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Article ; Online: A Window into Understanding the Lasting Impact of the Nutritional Milieu in Adolescents: Anorexia Nervosa as a Model.

Barker, Jennifer M

The Journal of clinical endocrinology and metabolism

2021 Volume 106, Issue 4, Page(s) e1905–e1906

MeSH term(s)	Adolescent ; Anorexia Nervosa/therapy ; Humans
Language	English
Publishing date	2021-01-22
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	3029-6
ISSN	1945-7197 ; 0021-972X
ISSN (online)	1945-7197
ISSN	0021-972X
DOI	10.1210/clinem/dgaa667
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Article ; Online: Changes in Cardiac Function During a Swallow Exercise Program in Patients with Coronary Artery Disease.

Barker, Jennifer / Martino, Rosemary / Yau, Terrence M

Dysphagia

2022 Volume 38, Issue 1, Page(s) 389–396

Abstract: Research regarding risks of swallow treatment suggests that patients with coronary artery disease (CAD) experience changes in heart rate/rhythm when completing the supraglottic swallow and super-supraglottic swallow. The current study evaluated cardiac ... ...

Abstract	Research regarding risks of swallow treatment suggests that patients with coronary artery disease (CAD) experience changes in heart rate/rhythm when completing the supraglottic swallow and super-supraglottic swallow. The current study evaluated cardiac function during multiple swallowing exercises in patients with dysphagia and CAD. Eligible patients had CAD and confirmed pharyngeal dysphagia from VFS and sufficient cognitive ability to follow direction. The protocol included an a priori concealed randomized order of seven swallowing exercises (supraglottic swallow, super-supraglottic swallow, Mendelsohn and Masako maneuvers, effortful swallow with and without breath hold, and jaw opening exercise). Objective measures of heart rate/rhythm, oxygen saturation, and blood pressure were compared before vs after the overall session and each exercise using the Wilcoxon signed-rank test, and McNemar's and Cochran's Q tests with alpha at 0.05 and power at 0.80. Participants were 20 adults (15 male), aged 28-88 (median 76.5 years). 90% were intubated during their hospital stay (44% > 1 intubation) and 20% suffered post-op stroke. Severe dysphagia, marked by NPO status, occurred in 30% of patients. Sessions were 26 min long (mean; SD = 2.29). With few exceptions, objective measures were stable pre vs post overall and after each exercise. Potential vulnerability was noted with increased heart rate after the super-supraglottic swallow and increased arrhythmias after the effortful swallow (p < 0.05 for both). The order that swallowing exercises were completed did not significantly impact cardiovascular function. Telemetry and pulse oximetry proved to be feasible tools to monitor for subtle changes in cardiovascular function during completion of swallowing exercises.
MeSH term(s)	Adult ; Humans ; Male ; Coronary Artery Disease/complications ; Deglutition/physiology ; Deglutition Disorders ; Exercise Therapy/methods ; Stroke ; Female ; Middle Aged ; Aged ; Aged, 80 and over
Language	English
Publishing date	2022-07-07
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	632764-3
ISSN	1432-0460 ; 0179-051X
ISSN (online)	1432-0460
ISSN	0179-051X
DOI	10.1007/s00455-022-10477-7
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Article ; Online: Reduction of N-acetyl aspartate (NAA) in association with relapse in early-stage psychosis: a 7-Tesla MRS study.

Mihaljevic, Marina / Chang, Yu-Ho / Witmer, Ashley M / Coughlin, Jennifer M / Schretlen, David J / Barker, Peter B / Yang, Kun / Sawa, Akira

Schizophrenia (Heidelberg, Germany)

2024 Volume 10, Issue 1, Page(s) 29

Abstract: Understanding the biological underpinning of relapse could improve the outcomes of patients with psychosis. Relapse is elicited by multiple reasons/triggers, but the consequence frequently accompanies deteriorations of brain function, leading to poor ... ...

