Review Archives - Health Mettler Institute

March 5, 2023

Government must make its review of Relationships, Sex and Health Education a top priority

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We have an unmissable chance to guidance our younger people this calendar year.

In 2023, the governing administration will assessment its advice on Associations, Intercourse and Overall health Instruction (RSHE), three decades on from the begin of obligatory lessons in schools throughout England. On the other hand, investigate released yesterday by the Intercourse Instruction Forum finds stressing gaps in RSHE, with a lot of younger people nevertheless to obtain the superior-excellent curriculum they have been promised and a disconnect amongst pledged financial commitment and the assistance academics are getting on the ground. The assessment is a probability for us to correct this dire oversight.

The potential risks our youthful individuals experience currently are unparalleled, and the critical to safeguard our little ones the two on and offline is just as powerful as it was when RSHE advice for colleges was released with frustrating cross-occasion assist in 2019. This week, the PM defended the need to have for high quality RSHE, saying, “We do hope educational institutions to just take liable and wise decisions on their RHSE curriculum, making positive that those people materials are age-proper, appropriate, politically impartial and price for revenue.”

In simple fact, worries about young people’s publicity to harmful information online have only intensified. Latest study from the Children’s Commissioner identified 27{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f} of 11-year-olds had noticed pornography, and 79{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f} encountered violent pornography just before the age of 18. Larger frequency of pornography use is tied to a larger likelihood of engaging in sexual violence, and unfettered entry to specific and intense sexual substance on the internet is distorting teenagers’ expectations. Worse, it’s implicated in lasting emotional and actual physical trauma to innumerable younger folks.

Although steps this sort of as the On-line Security Monthly bill provide the likelihood to handle some of these risks, we would be letting our students down if we did not also give a strong tactic to prevention by means of education.

Where by much better to get started than listening to what youthful men and women have to say about their activities in the classroom – and what they really feel they will need to learn in get to develop respectful and healthier associations. Investigate out today, commissioned by the Intercourse Instruction Forum, reveals what youthful people actually come to feel about RSHE. Only forty percent of respondents amount the high quality of their faculty RSE as ‘good’ or ‘very superior,’ which is on par with the 2019 pre-required RHSE poll. This tells us that the top quality RSHE we promised our pupils has not however turn out to be a actuality.

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Reversing the tendencies of misogyny, online damage and a long time of concealed kid sexual abuse will hardly ever be brief or quick

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The report reveals that critical matters included in the unique obligatory curriculum are nevertheless currently being skipped. For illustration, 58{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f} of respondents learnt not plenty of or nothing at all about pornography and 54{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f} learnt not adequate or practically nothing about how to inform if a marriage (which includes individuals on line) is healthful), with information related to folks who are LGBTQ+ equally neglected. The additional organic facets of RSHE are currently being included – with only 30{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f} of respondents stating they learned not sufficient or practically nothing about puberty, for illustration – but we are continue to leaving youthful people today unprepared on matters this kind of as abusive associations, attitudes toward girls and id.

At a time when the government has often referred to RSHE as integral to their tackling violence in opposition to women of all ages and girls tactic and as a basic section of safeguarding little ones, it is horrifying that youthful persons come to feel these subject areas are staying overlooked. Research shows us that instruction programmes definitely do function in lessening sexual violence and bad sexual health. Still to make these programmes work, we want to contain youthful persons and recognize what topics they feel they have to have to learn much more about.

We also will need to assistance our faculties and our academics in providing these lessons. 5 hundred and 30-eight MPs voted to help mandatory RSHE in 2019, and the Section of Training pledged £6 million in funding. We read a large amount of talk about supporting colleges, but only £3.2 million of that funding was ever put in, and the promised teaching for lecturers didn’t scratch the area. How can we assume academics to tackle concerns like violent on the internet written content if they are largely left to their individual units, and 46{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f} of secondary faculty academics say they absence self esteem with RSHE? (NSPCC and NASUWT)

The govt, moms and dads and students count on a good deal out of RSHE – but to make it the capture-all we hope for, we have to have to make huge adjustments. Firstly, youthful people’s sights and encounters must be central to the generation of the programme. Learners are vital for checking RSHE and flagging if critical topics are remaining missed. Both of those authorities and universities on their own would do properly to check with young people routinely for responses, reply to the superb recommendations from pupils about how to satisfy their needs and be accountable when RSHE does not fulfill our benchmarks. Secondly, we need a lengthy-expression and correctly funded strategy to practice and guidance a generation of professional RSHE academics. Now is the second to give RSHE the sort of professionalisation we hope of any other required subject matter.

Reversing the traits of misogyny, on the internet damage and a long time of concealed youngster sexual abuse will under no circumstances be rapid or quick. We have to have to use each and every instrument we can to continue to keep youngsters harmless, empower them to be lively allies for equality, and to look for and give help when essential. All this is dependent on giving youthful men and women a voice and lecturers the expertise and training to open up up relevant, significant conversations.

