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Article ; Online: Leveraging Telehealth for Delivery of Palliative Care to Remote Communities: A Rapid Review.

Gordon, Barbara / Mason, Barbara / Smith, Shauna L H

2021 Volume 37, Issue 2, Page(s) 213–225

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Caregivers ; Hospice and Palliative Care Nursing ; Humans ; Palliative Care/methods ; Quality of Life ; Telemedicine/methods
Language	English
Publishing date	2021-03-18
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	639326-3
ISSN	2369-5293 ; 0825-8597
ISSN (online)	2369-5293
ISSN	0825-8597
DOI	10.1177/08258597211001184
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Zs.MO 207: Show issues

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Article ; Online: Maternal choline supplementation lessens the behavioral dysfunction produced by developmental manganese exposure in a rodent model of ADHD.

Howard, Shanna L / Beaudin, Stephane A / Strupp, Barbara J / Smith, Donald R

Neurotoxicology and teratology

2024 Volume 102, Page(s) 107337

Abstract: Studies in children have reported associations between elevated manganese (Mn) exposure and ADHD-related symptoms of inattention, impulsivity/hyperactivity, and psychomotor impairment. Maternal choline supplementation (MCS) during pregnancy/lactation may ...

Abstract	Studies in children have reported associations between elevated manganese (Mn) exposure and ADHD-related symptoms of inattention, impulsivity/hyperactivity, and psychomotor impairment. Maternal choline supplementation (MCS) during pregnancy/lactation may hold promise as a protective strategy because it has been shown to lessen cognitive dysfunction caused by numerous early insults. Our objectives were to determine whether (1) developmental Mn exposure alters behavioral reactivity/emotion regulation, in addition to impairing learning, attention, impulse control, and sensorimotor function, and (2) MCS protects against these Mn-induced impairments. Pregnant Long-Evans rats were given standard diet, or a diet supplemented with additional choline throughout gestation and lactation (GD 3 - PND 21). Male offspring were exposed orally to 0 or 50 mg Mn/kg/day over PND 1-21. In adulthood, animals were tested in a series of learning, attention, impulse control, and sensorimotor tasks. Mn exposure caused lasting dysfunction in attention, reactivity to errors and reward omission, learning, and sensorimotor function, recapitulating the constellation of symptoms seen in ADHD children. MCS lessened Mn-induced attentional dysfunction and partially normalized reactivity to committing an error or not receiving an expected reward but provided no protection against Mn-induced learning or sensorimotor dysfunction. In the absence of Mn exposure, MCS produces lasting offspring benefits in learning, attention, and reactivity to errors. To conclude, developmental Mn exposure produces a constellation of deficits consistent with ADHD symptomology, and MCS offered some protection against the adverse Mn effects, adding to the evidence that maternal choline supplementation is neuroprotective for offspring and improves offspring cognitive functioning.
MeSH term(s)	Humans ; Animals ; Rats ; Female ; Pregnancy ; Child ; Male ; Manganese/toxicity ; Rodentia ; Attention Deficit Disorder with Hyperactivity/chemically induced ; Attention Deficit Disorder with Hyperactivity/prevention & control ; Rats, Long-Evans ; Dietary Supplements ; Choline
Chemical Substances	Manganese (42Z2K6ZL8P) ; Choline (N91BDP6H0X)
Language	English
Publishing date	2024-02-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	639165-5
ISSN	1872-9738 ; 0892-0362
ISSN (online)	1872-9738
ISSN	0892-0362
DOI	10.1016/j.ntt.2024.107337
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Article ; Online: ASO Author Reflections: Prophylactic Nipple-Sparing Mastectomy as an Effective Risk-Reducing Strategy for BRCA Mutation Carriers.

Garstka, Meghan / Smith, Barbara L

Annals of surgical oncology

2021 Volume 29, Issue Suppl 3, Page(s) 560–561

MeSH term(s)	Humans ; Female ; Nipples/surgery ; Mastectomy ; Breast Neoplasms/genetics ; Breast Neoplasms/prevention & control ; Breast Neoplasms/surgery ; Mastectomy, Subcutaneous ; Mutation
Language	English
Publishing date	2021-08-13
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	1200469-8
ISSN	1534-4681 ; 1068-9265
ISSN (online)	1534-4681
ISSN	1068-9265
DOI	10.1245/s10434-021-10588-9
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Article ; Online: Dental hygiene clinical faculty attitudes and likelihood of working during the COVID-19 pandemic.

