Recent ucd_ome_posters_publichealth items

Cultural Impact of Autism on AntenatalInformation, Clinical Experiences, and Planning

Wed, 25 Jun 2025 00:00:00 +0000

Cultural Impact of Autism on AntenatalInformation, Clinical Experiences, and Planning

Co-Designing a Health Technology Interventionthrough Patient-Centered Collaboration: ACommunity-Informed Approach

Wed, 25 Jun 2025 00:00:00 +0000

Co-Designing a Health Technology Interventionthrough Patient-Centered Collaboration: ACommunity-Informed Approach

The COVID-19 Pandemic and Homelessness: Applying Lessons Learned from H1N1

Thu, 5 Dec 2024 00:00:00 +0000

As of February 8th , 2021, there were a total of 26,761,047 cases of Coronavirus Disease 2019 (COVID-19) in the United States, with over 460,582 deaths. One population with increased susceptibility and high risk for serious illness is that of people experiencing homelessness. In order to effectively implement pandemic responses to COVID-19 within this community, lessons can be derived from the prior H1N1 pandemic (influenza A virus subtype H1N1). A necessary mode of healthcare delivery frequently described during the H1N1 pandemic was outreach medicine. Recommendations extrapolated from the homeless sector’s response during H1N1 include the need for an integrated approach, equitable distribution of resources, mitigation of the decreased use of drop-in services, the voice of the unhoused contributing to planning, and vaccination.

COVID-19 Response and the Unhoused Communities in Sacramento: A Mixed Methods Study

Mon, 25 Nov 2024 00:00:00 +0000

• People experiencing homelessness (PEH) are a vulnerable population during the COVID-19 pandemic due to preexistingcomorbidities, transience, and distrust of the medical system.• Prior work has demonstrated that The Housing First (HF) model has led to more stable housing, increased outpatienttreatment and primary care physician (PCP) visits, and fewer emergency room visits and hospitalizations.• During the COVID-19 emergency response, hotel rooms across California were re-purposed to house PEH.• The Encampment Med Team, a group of volunteer medical students sworn in as Disaster Service Workers, employed agrassroots approach through routine site visits to encampment and street sites in Sacramento.

Providing Personal Protective Equipment to Frontline Healthcare Workers during the COVID-19 Pandemic

Thu, 7 Nov 2024 00:00:00 +0000

In the beginning of 2020, the United States experienced a shortage of personal protective equipment (PPE) for healthcare workers fighting the COVID-19 pandemic. This shortage of PPE partially contributed to healthcare providers contracting COVID-19. In response to the PPE crisis, UC Davis medical students organized the UC Davis COVID-19 Response Team and collaborated with MedSupplyDrive, a 501(c)(3) non-profit organization created in March 2020 to address PPE shortages. MedSupplyDrive regional coordinators worked with medical student volunteers to address the PPE shortage by collecting PPE from the community and distributing it to hospitals and clinics in need.

Impact of the COVID Pandemic on Women Experiencing Homelessness

Thu, 7 Nov 2024 00:00:00 +0000

Objective: This study conducted in Sacramento, California seeks to explore the challenges of women living outside during the COVID pandemic between May and August 2020.

1. To provide background demographics of women living outdoors in Sacramento during the COVID pandemic from May and August 2020.

2. To describe sources of information about COVID and what sources these unhoused women considered to be reliable.

3. To describe the lived experiences of unhoused women living during the COVID pandemic.

4. To offer recommendations for future advocacy, education and resource priorities for this vulnerable population

Method: Mixed method study of convergent design where data was collected both via a quantitative paper survey and in-depth qualitative person to person interviews. 90 women completed the paper survey and of those 21 women completed an interview.

Results: Of the 200 adult survey participants...

Summer Institute on Race and Health: Racial Inequities in Health

Mon, 4 Nov 2024 00:00:00 +0000

Racial inequities in medicine have impacted health outcomes in various communities. These inequities have been documented in journals to highlight racial inequities in health status, racial inequities in clinical algorithms, and racial identity and health. We conducted a review of literature and selected 95 articles to analyze and summarize in an annotated bibliography. The annotated bibliography was sorted into four categories: racial inequality in health status, racial inequality in clinical algorithms, racial identity and health (ex. mental health, development, schooling, etc.) including biracial and multiracial individuals, and the impact of racism on health. These articles highlight a theme of racial inequities in policy making, racial perceptions which influence clinical decision making, and the use of race as a sole indicator for diagnosis and treatment options in clinical algorithms. Racist perceptions against non-white patients were found to negatively influence clinical...

