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Article ; Online: Patient Experiences Completing Patient Reported Outcome Measures in Behavioral Health Within a Health Safety-Net Setting.

Kramer, Joanna / Perez, Daisy / Ramseier, Denisa / Morgan, Lily / Wilens, Timothy E / Rao, Vinod / Yule, Amy M

2024

Abstract: Measurement based care (MBC), a practice that uses patient reported outcome measures (PROMs), is not widely used in behavioral health settings and little is known about the patient experience with MBC in safety-net settings. This study aimed to ... ...

Abstract	Measurement based care (MBC), a practice that uses patient reported outcome measures (PROMs), is not widely used in behavioral health settings and little is known about the patient experience with MBC in safety-net settings. This study aimed to understand patient experiences completing PROMs on paper when presenting to an outpatient, behavioral health setting within a public safety-net hospital. Semi-structured interviews were conducted with 22 participants in English and Spanish. Participants were 42 years old (SD = 12.7), mostly white (36.4%) and Black (31.8%). Thematic analysis was used to analyze findings. Overall, participants were engaged with PROMs and described them as helpful for themselves and their clinicians. Participants also expressed themes focused on PROMs user-friendliness, including formatting, time to complete measures, and participant characteristics such as attention and literacy. These findings are important to consider to ensure equitable access to MBC when implemented in behavioral health in the health safety-net setting.
Language	English
Publishing date	2024-03-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	215855-3
ISSN	1573-2789 ; 0010-3853
ISSN (online)	1573-2789
ISSN	0010-3853
DOI	10.1007/s10597-024-01247-w
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Article ; Online: A participatory study of college students' mental health during the first year of the COVID-19 pandemic.

Park, Chulwoo / McClure Fuller, Melissa / Echevarria, Thea Marie / Nguyen, Kim / Perez, Daisy / Masood, Hufsa / Alsharif, Tasneem / Worthen, Miranda

Frontiers in public health

2023 Volume 11, Page(s) 1116865

Abstract: Introduction: The COVID-19 pandemic has negatively impacted college students' mental health and wellbeing. Even before the pandemic, young adults reported high mental health morbidity. During the pandemic, young adult college students faced ... ...

Abstract	Introduction: The COVID-19 pandemic has negatively impacted college students' mental health and wellbeing. Even before the pandemic, young adults reported high mental health morbidity. During the pandemic, young adult college students faced unprecedented challenges, including campus closure and a pivot to fully online education. Methods: This study employed a novel participatory approach to a Course-based Undergraduate Research Experience (CURE) in an introductory epidemiology course to examine factors students considered important regarding their experience during the pandemic. Two groups of undergraduate students enrolled in this course (one in Fall 2020 and another in Spring 2021) and participated in the CURE. A sub-group of these students continued after the class and are authors of this article. Through repeated cross-sectional surveys of college students' peer groups in northern California in October 2020 and March 2021, this student/faculty collaborative research team evaluated depression, anxiety, suicidal ideation and several other topics related to mental health among the students' young adult community. Results: There was a high prevalence of anxiety (38.07% in October 2020 and 40.65% in March 2021), depression (29.85% in October 2020 and 27.57% in March 2021), and suicidal ideation (15.94% in October 2020 and 16.04% in March 2021). In addition, we identified the significant burden of loneliness for college students, with 58.06% of students reporting feeling lonely at least several days in the past two weeks. Strategies that students used to cope with the pandemic included watching shows, listening to music, or playing video games (69.01%), sleeping (56.70%), taking breaks (51.65%), and connecting with friends (52.31%) or family (51.21%). Many reported distressing household experiences: more than a third reporting loss of a job or income (34.27%) in the first year of the pandemic. We explain the participatory research approach and share empirical results of these studies. Discussion: We found this participatory CURE approach led to novel, experience-based research questions; increased student motivation; real-world benefits such as combatting imposter syndrome and supporting graduate school intentions; integration of teaching, research, and service; and development of stronger student-faculty relationships. We close with recommendations to support student wellbeing and promote student engagement in research.
MeSH term(s)	Young Adult ; Humans ; COVID-19/epidemiology ; Pandemics ; Mental Health ; Cross-Sectional Studies ; Students/psychology
Language	English
Publishing date	2023-03-21
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2023.1116865
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Article: Patient Perspectives of the Hospital Discharge Process: A Qualitative Study.

