Resilience and its association with caregiving and psychosocial factors among lung cancer caregivers in Vietnam.

Purpose: Lung cancer is the second-most widely diagnosed cancer and is also the second leading contributor cancer mortality in Vietnam. With limited formal caregiving systems, family caregivers are essential in providing care for lung cancer patients. This study examined resilience and its association with various psychosocial and caregiving factors in lung cancer caregivers.

Pathway to a Brighter Future.

The Summer Health Institute for Nursing Exploration and Success (SHINES) program, developed at the Betty Irene Moore School of Nursing at the University of California, Davis, in Sacramento, is a city-wide formal outreach initiative offering educational enrichment activities for underrepresented public high school and community college students interested in the field of nursing or other health professions. In this article, the authors share how they introduced students from an underserved geographic location to the nursing profession and to careers in other health professions. They also assessed changes in knowledge and participants' experiences after attending the two-week program and suggest avenues for future direction and research.

Beyond Aggregated Race and Ethnicity Codes: An Examination of Additional Methods to Identify Asian American and Native Hawaiian and Other Pacific Islander Veteran Subgroups in Administrative Databases.

Introduction: Veterans who identify either as Asian American or as Native Hawaiian and Other Pacific Islander (NHPI) are growing (in percentage points) more rapidly than veterans of other racial groups. Substantial variation in COVID-19 death rates among Americans of Asian and NHPI ethnic origins underscored within-Asian and-NHPI health disparities-disparities that healthcare systems need to identify and measure. Yet healthcare utilization data within the U.

Examining the relations between psychosocial and caregiving factors with mental health among Vietnamese family caregivers of hospitalized lung cancer patients.

This study assessed the severity of mental health concerns, including depression and anxiety, and identified its association with psychosocial and caregiving factors. A cross-sectional study involved 213 family caregivers of lung cancer patients was conducted between June 2023 and August 2024 at a general provincial hospital in Northern Vietnam. Mental health concerns, caregiving challenges (burden, preparedness, and readiness for surrogate decision-making) and psychosocial factors (quality of life and social support) were measured.

Effects of M-DEPTH model of depression care on maternal depression, functioning, and HIV care adherence, and infant developmental over eighteen months post-partum: results from a cluster randomized controlled trial.

Background: Perinatal depression is associated with poor outcomes related to HIV care adherence, maternal functioning, and early child development. We examined whether the M-DEPTH (Maternal Depression Treatment in HIV) depression care model-including antidepressant therapy and individual problem-solving therapy-and depression alleviation would affect improvement in each of these outcome domains.

Methods: A sample of 354 pregnant women living with HIV (WLH) with at least mild depressive symptoms (177 in each of intervention and usual care control arms) enrolled in a cluster randomized controlled trial across eight antenatal care clinics in Uganda and had a live birth delivery.

A Visit-Associated Logistics Framework Describing Challenges Faced by Caregivers of Older Adults.

Unpaid family caregivers are assuming increasing levels of care as the healthcare system prioritizes aging in place over institutionalized care. Among their many responsibilities, coordinating in-person clinical visits is a critically important yet understudied area. This logistical aspect of caregiving for older adults is complex as it is influenced by many different medical-psycho-social factors.

Supporting Educational Excellence in Diversity (SEED): faculty development and allyship.

Introduction: Bias, privilege, microaggressions, and other forms of mistreatment negatively impact students' learning, professional development, wellness, and identity. Supporting Educational Excellence in Diversity (SEED) is an innovative faculty development curriculum co-founded and co-designed by medical students/trainees. SEED is unique given it provides vital yet practical communication tools and strategies to support cultural humility when navigating critical conversations related to diversity, inclusion, and harm.

A multisector community-engaged collaborative for mental health integration in primary care and housing developments: Protocol for a stepped-wedge randomized controlled trial (the Harlem Strong Program).

Background: Addressing mental health disparities following COVID-19 requires adaptive, multi-sectoral, equity-focused, and community-based approaches. Mental health task-sharing in gateway settings has been found to address mental health care gaps in low- and middle-income countries, but is not a common practice in the U.S.

Effects of M-DEPTH Model of Depression Care on Maternal Functioning and Infant Developmental Outcomes in the Six Months Post Delivery: Results from a Cluster Randomized Controlled Trial.

Perinatal depression has been shown to have deleterious effects on maternal post-partum functioning, as well as early child development. However, few studies have documented whether depression care helps to mitigate these effects. We examined the effects of the M-DEPTH (Maternal Depression Treatment in HIV) depression care model (including antidepressants and individual Problem Solving Therapy) on maternal functioning and infant development in the first 6 months post-delivery in an ongoing cluster randomized controlled trial of 391 HIV-infected women with at least mild depressive symptoms enrolled across eight antenatal care clinics in Uganda.

Adult cancer patients' barriers to and satisfaction with care at a National Cancer Hospital in Vietnam.

Study Objective: This study assessed the overall satisfaction with oncological care, including barriers to care, and identified its associated predictors among adult cancer patients in Vietnam.

Methods: In this cross-sectional study, we enrolled 300 adult cancer patients receiving inpatient care at a large urban oncological hospital between June and July 2022. Multivariable linear regression analyses examined associations between patient experiences and overall satisfaction ratings with cancer care.

Mental Health Concerns During COVID-19: An Observational Study Among a Predominantly Black Community in New York City.

Purpose: This study examined the prevalence of mental health concerns and its association with COVID-19, selected social determinants of health, and psychosocial risk factors in a predominantly racial/ethnic minoritized neighborhood in New York City.