What are the needs in a rural community amidst COVID-19?

Mon, 28 Oct 2024 00:00:00 +0000

Rural communities can be particularly susceptible to devastating effects of a global pandemic given factors such as decreased access to care, isolation, and insufficient broadband internet infrastructure. It is important to assess the needs of rural communities amidst the pandemic caused by COVID-19 to have appropriate resource allocation. To this end, 129 community college students from the Tahoe Truckee Campus of Sierra College were surveyed in April 2020, which was two weeks after the first stay-at-home orders were initiated by the state of California. Furthermore, community partners were contacted to help design the survey along with report on increased resource demand over the course of Summer 2020. Results indicated that students were anxious and depressed for a greater number of days after the stay-at-home orders compared to before (anxiety: Z = 5.41, p < .01; depression: Z = 5.70, p < .01). Thirty-seven students (32%) identified that food insecurity was a problem,...

Exercise Recommendations for Patients from Primary Care Physicians in the Setting of the COVID-19 Pandemic

Mon, 28 Oct 2024 00:00:00 +0000

The Coronavirus Disease 2019 (COVID-19) pandemic has resulted in an unprecedented global “lockdown,” which has confined millions to mandatory isolation or self-quarantining in an effort to limit virus transmission. This has led to major socioeconomic disruptions, including travel restrictions and the closure of schools and businesses. Quarantine measures and the closure of gymnasiums, public pools, and exercise facilities have disrupted the exercise/physical activity (EPA) routines of millions of people. Primary care physicians (PCPs) serve as frontline health workers as patients continue to visit them for COVID-19 and non-COVID-19 healthcare needs. Because regular EPA has proven health benefits, it is essential that PCPs are prepared to adequately counsel and offer EPA recommendations to their patients during the COVID-19 pandemic. In 2015, the World Health Organization (WHO) recommended that adults aged 18-64 should perform at least 150 minutes/week of moderate-intensity aerobic...

Access to COVID-19 Information in the Unhoused Population

Wed, 23 Oct 2024 00:00:00 +0000

As of 2019, there were 567,715 Americans without housing, and California reported the largest unhoused population in the country.1 In the past 2 years, the rate of unhoused people in California has risen 16%, which is the second highest in the country.1 Many reports have shown that the unhoused population is particularly vulnerable to infectious disease epidemics and pandemics due to lack of control of their surroundings, disproportionate resource allocation, and broken communication.2 While there have been many initiatives started to try and combat these inequities, there is little research about communication and the dissemination of information to the unhoused population.3 As the guidelines for COVID-19 are constantly changing, there is a need for a better system of communication within this vulnerable population to ensure that they receive timely, accurate updates to help reduce their risk of contracting or spreading COVID-19.

¿Se habla español? Linguistic access to publicly-funded family planning services for Spanish speakers in Sacramento County

Tue, 22 Oct 2024 00:00:00 +0000

California’s Family Planning Access Care and Treatment (Family PACT) program was established to ensure that all California residents have access to desired contraceptive service, regardless of immigration status. Many California residents speak Spanish.

Statins to mitigate cardiotoxicity in breast cancer patients treated with anthracyclines and/or trastuzumab: A systematic review and meta-analysis

Tue, 22 Oct 2024 00:00:00 +0000

• Due to advances in treatment and early detection, nearly 90% of women with breast cancer are living at least 5 years following their diagnosis

o Living longer, there is increased risk for the development of longterm, late effects of cancer treatment

o Cardiotoxicity may arise either during or after breast cancer treatments such as anthracyclines and/or trastuzumab

• Recent evidence has suggested the potential for statin use, a lipidlowering drug, during treatment to mitigate the risk of cardiotoxicity in patients receiving cardiotoxic chemotherapy

• Research Question: Does statin use lower the risk of cardiotoxicity among breast cancer patients who receive treatment with anthracyclines and/or trastuzumab?

Barriers to Enrollment in Health Insurance for Patients at Free Clinics: A Review of the Literature

Tue, 22 Oct 2024 00:00:00 +0000

The passage of the Patient Protection and Affordable Care Act (ACA) in 2010 has expanded health care access in the United States by subsidizing insurance premiums, establishing marketplaces for private insurance plans, and expanding Medicaid eligibility. 1 Since the passage of the ACA, more than 20 million previously uninsured people have been able to enroll in health insurance programs. Despite these gains, more than 32 million Americans remain uninsured. 2 Uninsured patients rely heavily on safety-net services such as free clinics for medical care. There are over 1,000 student-run clinics (SRCs) and other free clinics in in the United States, serving over 1.8 million patients annually. 3 These clinics primarily provide primary care services, although some clinics offer a broader scope of care. Nevertheless, these clinics do not offer the full range of services available in other care settings to patients with insurance. 3,4 Despite the increased availability of health insurance,...

