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Article ; Online: Consequences of Sport-Related Concussion on Health-Related Quality of Life in Adolescents: A Critically Appraised Topic.

Williamson, Mary Margaret / Wallace, Jessica

2022 , Page(s) 1–8

Abstract: Clinical scenario: Sport-related concussions (SRCs) are a prevalent and problematic injury occurring among adolescents participating in sports. Health-related quality of life (HRQoL) has been shown to be affected in a portion of adolescents recovering ... ...

Abstract	Clinical scenario: Sport-related concussions (SRCs) are a prevalent and problematic injury occurring among adolescents participating in sports. Health-related quality of life (HRQoL) has been shown to be affected in a portion of adolescents recovering from SRCs, though the exact nature of the relationship has yet to be firmly established for this age group through the duration and completion of recovery. HRQoL can be a nebulous construct but is often described as multifaceted and demonstrates effects of an illness, injury, or condition on one's overall well-being, encompassing satisfaction and comfortability of physical, psychosocial, sleep, and cognitive attributes. Clinical question: How do adolescents diagnosed with sport-related concussion perceive changes in health-related quality of life domain measures throughout recovery? Summary of key findings: Four studies met the inclusion criteria, including 1 longitudinal prospective case series and 3 longitudinal prospective cohort studies. The literature indicated that adolescents who sustained an SRC reported an initial immediate decrease in overall HRQoL as well as domains including cognitive, physical, school, and sleep. This initial decrease was particularly notable in those with delayed recovery or those diagnosed with post-concussion syndrome. Despite the initial decrease, all participants of varying SRC recovery duration reportedly returned to healthy, normative levels of HRQoL upon recovery. Clinical bottom line: Adolescents reportedly experience initial decreases in various HRQoL domains immediately after SRC but appear to rebound to a healthy status upon recovery regardless of recovery duration. Strength of recommendation: Results of the review of 4 longitudinal studies established level B evidence.
Language	English
Publishing date	2022-10-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	1106769-x
ISSN	1543-3072 ; 1056-6716
ISSN (online)	1543-3072
ISSN	1056-6716
DOI	10.1123/jsr.2022-0232
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Article ; Online: Racial Disparities in Diagnosis of Concussion and Minor Head Trauma and Mechanism of Injury in Pediatric Patients Visiting the Emergency Department.

Wallace, Jessica S / Mannix, Rebekah C

The Journal of pediatrics

2021 Volume 233, Page(s) 249–254.e1

Abstract: Objective: To determine if racial/ethnic differences exist in the diagnosis and mechanism of injury among children and adolescents visiting the emergency department (ED) for concussion and minor head trauma (MHT).: Study design: A retrospective, ... ...

Abstract	Objective: To determine if racial/ethnic differences exist in the diagnosis and mechanism of injury among children and adolescents visiting the emergency department (ED) for concussion and minor head trauma (MHT). Study design: A retrospective, cross-sectional study of patient (age ≤19 years) visits to the ED for concussion between 2010-2015, using the National Hospital Ambulatory Medical Care Survey, was completed. The primary study exposure was race/ethnicity. Outcome measures included ED visits that resulted in a concussion/MHT diagnosis and mechanism of injury. Mechanism categories included sport, motor vehicle collision, fall, assault, and other mechanism. A multivariable logistic regression and multinomial logistic regression were conducted to assess relationships between race/ethnicity and outcomes. Findings were weighted to reflect population estimates. Results: In total, 1263 child/adolescent visits for concussion/MHT were identified, representing an estimated 6.6 million child/adolescent visits nationwide. Compared with non-Hispanic White pediatric patients, non-Hispanic Black patients were least likely to have an ED visit for a concussion/MHT (P < .001; OR, 0.66; 95% CI, 0.52-0.83) The odds of non-Hispanic Black children/adolescents (OR, 3.80; 95% CI, 1.68-8.55) and children/adolescents of other race/ethnicity (OR, 4.93; 95% CI, 1.09-22.23) sustaining a concussion/MHT resulting from assault vs sport was higher. Conclusions: Amid the emerging focus on sport-related concussion, these ethnic/racial differences in ED diagnosis of concussion/MHT demonstrate sociodemographic differences that warrant further attention. Assault may be a more common mechanism of concussion among children/adolescents of a racial minority.
MeSH term(s)	Adolescent ; Brain Concussion/diagnosis ; Brain Concussion/ethnology ; Child ; Continental Population Groups ; Craniocerebral Trauma/diagnosis ; Craniocerebral Trauma/ethnology ; Cross-Sectional Studies ; Emergency Service, Hospital/statistics & numerical data ; Ethnic Groups ; Female ; Healthcare Disparities ; Humans ; Male ; Patient Admission/statistics & numerical data ; Retrospective Studies ; Trauma Severity Indices ; United States/epidemiology
Language	English
Publishing date	2021-01-29
Publishing country	United States
Document type	Journal Article ; Multicenter Study
ZDB-ID	3102-1
ISSN	1097-6833 ; 0022-3476
ISSN (online)	1097-6833
ISSN	0022-3476
DOI	10.1016/j.jpeds.2021.01.057
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Article ; Online: Type 2 Diabetes in High-risk Youth: Improving Identification and Interventions in Community Health with a Decade of Quality Improvement Efforts.

