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  1. Article ; Online: Velopharyngeal Insufficiency Following Furlow Versus Straight Line Repair With Intravelar Veloplasty: A Single-institution Experience.

    Davis, Matthew J / Roy, Michelle G / Burns, Heather R / Yim, Nicholas / Wilson, Kristina D / Moore, Ellen E / Buchanan, Edward P / Monson, Laura A

    The Journal of craniofacial surgery

    2023  

    Abstract: Background: Measurements of postoperative velopharyngeal dysfunction (VPD) can be used to determine the efficacy of a palatoplasty operation. Hypernasality and audible nasal air emission are typical manifestations of VPD during speech. We aimed to ... ...

    Abstract Background: Measurements of postoperative velopharyngeal dysfunction (VPD) can be used to determine the efficacy of a palatoplasty operation. Hypernasality and audible nasal air emission are typical manifestations of VPD during speech. We aimed to longitudinally compare VPD outcomes in postpalatoplasty patients who underwent Furlow repair versus straight line repair with intravelar veloplasty (IVVP). Additionally, we examined the relationship between VPD outcomes and select pre-existing patient characteristics.
    Methods: Retrospective chart review was performed to identify primary palatoplasty patients treated from April 2012 to March 2021. Variables collected included gender, syndromic status, primary language, Veau cleft type, type of speech assessment, age at time of surgery, degree of hypernasality, presence of audible nasal air emission, and overall adequacy of velopharyngeal function. Pearson χ2 test and multivariable t tests were used to analyze variables. Logistic regression was used to control for statistically significant variables.
    Results: Of the 118 patients included, 38 received a Furlow procedure and 80 received a straight line with IVVP procedure. Audible nasal air emission was present in 57.3% of straight line with IVVP patients and 42.9% of Furlow patients, with no statistically significant difference between groups. Clinically significant hypernasality was present in 42.1% of straight line with IVVP patients and 22.9% of Furlow patients (P=0.05). Velopharyngeal function was classified as adequate in 63.5% of straight line with IVVP patients and 83.3% of Furlow patients (P=0.03). However, after stratifying by syndromic versus nonsyndromic status, there was no statistically significant difference between straight line with IVVP and Furlow patients for postoperative hypernasality and velopharyngeal function.
    Conclusions: This study suggests that there are no statistically significant differences between straight line with IVVP and Furlow palatoplasty techniques regarding speech outcomes including hypernasality, audible nasal air emission, and overall VP function. Furthermore, select patient characteristics such as gender, primary language, syndromic status, age at repair, and Veau cleft type do not significantly impact postoperative speech outcomes.
    Language English
    Publishing date 2023-11-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1159501-2
    ISSN 1536-3732 ; 1049-2275
    ISSN (online) 1536-3732
    ISSN 1049-2275
    DOI 10.1097/SCS.0000000000009874
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Sexual Health Services in Schools: A Successful Community Collaborative.

    McCann, Heather / Moore, Michele J / Barr, Elissa M / Wilson, Kristina

    Health promotion practice

    2020  Volume 22, Issue 3, Page(s) 349–357

    Abstract: School-based health centers (SBHCs) are an essential part of a comprehensive approach to address the health needs of youth. SBHCs that provide sexual health services (SHS) show promising results in improving reproductive health outcomes among youth. ... ...

    Abstract School-based health centers (SBHCs) are an essential part of a comprehensive approach to address the health needs of youth. SBHCs that provide sexual health services (SHS) show promising results in improving reproductive health outcomes among youth. Despite the positive impact SBHCs can have, few school districts have SBHCs, and even fewer provide SHS. This article describes a successful 5-year project to provide SHS through SBHCs in a large county in the southeast United States. A community collaborative, including the schools, health department, community agencies and a local university, was created to address the project goals and objectives. Various steps were taken to plan for the SBHCs, including documenting community support for SHS offered through SBHCs, identifying school sites for SBHCs, and the process for offering pregnancy, STD (sexually transmitted disease), and HIV testing, treatment, and referrals. Protocols for clinic flow, testing, staffing, training, and student recruitment were developed. The staff at the SBHCs were successful in recruiting students to attend educational sessions and to receive testing and treatment. Student feedback was overwhelmingly positive. Lessons learned about the importance of the partnership's collaboration, using recommended clinic protocol, ensuring clear communication with school staff, and employing youth friendly recruitment and clinic practices are shared.
    MeSH term(s) Adolescent ; Female ; Humans ; Pregnancy ; Referral and Consultation ; School Health Services ; Schools ; Students ; United States
    Language English
    Publishing date 2020-01-20
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2036801-X
    ISSN 1552-6372 ; 1524-8399
    ISSN (online) 1552-6372
    ISSN 1524-8399
    DOI 10.1177/1524839919894303
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Case 3: Bilateral heel pain in a 6-year-old boy.

