Last data update: May 13, 2024. (Total: 46773 publications since 2009)
Records 1-6 (of 6 Records) |
Query Trace: Cordell R[original query] |
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Reply: "Building the pipeline: programs to introduce middle school, high school, medical, and veterinary students to careers in epidemiology and public health"
Cordell RL , Cordeira KL , Cohen LP , Bensyl DM . Ann Epidemiol 2018 28 (9) 655 We appreciate the author’s support for the movement to introduce epidemiology into middle and high schools. The author provides great insights into the opportunities and benefits of bringing epidemiology and public health sciences (EPHS) education into classrooms nationwide. They also appropriately emphasized the importance of using evaluation data to drive program development and enhancement. | | As we continue to implement the programs described in our report, we rely on evaluation data to guide our activities. For example, we have identified important patterns and trends over the last decade, including those the author mentions, such as who is being served by our national Science Ambassador program and an increased interest in teaching EPHS in middle and high school. These data have guided modifications of our recruitment and outreach strategies to expand our overall program reach to now include teachers and educational leaders representing 46U.S. states and territories and five countries in 2018. It also led to the 2018 piloting of 2-day regional training programs to reach over 120 additional teachers representing schools in targeted geographic areas, including those that are underserved. Furthermore, the transition of the national Science Ambassador program from a week-long workshop to a year-long fellowship in 2017 will enable us to evaluate how and to whom our curricula are taught in schools over the course of the following academic year. We look forward to sharing such information in the near future to guide additional efforts beyond our programs. |
Building the pipeline: programs to introduce middle school, high school, medical, and veterinary students to careers in epidemiology and public health
Cordell RL , Cordeira KL , Cohen LP , Bensyl DM . Ann Epidemiol 2017 27 (11) 752-755 PURPOSE: This report describes Centers for Disease Control and Prevention programs that expose students to epidemiology and public health sciences (EPHS). METHODS: The Science Ambassador workshop targets middle and high school teachers and promotes teaching EPHS in the classroom. The National Science Olympiad Disease Detectives event is an extracurricular science competition for middle and high school students based on investigations of outbreaks and other public health problems. The Epidemiology Elective Program provides experiential learning activities for veterinary and medical students. RESULTS: As of 2016, 234 teachers from 37 states and territories and three other countries participated in SA workshops. Several are teaching units or entire courses in EPHS. The National Science Olympiad Disease Detectives event exposed approximately 15,000 middle and high school students to EPHS during the 2015-2016 school year. The Epidemiology Elective Program has exposed 1,795 veterinary and medical students to EPHS. CONCLUSIONS: Students can master fundamental concepts of EPHS as early as middle school and educators are finding ways to introduce this material into their classrooms. Programs to introduce veterinary and medical students to EPHS can help fill the gap in exposing older students to the field. Professional organizations can assist by making their members aware of these programs. |
Genetic Analysis Workshop 18: Methods and strategies for analyzing human sequence and phenotype data in members of extended pedigrees.
Bickeboller H , Bailey JN , Beyene J , Cantor RM , Cordell HJ , Culverhouse RC , Engelman CD , Fardo DW , Ghosh S , Konig IR , Lorenzo Bermejo J , Melton PE , Santorico SA , Satten GA , Sun L , Tintle NL , Ziegler A , MacCluer JW , Almasy L . BMC Proc 2014 8 S1 Genetic Analysis Workshop 18 provided a platform for developing and evaluating statistical methods to analyze whole-genome sequence data from a pedigree-based sample. In this article we present an overview of the data sets and the contributions that analyzed these data. The family data, donated by the Type 2 Diabetes Genetic Exploration by Next-Generation Sequencing in Ethnic Samples Consortium, included sequence-level genotypes based on sequencing and imputation, genome-wide association genotypes from prior genotyping arrays, and phenotypes from longitudinal assessments. The contributions from individual research groups were extensively discussed before, during, and after the workshop in theme-based discussion groups before being submitted for publication. |
Costs attributable to healthcare-acquired infection in hospitalized adults and a comparison of economic methods
