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  1. Article ; Online: Does the physical and mental health of veterans differ by military branch?

    Dedeaux, Julian A / Lewis, Rhonda K

    Journal of prevention & intervention in the community

    2019  Volume 49, Issue 3, Page(s) 207–220

    Abstract: The purpose of this study was to examine the relationship between health behaviors and their levels of positive and negative affect and determine the overall level of physical health and mental health among members of the armed forces. Overall, the ... ...

    Abstract The purpose of this study was to examine the relationship between health behaviors and their levels of positive and negative affect and determine the overall level of physical health and mental health among members of the armed forces. Overall, the results showed that veterans in the Army, Navy and Marines are more often than members who are in the Air Force to be deployed. Members in the Army, Navy and Marines also experience higher levels of reported cases of PTSD, higher levels of negative affect (i.e. anxiety), a lower health composite score and report poorer perception of their own health. This study also showed that veterans of the Air Force had a stronger emphasis on their physical health which resulted in higher levels of positive affect (excited about life). Limitations and future directions of this research are discussed.
    MeSH term(s) Anxiety ; Humans ; Mental Health ; Military Personnel ; Stress Disorders, Post-Traumatic ; Veterans
    Language English
    Publishing date 2019-09-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1354884-0
    ISSN 1540-7330 ; 1085-2352
    ISSN (online) 1540-7330
    ISSN 1085-2352
    DOI 10.1080/10852352.2019.1654260
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2712: Show issues Location:
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  2. Article: In-Person Education During the Early COVID-19 Pandemic at Wichita Collegiate School.

    Mantovani, Emma / Meyer, Christopher / Sandid, Adam / Weeks, Kerri / Dedeaux, Julian / Assi, Maha

    Kansas journal of medicine

    2022  Volume 15, Page(s) 202–204

    Abstract: Introduction: The COVID-19 pandemic forced most Kansas schools to adopt remote or hybrid learning in 2020-2021. Wichita Collegiate School proceeded with an in-person teaching model. The purpose of this study was to determine if in-person learning can be ...

    Abstract Introduction: The COVID-19 pandemic forced most Kansas schools to adopt remote or hybrid learning in 2020-2021. Wichita Collegiate School proceeded with an in-person teaching model. The purpose of this study was to determine if in-person learning can be done safely during the COVID-19 pandemic prior to vaccine use.
    Methods: Wichita Collegiate is a private school located in Sedgwick County, Kansas. The study population included 671 students (grades 1 - 12) and 130 staff. The procedures implemented during the school year (August 19, 2020 - May 21, 2021) included: mandatory face coverings, six feet physical distancing, and daily temperature checks. A registered nurse performed contact tracing and executed quarantine requirements per the U.S. Centers for Disease Control and Prevention guidelines.
    Results: Over the study period, 487 students and staff were tested for COVID-19 and 18.5% (n = 90) were positive. Overall, students and staff rate of COVID-19 infection was lower than the expected rate when compared to the surrounding community of Sedgwick County. Thorough contract tracing of positive cases revealed that 2.2% (n = 2) individuals were likely exposed to COVID-19 at school.
    Conclusions: This study suggested that transmission of COVID-19 was infrequent in a school setting with in-person attendance, even before widespread vaccine availability. By following public health guidelines and utilizing contact tracing, it was possible to limit the spread of COVID-19 during in-person learning. This has immediate implications for how schools safely returned to in-person learning in the post-vaccine era.
    Language English
    Publishing date 2022-06-20
    Publishing country United States
    Document type Journal Article
    ISSN 1948-2035
    ISSN 1948-2035
    DOI 10.17161/kjm.vol15.16320
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Depression Screening Scores and Allergy and Gastrointestinal Medication Use in Adolescents.

    Harris, Kari / Saikumar, Pavithra / Sunkoj, Yojana / Vancuren, Trista / Olufowote, Blessing / Dedeaux, Julian

    Current drug safety

    2022  Volume 18, Issue 3, Page(s) 335–339

    Abstract: Introduction: Between 2005 and 2014, the 12-month prevalence of major depressive episodes among adolescents aged 12 to 17 years increased from 8.5% to 11.3%. Adolescent-onset depression is related to increased risk for depression and suicidal attempts ... ...