Love-Osborne, Kathy A / Ringwood, Haley B / Wallace, Jessica F / Sheeder, Jeanelle L / Knierim, Shanna Doucette

Journal of health care for the poor and underserved

2024 Volume 34, Issue 4, Page(s) 1366–1385

Abstract: Introduction: This manuscript describes quality improvement interventions with aims (1) to increase identification and follow-up testing of youth with prediabetes and type 2 diabetes (T2D) and (2) to improve outcomes for youth with prediabetes and low- ... ...

Abstract	Introduction: This manuscript describes quality improvement interventions with aims (1) to increase identification and follow-up testing of youth with prediabetes and type 2 diabetes (T2D) and (2) to improve outcomes for youth with prediabetes and low-range T2D (HbA1c 6.5-6.9%). Methods: Interventions included (a) dissemination of evidence-based guidelines and (b) creation of in-house weight management (WM) programs and programs to increase prediabetes follow-up testing and T2D self-management. Data from the electronic health record are presented. Results: Between 2009-2020, T2D screening for obese youth increased from 24% to 76%. Two WM programs served 2,726 unique youth for 11,110 billable visits. Youth with prediabetes seen in WM clinic had a lower risk of developing T2D if they attended three or more visits. Teaching self-monitoring blood glucose showed promise for improving HbA1c outcomes in youth with low-range T2D. Conclusions: Interventions have increased identification, access to preventive services, and treatment for youth with prediabetes and T2D.
MeSH term(s)	Humans ; Diabetes Mellitus, Type 2/therapy ; Quality Improvement ; Adolescent ; Prediabetic State/therapy ; Male ; Female ; Child ; Glycated Hemoglobin/analysis ; Mass Screening ; Community Health Services/organization & administration
Chemical Substances	Glycated Hemoglobin
Language	English
Publishing date	2024-04-25
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.2023.a912723
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Article: Editorial: Advancing the representation of minoritized groups and social determinants of health in brain injury research.

Gary, Kelli W / Wallace, Jessica S / Mannix, Rebekah / Pappadis, Monique R

Frontiers in neurology

2023 Volume 14, Page(s) 1169445

Language	English
Publishing date	2023-04-11
Publishing country	Switzerland
Document type	Editorial
ZDB-ID	2564214-5
ISSN	1664-2295
ISSN	1664-2295
DOI	10.3389/fneur.2023.1169445
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Article ; Online: Impact of a pharmacist-led outpatient telemedicine clinic on chronic obstructive pulmonary disease in a veteran population.

Howard, Olivia / Thomas, Ashley / Henry, Haley / Wallace, Jessica

Journal of the American Pharmacists Association : JAPhA

2022 Volume 62, Issue 6, Page(s) 1919–1924

Abstract: Objectives: The primary objective was to evaluate chronic obstructive pulmonary disease (COPD) interventions in a pharmacist-led telemedicine clinic. Secondary objectives were to quantify emergency department (ED) visits and hospitalizations for COPD ... ...