This is the calendar year we can make a difference for how young children and young folks prepared them selves to grow to be respectful, upstanding associates of culture and how safely and securely and confidently they navigate contemporary realities. I labored closely with Parliamentarians throughout get-togethers to convey about the landmark improve in laws as a result of the Youngsters and Social Get the job done Act 2017, and via cross-get together aid we can see this by way of. It is in everyone’s pursuits that we do.

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February 20, 2023

Education Department to review rules for online program providers

The Education Division is planning to enhance oversight of the outside contractors that faculties and universities use to enable operate online plans.

The on the internet software management organizations, or OPMs, have developed in the last decade, but critics have accused the business of participating in aggressive recruiting methods and questioned the legality of the OPMs’ business practices. Supporters of the providers say they have helped grow online offerings in larger education and learning at a time when institutions lacked the potential to produce systems and that even more regulation would dampen innovation.

OPMs have confronted escalating scrutiny in the latest a long time from congressional Democrats and customer groups, which have criticized the Education Department’s oversight of the industry. Previous year, the Government Accountability Office environment reviewed the companies and urged more scrutiny from the Training Department, finding that the agency did not have ample information to gauge the scale or legality of the companies’ agreements with establishments.

To deal with that discovering, the office explained in steering issued Wednesday that OPMs and any entity that provides recruitment services for a school are viewed as 3rd-bash servicers, subjecting the companies’ contracts with institutions to normal audits. Schools and universities are demanded to report details of their agreements to the office by May 1.

“That will supply important transparency into what’s going on,” reported Robert Shireman, who worked in the Instruction Division throughout the Obama administration and is now a senior fellow at the Century Basis, a progressive consider tank. “The Department of Education and then the rest of us will learn a lot more about the contracts that institutions have, and there will be increased scrutiny and accountability for the OPM contractors if they are concerned in recruiting learners.”

A key problem for critics and the Training Office is the earnings-sharing agreement concerning the OPMs and schools, in which the company receives a share of the programs’ tuition revenue. Federal legislation prohibits establishments of larger education and learning from delivering a fee or bonuses to individuals or entities primarily based on securing enrollment or financial assist.

Nevertheless, third events are exempt from the ban on incentive compensation if they deliver a bundled established of providers, as outlined in direction issued in 2011. That way, a enterprise could receive fiscal gains for enrolling learners as extended as it also pays for other solutions, these types of as technological innovation assistance, in addition to college student recruitment.

Shireman, who worked in the Obama administration when the 2011 direction was issued and who has considering the fact that called for it to be rescinded, said he sees the department’s evaluation as a feasible first step in rescinding that 2011 guidance.

“We think it is now vital for the OPM corporations to put ahead their proposals, as perfectly as establishments, faculties and universities, about how considerably of their tuition can they deliver to a recruiter off-internet site without having violating the incentive-payment ban,” he stated.

OPMs have commenced to go absent from the income-sharing product, charging fixed charges for certain expert services as an alternative subsequent the elevated scrutiny and changing training landscape.

Section officers stated in a information launch that “the number of college students recruited by entities operating less than this exception has increased” because the advice was issued. To learn far more about how that exception has impacted greater instruction and whether updates are necessary, the department will maintain two listening sessions on March 8 and 9.

‘Online instruction has the possible to satisfy the requires of quite a few pupils and decrease prices,” Less than Secretary James Kvaal explained in a assertion. “But we are concerned about the growth in personal loan debt and want to make certain college students get benefit for their money. These listening sessions are element of the department’s determination to undertake a careful, truthful, and thorough evaluation of the rules about how contractors recruit learners for on the net packages.”

Pearson and 2U—two of the larger sized on-line method companies—said in statements that they appeared forward to doing the job with the section and supported greater transparency measures.

“Innovation in instruction is vital to our place, and 2U and organizations like us have come to be a critical component of driving innovation, obtain, and affordability in the greater education ecosystem,” a 2U spokesperson stated in a assertion. “Safeguarding and protecting college students is an important part of the equation, and we appear forward to operating with the division to help guarantee that our business is serving the very best pursuits of students, universities and taxpayers.”

Shopper teams and consider tank analysts normally applauded the department’s announcement.

“The bundled-services loophole to the incentive-payment ban has led to the subsequent frontier of predatory practices in larger training,” said Aaron Ament, president of the Countrywide Scholar Lawful Protection Community. “This has ripened the ailments for misleading and defrauding college students, and we have already viewed proof of damage induced by this lack of oversight.

The network and Tycko & Zavareei LLP sued 2U and the College of Southern California late last yr, alleging that both entities significantly misled college students. The lawsuit is continue to pending.

North Carolina agent Virginia Foxx, the Republican who chairs the Dwelling Committee on Education and the Workforce, criticized the conclusion and mentioned in a assertion that she hoped the Biden administration was ready to pay attention to all the points.