Jones, Kayla C / Austad, Kirsten / Silver, Santana / Cordova-Ramos, Erika G / Fantasia, Kathryn L / Perez, Daisy C / Kremer, Kristen / Wilson, Sophie / Walkey, Allan / Drainoni, Mari-Lynn

Journal of patient experience

2023 Volume 10, Page(s) 23743735231171564

Abstract: Care transitions after hospitalization require communication across care teams, patients, and caregivers. As part of a quality improvement initiative, we conducted qualitative interviews with a diverse group of 53 patients who were recently discharged ... ...

Abstract	Care transitions after hospitalization require communication across care teams, patients, and caregivers. As part of a quality improvement initiative, we conducted qualitative interviews with a diverse group of 53 patients who were recently discharged from a hospitalization within a safety net hospital to explore how patient preferences were included in the hospital discharge process and differences in the hospital discharge experience by race/ethnicity. Four themes emerged from participants regarding desired characteristics of interactions with the discharge team: (1) to feel heard, (2) inclusion in decision-making, (3) to be adequately prepared to care for themselves at home through bedside teaching, (4) and to have a clear and updated discharge timeline. Additionally, participants identified patient-level factors the discharge planning team should consider, including the social context, family involvement, health literacy, and linguistic barriers. Lastly, participants identified provider characteristics, such as a caring and empathetic bedside manner, that they found valuable in the discharge process. Our findings highlight the need for shared decision-making in the discharge planning process to improve both patient safety and satisfaction.
Language	English
Publishing date	2023-05-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	2857285-3
ISSN	2374-3743 ; 2374-3735
ISSN (online)	2374-3743
ISSN	2374-3735
DOI	10.1177/23743735231171564
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Article: Validation of an ICD-code-based case definition for psychotic illness across three health systems.

medRxiv : the preprint server for health sciences

2024

Abstract: Background and hypothesis: Early detection of psychosis is critical for improving outcomes. Algorithms to predict or detect psychosis using electronic health record (EHR) data depend on the validity of the case definitions used, typically based on ... ...

Abstract	Background and hypothesis: Early detection of psychosis is critical for improving outcomes. Algorithms to predict or detect psychosis using electronic health record (EHR) data depend on the validity of the case definitions used, typically based on diagnostic codes. Data on the validity of psychosis-related diagnostic codes is limited. We evaluated the positive predictive value (PPV) of International Classification of Diseases (ICD) codes for psychosis. Study design: Using EHRs at three health systems, ICD codes comprising primary psychotic disorders and mood disorders with psychosis were grouped into five higher-order groups. 1,133 records were sampled for chart review using the full EHR. PPVs (the probability of chart-confirmed psychosis given ICD psychosis codes) were calculated across multiple treatment settings. Study results: PPVs across all diagnostic groups and hospital systems exceeded 70%: Massachusetts General Brigham 0.72 [95% CI 0.68-0.77], Boston Children's Hospital 0.80 [0.75-0.84], and Boston Medical Center 0.83 [0.79-0.86]. Schizoaffective disorder PPVs were consistently the highest across sites (0.80-0.92) and major depressive disorder with psychosis were the most variable (0.57-0.79). To determine if the first documented code captured first-episode psychosis (FEP), we excluded cases with prior chart evidence of a diagnosis of or treatment for a psychotic illness, yielding substantially lower PPVs (0.08-0.62). Conclusions: We found that the first documented psychosis diagnostic code accurately captured true episodes of psychosis but was a poor index of FEP. These data have important implications for the development of risk prediction models designed to predict or detect undiagnosed psychosis.
Language	English
Publishing date	2024-02-29
Publishing country	United States
Document type	Preprint
DOI	10.1101/2024.02.28.24303443
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Article ; Online: Validation of an ICD-Code-Based Case Definition for Psychotic Illness Across Three Health Systems.

Schizophrenia bulletin

2024

Abstract: Background and hypothesis: Psychosis-associated diagnostic codes are increasingly being utilized as case definitions for electronic health record (EHR)-based algorithms to predict and detect psychosis. However, data on the validity of psychosis-related ... ...