Nipple thrush or dermatitis: a retrospective cohort study of nipple-areolar complex conditions and call for coordinated, multidisciplinary care

Mon, 21 Oct 2024 00:00:00 +0000

Determine which elements of a lactating patient’s clinical presentation, including breast pump use and symptoms, are associated with a diagnosis of nipple thrush.

UCSF-Fresno Health and Learning (HeaL) Mobile Clinic: Assessing the continuum of care in Mobile HeaL Clinic service areas

Wed, 16 Oct 2024 00:00:00 +0000

The Central Valley is home to nearly 6.5 million people, and it is the most underserved patient population in California. The need for core services such as comprehensive healthcare is higher than ever, given that twenty-five percent live in poverty, and over fifty percent are Medicaid or uninsured. Currently, there are 133 active physicians per 100,000 people in the Central Valley in comparison with the California state rate of 222 active physicians per 100,000 people. Within the next ten years, California is expected to have a shortfall of up to 4,100 primary-care clinicians.

There are approximately 2000 mobile clinics nationwide assisting 6,000,000 people annually. In addition, mobile clinics are viewed as serving those with a barrier to health care. Nationwide, fifty-three percent of low-income adults don’t trust the health care system, twenty-five percent lack transportation, twenty percent go without care due to inability to pay, and eleven percent are uninsured.

The association between juvenile xanthogranulomas in neurofibromatosis type 1 patients and the development of leukemia: A systematic review

Wed, 16 Oct 2024 00:00:00 +0000

Neurofibromatosis type 1 (NF1) is an inherited tumor syndrome caused by heterozygous germline mutations in the NF1 gene, occurring in approximately 1/2600 individuals. A subset of patients with neurofibromatosis type 1 (NF1) develop juvenile xanthogranulomas (JXGs), a non-Langerhans cell histiocytosis, and some of these patients also develop juvenile myelomonocytic leukemia (JMML).Yet, these associations are poorly delineated.JXG is a benign proliferation of non-Langerhans cells histiocytes characterized by small yellow/brown papulonodules ranging from 1-20 mm in size. JMML is a mixed myeloproliferative-myelodysplastic disorder that affects children, most often before age 6.4. The first and only systematic review on this described therisk of developing JMML 20 to 30 times higher in patients with NF1 with JXG lesions compared to those without JXG. Since then, mostly isolated case reports have either refuted or confirmed this triple association.

Impact of a Mobile Harm Reduction Program on Sterile Syringe and Naloxone Use in San Joaquin County

Wed, 28 Aug 2024 00:00:00 +0000

In 2022, San Joaquin County had approximately 2,319 unhoused/unsheltered individuals, with 66% residing in Stockton. Studies have found that approximately 75% of unhoused individuals reported drug use of any kind and 12% reported opioid use. Additionally, drug overdosedeaths increased in the United States by more than 30% from 2019 to 2020. Transmission rates of infections associated with injection drug use have also been increasing. Harm reduction services, including syringe exchange and naloxone distribution, have been shown toreduce the rates of disease transmission and drug overdose death within communities.

In 2016, the rate of drug-induced deaths was 56% higher in San Joaquin County than the California state average. Developed in July 2020, The Stockton Harm ReductionProgram (SHRP) provides sterile syringes and injection equipment, condoms, naloxone, hygiene products, and referrals for health and housing services to people in San Joaquin County. The purpose of this...

Abortion Care in the Context of Changing Legislation: Amplifying Abortion-Trained Physician Experiences and Perspectives From California, Texas, Ireland, and the UK

Wed, 28 Aug 2024 00:00:00 +0000

The primary aim was to examining abortion-trained physician perspectives on barriers toabortion access and their views on physicians'roles in the legislative regulation of abortion.

The secondary aim was to elicit theperspectives and experiences of abortion-trained physicians to understand the effectsof legislation on their ability to providepatients with comprehensive reproductivecare.

Consistency in Contraception Choice through 6 Months Postpartum

Wed, 28 Aug 2024 00:00:00 +0000

To evaluate the consistency of contraceptionplan identified at delivery hospitalization withreported contraception use over 6 monthspostpartum.