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  1. Book ; Online ; E-Book: Attuned treatment of developmental trauma

    Adams, Kathleen

    non-abused, high-functioning people living outside of time

    (Psychoanalysis in a New Key)

    2022  

    Abstract: ... an often-overlooked group. In so doing, Adams offers a synthesis of diverse theoretical worlds in her study ...

    Author's details Kathleen Adams
    Series title Psychoanalysis in a New Key
    Abstract "This book takes a painstaking look at developmental trauma as it manifests in group, individual, and combined psychotherapies, tracking the growth of non-abused individuals who have courageously addressed overwhelming childhood experiences to make sense of the chaos in their lives. The cumulative impact of repetitive stress, fear, and shame in childhood wreaks havoc on the developing brain, resulting in a life-long vulnerability to anxiety, despair and dissociative moments that are often described as developmental trauma. Where adverse childhood experiences can be overlooked by therapists, this book focuses specifically on the profound suffering of high-functioning private-practice patients who manifest developmental trauma from chronic shock, shame, and neglect, thereby attending to clinical processes as they affect an often-overlooked group. In so doing, Adams offers a synthesis of diverse theoretical worlds in her study of adaptations to cumulative trauma, namely, relational psychoanalysis, the British school of object relations, trauma theory, neuroscience and interpersonal neurobiology, developmental psychopathology, and attachment theory. Using richly detailed clinical material, this book provides invaluably clear examples to illustrate the effects of disorganized states in infancy, making it essential for psychoanalysts, psychotherapists and clinical psychologists working with traumatized patients"--
    Keywords Psychic trauma/Treatment ; Psychic trauma/Social aspects
    Subject code 616.8521
    Language Nahuatl
    Size 1 online resource (265 pages)
    Publisher Routledge, Taylor & Francis Group
    Publishing place Oxon, UK ; New York, NY
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 1-00-326236-8 ; 1-000-63223-7 ; 1-003-26236-8 ; 1-000-63228-8 ; 9781032201283 ; 978-1-00-326236-7 ; 978-1-000-63223-1 ; 978-1-003-26236-7 ; 978-1-000-63228-6 ; 1032201282
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Things We Do for No Reason

    Galli, Katelyn J / Adams, Kathleen K

    Journal of hospital medicine

    2024  

    Language English
    Publishing date 2024-01-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2233783-0
    ISSN 1553-5606 ; 1553-5592
    ISSN (online) 1553-5606
    ISSN 1553-5592
    DOI 10.1002/jhm.13289
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Health system evaluation of fluoroquinolone hypersensitivity: an assessment of cross-reactivity.

    Adams, Kathleen K / Shah, Sunish

    The Journal of antimicrobial chemotherapy

    2023  Volume 78, Issue 7, Page(s) 1803–1804

    MeSH term(s) Humans ; Fluoroquinolones/adverse effects ; Drug Hypersensitivity/diagnosis ; Skin Tests
    Chemical Substances Fluoroquinolones
    Language English
    Publishing date 2023-05-09
    Publishing country England
    Document type Letter
    ZDB-ID 191709-2
    ISSN 1460-2091 ; 0305-7453
    ISSN (online) 1460-2091
    ISSN 0305-7453
    DOI 10.1093/jac/dkad136
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Creating an inclusive climate within pharmacy practice.

    Adams, Kathleen K / Brown, Britny R

    Currents in pharmacy teaching & learning

    2023  Volume 15, Issue 1, Page(s) 52–56

    Abstract: Objective: Identify the impact of a brief, educational intervention on student pharmacist understanding of unconscious bias and its systemic effects; cultural humility; and commitment to change.: Methods: A pre-intervention survey, with questions ... ...

    Abstract Objective: Identify the impact of a brief, educational intervention on student pharmacist understanding of unconscious bias and its systemic effects; cultural humility; and commitment to change.
    Methods: A pre-intervention survey, with questions utilizing a five-point Likert scale was embedded into the beginning of a series of online, interactive, educational modules addressing cultural humility, unconscious bias, and inclusive pharmacy practices. Third-year professional pharmacy students completed the course as part of their curriculum. At the conclusion of the modules, participants completed the post-intervention survey with the same set of questions, which was linked to the pre-intervention survey by a participant-generated code. Changes in means for the pre- and post-intervention cohorts were calculated and analyzed utilizing a Wilcoxon signed-rank test. Responses were also grouped dichotomously and evaluated using the McNemar test.
    Results: Sixty-nine students completed both the pre- and post-intervention surveys. The greatest change on Likert scale questions was noted in understanding of cultural humility (+1.4). Much or complete confidence in being able to describe unconscious bias and cultural competence improved from 58% to 88% and 14% to 71%, respectively (P < .05). Although a trend toward positive change was noted, a significant impact was not observed for questions assessing understanding of their systemic effects and commitment to change.
    Conclusion: Interactive educational modules positively impact student understanding of unconscious bias and cultural humility. Further investigation is necessary to determine if continuous exposure to this and similar topics deepens student understanding of systemic impact and commitment to change.
    MeSH term(s) Humans ; Pharmacy ; Pharmaceutical Services ; Curriculum ; Pharmacists ; Students, Pharmacy
    Language English
    Publishing date 2023-03-08
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2515217-8
    ISSN 1877-1300 ; 1877-1297
    ISSN (online) 1877-1300
    ISSN 1877-1297
    DOI 10.1016/j.cptl.2023.02.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Large healthcare system evaluation of postoperative moxifloxacin ophthalmic solution cross-reactivity.