Abstract	Background and hypothesis: Psychosis-associated diagnostic codes are increasingly being utilized as case definitions for electronic health record (EHR)-based algorithms to predict and detect psychosis. However, data on the validity of psychosis-related diagnostic codes is limited. We evaluated the positive predictive value (PPV) of International Classification of Diseases (ICD) codes for psychosis. Study design: Using EHRs at 3 health systems, ICD codes comprising primary psychotic disorders and mood disorders with psychosis were grouped into 5 higher-order groups. 1133 records were sampled for chart review using the full EHR. PPVs (the probability of chart-confirmed psychosis given ICD psychosis codes) were calculated across multiple treatment settings. Study results: PPVs across all diagnostic groups and hospital systems exceeded 70%: Mass General Brigham 0.72 [95% CI 0.68-0.77], Boston Children's Hospital 0.80 [0.75-0.84], and Boston Medical Center 0.83 [0.79-0.86]. Schizoaffective disorder PPVs were consistently the highest across sites (0.80-0.92) and major depressive disorder with psychosis were the most variable (0.57-0.79). To determine if the first documented code captured first-episode psychosis (FEP), we excluded cases with prior chart evidence of a diagnosis of or treatment for a psychotic illness, yielding substantially lower PPVs (0.08-0.62). Conclusions: We found that the first documented psychosis diagnostic code accurately captured true episodes of psychosis but was a poor index of FEP. These data have important implications for the case definitions used in the development of risk prediction models designed to predict or detect undiagnosed psychosis.
Language	English
Publishing date	2024-05-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	439173-1
ISSN	1745-1701 ; 0586-7614
ISSN (online)	1745-1701
ISSN	0586-7614
DOI	10.1093/schbul/sbae064
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Article ; Online: Long-Term Trends in Psychiatric Emergency Services Delivered by the Boston Emergency Services Team.

Oblath, Rachel / Herrera, Carolina N / Were, Lawrence P O / Syeda, Haniya Saleem / Duncan, Alison / Ferguson, Tasha / Kalesan, Bindu / Perez, Daisy C / Taglieri, Joan / Borba, Christina P C / Henderson, David C

Community mental health journal

2022 Volume 59, Issue 2, Page(s) 370–380

Abstract: Rising psychiatric emergency department (ED) presentations pose significant financial and administrative burdens to hospitals. Alternative psychiatric emergency services programs have the potential to alleviate this strain by diverting non-emergent ... ...

Abstract	Rising psychiatric emergency department (ED) presentations pose significant financial and administrative burdens to hospitals. Alternative psychiatric emergency services programs have the potential to alleviate this strain by diverting non-emergent mental health issues from EDs. This study explores one such program, the Boston Emergency Services Team (BEST), a multi-channel psychiatric emergency services provider intended for the publicly insured and uninsured population. BEST provides evaluation and treatment for psychiatric crises through specialized psychiatric EDs, a 24/7 hotline, psychiatric urgent care centers, and mobile crisis units. This retrospective review examines the sociodemographic and clinical characteristics of 225,198 BEST encounters (2005-2016). Of note, the proportion of encounters taking place in ED settings decreased significantly from 70 to 58% across the study period. Findings suggest that multi-focal, psychiatric emergency programs like BEST have the potential to reduce the burden of emergency mental health presentations and improve patient diversion to appropriate psychiatric care.
MeSH term(s)	Humans ; Emergency Services, Psychiatric ; Boston ; Mental Health Services ; Mental Health ; Emergency Service, Hospital
Language	English
Publishing date	2022-08-24
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	215855-3
ISSN	1573-2789 ; 0010-3853
ISSN (online)	1573-2789
ISSN	0010-3853
DOI	10.1007/s10597-022-01015-8
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Article: The intratumor microbiome predicts prognosis across gender and subtypes in papillary thyroid carcinoma.

Gnanasekar, Aditi / Castaneda, Grant / Iyangar, Anjali / Magesh, Shruti / Perez, Daisy / Chakladar, Jaideep / Li, Wei Tse / Bouvet, Michael / Chang, Eric Y / Ongkeko, Weg M

Computational and structural biotechnology journal

2021 Volume 19, Page(s) 1986–1997

Abstract: While the intratumor microbiome has become increasingly implicated in cancer development, the microbial landscape of papillary thyroid carcinoma (PTC) is essentially uninvestigated. PTC is characterized by varied prognosis between gender and cancer ... ...

