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Article ; Online: OA01.02. Associations between complementary and alternative medicine and conventional medical care utilization, access and quality of care

Bethell C / Gombojav N / Stumbo S

BMC Complementary and Alternative Medicine, Vol 12, Iss Suppl 1, p O

2012 Volume 2

Keywords	Other systems of medicine ; RZ201-999
Language	English
Publishing date	2012-06-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: A Qualitative Study of HIV Treatment Adherence Support From Friends and Family among Same Sex Male Couples.

Stumbo, Scott / Wrubel, Judith / Johnson, Mallory O

Psychology and education

2013 Volume 2, Issue 4, Page(s) 318–322

Abstract: HIV-positive individuals seek support for medication adherence from a variety of sources-spouses, family and friends. We conducted a qualitative study of twenty same sex male couples where we asked men to give narratives of support received for ... ...

Abstract	HIV-positive individuals seek support for medication adherence from a variety of sources-spouses, family and friends. We conducted a qualitative study of twenty same sex male couples where we asked men to give narratives of support received for medication adherence from their partner, family and friends. Men in couple relationships did not routinely seek tangible or practical assistance for adherence from friends and family but almost exclusively from partners. These men did seek and receive informational and emotional support from friends and family. These results have implications for designing interventions for medication support when an individual is in a relationship.
Language	English
Publishing date	2013-01-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	3019781-8
ISSN	0033-3077 ; 1553-6939
ISSN (online)	0033-3077
ISSN	1553-6939
DOI	10.4236/psych.2011.24050
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Compact x-ray sources for mammographic applications: Monte Carlo simulations of image quality.

Oliva, P / Golosio, B / Stumbo, S / Bravin, A / Tomassini, P

Medical physics

2009 Volume 36, Issue 11, Page(s) 5149–5161

Abstract: Thomson scattering x-ray sources can provide spectral distributions that are ideally suited for mammography with sufficient fluence rates. In this article, the authors investigate the effects of different spectral distributions on the image quality in ... ...

Abstract	Thomson scattering x-ray sources can provide spectral distributions that are ideally suited for mammography with sufficient fluence rates. In this article, the authors investigate the effects of different spectral distributions on the image quality in simulated images of a breast mammographic phantom containing details of different compositions and thicknesses. They simulated monochromatic, quasimonochromatic, and polychromatic x-ray sources in order to define the energy for maximum figure of merit (signal-difference-to-noise ratio squared/mean glandular dose), the effect of an energy spread, and the effect of the presence of higher-order harmonics. The advantages of these sources with respect to conventional polychromatic sources as a function of phantom and detail thickness were also investigated. The results show that the energy for the figure of merit peak is between 16 and 27.4 keV, depending on the phantom thickness and detail composition and thickness. An energy spread of about 1 keV standard deviation, easily achievable with compact x-ray sources, does not appreciably affect the image quality.
MeSH term(s)	Algorithms ; Calcinosis/diagnostic imaging ; Computer Simulation ; Female ; Humans ; Mammography/instrumentation ; Mammography/methods ; Models, Biological ; Monte Carlo Method ; Phantoms, Imaging ; Photons ; Radiation Dosage ; Scattering, Radiation ; X-Ray Film ; X-Rays
Language	English
Publishing date	2009-11
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	188780-4
ISSN	0094-2405
ISSN	0094-2405
DOI	10.1118/1.3245876
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Article ; Online: P04.33. A review of existing methods to specify condition specific prevalence and experience of CAM use in US children

Bethell C / Stumbo S / Gombojav N / Wilhelm C / Newacheck P

BMC Complementary and Alternative Medicine, Vol 12, Iss Suppl 1, p P

toward a strategic data plan

2012 Volume 303

Keywords	Medicine (General) ; R5-920 ; Medicine ; R ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Language	English
Publishing date	2012-06-01T00:00:00Z
Publisher	BioMed Central
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Book ; Online: Effects of Voice-Based Synthetic Assistant on Performance of Emergency Care Provider in Training

Damacharla, Praveen / Dhakal, Parashar / Stumbo, Sebastian / Javaid, Ahmad Y. / Ganapathy, Subhashini / Malek, David A. / Hodge, Douglas C. / Devabhaktuni, Vijay

2020

Abstract: As part of a perennial project, our team is actively engaged in developing new synthetic assistant (SA) technologies to assist in training combat medics and medical first responders. It is critical that medical first responders are well trained to deal ... ...