Abstract	Understanding the biological underpinning of relapse could improve the outcomes of patients with psychosis. Relapse is elicited by multiple reasons/triggers, but the consequence frequently accompanies deteriorations of brain function, leading to poor prognosis. Structural brain imaging studies have recently been pioneered to address this question, but a lack of molecular investigations is a knowledge gap. Following a criterion used for recent publications by others, we defined the experiences of relapse by hospitalization(s) due to psychotic exacerbation. We hypothesized that relapse-associated molecules might be underscored from the neurometabolites whose levels have been different between overall patients with early-stage psychosis and healthy subjects in our previous report. In the present study, we observed a significant decrease in the levels of N-acetyl aspartate in the anterior cingulate cortex and thalamus in patients who experienced relapse compared to patients who did not. Altogether, decreased N-acetyl aspartate levels may indicate relapse-associated deterioration of neuronal networks in patients.
Language	English
Publishing date	2024-03-01
Publishing country	Germany
Document type	Journal Article
ZDB-ID	3133210-9
ISSN	2754-6993 ; 2754-6993
ISSN (online)	2754-6993
ISSN	2754-6993
DOI	10.1038/s41537-024-00451-7
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Article ; Online: The Bucket List.

Kittelson, Sheri M / Barker, Paige / Markham, Merry Jennifer

Journal of palliative medicine

2020 Volume 23, Issue 3, Page(s) 427

Language	English
Publishing date	2020-03-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	1427361-5
ISSN	1557-7740 ; 1096-6218
ISSN (online)	1557-7740
ISSN	1096-6218
DOI	10.1089/jpm.2019.0435
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Article ; Online: Using Responsive Feedback in Scaling a Gender Norms-Shifting Adolescent Sexual and Reproductive Health Intervention in the Democratic Republic of Congo.

Barker, Kathryn M / Gayles, Jennifer / Diakité, Mariam / Diantisa, Florentine Gracia / Lundgren, Rebecka

Global health, science and practice

2023 Volume 11, Issue Suppl 2

Abstract: Program description: Growing Up GREAT! (GUG) is a sexual and reproductive health (SRH) program for adolescents aged 10-14 years in Kinshasa, Democratic Republic of the Congo (DRC). The multilevel program takes an ecological approach to foster community ... ...

Abstract	Program description: Growing Up GREAT! (GUG) is a sexual and reproductive health (SRH) program for adolescents aged 10-14 years in Kinshasa, Democratic Republic of the Congo (DRC). The multilevel program takes an ecological approach to foster community examination of gender inequitable norms and to increase adolescents' SRH knowledge, skills, and gender-equitable attitudes. GUG design, piloting, and scale-up were informed by a theory of change and responsive feedback mechanisms (RFMs) during piloting and scale-up. Responsive feedback mechanisms: The program engaged stakeholders via quarterly learning meetings to review monitoring data, evaluation results, and practice-based knowledge and to subsequently identify challenges and develop solutions. The program commissioned rapid research on specific intervention elements to improve implementation and documented scale-up learnings using the World Health Organization/ExpandNet framework. Achievements: RFMs used in the pilot period allowed the program to address community concerns by intensifying orientation activities with parents and schools, shifting the calendar of activities to increase male engagement, and increasing facilitator training length to improve facilitation quality. Using RFMs during scale-up prompted further adaptations for program sustainability, including recommendations for task-shifting from NGO facilitators to community health workers. Conclusion: GUG used RFMs from pilot through scale-up to foster a learning culture among local partners, implementers at headquarters, and global research partners. Using responsive feedback (RF) enabled timely response to the evolving implementation context, resulting in strategic program adaptations that fostered increased community support of the project. Other successes due, at least in part, to this RF approach include incorporation of the program into DRC's national adolescent health strategy, and rapid response to the COVID-19 pandemic in educational strategies for program beneficiaries.
MeSH term(s)	Humans ; Male ; Adolescent ; Reproductive Health ; Democratic Republic of the Congo ; Adolescent Health ; Feedback ; Pandemics
Language	English
Publishing date	2023-12-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	2710875-2
ISSN	2169-575X ; 2169-575X
ISSN (online)	2169-575X
ISSN	2169-575X
DOI	10.9745/GHSP-D-22-00208
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Article ; Online: Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study.

Okpani, Arnold I / Lockhart, Karen / Grant, Jennifer M / Barker, Stephen / Srigley, Jocelyn A / Yassi, Annalee

Frontiers in public health

2023 Volume 11, Page(s) 1214093

Abstract: The COVID-19 pandemic highlighted hurdles for healthcare delivery and personnel globally. Vaccination has been an important tool for preventing severe illness and death in healthcare workers (HCWs) as well as the public at large. However, vaccination has ...

