Commonhealth (Philadelphia, Pa.)最新文献

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Screenless Teletherapy and Silent Telesupervision: Leveraging Technology for Innovative Service Delivery and Clinician Training in Speech-language Pathology during the COVID-19 Era 无屏幕远程治疗和无声远程监护:在COVID-19时代利用技术提供创新服务和临床医生培训语言病理学

Commonhealth (Philadelphia, Pa.)

Pub Date : 2020-12-22 DOI: 10.15367/ch.v1i3.413

Molly Beiting, G. Nicolet

The COVID-19 pandemic has upended traditional models of education and health care. Despite having a well-established evidence base, videoconferencing and related technology (i.e., “teletechnology”) were rarely utilized by most speech-language pathologists (SLPs) prior to March 2020. As operations were forced to move online, there was a rapid, unprecedented, and near-universal adoption of teletechnology for service delivery and clinical education. However, there was little time for program modification and training. Nine months later, we have settled into the transition and are able to reflect on the evidence base and potential benefits of operating through a new modality. This report begins by outlining commonalities in theoretical models of clinical supervision and early intervention service delivery. We discuss how teletechnology fits into—and potentially enhances—the framework. Next, we summarize the historical use of technology in SLP clinical training and service delivery, specifically, how it can be leveraged to support access, processes, and outcomes. Although SLPs are trained to serve the full range of clinical populations, we focus on their role in early intervention (i.e., services for children from birth to age five). Then, we expand upon the current research evidence with a practical discussion of quickly-developing anecdotal support for innovative practices, including “screenless coaching” and “silent supervision.” Although there are significant benefits to teletechnology, we conclude by recognizing potential limitations and discussing needs for future research. This report is written from the perspective of two experienced SLPs; however, the discussion is relevant to other therapeutic fields.

COVID-19大流行颠覆了传统的教育和卫生保健模式。尽管有完善的证据基础，但在2020年3月之前，大多数语音语言病理学家(slp)很少使用视频会议和相关技术(即“远程技术”)。由于手术被迫转移到网上，在提供服务和临床教育方面，迅速、前所未有、几乎普遍地采用了远程技术。然而，几乎没有时间进行程序修改和培训。9个月后，我们已经适应了这种转变，并能够反思通过一种新模式运作的证据基础和潜在好处。本报告首先概述了临床监督和早期干预服务提供的理论模型的共性。我们将讨论电信技术如何适应并潜在地增强这一框架。接下来，我们总结了技术在SLP临床培训和服务提供中的历史应用，特别是如何利用它来支持访问、流程和结果。虽然特殊护理人员经过培训，可以为所有临床人群提供服务，但我们的重点是他们在早期干预中的作用(即为出生至五岁的儿童提供服务)。然后，我们扩展了当前的研究证据，通过对快速发展的轶事支持创新实践的实际讨论，包括“无屏幕指导”和“无声监督”。虽然远程技术有显著的好处，但我们认识到潜在的局限性并讨论了未来研究的需要。本报告是从两位经验丰富的slp的角度撰写的;然而，讨论是相关的其他治疗领域。

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引用次数: 7

The Reinvention of the Health and Fitness Industry During the Coronavirus Pandemic 冠状病毒大流行期间健康和健身行业的创新

Commonhealth (Philadelphia, Pa.)

Pub Date : 2020-12-22 DOI: 10.15367/ch.v1i3.412

K. Myers, Michael B. Brown, S. Payne, D. M. Rosney

N/A

不适用

引用次数: 1

Editorial Board 编辑委员会

Commonhealth (Philadelphia, Pa.)

Pub Date : 2020-12-22 DOI: 10.15367/ch.v1i3.445

Jacque Spitzer

引用次数: 0

An Ecologic Analysis of Comorbidities in Patients with COVID-19 in Philadelphia and New York City 费城和纽约市新冠肺炎患者合并症的生态学分析

Commonhealth (Philadelphia, Pa.)

Pub Date : 2020-12-22 DOI: 10.15367/ch.v1i3.407

Krystina Johnson, I. Hollin, A. Palumbo, J. Spitzer, D. Sarwer

Objective: Early scientific reports of the COVID-19 pandemic suggested that the coronavirus was associated with more serious disease and mortality in older adults. However, additional research suggested that those with underlying comorbidities, including obesity, type 2 diabetes, heart and respiratory diseases were most at risk for more severe outcomes. As a result, most studies focused on comorbidities among those who were hospitalized or critically ill. There is a need to understand how common comorbidities are associated with overall risk of infection. This analysis aimed to explore the relationship between COVID-19 infection and common comorbidities. Methods: An ecologic analysis explored aggregate case counts of COVID-19 cases across zip codes compared to area-level estimates of health-related variables and outcomes in Philadelphia, PA and New York City, NY. Results: The analysis found that small area-estimated rates of obesity and asthma were significant ecologic predictors of population-based rates of COVID-19 cases in New York City. In contrast, small area-estimates rates of arthritis were significant predictors in Philadelphia. Conclusions: There are important area-level variations in COVID-19 infections that are correlated with variations in other chronic conditions, suggesting that factors that influence health disparities may affect the distribution of COVID-19.