    Adams, Kathleen K / Shah, Sunish

    Journal of cataract and refractive surgery

    2022  Volume 48, Issue 11, Page(s) 1347–1348

    MeSH term(s) Humans ; Moxifloxacin ; Fluoroquinolones ; Anti-Bacterial Agents/therapeutic use ; Ophthalmic Solutions ; Delivery of Health Care ; Aza Compounds
    Chemical Substances Moxifloxacin (U188XYD42P) ; Fluoroquinolones ; Anti-Bacterial Agents ; Ophthalmic Solutions ; Aza Compounds
    Language English
    Publishing date 2022-08-26
    Publishing country United States
    Document type Letter
    ZDB-ID 632744-8
    ISSN 1873-4502 ; 0886-3350
    ISSN (online) 1873-4502
    ISSN 0886-3350
    DOI 10.1097/j.jcrs.0000000000001039
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: In-Class Cross-Reactivity among Hospitalized Patients with Hypersensitivity Reactions to Fluoroquinolones.

    Shah, Sunish / Clarke, Lloyd G / Adams, Kathleen K

    Antimicrobial agents and chemotherapy

    2023  Volume 67, Issue 6, Page(s) e0037423

    Abstract: Results from this large, multicenter study suggest that patients with a confirmed ciprofloxacin, moxifloxacin, or levofloxacin hypersensitivity reaction are likely to tolerate other fluoroquinolones. Avoiding different fluoroquinolones in patients ... ...

    Abstract Results from this large, multicenter study suggest that patients with a confirmed ciprofloxacin, moxifloxacin, or levofloxacin hypersensitivity reaction are likely to tolerate other fluoroquinolones. Avoiding different fluoroquinolones in patients labeled with a ciprofloxacin, moxifloxacin, or levofloxacin allergy may not always be mandatory. This was a study of patients with a ciprofloxacin, moxifloxacin, or levofloxacin hypersensitivity reaction and a documented electronic medical record administration of a different fluoroquinolone. Numerically, the most common reaction risk occurred with a challenge to moxifloxacin (2/19; 9.5%), followed by ciprofloxacin (6/89; 6.3%), and levofloxacin (1/44; 2.2%).
    MeSH term(s) Humans ; Fluoroquinolones/adverse effects ; Moxifloxacin/adverse effects ; Levofloxacin/adverse effects ; Anti-Bacterial Agents/adverse effects ; Ciprofloxacin ; Hypersensitivity/drug therapy ; Quinolines/adverse effects ; Aza Compounds ; Ofloxacin
    Chemical Substances Fluoroquinolones ; Moxifloxacin (U188XYD42P) ; Levofloxacin (6GNT3Y5LMF) ; Anti-Bacterial Agents ; Ciprofloxacin (5E8K9I0O4U) ; Quinolines ; Aza Compounds ; Ofloxacin (A4P49JAZ9H)
    Language English
    Publishing date 2023-05-08
    Publishing country United States
    Document type Multicenter Study ; Journal Article
    ZDB-ID 217602-6
    ISSN 1098-6596 ; 0066-4804
    ISSN (online) 1098-6596
    ISSN 0066-4804
    DOI 10.1128/aac.00374-23
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Low-dose Initiation of Buprenorphine in Hospitalized Patients Using Buccal Buprenorphine: A Case Series.

    Adams, Kathleen K / Cohen, Shawn M / Guerra, Michael E / Weimer, Melissa B

    Journal of addiction medicine

    2023  Volume 17, Issue 4, Page(s) 474–476

    Abstract: Objective: To describe a low-dose buprenorphine initiation strategy with buccal buprenorphine.: Methods: This is a case series of hospitalized patients with opioid use disorder (OUD) and/or chronic pain who underwent low-dose buprenorphine initiation ...

