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  1. Article ; Online: Effects of the Kentucky Hepatitis Academic Mentorship Program on Hepatitis C Treatment in a Federally Qualified Health Center.

    Crabtree, Katherine

    Journal of health care for the poor and underserved

    2021  Volume 32, Issue 2, Page(s) 664–670

    Abstract: Background: Hepatitis C virus (HCV) infection is prevalent in Kentucky, and treatment in primary care clinics is being implemented through collaborations such as the Kentucky Hepatitis Academic Mentorship Program (KHAMP) to meet Medicaid requirements.!## ...

    Abstract Background: Hepatitis C virus (HCV) infection is prevalent in Kentucky, and treatment in primary care clinics is being implemented through collaborations such as the Kentucky Hepatitis Academic Mentorship Program (KHAMP) to meet Medicaid requirements.
    Methods: We completed a retrospective review of 375 HCV patients seen from 2018-2019, comparing outcomes pre- and post- KHAMP implementation.
    Results: Post-KHAMP implementation in 2019, 191 patients were diagnosed with HCV. Compared with pre-KHAMP, these patients were less likely to be referred to a specialist (difference in percentage points: -16.1%, 95% CI (6.7-25.1), p=.0008), with no change in loss to follow-up (difference in percentage points: 4.8%, 95% CI (-4.6-14.1), p=.32). Of 127 eligible patients, 52 (41%) were treated via KHAMP during the study period.
    MeSH term(s) Hepacivirus ; Hepatitis C/drug therapy ; Hepatitis C/epidemiology ; Humans ; Kentucky/epidemiology ; Mentors ; Retrospective Studies ; United States
    Language English
    Publishing date 2021-07-05
    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.2021.0095
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: COVID-19 in Patients with a Primary Refugee-Associated Language in a Kentucky Emergency Department During 2020.

    Hamm, Joel / Duncan, Meredith S / Robertson, Nicole M / Keck, James W / Crabtree, Katherine

    Journal of immigrant and minority health

    2022  Volume 25, Issue 3, Page(s) 728–732

    Abstract: COVID-19 has heavily impacted the refugee population in the United States due to exposure risks, living and working conditions, and healthcare access, but little is known about outcomes. We reviewed emergency department visits to a Kentucky hospital ... ...

    Abstract COVID-19 has heavily impacted the refugee population in the United States due to exposure risks, living and working conditions, and healthcare access, but little is known about outcomes. We reviewed emergency department visits to a Kentucky hospital among 2163 patients from March-December 2020, studying incidence of COVID-19 diagnosis for patients with a primary refugee-associated language compared to English speakers, and outcomes after diagnosis including hospitalization, length of stay, and in-hospital mortality. Patients in the population of interest had higher odds of COVID-19 diagnosis in the hospital (OR = 12.31, 95% CI 7.80-19.40), but, among those with COVID-19, lower odds of hospital admission (OR = 0.58, 95% CI 0.37-0.90) and shorter median length of stay (4.1 vs. 10.5 days) compared to English speakers. The study corroborates reports of comparatively higher COVID-19 incidence in patients speaking a primary refugee-associated language, but implies milder illness severity, possibly reflecting this population's baseline health.
    MeSH term(s) Humans ; COVID-19 ; COVID-19 Testing ; Emergency Service, Hospital ; Kentucky/epidemiology ; Language ; Refugees ; Retrospective Studies ; United States
    Language English
    Publishing date 2022-12-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2220162-2
    ISSN 1557-1920 ; 1557-1912
    ISSN (online) 1557-1920
    ISSN 1557-1912
    DOI 10.1007/s10903-022-01435-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The development of practice scholarship in DNP programs: a paradigm shift.

    Brown, Marie Annette / Crabtree, Katherine

    Journal of professional nursing : official journal of the American Association of Colleges of Nursing

    2013  Volume 29, Issue 6, Page(s) 330–337

    Abstract: Doctoral education in nursing is undergoing a paradigm shift. The doctor of nursing practice (DNP) degree was conceived to improve practice expertise and accelerate the translation of evidence into practice. The need for doctoral preparation that focuses ...

