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  1. Book: Health disparities in respiratory medicine

    Gerald, Lynn B.

    (Respiratory medicine)

    2016  

    Author's details Lynn B. Gerald ... ed
    Series title Respiratory medicine
    Keywords Asthma ; Chronic Obstructive Pulmonary Disease ; Cystic Fibrosis ; Lung Cancer ; Tuberculosis ; Respiratory Vaccination
    Language English
    Size IX, 364 S. : Ill., graph. Darst., Kt.
    Publisher Humana Press
    Publishing place Cham u.a.
    Publishing country Switzerland
    Document type Book
    HBZ-ID HT018858521
    ISBN 978-3-319-23674-2 ; 978-3-319-23675-9 ; 3-319-23674-1 ; 3-319-23675-X
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2016 A 117 available for loan (reading room) Lesesaal EG

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  2. Article ; Online: Recruitment strategies in marginalized industries for occupational health research: an example in a pilot study of cleaning staff during COVID-19.

    Wilson, Amanda M / Gerald, Lynn B / Beamer, Paloma I

    Annals of work exposures and health

    2024  Volume 68, Issue 3, Page(s) 226–230

    Abstract: This commentary describes challenges in recruiting workers from marginalized industries with examples from a pilot study of janitors, custodians, and maids and their experiences of cleaning and disinfection protocols during COVID-19 and potentially ... ...

    Abstract This commentary describes challenges in recruiting workers from marginalized industries with examples from a pilot study of janitors, custodians, and maids and their experiences of cleaning and disinfection protocols during COVID-19 and potentially associated respiratory symptoms. Recruitment strategies included contacting a local hospital, national workers' unions, and a large Arizona employer; using online Facebook groups; and contacting Arizona maid service companies and a school district. English and Spanish online and hard copy surveys about cleaning protocols and respiratory symptoms were used. Participants could also participate in online/phone interviews. Worker's compensation, liability, and confidentiality were concerns across organizations. Online surveys yielded unreliable data. Hard copy surveys were used due to workers' limited technology access. We reflect upon these challenges and discuss other strategies for recruiting from marginalized populations for occupational health research. Building trust with organizations and workers and considering technology access may ultimately increase recruitment feasibility.
    MeSH term(s) Humans ; COVID-19 ; Occupational Health ; Pilot Projects ; Occupational Exposure ; Surveys and Questionnaires
    Language English
    Publishing date 2024-01-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 2885096-8
    ISSN 2398-7316 ; 2398-7308
    ISSN (online) 2398-7316
    ISSN 2398-7308
    DOI 10.1093/annweh/wxae002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 244: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: School Connectedness and Suicide Among High School Youth: A Systematic Review.

    Welty, Cody W / Bingham, Lindsay / Morales, Mario / Gerald, Lynn B / Ellingson, Katherine D / Haynes, Patricia L

    The Journal of school health

    2024  Volume 94, Issue 5, Page(s) 469–480

    Abstract: Background: Suicide is a leading cause of death for adolescents, and school connectedness is a potential, modifiable protective factor for suicide. We sought to examine if school connectedness protected against suicide among high school students and if ... ...

    Abstract Background: Suicide is a leading cause of death for adolescents, and school connectedness is a potential, modifiable protective factor for suicide. We sought to examine if school connectedness protected against suicide among high school students and if potential moderators affected the relationship between school connectedness and suicide.
    Methods: We searched online databases (PubMed, EMBASE, CINAHL, and PsycINFO) on December 12, 2021, for studies that examined the effects of school connectedness on suicide among high school students.
    Results: This systematic review identified 34 studies that examined the effects of school connectedness on adolescent suicidality. Results indicated mixed findings of school connectedness on suicidality. Among studies that assessed a suicide ideation outcome, 73.3% found that school connectedness protected against suicide. Among studies that assessed a suicide attempts outcome, 50% found that school connectedness protected against suicide. Most included studies did not control for notable variables in their final models, such as sleep, impulsivity, substance use, or depression. No studies examined moderators of school connectedness and suicide.
    Conclusions: School connectedness is somewhat protective of suicidality, and more protective of suicidal ideation than suicide attempts. Researchers should examine the construct of school connectedness among modern youth to better understand school connectedness and suicide.
    MeSH term(s) Humans ; Adolescent ; Suicide, Attempted ; Suicidal Ideation ; Schools ; Protective Factors ; Adolescent Behavior
    Language English
    Publishing date 2024-02-21
    Publishing country United States
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 952835-0
    ISSN 1746-1561 ; 0022-4391
    ISSN (online) 1746-1561
    ISSN 0022-4391
    DOI 10.1111/josh.13445
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Changing Job of School Nurses during the COVID-19 Pandemic: A Media Content Analysis of Contributions to Stress.