Abstract	As part of a perennial project, our team is actively engaged in developing new synthetic assistant (SA) technologies to assist in training combat medics and medical first responders. It is critical that medical first responders are well trained to deal with emergencies more effectively. This would require real-time monitoring and feedback for each trainee. Therefore, we introduced a voice-based SA to augment the training process of medical first responders and enhance their performance in the field. The potential benefits of SAs include a reduction in training costs and enhanced monitoring mechanisms. Despite the increased usage of voice-based personal assistants (PAs) in day-to-day life, the associated effects are commonly neglected for a study of human factors. Therefore, this paper focuses on performance analysis of the developed voice-based SA in emergency care provider training for a selected emergency treatment scenario. The research discussed in this paper follows design science in developing proposed technology; at length, we discussed architecture and development and presented working results of voice-based SA. The empirical testing was conducted on two groups as user studies using statistical analysis tools, one trained with conventional methods and the other with the help of SA. The statistical results demonstrated the amplification in training efficacy and performance of medical responders powered by SA. Furthermore, the paper also discusses the accuracy and time of task execution (t) and concludes with the guidelines for resolving the identified problems.
Keywords	Computer Science - Computers and Society ; Computer Science - Artificial Intelligence ; Computer Science - Human-Computer Interaction ; Electrical Engineering and Systems Science - Systems and Control ; H.1.2 ; I.2.1 ; I.2.7
Subject code	303
Publishing date	2020-08-11
Publishing country	us
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Male Same Sex Couple Dynamics and Received Social Support for HIV Medication Adherence.

Wrubel, Judith / Stumbo, Scott / Johnson, Mallory O

Journal of social and personal relationships

2010 Volume 27, Issue 4, Page(s) 553–572

Abstract: This qualitative study examines received social support by analyzing relationship dynamics concerning antiretroviral therapy (ART) adherence among HIV+ seroconcordant and serodiscordant male couples. Using narrative data from forty participants (20 ... ...

Abstract	This qualitative study examines received social support by analyzing relationship dynamics concerning antiretroviral therapy (ART) adherence among HIV+ seroconcordant and serodiscordant male couples. Using narrative data from forty participants (20 couples interviewed separately), we describe patterns of relationship dynamics and support preferences. One group viewed adherence as a Personal Responsibility. A second group viewed adherence as a Couple Responsibility and integrated support for medication adherence into the relationship. A third group was in the process of ending their relationships and adherence support was one-sided or withdrawn altogether. Examining support exchanges contexts at cultural, situational, relational, and personal levels illuminated adherence processes. Qualitative methods provided a framework for investigating these complex relationships and their associations with HIV treatment adherence.
Language	English
Publishing date	2010-02-02
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2023968-3
ISSN	1460-3608 ; 0265-4075
ISSN (online)	1460-3608
ISSN	0265-4075
DOI	10.1177/0265407510364870
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Measuring youth health engagement: development of the youth engagement with health services survey.

Sebastian, Rachel A / Ramos, Mary M / Stumbo, Scott / McGrath, Jane / Fairbrother, Gerry

The Journal of adolescent health : official publication of the Society for Adolescent Medicine

2014 Volume 55, Issue 3, Page(s) 334–340

Abstract: Purpose: The purpose of this study was to create and validate a survey instrument designed to measure Youth Engagement with Health Services (YEHS!).: Methods: A 61-item YEHS! survey was created through a multistaged process, which included literature ...

Abstract	Purpose: The purpose of this study was to create and validate a survey instrument designed to measure Youth Engagement with Health Services (YEHS!). Methods: A 61-item YEHS! survey was created through a multistaged process, which included literature review, subject matter expert opinion, review of existing validated measures, and cognitive interviewing with 41 adolescents in Colorado and New Mexico. The YEHS! was then pilot tested with a diverse group of high school students (n = 354) accessing health services at one of eight school-based health centers in Colorado and New Mexico. We conducted psychometric analyses and examined correlations between the youth health engagement scales and measures of quality of care. Results: We created scales to measure two domains of youth health engagement: health access literacy and health self-efficacy. The youth health engagement scales demonstrated strong reliability (Cronbach's α .76 and .82) and construct validity (mean factor loading .71 and .76). Youth health engagement scores predicted higher experiences of care scores (p < .001) and receipt of more anticipatory guidance (p < .01). Conclusions: This study supports the YEHS! as a valid and reliable measure of youth health engagement among adolescents using school-based health centers. We demonstrate an association between youth health engagement and two quality of care measures. Additional testing is needed to ensure the reliability and validity of the instrument in diverse adolescent populations.
MeSH term(s)	Adolescent ; Adolescent Health Services/utilization ; Colorado ; Demography ; Female ; Health Behavior ; Health Literacy ; Health Services Accessibility ; Humans ; Male ; New Mexico ; Psychometrics/methods ; Surveys and Questionnaires
Language	English
Publishing date	2014-09
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Validation Studies
ZDB-ID	1063374-1
ISSN	1879-1972 ; 1054-139X
ISSN (online)	1879-1972
ISSN	1054-139X
DOI	10.1016/j.jadohealth.2014.02.008
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Article: Direct analysis of molybdenum target generated x-ray spectra with a portable device.