“While I share the belief that we must ensure programs supply worth to students and taxpayers, it is under no circumstances likely to get the job done for the section to drive blanket compliance procedures onto entities, especially those businesses that support learners comprehensive their education by means of productive retention techniques,” her assertion stated.

Overreach or Needed Oversight?

Trace Urdan, handling director at Tyton Partners, claimed the assistance designating OPMs as third-celebration servicers was “potentially alarming” and an overreach of the department’s authority.

Any entity involved with the administration of an institution’s federal university student aid is viewed as a third-social gathering servicer. That incorporates contracts that manage college student loans or operate economical help functions.

Urdan explained that underneath the latest guidance, any company that contracts with an establishment that participates in the federal economic aid system could be issue to federal regulation.

“This definition is growing to enable for immediate regulation of a 3rd occasion, and I assume the problem is that there is no genuine restricting basic principle there,” he stated, introducing that these a modify could discourage outside the house investment in better instruction.

Ben Kennedy, a consultant who advises colleges on their on the web approach, stated the change in third-occasion servicers will likely be an administrative inconvenience but not the loss of life knell for OPMs.

If the 2011 advice is rescinded, that would be a big acquire for institutions currently in a revenue-sharing arrangement, for the reason that they could renegotiate contracts, he mentioned. But he doesn’t consider the department has to go that much. Alternatively, the company could include disclosure prerequisites and other stipulations to make them unpalatable.

Additional facts about the contracts also would profit establishments, he claimed.

Stephanie Hall, a senior fellow at the Centre for American Development who’s researched OPMs and been vital of the preparations, mentioned that bringing OPMs underneath the 3rd-occasion-servicer umbrella will at minimum increase oversight. That modify also would make the businesses and establishments “jointly and severally liable” for any violation.

“Third-occasion OPMs have been equipped to conceal guiding seriously crafty language in their contracts that keeps them from getting responsible for any violations,” she explained. “It locations all the duty on the institution.”

She’s thrilled to listen to from learners and institutions, especially people that are locked in extensive-term contracts, all through the listening classes subsequent month.

“Hopefully it’s a possibility for the department to hear what some of the impacts are and how common those impacts are,” she mentioned. “One detail that I would hope will come out of that is that the office will get details so they can shift forward with both rescinding or revising that bundled provider steerage.”

December 30, 2022

Equity within digital health technology within the WHO European Region: a scoping review – World

Digital health and fitness not accessible by everybody similarly, new analyze finds

A new WHO/Europe examine has located that digital wellbeing technologies are not obtainable to all communities and places in Europe equally, increasing considerations over the equitable use of electronic tools for health and fitness. The study reveals that folks with lousy overall health are among the kinds struggling the most in accessing these tools.

The research was carried out jointly with the Public Well being Data, Information and Research Directorate of Public Wellness Wales. It summarizes the evidence from 2016 to 2022 on inequity in access, use and engagement with electronic health systems.

“These conclusions are important, because they mail a warning signal. Despite the fact that we know that electronic instruments can go a extended way in improving people’s obtain to overall health and well being workers’ means to care for people today, we are now discovering that the applications are not offered to all people similarly, particularly to people with fundamental wellbeing disorders,” suggests Dr David Novillo-Ortiz, Regional Adviser on Data and Digital Wellbeing at WHO/Europe.

“We need a far better knowledge of why this inequity persists, and how we can boost people’s means to accessibility, use and interact with digital overall health instruments. That is the only way we can really leverage the electrical power of digital solutions so that a extra equitable potential for digital health and fitness can be developed, ensuring no one particular is remaining at the rear of,” he factors out.

Digital technologies are sensible devices and related machines that strengthen wellness. They include things like artificial intelligence, electronic platforms, software, wearable products, and equipment that seize and share data and pertinent health details throughout units. These technologies can assistance overall health workers and increase prognosis, procedure and quality of care.

Main drivers of inequity in obtain to and use of electronic health and fitness instruments

The examine notes that patterns in entry, use and engagement with digital systems differ across populations. Digital well being systems are likely to be applied additional commonly in city places, and a lot less by people from ethnic minorities and those people experiencing language boundaries.

The research also found better use of digital wellness equipment by people with far more advanced instruction degrees and better economic status. Younger people had been also uncovered to use tools additional than more mature grownups.

Professor Alisha Davies, Head of Analysis and Analysis at Public Health and fitness Wales, describes, “This is just one of the most extensive scoping assessments of equity in electronic wellbeing systems in the WHO European Location. The conclusions highlight vital evidence gaps across 10 domains of equity, and the significance of embedding fairness into the improvement and integration of digital technological know-how in well being to be certain gains are maximized and unintended implications are prevented.”

The study warns that, while quite a few health-care vendors are more and more making use of electronic health and fitness technologies to enable people and the general public to far better handle their well being, a emphasis on these technologies “may inadvertently widen current inequities in wellbeing, if recognized inequalities in access, use and engagement with digital technological know-how are not deemed and addressed”.

