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"McCarthy, Meghan"
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The incredible life of Balto
\"Most people know the story of Balto, the world famous dog who led his dogsled team through a blizzard to deliver a lifesaving serum to the stricken people of Nome, Alaska, in 1925. Balto shot to instant stardom--a company named dog food after him, a famous sculptor erected a statue of him that stands in Central Park to this day, and the dog even starred in his own Hollywood movie. But what happened to Balto after the hoopla died down? With a lively, informative text and humorous, vibrant illustrations, Meghan McCarthy captures the extraordinary life of Balto beyond his days as a celebrity.\"--Amazon.com.
Book
Feasibility of virtual reality based training for optimising COVID-19 case handling in Uganda
Background
Epidemics and pandemics are causing high morbidity and mortality on a still-evolving scale exemplified by the COVID-19 pandemic. Infection prevention and control (IPC) training for frontline health workers is thus essential. However, classroom or hospital ward-based training portends an infection risk due to the in-person interaction of participants. We explored the use of Virtual Reality (VR) simulations for frontline health worker training since it trains participants without exposing them to infections that would arise from in-person training. It does away with the requirement for expensive personal protective equipment (PPE) that has been in acute shortage and improves learning, retention, and recall. This represents the first attempt in deploying VR-based pedagogy in a Ugandan medical education context.
Methods
We used animated VR-based simulations of bedside and ward-based training scenarios for frontline health workers. The training covered the donning and doffing of PPE, case management of COVID-19 infected individuals, and hand hygiene. It used VR headsets to actualize an immersive experience, via a hybrid of fully-interactive VR and 360° videos. The level of knowledge acquisition between individuals trained using this method was compared to similar cohorts previously trained in a classroom setting. That evaluation was supplemented by a qualitative assessment based on feedback from participants about their experience.
Results
The effort resulted in a COVID-19 IPC curriculum adapted into VR, corresponding VR content, and a pioneer cohort of VR trained frontline health workers. The formalized comparison with classroom-trained cohorts showed relatively better outcomes by way of skills acquired, speed of learning, and rates of information retention (
P-value = 4.0e-09).
In the qualitative assessment, 90% of the participants rated the method as very good, 58.1% strongly agreed that the activities met the course objectives, and 97.7% strongly indicated willingness to refer the course to colleagues.
Conclusion
VR-based COVID-19 IPC training is feasible, effective and achieves enhanced learning while protecting participants from infections within a pandemic setting in Uganda. It is a delivery medium transferable to the contexts of other highly infectious diseases.
Journal Article
Aliens are coming! : the true account of the 1938 War of the worlds radio broadcast
The story of the practical joke that fooled American radio listeners and made Orson Welles famous.
Book
Low-tech solutions for the COVID-19 supply chain crisis
A global effort is ongoing in the scientific community and in the maker movement, which focuses on creating devices and tinkering with them, to reverse-engineer commercial medical equipment and get it to healthcare workers. For these ‘low-tech’ solutions to have a real impact, it is important for them to coalesce around approved designs.
A global effort is ongoing in the scientific community and in the maker movement, which focuses on creating devices and tinkering with them, to reverse-engineer commercial medical equipment and get it to healthcare workers. For these ‘low-tech’ solutions to have a real impact, it is important for them to coalesce around approved designs.
Journal Article
Clinical outcomes of a community clinic-based lifestyle change program for prevention and management of metabolic syndrome: Results of the ‘Vida Sana/Healthy Life’ program
As US Hispanic populations are at higher risk than non-Hispanics for cardiovascular disease and Type 2 diabetes targeted interventions are clearly needed. This paper presents the four years results of the Vida Sana Program (VSP), which was developed and is implemented by a small clinic serving mostly Spanish-speaking, limited literacy population.
The eight-week course of interactive two-hour sessions taught by Navegantes, bilingual/cultural community health workers, was delivered to participants with hypertension, or high lipids, BMI, waist circumference, glucose or hemoglobin A1C (A1C). Measures, collected by Navegantes and clinic nurses, included blood chemistries, blood pressure, anthropometry, and an assessment of healthy food knowledge.