Stumbo, S / Bottigli, U / Golosio, B / Oliva, P / Tangaro, S

Medical physics

2004 Volume 31, Issue 10, Page(s) 2763–2770

Abstract: In routine applications, information about the photon flux of x-ray tubes is obtained from exposure measurements and cataloged spectra. This approach relies mainly on the assumption that the real spectrum is correctly approximated by the cataloged one, ... ...

Abstract	In routine applications, information about the photon flux of x-ray tubes is obtained from exposure measurements and cataloged spectra. This approach relies mainly on the assumption that the real spectrum is correctly approximated by the cataloged one, once the main characteristics of the tube such as voltage, target material, anode angle, and filters are taken account of. In practice, all this information is not always available. Moreover, x-ray tubes with the same characteristics may have different spectra. We describe an apparatus that should be useful for quality control in hospitals and for characterizing new radiographic systems. The apparatus analyzes the spectrum generated by an x-ray mammographic unit. It is based on a commercial CZT produced by AMPTEK Inc. and a set of tungsten collimator disks. The electronics of the CZT are modified so as to obtain a faster response. The signal is digitized using an analog to digital converter with a sampling frequency of up to 20 MHz. The whole signal produced by the x-ray tube is acquired and analyzed off-line in order to accurately recognize pile-up events and reconstruct the emitted spectrum. The energy resolution has been determined using a calibrated x-ray source. Spectra were validated by comparison of the HVL measured using an ionization chamber.
MeSH term(s)	Algorithms ; Equipment Design ; Equipment Failure Analysis/instrumentation ; Mammography/instrumentation ; Miniaturization ; Molybdenum/chemistry ; Molybdenum/radiation effects ; Quality Assurance, Health Care/methods ; Radiation Dosage ; Radiometry/instrumentation ; Radiometry/methods ; Reproducibility of Results ; Sensitivity and Specificity ; Signal Processing, Computer-Assisted ; X-Rays
Chemical Substances	Molybdenum (81AH48963U)
Language	English
Publishing date	2004-10
Publishing country	United States
Document type	Comparative Study ; Evaluation Studies ; Journal Article ; Validation Studies
ZDB-ID	188780-4
ISSN	0094-2405
ISSN	0094-2405
DOI	10.1118/1.1785891
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Article ; Online: Antiretroviral medication support practices among partners of men who have sex with men: a qualitative study.

Wrubel, Judith / Stumbo, Scott / Johnson, Mallory O

AIDS patient care and STDs

2008 Volume 22, Issue 11, Page(s) 851–858

Abstract: The aim of this qualitative study is to describe the practical support for antiretroviral therapy (ART) adherence offered by partners of men with HIV. Twenty couples in which at least one partner was HIV positive and on ART were interviewed separately ... ...

Abstract	The aim of this qualitative study is to describe the practical support for antiretroviral therapy (ART) adherence offered by partners of men with HIV. Twenty couples in which at least one partner was HIV positive and on ART were interviewed separately about their involvement in their partners' ART adherence. The interview elicited narratives of specific recent events around taking medication, as well as accounts of what the participants usually did to support their partners' adherence. Three members of the qualitative team coded and verified the interviews for adherence support practices. Partners offered a wide range of kinds of practical support. Reminding included (1) regular reminding that was habitually offered, (2) situational reminding adapted to changing circumstances, and (3) intensive reminding, either regular (i.e., nagging) or situational. Instrumental helping involved monitoring medication adherence, bringing or setting out medications at the dose time, organizing the pills, and requesting and/or picking up refills. Coaching involved situational problem-solving and shaping behavior by reinforcing incremental gains and offering affirmations. Findings demonstrate a range of support practices for ART adherence, often tailored to partners' styles or to the changing process of adherence. By examining narratives of support transactions as they occurred, the study discriminated among the different dimensions, forms, sources and contexts of social support. These distinctions, often neglected in social support research, have implications for HIV care and research.
MeSH term(s)	Anti-HIV Agents/therapeutic use ; HIV Infections/drug therapy ; Homosexuality, Male ; Humans ; Interviews as Topic ; Male ; Medication Adherence ; Middle Aged ; Qualitative Research ; Sexual Partners ; Social Support
Chemical Substances	Anti-HIV Agents
Language	English
Publishing date	2008-10-16
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	1326868-5
ISSN	1557-7449 ; 0893-5068 ; 1087-2914
ISSN (online)	1557-7449
ISSN	0893-5068 ; 1087-2914
DOI	10.1089/apc.2008.0037
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Article ; Online: STRIDE: a randomized trial of a lifestyle intervention to promote weight loss among individuals taking antipsychotic medications.

