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Benjamin Tingey
Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, USA

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Research article
Published: 07 July 2021 in BMC Pregnancy and Childbirth
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Background Restorative reproductive medicine (RRM) seeks to identify and correct underlying causes and factors contributing to infertility and reproductive dysfunction. Many components of RRM are highly suitable for primary care practice. We studied the outcomes amongst couples who received restorative reproductive medicine treatment for infertility in a primary care setting. Methods Two family physicians in Massachusetts trained in a systematic approach to RRM (natural procreative technology, or NaProTechnology) treated couples with infertility. We retrospectively reviewed the characteristics, diagnoses, treatments, and outcomes for all couples treated during the years 1989 to 2014. We compared pregnancy and live birth by clinical characteristics using Kaplan-Meier analysis. We employed the Fleming-Harrington weighted Renyi test or the logrank test to compare the cumulative proportion with pregnancy or with live birth. Results Among 370 couples beginning treatment for infertility, the mean age was 34.8 years, the mean prior time trying to conceive was 2.7 years, and 27% had a prior live birth. The mean number of diagnoses per couple was 4.9. Treatment components included fertility tracking with the Creighton Model FertilityCare System (80%); medications to enhance cervical mucus production (81%), to stimulate ovulation (62%), or to support the luteal phase (75%); and referral to female laparoscopy by a surgeon specializing in endometriosis (46%). The cumulative live birth rate at 2 years was 29% overall; this was significantly higher for women under age 35 (34%), and for women with body mass index < 25 (40%). There were 2 sets of twins and no higher-order multiple gestations. Of the 63 births with data available, 58 (92%) occurred at term. Conclusions Family physicians can provide a RRM approach for infertility to identify underlying causes and promote healthy term live births. Younger women and women with body mass index < 25 are more likely to have a live birth.

ACS Style

Joseph B. Stanford; Paul A. Carpentier; Barbara L. Meier; Mark Rollo; Benjamin Tingey. Restorative reproductive medicine for infertility in two family medicine clinics in New England, an observational study. BMC Pregnancy and Childbirth 2021, 21, 1 -11.

AMA Style

Joseph B. Stanford, Paul A. Carpentier, Barbara L. Meier, Mark Rollo, Benjamin Tingey. Restorative reproductive medicine for infertility in two family medicine clinics in New England, an observational study. BMC Pregnancy and Childbirth. 2021; 21 (1):1-11.

Chicago/Turabian Style

Joseph B. Stanford; Paul A. Carpentier; Barbara L. Meier; Mark Rollo; Benjamin Tingey. 2021. "Restorative reproductive medicine for infertility in two family medicine clinics in New England, an observational study." BMC Pregnancy and Childbirth 21, no. 1: 1-11.

Research paper
Published: 04 June 2021 in EClinicalMedicine
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Background Both opioid use and COVID-19 affect respiratory and pulmonary health, potentially putting individuals with opioid use disorders (OUD) at risk for complications from COVID-19. We examine the relationship between OUD and subsequent hospitalization, length of stay, risk for invasive ventilator dependence (IVD), and COVID-19 mortality. Methods Multivariable logistic and exponential regression models using electronic health records data from the Cerner COVID-19 De-Identified Data Cohort from January through June 2020. Findings Out of 52,312 patients with COVID-19, 1.9% (n=1,013) had an OUD. COVID-19 patients with an OUD had higher odds of hospitalization (aOR=3.44, 95% CI=2.81–4.21), maximum length of stay (eβ^=1.16, 95% CI=1.09–1.22), and odds of IVD (aOR=1.26, 95% CI=1.06–1.49) than patients without an OUD, but did not differ with respect to COVID-19 mortality. However, OUD patients under age 45 exhibited greater COVID-19 mortality (aOR=3.23, 95% CI=1.59–6.56) compared to patients under age 45 without an OUD. OUD patients using opioid agonist treatment (OAT) exhibited higher odds of hospitalization (aOR=5.14, 95% CI=2.75–10.60) and higher maximum length of stay (eβ^=1.22, 95% CI=1.01–1.48) than patients without OUDs; however, risk for IVD and COVID-19 mortality did not differ. OUD patients using naltrexone had higher odds of hospitalization (aOR=32.19, 95% CI=4.29–4,119.83), higher maximum length of stay (eβ^=1.59, 95% CI=1.06–2.38), and higher odds of IVD (aOR=3.15, 95% CI=1.04–9.51) than patients without OUDs, but mortality did not differ. OUD patients who did not use treatment medication had higher odds of hospitalization (aOR=4.05, 95% CI=3.32–4.98), higher maximum length of stay (eβ^=1.14, 95% CI=1.08–1.21), and higher odds of IVD (aOR=1.25, 95% CI=1.04–1.50) and COVID-19 mortality (aOR=1.31, 95% CI=1.07–1.61) than patients without OUDs. Interpretation This study suggests people with OUD and COVID-19 often require higher levels of care, and OUD patients who are younger or not using medication treatment for OUDs are particularly vulnerable to death due to COVID-19.