Abstract	While the intratumor microbiome has become increasingly implicated in cancer development, the microbial landscape of papillary thyroid carcinoma (PTC) is essentially uninvestigated. PTC is characterized by varied prognosis between gender and cancer subtype, but the cause for gender and subtype-based dissimilarities is unclear. Women are more frequently diagnosed with PTC, while men suffer more advanced-staged PTC. In addition, tall cell variants are more aggressive than classical and follicular variants of PTC. We hypothesized that intratumor microbiome composition distinctly alters the immune landscape and predicts clinical outcome between PTC subtypes and between patient genders. Raw whole-transcriptome RNA-sequencing, Level 3 normalized mRNA expression read counts, and DNA methylation 450 k sequencing data for untreated, nonirradiated tumor, and adjacent normal tissue were downloaded from the Genomic Data Commons (GDC) legacy archive for 563 thyroid carcinoma patients. Microbe counts were extracted using Pathoscope 2.0 software. We correlated microbe abundance to clinical variables and immune-associated gene expression. Gene-set enrichment, mutation, and methylation analyses were conducted to correlate microbe abundance to characterize microbes' roles. Overall, PTC tumor tissue significantly lacked microbes that are populated in adjacent normal tissue, which suggests presence of microbes may be critical in controlling immune cell expression and regulating immune and cancer pathways to mitigate cancer growth. In contrast, we also found that microbes distinctly abundant in tall cell and male patient cohorts were also correlated with higher mutation expression and methylation of tumor suppressors. Microbe dysbiosis in specific PTC types may explain observable differences in PTC progression and pathogenesis. These microbes provide a basis for developing specialized prebiotic and probiotic treatments for varied PTC tumors.
Language	English
Publishing date	2021-04-09
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2694435-2
ISSN	2001-0370
ISSN	2001-0370
DOI	10.1016/j.csbj.2021.03.032
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Article: Neuromonitorización en el trauma craneoencefálico grave en pediatría.

Abreu Pérez, Daisy / Lacerda Gallardo, Angel Jesús / Agramonte, Julio Antonio Díaz / Chaviano, Daiyan Martín

Neurocirugia (Asturias, Spain)

2016 Volume 27, Issue 4, Page(s) 176–185

Abstract: Introduction: Severe craniocerebral trauma is the main cause of morbidity and mortality in children worldwide. Neuromonitoring of these patients in Cuba is not routine in paediatric intensive cares units, and there is no standardised protocol for its ... ...

Title translation	Neuromonitoring of severe craniocerebral trauma in paediatric patients.
Abstract	Introduction: Severe craniocerebral trauma is the main cause of morbidity and mortality in children worldwide. Neuromonitoring of these patients in Cuba is not routine in paediatric intensive cares units, and there is no standardised protocol for its use in these units. Materials and methods: A correlational longitudinal prospective study was conducted on all patients admitted to the paediatric intensive care unit with the diagnosis of severe craniocerebral trauma in the period between January 2003 and December 2014. Continuous neuromonitoring of intracranial pressure and cerebral perfusion pressure was carried out. Results: The results showed that there was a correlation between the initial images of CT scan and the grade of shift of the half line structures. There was a direct relationship between intracranial pressure and the outcomes. The use of early decompressive craniectomy facilitated the rapid control of the intracranial hypertension. Conclusions: Continuous neuromonitoring contributes to adopt a therapeutic posture in the handling of the paediatric patients with severe head trauma.
MeSH term(s)	Adolescent ; Child ; Child, Preschool ; Craniocerebral Trauma/physiopathology ; Humans ; Infant ; Injury Severity Score ; Intracranial Pressure ; Longitudinal Studies ; Neurophysiological Monitoring ; Prospective Studies
Language	Spanish
Publishing date	2016-07
Publishing country	Spain
Document type	English Abstract ; Journal Article
ZDB-ID	2151282-6
ISSN	1130-1473
ISSN	1130-1473
DOI	10.1016/j.neucir.2015.11.004
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Article: Temporal variation of biomass and productivity of Thalassia testudinum (Hydrocharitaceae) in Venezuela, Southern Caribbean.

