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  1. Article ; Online: Removal of the Black race coefficient from the estimated glomerular filtration equation improves transplant eligibility for Black patients at a single center.

    Hoenig, Melanie P / Mann, Alison / Pavlakis, Martha

    Clinical transplantation

    2021  Volume 36, Issue 2, Page(s) e14467

    Abstract: Race is a social construct that cannot be measured, can be used imprecisely and may contribute to disparities in kidney transplant access for Black patients. At Beth Israel Deaconess Medical Center, we dropped the Black race coefficient in the estimated ... ...

    Abstract Race is a social construct that cannot be measured, can be used imprecisely and may contribute to disparities in kidney transplant access for Black patients. At Beth Israel Deaconess Medical Center, we dropped the Black race coefficient in the estimated glomerular filtration rate (eGFR) report in 2017. We conducted a quality improvement project to examine the impact of this change. Before the change, only 26% of our Black patients were listed for preemptive transplant compared to 70% of White patients. Since the change, we found a steady increase in the percentage of Black patients listed before starting dialysis. The average eGFR at listing prior to 2017 was significantly lower in Black patients but after, there was no longer a significant difference. Nine patients "gained" an average of 457 days of wait time directly related to discarding the Black race coefficient. Increased time on the list prior to dialysis initiation allows for evaluation of potential live donors and improves the possibility of a pre-emptive live or deceased donor transplant and allows for a shorter period on dialysis before transplant. In this single center initiative, we demonstrate the benefit of discarding race from the eGFR report for Black patients awaiting kidney transplantation.
    MeSH term(s) African Americans ; Glomerular Filtration Rate ; Humans ; Kidney Transplantation ; Living Donors ; Renal Dialysis
    Language English
    Publishing date 2021-10-21
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 639001-8
    ISSN 1399-0012 ; 0902-0063
    ISSN (online) 1399-0012
    ISSN 0902-0063
    DOI 10.1111/ctr.14467
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Eleven tips for the new college teacher.

    Mann, Alison Smalley

    The Journal of nursing education

    2004  Volume 43, Issue 9, Page(s) 389–390

    Abstract: New faculty members who may have many years of clinical experience often feel unprepared for the classroom setting. While classes on pedagogy provide many important concepts for teaching, some practical points may be missed. This article offers 11 ... ...

    Abstract New faculty members who may have many years of clinical experience often feel unprepared for the classroom setting. While classes on pedagogy provide many important concepts for teaching, some practical points may be missed. This article offers 11 strategies to make the transition from clinical nursing practice to academia easier, and the teaching role more effective.
    MeSH term(s) Education, Nursing ; Faculty, Nursing ; Teaching/methods
    Language English
    Publishing date 2004-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410686-6
    ISSN 0148-4834
    ISSN 0148-4834
    DOI 10.3928/01484834-20040901-11
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Mexican American women aging with childhood-onset paralytic polio.

    Harrison, Tracie / Angel, Jacqueline / Mann, Alison

    Qualitative health research

    2008  Volume 18, Issue 6, Page(s) 767–774

    Abstract: In this study the life histories of 11 Latinas of Mexican American descent aging with permanent impairment related to childhood-onset paralytic polio were explored. These women, age 45 to 62 years, were interviewed 3 times each. Field notes, audiotaped ... ...

    Abstract In this study the life histories of 11 Latinas of Mexican American descent aging with permanent impairment related to childhood-onset paralytic polio were explored. These women, age 45 to 62 years, were interviewed 3 times each. Field notes, audiotaped interviews, life course charts, and demographic data were used to collect data chronicling childhood to present day. In the results we present a thematic representation of the societal and cultural influences on the life course trajectories of these women.
    MeSH term(s) Aging/psychology ; Disabled Persons/psychology ; Female ; Humans ; Interviews as Topic ; Life Change Events ; Mexican Americans/psychology ; Middle Aged ; Poliomyelitis/complications ; Poliomyelitis/ethnology ; Poliomyelitis/psychology ; Prejudice ; Texas ; Women's Health
    Language English
    Publishing date 2008-06
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1275716-0
    ISSN 1552-7557 ; 1049-7323
    ISSN (online) 1552-7557
    ISSN 1049-7323
    DOI 10.1177/1049732308318751
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Lessons learned: research with rural Mexican-American women.

    Mann, Alison / Hoke, Mary M / Williams, Jacquelyn C

    Nursing outlook

    2005  Volume 53, Issue 3, Page(s) 141–146

    Abstract: The authors share lessons learned from 5 community-based research studies involving rural Mexican-American women. The 10 lessons revolved around compensation, confidentiality, recruitment, crossing paths, mailings, locating people, participation/ ... ...

    Abstract The authors share lessons learned from 5 community-based research studies involving rural Mexican-American women. The 10 lessons revolved around compensation, confidentiality, recruitment, crossing paths, mailings, locating people, participation/attendance, translation, children, and closure. Despite their clinical knowledge and previous experiences in service with this population, researchers found recruiting and retaining participants and data collection far more challenging than expected. This article is significant as it illustrates the extensive time, expense, and effort required to conduct research with a rural population experiencing health disparities. Recommendations are provided to assist in planning and designing community-based and culturally sensitive research that has realistic time and budget allowances.
    MeSH term(s) Adult ; Attitude to Health/ethnology ; Communication Barriers ; Confidentiality ; Depressive Disorder/ethnology ; Female ; Health Services Accessibility/standards ; Health Services Needs and Demand ; Health Services Research/organization & administration ; Humans ; Informed Consent/psychology ; Mexican Americans/education ; Mexican Americans/ethnology ; Mexican Americans/statistics & numerical data ; Middle Aged ; Negotiating/methods ; Negotiating/psychology ; New Mexico ; Patient Selection ; Pilot Projects ; Reminder Systems ; Research Design ; Researcher-Subject Relations ; Rural Health/statistics & numerical data ; Surveys and Questionnaires ; Texas ; Women/education ; Women/psychology
    Language English
    Publishing date 2005-05
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S. ; Review
    ZDB-ID 300568-9
    ISSN 1528-3968 ; 0029-6554
    ISSN (online) 1528-3968
    ISSN 0029-6554
    DOI 10.1016/j.outlook.2005.03.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Calm in the midst of cytokine storm: a collaborative approach to the diagnosis and treatment of hemophagocytic lymphohistiocytosis and macrophage activation syndrome.