Yarborough, Bobbi Jo H / Leo, Michael C / Stumbo, Scott / Perrin, Nancy A / Green, Carla A

BMC psychiatry

2013 Volume 13, Page(s) 238

Abstract: Background: Individuals diagnosed with serious mental illnesses are at increased risk of obesity- and cardiovascular-related morbidity and early mortality. Lifestyle interventions aimed at weight loss, even those adapted to suit the needs of this ... ...

Abstract	Background: Individuals diagnosed with serious mental illnesses are at increased risk of obesity- and cardiovascular-related morbidity and early mortality. Lifestyle interventions aimed at weight loss, even those adapted to suit the needs of this particular subgroup, have rarely produced clinically meaningful reductions in weight. Methods/design: The STRIDE study is a multi-site, parallel, two-arm randomized controlled translational trial. Participants were recruited from community mental health clinics and an integrated not-for-profit health system. Participants were randomized either to usual care or to a 12-month intervention that consisted of: 1) weekly group participation for six months covering topics on nutrition, physical activity and lifestyle changes; 2) monthly group participation for an additional six month maintenance period; and 3) individual monthly contacts from intervention group facilitators during the second six month phase. All participants are assessed at baseline, 6, 12, and 24 months post-enrollment. Process and implementation evaluations are included and the study design includes a cost-utility analysis. Participants include 200 individuals with serious mental illness with an average age of 47.1 years, a mean body-mass index of 38.3 kg/m(2) and taking an average of 3.2 psychiatric medications at baseline. Baseline physiological measures included mean blood pressure (SBP/DBP) measurements of 119.2 (SD = 14.7)/79.4 (SD = 10.1); 35% reported a hypertension diagnosis and 11% took antihypertensive medications. Average lipid levels (mg/dL) were: a) triglycerides 188.0 (SD = 138.6), ranged from 43 to 1145; b) LDL 101.4 (SD = 32.9) and ranged from 17 to 185; c) HDL 45.8 (SD = 12.7) and ranged from 22 to 89; and d) total cholesterol 181.6 (SD = 39.7) and ranged from 50 to 324. Average fasting glucose levels were 108.9 (SD = 32.5) and ranged from 24 to 289. Average fasting insulin levels were 13.0 (SD=11.9) and ranged from 2 to 99. Discussion: The STRIDE study is based on a modified version of the PREMIER comprehensive lifestyle intervention, DASH diet arm. STRIDE has successfully enrolled 200 individuals with serious mental illness in community-based settings. Baseline characteristics present a population at high risk for obesity-related negative health outcomes and demonstrate the need for evidence-based interventions to reduce these risks. Trial registration: Clinical Trials.gov NCT00790517.
MeSH term(s)	Adult ; Antipsychotic Agents/adverse effects ; Antipsychotic Agents/therapeutic use ; Body Mass Index ; Clinical Protocols ; Female ; Humans ; Life Style ; Male ; Middle Aged ; Overweight/chemically induced ; Overweight/therapy ; Psychotic Disorders/drug therapy ; Research Design ; Treatment Outcome ; Weight Loss
Chemical Substances	Antipsychotic Agents
Language	English
Publishing date	2013-09-28
Publishing country	England
Document type	Journal Article ; Multicenter Study ; Randomized Controlled Trial ; Research Support, N.I.H., Extramural
ZDB-ID	2050438-X
ISSN	1471-244X ; 1471-244X
ISSN (online)	1471-244X
ISSN	1471-244X
DOI	10.1186/1471-244X-13-238
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