目的：新冠肺炎大流行的早期科学报告表明，冠状病毒与老年人更严重的疾病和死亡率有关。然而，其他研究表明，那些患有潜在合并症的人，包括肥胖、2型糖尿病、心脏病和呼吸系统疾病，最有可能出现更严重的后果。因此，大多数研究都集中在住院或危重患者的合并症上。有必要了解常见的合并症如何与感染的总体风险相关。本分析旨在探讨新冠肺炎感染与常见合并症之间的关系。方法：一项生态分析探讨了不同邮政编码的新冠肺炎病例的总病例数，并与宾夕法尼亚州费城和纽约市健康相关变量和结果的地区层面估计进行了比较。结果：分析发现，小面积估计的肥胖和哮喘发病率是纽约市新冠肺炎病例基于人群发病率的重要生态预测因素。相比之下，小面积估计的关节炎发生率是费城的重要预测因素。结论：新冠肺炎感染存在重要的地区性差异，与其他慢性疾病的差异相关，这表明影响健康差异的因素可能会影响新冠肺炎的分布。

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引用次数: 1

Providing Opportunities for Meaningful Activities for Covid-19 Patients: A Community Response 为Covid-19患者提供有意义活动的机会:社区应对

Commonhealth (Philadelphia, Pa.)

Pub Date : 2020-12-22 DOI: 10.15367/ch.v1i3.418

Emily Knowles, C. O’Donnell, A. Lynch, Gretchen Snethen

Context: Patients hospitalized for Covid-19 are at high risk for experiencing isolation, boredom, anxiety, and depression. These psychosocial issues can contribute to poorer health outcomes. Objective: The purpose of this project was to bridge the gap between patient needs and available resources: bringing supplies to the patients, such that they could participate in meaningful activities in the isolation of their rooms, with hopes of mitigating aspects of loneliness and boredom. Case Report: This case study describes the activities of the occupational and recreational therapy academic programs initiated in order to resource supplies from the community in response to a request from the hospital. A carload of technology and non-technology activity resources were delivered to the hospital and distributed to patients. A treating physician provided an overview of the patient response. Patient Experience: Staff reported fewer complaints of isolation and boredom following the delivery of resources. This also increased staff morale. Conclusion: Providing resources patients can independently utilize may reduce feelings of isolation and boredom, which may improve health outcomes.

背景:因Covid-19住院的患者很有可能经历孤立、无聊、焦虑和抑郁。这些社会心理问题可能导致较差的健康结果。目标:该项目的目的是弥合患者需求与现有资源之间的差距:为患者提供用品，使他们能够在隔离的房间中参与有意义的活动，希望减轻孤独感和无聊感。案例报告:本案例研究描述了职业和娱乐治疗学术项目的活动，目的是响应医院的要求，从社区获得资源供应。一车技术和非技术活动资源被送到医院并分发给患者。一位主治医生概述了患者的反应。患者体验:在提供资源后，工作人员报告的孤立和无聊的投诉减少了。这也提高了员工的士气。结论:为患者提供可独立利用的资源，可减少患者的孤独感和无聊感，改善患者的健康状况。

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引用次数: 2

Introduction to the Special Issue 特刊简介

Commonhealth (Philadelphia, Pa.)

Pub Date : 2020-12-22 DOI: 10.15367/ch.v1i3.443

L. Siminoff

引用次数: 0

The Accidental Talking Head: Working with the Media During a Pandemic 意外的说话头:在大流行期间与媒体合作

Commonhealth (Philadelphia, Pa.)

Pub Date : 2020-12-22 DOI: 10.15367/ch.v1i3.423

Krystina Johnson

Most doctoral programs do not train you to work with the media, though local and national media are the venue through which most timely information is shared with the public. This narrative offers advice on how to prepare yourself for media interviews, shares some best practices, and aims to demystify the process of audio, video, and print media contributions by public health professionals.

大多数博士项目都不会训练你与媒体合作，尽管地方和国家媒体是与公众分享最及时信息的场所。本叙述提供了如何为媒体采访做好准备的建议，分享了一些最佳实践，旨在揭开公共卫生专业人员在音频、视频和印刷媒体上的贡献过程的神秘面纱。

引用次数: 0

Table of Contents 目录表

Commonhealth (Philadelphia, Pa.)

Pub Date : 2020-12-22 DOI: 10.15367/ch.v1i3.446

Jacque Spitzer

引用次数: 0

Factors associated with multiple hospital readmissions for individuals with spinal cord injury. 脊髓损伤患者多次再入院的相关因素

Commonhealth (Philadelphia, Pa.)

