Browsing by Author "García-Huidobro Munita, Diego Nicolas"

Now showing 1 - 4 of 4
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    "Between Us" at the corner of primary care and health equity: system wide primary care intervention to provide confidential care to those who need it the Most
    (Elsevier Science Inc, 2018) Svetaz, María Verónica; Sixberry, Rachel; García-Huidobro Munita, Diego Nicolas
    Purpose: Between Us is a system-wide intervention at the Hennepin County Medical Center (HCMC), a safety net healthcare network providing care for low-income, uninsured, and vulnerable populations in the Hennepin County in Minnesota. Between Us promotes confidential youth services and parent education (http://www.betweenushealth.com/). Funded through a Family Planning Special Project of the Minnesota Department of Health and a Title X Family Planning grant from the U.S. Department of Health and Human Services, Between Us has developed confidential clinical encounters in the electronic health record (EPIC) and funds sexual health services for adolescents and young adults, including clinical visits, laboratory testing, prescriptions, and procedures. Between Us began training professionals providing clinical care for adolescents and young adults at the HCMC in 2013 and begun funding sexual health services in 2014. This study reports the first evaluation of the Between Us intervention in the complete HCMC network and describes the population served, providers engaged with the program, and services delivered.
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    Detección del SARS-CoV-2 mediante RT-qPCR utilizando saliva en pacientes ambulatorios con estudio de COVID-19
    (2022) Perret Pérez, Cecilia; Abarca Villaseca, Katia; Solari Gajardo, Sandra; Aguilera, Pablo; García-Huidobro Munita, Diego Nicolas; Olivares, Felipe; Palma, Carlos; Contreras, Ana María; Martínez Valdebenito, Constanza Pamela; Ferrés, Marcela
    La pandemia de COVID-19 ha afectado a millones de personas en todo el mundo. La identificación de sujetos infectados ha sido importante para el control. Objetivo: Evaluar el rendimiento deuna reacción de polimerasa en cadena (RPC) cuantitativa en tiempo real (en inglés: RT-qPCR) para SARS-CoV-2, utilizando saliva como matriz en comparación con un hisopado nasofaríngeo (HNF). Metodología: Se reclutaron adultos en atención ambulatoria, la mayoría sintomáticos. Fueron estudiadas 530 muestras pareadas de saliva e HNF con RT-qPCR. Resultados: Fueron positivas 59 muestras de HNF y 54 de saliva. La sensibilidad con saliva fue 91%, especificidad 100%, el valor predictor positivo (VPP) 100%, valor predictor negativo (VPN) 98%. El índice Kappa fue de 0,95 y LR-0,08. En promedio, el umbral de ciclo (en inglés cycle threshold-CT) de la saliva fue 3,99 puntos más alto que los de HNF (p < 0,0001) mostrando que la carga viral (CV) es menor en saliva. La carga viral en ambas disminuyó con el tiempo después del inicio de los síntomas. El muestreo de saliva fue preferido por los sujetos en lugar de HNF. Conclusión: Este estudio demuestra que la RPC para SARS-CoV-2 utilizando saliva, es adecuada para el diagnóstico de COVID-19 en adultos ambulatorios,especialmente en la etapa temprana de los síntomas.
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    Family Oriented Care: Opportunities for Health Promotion and Disease Prevention
    (2015) García-Huidobro Munita, Diego Nicolas; Mendenhall, Tai
    Even though life expectancy has increased in industrialized countries, chronic diseases and mental illnesses are continuous health challenges. Thus, new strategies to further improve health must be implemented. Because family contexts are where health behaviors are usually learned, developed, maintained and changed, targeting family systems (rather than individual patients) is an option to further improving the health status of individuals, families, and communities. This article will review possibilities for including family members in health services and provide suggestions for clinicians, clinic managers, researchers and policy makers for the implementation of this clinical approach.
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    Family Violence, PTSD, and Parent-Child Interactions: Dyadic Data Analysis with Mexican Families
    (SPRINGER, 2020) Cooper, Daniel K.; Erolin, Kara S.; Wieling, Elizabeth; Durtschi, Jared; Aguilar, Elizabeth; Diaspro Higuera, Maria Oriana; García-Huidobro Munita, Diego Nicolas
    Background Family violence has been shown to have a dramatic impact on individual and family life in the United States and other countries. Numerous studies have assessed the influence that exposure to violence can have on family dynamics and parent-child relationships. However, less is known about the association between family violence and parent-child relationships with Mexican families. Objective Guided by social interaction learning theory, the purpose of this study was to explore the link between family violence, PTSD, and mother-child interaction patterns. Methods Eighty-seven mother-child dyads from Mexico completed assessments for exposure to family violence and PTSD symptoms. We coded and analyzed observational tasks to assess prosocial parent-child interactions, such as positive communication and problem solving. We conducted an actor-partner independence model (APIM) to examine the association between exposure to family violence, PTSD and mother-child relationship dynamics. Results As expected, higher exposure to family violence was linked to higher PTSD symptoms for mothers. Unexpectedly, higher maternal PTSD symptoms were associated with better communication during dyadic interaction tasks with their children. Conclusions The present study suggests that individuals from certain cultures (i.e., Mexico) may respond differently to experiencing family violence. The use of multiple measurement methods to assess the relational effects of trauma on family dynamics can advance the scientific understanding of trauma affected families.