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[PMID]:28467206
[Au] Autor:Brickle MB; Evans-Agnew R
[Ad] Endereço:a University of Washington , Tacoma , Washington.
[Ti] Título:Photovoice and Youth Empowerment in Environmental Justice Research: A Pilot Study Examining Woodsmoke Pollution in a Pacific Northwest Community.
[So] Source:J Community Health Nurs;34(2):89-101, 2017 Apr-Jun.
[Is] ISSN:1532-7655
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Woodsmoke pollution is an environmental justice issue for youth living in certain Pacific Northwest cities. Participatory methods such as Citizen Science and Photovoice are effective ways to involve youth in environmental justice research. Little is understood about how youth may be empowered to address woodsmoke issues in their communities. We examined youth empowerment in a citizen science study on woodsmoke, using Photovoice methodology. Ten diverse youth collected and analyzed indoor air samples and photos, then presented their findings to the community and policy makers. Entrance and exit surveys revealed an increased sense of empowerment to take action on woodsmoke pollution. Youth also expressed increased optimism and a resolve to become scientists to combat environmental injustices.
[Mh] Termos MeSH primário: Poluição do Ar/prevenção & controle
Pesquisa Participativa Baseada na Comunidade/métodos
Poder (Psicologia)
Fumaça/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Meio Ambiente
Feminino
Seres Humanos
Masculino
Fotografia
Projetos Piloto
Fumaça/efeitos adversos
Justiça Social
Washington
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Smoke)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1080/07370016.2017.1304148


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[PMID]:29443479
[Au] Autor:Rog DJ; Henderson KA; Greer AL
[Ti] Título:Family Stability and Child Welfare Involvement among Families Served in Permanent Supportive Housing.
[So] Source:Child Welfare;94(1):189-208, 2015.
[Is] ISSN:0009-4021
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article examines the effectiveness of supportive housing in fostering family preservation and reunification for homeless families with multiple housing barriers. Results indicate that more thanhalfofthe supportive housing program families who are separated from their families by Child Protective Services prior to entering the program are reunified during the 12-month period after entering housing. The rate of reunification for supportive housing families is significantly higher than the rate for matched families who enter shelters, but not significantly different than the rate experienced by matched families entering public housing. This study provides encouraging evidence that housing for families in the child welfare system, including but necessarily limited to supportive housing, can facilitate the reunification of children.
[Mh] Termos MeSH primário: Bem-Estar da Criança
Características da Família
Pessoas em Situação de Rua
Habitação Popular
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Demografia
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Desenvolvimento de Programas
Avaliação de Programas e Projetos de Saúde
Washington
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE


  3 / 11564 MEDLINE  
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[PMID]:29425012
[Au] Autor:Payne TH; Beahan S; Fellner J; Martin D; Elmore JG
[Ti] Título:Health Records All Access Pass. Patient Portals That Allow Viewing of Clinical Notes and Hospital Discharge Summaries: The University of Washington Opennotes Implementation Experience.
[So] Source:J AHIMA;87(8):36-9, 2016 08.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Acesso dos Pacientes aos Registros
Sumários de Alta do Paciente Hospitalar
Portais do Paciente
[Mh] Termos MeSH secundário: Seres Humanos
Modelos Organizacionais
Estudos de Casos Organizacionais
Washington
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


  4 / 11564 MEDLINE  
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[PMID]:29406676
[Au] Autor:Downing K; Taylor C
[Ti] Título:HIM Students Help Build an Innovative Path to Information Governance.
[So] Source:J AHIMA;88(2):36-9, 2017 02.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Centros Médicos Acadêmicos
Educação Profissionalizante
Gestão da Informação em Saúde/educação
[Mh] Termos MeSH secundário: Currículo
Seres Humanos
Modelos Organizacionais
Estudos de Casos Organizacionais
Inovação Organizacional
Competência Profissional
Washington
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29400937
[Au] Autor:Washington L
[Ti] Título:Strategic Alignment: The Driving Force for Information Governance.
[So] Source:J AHIMA;88(1):40-3, 2017 Jan.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Segurança Computacional/normas
Confidencialidade/normas
Registros Eletrônicos de Saúde/normas
Gestão da Informação em Saúde
[Mh] Termos MeSH secundário: Acesso à Informação
Fidelidade a Diretrizes/normas
Seres Humanos
Liderança
Estudos de Casos Organizacionais
Cultura Organizacional
Washington
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180206
[St] Status:MEDLINE