    Kelly, Brian D / Wilson, Kristina M

    Pediatrics in review

    2015  Volume 36, Issue 1, Page(s) 36–38

    MeSH term(s) Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Child ; Diagnosis, Differential ; Heel/pathology ; Humans ; Magnetic Resonance Imaging ; Male ; Pain/etiology ; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/diagnosis ; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/drug therapy
    Language English
    Publishing date 2015-01
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 774515-1
    ISSN 1526-3347 ; 0191-9601
    ISSN (online) 1526-3347
    ISSN 0191-9601
    DOI 10.1542/pir.36-1-36
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Cost-Effectiveness of a School-Based Chlamydia Screening Program, Duval County, FL.

    Wang, Li Yan / Owusu-Edusei, Kwame / Parker, J Terry / Wilson, Kristina

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

    2019  Volume 37, Issue 3, Page(s) 195–201

    Abstract: During the 2015-2016 school year, the Florida Department of Health in Duval County hosted Teen Health Centers (TeenHC) at five high schools of Jacksonville providing HIV/STD screening and pregnancy testing. The purpose of this study was to assess the ... ...

    Abstract During the 2015-2016 school year, the Florida Department of Health in Duval County hosted Teen Health Centers (TeenHC) at five high schools of Jacksonville providing HIV/STD screening and pregnancy testing. The purpose of this study was to assess the cost-effectiveness of the TeenHC chlamydia screening program and determine at what student participation level, the program can be cost-effective. We assessed the costs and effectiveness of the chlamydia screening program compared with "no TeenHC". Cost-effectiveness was measured as cost per quality-adjusted life years (QALY) gained. At a program cost of US$61,001 and 3% participation rate, the cost/QALY gained was $124,328 in the base-case analysis and $81,014-$264,271 in 95% of the simulation trials, all greater than the frequently citied $50,000/QALY benchmark. The cost/QALY gained could be <$50,000/QALY if student participation rate was >7%. The TeenHC chlamydia screening has the potential to be cost-effective. Future program efforts should focus on improving student participation.
    MeSH term(s) Adolescent ; Chlamydia ; Cost-Benefit Analysis ; Female ; Florida ; Humans ; Mass Screening ; Pregnancy ; Quality-Adjusted Life Years ; Schools
    Language English
    Publishing date 2019-12-01
    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 10.1177/1059840519890026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Barriers to accessing HIV-prevention in clinic settings: Higher alcohol use and more sex partners predict decreased exposure to HIV-prevention counseling.

    Wilson, Kristina / Albarracín, Dolores

    Psychology, health & medicine

    2014  Volume 20, Issue 1, Page(s) 87–96

    Abstract: Understanding barriers to accepting HIV-prevention counseling among vulnerable populations is of critical importance, as prevention efforts can only have a public health impact if high-risk populations are willing to enroll. A correlational field study ... ...

    Abstract Understanding barriers to accepting HIV-prevention counseling among vulnerable populations is of critical importance, as prevention efforts can only have a public health impact if high-risk populations are willing to enroll. A correlational field study was conducted in a health care setting with a high-risk community sample (N = 350) to determine if number of sex partners and alcohol consumption predict acceptance of an invitation to take part in HIV-prevention counseling. Findings indicated that participants engaging in the least risky behavior (i.e. individuals reporting no alcohol consumption and few sex partners) were more likely to accept an offer to receive HIV-prevention counseling. Moreover, heavy drinking was associated with decreased exposure to HIV-prevention counseling, regardless of the number of sex partners reported (b = .12, p > .05). Given associations between heavy drinking and sexual risk taking, finding ways to increase exposure to HIV-prevention counseling programs among heavy drinkers could serve a vital public health function.
    MeSH term(s) Adult ; Alcohol Drinking/psychology ; Alcoholism/psychology ; Counseling/statistics & numerical data ; Female ; HIV Infections/prevention & control ; HIV Infections/psychology ; Health Behavior ; Humans ; Male ; Risk Factors ; Sexual Partners/psychology
    Language English
    Publishing date 2014-04-01
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1477841-5
    ISSN 1465-3966 ; 1354-8506
    ISSN (online) 1465-3966
    ISSN 1354-8506
    DOI 10.1080/13548506.2014.902484
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: American Medical Society of Sports Medicine Position Statement: Mononucleosis and Athletic Participation.

