There is substantial morbidity associated with severe respiratory infection due to human rhino/enteroviruses in children. Mortality was less severe than reported in other respiratory viruses such as influenza and respiratory syncytial virus. The burden of illness from human rhino/enteroviruses in the ICU in terms of resource utilization may be considerable.
INTRODUCTION:
Substance abuse is a growing problem among women, and is frequently accompanied by multiple gynecologic concerns. Residential substance abuse rehabilitation facilities offer an opportunity to address those concerns. The purpose of this report is to examine the impact of an all-volunteer, medical student-run clinic with faculty supervision within a non-profit, inner-city women's residential substance abuse rehabilitation facility.
METHODS:
625 clients were admitted, regardless of financial status, to a 70-bed residential substance abuse rehabilitation facility between 2016 and mid-2018. Data including Pap smears, Human Papillomavirus (HPV) infection, and sexually transmitted infection testing were analyzed.
RESULTS:
From January 2016 through August 2018, 175/625 (28.0%) clients accepted Pap testing. 52/175 (29.7%) had an abnormal result, defined as Trichomonas infection, HPV infection, or premalignant or malignant lesion. 240/625 (38.4%) clients accepted Gonorrhea/Chlamydia testing, and 6 were identified as having Gonorrhea or Chlamydia. In 2018 alone, Pap testing identified 7/44 (15.9%) clients as having premalignant or malignant lesions, including one case of squamous cell carcinoma. 9/24 (37.5%) had a high-risk HPV strain. 7/44 (15.9%) had Trichomonas. Clients also received counseling regarding personal health awareness and reduction of high-risk behaviors.
CONCLUSION:
The use of a student-run clinic to provide gynecologic services within a residential substance abuse rehabilitation facility has a major impact and is cost-efficient. Many clients have no other opportunity to obtain instruction on health awareness and high-risk behavior, as well as diagnosis and treatment of abnormal Pap smears and STIs. This model allows non-profit facilities to provide an otherwise unaffordable level of care.
In 2015, the University of California, Berkeley, launched EBSCO Discovery Service (EDS), a web-scale discovery tool, with a goal of improving visibility and usage of collections. This study applies linear regression analysis to usage data for ebooks, ejournals, and abstracts and indexing (A&I) databases before and after implementation of EDS in order to identify correlations between the discovery layer and usage of library electronic resources across platforms. Our findings diverge from conclusions drawn in the previous literature that indicate that resource use generally increases after a discovery tool is implemented. We examine data from a longer period of time than the previous literature had, looking for statistically significant changes in resource use. The discovery layer at UC Berkeley did not lead to equal increases across platforms, but rather to a complex array of increases and decreases in use according to a variety of factors.
intended to quantitatively evaluate the impact of this outcomes-based training design and to share the effective materials from it, but a small sample limited the statistical analysis. Instead we refocused on a qualitative analysis of the study's open-ended questions to identify challenges that persist for student employees and their implications for student employee training programs.
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