Roberts RR , Scott 2nd RD , Hota B , Kampe LM , Abbasi F , Schabowski S , Ahmad I , Ciavarella GG , Cordell R , Solomon SL , Hagtvedt R , Weinstein RA . Med Care 2010 48 (11) 1026-35 BACKGROUND: Hospitals will increasingly bear the costs for healthcare-acquired conditions such as infection. Our goals were to estimate the costs attributable to healthcare-acquired infection (HAI) and conduct a sensitivity analysis comparing analytic methods. METHODS: A random sample of high-risk adults hospitalized in the year 2000 was selected. Measurements included total and variable medical costs, length of stay (LOS), HAI site, APACHE III score, antimicrobial resistance, and mortality. Medical costs were measured from the hospital perspective. Analytic methods included ordinary least squares linear regression and median quantile regression, Winsorizing, propensity score case matching, attributable LOS multiplied by mean daily cost, semi-log transformation, and generalized linear modeling. Three-state proportional hazards modeling was also used for LOS estimation. Attributable mortality was estimated using logistic regression. RESULTS: Among 1253 patients, 159 (12.7%) developed HAI. Using different methods, attributable total costs ranged between $9,310 to $21,013, variable costs were $1,581 to $6824, LOS was 5.9 to 9.6 days, and attributable mortality was 6.1%. The semi-log transformation regression indicated that HAI doubles hospital cost. The totals for 159 patients were $1.48 to $3.34 million in medical cost and $5.27 million for premature death. Excess LOS totaled 844 to 1373 hospital days. CONCLUSIONS: Costs for HAI were considerable from hospital and societal perspectives. This suggests that HAI prevention expenditures would be balanced by savings in medical costs, lives saved and available hospital days that could be used by overcrowded hospitals to enhance available services. Our results obtained by applying different economic methods to a single detailed dataset may inform future cost analyses. |
Pandemic influenza planning: addressing the needs of children
Stevenson E , Barrios L , Cordell R , Delozier D , Gorman S , Koenig LJ , Odom E , Polder J , Randolph J , Shimabukuro T , Singleton C . Am J Public Health 2009 99 S255-60 Children represent one quarter of the US population. Because of its enormous size and special needs, it is critically important to address this population group in pandemic influenza planning. Here we describe the ways in which children are vulnerable in a pandemic, provide an overview of existing plans, summarize the resources available, and, given our experience with influenza A(H1N1), outline the evolving lessons we have learned with respect to planning for a severe influenza pandemic. We focus on a number of issues affecting children-vaccinations, medication availability, hospital capacity, and mental health concerns-and emphasize strategies that will protect children from exposure to the influenza virus, including infection control practices and activities in schools and child care programs. |
Hospital and societal costs of antimicrobial-resistant infections in a Chicago teaching hospital: implications for antibiotic stewardship
Roberts RR , Hota B , Ahmad I , Scott II RD , Foster SD , Abbasi F , Schabowski S , Kampe LM , Ciavarella GG , Supino M , Naples J , Cordell R , Levy SB , Weinstein RA . Clin Infect Dis 2009 49 (8) 1175-84 BACKGROUND: Organisms resistant to antimicrobials continue to emerge and spread. This study was performed to measure the medical and societal cost attributable to antimicrobial-resistant infection (ARI). METHODS: A sample of high-risk hospitalized adult patients was selected. Measurements included ARI, total cost, duration of stay, comorbidities, acute pathophysiology, Acute Physiology and Chronic Health Evaluation III score, intensive care unit stay, surgery, health care-acquired infection, and mortality. Hospital services used and outcomes were abstracted from electronic and written medical records. Medical costs were measured from the hospital perspective. A sensitivity analysis including 3 study designs was conducted. Regression was used to adjust for potential confounding in the random sample and in the sample expanded with additional patients with ARI. Propensity scores were used to select matched control subjects for each patient with ARI for a comparison of mean cost for patients with and without ARI. RESULTS: In a sample of 1391 patients, 188 (13.5%) had ARI. The medical costs attributable to ARI ranged from $18,588 to $29,069 per patient in the sensitivity analysis. Excess duration of hospital stay was 6.4-12.7 days, and attributable mortality was 6.5%. The societal costs were $10.7-$15.0 million. Using the lowest estimates from the sensitivity analysis resulted in a total cost of $13.35 million in 2008 dollars in this patient cohort. CONCLUSIONS: The attributable medical and societal costs of ARI are considerable. Data from this analysis could form the basis for a more comprehensive evaluation of the cost of resistance and the potential economic benefits of prevention programs. |
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