    Putukian, Margot / McGrew, Christopher A / Benjamin, Holly J / Hammell, Mary Kitazono / Hwang, Calvin E / Ray, Jeremiah W / Statuta, Siobhan M / Sylvester, Jillian / Wilson, Kristina

    Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine

    2023  

    Abstract: Abstract: Infectious mononucleosis (IM) is a common illness in children and young adults caused primarily by the Epstein-Barr Virus (EBV). Transmission occurs primarily through sharing oral secretions, thus IM is known as the "kissing disease." Common ... ...

    Abstract Abstract: Infectious mononucleosis (IM) is a common illness in children and young adults caused primarily by the Epstein-Barr Virus (EBV). Transmission occurs primarily through sharing oral secretions, thus IM is known as the "kissing disease." Common clinical manifestations include fever, pharyngitis, posterior cervical lymphadenopathy, and splenomegaly. Atypical lymphocytosis and transaminase elevations are common, and the diagnosis of IM is confirmed with laboratory findings of a positive heterophile antibody ("Monospot"), polymerase chain reaction, or antibodies specific to EBV. Individuals with acute IM may be quite symptomatic and not feel well enough to participate in sports. Splenic enlargement is common, with rupture a relatively rare occurrence, typically occurring within a month of symptom onset, but this risk complicates sports participation, and is often the reason for restricting activity. The management of IM is primarily supportive, with no role for antivirals or corticosteroids. The variability of clinical presentation and the risk of splenic rupture in patients with IM present clinicians with challenging return to play/return to sport (RTS) decisions. This position statement updates the Evidence-Based Subject Review on Mononucleosis by the American Medical Society for Sports Medicine published in 2008 and reviews the epidemiology, clinical manifestations, laboratory assessment, and management including RTS for the athlete with IM. This statement also addresses complications, imaging, special considerations, diversity and equity considerations, and areas for future clinical research. Understanding the evidence regarding IM and sport is essential when communicating with athletes and their families and incorporating shared decision-making in the RTS decision.
    Language English
    Publishing date 2023-05-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1062530-6
    ISSN 1536-3724 ; 1050-642X
    ISSN (online) 1536-3724
    ISSN 1050-642X
    DOI 10.1097/JSM.0000000000001161
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Sports Medicine Curricular Recommendations for Undergraduate Medical Education.

    Ferderber, Megan / Wilson, Kristina / Buchanan, Benjamin K / Street Callender, Shelley V / Deck, Jason W / Kerr, Hamish / Lemmen, Brooke / Stafford, Cleo D / Wang, David A / Waterbrook, Anna L

    Current sports medicine reports

    2023  Volume 22, Issue 5, Page(s) 172–180

    Abstract: Abstract: Sports medicine is a unique field encompassing many specialties and aspects of medicine. While musculoskeletal medicine is a significant aspect of sports medicine, the breadth of sports medicine extends beyond the musculoskeletal system and ... ...

    Abstract Abstract: Sports medicine is a unique field encompassing many specialties and aspects of medicine. While musculoskeletal medicine is a significant aspect of sports medicine, the breadth of sports medicine extends beyond the musculoskeletal system and includes the spectrum of care for the patient who is or desires to be physically active. This article provides recommendations for sports medicine education in undergraduate medical education. The framework highlighting these recommendations uses domains of competence. Entrustable professional activities, measures that are endorsed by the Association of American Medical Colleges, were matched to domains of competence to provide objective markers of achievement. In addition to recommended sports medicine educational content, there should be consideration of both methods of assessment and implementation catered to each individual institution's needs and resources. These recommendations may serve as a guide for medical educators and institutions pursing optimization of sports medicine education.
    MeSH term(s) Humans ; Education, Medical, Undergraduate/methods ; Clinical Competence ; Education, Medical, Graduate ; Internship and Residency ; Curriculum ; Sports Medicine/education
    Language English
    Publishing date 2023-05-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2080040-X
    ISSN 1537-8918 ; 1537-890X
    ISSN (online) 1537-8918
    ISSN 1537-890X
    DOI 10.1249/JSR.0000000000001064
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Book: The modern eye

