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  1. Article ; Online: Comparing Self-Reported and Aggregated Racial Classification for American Indian/Alaska Native Youths in YRBSS: 2021.

    Gatewood, Ashton / Hendrix-Dicken, Amy D / Hartwell, Micah

    American journal of public health

    2024  Volume 114, Issue 4, Page(s) 403–406

    Abstract: Objectives. ...

    Abstract Objectives.
    MeSH term(s) Child ; Humans ; Adolescent ; United States/epidemiology ; Health Behavior ; Self Report ; Alaska Natives ; American Indian or Alaska Native ; Cross-Sectional Studies ; Population Surveillance/methods ; Risk-Taking ; Indians, North American
    Language English
    Publishing date 2024-02-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 121100-6
    ISSN 1541-0048 ; 0090-0036 ; 0002-9572
    ISSN (online) 1541-0048
    ISSN 0090-0036 ; 0002-9572
    DOI 10.2105/AJPH.2023.307561
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Patent and non patent strategies in R&D based entrepreneurship

    Burke, Andrew / Hartwell, Ian

    International review of entrepreneurship : IRE Vol. 7, No. 1/4 , p. 151-160

    a 4 step test

    2009  Volume 7, Issue 1, Page(s) 151–160

    Author's details Andrew Burke; Ian Hartwell
    Keywords Entrepreneurship-Ansatz ; Innovationswettbewerb ; Innovation ; Patent
    Language English
    Publisher Senate Hall Academic Publishing
    Publishing place Shankill, Co. Dublin
    Document type Article
    ZDB-ID 2556899-1
    ISSN 2009-2822
    Database ECONomics Information System

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  3. Article ; Online: Eastern Association for the Surgery of Trauma (EAST) System Wellness White Paper: An Evaluation of Wellness from a Systems Perspective.

    Appelbaum, Rachel D / Butler, Dale / Stirparo, Joseph J / Coleman, Jamie / Hartwell, Jennifer L / Cunningham, Kyle

    The journal of trauma and acute care surgery

    2024  

    Abstract: Abstract: Providers are charged with responsibility to maintain their own health and wellness [1,2]. Wellness or wellbeing is multifactorial and complex, but the construct lacks clarity [3]. Wellness can impact patient safety and it has significant ... ...

    Abstract Abstract: Providers are charged with responsibility to maintain their own health and wellness [1,2]. Wellness or wellbeing is multifactorial and complex, but the construct lacks clarity [3]. Wellness can impact patient safety and it has significant financial implications. Both financial and healthcare industries have recognized this multifactorial issue, and have applied research and resources to the issue of employee wellness and wellbeing [4]. Thus, solutions to sustainable change must be multi-tiered and intentional [1,5].We reviewed the wellness literature with a focus on systems to provide a framework for consensus-building for a quality Acute Care Surgery system. Within this review we highlight several categories for consideration: 1) provider wellness 2) culture of safety, 3)learning health systems, and 4) organizational perspectives, Figure 1. Finally, we provide specific system recommendations for the Acute Care Surgery practice. We aim to support personal safety, longevity, and preserve our workforce by creating a system that works for its providers.
    Language English
    Publishing date 2024-03-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2651070-4
    ISSN 2163-0763 ; 2163-0755
    ISSN (online) 2163-0763
    ISSN 2163-0755
    DOI 10.1097/TA.0000000000004311
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Public Interest in Montelukast Prior to and After Announcement of Black Box Warning and Associations With Adverse Event Reports.

    Abdelkader, Samer / Hartwell, Micah / Hendrix-Dicken, Amy D / Escala, Michelle / Condren, Michelle

    The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG

    2024  Volume 29, Issue 1, Page(s) 90–92

    Language English
    Publishing date 2024-02-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3028543-4
    ISSN 1551-6776
    ISSN 1551-6776
    DOI 10.5863/1551-6776-29.1.90
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Steroid Use for Management of Vasoactive Resistant Shock in Pediatric Cardiac Intensive Care Patients: Experience of the Consortium of Congenital Cardiac Care-Measurement of Nursing Practice.

    Diller, Christin N / Hartwell, Lauren / Connor, Jean A

    Dimensions of critical care nursing : DCCN

    2023  Volume 41, Issue 3, Page(s) 151–156

    Abstract: ... existed as 3 centers (14%) use 50 mg/m2/d, 6 (29%) use 100 mg/m2/d, and 8 (38%) indicated that dosing ...