    Lowe, Ashley A / Ravi, Priyanka / Gerald, Lynn B / Wilson, Amanda M

    Annals of work exposures and health

    2022  Volume 67, Issue 1, Page(s) 101–117

    Abstract: School nurses and unlicensed assistive personnel (UAPs) are essential to the health and wellness of school children. However, most US schools do not have a full-time licensed nurse. During the COVID-19 pandemic, school nurses and UAPs have been integral ... ...

    Abstract School nurses and unlicensed assistive personnel (UAPs) are essential to the health and wellness of school children. However, most US schools do not have a full-time licensed nurse. During the COVID-19 pandemic, school nurses and UAPs have been integral in ensuring that the health needs of students were met. They have seen a marked increase in their responsibilities included implementing COVID-19 mitigation strategies, screening for symptoms, testing students and staff, conducting contact tracing and data collection, and ensuring the implementation of rapidly changing COVID-19 guidelines and protocols for schools. The objective of this study was to explore COVID-19 occupational changes and their contributions to stress among school nurses and UAPs through a content analysis of local and national media articles. A Google search of articles published between February 2020 and September 2021 was conducted using the following search terms: 'school nurse', 'COVID-19', 'health aide', 'stress', and 'experiences'. A search was also conducted in Nexis Uni. Articles were included if the topic discussed school nurses or UAPs and COVID-19. All articles that examined nurses in other settings were excluded from the review. We examined topics and themes temporally (from February 2020 to September 2021) and spatially (i.e. the frequency by US state). Overall, 496 media articles discussing school nurses and COVID-19 were included in our review. The highest volume of articles was from September 2021 (22%, 111/496). Other months with relatively high volume of articles included August 2020 (9%, 43/496), January 2021 (10%, 47/496), February 2021 (9%, 44/496), and August 2021 (8%, 39/496). These larger article volumes coincided with notable COVID-19 events, including returning to school in the fall (August 2020 and August 2021), school nurses assisting with vaccine rollouts among adults in the USA (January/February 2021), concerns regarding the delta variant (August/September 2021), and vaccine rollouts for children ages 12-15 (September 2021). The representation of articles spatially (national, state, regional, or local) was 66 (13%) articles at national level, 217 (44%) state level, 25 (5%) regional level, and 188 (38%) local news at the city and/or village level. Pennsylvania had the highest frequency of articles, but when standardized to the state population, Alaska had the highest rate of media per 100 000 people. Three major themes were identified in our analysis: (i) safety; (ii) pandemic-related fatigue/stress; and (iii) nursing shortage/budget. The most represented theme for articles before September 2021 was that of safety. Over time, the themes of pandemic-related fatigue/stress and nursing shortage/budget increased with the most notable increase being in September 2021. The COVID-19 pandemic has resulted in new occupational risks, burdens, and stressors experienced by school nurses and UAPs. School nurses play a critical role in disease surveillance, disaster preparedness, wellness and chronic disease prevention interventions, immunizations, mental health screening, and chronic disease education. Furthermore, they provide a safety net for our most vulnerable children. Given that school nurses were already over-burdened and under-resourced prior to the pandemic, characterization of these new burdens and stressors will inform emergency preparedness resources for school health personnel during future pandemics or outbreaks.
    MeSH term(s) Child ; Adult ; Humans ; Adolescent ; COVID-19/epidemiology ; COVID-19/prevention & control ; Pandemics/prevention & control ; SARS-CoV-2 ; Occupational Exposure
    Language English
    Publishing date 2022-09-16
    Publishing country England
    Document type Review ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2885096-8
    ISSN 2398-7316 ; 2398-7308
    ISSN (online) 2398-7316
    ISSN 2398-7308
    DOI 10.1093/annweh/wxac053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 244: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Vaping and Sleep as Predictors of Adolescent Suicidality.

    Welty, Cody W / Gerald, Lynn B / Nair, Uma S / Haynes, Patricia L

    American journal of health promotion : AJHP

    2022  Volume 37, Issue 1, Page(s) 39–46

    Abstract: Purpose: To investigate sleep quantity as a moderator of vaping and self-reported suicidality among adolescents.: Design: Cross-sectional. Setting: United States high schools.: Sample: 10,520 high-school students with complete data on the primary ... ...