Abstract	The COVID-19 pandemic highlighted hurdles for healthcare delivery and personnel globally. Vaccination has been an important tool for preventing severe illness and death in healthcare workers (HCWs) as well as the public at large. However, vaccination has resulted in some HCWs requiring time off work post-vaccination to recover from adverse events. We aimed to understand which HCWs needed to take time off work post-vaccination, for which vaccine types and sequence, and how post-vaccination absence impacted uptake of booster doses in a cohort of 26,267 Canadian HCWs. By March 31, 2022, more than 98% had received at least two doses of the approved COVID-19 vaccines, following a two-dose mandate. We found that recent vaccination and longer intervals between doses were associated with significantly higher odds of time-loss, whereas being a medical resident and receiving the BNT162b2 vaccine were associated with lower odds. A history of lab-confirmed SARS-CoV-2 infection was associated with lower odds of receiving a booster dose compared with no documented infection, aOR 0.61 (95% CI: 0.55, 0.68). Similarly, taking sick time following the first or second dose was associated with lower odds of receiving a booster dose, aOR 0.83 (95% CI: 0.75, 0.90). As SARS-CoV-2 becomes endemic, the number and timing of additional doses for HCWs requires consideration of prevention of illness as well as service disruption from post-vaccination time-loss. Care should be taken to ensure adequate staffing if many HCWs are being vaccinated, especially for coverage for those who are more likely to need time off to recover.
MeSH term(s)	Humans ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Vaccines ; BNT162 Vaccine ; Pandemics ; Retrospective Studies ; SARS-CoV-2 ; Canada/epidemiology ; Vaccination ; Health Personnel
Chemical Substances	COVID-19 Vaccines ; BNT162 Vaccine
Language	English
Publishing date	2023-08-07
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2023.1214093
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Article ; Online: Lucy-Novel Flavored Nicotine Gum, Lozenges, and Pouches: Are They Misleading Consumers?

Unger, Jennifer B / Barker, Joshua / Cruz, Tess Boley / Leventhal, Adam M / Pentz, Mary Ann

Substance use & misuse

2022 Volume 57, Issue 8, Page(s) 1328–1331

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Adolescent ; Chewing Gum ; Humans ; Nicotine/pharmacology ; Smoking Cessation ; Tobacco Products ; Tobacco Use Cessation Devices
Chemical Substances	Chewing Gum ; Nicotine (6M3C89ZY6R)
Language	English
Publishing date	2022-05-19
Publishing country	England
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S. ; Research Support, N.I.H., Extramural
ZDB-ID	1310358-1
ISSN	1532-2491 ; 1082-6084
ISSN (online)	1532-2491
ISSN	1082-6084
DOI	10.1080/10826084.2022.2076881
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Article: Muddy

Bannister, Scott / Greasley, Alinka E / Cox, Trevor J / Akeroyd, Michael A / Barker, Jon / Fazenda, Bruno / Firth, Jennifer / Graetzer, Simone N / Roa Dabike, Gerardo / Vos, Rebecca R / Whitmer, William M

Frontiers in psychology

2024 Volume 15, Page(s) 1310176

Abstract: Introduction: Previous work on audio quality evaluation has demonstrated a developing convergence of the key perceptual attributes underlying judgments of quality, such as timbral, spatial and technical attributes. However, across existing research ... ...

Abstract	Introduction: Previous work on audio quality evaluation has demonstrated a developing convergence of the key perceptual attributes underlying judgments of quality, such as timbral, spatial and technical attributes. However, across existing research there remains a limited understanding of the crucial perceptual attributes that inform audio quality evaluation for people with hearing loss, and those who use hearing aids. This is especially the case with music, given the unique problems it presents in contrast to human speech. Method: This paper presents a sensory evaluation study utilising descriptive analysis methods, in which a panel of hearing aid users collaborated, through consensus, to identify the most important perceptual attributes of music audio quality and developed a series of rating scales for future listening tests. Participants ( Results: Findings show that there were seven key perceptual dimensions underlying music audio quality ( Discussion: We outline how these perceptual attributes align with extant literature, how attribute rating instruments might be used in future work, and the importance of better understanding the music listening difficulties of people with varied profiles of hearing loss.
Language	English
Publishing date	2024-02-21
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2563826-9
ISSN	1664-1078
ISSN	1664-1078
DOI	10.3389/fpsyg.2024.1310176
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Article ; Online: Balancing Quality, Intensity and Scalability: Results of a Multi-level Sexual and Reproductive Health Intervention for Very Young Adolescents in Kinshasa.

