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Drought:: Ten to Do Ten. 干旱十要做十件事。
Pub Date : 2023-12-31 eCollection Date: 2023-12-01 DOI: 10.32481/djph.2023.12.007
Bridget Knitowski
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引用次数: 0
Delaware Healthcare Workforce Update. 特拉华州医疗保健劳动力最新情况。
Pub Date : 2023-12-31 eCollection Date: 2023-12-01 DOI: 10.32481/djph.2023.12.008
Timothy E Gibbs, Matt McNeill

Working from data provided by the Delaware Division of Professional Regulation from May 2022 to September 2023, this 16-month update supports a general rebound in active licensing numbers across the Delaware Healthcare industry in professions licensed through the Division of Professional Regulation's DelPros system. This report articulates the types of data analysis currently available through the data and research initiative of Delaware Health Force, provides a high-level overview of the data, and offers preliminary recommendations based on the data. Overall, the healthcare workforce in Delaware shows a steady rebound, with many license types appearing to reach new highs. There are some areas in which continued loss of active licenses is of concern.

根据特拉华州职业监管局提供的 2022 年 5 月至 2023 年 9 月的数据,这份为期 16 个月的更新报告支持特拉华州医疗保健行业中通过职业监管局 DelPros 系统获得执照的职业的活跃执照数量普遍回升。本报告阐述了目前通过特拉华州卫生力量的数据和研究计划所获得的数据分析类型,对数据进行了高层次的概述,并根据数据提出了初步建议。总体而言,特拉华州的医疗保健劳动力呈现出稳步回升的态势,许多执照类型似乎都达到了新高。在某些领域,有效执照的持续流失令人担忧。
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引用次数: 0
Health Literacy as a Pathway to Wellbeing:: A Celebration of Health Literacy Month. 健康素养是通往幸福之路::健康素养月庆祝活动。
Pub Date : 2023-12-31 eCollection Date: 2023-12-01 DOI: 10.32481/djph.2023.12.004
Greg O'Neill, Peggy Geisler
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引用次数: 0
A (Brief) History of Health Policy in the United States. 美国卫生政策(简)史》。
Pub Date : 2023-12-31 eCollection Date: 2023-12-01 DOI: 10.32481/djph.2023.12.003
Katherine Smith
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引用次数: 0
Family Medicine Training in The US and Delaware:: Opportunities and Growth in Primary Care Workforce. 美国和特拉华州的家庭医学培训::初级医疗队伍的机遇与发展。
Pub Date : 2023-12-31 eCollection Date: 2023-12-01 DOI: 10.32481/djph.2023.12.006
Omar A Khan, Erin M Kavanaugh, Robert A Monteleone, Brintha Vasagar, Joyce F Robert
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引用次数: 0
From the Guest Editor. 特邀编辑的话
Pub Date : 2023-11-30 eCollection Date: 2023-11-01 DOI: 10.32481/djph.2023.11.002
Michael Fleming
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引用次数: 0
Nitro Biosciences:: Enhancing immune response via an expanded genetic code. Nitro Biosciences::通过扩展遗传密码增强免疫反应。
Pub Date : 2023-11-30 eCollection Date: 2023-11-01 DOI: 10.32481/djph.2023.11.007
Neil Butler, Aditya Kunjapur

Novel modalities of vaccine will be required to address the current and future public health concerns we face. Many infectious diseases lack clinically approved vaccines causing immense burden to the health care system both domestically and abroad. More concerningly, the prevalence of antimicrobial resistance (AMR) is anticipated to rise over the coming decades and limit our tools to treat these infections. There is thus an urgent need to develop vaccinations to overcome these rising gaps in treatment and prevent infections moving forward. At Nitro Biosciences, we are developing a platform to create next-generation vaccines for diseases currently lacking clinically approved products. By harnessing an expanded genetic code, we can precisely modify antigens to enhance their immunogenicity, enabling a broadening of the scope of antigens to target in vaccine development and enhancing the potential to create efficacious vaccines where other efforts have failed.