    Abstract Purpose: To investigate sleep quantity as a moderator of vaping and self-reported suicidality among adolescents.
    Design: Cross-sectional. Setting: United States high schools.
    Sample: 10,520 high-school students with complete data on the primary outcome of suicide attempt in the past year (76.9% response rate).
    Measures: 2019 Youth Risk Behaviors Survey.
    Analysis: Logistic regression to examine main effects and potential moderation.
    Results: Students with under seven sleep hours on school nights (OR = 2.6; 95% CI = 2.1-3.3) and who vaped in the past month (OR = 3.0; 95% CI = 2.1-3.9) had higher odds of attempting suicide in the last year. Sleep quantity moderated the relationship between vaping and suicidal thoughts in the past year (P = .01) but did not moderate the relationship between vaping and a suicide plan (
    Conclusions: Students who vape or report low sleep quantity would be ideal participants in suicide prevention interventions as they may be at higher risk for suicidality. Organizations implementing sleep or vaping interventions should incorporate information regarding the higher odds of suicide among students with low sleep quantity or vaping habits.
    MeSH term(s) Adolescent ; Humans ; United States/epidemiology ; Suicidal Ideation ; Vaping/epidemiology ; Cross-Sectional Studies ; Suicide ; Sleep ; Adolescent Behavior ; Risk Factors
    Language English
    Publishing date 2022-07-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 645160-3
    ISSN 2168-6602 ; 0890-1171
    ISSN (online) 2168-6602
    ISSN 0890-1171
    DOI 10.1177/08901171221112027
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2531: Show issues Location:
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    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Compliance to a Standardized Protocol for Stock Albuterol Medication among School Staff.

    Lowe, Ashley A / Gerald, Joe K / Clemens, Conrad / Gerald, Lynn B

    The Journal of school nursing : the official publication of the National Association of School Nurses

    2022  , Page(s) 10598405221128053

    Abstract: A stock inhaler program provided access to rescue medication (albuterol sulfate) for school children. School staff were provided with a standardized protocol for medication administration. We hypothesized licensed nurses were more likely to report ... ...

    Abstract A stock inhaler program provided access to rescue medication (albuterol sulfate) for school children. School staff were provided with a standardized protocol for medication administration. We hypothesized licensed nurses were more likely to report compliant events compared to unlicensed school staff. Stock inhaler events were defined as either compliant or non-compliant. A school protocol compliance score was calculated using the total number of compliant events divided by the total number of all events. The protocol for administration indicated 4 puffs for mild respiratory distress and 8 puffs for severe respiratory distress; therefore, events were defined as compliant if the dose of medication was divisible by 4. A Cragg Poisson hurdle regression was used to examine the association between compliance score and school staff experience. One-hundred fifty-two schools reported 999 stock inhaler events. Of these events, 28% were compliant and 72% of events were non-compliant. After controlling for school organizational type, grades served, and school size, school staff experience was not predictive of protocol compliance. Future efforts should focus on improving protocol compliance among licensed nurses and unlicensed school staff.
    Language English
    Publishing date 2022-10-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1217746-5
    ISSN 1546-8364 ; 1059-8405 ; 0048-945X
    ISSN (online) 1546-8364
    ISSN 1059-8405 ; 0048-945X
    DOI 10.1177/10598405221128053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4182: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  7. Article ; Online: Let Them Breathe: A Plea to Pediatricians to Advocate for Stock Inhaler Policies at School.

    Pappalardo, Andrea A / Gerald, Lynn B

    Pediatrics

    2019  Volume 144, Issue 1

    MeSH term(s) Albuterol/administration & dosage ; Asthma/drug therapy ; Bronchodilator Agents/administration & dosage ; Child ; Emergencies ; Health Policy ; Humans ; Nebulizers and Vaporizers ; School Health Services/legislation & jurisprudence ; United States
    Chemical Substances Bronchodilator Agents ; Albuterol (QF8SVZ843E)
    Language English
    Publishing date 2019-06-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2018-2857
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.MO 357: Show issues

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  8. Article ; Online: School-based Stock Inhaler Programs and Neighborhood Disadvantage.

    Lowe, Ashley A / Gerald, Joe K / Clemens, Conrad / Gerald, Lynn B

    Journal of health care for the poor and underserved

    2022  Volume 33, Issue 2, Page(s) 1083–1093

    Abstract: Introduction: Ensuring students with asthma residing in disadvantaged communities have access to rescue medication (albuterol) is important.: Methods: Using the Area Deprivation Index (ADI), we examined relationships between albuterol use and ... ...