Gayles, Jennifer / Yahner, Melanie / Barker, Kathryn M / Moreau, Caroline / Li, Mengmeng / Koenig, Leah / Mafuta, Eric / Mbela, Pierrot / Lundgren, Rebecka

The Journal of adolescent health : official publication of the Society for Adolescent Medicine

2023 Volume 73, Issue 1S, Page(s) S33–S42

Abstract: Purpose: In addition to the rapid physical and cognitive transformations very young adolescents (VYAs) experience between ages 10-14, gender and social norms internalized during this period have long-term implications as adolescents become sexually ... ...

Abstract	Purpose: In addition to the rapid physical and cognitive transformations very young adolescents (VYAs) experience between ages 10-14, gender and social norms internalized during this period have long-term implications as adolescents become sexually active. This age presents critical opportunities for early intervention to promote gender-equitable attitudes and norms for improved adolescent health. Methods: In Kinshasa, DRC, Growing Up GREAT! implemented a scalable approach to engage in- and out-of-school VYAs, caregivers, schools, and communities. A quasi-experimental study evaluated the outcomes of sexual and reproductive health (SRH) knowledge, assets and agency, and gender-equitable attitudes and behaviors among VYA participants. Ongoing monitoring and qualitative studies provided insights into implementation challenges and contextual factors. Results: Results show significant improvement in SRH knowledge and assets such as caregiver connectedness, communication, and body satisfaction among the intervention group. The intervention was also associated with significant improvements in gender-equitable attitudes related to adolescents' household responsibilities and decreased teasing and bullying. Intervention effects on awareness of SRH services, body satisfaction, chore-sharing, and bullying were stronger for out-of-school and younger VYAs, suggesting the intervention's potential to increase positive outcomes among vulnerable adolescents. The intervention did not shift key gender norm perceptions assessed. Implementation research suggests design decisions made to increase the intervention's scalability necessitated reductions in training and program dosing that may have affected results. Discussion: Results affirm the potential of early intervention to increase SRH knowledge, assets and gender-equitable behaviors. They also highlight the need for more evidence on effective program approaches and segmentation for shifting VYA and SRH norms.
MeSH term(s)	Humans ; Adolescent ; Reproductive Health/education ; Democratic Republic of the Congo ; Sexual Behavior/psychology ; Sexual Health/education ; Reproductive Health Services
Language	English
Publishing date	2023-06-14
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1063374-1
ISSN	1879-1972 ; 1054-139X
ISSN (online)	1879-1972
ISSN	1054-139X
DOI	10.1016/j.jadohealth.2023.02.001
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Article: Do gender-equitable attitudes translate to gender-equitable chore-sharing behavior? A sex-stratified longitudinal analysis among adolescents in Kinshasa.

Barker, Kathryn M / Moreau, Caroline / Li, Mengmeng / Gayles, Jennifer / Mmari, Kristin / Mafuta, Eric / Hunersen, Kara / Lundgren, Rebecka

African journal of reproductive health

2023 Volume 26, Issue 12s, Page(s) 88–97

Abstract: Unpaid care work is disproportionately performed by women and girls, negatively impacting their ability to engage in educational, social, and economic opportunities. Despite calls to address these inequities, empirical evidence on interventions designed ... ...

Abstract	Unpaid care work is disproportionately performed by women and girls, negatively impacting their ability to engage in educational, social, and economic opportunities. Despite calls to address these inequities, empirical evidence on interventions designed to shift gender attitudes is limited, especially within adolescent populations. To address this gap, we used longitudinal data to conduct difference-in-difference and logistic regression models to examine the impact of a norms-shifting intervention in Kinshasa on adolescent gender-equitable chore-sharing attitudes. As compared to controls, intervention participants were 2.3 times (p <0.001) more likely to hold gender-equitable attitudes towards chore-sharing at end line. Using baseline attitudes to predict end line behavior, we find that, as compared to adolescents with gender-inequitable attitudes, boys and girls who espoused equitable gender attitudes were 1.9 times (p <0.001) and 1.5 times (p=0.005), respectively, more likely to report gender-equitable chore-sharing behavior. Norms-shifting interventions should be prioritized among very young adolescents as a strategy to shift gender-inequitable attitudes.
MeSH term(s)	Male ; Humans ; Adolescent ; Female ; Democratic Republic of the Congo ; Gender Identity ; Men ; Sexual Behavior ; Attitude
Language	English
Publishing date	2023-08-16
Publishing country	Nigeria
Document type	Journal Article
ZDB-ID	2111906-5
ISSN	1118-4841
ISSN	1118-4841
DOI	10.29063/ajrh2022/v26i12s.10
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