要解决我们当前和未来面临的公共卫生问题,就必须采用新的疫苗模式。许多传染病缺乏临床认可的疫苗,这给国内外的医疗保健系统造成了巨大负担。更令人担忧的是,抗菌药耐药性(AMR)的流行预计将在未来几十年内上升,并限制我们治疗这些感染的工具。因此,我们急需开发疫苗,以弥补治疗方面不断扩大的差距,并在未来预防感染。在 Nitro Biosciences,我们正在开发一个平台,为目前缺乏临床批准产品的疾病研制下一代疫苗。通过利用扩展的遗传密码,我们可以精确地修改抗原以增强其免疫原性,从而拓宽疫苗开发所针对的抗原范围,并在其他工作失败的情况下提高创造有效疫苗的潜力。
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引用次数: 0
Economic Impact of Cancer Diagnosis on Employment, Wages and Intent to Return to Work. 癌症诊断对就业、工资和重返工作岗位意愿的经济影响。
Pub Date : 2023-11-30 eCollection Date: 2023-11-01 DOI: 10.32481/djph.2023.11.010
Iftekhar Khan, Rishi Sawhney, Stephanie McClellan, Kathrina Chua, Abeer Alfaraj, John Shevock, Dain Chun

To assess the work hours and income of patients who have been diagnosed with cancer, treatable with curative intent. The study evaluated the impact of lost wages on patients and their families in the population that is served by Bayhealth Medical Center.

Methods: This study was conducted between 2016 and 2020. The curative cancer focus included breast, lung, prostate, colorectal, testicular, uterine, cervical, bladder, esophageal, head and neck, and stomach. Patients were identified on their survivorship visit with Medical Oncology or Radiation Oncology. Two surveys were used to collect information specific to employment status, leave of absence/change in hours, and monthly income.

Results: Survey one had 142 participants. Survey two had 134 participants. In survey one, 99.3% of participants reported being employed at least half time at the time of diagnosis. On the Survivorship visit, 95% reported being currently employed at least half time. Only 87% were employed in the same job and title. When reporting income, 64% of participants had the same income, and 25.4% reported a reduction in income since being diagnosed and completing cancer treatment. In survey two, completed one-year post-survivorship visit, 83.6% of participants reported being employed at least half time. Of those, 76.9% were working for the same employer as they were at time of diagnosis. To that end, 26.1% of participants reported their income as lower than it was at time of diagnosis.

Conclusion: A cancer diagnosis with treatment can and does have an impact on a person's ability to remain employed at least half time and sustain the same level of income.

目的:评估确诊为癌症且可治愈的患者的工作时间和收入。该研究评估了海湾健康医疗中心所服务人群中的患者及其家庭因工资损失而受到的影响:本研究在 2016 年至 2020 年期间进行。治疗癌症的重点包括乳腺癌、肺癌、前列腺癌、结直肠癌、睾丸癌、子宫癌、宫颈癌、膀胱癌、食管癌、头颈癌和胃癌。患者的身份是在肿瘤内科或肿瘤放射科就诊时确定的。我们使用了两份调查表来收集有关就业状况、请假/工时变化和月收入的具体信息:结果:调查一有 142 人参与。调查二有 134 人参与。在调查一中,99.3% 的参与者表示在确诊时至少有半职工作。在幸存者访视中,95% 的人表示目前至少有半职工作。只有 87% 的人从事相同的工作和职称。在报告收入时,64% 的参与者收入不变,25.4% 的参与者报告自确诊并完成癌症治疗后收入有所减少。在幸存者一年后完成的第二次调查中,83.6% 的参与者表示至少有半职工作。其中,76.9% 的人与确诊时为同一雇主工作。为此,26.1% 的参与者表示他们的收入低于确诊时的收入:结论:癌症诊断和治疗可能也确实会影响一个人至少半职就业和维持相同收入水平的能力。
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引用次数: 0
Bridging the Talent Gap:: Connecting Talent to Bioscience Careers. 缩小人才差距::将人才与生物科学职业联系起来。
Pub Date : 2023-11-30 eCollection Date: 2023-11-01 DOI: 10.32481/djph.2023.11.005
Katherine Lakofsky