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[PMID]:29253411
[Au] Autor:Dwyer-Lindgren L; Stubbs RW; Bertozzi-Villa A; Morozoff C; Callender C; Finegold SB; Shirude S; Flaxman AD; Laurent A; Kern E; Duchin JS; Fleming D; Mokdad AH; Murray CJL
[Ad] Endereço:Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
[Ti] Título:Variation in life expectancy and mortality by cause among neighbourhoods in King County, WA, USA, 1990-2014: a census tract-level analysis for the Global Burden of Disease Study 2015.
[So] Source:Lancet Public Health;2(9):e400-e410, 2017 Sep.
[Is] ISSN:2468-2667
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Health outcomes are known to vary at both the country and local levels, but trends in mortality across a detailed and comprehensive set of causes have not been previously described at a very local level. Life expectancy in King County, WA, USA, is in the 95th percentile among all counties in the USA. However, little is known about how life expectancy and mortality from different causes of death vary at a local, neighbourhood level within this county. In this analysis, we estimated life expectancy and cause-specific mortality within King County to describe spatial trends, quantify disparities in mortality, and assess the contribution of each cause of death to overall disparities in all-cause mortality. METHODS: We applied established so-called garbage code redistribution algorithms and small area estimation methods to death registration data for King County to estimate life expectancy, cause-specific mortality rates, and years of life lost (YLL) rates from 152 causes of death for 397 census tracts from Jan 1, 1990, to Dec 31, 2014. We used the cause list developed for the Global Burden of Disease 2015 study for this analysis. Deaths were tabulated by age group, sex, census tract, and cause of death. We used Bayesian mixed-effects regression models to estimate mortality overall and from each cause. FINDINGS: Between 1990 and 2014, life expectancy in King County increased by 5·4 years (95% uncertainty interval [UI] 5·0-5·7) among men (from 74·0 years [73·7-74·3] to 79·3 years [79·1-79·6]) and by 3·4 years (3·0-3·7) among women (from 80·0 years [79·7-80·2] to 83·3 years [83·1-83·5]). In 2014, life expectancy ranged from 68·4 years (95% UI 66·9-70·1) to 86·7 years (85·0-88·2) for men and from 73·6 years (71·6-75·5) to 88·4 years (86·9-89·9) for women among census tracts within King County. Rates of YLL by cause also varied substantially among census tracts for each cause of death. Geographical areas with relatively high and relatively low YLL rates differed by cause. In general, causes of death responsible for more YLLs overall also contributed more significantly to geographical inequality within King County. However, certain causes contributed more to inequality than to overall YLLs. INTERPRETATION: This census tract-level analysis of life expectancy and cause-specific YLL rates highlights important differences in health among neighbourhoods in King County that are masked by county-level estimates. Efforts to improve population health in King County should focus on reducing geographical inequality, by targeting those health conditions that contribute the most to overall YLLs and to inequality. This analysis should be replicated in other locations to more fully describe fine-grained local-level variation in population health and contribute to efforts to improve health while reducing inequalities. FUNDING: John W Stanton and Theresa E Gillespie.
[Mh] Termos MeSH primário: Disparidades nos Níveis de Saúde
Expectativa de Vida/tendências
Mortalidade/tendências
Distribuição Espacial da População/estatística & dados numéricos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Causas de Morte/tendências
Censos
Feminino
Carga Global da Doença
Seres Humanos
Masculino
Washington/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE


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[PMID]:29351326
[Au] Autor:Berejikian BA; Van Doornik DM
[Ad] Endereço:Environmental and Fisheries Sciences Division, Northwest Fisheries Science Center, National Marine Fisheries Service, National Oceanographic and Atmospheric Administration, Port Orchard, Washington, United States of America.
[Ti] Título:Increased natural reproduction and genetic diversity one generation after cessation of a steelhead trout (Oncorhynchus mykiss) conservation hatchery program.
[So] Source:PLoS One;13(1):e0190799, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Spatial and temporal fluctuations in productivity and abundance confound assessments of captive propagation programs aimed at recovery of Threatened and Endangered populations. We conducted a 17 year before-after-control-impact experiment to determine the effects of a captive rearing program for anadromous steelhead trout (Oncorhynchus mykiss) on a key indicator of natural spawner abundance (naturally produced nests or 'redds'). The supplemented population exhibited a significant (2.6-fold) increase in redd abundance in the generation following supplementation. Four non-supplemented (control) populations monitored over the same 17 year period exhibited stable or decreasing trends in redd abundance. Expected heterozygosity in the supplemented population increased significantly. Allelic richness increased, but to a lesser (non-significant) degree. Estimates of the effective number of breeders increased from a harmonic mean of 24.4 in the generation before supplementation to 38.9 after supplementation. Several non-conventional aspects of the captive rearing program may have contributed to the positive response in the natural population.
[Mh] Termos MeSH primário: Conservação dos Recursos Naturais/métodos
Variação Genética
Oncorhynchus mykiss/genética
Oncorhynchus mykiss/fisiologia
[Mh] Termos MeSH secundário: Animais
Cruzamento
Feminino
Pesqueiros
Masculino
Reprodução
Rios
Washington
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180120
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190799