Abstract	Objectives: The primary objective was to evaluate chronic obstructive pulmonary disease (COPD) interventions in a pharmacist-led telemedicine clinic. Secondary objectives were to quantify emergency department (ED) visits and hospitalizations for COPD exacerbations. Setting: A single-center, outpatient telemedicine clinic within the Veterans Affairs (VA) Tennessee Valley Healthcare System from January 2021 to June 2021. Practice description: Patients with an active COPD diagnosis and assigned to a primary care team within the local VA were reviewed for enrollment. Visits were conducted through VA video connect or telephone. During these appointments, pertinent information was collected and pharmacotherapy and nonpharmacotherapy interventions were implemented to optimize COPD management. Practice innovation: Visits were conducted by a postgraduate year 2 ambulatory care pharmacy resident under supervision of a clinical pharmacy specialist with a scope of practice. Appointments were virtual to reduce coronavirus disease 2019 exposure and increase access to care. Patients were identified through a COPD patient report and provider referral to target high-risk patients. Evaluation: Interventions made were documented at each visit. Chart review and patient interview were used to quantify ED visits or hospitalizations for COPD exacerbations occurring the year before or during clinic enrollment. Results: Of 82 charts reviewed, 18 patients were eligible for enrollment. Eleven were followed as 7 patients did not show for initial visits. A total of 31 COPD interventions occurred including 13 nonpharmacotherapy (i.e., inhaler education, smoking cessation) and 18 pharmacotherapy (i.e., optimization of COPD regimens). An average of 3 COPD interventions were completed per patient followed. No ED visits and 2 hospitalizations for a COPD exacerbation occurred during the study period. This cohort had 1 ED visit and 10 hospitalizations the year before enrollment. Conclusion: This telemedicine clinic experience, albeit a small study population, suggests an opportunity for pharmacists to provide pharmacotherapy and nonpharmacotherapy interventions, which may improve COPD-related outcomes and access to care.
MeSH term(s)	Humans ; Pharmacists ; Veterans ; Outpatients ; COVID-19 ; Pulmonary Disease, Chronic Obstructive/diagnosis ; Pulmonary Disease, Chronic Obstructive/drug therapy ; Telemedicine
Language	English
Publishing date	2022-06-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	2118585-2
ISSN	1544-3450 ; 1544-3191 ; 1086-5802
ISSN (online)	1544-3450
ISSN	1544-3191 ; 1086-5802
DOI	10.1016/j.japh.2022.06.011
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Article ; Online: Wernicke's encephalopathy in adolescents with anorexia nervosa.

Safran, Jeremy T / Bodaghi, Mahdieh / Sherwin, Nomi K / Wallace, Jessica R

Psychiatry research case reports

2022 Volume 2, Issue 1, Page(s) 100091

Abstract: Anorexia Nervosa (AN) has always been prevalent in adolescents. During the COVID-19 pandemic, the eating disorder community across the world has noted a sharp increase in adolescent patients with AN and the severity of medical compromise. Rarely seen ... ...

Abstract	Anorexia Nervosa (AN) has always been prevalent in adolescents. During the COVID-19 pandemic, the eating disorder community across the world has noted a sharp increase in adolescent patients with AN and the severity of medical compromise. Rarely seen sequelae have become increasingly more common. This case report describes two previously healthy female adolescents with severe malnutrition due to AN admitted for nutritional stabilization who exhibited paranoid delusions responsive to thiamine and olanzapine. Though neither exhibit the full triad or all the Caine criteria for Wernicke's Encephalopathy (WE), the triad will not present completely in most patients with WE, especially in the pediatric population. Having one symptom of the triad is indicative of WE. Due to the decreased number of clinical criteria for Wernicke's encephalopathy coupled with the lack of typical brain MRI findings found in these patients, we recommend a high index of suspicion for WE and investigation with thiamine. Thiamine supplementation should be standard care in AN with oral supplementation in stable conditions. In the case of refeeding syndromes, preventative parenteral thiamine 100 mg IV qd, and in the case of thiamine deficiency, thiamine 500 mg IV TID.
Language	English
Publishing date	2022-12-17
Publishing country	Netherlands
Document type	Case Reports
ISSN	2773-0212
ISSN (online)	2773-0212
DOI	10.1016/j.psycr.2022.100091
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Article ; Online: Breaking research barriers in the global south: insights from sports and exercise medicine and sports physical therapy research in Zambia and a call to action.