ACS Style

Fares Qeadan; Benjamin Tingey; Rona Bern; Christina A. Porucznik; Kevin English; Ali I. Saeed; Erin Fanning Madden. Opioid use disorder and health service utilization among COVID-19 patients in the US: A nationwide cohort from the Cerner Real-World Data. EClinicalMedicine 2021, 37, 100938 .

AMA Style

Fares Qeadan, Benjamin Tingey, Rona Bern, Christina A. Porucznik, Kevin English, Ali I. Saeed, Erin Fanning Madden. Opioid use disorder and health service utilization among COVID-19 patients in the US: A nationwide cohort from the Cerner Real-World Data. EClinicalMedicine. 2021; 37 ():100938.

Chicago/Turabian Style

Fares Qeadan; Benjamin Tingey; Rona Bern; Christina A. Porucznik; Kevin English; Ali I. Saeed; Erin Fanning Madden. 2021. "Opioid use disorder and health service utilization among COVID-19 patients in the US: A nationwide cohort from the Cerner Real-World Data." EClinicalMedicine 37, no. : 100938.

Journal article
Published: 05 March 2021 in Viruses
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Cytokine storm syndrome in patients with COVID-19 is mediated by pro-inflammatory cytokines resulting in acute lung injury and multiorgan failure. Elevation in serum ferritin and D-dimer is observed in COVID-19 patients. To determine prognostic values of optimal serum cutoff with trajectory plots for both serum ferritin and D-dimer in COVID-19 patients with invasive ventilator dependence and in-hospital mortality. We used retrospective longitudinal data from the Cerner COVID-19 de-identified cohort. COVID-19 infected patients with valid repeated values of serum ferritin and D-dimer during hospitalization were used in mixed-effects logistic-regression models. Among 52,411 patients, 28.5% (14,958) had valid serum ferritin and 28.6% (15,005) D-dimer laboratory results. Optimal cutoffs of ferritin (714 ng/mL) and D-dimer (2.1 mg/L) revealed AUCs ≥ 0.99 for in-hospital mortality. Optimal cutoffs for ferritin (502 ng/mL) and D-dimer (2.0 mg/L) revealed AUCs ≥ 0.99 for invasive ventilator dependence. Optimal cutoffs for in-house mortality, among females, were lower in serum ferritin (433 ng/mL) and D-dimer (1.9 mg/L) compared to males (740 ng/mL and 2.5 mg/L, respectively). Optimal cutoffs for invasive ventilator dependence, among females, were lower in ferritin (270 ng/mL) and D-dimer (1.3 mg/L) compared to males (860 ng/mL and 2.3 mg/L, respectively). Optimal prognostic cutoffs for serum ferritin and D-dimer require considering the entire trajectory of laboratory values during the disease course. Females have an overall lower optimal cutoff for both serum ferritin and D-dimer. The presented research allows health professionals to predict clinical outcomes and appropriate allocation of resources during the COVID-19 pandemic, especially early recognition of COVID-19 patients needing higher levels of care.

ACS Style

Fares Qeadan; Benjamin Tingey; Lily Gu; Ashley Packard; Esther Erdei; Ali Saeed. Prognostic Values of Serum Ferritin and D-Dimer Trajectory in Patients with COVID-19. Viruses 2021, 13, 419 .

AMA Style

Fares Qeadan, Benjamin Tingey, Lily Gu, Ashley Packard, Esther Erdei, Ali Saeed. Prognostic Values of Serum Ferritin and D-Dimer Trajectory in Patients with COVID-19. Viruses. 2021; 13 (3):419.

Chicago/Turabian Style

Fares Qeadan; Benjamin Tingey; Lily Gu; Ashley Packard; Esther Erdei; Ali Saeed. 2021. "Prognostic Values of Serum Ferritin and D-Dimer Trajectory in Patients with COVID-19." Viruses 13, no. 3: 419.

Journal article
Published: 29 August 2020 in International Journal of Environmental Research and Public Health
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With the emergence of the novel SARS-CoV-2 and the disease it causes; COVID-19, compliance with/adherence to protective measures is needed. Information is needed on which measures are, or are not, being undertaken. Data collected from the COVID Impact Survey, conducted by the non-partisan and objective research organization NORC at the University of Chicago on April, May, and June of 2020, were analyzed through weighted Quasi-Poisson regression modeling to determine the association of demographics, socioeconomics, and health conditions with protective health measures taken at the individual level in response to COVID-19. The three surveys included data from 18 regional areas including 10 states (CA, CO, FL, LA, MN, MO, MT, NY, OR, and TX) and 8 Metropolitan Statistical Areas (Atlanta, GA; Baltimore, MD; Birmingham, AL; Chicago, IL; Cleveland and Columbus, OH; Phoenix, AZ; and Pittsburgh, PA). Individuals with higher incomes, insurance, higher education levels, large household size, age 60+, females, minorities, those who have asthma, have hypertension, overweight or obese, and those who suffer from mental health issues during the pandemic were significantly more likely to report taking precautionary protective measures relative to their counterparts. Protective measures for the three subgroups with a known relationship to COVID-19 (positive for COVID-19, knowing an individual with COVID-19, and knowing someone who had died from COVID-19) were strongly associated with the protective health measures of washing hands, avoiding public places, and canceling social engagements. This study provides first baseline data on the response to the national COVID-19 pandemic at the individual level in the US. The found heterogeneity in the response to this pandemic by different variables can inform future research and interventions to reduce exposure to the novel SARS-CoV-2 virus.

