North Carolina Medical Journal最新文献_第4页

Health Needs and Priorities of an Underserved Karenni Refugee Community: A Community Needs Assessment 服务不足的克伦尼难民社区的健康需求和优先事项：社区需求评估

North Carolina Medical Journal Pub Date : 2024-06-05 DOI: 10.18043/001c.118583

Ana D Sucaldito, Htay Meh, Scott D. Rhodes, Stephanie S. Daniel

{"title":"Health Needs and Priorities of an Underserved Karenni Refugee Community: A Community Needs Assessment","authors":"Ana D Sucaldito, Htay Meh, Scott D. Rhodes, Stephanie S. Daniel","doi":"10.18043/001c.118583","DOIUrl":"https://doi.org/10.18043/001c.118583","url":null,"abstract":"Southeast Asian refugee communities are frequently underserved by social and medical systems and experience profound health and health care inequities. The purpose of this study was to detail the health needs, priorities, and health care utilization of the Karenni, a Southeast Asian refugee community, in Forsyth County, North Carolina. A mixed-mode survey (i.e., online and in-person) was distributed in Kayah, Burmese, and English to Karenni adults in Forsyth County. Quantitative and qualitative questions focused on community health needs, health and public health service utilization, and social determinants of health. 101 Karenni adults completed the survey, with a total of 91 participants completing the quantitative portion (N = 91). Utilization of health care and public health services was low and impacted by individual- and contextual-level barriers, such as limited English proficiency and social determinants of health (e.g., lower levels of education and employment compared to state and national averages). Mental health, chronic pain, and health care access were highlighted as prominent community concerns while theh plaw theh jie (togetherness) and community organizations were described as community strengths. Data were collected using convenience sampling, and limited knowledge from the Karenni community regarding research served as a barrier to recruitment. Some sensitive questions (e.g., income) also experienced higher levels of missingness. This assessment highlights the need to increase engagement with and lower barriers to care for the Karenni community in Forsyth County, North Carolina. To produce culturally congruent and acceptable care, public health and health care systems should partner with the community to identify and address community needs and priorities, harness assets, and mitigate health and health care inequities.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141381765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endemic La Crosse Virus Neuroinvasive Disease in North Carolina Residents: 2000–2020 北卡罗来纳州居民中流行的拉克罗斯病毒神经侵入性疾病：2000-2020

North Carolina Medical Journal Pub Date : 2024-06-05 DOI: 10.18043/001c.118585

Joseph Davis, Chelsea Atkins, Michael S. Doyle, Carl J Williams, Ross Boyce, Brian D. Byrd

{"title":"Endemic La Crosse Virus Neuroinvasive Disease in North Carolina Residents: 2000–2020","authors":"Joseph Davis, Chelsea Atkins, Michael S. Doyle, Carl J Williams, Ross Boyce, Brian D. Byrd","doi":"10.18043/001c.118585","DOIUrl":"https://doi.org/10.18043/001c.118585","url":null,"abstract":"La Crosse virus neuroinvasive disease (LACVND) is the most common cause of arboviral encephalitis in children within the United States; in North Carolina, it is the most prevalent endemic mosquito-borne disease in humans. Here we report a surveillance summary of confirmed and probable LACVND during 2000–2020 using North Carolina Electronic Disease Surveillance System data, and we describe associated demographic characteristics, spatiotemporal distribution, clinical features, and mortality rates. A total of 355 cases (74.9% confirmed) were reported from 41 North Carolina counties; most cases (92%) occurred in 19 Western North Carolina counties. An average of 17 cases were reported annually with the majority (94%) of cases occurring between mid-June and early October (epiweeks 25–41). The median case age was nine years (range: 1–95 years), 79% were aged ≤ 18 years, and 56.6% were male. Cases commonly presented with headache (95.4%), fever (95.1%), and altered mental status (80.8%); encephalitis (82.0%) and meningitis (45.9%) were frequently diagnosed. Encephalitis was more common in children (87%) than adults (62%) (P < .001). Similarly, seizures were more common in children (54%) than adults (27%) (P < .01). The case fatality rate was 1.4%; however, differences in age-specific rates were observed. Changes in case definitions and reporting requirements, missing data, different reporting sources, and the retrospective nature of this study are all important limitations of our study. Given the persistent endemicity of La Crosse virus in Western North Carolina, clinicians and public health providers should consider La Crosse virus disease in all individuals, especially children, with compatible symptoms and a travel history to endemic counties. Prevention measures and educational outreach/public health messaging should focus on caregivers and children in Western North Carolina counties and during times when transmission risk is higher (i.e., summer and early fall).","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141381791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Opening the "Black Box": A Conversation with Microsoft's Rich Caruana About AI in Health Care. 打开 "黑匣子"：与微软公司的 Rich Caruana 就人工智能在医疗保健领域的应用进行对话。