Davie, Mulenga / Wallace, Jessica / Martin, Sichitondo / Owoeye, Oluwatoyosi B A

British journal of sports medicine

2022

Language	English
Publishing date	2022-07-07
Publishing country	England
Document type	Editorial
ZDB-ID	600592-5
ISSN	1473-0480 ; 0306-3674
ISSN (online)	1473-0480
ISSN	0306-3674
DOI	10.1136/bjsports-2022-105817
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Article ; Online: A Roadmap for Sustainable Community-Engaged Partnerships in Athletic Training and Utilizing a Traveling Athletic Training Camp as an Implementation Strategy.

Wallace, Jessica / Williamson, Mary Margaret / Delfin, Danae / Gray, Haleigh / Zemke, Jeri / Pierce, Shaketha / Jones, Emily / Harriell, Kysha

Journal of athletic training

2024

Abstract: Improving access to athletic trainers and increasing diversity in the profession have been major goals of the Strategic Alliance, with a particular interest in the secondary school setting. Within many marginalized communities, individuals are often ... ...

Abstract	Improving access to athletic trainers and increasing diversity in the profession have been major goals of the Strategic Alliance, with a particular interest in the secondary school setting. Within many marginalized communities, individuals are often faced with a lack of resources, high rates of poverty, and limited access to healthcare. This social and economic climate often extends to inequitable athletic training (AT) services and patterns of disparate health. Widely used and recognized strategies to cultivate diversity and address health inequities include community-engaged partnerships; however, these approaches are not well implemented across the AT discipline. Successful community-engaged partnerships link communities and universities, and they are rooted in intentionality to address intermediate and long-term health equity outcomes. AT professionals and scholars often face gaps in resources and process-oriented methodologies to participate in community-engaged efforts that could include a roadmap or pathway to follow. To bridge this gap, the aims of this work are two-fold 1) To disseminate a roadmap for building sustainable community-engaged partnerships in AT with the intent of promoting diversity, equity, inclusion, and social justice across AT education, research and professional service; and 2) Demonstrate how the roadmap can be implemented utilizing a community- based AT education camp as an example. Implementation of the AT camp using the roadmap took place at secondary schools where community-engaged partnerships have been established throughout a geographic region known as the Alabama Black Belt, a region burdened with poor health outcomes, limited AT presence and lower quality-of-life, exacerbated by racial and socioeconomic inequalities. Implementing this roadmap as a strategy to build sustainable community-engaged partnerships offers an innovative, interactive, and impactful approach to addressing community needs by exposing secondary school students to the AT profession, advancing equitable AT research practices, while upholding and promoting the principles of diversity, equity, inclusion, and social justice in AT education.
Language	English
Publishing date	2024-01-31
Publishing country	United States
Document type	Journal Article
ZDB-ID	2070051-9
ISSN	1938-162X ; 1062-6050
ISSN (online)	1938-162X
ISSN	1062-6050
DOI	10.4085/1062-6050-0329.23
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Article ; Online: Universal Repeat Screening for Human Immunodeficiency Virus in the Third Trimester of Pregnancy: A Cost-Effectiveness Analysis.

Hawkinson, Lila F / Chaiken, Sarina R / Doshi, Uma / Wallace, Jessica / Caughey, Aaron B

Obstetrics and gynecology

2023 Volume 141, Issue 3, Page(s) 535–543

Abstract: Objective: To assess the cost effectiveness of universal repeat screening for human immunodeficiency virus (HIV) infection in the third trimester of pregnancy.: Methods: A decision-analytic model was constructed to compare two strategies: screening ... ...