ACS Style

Fares Qeadan; Nana Akofua Mensah; Benjamin Tingey; Rona Bern; Tracy Rees; Sharon Talboys; Tejinder Pal Singh; Steven Lacey; Kimberley Shoaf. What Protective Health Measures Are Americans Taking in Response to COVID-19? Results from the COVID Impact Survey. International Journal of Environmental Research and Public Health 2020, 17, 6295 .

AMA Style

Fares Qeadan, Nana Akofua Mensah, Benjamin Tingey, Rona Bern, Tracy Rees, Sharon Talboys, Tejinder Pal Singh, Steven Lacey, Kimberley Shoaf. What Protective Health Measures Are Americans Taking in Response to COVID-19? Results from the COVID Impact Survey. International Journal of Environmental Research and Public Health. 2020; 17 (17):6295.

Chicago/Turabian Style

Fares Qeadan; Nana Akofua Mensah; Benjamin Tingey; Rona Bern; Tracy Rees; Sharon Talboys; Tejinder Pal Singh; Steven Lacey; Kimberley Shoaf. 2020. "What Protective Health Measures Are Americans Taking in Response to COVID-19? Results from the COVID Impact Survey." International Journal of Environmental Research and Public Health 17, no. 17: 6295.

Research article
Published: 01 January 2020 in Global Advances in Health and Medicine
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Background Faculty and trainee well-being at academic medical centers is a nationwide concern. In response, the University of Utah Health created a system-wide provider wellness program that used individual faculty champions who were empowered to 1) examine the unique needs of their department or division using a lens of quality improvement, 2) design projects to address well-being, and 3) measure impact of projects addressing well-being. One team used a feedback tool to attempt to improve the well-being of Family Medicine faculty by better understanding challenges and developing a roadmap for action. Objective Evaluate the effectiveness of an anonymous feedback tool on faculty well-being. Methods The Division of Family Medicine developed and implemented a quarterly anonymous faculty survey to facilitate an ongoing improvement process for faculty wellness in 2016. The faculty survey identified thematic concerns, which were used to develop constructive solutions and systemic changes. Results A closed loop feedback structure provided rich faculty input into impacts on burnout and professional well-being. Sense of control (good to optimal) over workload among faculty increased significantly (p = 0.011) from 10% to 42% over one year exhibiting a large effect size (Cohen’s h = 0.751). Faculty burnout, using a single item emotional exhaustion question validated to the Maslach Burnout Inventory, was reduced from 48% to 25% showing a medium effect size (Cohen’s h = 0.490 with p = 0.097). Work related stress was reduced from 72% to 50% demonstrating clinical significance (Cohen’s h = 0.465) but not statistical significance (p = 0.154)—an effect which was more noticeable when comparing means between years (Cohen's d=0.451with p = 0.068). Response rate was 100% in 2016 (29/29) and 92% (23/25) in 2017. Conclusion This faculty survey, which has since been adopted by other groups at the University of Utah, could help improve well-being in a variety of health care professions.

ACS Style

Amy Beth Locke; Katherine T Fortenberry; Erika Sullivan; Dominik Ose; Ben Tingey; Fares Qeadan; Autumn Henson; Sonja Van Hala. Use of a Feedback Survey as a Part of a Wellness Champions Program to Improve Academic Faculty Satisfaction and Burnout: Implications for Burnout in Academic Health Centers. Global Advances in Health and Medicine 2020, 9, 1 .

AMA Style

Amy Beth Locke, Katherine T Fortenberry, Erika Sullivan, Dominik Ose, Ben Tingey, Fares Qeadan, Autumn Henson, Sonja Van Hala. Use of a Feedback Survey as a Part of a Wellness Champions Program to Improve Academic Faculty Satisfaction and Burnout: Implications for Burnout in Academic Health Centers. Global Advances in Health and Medicine. 2020; 9 ():1.

Chicago/Turabian Style

Amy Beth Locke; Katherine T Fortenberry; Erika Sullivan; Dominik Ose; Ben Tingey; Fares Qeadan; Autumn Henson; Sonja Van Hala. 2020. "Use of a Feedback Survey as a Part of a Wellness Champions Program to Improve Academic Faculty Satisfaction and Burnout: Implications for Burnout in Academic Health Centers." Global Advances in Health and Medicine 9, no. : 1.