Delacruz, Natalie M / Anderson, Kelly L / Smith, Barbara S

International journal of dental hygiene

2023 Volume 22, Issue 2, Page(s) 313–320

Abstract: Objective: To identify circumstances that influenced dental hygiene clinical faculty's likelihood of working during the COVID-19 pandemic, and to explore attitudes (responsibilities, personal issues, ethics, and policy statements) about working.: ... ...

Abstract	Objective: To identify circumstances that influenced dental hygiene clinical faculty's likelihood of working during the COVID-19 pandemic, and to explore attitudes (responsibilities, personal issues, ethics, and policy statements) about working. Methods: This cross-sectional study used a purposive sample of dental hygienists (n = 1710) employed in academic clinical settings that held full-time, part-time, or adjunct appointments. The Health Care Workers' Attitudes to Working During a Pandemic survey was utilized. Likelihood scores were calculated based on respondents more or less likely to work under differing circumstances. Frequencies of agreement for attitudes were developed. Correlations were explored between likelihood scores and demographic data. Answers to the open-ended questions were categorized and described. Results: The response rate was 13.5% (225/1710). Only one-third of respondents had a likelihood score of 100%. Factors with the greatest impact on likelihood to work were personal protective equipment. Almost all respondents' attitudes of working indicated that their employer is responsible for providing PPE. Over 90% felt their main responsibility was to themselves/family. Correlation analyses resulted in no significant associations between likelihood scores and age, etc. Faculty are considering leaving their jobs because of pay cuts and/or not feeling safe. Conclusion: Likelihood of working for dental hygiene faculty represents several personal and ethical decisions. Most respondents want employers to be responsible for their on-the-job safety. In addition, personal and work-related issues were causes of unease. The pandemic has had far-reaching implications on day-to-day work of dental hygiene clinical faculty as well as on the long-term trajectories and views on employment in higher education.
MeSH term(s)	Humans ; COVID-19/epidemiology ; COVID-19/prevention & control ; Pandemics ; Oral Hygiene ; Cross-Sectional Studies ; Faculty ; Dental Hygienists/education
Language	English
Publishing date	2023-09-18
Publishing country	England
Document type	Journal Article
ZDB-ID	2252118-5
ISSN	1601-5037 ; 1601-5029
ISSN (online)	1601-5037
ISSN	1601-5029
DOI	10.1111/idh.12752
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Article: Evaluating students' research literacy knowledge, confidence, and attitudes at the beginning and end of a doctor of chiropractic program.

Ward, Krista L / Johnson, Dale F / Delli Gatti, Barbara L / Smith, Monica

The Journal of chiropractic education

2024 Volume 38, Issue 1, Page(s) 38–41

Abstract: Objective: The doctor of chiropractic program (DCP) graduate must demonstrate competency in clinical research literacy (CRL), per accreditation standards. This study aimed to compare student CRL knowledge, confidence, and attitudes between the beginning ...

Abstract	Objective: The doctor of chiropractic program (DCP) graduate must demonstrate competency in clinical research literacy (CRL), per accreditation standards. This study aimed to compare student CRL knowledge, confidence, and attitudes between the beginning and end of their DCP. Methods: We collected data on 245 matriculating students' CRL knowledge, confidence, and attitudes between 2017 and 2018. In 2021 and 2022, 78 of these students enrolled in a course with an extra credit assignment that was used to re-collect CRL data as they approached graduation. We assessed changes between entry and exit using statistical analyses in STATA17. Results: Paired data were collected for 56 students. The mean CRL scores on a scale of 10 at the DCP beginning and end were 5.25 (SD 2.06) and 6.54 (SD 1.89), respectively (p = .0001). We observed statistically significant (p ≤ .05) positive changes in students' abilities to answer questions about Medical Subject Headings, the hierarchy of evidence, systematic reviews, meta-analyses, and the limitations of abstracts. There was also a statistically significant increase in confidence, with over 80% of students nearing graduation reporting good or excellent abilities to find and judge health information for their patients. The proportion of students who envisioned searching a database to help manage a challenging clinical case decreased from 96% to 89% (p > .05). The proportion seeing themselves submitting a case report for publication declined from 16% to 4% (p ≤ .05). Conclusion: Students' self-perceived CRL abilities and knowledge improved between the beginning and end of their DCP; however, their attitudes toward applying these in practice declined.
Language	English
Publishing date	2024-03-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	2261817-X
ISSN	1042-5055
ISSN	1042-5055
DOI	10.7899/JCE-23-19
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Article ; Online: Changing Narratives and Provoking Dialogue: An Analysis of the HIV Stigma and Faith Summit.