Methods: Adult Harlem residents (N = 393) completed an online cross-sectional survey from April to September 2021. The Patient Health Questionnaire (PHQ-4) and the Post-Traumatic Stress Disorder (PC-PTSD) were used to evaluate mental health concerns.

Mental Health Service Use, Barriers, and Service Preferences During COVID-19 among Low-Income Housing and Market-Rate Housing Residents of Harlem in New York City.

This study examined the differences in mental health service use, barriers, and service preferences among 393 low-income housing (LIH) and market-rate housing (MRH) Harlem residents in New York City. One-third (34.6%) endorsed the need for professional support for psychological issues, 27.

Skeletal Fluorosis.

A 27-year-old man with polysubstance abuse including methamphetamine, fentanyl, and 1.5 years of electronics compressed gas duster inhalation presented following an assault. Radiologic imaging performed for suspected fractures revealed periosteal reaction, cortical thickening with increased bone density, and ligament and tendon ossification, which were not present on imaging obtained 3 years before presentation.

Study protocol for type II hybrid implementation-effectiveness trial of strategies for depression care task-sharing in community health stations in Vietnam: DEP Project.

Background: It is not clear what the most effective implementation strategies are for supporting the enactment and sustainment of depression care services in primary care settings. This type-II Hybrid Implementation-Effectiveness study will compare the effectiveness of three system-level strategies for implementing depression care programs at 36 community health stations (CHSs) across 2 provinces in Vietnam.

Methods: In this cluster-randomized controlled trial, CHSs will be randomly assigned to one of three implementation conditions: (1) Usual Implementation (UI), which consists of training workshops and toolkits; (2) Enhanced Supervision (ES), which includes UI combined with bi-weekly/monthly supervision; and (3) Community-Engaged Learning Collaborative (CELC), which includes all components of ES, combined with bi-monthly province-wide learning collaborative meetings, during which cross-site learning and continuous quality improvement (QI) strategies are implemented to achieve better implementation outcomes.

Substance Use Patterns and Their Association with Depression and Social Factors During COVID-19 Among Harlem Residents in New York City.

This study aimed to identify the prevalence of substance use before and during COVID-19; and examined its association with depression and social factors among 437 residents from the neighborhood of Harlem in Northern Manhattan, New York City. Over a third of respondents reported using any substance before COVID-19, and initiating/increasing substance use during COVID-19. The most common substances used before COVID-19 and initiated/increased during COVID-19 were smoking (20.

Functional gene delivery to and across brain vasculature of systemic AAVs with endothelial-specific tropism in rodents and broad tropism in primates.

Delivering genes to and across the brain vasculature efficiently and specifically across species remains a critical challenge for addressing neurological diseases. We have evolved adeno-associated virus (AAV9) capsids into vectors that transduce brain endothelial cells specifically and efficiently following systemic administration in wild-type mice with diverse genetic backgrounds, and in rats. These AAVs also exhibit superior transduction of the CNS across non-human primates (marmosets and rhesus macaques), and in ex vivo human brain slices, although the endothelial tropism is not conserved across species.

Alcohol Misuse, Binge Drinking, and their Associations with Psychosocial Factors during COVID-19 among Harlem Residents in New York City.

This study examined alcohol misuse and binge drinking prevalence among Harlem residents, in New York City, and their associations with psycho-social factors such as substance use, depression symptom severity, and perception of community policing during COVID-19. An online cross-sectional study was conducted among 398 adult residents between April and September 2021. Participants with a score of at least 3 for females or at least 4 for males out of 12 on the Alcohol Use Disorders Identification Test were considered to have alcohol misuse.

Severe Acute Respiratory Syndrome Associated Infections.

Viral infections are some of the most common sources of respiratory illness in pediatric and adult populations worldwide. Influenza and coronaviruses are viral pathogens that could lead to severe respiratory illness and death. More recently, respiratory illness from coronaviruses, accounts for more than 1 million deaths in the United States alone.

Caregiver Experience of Tele-dementia Care for Older Veterans.

Background: For the 5 million persons living with dementia (PLWD) in the USA, telemedicine may improve access to specialty care from their homes.

Objective: To elicit informal caregiver perceptions of tele-dementia care provided during COVID-19.

Design: Qualitative, observational study using grounded theory.

COVID-19's Still-Urgent Lessons of Structural Inequality and Child Health in the United States.

COVID-19's lessons on structural inequality should have been painful and embarrassing to all of us. These daily experiences of an unacceptable status quo among US children are still with us in a post-COVID America. Addressing the multi-sectoral factors that undermine the nation.

Effects of M-DEPTH Model of Depression Care on Maternal HIV Viral Suppression and Adherence to the PMTCT Care Continuum Among HIV-Infected Pregnant Women in Uganda: Results from a Cluster Randomized Controlled Trial at Pregnancy Completion.

Perinatal depression has been shown to impede adherence to antiretroviral therapy (ART) and the prevention of mother-to-child transmission (PMTCT) care continuum; therefore, treating perinatal depression may result in increased viral suppression and PMTCT adherence. We examined the effects of the M-DEPTH (Maternal Depression Treatment in HIV) depression care model (including antidepressants and individual Problem Solving Therapy) on depression, maternal viral suppression and adherence to PMTCT care processes in an ongoing cluster-randomized controlled trial of 391 HIV-infected pregnant women (200 usual care; 191 intervention) with at least mild depressive symptoms enrolled across 8 antenatal care clinics in Uganda. At baseline, 68.