Pérez, Daisy / Guevara, Marcel / Bone, David

Revista de biologia tropical

2008 Volume 54, Issue 2, Page(s) 329–339

Abstract: Annual biomass and productivity of Thalassia testudinum were determined during a year at a seagrass bed located in the Parque Nacional Morrocoy, Venezuela. Leaf, rhizome and root biomass were determined monthly, together with short-shoot density, from ... ...

Abstract	Annual biomass and productivity of Thalassia testudinum were determined during a year at a seagrass bed located in the Parque Nacional Morrocoy, Venezuela. Leaf, rhizome and root biomass were determined monthly, together with short-shoot density, from February 1992 to January 1993, from nine replicated core samples. Productivity was measured using the methodology by Zieman (1974) with minor modifications, and leaf turnover rate was calculated. Leaf biomass values ranged between 101.73 dry g m(-2) in February and 178.11 dry g m(-2) in August. Productivity ranged from 1.69 dry g m(-2) d(-1) in April and October to 3.30 dry g m(-2) d(-1) in July, showing two annual peaks: one in July and one in March. The leaf turnover rate showed the highest value in June (2.41% d(-1)) and the lowest in May (1.23% d(-1)). Sampling time differences in leaf biomass, productivity and turnover rate were statistically significant. Short-shoot density values varied between 811.10 shoots m(-2) in April and 1226.08 shoots m(-2) in December, but the differences were not significant along the year. These results indicated seasonal trends for leaf biomass, productivity and turnover rate of T. testudinum in the Southern Caribbean (latitude 10 degrees N).
MeSH term(s)	Analysis of Variance ; Biomass ; Caribbean Region ; Climate ; Hydrocharitaceae/growth & development ; Population Density ; Seasons ; Seawater/analysis ; Temperature ; Tropical Climate ; Venezuela
Language	English
Publishing date	2008-05-13
Publishing country	Costa Rica
Document type	Journal Article
ZDB-ID	2020929-0
ISSN	2215-2075 ; 0034-7744
ISSN (online)	2215-2075
ISSN	0034-7744
DOI	10.15517/rbt.v54i2.13873
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Article ; Online: ESTADO NUTRICIONAL EN LACTANTES Y PREESCOLARES, DEL AMBULATORIO “DR. J. M. VARGAS” BARQUISIMETO, LARA.

Montilva Mariela / Araujo Cristóbal / Pérez Daisy / Vallenilla Isabella / Figueredo-Lapi, Víctor / Torres María / Albano, Giuseppe

Salud, Arte y Cuidado, Vol 5, Iss 1, Pp 13-

2012 Volume 19

Abstract: The purpose was to determine the nutritional status of the infants and children under six years old in the area of the type I ambulatory “Dr. José Maria Vargas” located in Veragacha, Irribarren county, Barquisimeto. A descriptive study was conducted in a ...

Abstract	The purpose was to determine the nutritional status of the infants and children under six years old in the area of the type I ambulatory “Dr. José Maria Vargas” located in Veragacha, Irribarren county, Barquisimeto. A descriptive study was conducted in a nonprobabilisticsample of one hundred and three (103) kids from 1 month to 6 years old. A questionnaire was applied to the mothers and structured in: age, sex, socio-economic status and anthropometric data (height and weight). The anthropometric data was taken to the OMS’s tables and was interpreted according to the combination of indicators: eight/age,weight/height and height/age. The analysis showed the following results: According to the total of the sample: 66.0% presented normal nutritional status; 8.7% current malnutrition;6.8% low stature and 8.7% excess malnutrition. Most of children belonged to the stratum IV(77.0%) and was appreciated an increment of malnutrition in the lower stratums. There was no statistical signi cant difference between the variables under investigation. This work Decanato de Ciencias de la Salud. Universidad Centroccidental “Lisandro Alvarado” (UCLA)expects to stimulate the development of plans and programs that improve the nutritional status of the children in the area, the detection and the early correction of the current risk factors.
Keywords	nutritional status ; undernutrition ; malnutrition ; Public aspects of medicine ; RA1-1270 ; Medicine ; R ; DOAJ:Public Health ; DOAJ:Health Sciences
Subject code	360
Language	Spanish
Publishing date	2012-06-01T00:00:00Z
Publisher	Universidad Centroccidental Lisandro Alvarado
Document type	Article ; Online
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