    Abstract Doctoral education in nursing is undergoing a paradigm shift. The doctor of nursing practice (DNP) degree was conceived to improve practice expertise and accelerate the translation of evidence into practice. The need for doctoral preparation that focuses on both expert practice and practice inquiry acknowledges the complexity of evidence-based practice. The DNP prepares graduates to practice at the most advanced level of nursing and to evaluate current practice approaches, to appraise evidence, and to use this knowledge to create clinical strategies that improve practice and health outcomes. DNP curricula need to evolve through shared best practices grounded in financial sustainability. Because of the evolutionary nature of new programs, there is a need for continuous rapid adjustment of the DNP curriculum. Ideas presented here have evolved with student, faculty, and agency input. Many elements of DNP curricula represent a shared world view of faculty across the county. However, consensus about the DNP project has not been reached and is urgently needed to promote acceptance of the DNP-prepared advanced practice registered nurse. The DNP project allows synthesis of the American Association of Colleges of Nursing DNP Essentials through "real world" translation of evidence into practice. This article proposes that DNP projects be defined as practice improvement partnerships between academia and community agencies. This "win-win" collaboration can improve care while preparing the next generation of nurses for the demands of increasingly complex healthcare environments.
    MeSH term(s) Curriculum ; Education, Nursing, Graduate/organization & administration ; Faculty, Nursing ; Fellowships and Scholarships
    Language English
    Publishing date 2013-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632951-2
    ISSN 1532-8481 ; 8755-7223
    ISSN (online) 1532-8481
    ISSN 8755-7223
    DOI 10.1016/j.profnurs.2013.08.003
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    Zs.B 2985: Show issues Location:
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  4. Article ; Online: Assessment of attitudes and targeted educational needs for refugee care providers in a Ugandan hospital.

    Bapolisi, Achille / Crabtree, Katherine / Jarolimova, Jana / Kelly, Caitrin / Kentoffio, Katherine / Patel, Palka / Stone, Geren / Batwala, Vincent

    International journal of medical education

    2018  Volume 9, Page(s) 221–225

    Abstract: Objectives: To evaluate medical trainees' attitudes toward refugee patients in a refugee host country, and to identify educational needs.: Methods: A 54-question cross-sectional questionnaire was administered to a convenience sample of 81 post- ... ...

    Abstract Objectives: To evaluate medical trainees' attitudes toward refugee patients in a refugee host country, and to identify educational needs.
    Methods: A 54-question cross-sectional questionnaire was administered to a convenience sample of 81 post-graduate medical trainees at Mbarara Regional Referral Hospital, Uganda, in 2016. Descriptive statistics on medical trainees' attitudes and educational needs regarding care for refugees were calculated. One-way ANOVA was used to assess relationships between an attitude scale and respondent characteristics. Reliability and validity of the survey items and attitude scale were assessed using Cronbach's alpha, item-to-scale correlation, and factor analysis.
    Results: The mean score on the attitude scale of 2.8 (SD=1.7) indicated positive attitudes toward refugees. All respondents had contact with refugees, and 89% (n=72) reported a need for further training. Many specifically indicated the need for training in use of translators, support personnel, and behavioral health.  Cronbach's alpha values of greater than 0.7 indicated good internal consistency. Item-to-scale correlation and factor analysis validate the use of an attitude scale. ANOVA showed no significant difference between mean attitude scores in gender (F
    Conclusions: Medical trainees in Uganda report positive attitudes toward refugees and a need for additional education in refugee care in multiple specific areas. This study piloted the use of an attitude scale for refugee healthcare providers with promising validity and reliability. Use of these questions could inform curriculum development in refugee host countries.
    MeSH term(s) Adult ; Attitude of Health Personnel ; Cross-Sectional Studies ; Curriculum/standards ; Education, Medical/methods ; Education, Medical/standards ; Female ; Health Personnel/education ; Health Personnel/psychology ; Health Personnel/standards ; Health Personnel/statistics & numerical data ; Hospitals/standards ; Humans ; Male ; Needs Assessment ; Psychometrics ; Refugees/psychology ; Refugees/statistics & numerical data ; Students, Medical/statistics & numerical data ; Surveys and Questionnaires ; Uganda/epidemiology ; Young Adult
    Language English
    Publishing date 2018-08-24
    Publishing country England
    Document type Journal Article
    ISSN 2042-6372
    ISSN (online) 2042-6372
    DOI 10.5116/ijme.5b64.9630
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  5. Article ; Online: The modulatory effects of rostral ventromedial medulla on air-puff evoked microarousals in rats.