North Carolina Medical Journal Pub Date : 2024-06-01 DOI: 10.18043/001c.120567

Sean Sylvia

引用次数: 0

New IPEC Competencies, the State of the Science, and a Focus on Equity 消除童工现象国际计划的新能力、科学现状和对公平的关注

North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117090

Diana McNeill, Paige Brown

引用次数: 0

Developing Preceptors to Teach in an Interprofessional Practice 培养跨专业实践教学的实习生

North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117224

Philip T. Rodgers

引用次数: 1

Retailers’ Compliance with Federal Age of Cigarette Sales Policies – Pitt County, North Carolina, January–March 2022 零售商遵守联邦卷烟销售年龄政策的情况 - 北卡罗来纳州皮特县，2022 年 1-3 月

North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117074

Joseph G. L. Lee, Mahdi Sesay, Judy van de Venne, Amanda Y. Kong, M. Hrywna, Shyanika W. Rose, C. Delnevo

{"title":"Retailers’ Compliance with Federal Age of Cigarette Sales Policies – Pitt County, North Carolina, January–March 2022","authors":"Joseph G. L. Lee, Mahdi Sesay, Judy van de Venne, Amanda Y. Kong, M. Hrywna, Shyanika W. Rose, C. Delnevo","doi":"10.18043/001c.117074","DOIUrl":"https://doi.org/10.18043/001c.117074","url":null,"abstract":"Tobacco use remains a leading cause of preventable morbidity and premature mortality. In December 2019, the federal age of sale for tobacco products increased from age 18 to age 21. This study aimed to evaluate the implementation of federal Tobacco 21 policies in Pitt County, North Carolina, by conducting multiple purchase attempts for cigarettes. Stores in Pitt County that sold cigarettes were randomly sampled and visited by up to six different underage buyers (aged 18–20 years) who attempted to buy cigarettes from January to March 2022. Buyers made a total of 217 cigarette purchase attempts from 49 Pitt County retailers. Analyses were conducted using SPSS Complex Samples (v.28/Macintosh) to estimate retailer prevalence of requesting identification (ID) and selling to underage buyers across multiple purchase attempts. On average, retailers failed to request ID in 15.4% of purchase attempts (95% CI; 9.4%–21.3%) and sold to an underage buyer 34.2% of the time (95% CI; 27.0%–41.4%). Additionally, 75.5% (95% CI; 63.4%–84.6%) of retailers sold to an underage buyer at least once. This study is limited to a single county in North Carolina and to underage buyers aged 18 to 20 years. There is widespread noncompliance with federal age-of-sale policies for tobacco products in Pitt County, North Carolina. State enforcement is warranted, and North Carolina’s youth access law should be amended to match the federal age of sale. Changes to the law should allow research involving underage purchases.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transforming Health Care Delivery: Innovations in Payment Models for Interprofessional Team-Based Care 改革医疗服务：跨专业团队护理的支付模式创新

North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117089

Hossein Khalili

引用次数: 1

“It Takes a Village”- A Conversation with the Interprofessional Diabetes Clinic at the ECU Health Family Medicine Center "这需要一个村庄"--与 ECU 健康家庭医学中心跨专业糖尿病诊所的对话

North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117227

Christine Lysaght, J. Messenger, Shiv Patil, Kay Craven

引用次数: 1

Assessing Interprofessional Collaboration at Clinical Learning Sites: Methodology on Developing the IP-CLEAR Tool 评估临床学习场所的跨专业合作：开发 IP-CLEAR 工具的方法

North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117219

Kimberly A. Sanders, Mary R. Lynn

引用次数: 1

Behavioral Health Access and Workforce Competence for Integrated Care: Highlighting Interprofessional Initiatives from Two North Carolina Social Work Programs 综合护理的行为健康可及性和劳动力能力：北卡罗来纳州两个社会工作专业的跨专业倡议亮点

North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117216

Shanti J. Kulkarni, Marie White, Kelley Reinsmith-Jones, Kelly Powers

引用次数: 1