Some of the ways in which these worries can be addressed consist of:

getting a popular framework to monitor engagement with digital technological know-how for health across fairness domains
mapping inequities in electronic infrastructure
addressing barriers to entry digital overall health
locating the most productive ways to make digital skills for people most in want and
addressing obtain for individuals with disabilities or language boundaries.

Regional digital wellness motion prepare

The uptake and advancement of digital health and fitness systems have the possible for prevalent added benefits by way of far more economical and qualified health treatment. Equitable, patient-centred approaches are at the centre of WHO/Europe’s regional digital health and fitness action approach.

WHO/Europe encourages nations around the world in the Location to develop repositories of great tactics, fortify health fairness approaches and gender equality, and acquire integrated answers to keep track of and consider digital wellbeing guidelines and interventions.

December 29, 2022

2022 Health Sciences Year in Review: UNM Newsroom

The University of New Mexico’s Health Sciences Center (HSC) had quite a year as reflected by several construction projects including the new Critical Care Tower and the College of Nursing and Population Health Building. Not only were construction workers busy throughout the year, but so were HSC scientists conducting research involving the hazards of wildfire smoke to non-invasive brain stimulation to a new MRI technique to create time-lapse images as the brain responds to experiences and the arrival of the Omicron variant in New Mexico. In addition, several HSC staff members were recognized for a variety of achievements from retirement to leadership.

Below is a select list based of HSC’s 2022 Year in Review highlighting UNM students, faculty, and staff accomplishments. Click on the headline to read the full story for each listing.

New Hospital Tower

In 2021, UNM Hospital broke ground on a seven-level, 96-bed critical care tower. Over a decade in the making, this contemporary medical facility will help UNMH further its mission of caring for more New Mexicans in New Mexico when it debuts in 2024. Now, UNMH is taking construction on the tower to new heights. Earlier this year, the New Mexico Higher Education Department and State Board of Finance gave UNMH the green light to move forward with a vertical expansion of the new tower. This ambitious development adds two additional floors and even more hospital beds to the tower.

Studying the Hazards of Wildfire Smoke

University of New Mexico researchers have received federal funding to study how exposure to wildfire smoke creates signs of premature aging in the brain – and look for ways to inhibit the process. Thanks to a five-year, $3.7 million grant from the National Institute on Aging and the National Institute of Environmental Health Sciences, a multi-disciplinary team led by Matthew Campen, Regents’ professor in the UNM College of Pharmacy, will investigate how inhaled smoke particles travel from the lungs to erode the blood-brain barrier.

College of Nursing’s MSN Program Highly Ranked

The University of New Mexico College of Nursing’s master of science in nursing and doctor of nursing practice are again ranked among the best nursing programs in the nation and the top in New Mexico, according to the latest ranking from U.S. News & World Report’s 2023 edition of America’s Best Graduate Schools. UNM’s master of science in nursing program is ranked 61st in the nation and fourth in the Mountain West. The doctor of nursing practice program is ranked 80th nationally and fifth in the Mountain West. Both programs earned the top spot in the state of New Mexico.

Physical Therapy Student Jessica Yeaton Competes in the Winter Olympics

Whenever she takes a break from her studies in The University of New Mexico Physical Therapy program, Jessica Yeaton likes to strap on her cross-country skis and head to the snowy upper reaches of the Sandia Mountains for a workout. But this week, Yeaton will heading to Beijing for the 2022 Winter Olympics as a member of Australia’s cross-country ski team. It’s the 30-year-old’s second Olympic appearance: in 2018 she was in South Korea for the winter games.

Researchers Study Non-Invasive Brain Stimulation for Mild Traumatic Brain Injury

University of New Mexico researchers are leading a multi-center study to see whether noninvasive brain stimulation can improve the cognitive symptoms of traumatic brain injury in veterans. The three-year $4 million trial, funded by the U.S. Department of Defense, will recruit participants from Veterans Affairs hospitals in Albuquerque and Minneapolis, said Davin Quinn, professor in the UNM Department of Psychiatry & Behavioral Sciences, who serves as principal investigator.

Project ECHO Launches Program to Boost Vaccine Confidence in Rural New Mexico

Project ECHO at The University of New Mexico Health Sciences Center is launching a new program to increase COVID-19 vaccination rates in New Mexico’s rural and underserved communities. The program will help front-line health workers gain essential skills in listening techniques, motivational interviewing and effective messaging. They will also learn how to help their clients find vaccination sites and transportation, overcoming some of the difficulties in accessing vaccines in rural areas.

UNM Health Sciences Received Record $239 in External Research Funding in FY 2022

The University of New Mexico Health Sciences was awarded nearly $239 million in external funding in FY 2022, a new record that builds on year-over-year increases in grant funding for 17 of the past 18 years. In addition, UNM Health Sciences researchers have for the first time collectively received more than 1,000 active grants.

