Ann And Robert H Lurie Childrens Hospital Of Chicago Chicago

East Chicago, United States

Ann And Robert H Lurie Childrens Hospital Of Chicago Chicago

East Chicago, United States
SEARCH FILTERS
Time filter
Source Type

Sanchez B.,DePaul University | Mroczkowski A.L.,DePaul University | Liao L.C.,DePaul University | Cooper A.C.,DePaul University | And 2 more authors.
American Journal of Community Psychology | Year: 2017

The aim of this study was to examine the associations among mentoring relationship quality (i.e., relational and instrumental quality), racial discrimination and coping efficacy with racial discrimination. Three social support models were tested, including the stress buffering, support mobilization, and support deterioration models. Participants were 257 urban, low-income Latina/o high school students, who completed surveys in both 9th and 10th grades. While controlling for gender and coping efficacy with discrimination in 9th grade, results supported the social support deterioration model. Specifically, there was a significant indirect effect of racial discrimination in 9th grade on coping efficacy in 10th grade through instrumental mentoring quality. As racial discrimination increased, mentoring quality decreased and then coping efficacy decreased. We also found that more racial discrimination in 9th grade was significantly associated with lower coping efficacy in 10th grade, and higher instrumental mentoring quality in 9th grade was significantly associated with higher coping efficacy in 10th grade, while controlling for gender and coping efficacy in 9th grade. Implications and recommendations for future research are discussed. © Society for Community Research and Action 2017.


Shemesh E.,Mount Sinai School of Medicine | Bucuvalas J.C.,Cincinnati Childrens Hospital Medical Center Cincinnati | Anand R.,The Emmes Corporation Rockville | Mazariegos G.V.,Hillman Center for Pediatric Transplantation Childrens Hospital of Pittsburgh of Pittsburgh | And 5 more authors.
American Journal of Transplantation | Year: 2017

Nonadherence to immunosuppressant medications is a leading cause of poor long-term outcomes in transplant recipients. The Medication Level Variability Index (MLVI) provides a vehicle for transplant outcome risk-stratification through continuous assessment of adherence. The MALT (Medication Adherence in children who had a Liver Transplant) prospective multi-site study evaluated whether MLVI predicts late acute rejection (LAR). Four hundred pediatric (1-17-year-old) liver transplant recipients were enrolled and followed for 2 years. The a-priori hypothesis was that a higher MLVI predicts LAR. Predefined secondary analyses evaluated other outcomes such as liver enzyme levels, and sensitivity analyses compared adolescents to pre-adolescents. In the primary analysis sample of 379 participants, a higher prerejection MLVI predicted LAR (mean prerejection MLVI with LAR: 2.4 [3.6 standard deviation] versus without LAR, 1.6 [1.1]; p = 0.026). Fifty-three percent of the adolescents with MLVI>2 in year 1 had LAR by the end of year 2, as compared with 6% of those with year 1 MLVI≤2. A higher MLVI was significantly associated with all secondary outcomes. MLVI, a marker of medication adherence that uses clinically derived information, predicts LAR in pediatric liver transplant recipients. © 2017 The American Society of Transplantation and the American Society of Transplant Surgeons.


Quinn K.,Medical College of Wisconsin | Dickson-Gomez J.,Medical College of Wisconsin | Nowicki K.,AIDS Foundation of Chicago Chicago | Johnson A.K.,Ann And Robert H Lurie Childrens Hospital Of Chicago Chicago | Bendixen A.V.,Center for Housing and Health Chicago
Health and Social Care in the Community | Year: 2017

Chronically homeless individuals often have extensive health, mental health and psychosocial needs that pose barriers to obtaining and maintain supportive housing. This study aims to qualitatively explore supportive housing providers' experiences and challenges with housing chronically homeless individuals and examine opportunities to improve supportive housing systems of care. In 2014, we conducted qualitative in-depth interviews with 65 programme administrators and case managers of supportive housing programmes in Chicago, IL. Data were analysed using an inductive thematic content analysis. Analysis revealed four themes that capture the primary challenges faced by housing providers: housing priorities, funding cuts, co-ordinated entry and permanency of housing. Housing for the chronically homeless has been prioritised, yet service providers are being expected to provide the necessary services to meet the needs of this population without commensurate funding increases or agency capacity. Additionally, case managers and administrators discussed the tension over housing tenure and the permanency of supportive housing. Findings provide qualitative insight into the challenges providers face implementing supportive housing for chronically homeless individuals. © 2017 John Wiley & Sons Ltd.

Loading Ann And Robert H Lurie Childrens Hospital Of Chicago Chicago collaborators
Loading Ann And Robert H Lurie Childrens Hospital Of Chicago Chicago collaborators