Abstract	Objective: To assess the cost effectiveness of universal repeat screening for human immunodeficiency virus (HIV) infection in the third trimester of pregnancy. Methods: A decision-analytic model was constructed to compare two strategies: screening for HIV infection in the first trimester alone compared with the addition of repeat screening in the third trimester. Probabilities, costs, and utilities were derived from the literature and varied in sensitivity analyses. The assumed incidence of HIV infection in pregnancy was 0.0145% or 14.5 per 100,000. Outcomes included costs (in 2022 U.S. dollars), maternal and neonatal quality-adjusted life-years (QALYs), and cases of neonatal HIV infection. Our theoretical cohort contained 3.8 million pregnant individuals, the approximate number of births per year in the United States. The willingness-to-pay threshold was set at $100,000/QALY. We performed univariable and multivariable sensitivity analyses to determine inputs that most influenced the model. Results: Universal third-trimester screening prevented 133 cases of neonatal HIV infection in this theoretical cohort. Universal third-trimester screening led to an increased cost of $17.54 million and 2,732 increased QALYs, with an incremental cost-effectiveness ratio of $6,418.56 per QALY, less than the willingness-to-pay threshold. In a univariate sensitivity analysis, third-trimester screening remained cost effective with variation of HIV incidence in pregnancy to as low as 0.0052%. Conclusion: In a theoretical U.S.-based cohort of pregnant individuals, universal repeat screening for HIV infection in the third trimester was found to be cost effective and to reduce vertical transmission of HIV. These results merit consideration of a broader HIV-screening program in the third trimester.
MeSH term(s)	Pregnancy ; Female ; Infant, Newborn ; Humans ; United States/epidemiology ; Pregnancy Trimester, Third ; Cost-Effectiveness Analysis ; HIV Infections/diagnosis ; HIV Infections/epidemiology ; HIV ; Cost-Benefit Analysis ; Quality-Adjusted Life Years ; Mass Screening
Language	English
Publishing date	2023-02-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	207330-4
ISSN	1873-233X ; 0029-7844
ISSN (online)	1873-233X
ISSN	0029-7844
DOI	10.1097/AOG.0000000000005086
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Article ; Online: Perceptions of personal control and treatment efficacy of sport-related concussions in collegiate athletes.

Pollard-McGrandy, Alyssa M / Tracey, Allie J / Wallace, Jessica / Covassin, Tracey / Beidler, Erica

Brain injury

2023 Volume 37, Issue 12-14, Page(s) 1362–1369

Abstract: Objective: The purpose of this study was to examine healthy collegiate athletes' perceptions of personal control and beliefs regarding the treatment efficacy related to sport-related concussion (SRC) along with identifying factors that may be associated ...

Abstract	Objective: The purpose of this study was to examine healthy collegiate athletes' perceptions of personal control and beliefs regarding the treatment efficacy related to sport-related concussion (SRC) along with identifying factors that may be associated with these perceptions. Methods: This cross-sectional study included collegiate athletes ( Results: 24.2% of respondents reported higher perceptions of personal control, while 77.3% reported higher perceptions of treatment efficacy. The multivariable logistic regression revealed males had higher odds of greater perceptions of personal control (OR = 1.50; 95% CI: 1.10-2.03), while those with a history of diagnosed SRC had lower odds of having favorable treatment efficacy beliefs (OR: 0.69; 95% CI: 0.50-0.96). Conclusions: This study established that collegiate athletes generally have lower perceptions of personal control and higher perceptions of treatment efficacy related to SRC recovery. Comprehensive SRC education should be expanded for individuals to understand that they have power over their own health outcomes and that SRC is a treatable injury.
MeSH term(s)	Male ; Humans ; Adolescent ; Young Adult ; Adult ; Athletic Injuries/therapy ; Athletic Injuries/diagnosis ; Cross-Sectional Studies ; Percutaneous Coronary Intervention ; Brain Concussion/therapy ; Brain Concussion/diagnosis ; Athletes
Language	English
Publishing date	2023-12-28
Publishing country	England
Document type	Journal Article
ZDB-ID	639115-1
ISSN	1362-301X ; 0269-9052
ISSN (online)	1362-301X
ISSN	0269-9052
DOI	10.1080/02699052.2023.2292998
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