Jones, Shonda R / Mathews, Allison / Colbert, Kia / Simon, Barbara / Smith-Bankhead, Neena / Usher, DaShawn / McGoy, Shanell L

Journal of health care for the poor and underserved

2024 Volume 34, Issue 3S, Page(s) 22–26

Abstract: GLAAD in partnership with the Gilead COMPASS Initiative® Coordinating Centers conducted a three-day summit to address the HIV epidemic in the Southern region of the United States. The summit featured virtual panel discussions with HIV experts, faith ... ...

Abstract	GLAAD in partnership with the Gilead COMPASS Initiative® Coordinating Centers conducted a three-day summit to address the HIV epidemic in the Southern region of the United States. The summit featured virtual panel discussions with HIV experts, faith leaders, community advocates, and entertainers to bring about conversation and change around HIV stigma.
MeSH term(s)	Humans ; HIV Infections/psychology ; HIV Infections/epidemiology ; Social Stigma ; United States ; Congresses as Topic ; Religion
Language	English
Publishing date	2024-04-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	1142637-8
ISSN	1548-6869 ; 1049-2089
ISSN (online)	1548-6869
ISSN	1049-2089
DOI	10.1353/hpu.2023.a903348
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Article ; Online: A Case Report of Fluoroscopically Guided Epidural Catheter Placement in a Parturient with History of Tethered Cord, Super-Morbid Obesity, and Risk for Difficult Airway.

Thomas, Caroline L / Montes, Mariana / Malik, Tariq / Sandeep Ram, Bhuvaneswari / Smith, Carrie L / Scavone, Barbara M / Cole, Naida M

A&A practice

2024 Volume 18, Issue 4, Page(s) e01777

Abstract: Tethered cord syndrome results from adherence of the conus medullaris to the sacrum and may be associated with high complication rates from neuraxial anesthesia. We present the case of a 32-year-old gravida 2 para 0 patient with a history of ... ...

Abstract	Tethered cord syndrome results from adherence of the conus medullaris to the sacrum and may be associated with high complication rates from neuraxial anesthesia. We present the case of a 32-year-old gravida 2 para 0 patient with a history of lipomyelomeningocele (one of several types of spina bifida) and tethered cord status post repair, residual low-lying conus medullaris, supermorbid obesity (body mass index of 58), and Mallampati IV airway, who underwent successful fluoroscopically guided epidural catheter placement for vaginal delivery. Risks and benefits of epidural catheter utilization and methods of placement are reviewed.
MeSH term(s)	Female ; Humans ; Adult ; Obesity, Morbid/complications ; Anesthesia, Epidural ; Spinal Cord ; Neural Tube Defects ; Catheters
Language	English
Publishing date	2024-04-08
Publishing country	United States
Document type	Case Reports ; Journal Article
ISSN	2575-3126
ISSN (online)	2575-3126
DOI	10.1213/XAA.0000000000001777
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Article: Maternal choline supplementation lessens the behavioral dysfunction produced by developmental manganese exposure in a rodent model of ADHD.