UNM Health Sciences Receives Grant to Support Diversity in Young Biomedical Researchers

The University of New Mexico’s Biomedical Sciences Graduate Program (BSGP) has been awarded a five-year $2.71 million grant from the National Institute of General Medical Sciences to develop a diverse pool of Ph.D. researchers. The Initiative to Maximize Student Development (IMSD) program is part of the National Institutes of Health T32 funding mechanism. It joins three other UNM Health Sciences T32 awards, said Nancy Kanagy, chair of the Department of Cell Biology & Physiology and principal investigator for the new grant.

UNM Health Sciences Redesignated a World Health Organization Collaborating Center

The Office of International Health at The University of New Mexico Health Sciences has been redesignated as a collaborating center by the World Health Organization/Pan American Health Organization (WHO/PAHO). Arthur Kaufman, vice president for Community Health, and Amy Clithero, principal lecturer in the Department of Family & Community Medicine, will serve as co-directors of the Collaborating Center for Innovative Health Workers Education, Service and Research Models

UNM Sandoval Regional Medical Center Designated a Level III Trauma Center

The New Mexico Department of Health EMS Bureau has certified The University of New Mexico Sandoval Regional Medical Center (SRMC) as a Level III trauma center. Going forward, SRMC will be equipped to handle the needs of lower-level trauma patients whose injuries can be treated by a general surgeon or an orthopedic surgeon. Patients with traumatic brain injury and other acute conditions would be transported to the Level I trauma center at UNM Hospital.

UNM Physician Volunteers in Ukraine to Help with Refugee Crisis

More than two million people have fled the Russian invasion of Ukraine over the past two weeks, pouring into neighboring central European countries. University of New Mexico physician Matthew Wilks, chief medical officer and chief quality officer at Sandoval Regional Medical Center in Rio Rancho, has headed in the opposite direction, crossing into Ukraine to establish aid stations manned by volunteer health providers. Wilks belongs to Team Rubicon, an international disaster relief organization

UNM Scientists Use New MRI Technique to Create Time-Lapse Images as the Brain Responds to Experiences

Magnetic resonance imaging (MRI) has transformed the field of neuroscience over the past 40 years, enabling scientists to create clear snapshots of living brain structures and even detect functional changes associated with certain activities. Unlike X-rays or CT scans, MRI does not rely on beams of radiation. Instead, powerful magnetic fields and radio waves are used to temporarily align the hydrogen atoms in the body’s water molecules, meaning it can create a clear picture of soft tissues, like the brain.

More Rodent Species in New Mexico Found to Carry Deadly Hantavirus

Each spring, as rodents emerge from their burrows, Four Corners residents cleaning out storage sheds or woodpiles know to be on the lookout for tiny deer mice, which can carry the deadly Sin Nombre hantavirus. Steven Bradfute, an associate professor in The University of New Mexico Center for Global Health and Department of Internal Medicine, and an expert in virology, immunology and microbiology, has spent years teasing out the secrets of the virus, which kills nearly 40{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f} of those who become infected.

UNM Cancer Center Participates in National Bladder Cancer Clinical Trial

Bladder cancer affects nearly 84,000 people in the United States each year, making it the sixth most common cancer. Most people survive it, but unfortunately, many lose their bladders. Dr. Neda Hashemi, and her team at The University of New Mexico Comprehensive Cancer Center are now offering several clinical trials, including one that will give people with bladder cancer a chance to fight their disease and keep their bladders.

UNM Among First to Receive ACGME Accreditation for Neuro-Critical Care Fellowship

The University of New Mexico Department of Neurology is among the first programs in the nation to receive full accreditation for a fellowship in neurocritical care. Recognition of UNM’s two-year fellowship program by the Accreditation Council for Graduate Medical Education (ACGME) is a major accomplishment because “neurocritical care is a subspecialty that has been in existence for 30 years, but has had to tackle many hurdles as it grew beyond the major coastal universities,” said fellowship program director Dr. Diana Greene-Chandos, associate professor of Neurology.

UNM Health Extension Regional Officers Assist People Displaced By Massive Northern New Mexico Blaze

Within a moment’s notice, they knew it was their responsibility to act. Now, in the thick of it, some Health Extension Regional Officers (HEROs) from The University of New Mexico Office for Community Health (OCH) are on the front lines, helping people afflicted from the Hermit’s Peak-Calf Canyon wildfire that is burning through the southern reaches of the Sangre de Cristo range. Many people living in rural communities near Las Vegas, N.M., have been displaced from their homes and are having to stay at evacuation sites.