    Halyabar, Olha / Chang, Margaret H / Schoettler, Michelle L / Schwartz, Marc A / Baris, Ezgi H / Benson, Leslie A / Biggs, Catherine M / Gorman, Mark / Lehmann, Leslie / Lo, Mindy S / Nigrovic, Peter A / Platt, Craig D / Priebe, Gregory P / Rowe, Jared / Sundel, Robert P / Surana, Neeraj K / Weinacht, Katja G / Mann, Alison / Yuen, Jenny Chan /
    Meleedy-Rey, Patricia / Starmer, Amy / Banerjee, Taruna / Dedeoglu, Fatma / Degar, Barbara A / Hazen, Melissa M / Henderson, Lauren A

    Pediatric rheumatology online journal

    2019  Volume 17, Issue 1, Page(s) 7

    Abstract: Background: Hemophagocytic lymphohistiocytosis (HLH) and macrophage activation syndrome (MAS) were historically thought to be distinct entities, often managed in isolation. In fact, these conditions are closely related. A collaborative approach, which ... ...

    Abstract Background: Hemophagocytic lymphohistiocytosis (HLH) and macrophage activation syndrome (MAS) were historically thought to be distinct entities, often managed in isolation. In fact, these conditions are closely related. A collaborative approach, which incorporates expertise from subspecialties that previously treated HLH/MAS independently, is needed. We leveraged quality improvement (QI) techniques in the form of an Evidence-Based Guideline (EBG) to build consensus across disciplines on the diagnosis and treatment of HLH/MAS.
    Methods: A multidisciplinary work group was convened that met monthly to develop the HLH/MAS EBG. Literature review and expert opinion were used to develop a management strategy for HLH/MAS. The EBG was implemented, and quality metrics were selected to monitor outcomes.
    Results: An HLH/MAS clinical team was formed with representatives from subspecialties involved in the care of patients with HLH/MAS. Broad entry criteria for the HLH/MAS EBG were established and included fever and ferritin ≥500 ng/mL. The rheumatology team was identified as the "gate-keeper," charged with overseeing the diagnostic evaluation recommended in the EBG. First-line medications were recommended based on the acuity of illness and risk of concurrent infection. Quality metrics to be tracked prospectively based on time to initiation of treatment and clinical response were selected.
    Conclusion: HLH/MAS are increasingly considered to be a spectrum of related conditions, and joint management across subspecialties could improve patient outcomes. Our experience in creating a multidisciplinary approach to HLH/MAS management can serve as a model for care at other institutions.
    MeSH term(s) Algorithms ; Consensus ; Cytokines/blood ; Diagnosis, Differential ; Evidence-Based Medicine/methods ; Humans ; Lymphohistiocytosis, Hemophagocytic/diagnosis ; Lymphohistiocytosis, Hemophagocytic/therapy ; Macrophage Activation Syndrome/diagnosis ; Macrophage Activation Syndrome/therapy ; Practice Guidelines as Topic ; Quality Improvement
    Chemical Substances Cytokines
    Language English
    Publishing date 2019-02-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 2279468-2
    ISSN 1546-0096 ; 1546-0096
    ISSN (online) 1546-0096
    ISSN 1546-0096
    DOI 10.1186/s12969-019-0309-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Preparing for prescriptive privileges: a standard for the psychiatric-mental health preceptorship.

    Hales, Ann / Karshmer, Judith F / Williams, Jacquelyn / Mann, Alison Smalley / Robbins, Leslie K

    Perspectives in psychiatric care

    2004  Volume 40, Issue 3, Page(s) 93–103

    Abstract: Topic: Establishing a standard for preparation for prescriptive authority for advanced practice psychiatric nurses.: Purpose: To outline a best practice standard for the clinical and prescriptive authority preceptorship.: Sources: NACNS and NONPF ... ...

    Abstract Topic: Establishing a standard for preparation for prescriptive authority for advanced practice psychiatric nurses.
    Purpose: To outline a best practice standard for the clinical and prescriptive authority preceptorship.
    Sources: NACNS and NONPF competencies and practice guidelines.
    Conclusions: The authors recommend a clinical preceptorship with planned faculty monitoring, clinical logs, case studies, and group supervision to prepare the psychiatric-mental health advanced practice nurse to serve within the expanded prescribing role.
    MeSH term(s) Clinical Competence ; Curriculum ; Drug Prescriptions ; Education, Nursing ; Humans ; Mental Health ; Nurse Clinicians/education ; Practice Guidelines as Topic ; Preceptorship ; Psychiatric Nursing/education ; United States
    Language English
    Publishing date 2004-10-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 391097-0
    ISSN 0031-5990
    ISSN 0031-5990
    DOI 10.1111/j.1744-6163.2004.tb00002.x
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