Howard, Shanna L / Beaudin, Stephane A / Strupp, Barbara J / Smith, Donald R

bioRxiv : the preprint server for biology

2023

Abstract	Studies in children have reported associations between elevated manganese (Mn) exposure and ADHD-related symptoms of inattention, impulsivity/hyperactivity, and psychomotor impairment. Maternal choline supplementation (MCS) during pregnancy/lactation may hold promise as a protective strategy because it has been shown to lessen cognitive dysfunction caused by numerous early insults. Our objectives were to determine whether (1) developmental Mn exposure alters behavioral reactivity/emotion regulation, in addition to impairing learning, attention, impulse control, and sensorimotor function, and (2) MCS protects against these Mn-induced impairments. Pregnant Long-Evans rats were given standard diet, or a diet supplemented with additional choline throughout gestation and lactation (G3 - PND 21). Male offspring were exposed orally to 0 or 50 mg Mn/kg/day over PND 1-21. In adulthood, animals were tested in a series of learning, attention, impulse control, and sensorimotor tasks. Mn exposure caused lasting dysfunction in attention, reactivity to errors and reward omission, learning, and sensorimotor function, recapitulating the constellation of symptoms seen in ADHD children. MCS lessened Mn-induced attentional dysfunction and partially normalized reactivity to committing an error or not receiving an expected reward but provided no protection against Mn-induced learning or sensorimotor dysfunction. In the absence of Mn exposure, MCS produces lasting offspring benefits in learning, attention, and reactivity to errors. To conclude, developmental Mn exposure produces a constellation of deficits consistent with ADHD symptomology, and MCS offered some protection against the adverse Mn effects, adding to the evidence that maternal choline supplementation is neuroprotective for offspring and improves offspring cognitive functioning. Highlights: Developmental Mn exposure causes lasting dysfunction consistent with ADHD symptomology.Maternal choline supplementation (MCS) protects against Mn-induced deficits in attention and behavioral reactivity.MCS in control animals produces lasting benefits to offspring in learning, attention, and error reactivity.These data support efforts to increase choline intake during pregnancy, particularly for individuals at risk of neurotoxicant exposure.
Language	English
Publishing date	2023-10-04
Publishing country	United States
Document type	Preprint
DOI	10.1101/2023.06.23.546356
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Article ; Online: Respiratory therapies for Amyotrophic Lateral Sclerosis: A state of the art review.

Sales de Campos, Priscila / Olsen, Wendy L / Wymer, James P / Smith, Barbara K

Chronic respiratory disease

2023 Volume 20, Page(s) 14799731231175915

Abstract: Amyotrophic lateral sclerosis (ALS) is a neurodegenerative condition noteworthy for upper and lower motor neuron death. Involvement of respiratory motor neuron pools leads to progressive pathology. These impairments include decreases in neural activation ...

Abstract	Amyotrophic lateral sclerosis (ALS) is a neurodegenerative condition noteworthy for upper and lower motor neuron death. Involvement of respiratory motor neuron pools leads to progressive pathology. These impairments include decreases in neural activation and muscle coordination, progressive airway obstruction, weakened airway defenses, restrictive lung disease, increased risk of pulmonary infections, and weakness and atrophy of respiratory muscles. These neural, airway, pulmonary, and neuromuscular changes deteriorate integrated respiratory-related functions including sleep, cough, swallowing, and breathing. Ultimately, respiratory complications account for a large portion of morbidity and mortality in ALS. This state-of-the-art review highlights applications of respiratory therapies for ALS, including lung volume recruitment, mechanical insufflation-exsufflation, non-invasive ventilation, and respiratory strength training. Therapeutic acute intermittent hypoxia, an emerging therapeutic tool for inducing respiratory plasticity will also be introduced. A focus on emerging evidence and future work underscores the common goal to continue to improve survival for patients living with ALS.
MeSH term(s)	Humans ; Amyotrophic Lateral Sclerosis ; Respiration, Artificial ; Cough ; Hypoxia
Language	English
Publishing date	2023-05-23
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2211488-9
ISSN	1479-9731 ; 1479-9723
ISSN (online)	1479-9731
ISSN	1479-9723
DOI	10.1177/14799731231175915
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Article ; Online: ASO Author Reflections: Image-Guided Margin Assessment for Breast Cancer.

Smith, Barbara L / Kelly, Bridget N / Gadd, Michele A

Annals of surgical oncology

2020 Volume 27, Issue 6, Page(s) 1862–1863

MeSH term(s)	Breast ; Breast Neoplasms/diagnosis ; Breast Neoplasms/surgery ; Female ; Humans ; Mastectomy, Segmental ; Optical Imaging/methods ; Surgery, Computer-Assisted
Language	English
Publishing date	2020-03-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	1200469-8
ISSN	1534-4681 ; 1068-9265
ISSN (online)	1534-4681
ISSN	1068-9265
DOI	10.1245/s10434-020-08332-w
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