Annals of family medicine
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Annals of family medicine · Jan 2023
Observational StudyNorth Carolina MedServe : A Research Team Hiding in Plain Sight.
Context: MedServe is a two-year AmeriCorps fellowship for college graduates pursuing careers in primary care medicine. Fellows are placed at primary care practices in underserved parts of North Carolina and split their time between clinic- and community-based work. MedServe fellows work in over thirty clinics across the state, including Federally Qualified Health Centers, free clinics, and private practices. ⋯ The majority of the MedServe Fellows indicated an interest in continuing with research when their fellowship was complete. Conclusions: MedServe Fellows can be active participants in designing and completing small-scale primary care research projects in North Carolina. This serves as a model for other primary care practices to utilize this population in their research.
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Annals of family medicine · Jan 2023
Risk of Postneonatal Infant Mortality Associated With Prior Founded Allegations of Child Abuse.
Context: There are ∼7500 postneonatal deaths (28 days to under 1 year) in the US annually, of which a majority are preventable. Previous studies have reported a child's prior encounter with child protective services (CPS) as a risk factor for preventable death but few studies have evaluated this in relation to subsequent postneonatal deaths. Objective: To measure the association between prior reports of child abuse and subsequent postneonatal death. ⋯ Lower maternal education, age, inadequate prenatal care and infant-parent bedsharing were also associated with higher odds of postneonatal death. Conclusions: Child protective services involvement is an opportunity for education to help reduce the incidence of potentially preventable infant deaths. Families should have access to appropriate acute and preventive care and receive ongoing education about child abuse prevention, infant safety, reducing the risk of preventable deaths such as SIDS, and when to seek medical attention.
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Annals of family medicine · Jan 2023
Over-the-Counter Product-Apixaban Interactions: Patient Perspectives on Information-Seeking.
To investigate perspectives of patients taking apixaban (a commonly prescribed DOAC) regarding seeking information about OTC products. STUDY DESIGN and ANALYSIS: Semi-structured interviews were analyzed using thematic analysis. SETTING: Two large academic medical centers. POPULATION: English-, Mandarin-, Cantonese-, or Spanish-speaking adults taking apixaban. OUTCOME MEASURES: Themes associated with information-seeking about potential apixaban-OTC product interactions. ⋯ Patients taking apixaban raised reasons for information-seeking about OTC products related to their perceptions of OTC products, provider-patient interactions, and their prior experiences with and frequency of OTC product use. Greater patient education about the need for information-seeking about potential DOAC-OTC product interactions may be needed at the time of prescribing.