OHSU Digital Collections (Oregon Health and Science University)
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Expand OHSU's Pediatric Sleep Medicine Program to meet the unmet needs of children and families in Oregon and the PNW region
Get PDFThe OHSU Doernbecher Pediatric Sleep Lab program is struggling with capacity and financial issues due to increased demand and a shortage of regional providers. As the only program in Oregon providing advanced pediatric sleep care, it handles over 1,000 annual sleep studies, mainly for underserved populations, leading to long wait times and affecting related surgical services. Interviews and assessments revealed operational inefficiencies with long patient wait times and a high rate of rescheduling or cancellations. This crisis affects various surgical services that are dependent on the sleep lab, thereby hindering clinical and research advancements. Two recommendations were made: one involves immediate independence and expansion through significant funding, building a state-of-the-art 12-bed facility, and hiring additional staff. The other is a multi-phased approach, optimizing current resources, reducing cancellations, and improving bed utilization while planning gradual expansion. Both strategies emphasize demonstrating the lab's value through key performance indicators as well as financial returns
Assessing community response and uptake to LGBTQ2SIA+ focused primary care: if we build it will they come
Get PDFThis abstract outlines a tiered approach to gauge the local TGD community’s interest in establishing primary care at The Project of the Quad Cities in Moline, IL, if offered every weekday instead of only once weekly
Conversations around advanced care planning in the primary care setting: physician perspectives on young patients without serious illness
Get PDFAdvanced care planning (ACP) conversations are opportunities for patients to express values and medical decision making before and at the end of life. While current practices emphasize the importance of ACP in those above 65 or with terminal illness in the primary care setting, there is less consensus around the utility of these conversations in young adults without serious illness. Many nationally regarded healthcare institutions including the American Academy of Family Physicians recommend earlier end-of-life conversations. Additionally, the literature suggests that many young adults expressed interest in having conversations around ACP with their providers. However, many ACP conversations do not occur in these younger populations until patients experience a traumatic event or new illness. The purpose of this study is to explore the current practices of ACP with young adult patients who do not have any serious illnesses and provider perspectives on engaging younger patients in conversations around end of life and medical decision making
Telehealth use among Asian Indians in Washington State: a mixed methods study
No full textDespite being one of the largest and fastest-growing immigrant groups in the U.S., Asian Indians are underrepresented in research. With the current investment and implementation of telehealth, there is a critical need to evaluate existing telehealth services to ensure they are inclusive and effective among diverse populations. This dissertation used a mixed methods approach to examine telehealth use among Asian Indians in Washington State. The findings revealed patient characteristics associated with telehealth use, practices to engage this population in a culturally appropriate way, and facilitators and barriers to telehealth use for Asian Indians
Spatiotemporal gradient of reactive astrogliosis reflects diminished neurovascular coupling after stroke
No full textIschemic stroke is the most common type of stroke, accounting for about 87% of all stroke cases. Stroke is a leading cause of long-term disability and the second leading cause of death globally. Understanding the pathophysiology of ischemic stroke can improve early diagnosis and treatment, reduce neuronal damage, and improve recovery. Reactive astrogliosis and microglia are key features of stroke pathophysiology and may contribute to both neuroprotection and neurodysfunction. Here, we map the spatiotemporal progression of reactive astrogliosis through GFAP and vimentin labeling, and reactive microglia through Iba1 labeling. We found that reactive astrogliosis progresses faster and is more widespread than reactive microgliosis and that the astrocyte response is not entirely dependent on microglia. This response appears exacerbated in aging animals. This work also details preliminary findings linking reactive astrogliosis to impaired neurovascular coupling mechanisms after stroke and how this relates to developmental neurovascular coupling mechanisms