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[PMID]:28448904
[Au] Autor:Subbaraman MS; Kerr WC
[Ad] Endereço:Alcohol Research Group, Public Health Institute, Emeryville, CA, United States. Electronic address: msubbaraman@arg.org.
[Ti] Título:Support for marijuana legalization in the US state of Washington has continued to increase through 2016.
[So] Source:Drug Alcohol Depend;175:205-209, 2017 06 01.
[Is] ISSN:1879-0046
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Support for the legalization of recreational marijuana continues to increase across the United States and globally. In 2016, recreational marijuana was legalized in the most populous US state of California, as well as three other states. The primary aim of this study was to examine trends in support for recreational marijuana legalization in Washington, a state which has had legal recreational marijuana for almost four years, using data collected over the four years post-legalization. A secondary aim was to examine trends in support for the cultivation of marijuana for personal use. METHODS: Data come from geographically representative general population samples of adult (aged 18 and over) Washington residents collected over five timepoints (every six months) between January 2014 and April 2016 (N=4101). Random Digit Dial was used for recruitment. Statistical analyses involved bivariate comparisons of proportions across timepoints and subgroups (defined by age, gender, and marijuana user status), and multivariable logistic regression controlling for timepoint (time) to formally test for trend while controlling for demographic and substance use covariates. All analyses adjusted for probability of selection. RESULTS: Support for legalization in Washington has significantly increased: support was 64.0% (95% CI: 61.2%-67.8%) at timepoint 1 and 77.9% (95% CI: 73.2%-81.9%) at timepoint 5. With each six months' passing, support increased 19% on average. We found no statistically significant change in support for home-growing. CONCLUSIONS: Support for marijuana legalization has continued to significantly increase in a state that has experienced the policy change for almost four years.
[Mh] Termos MeSH primário: Canabinoides/uso terapêutico
Legislação de Medicamentos/tendências
Fumar Maconha/psicologia
Maconha Medicinal/uso terapêutico
[Mh] Termos MeSH secundário: Adulto
Atitude
Feminino
Seres Humanos
Masculino
Fumar Maconha/legislação & jurisprudência
Washington
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Nm] Nome de substância:
0 (Cannabinoids); 0 (Medical Marijuana)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE


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[PMID]:27779316
[Au] Autor:Kucera KL; Roos KG; Hootman JM; Lipscomb HJ; Dement JM; Silverstein BA
[Ad] Endereço:Division of Occupational & Environmental Medicine, Duke University, Durham, North Carolina.
[Ti] Título:Work-related illness and injury claims among nationally certified athletic trainers reported to Washington and California from 2001 to 2011.
[So] Source:Am J Ind Med;59(12):1156-1168, 2016 Dec.
[Is] ISSN:1097-0274
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Little is known about the work-related injury and illnesses experienced by certified athletic trainers (AT). METHODS: The incidence and characteristics of injury/illness claims filed in two workers' compensation systems were described from 2001 to 2011. Yearly populations at risk were estimated from National Athletic Trainers' Association membership statistics. Incidence rate ratios (IRR) were reported by job setting. RESULTS: Claims were predominantly for traumatic injuries and disorders (82.7%: 45.7% sprains/strains, 12.0% open wounds, 6.5% bruises) and at these body sites (back 17.2%, fingers 12.3%, and knee 9.6%) and over half were caused by body motion and overexertion (51.5%). Compared with school settings, clinic/hospital settings had modestly higher claim rates (IRR = 1.29, 95% CI: 1.06-1.52) while other settings (e.g., professional or youth sport, nursing home) had lower claim rates (IRR = 0.63, 95% CI: 0.44-0.70). CONCLUSIONS: These first known estimates of work-related injuries/illnesses among a growing healthcare profession help identify occupational tasks and settings imposing injury risk for ATs. Am. J. Ind. Med. 59:1156-1168, 2016. © 2016 Wiley Periodicals, Inc.
[Mh] Termos MeSH primário: Revisão da Utilização de Seguros/estatística & dados numéricos
Doenças Profissionais/epidemiologia
Traumatismos Ocupacionais/epidemiologia
Esportes/estatística & dados numéricos
Indenização aos Trabalhadores/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
California/epidemiologia
Feminino
Seres Humanos
Armazenamento e Recuperação da Informação
Masculino
Meia-Idade
Doenças Profissionais/etiologia
Traumatismos Ocupacionais/etiologia
Washington/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180124
[Lr] Data última revisão:
180124
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1002/ajim.22648


