mental health. We assessed whether the presence of a neighborhood park is associated with pediatric physical or mental health ... ...

Abstract	While there is evidence that parks support pediatric health, there have been no national studies looking at both physical and mental health. We assessed whether the presence of a neighborhood park is associated with pediatric physical or mental health across the U.S. using a nationally representative cross-sectional random sample of American children ages 0-17. Caregivers reported on the park presence in their child's neighborhood and the child's physical activity, screen-time, sleep, weight, and diagnosis of anxiety, depression, or attention deficit hyperactivity disorder (ADHD). Covariates included child and family sociodemographics and, for 29 states, neighborhood urbanicity. Caregivers reported on 49,146 children (mean age 9.4 years; 49% female). There were 11,791 (24%) children living in neighborhoods lacking a park; children in non-urban locations (aOR 2.19, 95% CI 1.40-1.67) or below the federal poverty level (aOR = 1.48, 95%CI 1.38-1.58) had higher odds of lacking a park. Irrespective of sociodemographics, children lacking parks were more likely to be physically inactive (aOR1.36, 95% CI 1.24, 1.48), have excessive screen-time (aOR = 1.19, 95% CI 1.14, 1.25), or obtain inadequate sleep (aOR = 1.23, 95% CI 1.18, 1.29). Children without parks were more likely obese (aOR = 1.32, 95% CI 1.21, 1.43), overweight (aOR 1.25, 95%CI 1.17, 1.33), or diagnosed with ADHD (aOR 1.20, 95% CI 1.12, 1.29), but not more anxious or depressed (aOR = 1.04, 95%CI 0.97, 1.11). Associations between parks and pediatric physical and mental health suggests that the provision of neighborhood parks could represent a low-cost childhood health intervention.
MeSH term(s)	Adolescent ; Child ; Child Health ; Child, Preschool ; Cross-Sectional Studies ; Exercise ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Parks, Recreational ; Residence Characteristics ; Sedentary Behavior ; United States
Language	English
Publishing date	2020-10-06
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	184600-0
ISSN	1096-0260 ; 0091-7435
ISSN (online)	1096-0260
ISSN	0091-7435
DOI	10.1016/j.ypmed.2020.106265
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Article ; Online: The Association of Knowledge, Attitudes and Access with Park Use before and after a Park-Prescription Intervention for Low-Income Families in the U.S.

Nooshin Razani / Nancy K. Hills / Doug Thompson / George W. Rutherford

International Journal of Environmental Research and Public Health, Vol 17, Iss 3, p

2020 Volume 701

Abstract	We conducted secondary data analyses of pooled data from a clinical trial that prescribed park visits to children and their caregivers in a low-income, urban setting. Data were collected at the prescribing visit (baseline) and at one and three months of follow up from 78 families. Family characteristics were identified at baseline; regression models were used to explore changes during follow up in associations of park use with knowledge, attitudes and perceived access to parks. At baseline, park users differed from non-users in demographics, knowledge of park locations, attitudes about the value of park visits, but not affinity for nature. Park users were also more likely than non-users to feel that their neighborhood was safe for children to play in. Changes in knowledge of park locations, nature affinity, and perceived access to parks were each significantly associated with increased park use by families at one and three months after the park prescription. Adjusting for age, gender, race, poverty, and US birth, increases in knowing the location of parks were associated with an increase of 0.27 weekly park visits (95% CI 0.05, 0.49; p = 0.016); increases in feeling a caregiver had money to visit parks were associated with 0.48 more weekly park visits (95% CI 0.28, 0.69; p < 0.001); increases in perceived money for park outings were associated with 0.24 increased park visits per week (95% CI 0.05, 0.42; p = 0.01); each unit increase in nature affinity was associated with 0.34 more weekly park visits (95% CI 0.09, 0.59; p = 0.007). In other words, knowing where to go, valuing nature, and having time, and money contributed to increased likelihood of visiting a park. We discuss in terms of health behavior theory how demographics, knowledge, attitudes and perceived barriers to park use can inform park prescription interventions.
Keywords	park use ; pediatrics ; health ; park prescriptions ; behavioral theory ; Medicine ; R
Subject code	710
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Screening for Park Access during a Primary Care Social Determinants Screen.

Razani, Nooshin / Long, Dayna / Hessler, Danielle / Rutherford, George W / Gottlieb, Laura M

International journal of environmental research and public health

2020 Volume 17, Issue 8

Abstract: While there is evidence that access to nature and parks benefits pediatric health, it is unclear how low-income families living in an urban center acknowledge or prioritize access to parks.: Methods: We conducted a study about access to parks by ... ...

Abstract	While there is evidence that access to nature and parks benefits pediatric health, it is unclear how low-income families living in an urban center acknowledge or prioritize access to parks. Methods: We conducted a study about access to parks by pediatric patients in a health system serving low-income families. Adult caregivers of pediatric patients completed a survey to identify and prioritize unmet social and economic needs, including access to parks. Univariate and multivariate analyses were conducted to explore associations between lack of access to parks and sociodemographic variables. We also explored the extent to which access to parks competed with other needs. Results: The survey was completed by 890 caregivers; 151 (17%) identified "access to green spaces/parks/playgrounds" as an unmet need, compared to 397 (45%) who endorsed "running out of food before you had money or food stamps to buy more". Being at or below the poverty line doubled the odds ( Odds ratio 1.96, 95% CI 1.16-3.31) of lacking access to a park (reference group: above the poverty line), and lacking a high school degree nearly doubled the odds. Thirty-three of the 151 (22%) caregivers who identified access to parks as an unmet need prioritized it as one of three top unmet needs. Families who faced competing needs of housing, food, and employment insecurity were less likely to prioritize park access ( Conclusion: Clinical interventions to increase park access would benefit from an understanding of the social and economic adversity faced by patients.
MeSH term(s)	Adolescent ; Adult ; Child ; Child, Preschool ; Female ; Housing ; Humans ; Infant ; Male ; Middle Aged ; Parks, Recreational ; Poverty ; Primary Health Care ; Residence Characteristics ; Social Determinants of Health ; Young Adult
Language	English
Publishing date	2020-04-17
Publishing country	Switzerland
Document type	Journal Article
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph17082777
Database	MEDical Literature Analysis and Retrieval System OnLINE

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