UNM Center for Native American Health Joins National Network of Public Health Institutes

The University of New Mexico Center for Native American Health (CNAH) has been approved as a public health institute by the National Network of Public Health Institutes (NNPHI). CNAH will further expand its public health activities in its new PHI, the Public Health Institute for Indigenous Knowledge and Development. CNAH becomes the third indigenous PHI nationally and the second program in New Mexico to join the NNPHI network, said CNAH director Tassy Parker, professor in the UNM Department of Family & Community Medicine.

UNM Division of Physical Therapy Creates Women’s Health Residency Program

Across New Mexico, people with pelvic floor disorders who need help managing pain and discomfort are on a months-long waiting list to see a specialized physical therapist. To help address this growing need, The University of New Mexico Division of Physical Therapy recently announced a new residency program. The UNM Women’s Health Physical Therapy Residency Program, which was granted candidacy from American Board of Physical Therapy Fellowship and Residency Education (ABPTFRE) this summer.

UNM Scientists Detect Arrival of Omicron in New Mexico

Detecting new COVID-19 variants as they start to spread is a massive scientific and logistical challenge. But thanks to two University of New Mexico scientists who have studied and tracked the spread of SARS-CoV-2 (the virus that causes COVID-19) since the beginning of the pandemic, genomic surveillance is how we knew when the Omicron variant was first brought into New Mexico.

Groundbreaking for UNM College of Nursing and Population Health Building

The University of New Mexico Health Sciences hosted a groundbreaking ceremony in August for the new College of Nursing and Public Health Excellence Building (CON-PHE), which will enable the capacity to graduate more students. The 93,740-gross-square-foot building will be located on Tucker Avenue, just west of the Domenici Center for Health Sciences Education, on what is currently the M-Family Practice parking lot. The three-story building will include classrooms, offices, community hubs and a research wet lab.

UNM ASAP Clinic Treats Substance Use Disorders with Medication, Therapy and Empathy

Substance use is a significant public health issue in New Mexico, which for decades has ranked among the worst states in the nation for alcohol- and drug-related deaths. Cases of substance use disorders continued to skyrocket in 2020 during the COVID-19 pandemic, where the isolation and loneliness that accompanied lockdowns, often exacerbated people’s mental health challenges.

NOTABLE NEWSMAKERS

Ava Lovell Retires as Health Sciences Senior Executive Officer

“Doing the work and being a part of something that makes a difference is where the fun is.” This joy in advancing the operations and growth of The University of New Mexico has been a defining characteristic of Ava Lovell’s career. After nearly 28 years of service to UNM, Lovell, who is currently the HSC Senior Executive Officer for Finance & Administration, has announced her retirement. She has been at the helm of the UNM Health Sciences finances and operations since 2007.

Emeritus UNM Professor Robert “Bob” Otto Valdez Named to Head Agency for Healthcare Research & Quality

Robert “Bob” Otto Valdez, an emeritus professor of Family & Community Medicine and Economics at The University of New Mexico, has been appointed director of the federal Agency for Healthcare Research and Quality (AHRQ). In 2008, Valdez was the founding executive director of the Robert Wood Johnson Foundation Center for Health Policy at UNM. He previously had served as founding dean at the Drexel University School of Public Health.

Patricia Finn Named New Dean of UNM School of Medicine

Dr. Patricia W. Finn, professor, head of the Department of Medicine, associate dean for Strategic Initiatives and associate program director for the Medical Scientist Training Program (MSTP) at the University of Illinois College of Medicine in Chicago, has been named dean of The University of New Mexico School of Medicine. In addition to her leadership roles, Finn is a noted clinician, teacher and physician scientist.

Dr. Steve McLaughlin Named Chief Medical Officer at UNM Hospital

Dr. Steve McLaughlin will assume the role of chief medical officer at The University of New Mexico Hospital, starting Jan. 1, 2023. McLaughlin is currently chair of the UNM Department of Emergency Medicine, as well as the interim senior associate dean for Clinical Affairs in the UNM School of Medicine.

Gina Urias-Sandoval Named a Woman of Influence by Albuquerque Business First

Gina Urias-Sandoval, chief of staff for The University of New Mexico Health Sciences, has been named one of 24 Women of Influence by Albuquerque Business First. The honorees, selected from a list of more than 100 nominees, were recognized at an awards ceremony on Feb. 28 at Sandia Resort & Casino.

December 10, 2022

School-based peer education interventions to improve health: a global systematic review of effectiveness | BMC Public Health