    Abstract Background: Although a variety of doses and duration of hydrocortisone have been reported as a treatment modality for congenital heart surgery patients with refractory hypotension, there remains a lack of understanding of the clinical use in pediatric cardiac programs.
    Objectives: The aim of this study was to describe the current practice of steroid use for refractory hypotension in postoperative congenital heart surgery patients.
    Method: Survey participants were recruited from the Consortium of Congenital Cardiac Care-Measurement of Nursing Practice. The survey focused on 4 areas: diagnosis, intervention, duration of therapy, and clinical decision making. Data were summarized using descriptive statistics.
    Results: Among the programs, 24 of 31 (77%) responded, with 21 (95%) using hydrocortisone as a treatment modality. Most, 20 (83%), reported no written clinical guideline for the use of hydrocortisone. Variation in dosing existed as 3 centers (14%) use 50 mg/m2/d, 6 (29%) use 100 mg/m2/d, and 8 (38%) indicated that dosing varies by provider.
    Discussion: Nearly all centers reported using hydrocortisone for the treatment of hypotension refractory to fluid resuscitation and vasoactive medications. Substantial variation in practice exists in areas of diagnosis, dosing, and duration of hydrocortisone. More research is needed to develop a clinical practice guideline to standardize practice.
    MeSH term(s) Child ; Humans ; Hydrocortisone/therapeutic use ; Shock, Septic ; Heart Defects, Congenital ; Critical Care ; Hypotension
    Chemical Substances Hydrocortisone (WI4X0X7BPJ)
    Language English
    Publishing date 2023-02-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632780-1
    ISSN 1538-8646 ; 0730-4625
    ISSN (online) 1538-8646
    ISSN 0730-4625
    DOI 10.1097/DCC.0000000000000520
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Changes in vitamin D metabolism during natural and medical menopause.

    Hartwell, D / Riis, B J / Christiansen, C

    The Journal of clinical endocrinology and metabolism

    1990  Volume 71, Issue 1, Page(s) 127–132

    Abstract: ... a natural menopause. Vitamin D metabolites were determined every 3 months in these 10 women. The same ... in 1,25-dihydroxyvitamin D [1,25-(OH)2D], vitamin D-binding protein, or the free index of 1,25-(OH)2D ... during the natural menopause. A small increase was found in 25-hydroxyvitamin D [25OHD] and 24,25-(OH)2D3 ...

    Abstract Thirty-nine women were studied longitudinally for 3 yr, during which period 10 women passed a natural menopause. Vitamin D metabolites were determined every 3 months in these 10 women. The same variables were studied in 42 premenopausal women with endometriosis treated for 6 months with nafarelin acetate (a LHRH agonist) given alone in a dose of 200 or 400 micrograms or in a dose of 400 micrograms combined with 1.2 mg norethisterone (NET)/day and followed-up for a further 6 months. No changes were seen in 1,25-dihydroxyvitamin D [1,25-(OH)2D], vitamin D-binding protein, or the free index of 1,25-(OH)2D during the natural menopause. A small increase was found in 25-hydroxyvitamin D [25OHD] and 24,25-(OH)2D3 after correction for seasonal variation. All three nafarelin groups had a significantly decreased free index of 1,25-(OH)2D, which returned to the baseline value on withdrawal of the treatment. Serum 25OHD and 24,25-(OH)2D3 were increased at 6 months and thereafter decreased to baseline values. These changes were still visible after correction for seasonal variation. Vitamin D-binding protein showed a small transient increase in the nafarelin plus NET group, but was unchanged in the other two groups. The 24-h urinary excretion of calcium increased significantly in the groups receiving nafarelin alone, whereas it remained unchanged in the nafarelin plus NET group. We conclude that detectable changes in 1,25-(OH)2D do not occur in natural menopause. Treatment with LHRH agonists produces a significant decrease in serum 1,25-(OH)2D, which does not seem to be dependent on increased bone resorption. This suggests that LHRH agonists may induce a change in other pituitary hormones involved in vitamin D regulation.
    MeSH term(s) 24,25-Dihydroxyvitamin D 3/blood ; Adult ; Calcitriol/blood ; Estrogens/physiology ; Female ; Gonadotropin-Releasing Hormone/analogs & derivatives ; Gonadotropin-Releasing Hormone/pharmacology ; Humans ; Menopause/blood ; Nafarelin ; Norethindrone/pharmacology ; Ovary/drug effects ; Ovary/physiology ; Pituitary Hormones/physiology ; Seasons ; Vitamin D/blood ; Vitamin D-Binding Protein/blood
    Chemical Substances Estrogens ; Pituitary Hormones ; Vitamin D-Binding Protein ; Vitamin D (1406-16-2) ; Nafarelin (1X0094V6JV) ; Gonadotropin-Releasing Hormone (33515-09-2) ; 24,25-Dihydroxyvitamin D 3 (40013-87-4) ; Calcitriol (FXC9231JVH) ; Norethindrone (T18F433X4S)
    Language English
    Publishing date 1990-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3029-6
    ISSN 1945-7197 ; 0021-972X
    ISSN (online) 1945-7197
    ISSN 0021-972X
    DOI 10.1210/jcem-71-1-127
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Comparisons between two receptor assays for 1,25-dihydroxyvitamin D.