Most participants (67%) were female, Hispanic (95%), and all were 18 to 70 years of age. At baseline, close to half of participants were obese (48%), had high waist circumference (53%), or elevated A1C (52%), or fasting blood glucose (57%). About one third had high blood pressure (29%) or serum cholesterol (35%), and 22% scored low on the knowledge assessment. After the intervention, participants decreased in weight (-1.0 lb), BMI (-0.2 kg/m2), WC (-0.4 inches), and cholesterol (-3.5 mg/dl, all p<0.001). Systolic blood pressure decreased (-1.7 mm Hg, p<0.001), and the knowledge score increased (6.8 percent, p<0.001).
VSP shows promising improvements in metabolic outcomes, similar to other programs with longer duration or higher intensity interventions. VSP demonstrates an important model for successful community-connected interventions.
Journal Article
Action! : how movies began
\"Meghan McCarthy tells the story of the history of movies and the creators who made them. In fascinating detail, she shows how early photography capturing motion became silent films, which led to the first color films\"-- Provided by publisher.
BOOK
Predictors of severity and mortality among patients hospitalized with COVID-19 in Rhode Island
In order for healthcare systems to prepare for future waves of COVID-19, an in-depth understanding of clinical predictors is essential for efficient triage of hospitalized patients. We performed a retrospective cohort study of 259 patients admitted to our hospitals in Rhode Island to examine differences in baseline characteristics (demographics and comorbidities) as well as presenting symptoms, signs, labs, and imaging findings that predicted disease progression and in-hospital mortality. Certain patient characteristics and clinical features can help clinicians with early identification and triage of high-risk patients during subsequent waves of COVID-19.
Journal Article
All that trash : the story of the 1987 Garbage Barge and our problem with stuff
\"The true story of a garbage barge that didn't have a place to dock-- and was one of the events that led to the recycling movement.\"--Provided by publisher.
Book
Reductions in Blood Lead Level Screening During Peak COVID‐19 Restrictions and Beyond
Background and Objectives Among the multitude of health effects on children associated with the COVID‐19 pandemic, there have been significant interruptions in the provision of routine pediatric primary care, including blood lead level (BLL) screening. We aimed to investigate trends in BLL screening before and during the pandemic era using patient‐level electronic health record data extracted from CurrentCare, Rhode Island's statewide health information exchange (HIE). Methods De‐identified data were analyzed from CurrentCare for the study period January 2018 to December 2021. We utilized ATLAS, a web‐based analytics platform from the Observational Health Data Sciences and Informatics (OHDSI) community, to extract and stratify BLL by variables of interest from the CurrentCare data, standardized to OHDSI's Observational Medical Outcomes Partnership common data model. Results A decrease in BLL screening occurred in the spring of 2020, aligning with initial periods of shelter‐in‐place in response to the novel coronavirus outbreak; there was a 48% decrease comparing quarter 2 (April to June) of 2019 and 2020. BLL screening rebounded in the summer of 2020, however, it remained 16% lower overall in 2020 than in 2019. In 2021, BLL screening fell again to 23% lower than in 2019. Although overall numbers of BLL screenings were reduced, the proportion of abnormal BLLs was higher, particularly in the range of 3.5–5.0 µg/dL. Conclusions Leveraging statewide HIE data, we found that significant deficiencies in BLL screening remain unresolved since the beginning of the COVID‐19 pandemic. The disruption of children's lives by the COVID‐19 pandemic appears to have greatly affected lead screening and exposure in Rhode Island. Using a dataset with over 20,000 patients from a statewide health information exchange, we investigated trends of lead screening before and during peak COVID‐19‐related restrictions. We found marked reductions in lead screening in 2020 that persisted into 2021, reflecting concerning trends of decreased utilization of pediatric primary care.
Journal Article