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[PMID]:28455087
[Au] Autor:Souter V; Kauffman E; Marshall AJ; Katon JG
[Ad] Endereço:Foundation for Health Care Quality, Seattle, WA. Electronic address: vsouter@qualityhealth.org.
[Ti] Título:Assessing the potential impact of extending antenatal steroids to the late preterm period.
[So] Source:Am J Obstet Gynecol;217(4):461.e1-461.e7, 2017 10.
[Is] ISSN:1097-6868
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In 2016, guidance statements were issued by the Society for Maternal-Fetal Medicine and the American Congress of Obstetricians and Gynecologists about extending antenatal steroid use to selected late preterm singleton pregnancies. OBJECTIVE: We sought to review antenatal steroid use prior to the 2016 guidance statements and assess the potential impact of these. STUDY DESIGN: This cohort study used chart-abstracted data from singleton deliveries from Jan. 1, 2012, through March 31, 2016, at 12 centers participating in the Obstetrics Clinical Outcomes Assessment Program, a quality initiative in Washington State. Pregnancies with missing gestation at delivery, fetal anomalies, or antepartum demise were excluded. Antenatal steroid use prior to the 2016 guidance was evaluated based on the percentage of early preterm deliveries (23 -33 weeks) and the percentage of all pregnancies that received antenatal steroids. Newborn complication rates were calculated for late preterm deliveries (34+0 -36 weeks), grouped by whether they would be potentially eligible or ineligible for antenatal steroids based on the 2016 guidance statements. RESULTS: The opportunity for antenatal steroids was missed in 21.8% (226/1034) of early preterm deliveries and of all those who received antenatal steroids, 32.2% (614/1908) delivered at term. Of preterm deliveries, 74% (n = 2942) were in the late preterm period. In all, 80% (n = 2363) of late preterm deliveries were potentially eligible for antenatal steroids and 60% of these (n = 1411) delivered at 36 weeks. The rate of respiratory complications in newborns delivering at 34 and 35 weeks was higher in the group potentially eligible for late preterm antenatal steroids compared to those in the ineligible group. Of those delivering at 36 weeks, no differences were detected in prevalence of respiratory complications by potential eligibility for antenatal steroids; however, compared with the ineligible group, those potentially eligible had a lower risk of neonatal intensive care unit admission (P < .001). More than two thirds (69%; 171/248) of newborn respiratory complications among late preterm deliveries potentially eligible for antenatal steroids occurred in those delivering at 34-35 weeks. The highest rate of respiratory complications was in those ineligible for antenatal steroids due to prepregnancy diabetes or chorioamnionitis, regardless of gestational age at delivery. CONCLUSION: Careful consideration of which pregnancies should receive late preterm antenatal steroids and how to identify these pregnancies is important to optimize benefits and mitigate potential risks of this intervention.
[Mh] Termos MeSH primário: Glucocorticoides/administração & dosagem
Recém-Nascido Prematuro
Cuidado Pré-Natal
Síndrome do Desconforto Respiratório do Recém-Nascido/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Estudos de Coortes
Esquema de Medicação
Feminino
Idade Gestacional
Seres Humanos
Recém-Nascido
Masculino
Gravidez
Nascimento Prematuro
Síndrome do Desconforto Respiratório do Recém-Nascido/epidemiologia
Estudos Retrospectivos
Washington/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Glucocorticoids)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:180111
[Lr] Data última revisão:
180111
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE



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