Correlations Between Department and Training Program Online Presence and Women in Orthopedic Surgery Training

A grant from the One-University Open Access Fund at the University of Kansas was used to defray the author's publication fees in this Open Access journal. The Open Access Fund, administered by librarians from the KU, KU Law, and KUMC libraries, is made possible by contributions from the offices of KU Provost, KU Vice Chancellor for Research & Graduate Studies, and KUMC Vice Chancellor for Research. For more information about the Open Access Fund, please see http://library.kumc.edu/authors-fund.xml.Background: Orthopedic residency programs increasingly use websites and social media to reach students. This accelerated during the COVID-19 pandemic, especially as away rotations became limited. Women remain a minority of orthopedic residents, and there are no data that indicate the correlation between department/program website content or social media presence on the gender diversity of residency classes. Methods: Orthopedic department websites were assessed between June 2021 and January 2022 to identify program director's gender, as well as the gender composition of the faculty and residents. Instagram presence for the department and/or program was also identified. Results: There was no correlation found between the residency program director's gender and the gender diversity of residents in a given program. The percentage of women faculty identified on a department website was significantly correlated with the percentage of women residents in the program, regardless of the program director's gender. While there was an increase in the percentage of women residents among programs with Instagram accounts for the class that started in 2021, this was negated when the percentage of women faculty was taken into account. Conclusion: Efforts on multiple fronts will be needed to increase the number and percentage of women applying for and training in orthopedic surgery. Given the increasing use of digital media, we need a better understanding of what information, including faculty gender diversity, can be conveyed through this format that is useful for women medical students interested in orthopedic surgery to address their concerns about the field

Building Environmentally Sustainable Communities: A Framework for Inclusivity

Reviews literature on past inequitable and unsustainable urban development and visions for linking sustainability, opportunity, and inclusion. Analyzes possible metrics for measuring sustainability and access as well as next steps for policy

The Importance of Sample Selection Bias in the Estimation of Medical Care Demand Equations

This paper examines the importance of sample-selection bias in the estimation of demand equations for physician office visits, hospital outpatient visits, and hospital inpatient days. A technique suggested by J. J. Heckman (1976) is used that tests for and, when necessary, corrects such bias. Sample-selection bias can occur because each equation is estimated on a subsample of only those who consumed that type of medical care. Sample-selections bias is found to be a significant problem when ordinary least squares is used to estimate the primary care demand equations, although only somewhat of a problem for the hospital inpatient days equation.

Thriving Communities: A Model for Community-Engaged Grantmaking

Interact for Health is a health conversion foundation serving the three-state region of Greater Cincinnati, Ohio. Its current community change initiative, Thriving Communities, is a community-learning model that helps embed health promotion and advocacy work in communities while those communities build an equitable infrastructure with stakeholders to more rapidly spread evidence-based practices. This article explores the three tools developed for the Thriving Communities initiative: Success Markers, the Developmental Pathway, and Relationship Mapping. Interact for Health has found that these tools build core competencies and confidence among grantees as well as a process for community engagement that produces results at the local level. Thriving Communities grantees are eligible for up to $50,000 in funding over five years. In addition to the general operating grants, Interact provides training, tools, and structured- learning collaboratives where grantees can network and share best practices. With five years invested in this work, Interact has found that these small, flexible grants are succeeding in developing infrastructure to continue health promotion after funding from the foundation ends

Demand satisfied by modern contraceptive among married women of reproductive age in Kenya

Background: Demand for family planning met/satisfied with modern contraceptive methods (mDFPS) has been proposed to track progress in Family Planning (FP) programs for Sustainable Development Goals. This study measured mDFPS among married women of reproductive age (MWRA) in Kenya to identify which groups were not being reached by FP programs. Materials and methods: Performance, Monitoring and Accountability 2020 (PMA2020) survey data from 2014–2018 was used. PMA2020 surveys are cross-sectional including women 15–49 years. PMA2020 used a 2-stage cluster design with urban/rural regions as strata with random selection of households. Univariate and multivariate analysis was done using stata V15. Results: Of the 34,832 respondents interviewed from 2014 to 2018, 60.2% were MWRA. There was a significant decrease in demand for FP from 2014 to 2018, p = 0.012. Lowest demand was among 15–19 and 45–49 years old women. Overall, modern contraceptive prevalence rate increased significantly from 54.6% to 60.8%, p = 0.004, being higher for women from urban areas, home visits by health care worker (HCW), educated, wealthy, visited health facilities and exposed to mass media. Unmet need for FP decreased from 23.0–13.8% over the 5-years, p\u3c0.001. Married adolescent 15–19 had the highest unmet need and those from rural areas, poor, uneducated and not exposed to mass media. mDFPS increased significantly from 69.7–79.4% over the 5-years, p\u3c0.001, with increase in long acting reversible contraception/permanent methods from 19.9–37.2% and decrease in short acting methods from 49.9–42.2%. Significant determinants of mDFPS were age, rural/urban residence, education, wealth, health facility visitation, exposure to FP messages via mass media in the last 12 months, year of study and county of residence. Conclusions: Results show a good progress in key FP indicators. However, not all MWRA are being reached and should be reached if Kenya is to achieve the desired universal health coverage as well as Sustainable Development Goals. Targeted home visits by HCW as well increase in mass media coverage could be viable interventions

Missed opportunities for family planning counselling among postpartum women in eleven counties in Kenya