    Hartwell, D / Christiansen, C

    Scandinavian journal of clinical and laboratory investigation

    1988  Volume 48, Issue 2, Page(s) 109–114

    Abstract: We present a competitive protein binding assay (CPBA) for 1,25(OH)2D employing 1,25(OH)2D receptor from calf thymus, which was compared with a CPBA-employing receptor from rachitic chick intestine. The thymus receptor assay was more sensitive, specific ... ...

    Abstract We present a competitive protein binding assay (CPBA) for 1,25(OH)2D employing 1,25(OH)2D receptor from calf thymus, which was compared with a CPBA-employing receptor from rachitic chick intestine. The thymus receptor assay was more sensitive, specific and precise than the intestinal receptor assay. The thymus receptor assay measured both 1,25(OH)2D2 and 1,25(OH)2D3 with equal affinity, whereas 1,25(OH)2D2 was 1.1 times less potent than 1,25(OH)2D3 in the displacement from the chick intestinal receptor. Mean serum values of 1,25(OH)2D in normal subjects, post-menopausal women, pregnant women, and patients with chronic renal failure measured by the two assay systems did not differ. Furthermore, both assays showed that 1,25(OH)2D was unchanged in post-menopausal women after treatment with vitamin D2 or vitamin D3, 4000 IU/day for 8 weeks. We conclude that the high sensitivity of the thymus receptor and the equal affinity for the D2 and D3 analogue make the thymus receptor assay a reliable alternative to the chick intestinal receptor assay.
    MeSH term(s) Adult ; Aged ; Binding, Competitive ; Calcitriol/blood ; Ergocalciferols/analogs & derivatives ; Ergocalciferols/blood ; Female ; Humans ; Intestinal Mucosa/metabolism ; Male ; Middle Aged ; Radioligand Assay/methods ; Receptors, Calcitriol ; Receptors, Steroid/metabolism ; Thymus Gland/metabolism
    Chemical Substances Ergocalciferols ; Receptors, Calcitriol ; Receptors, Steroid ; 1,25-dihydroxyergocalciferol (55248-15-2) ; Calcitriol (FXC9231JVH)
    Language English
    Publishing date 1988-04
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 3150-1
    ISSN 1502-7686 ; 0036-5513
    ISSN (online) 1502-7686
    ISSN 0036-5513
    DOI 10.3109/00365518809085401
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Association of Depression, Comorbidities, and Sociodemographic Factors among Home Healthcare Recipients.

    Monahan, Zach / Mack, Alyson / Shores, Dyani / Coffey, Sara / Mazur, Anna / Hartwell, Micah

    Clinical gerontologist

    2024  , Page(s) 1–9

    Abstract: Objectives: More than 15 million individuals receive home health care (HHC) for chronic conditions, which allows them to maintain a level of independence and self-sufficiency. Although poor mental health can negatively impact health outcomes, little ... ...

    Abstract Objectives: More than 15 million individuals receive home health care (HHC) for chronic conditions, which allows them to maintain a level of independence and self-sufficiency. Although poor mental health can negatively impact health outcomes, little research has been done on the mental health of these individuals.
    Methods: Utilizing National Health Interview Survey years 2019-2022, we ran a cross-sectional analysis to determine rates of depression among individuals who indicated that they utilized HHC services, based on their sociodemographic statuses and diagnosis, as well as their rate of depression by condition whether they utilized HHC services.
    Results: HHC recipients were significantly more likely to be depressed if they reported being female, age 55-64, low income, low educational attainment, American Indian/Alaskan Native, Hispanic, or lived in a rural area. HHC recipients were more likely to be depressed than their non-HHC recipient counterparts.
    Conclusions: These results underscore the need for integrated mental health care in home health. Further, the financial burden of HHC, which may have an additional impact on stress, emphasizes the need for expanded accessibility of these services.
    Clinical implications: General practitioners and home health professionals should inquire about mental health concerns of these care recipients, and treat or refer accordingly.
    Language English
    Publishing date 2024-03-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 226146-7
    ISSN 1545-2301 ; 0731-7115
    ISSN (online) 1545-2301
    ISSN 0731-7115
    DOI 10.1080/07317115.2024.2335472
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Is the effect of phototherapy in psoriasis partly due to an impact on vitamin D metabolism?