    Abstract Introduction: Between 2005 and 2014, the 12-month prevalence of major depressive episodes among adolescents aged 12 to 17 years increased from 8.5% to 11.3%. Adolescent-onset depression is related to increased risk for depression and suicidal attempts in adulthood. It is known that depression is an adverse effect among adults taking OAM; however, the effect of OAM on adolescents is unknown.
    Aim: The aim of this study was to describe the relationship between Patient Health Questionnaire 9- Modified (PHQ9-M) scores and OAM use among adolescents.
    Methods: This study included data abstracted from charts of adolescents aged 12 to 21 years who completed a Kansas Be Healthy wellness appointment at the KUSM-W Peds Clinic in 2017. Odds ratios were used to calculate the relationship between oral allergy medication and gastrointestinal medication use among adolescents and PHQ9-M scores.
    Results: Of the 425 adolescent charts analyzed, 22% (n=96) had positive PHQ9-M screens (a score of 10 or greater), and 13% (n=56) reported current use of allergy medication and/or GI medications. Adolescents taking oral allergy medication were 1.77 times more likely to have a positive PHQ9-M screen than those not taking oral allergy medication. Among adolescents on allergy medication, there was no difference in PHQ9- M scores based on the drug class (1<sup>st</sup> or 2<up>nd</sup> generation antihistamine or Montelukast).
    Conclusion: Healthcare providers must diligently explore OAM/GI use with adolescents during clinical encounters and discuss possible adverse effects of OAM on mood.
    MeSH term(s) Adult ; Humans ; Adolescent ; Depression ; Depressive Disorder, Major ; Hypersensitivity
    Language English
    Publishing date 2022-08-31
    Publishing country United Arab Emirates
    Document type Journal Article
    ZDB-ID 2250840-5
    ISSN 2212-3911 ; 1574-8863
    ISSN (online) 2212-3911
    ISSN 1574-8863
    DOI 10.2174/1574886317666220826170140
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6400: Show issues Location:
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  4. Article: Trends in Internet Safety Education by Healthcare Providers.

    King, Gary / Bui, Thuy / Dedeaux, Julian / Ahlers-Schmidt, Carolyn R / Harris, Kari

    Kansas journal of medicine

    2021  Volume 14, Page(s) 273–276

    Abstract: Introduction: The purpose of this study was to explore healthcare provider training, comfort, and provision of internet safety counseling. Prior research has demonstrated increased parental concern regarding the pervasive access to the internet by ... ...

    Abstract Introduction: The purpose of this study was to explore healthcare provider training, comfort, and provision of internet safety counseling. Prior research has demonstrated increased parental concern regarding the pervasive access to the internet by children, including the potential impacts of risky internet behavior and adverse media exposure.
    Methods: A self-reported survey was provided to a convenience sample of 31 healthcare providers during a mental health training seminar. Responses were analyzed using descriptive statistics.
    Results: Internet safety counseling, especially regarding risky online behavior, was not a focal point of provider-patient interaction in the sample population. This finding was reinforced with more than half of the respondents indicating that they infrequently or never provide internet safety counseling (n = 17, 56%). While research has placed an emphasis on the importance of discussing the risks of exposure to violence, drugs, and sexually explicit media online, this study found that the topics most often discussed were setting time limits (77%), limiting access to media devices (67%), and supervising internet use (50%). This may be due in part to the fact that most respondents (n = 17, 57%) reported never receiving training on internet safety counseling.
    Conclusions: Overall, significant deficits were identified in internet safety counseling training for professionals and provision of education for families. These finding were inconsistent with the American Academy of Pediatrics recommendations around media use counseling and a point of urgent concern given the increasing time spent on media devices, particularly during the COVID pandemic.
    Language English
    Publishing date 2021-11-05
    Publishing country United States
    Document type Journal Article
    ISSN 1948-2035
    ISSN 1948-2035
    DOI 10.17161/kjm.vol14.14805
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Perceived Barriers to Pediatric Clinical Trials Implementation: A Survey of Health Care Staff.