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References	Country	N	Mean Age (years)	{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f} Female	Mean BMI (kg/m²)	Inclusion/exclusion
Austin et al. [7]	USA	108	62	44	29	Inclusion: age 18-80 years, primary unilateral THA for OA. Exclusion: inflammatory or post-traumatic arthritis, history of septic arthritis, revision or conversion THA, patients requiring discharge to skilled facility.
Beaupre et al. [8]	Canada	21	53	52	NR	Inclusion: age <65 years, primary unilateral THA with lateral approach. Exclusion: history of developmental dysplasia of the hip.
Coulter et al. [16]	Australia	95	64^a	58	NR	Inclusion: age > 18 years, primary elective THA, patient lives locally. Exclusion: metastatic disease, pathologic fractures, infection, acute trauma, revision THA, inability to provide informed consent, UCLA scale < 2 preoperatively, unable to bear weight postoperatively, requiring inpatient rehabilitation postoperatively.
Galea et al. [15]	Australia	23	68	30	29	Inclusion: primary THA for OA, ability to walk 45 minutes independently with mobility aid, independence in sit to stand transfer, adequately comprehends written/verbal instructions. Exclusion: uncontrolled systemic disease, pre-existing neurologic/other orthopedic condition affecting walking, more than four weeks physiotherapy postoperatively, revision surgery or significant postoperative complications
Mikkelsen et al. [17]	Denmark	62	65	42	29	Inclusion: primary unilateral THA for OA, preoperative HOOS ADL < 67, age > 18 years, live within 30 km from hospital, willing to participate. Exclusion: BMI > 35, pre-planned supervised rehabilitation, pre-planned contralateral THA within six months, inability to speak or read Danish, mental or physical conditions impeding intervention
Monaghan et al. [18]	Ireland	63	68	32	27	Inclusion: primary THA for OA, age > 50 years, able to read/understand English, willing to participate. Exclusion: medical instability, underlying terminal disease, suspicion of infection following THA
Okoro et al. [19]	United Kingdom	26	64	58	NR	Inclusion: unilateral THA for OA via posterior approach with 26/28/32 mm femoral head, joint affected is only arthritic joint, no evidence of inflammatory arthropathy. Exclusion: dementia, neurological impairment, cancer or other muscle wasting illness, unstable chronic or terminal illness, any co-morbid disease that contraindicates resistance training
Total		398	64	46^b	29^c

References	Cohorts	Time from discharge to start	Program length (weeks)	Outcomes assessed	Follow-Up	Findings
Austin et al. [7]	C: 10 weeks unsupervised home exercise based on manual. I: 2 weeks in-home PT followed by 8 weeks outpatient PT 2-3x per week.	Upon discharge	10	HHS, WOMAC, SF-36 Physical and Mental	1 month, 6-12 months	No significant difference in any of measured outcomes
Beaupre et al. [8]	C: home exercise instructions for 4-6 weeks. I: outpatient rehabilitation 2x per week for 3 months.	6 weeks postoperatively	12	WOMAC, SF-36, 6MWT, gait analysis	4 months, 12 months	No significant difference in any of measured outcomes
Coulter et al. [16]	C: continue exercises from hospital at home, gradually increasing number of repetitions. I: supervised program 1x per week involving circuit exercises for 4 weeks.	Upon discharge	4	WOMAC, SF-36, TUG, UCLA activity index	5 weeks, 12 weeks, 26 weeks	No significant difference in any of measured outcomes
Galea et al. [15]	C: illustrated guide of prescribed home exercises. I: 45 minute sessions 2x per week in supervised rehabilitation center-based program.	First week after surgery	8	TUG, stair climb performance, 6MWT, WOMAC	8 weeks	C: with faster TUG. No significant difference in other measures.
Mikkelsen et al. [17]	C: home-based exercises done 7x per week. I: home-based exercises done 5x per week with additional supervised resistance training sessions 2x per week.	First week after surgery	10	Leg extension power, isometric hip muscle strength, STS, stair climb, 20 minute walking speed, HOOS	6 months^b	I: with larger increase in maximal walking speed and stair climb performance. No significant difference in other measures
Monaghan et al. [18]	C: postoperative home exercise booklet, advised to walk daily with crutches until review at 6 weeks. I: 35 minute class 2x per week for 6 weeks, no additional home exercises.	12 weeks postoperatively	6	WOMAC, VAS, 6MWT, SF-12, hip abduction strength	18 weeks	I: with better improvement in 6MWT, WOMAC function, and SF-12 Physical. No significant differences in WOMAC pain or stiffness, SF-12 mental health score, VAS, or hip abduction strength
Okoro et al. [19]	C: unsupervised home exercises. I: weekly PT sessions for 6 weeks.	Upon discharge	6	Maximum voluntary contraction of operated leg quad, STS, TUG, stair climb, 6MWT, lean mass of operative leg (DEXA)	6 weeks, 6 months, 9-12 months	No significant difference in any of measured outcomes
Total			8^a