    Abstract Introduction: Ensuring students with asthma residing in disadvantaged communities have access to rescue medication (albuterol) is important.
    Methods: Using the Area Deprivation Index (ADI), we examined relationships between albuterol use and neighborhood deprivation among schools participating in the Pima County (Arizona) Stock Inhaler Program. Schools were categorized into quartiles based on their census block ADI. A hurdle regression examined associations between ADI and stock inhaler use after controlling for school characteristics.
    Results: Among 228 participating schools, only those in the second worst ADI quartile were more likely to use a stock inhaler than those in the most deprived quartile (referent), OR 1.9 (95% CI 1.2-2.9). Middle schools had 2.1 times higher odds (95% CI 1.3-3.4) of ever using a stock inhaler than elementary schools (referent).
    Conclusion: Students attending schools in the second most deprived communities, as opposed to most deprived, may have the most tenuous albuterol access.
    MeSH term(s) Albuterol/therapeutic use ; Asthma/drug therapy ; Humans ; Nebulizers and Vaporizers ; Neighborhood Characteristics ; Residence Characteristics ; Schools
    Chemical Substances Albuterol (QF8SVZ843E)
    Language English
    Publishing date 2022-05-27
    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.2022.0082
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 3605: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 493: Show issues

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  9. Article ; Online: Occupational exposures among women beedi workers in Mysore District, India: A mixed-methods study protocol.

    Ravi, Priyanka / Muralidhar, Kiranmayee / Madhivanan, Purnima / Wilson, Amanda M / von Hippel, Frank A / Salamova, Amina / Moya, Eva / Gerald, Lynn B

    PloS one

    2024  Volume 19, Issue 4, Page(s) e0297638

    Abstract: Beedi is the most common smoking form of tobacco used in India. The rolling of beedis is performed primarily by women in settings that lack occupational safeguards. The aims of this protocol are to establish methods for the study of occupational ... ...

    Abstract Beedi is the most common smoking form of tobacco used in India. The rolling of beedis is performed primarily by women in settings that lack occupational safeguards. The aims of this protocol are to establish methods for the study of occupational exposures among women beedi workers and their experiences and challenges working with unburnt tobacco. This protocol employs a convergent parallel mixed-methods approach. Qualitatively, we plan to explore the experiences and challenges faced by women beedi workers using photovoice, a community based participatory method. Occupational exposures to pesticides will be assessed through the use of silicone wristbands worn for seven days by workers, and exposure to toxic metals and metalloids will be assessed in dust samples collected in the homes of workers. The outcomes will be analyzed to form policy recommendations to improve the occupational health of women beedi workers.
    MeSH term(s) Humans ; Female ; Occupational Exposure/analysis ; Nicotiana ; Smoking ; Pesticides ; India
    Chemical Substances Pesticides
    Language English
    Publishing date 2024-04-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0297638
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: School health systems under strain: an example of COVID-19 experiences & burnout among school health staff in Pima County, Arizona.

    Wilson, Amanda M / Ravi, Priyanka / Pargas, Nicole T / Gerald, Lynn B / Lowe, Ashley A

    BMC public health

    2023  Volume 23, Issue 1, Page(s) 1626

    Abstract: Background: School health staff lead and provide a variety of care for children in schools. As school districts have navigated the COVID-19 pandemic, school health staff have faced unprecedented challenges in protecting the health of students and school ...

    Abstract Background: School health staff lead and provide a variety of care for children in schools. As school districts have navigated the COVID-19 pandemic, school health staff have faced unprecedented challenges in protecting the health of students and school staff. Our objective was to qualitatively characterize these pandemic challenges and experiences of school health staff in Pima County, Arizona to identify gaps in school health staff support for improving future emergency preparedness.
    Methods: We conducted two focus group discussions (FGDs) with 48 school health staff in Pima County, Arizona in two school districts using a discussion guide including ten open-ended questions. The FGDs were audio recorded and transcribed verbatim. We used the socioecological model (SEM) to organize the thematic analysis and generate codes and themes; data were analyzed using Atlas.ti software.
    Findings: The pandemic has significantly challenged school health staff with new pandemic-related job tasks: managing isolation, vaccination, and developing/implementing new and evolving COVID-19 guidelines. School health staff also reported increased stress related to interactions with parents and school administration as well as frustrations with rapid changes to guidance from the health department and policy makers. A common issue was not having enough staff or resources to complete regular job responsibilities, such as providing care for students with non-COVID-19 related health issues.
    Conclusions: Increased workload for school health staff resulted in physical burnout, mental distress, and disruption of core functions with long term implications for children's health. These focus groups highlight the need for improved emergency preparedness in schools during pandemics or infectious disease outbreaks. These include basic infrastructure changes (e.g., personnel support from health departments for tasks such as contact tracing to enable school nurses to continue core functions), and increased funding to allow for hazard pay and more school health personnel during emergency situations. In addition, basic school health infrastructure is lacking, and we should include a licensed school health nurse in every school.
    MeSH term(s) Child ; Humans ; Potassium Iodide ; Arizona/epidemiology ; Pandemics ; COVID-19/epidemiology ; Burnout, Psychological
    Chemical Substances Potassium Iodide (1C4QK22F9J)
    Language English
    Publishing date 2023-08-25
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-023-16532-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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