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Can You See Me Speaking?
Elizabeth Silva pictured.https://openworks.mdanderson.org/aprn-week-23/1013/thumbnail.jp
The Plane, 2023
Artist: Oscar G. Rangel
Materials: Discarded can, pencils, carboard and HVAC duct tape.https://openworks.mdanderson.org/recycledart2023/1013/thumbnail.jp
Addressing Racial and Socioeconomic Disparities Through Patient Education and Increasing Healthcare Professionals’ Cultural Competency to Reduce Maternal Mortality in the United States
Pregnancy-related deaths in the United States continue to increase with a notable disparity for women of color and/or low socioeconomic status. Hundreds of women die each year due to pregnancy or delivery complications as researchers and healthcare providers remain unclear on the solution. The mortality rate is the result of pregnancy complications, the aggravation of preexisting comorbidities, methods of intervention, or events precipitated by the pregnancy.https://openworks.mdanderson.org/rmps/1002/thumbnail.jp
A Meta-narrative Review: Efficacy of Non-Invasive Prenatal Testing (NIPT) in the Detection of Sex Chromosomal Aneuploidy in Singleton Pregnancy
Abstract:
Objective: To assess the efficacy of Noninvasive Prenatal Testing (NIPT) as a screening method for Sex Chromosomal Aneuploidy (SCA) and its application in clinical practice.
Methods: Searches on Pubmed and M.D. Anderson Cancer Center Research Medical Library was performed to identify primary research articles published between January 2018 to April 2023.
Results: The average combined SCA\u27s PPV was 46.08%. The average PPV for 45, X, 47, XXX, 47, XXY, and 47, XYY was 26.05%, 44.82%, 50.21%, and 62.99%, respectively. The average PPV for 46, XY was 1.18%; however, there is a lack of statistical data for 46, XY. NIPT is least accurate in detecting 45, X (Turner Syndrome) and most accurate in detecting 47, XYY (Jacobs Syndrome). There is inconsistency in the interpretation of PPV values and, thus use of NIPT for SCA in clinical practice between the selected studies.
Conclusion: Despite its high specificity and sensitivity, NIPT for SCAs have inconsistent but low PPVs. NIPT showed a significantly lower accuracy for predicting monosomy X than sex chromosome trisomies. The studies examined seemed to hold different minimum criteria to designate the effectiveness of NIPT for SCA, and thus their recommendation to whether its use in clinical practice is recommended differed. Although NIPT for SCAs has positive implications in clinical practice, more methodological improvement is needed. Genetic counseling is necessary following a positive NIPT to ensure subsequent confirmatory tests and that prospective parents fully understand the diagnosis and make an informed decision.https://openworks.mdanderson.org/rmps/1008/thumbnail.jp
Among Adults with Diabetes Type 2, Does Herbal Medicine Help to Stabilize Blood Glucose Compared to No Usage?
Anh Le pictured.https://openworks.mdanderson.org/aprn-week-23/1011/thumbnail.jp
QI PROJECT: Attain 100% compliance in IT pump medication reconciliation for chronic pain clinic patients by July 2023.
Anumol Thomas pictured.https://openworks.mdanderson.org/aprn-week-23/1012/thumbnail.jp
Barriers and Goals of Care Expressed by Patients Living with Advanced Breast Cancer during an APRN-Led Navigation Visit
Abbey Kaler pictured.https://openworks.mdanderson.org/aprn-week-23/1017/thumbnail.jp
NewsBytes January 2023
Data Citation Index Dear Editor Interlibrary Loan Employee Assistance Program Collectionhttps://openworks.mdanderson.org/newsbytes_2023/1000/thumbnail.jp
The Effects of Misinformation about Cancer Care on Patient-Provider Interactions
https://openworks.mdanderson.org/edwk23/1006/thumbnail.jp