    Smith, Timothy R / McCulloh, Russell / Bui, Minh-Thuy / Sollo, Natalie / Ahlers-Schmidt, Carolyn R / Dedeaux, Julian A / Davis, Ann M

    Kansas journal of medicine

    2022  Volume 15, Page(s) 189–193

    Abstract: Introduction: Clinical trials are the gold standard for assessing the effectiveness and safety of treatments. The objective of this study was to assess provider opinions regarding implementing pediatric clinical trials in various practice settings ... ...

    Abstract Introduction: Clinical trials are the gold standard for assessing the effectiveness and safety of treatments. The objective of this study was to assess provider opinions regarding implementing pediatric clinical trials in various practice settings across Kansas.
    Methods: The study was completed within the Sunflower Pediatric Clinical Trials Research Extension (SPeCTRE), an affiliate of the IDeA States Pediatric Clinical Trials Network (ISPCTN). A cross-sectional, 36-item survey was administered to a state-wide convenience sample targeting health care providers and clinic staff.
    Results: A total of 115 health care providers and clinic staff completed surveys; 31% were physicians. Physicians were more likely than other clinic staff to have experience with clinical trials (correlation coefficient [CC] = 0.270, p = 0.004). When compared to urban respondents, rural providers were less supportive of recruitment for clinical trials in their practices (CC = -0.251, p = 0.008) and more likely to feel comfortable referring patients for clinical trials involving treatments that their insurance did not cover (CC = 0.302, p = 0.001).
    Conclusions: A range of rural and urban health care professionals supported conducting pediatric clinical trials but identified several barriers as well. These results will support future pediatric clinical trials across the country including Kansas.
    Language English
    Publishing date 2022-05-17
    Publishing country United States
    Document type Journal Article
    ISSN 1948-2035
    ISSN 1948-2035
    DOI 10.17161/kjm.vol15.15885
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Perceived Barriers to Clinical Trials Participation: A Survey of Pediatric Caregivers.

    Sollo, Natalie / Ahlers-Schmidt, Carolyn R / Davis, Ann M / Smith, Timothy Ryan / Dedeaux, Julian A / McCulloh, Russell J

    Kansas journal of medicine

    2022  Volume 15, Page(s) 139–143

    Abstract: Introduction: Pediatric clinical trials are difficult to conduct, leading to off-label use of medication in children based on results of trials with adults. As a unique population, children deserve to have appropriately tested therapies. The purpose of ... ...

    Abstract Introduction: Pediatric clinical trials are difficult to conduct, leading to off-label use of medication in children based on results of trials with adults. As a unique population, children deserve to have appropriately tested therapies. The purpose of this study was to evaluate pediatric caregivers' beliefs and perceived barriers to participation in clinical trials.
    Methods: The study was completed within the Sunflower Pediatric Clinical Trials Research Extension (SPeCTRE), an affiliate of the IDeA States Pediatric Clinical Trials Network (ISPCTN). This was a cross-sectional survey, adapted from the Pediatric Research Participation Questionnaire. A convenience sample of pediatric caregivers was recruited in three areas of a highly rural Midwestern state between 2017 and 2018.
    Results: A total of 159 caregivers completed surveys; the majority (72.3%) were previously familiar with clinical trials, but less than 20% had ever been invited to participate. Caregivers were willing to consider enrolling their child if a physician in whom they had high trust recommended the trials (H = 10.1, p = 0.04) and if there were perceived benefits, such as access to tests and medications not covered by insurance (correlation coefficient [CC] = 0.4, p < 0.01) and compensation for time and travel (CC = 0.3, p = 0.04).
    Conclusions: Trust in their physician highly influences likelihood of a caregiver consenting to have their child participate in a clinical trial. Therefore, to facilitate opportunities for children to participate in clinical trials, physicians need to be trained so they can offer trials locally. In addition, trials need to offer benefits, such as increased access to tests and medications as well as appropriate compensation.
    Language English
    Publishing date 2022-04-29
    Publishing country United States
    Document type Journal Article
    ISSN 1948-2035
    ISSN 1948-2035
    DOI 10.17161/kjm.vol15.16220
    Database MEDical Literature Analysis and Retrieval System OnLINE

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