    Abstract Objective: To describe a low-dose buprenorphine initiation strategy with buccal buprenorphine.
    Methods: This is a case series of hospitalized patients with opioid use disorder (OUD) and/or chronic pain who underwent low-dose buprenorphine initiation with buccal buprenorphine to sublingual buprenorphine. Results are descriptively reported.
    Results: Forty-five patients underwent low-dose buprenorphine initiation from January 2020 to July 2021. Twenty-two (49%) patients had OUD only, 5 (11%) patients had chronic pain only, and 18 (40%) patients had both OUD and chronic pain. Thirty-six (80%) patients had documented history of heroin or non-prescribed fentanyl use before admission. Acute pain in 34 (76%) patients was the most commonly documented rationale for low-dose buprenorphine initiation. Methadone was the most common outpatient opioid utilized before admission (53%). The addiction medicine service consulted on 44 (98%) cases and median length of stay was approximately 2 weeks. Thirty-six (80%) patients completed the transition to sublingual buprenorphine with a median completion dose of 16 mg daily. Of the 24 patients (53%) with consistently documented Clinical Opiate Withdrawal Scale scores, no patients experienced severe opioid withdrawal. Fifteen (62.5%) experienced mild or moderate withdrawal and 9 (37.5%) experienced no withdrawal (Clinical Opiate Withdrawal Scale score <5) during the entire process. Continuity of postdischarge prescription refills ranged from 0 to 37 weeks and the median number of buprenorphine refills was 7 weeks.
    Conclusions: Low-dose buprenorphine initiation with buccal buprenorphine to sublingual buprenorphine was well tolerated and can be safely and effectively utilized for patients whose clinical scenario precludes traditional buprenorphine initiation strategies.
    MeSH term(s) Humans ; Buprenorphine/therapeutic use ; Analgesics, Opioid/therapeutic use ; Narcotic Antagonists ; Chronic Pain/drug therapy ; Aftercare ; Patient Discharge ; Opioid-Related Disorders/drug therapy ; Methadone/therapeutic use ; Opiate Substitution Treatment/methods
    Chemical Substances Buprenorphine (40D3SCR4GZ) ; Analgesics, Opioid ; Narcotic Antagonists ; Methadone (UC6VBE7V1Z)
    Language English
    Publishing date 2023-03-02
    Publishing country Netherlands
    Document type Journal Article
    ISSN 1935-3227
    ISSN (online) 1935-3227
    DOI 10.1097/ADM.0000000000001146
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Effects of Georgia's Medicaid Family Planning Waiver on Pregnancy Characteristics and Birth Outcomes.

    Guy, Gery P / Adams, E Kathleen / Redd, Sara K / Dunlop, Anne L

    Women's health issues : official publication of the Jacobs Institute of Women's Health

    2023  Volume 34, Issue 2, Page(s) 125–134

    Abstract: Introduction: Medicaid family planning waivers can increase access to health care services and have been associated with lower rates of unintended pregnancy, which is associated with a higher risk of negative birth outcomes such as preterm birth and low ...

    Abstract Introduction: Medicaid family planning waivers can increase access to health care services and have been associated with lower rates of unintended pregnancy, which is associated with a higher risk of negative birth outcomes such as preterm birth and low birthweight. The objective of this study was to test the effect of Georgia's Medicaid family planning waiver, Planning for Healthy Babies (P4HB), on pregnancy characteristics and birth outcomes.
    Materials and methods: We used the Pregnancy Risk Assessment Monitoring System (PRAMS) survey data in pre- (2008-2009) and two post-periods (2012-2013; 2017-2019). We identified those likely eligible for P4HB in Georgia (n = 1,967) and 10 comparison states (n = 13,449) and tested for effects using state and year fixed effects difference-in-differences modeling.
    Results: P4HB was associated with a 13.3 percentage-point (pp) decrease in unintended pregnancy in the immediate post-period (p < .01) and an 11.4 pp decrease in the later post-period (p < .05). For the immediate post-period, P4HB was also associated with a 29.2 pp increase in the probability of prepregnancy contraception (p < .001) and a 1.1 pp decrease in the probability of a very low birthweight (VLBW) birth (p < .01). The reduction in VLBW birth was significant for non-Hispanic Black mothers (-3.9 pp; p < .05) but not for mothers of other races/ethnicities.
    Discussion: Medicaid family planning waivers are an important structural policy intervention that can improve reproductive health care, particularly in states without Medicaid expansion. These waivers may also help address long-standing racial/ethnic disparities in access to reproductive health care and, potentially, adverse pregnancy and birth outcomes. However, the initial increase in pregnancies among people using contraception indicates that care must be taken to ensure that recipients have access to effective methods of contraception and receive counseling on effective use in order to avoid unintended consequences as more individuals try to prevent a pregnancy.
    MeSH term(s) Pregnancy ; Female ; United States ; Humans ; Infant, Newborn ; Family Planning Services ; Medicaid ; Georgia ; Premature Birth ; Contraception
    Language English
    Publishing date 2023-12-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1085396-0
    ISSN 1878-4321 ; 1049-3867
    ISSN (online) 1878-4321
    ISSN 1049-3867
    DOI 10.1016/j.whi.2023.11.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Low Dose Buprenorphine Initiation: A Guide for the Inpatient Clinician.