Pub Date : 2020-09-01 Epub Date: 2020-09-28 DOI: 10.15367/ch.v1i2.399

Alexandra Canori, Amit Kumar, Shivayogi V Hiremath

Objective: To identify patient-level and clinical factors associated with multiple hospital readmissions in individuals with spinal cord injury (SCI).

Design: Retrospective cohort analysis of the publicly available dataset from the SCI Rehabilitation (SCIRehab) study.

Setting: Six rehabilitation centers in the U.S. that participated in the SCIRehab study. Participants: Individuals with traumatic SCI (N=1371) who were consecutively enrolled in the SCIRehab study.

Outcome measures: The primary outcome was all-cause hospital readmission within 1 year of discharge from a rehabilitation center. The patient-level and clinical factors include employment status, depression, caregiver support, state-funded insurance, functional status, and rehabilitation services.

Results: Of the 1170 participants included in the study, 228 were readmitted once and 120 were readmitted multiple times. In our study, 34.2% and 10.8% were readmitted more than once due to genitourinary and respiratory conditions, respectively. Lower utilization of rehabilitation services, lower functional status, unemployment, and depression were associated with higher odds of being readmitted multiple times within one year of discharge from inpatient rehabilitation facility.

Conclusion: Psychosocial and clinical factors were associated with increased risk for multiple readmissions in individuals with SCI. In order to reduce recurrent readmissions in individuals with SCI, further research is necessary to maximize efficacy of risk factor modification and prevention strategies.

目的:确定与脊髓损伤(SCI)患者多次再入院相关的患者水平和临床因素。设计:对SCI康复(SCIRehab)研究的公开数据集进行回顾性队列分析。背景:参与SCIRehab研究的美国六个康复中心。参与者:连续入组SCIRehab研究的创伤性SCI患者(N=1371)。结果测量:主要结果为从康复中心出院后1年内的全因再入院。患者层面和临床因素包括就业状况、抑郁、照顾者支持、国家资助的保险、功能状况和康复服务。结果:在纳入研究的1170名参与者中，228人再次入院，120人多次入院。在我们的研究中，34.2%和10.8%分别因泌尿生殖系统和呼吸系统疾病再次入院一次以上。较低的康复服务使用率、较低的功能状态、失业和抑郁与住院康复机构出院一年内多次再入院的几率较高相关。结论:社会心理和临床因素与脊髓损伤患者多次再入院的风险增加有关。为了减少脊髓损伤患者的再入院率，有必要进一步研究以最大限度地提高风险因素修改和预防策略的效果。

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引用次数: 2

Letter from the Editors 编辑来信

Commonhealth (Philadelphia, Pa.)

Pub Date : 2020-04-02 DOI: 10.15367/ch.v1i1.307

M. A. Beiting, Hamlet Gasoyan, J. Ibrahim, D. Sarwer, J. Spitzer

We are delighted to welcome you to the inaugural issue of CommonHealth, an interdisciplinary, peer-reviewed, open-access journal of the College of Public Health at Temple University. Establishment of this journal is an exciting milestone and a natural next step in our trajectory of growth and leadership in public health education and research. The College of Public Health (CPH) is home to more than 50 academic programs within 17 disciplines. Our departments have earned 24 program-specific accreditations and four of our graduate programs are within the top 25% nationwide. In 2017, the College received full accreditation by the Council on Education for Public Health. One of the key differentiators of CPH is our active research community and commitment to interdisciplinary research and education. In 2018, the work of CPH investigators was supported by over $22 million dollars in funding. Students at every level in CPH participate in meaningful collaborations with faculty, receive hands-on research training, and produce impactful research. We are cordially inviting authors from Temple University and the public health community at large to submit their original research, research commentary, clinical innovation and practice, teaching innovation and practice, community connection articles, and multimedia submissions to CommonHealth. We look forward to seeing your scholarship.

我们很高兴欢迎您阅读《公共卫生》的创刊号，这是坦普尔大学公共卫生学院的一本跨学科、同行评审、开放获取的期刊。这本杂志的创办是一个激动人心的里程碑，也是我们在公共卫生教育和研究领域发展和领导的自然下一步。公共卫生学院拥有17个学科的50多个学术项目。我们的部门已经获得了24个特定项目的认证，其中四个研究生项目在全国排名前25%。2017年，学院获得了公共卫生教育委员会的全面认证。CPH的主要区别之一是我们积极的研究社区和对跨学科研究和教育的承诺。2018年，CPH调查人员的工作得到了超过2200万美元的资金支持。CPH各个级别的学生都会与教师进行有意义的合作，接受实践研究培训，并进行有影响力的研究。我们诚挚邀请天普大学和广大公共卫生界的作者向CommonHealth提交他们的原创研究、研究评论、临床创新与实践、教学创新与实践，社区联系文章和多媒体投稿。我们期待着看到你的奖学金。

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引用次数: 0

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