    Foo, H / Crabtree, Katherine / Mason, Peggy

    Behavioural brain research

    2010  Volume 215, Issue 1, Page(s) 156–159

    Abstract: This study tested whether the duration of microarousals from sleep evoked by innocuous air-puff is affected by intra-RVM administration of neurotensin and bicuculline, pharmacological manipulations that affect on and off cell activity. Air-puff evoked ... ...

    Abstract This study tested whether the duration of microarousals from sleep evoked by innocuous air-puff is affected by intra-RVM administration of neurotensin and bicuculline, pharmacological manipulations that affect on and off cell activity. Air-puff evoked microarousal duration was unaffected by 0.05ng neurotensin, but decreased by 502ng neurotensin, and 5 and 50ng bicuculline. These results suggest a putative role for off cells in protecting sleep from interruption by non-noxious stimuli.
    MeSH term(s) Animals ; Arousal/drug effects ; Arousal/physiology ; Bicuculline/pharmacology ; Electroencephalography ; Electromyography ; GABA-A Receptor Antagonists/pharmacology ; Male ; Medulla Oblongata/drug effects ; Medulla Oblongata/physiology ; Neurons/drug effects ; Neurons/physiology ; Neurotensin/pharmacology ; Physical Stimulation ; Rats ; Rats, Sprague-Dawley ; Sleep
    Chemical Substances GABA-A Receptor Antagonists ; Neurotensin (39379-15-2) ; Bicuculline (Y37615DVKC)
    Language English
    Publishing date 2010-07-17
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 449927-x
    ISSN 1872-7549 ; 0166-4328
    ISSN (online) 1872-7549
    ISSN 0166-4328
    DOI 10.1016/j.bbr.2010.07.004
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    Zs.A 1599: Show issues Location:
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  6. Article ; Online: Eating is a protected behavior even in the face of persistent pain in male rats.

    Foo, H / Crabtree, Katherine / Thrasher, Ama / Mason, Peggy

    Physiology & behavior

    2009  Volume 97, Issue 3-4, Page(s) 426–429

    Abstract: Feeding is critical for survival. Yet, patients with chronic pain often lose their appetite and eat less. We previously showed that ad libitum fed male rats continue to feed rather than withdraw from a brief noxious stimulus. This study examined the ... ...

    Abstract Feeding is critical for survival. Yet, patients with chronic pain often lose their appetite and eat less. We previously showed that ad libitum fed male rats continue to feed rather than withdraw from a brief noxious stimulus. This study examined the effects of a sustained noxious stimulus on feeding by testing ad libitum fed male rats for five eating behaviors--latency to eat, time taken to eat each chip, pauses and scanning during eating, and the number of chocolate chips eaten--during the hour following a sham injection or an injection of a low (0.5%) or moderate (1.5%) dose of formalin into the hind paw. Sham-injected rats showed no pain-related behaviors, rats injected with 0.5% formalin showed very few pain-related behaviors, and rats injected with 1.5% formalin showed favoring, lifting and licking of the injured paw with a characteristic biphasic time course. Besides taking less time to commence eating during the first phase of formalin pain, rats injected with either dose of formalin did not differ from sham-injected rats on any of the other eating measures. Rats injected with 0.5% formalin showed no pain behaviors during eating, whereas those given 1.5% formalin typically ate while not exhibiting any pain behaviors but occasionally ate while favoring the paw, rarely while lifting the paw, and never while licking the paw. These results show that eating is a protected activity even in the presence of persistent pain in male rats.
    MeSH term(s) Animals ; Disease Models, Animal ; Disinfectants/adverse effects ; Disinfectants/pharmacology ; Dose-Response Relationship, Drug ; Facial Pain/chemically induced ; Facial Pain/physiopathology ; Feeding Behavior/drug effects ; Feeding Behavior/physiology ; Formaldehyde/adverse effects ; Formaldehyde/pharmacology ; Pain Measurement ; Rats ; Rats, Sprague-Dawley ; Reaction Time/drug effects ; Reaction Time/physiology ; Time Factors
    Chemical Substances Disinfectants ; Formaldehyde (1HG84L3525)
    Language English
    Publishing date 2009-03-24
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 3907-x
    ISSN 1873-507X ; 0031-9384
    ISSN (online) 1873-507X
    ISSN 0031-9384
    DOI 10.1016/j.physbeh.2009.03.015
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