    Wilson, Kristina

    Stieglitz, MoMA, and the art of the exhibition, 1925 - 1934

    2009  

    Author's details Kristina Wilson
    Keywords Art and society/History ; Art museums/History ; Art, American ; Design/History/Exhibitions ; Modernism (Art)/Exhibitions ; Modernism (Art)/Public opinion
    Language English
    Size VII, 248 S., zahlr. Ill.
    Publisher Yale Univ. Press
    Publishing place New Haven, Conn. ;London
    Document type Book
    Note Includes bibliographical references and index
    ISBN 9780300149166 ; 0300149166
    Database Former special subject collection: coastal and deep sea fishing

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  9. Article: Furlow versus straight line repair with intravelar veloplasty: A 7-year single institution experience.

    Zietsman, Maryshe S / Roy, Michelle G / Dibbs, Rami P / Davis, Matthew J / Wilson, Kristina D / Buchanan, Edward P / Monson, Laura A

    JAAPA : official journal of the American Academy of Physician Assistants

    2021  Volume 34, Issue 12, Page(s) 1

    MeSH term(s) Humans ; Infant ; Palate, Soft/surgery ; Reconstructive Surgical Procedures ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2021-11-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2415226-2
    ISSN 0893-7400 ; 1547-1896
    ISSN (online) 0893-7400
    ISSN 1547-1896
    DOI 10.1097/01.JAA.0000800696.39721.ae
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Access to Multidisciplinary Care for Patients With 22q11.2 Deletion Syndrome: Identifying Breakdowns in the Screening Process.

    Abu-Ghname, Amjed / Perdanasari, Aurelia T / Raj, Sarth / Seema, Jain / Wilson, Kristina D / Maricevich, Renata S

    The Journal of craniofacial surgery

    2020  Volume 31, Issue 2, Page(s) 428–431

    Abstract: The 22q11.2 deletion syndrome affects approximately 1 in 4000 live births and involves cardiac defects, immunodeficiency, and endocrine disruption. The complexity of diagnosis and multifaceted care often leads to fragmented management in the short and ... ...

    Abstract The 22q11.2 deletion syndrome affects approximately 1 in 4000 live births and involves cardiac defects, immunodeficiency, and endocrine disruption. The complexity of diagnosis and multifaceted care often leads to fragmented management in the short and long term. With the purpose of developing an effective multidisciplinary program, the authors aimed to identify the deficiencies in current screening and referral processes among the teams required in the care for patients with 22q11.2 deletion syndrome. A retrospective chart review was conducted at our institution between 2001 and 2016. Patients with confirmed 22q11.2 deletion diagnoses between the ages of 0 and 28 were included. A list of 15 relevant specialties that should evaluate patients with 22q11.2 deletion syndrome was created according to established guidelines. Patient medical and demographic information were collected and analyzed. A total of 270 patients were included. Mean age at diagnosis was 3.3 years. On average, patients visited 6 of 15 departments (1-14). Only 8.8% of patients visited >10 specialties. The majority were seen by Cardiology, Allergy and Immunology, Genetics, and Speech (57.4-87.8%). A minority were seen by Hematology and Oncology, Sleep Therapy, and Physical Therapy (13.3-16.3%). Only 34.1% encountered plastic surgery. Negative correlation (-0.128; P = 0.035) was demonstrated between patients' age at diagnosis and number of specialty teams encountered. This study highlights the current underutilization of services required to manage patients with 22q11.2 deletion syndrome. While screening guidelines have been established, implementation can be challenging as it requires efficient care coordination between teams. Moving forward, the authors believe that a multidisciplinary clinical approach to streamline patient care is necessary.
    MeSH term(s) 22q11 Deletion Syndrome/genetics ; 22q11 Deletion Syndrome/therapy ; Adolescent ; Adult ; Child ; Child, Preschool ; Chromosomes, Human, Pair 22 ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Mass Screening ; Retrospective Studies ; Young Adult
    Language English
    Publishing date 2020-02-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1159501-2
    ISSN 1536-3732 ; 1049-2275
    ISSN (online) 1536-3732
    ISSN 1049-2275
    DOI 10.1097/SCS.0000000000006142
    Database MEDical Literature Analysis and Retrieval System OnLINE

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