    Staberg, B / Oxholm, A / Klemp, P / Hartwell, D

    Acta dermato-venereologica

    1988  Volume 68, Issue 5, Page(s) 436–439

    Abstract: To elucidate the effect of phototherapy on vitamin D metabolism in psoriatics, the serum ... concentrations of the major vitamin D metabolites (25-hydroxy-vitamin D (25(OH)D), 1,25-dihydroxy-vitamin D (1,25 ... OH)2D), and 24,25-dihydroxy-vitamin D (24,25(OH)2D)) were studied in 10 patients with disseminated ...

    Abstract To elucidate the effect of phototherapy on vitamin D metabolism in psoriatics, the serum concentrations of the major vitamin D metabolites (25-hydroxy-vitamin D (25(OH)D), 1,25-dihydroxy-vitamin D (1,25(OH)2D), and 24,25-dihydroxy-vitamin D (24,25(OH)2D)) were studied in 10 patients with disseminated psoriasis, both before and after phototherapy. Some 3-4 weeks of Goeckerman therapy induced significantly increased serum levels of 25(OH)D (mean: 24.6 ng/ml versus 54.4 ng/ml; (p less than 0.001] and 24,25(OH)2D (mean: 2.01 ng/ml versus 3.49 ng/ml; (p less than 0.001)). After phototherapy the mean serum level of 1,25(OH)2D increased nearly to the level found in healthy controls (mean: 23.8 vs. 32.2 pg/ml). However, this increase was not significant. It is shown that conventional phototherapy does have an impact on vitamin D metabolism in psoriatics. Since previous investigations have indicated an abnormal vitamin D metabolism in patients with psoriasis, it is possible that the beneficial effect of phototherapy in this disease might be due partly to an impact on vitamin D metabolism.
    MeSH term(s) Adult ; Aged ; Humans ; Hydroxycholecalciferols/metabolism ; Middle Aged ; Psoriasis/metabolism ; Psoriasis/therapy ; Ultraviolet Therapy
    Chemical Substances Hydroxycholecalciferols
    Language English
    Publishing date 1988
    Publishing country Sweden
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80007-7
    ISSN 1651-2057 ; 0001-5555
    ISSN (online) 1651-2057
    ISSN 0001-5555
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Vitamin D metabolites--relation to age, menopause and endometriosis.

    Hartwell, D / Rødbro, P / Jensen, S B / Thomsen, K / Christiansen, C

    Scandinavian journal of clinical and laboratory investigation

    1990  Volume 50, Issue 2, Page(s) 115–121

    Abstract: We investigated the influence of menopause, age and sex on vitamin D metabolism in a large group ... Furthermore, we studied the vitamin D metabolism in 42 women with endometriosis. The vitamin D metabolites did ... not show dependence on age or on duration of menopause. The serum concentrations of vitamin D ...

    Abstract We investigated the influence of menopause, age and sex on vitamin D metabolism in a large group of healthy women (n = 113) and men (n = 108) and in a group of early postmenopausal women (n = 124). Furthermore, we studied the vitamin D metabolism in 42 women with endometriosis. The vitamin D metabolites did not show dependence on age or on duration of menopause. The serum concentrations of vitamin D metabolites did not differ in normal men and women. There were highly significant seasonal oscillations for 25(OH)D and 24,25(OH)2D3 but not for 1,25(OH)2D. Women with endometriosis had significantly elevated serum 1,25(OH)2D compared to the normal women. Our study indicates that ageing is not associated with a significant depletion of 25(OH)D, 24,25(OH)2D or 1,25(OH)2D in normal men and women up to the age of 75 years. Furthermore, changes in vitamin D metabolism seem not to be an important factor in early postmenopausal bone loss. Our results on patients with endometriosis indicate that these patients may have some calcium-metabolic disturbances.
    MeSH term(s) 24,25-Dihydroxyvitamin D 3/blood ; Adult ; Aged ; Aging/blood ; Calcifediol/blood ; Calcitriol/blood ; Calcium/blood ; Endometriosis/blood ; Female ; Humans ; Male ; Menopause/blood ; Middle Aged ; Osteoporosis, Postmenopausal/blood ; Phosphates/blood ; Seasons ; Vitamin D/blood
    Chemical Substances Phosphates ; Vitamin D (1406-16-2) ; 24,25-Dihydroxyvitamin D 3 (40013-87-4) ; Calcitriol (FXC9231JVH) ; Calcifediol (P6YZ13C99Q) ; Calcium (SY7Q814VUP)
    Language English
    Publishing date 1990-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 3150-1
    ISSN 1502-7686 ; 0036-5513
    ISSN (online) 1502-7686
    ISSN 0036-5513
    DOI 10.3109/00365519009089142
    Database MEDical Literature Analysis and Retrieval System OnLINE

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