    Zimmerman, Cara / Clark, Seth / Guerra, Michael E / Bratberg, Jeffrey / Adams, Kathleen K

    Substance abuse

    2023  Volume 44, Issue 3, Page(s) 121–129

    Abstract: Low dose buprenorphine initiation (LDBI) is a dosing strategy used to transition patients from full opioid agonists to buprenorphine. The purpose of LDBI is to circumvent obstacles associated with disruption in analgesia, precipitated withdrawal, and ... ...

    Abstract Low dose buprenorphine initiation (LDBI) is a dosing strategy used to transition patients from full opioid agonists to buprenorphine. The purpose of LDBI is to circumvent obstacles associated with disruption in analgesia, precipitated withdrawal, and prerequisite opioid withdrawal prior to initiating buprenorphine, as not all patients are able to tolerate physical withdrawal symptoms recommended by national guidelines. No literature exists directly comparing traditional buprenorphine initiation to LDBI. Until information on long-term outcomes is available, these dosing strategies should be reserved for patients unable to tolerate traditional buprenorphine initiation. Available published research suggests LDBI strategies will allow some patients to successfully transition to buprenorphine with minimal or no symptoms of withdrawal. Ensuring access to pharmacotherapy during hospital admission is a crucial time for potential intervention and should be considered when appropriate. This narrative review discusses the background of LDBI strategies as well as practical clinical and operational considerations for the inpatient clinician.
    Language English
    Publishing date 2023-09-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1458030-5
    ISSN 1547-0164 ; 0889-7077
    ISSN (online) 1547-0164
    ISSN 0889-7077
    DOI 10.1177/08897077231196417
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: A Systematic Review of Interventions Implemented by Pharmacy Programs to Improve Postgraduate Residency Placement.

    Sobieraj, Diana M / Adams, Kathleen K / Doyno, Cassandra R / Nigro, Stefanie C / Waters, Kristin

    American journal of pharmaceutical education

    2023  Volume 87, Issue 5, Page(s) 100019

    Abstract: Objective: This systematic review aims to identify the impact of interventions implemented by pharmacy programs to support students pursuing postgraduate residency training.: Methods: We conducted a literature search through March 8, 2022 to identify ...

    Abstract Objective: This systematic review aims to identify the impact of interventions implemented by pharmacy programs to support students pursuing postgraduate residency training.
    Methods: We conducted a literature search through March 8, 2022 to identify articles that studied an intervention made by a pharmacy program aiming to prepare students to qualify for a postgraduate residency position. Data were collected to describe each study's methods, the included population, and outcomes and to evaluate study risk of bias.
    Findings: Twelve studies met our inclusion criteria. The evidence base is limited to observational data with significant risk of bias. Pharmacy programs use various strategies to deliver training to students opting for the residency application process: elective courses, multiyear curricular tracks, introductory pharmacy practice experiences (IPPEs), and organized professional development events. Participation in these interventions was found to be associated with higher residency match rates, with exception of IPPE where match rates were not evaluated as an outcome. Curricular tracks and multicomponent professional development events were found to be associated with the largest improvement in match rates. Participation in electives or multicomponent professional development was found to be associated with improved student knowledge and confidence in interviews. Multicomponent professional development was also found to be associated with student preparedness for the match process. Curricular tracks and IPPE were found to be associated with improved student knowledge, whereas mock interviews were associated with improved student confidence.
    Summary: Pharmacy schools support preparation of students for the residency application and interview process in a variety of ways. The current evidence does not support one strategy to be more effective than another. Until additional evidence emerges to guide decisions, schools should select training programs based on balancing the need to support student professional development with resources and workload.
    MeSH term(s) Humans ; Pharmacy Residencies/methods ; Education, Pharmacy/methods ; Internship and Residency ; Pharmacy ; Pharmaceutical Services ; Students, Pharmacy
    Language English
    Publishing date 2023-03-15
    Publishing country United States
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 603807-4
    ISSN 1553-6467 ; 0002-9459
    ISSN (online) 1553-6467
    ISSN 0002-9459
    DOI 10.1016/j.ajpe.2023.01.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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