Background: Mothers may access medical facilities for their babies and miss opportunities to access family planning (FP) services. This study was undertaken to describe missed opportunities for FP among women within the extended (0–11months) postpartum period from counties participating in Performance Monitoring and Accountability 2020 (PMA2020) surveys. Design and setting: This study analysed cross-sectional household survey data from 11 counties in Kenya between 2014 and 2018. PMA2020 uses questions extracted from the Demographic and Health survey (DHS) and DHS defnitions were used. Multivariable logistic regression was used for inferential statistics with p-value of \u3c0.05 considered to be signifcant. Participants: Women aged 15-49 years from the households visited. Primary outcome measure: Missed opportunity for family planning/contraceptives (FP/C) counselling. Results: Of the 34,832 women aged 15-49 years interviewed, 10.9% (3803) and 10.8% (3746) were in the period 0–11months and 12–23months postpartum respectively, of whom, 38.8 and 39.6% respectively had their previous pregnancy unintended. Overall, 50.4% of women 0-23months postpartum had missed opportunities for FP/C counselling. Among women who had contact with health care at the facility, 39.2% of women 0-11months and 44.7% of women 12-23months had missed opportunities for FP/C counselling. Less than half of the women 0-11months postpartum (46.5%) and 64.5% of women 12 – 23months postpartum were using highly efcacious methods. About 27 and 18% of the women 0-11months and 12 – 23months postpartum respectively had unmet need for FP/C. Multivariable analysis showed that being low parity and being from the low wealth quintile signifcantly increased the odds of missed opportunities for FP/C counselling among women in the extended postpartum period, p\u3c0.05. Conclusions: A large proportion of women have missed opportunities for FP/C counselling within 2 years postpartum. Programs should address these missed opportunities

The Ursinus Weekly, December 11, 1950

Jeckely calls for resistance to communism • Sheeder talks at Trinity • Juniors choose 1952 Ruby heads • Chaplain to conduct communion • Y group discusses Atlantic Union plan • Red Cross unit plays host to area chapters • Snow Ball opens Fall social season • Students, faculty give blood to Red Cross • Three seniors admitted to dramatic honor frat • Former Ursinus coach dies in auto accident • Over 200 combine to present annual Messiah production • Only memories and souvenirs remain of seniors\u27 colorful formal dance • Warren W. Walters is the official engineer, the man-on-the-spot when trouble arises • French Club holds annual Xmas party • Nachrichten Deutschen Verein • Mack re-elected • Frosberg announces jobs open to grads • Commercialized Christmas forms basis of writer\u27s satire on holiday theme • Storm plays havoc on Ursinus campus • Library has tea • Bears win second 67-38 over Temple Pharmacy • Matmen work out for coming season • Grizzlies whip Crusaders 102-71 as records fall: Bears\u27 fiery attack breaks team mark after absorbing setback by Lycoming • Girls elect Keyser basketball captain • Hooper elected as 1951 hockey captain • Derago leads district scoring; Seibel fourth • Banquet, dance to top pre-holiday festivities • Chess team wins • Thirty couples enjoy reopening of Cafe Pigalle on Saturday • Y conducts Xmas vespers • German Club fetes • Duryea holds tea • Sophs pick committee to decorate at banquet • Lit reading to be held Tuesday • Glessner addresses guildhttps://digitalcommons.ursinus.edu/weekly/1555/thumbnail.jp

Broader conceptualization of remission assessed by the remission from depression questionnaire and its association with symptomatic remission: a prospective, multicenter, observational study

Abstract Background Goals of treating major depressive disorder (MDD) include achieving remission and avoiding relapse. It is possible that patients may have a broader view of remission than what is captured via clinician-rated scales. This patient perspective may, in turn, have an impact on treatment outcomes. Methods The association between a broader conceptualization of remission, based on the Remission from Depression Questionnaire (RDQ) score at baseline, and being in symptomatic remission after 6 months was evaluated in subjects (N = 613) with MDD in symptomatic remission at baseline (17-item Hamilton Rating Scale for Depression [HAMD-17] ≤7). Specific aspects of depression were assessed from physician and patient perspectives as secondary endpoints. A backwards selection strategy was used to statistically model remission status and determine association of factors with potential to influence remission. Results At month 6, after adjustment for baseline HAMD-17 score, there was no association between baseline RDQ score and symptomatic remission status (HAMD-17), relapse, composite remission status, healthcare resource utilization, or quality of life. There was no association between functional impairment scores at baseline (Sheehan Disability Scale and Social and Occupational Functioning Assessment Scale) and symptomatic remission status (HAMD-17) at month 6. Conclusions This study indicates that RDQ-constructs are independent from symptomatic remission. Symptom severity at study entry appeared to be the only significant predictor of eventual relapse during the 6-month follow-up period. However, our results also suggest that the current definition of remission that is based on symptom reduction should be further elaborated and that alternative or additional definitions should be considered in determining remission

The Service Use Index: A Tool for Examining Rural/Urban Differences

Development of tools for identifying and tracking differences in older adult service utilization by race, ethnicity, income, and geographic area is vital in the face of current demographic and economic changes in rural areas, particularly in areas experiencing rapid demographic changes. In this conceptual article, we explain how to calculate a service use index that compares service utilization of a specific group of older adults to that of the entire older adult population. We then illustrate its usefulness with a case example using geographic information systems (GIS). This unique approach can be utilized to understand differences across fields of practice, enhance planning to address differences, and monitor changes over time