Outcome	Risk of bias	Directness of evidence	Heterogeneity	Precision	Publication bias	Overall quality
LE strength short term	No downgrade	No downgrade. No evidence of indirectness.	I² = 66{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f}, moderate heterogeneity. Downgraded one level	Rated down one level. Moderate imprecision.	No assessment of publication bias conducted.	Low
LE strength long term	Downgraded by one level. Limitation primarily in selection of reported result.	No downgrade. No evidence of indirectness.	I² = 22{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f}, low heterogeneity	Rated down one level. Moderate imprecision.	No assessment of publication bias conducted.	Low
Aerobic capacity short term	No downgrade	No downgrade. No evidence of indirectness.	I² = 12{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f}, low heterogeneity	Rated down two levels. Significant imprecision. Very wide confidence interval. Well underneath suggested sample size.	No assessment of publication bias conducted.	Low
Self-reported physical outcome short term	Downgraded by one level. Limitation primarily in measurement of outcome.	No downgrade. No evidence of indirectness.	No downgrade. I² = 0{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f}, low heterogeneity	Rated down one level. Moderate imprecision.	No assessment of publication bias conducted.	Low
Self-reported physical outcome long term	Downgraded by one level. Limitation primarily in measurement of outcome.	No downgrade. No evidence of indirectness.	I² = 0{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f}, low heterogeneity	Rated down one level. Moderate imprecision.	No assessment of publication bias conducted.	Low
Self-reported QoL short term	Downgraded by one level. Limitation primarily in measurement of outcome.	No downgrade. No evidence of indirectness.	I² = 0{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f}, low heterogeneity	Rated down one level. Moderate imprecision.	No assessment of publication bias conducted.	Low
Self-reported QoL long term	Downgraded by one level. Limitation primarily in measurement of outcome.	No downgrade. No evidence of indirectness.	I² = 0{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f}, low heterogeneity	Rated down one level. Moderate imprecision.	No assessment of publication bias conducted.	Low

Outcome	Supervised participants (n)	Unsupervised participants (n)	SMD/MD (95{08cd930984ace14b54ef017cfb82c397b10f0f7d5e03e6413ad93bb8e636217f} CI)	Risk of bias	Certainty of evidence
LE strength short term	142 (5)	121 (5)	−0.04 (−0.50, 0.41)^a	Some concerns	Low ⨁⨁◯◯
LE strength long term	112 (4)	95 (4)	−0.19 (−0.52, 0.13)^a	High	Low ⨁⨁◯◯
Aerobic capacity short term	54 (3)	49 (3)	−0.50 (−36.88, 35.89)^b	Some concerns	Low ⨁⨁◯◯
Self-reported physical outcome short term	176 (6)	169 (6)	0.23 (0.02, 0.44)^a	High	Low ⨁⨁◯◯
Self-reported physical outcome long term	133 (4)	126 (4)	0.11 (−0.13, 0.36)^a	High	Low ⨁⨁◯◯
Self-reported QoL short term	176 (6)	166 (6)	0.15 (−0.07, 0.36)^a	High	Low ⨁⨁◯◯
Self-reported QoL long term	133 (4)	126 (4)	0.19 (−0.06, 0.43)^a	High	Low ⨁⨁◯◯

Overreach or Needed Oversight?

Attachments

Inclusion criteria

Search strategy and study screening

Quality appraisal

Data extraction and statistical analysis

Characteristics of included studies

Figure 1: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow chart.

Table 1: Study characteristics of seven randomized controlled trials of unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Table 2: Study outcomes of seven randomized controlled trials of unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Data synthesis and meta-analysis

Table 3: GRADE assessment of meta-analytic results.

Figure 2: Forest plot for five randomized controlled trials investigating short-term lower extremity strength in unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Figure 3: Forest plot for three randomized controlled trials investigating short-term aerobic capacity in unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Figure 4: Forest plot for six randomized controlled trials investigating short-term patient-reported physical outcome scores in unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Figure 5: Forest plot for six randomized controlled trials investigating short-term patient-reported quality of life scores in unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Figure 6: Forest plot for four randomized controlled trials investigating long-term lower extremity strength in unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Figure 7: Forest plot for four randomized controlled trials investigating long-term patient-reported physical outcome scores in unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Figure 8: Forest plot for four randomized controlled trials investigating long-term patient-reported quality of life scores in unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Risk of bias

Table 4: Summary of findings table.

Discussion

Figure
1:
Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow chart.

Table
1: Study characteristics of seven randomized controlled trials of unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Table
2: Study outcomes of seven randomized controlled trials of unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Table
3: GRADE assessment of meta-analytic results.

Figure
2:
Forest plot for five randomized controlled trials investigating short-term lower extremity strength in unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Figure
3:
Forest plot for three randomized controlled trials investigating short-term aerobic capacity in unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Figure
4:
Forest plot for six randomized controlled trials investigating short-term patient-reported physical outcome scores in unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Figure
5:
Forest plot for six randomized controlled trials investigating short-term patient-reported quality of life scores in unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Figure
6:
Forest plot for four randomized controlled trials investigating long-term lower extremity strength in unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Figure
7:
Forest plot for four randomized controlled trials investigating long-term patient-reported physical outcome scores in unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Figure
8:
Forest plot for four randomized controlled trials investigating long-term patient-reported quality of life scores in unsupervised vs. supervised exercise regimens following primary total hip arthroplasty.

Table
4: Summary of findings table.