There is an urgent need to engage, educate, and train a skilled workforce for Delaware's growing life science sector. A sizeable number of these jobs can be obtained with a high school diploma or GED, coupled with an industry informed short-term training program. Unfortunately, this is not widely known, and many disadvantaged populations do not have access to the necessary training. Through a partnership between the Delaware Bioscience Association and the Delaware Biotechnology Institute at the University of Delaware, efforts are currently underway to develop a pilot training program, specifically focusing on the skills needed for biomanufacturing and basic laboratory operations. Additionally, the program will devote significant resources to the identification and recruitment of participants with an emphasis on engaging historically underrepresented populations, as well as removing barriers to accessing the training. The goal is to connect talent to available careers in the industry, providing participants with increased economic mobility and financial stability.

特拉华州的生命科学产业正在不断发展,迫切需要吸引、教育和培训技术熟练的劳动力。这些工作中有相当一部分可以通过高中文凭或普通教育文凭,再加上行业内的短期培训计划来获得。遗憾的是,这一点并不广为人知,许多弱势群体无法获得必要的培训。通过特拉华州生物科学协会与特拉华大学特拉华州生物技术研究所之间的合作,目前正在努力制定一项试点培训计划,特别侧重于生物制造和实验室基本操作所需的技能。此外,该计划还将投入大量资源来确定和招募参与者,重点是吸引历史上代表性不足的人群参与,以及消除获得培训的障碍。其目标是将人才与该行业的现有职业联系起来,为参与者提供更多的经济流动性和财务稳定性。
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引用次数: 0
Harmonizing Progress:: Bridging BioPharma, Technology, Academia, and Healthcare for Advanced Drug Manufacturing. 协调进展::连接生物制药、技术、学术界和医疗保健,促进先进药物生产。
Pub Date : 2023-11-30 eCollection Date: 2023-11-01 DOI: 10.32481/djph.2023.11.003
Patrick Callahan

This paper proposes a quadrilateral approach to advance biopharmaceutical manufacturing by fostering collaboration among biopharma, lab informatics, healthcare systems, and academia. Through a retrospection based on Gary Pisano's analysis and real-world examples like insitro and Spark Therapeutics, we highlight the imperative of continuous process innovation and regulatory collaboration. We emphasize leveraging technological advancements, particularly in machine learning and artificial intelligence (AI), to catalyze a paradigm shift in drug manufacturing and delivery. The discussion extends to fostering academic and business partnerships, akin to Silicon Valley's ecosystem, and engaging healthcare systems in a more integrated role, exemplified by the advent of point-of-care manufacturing. The paper underscores the unique potential of the State of Delaware to propel forward the biopharma manufacturing space, advocating for a coordinated effort to translate scientific advancements into real healthcare benefits.

本文提出了一种四边形方法,通过促进生物制药、实验室信息学、医疗保健系统和学术界之间的合作来推动生物制药的生产。通过对 Gary Pisano 的分析以及 insitro 和 Spark Therapeutics 等实际案例的回顾,我们强调了持续流程创新和监管合作的必要性。我们强调要利用技术进步,特别是机器学习和人工智能(AI)技术的进步,推动药物生产和递送模式的转变。讨论还延伸到促进学术和商业合作(类似于硅谷的生态系统),以及让医疗保健系统发挥更综合的作用(以护理点生产的出现为例)。该文件强调了特拉华州在推动生物制药领域发展方面的独特潜力,主张通过协调努力将科学进步转化为真正的医疗保健效益。
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引用次数: 0
期刊
Delaware journal of public health
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