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Sleep in college students and young adults

Chapter by: Patel, Nikhil A.; Voleti, Deepa; Himmelfarb, Madeline; Shatkin, Jess
in: Encyclopedia of Sleep and Circadian Rhythms: Volume 1-6, Second Edition by
[S.l.] : Elsevier, 2023
pp. 588-597
ISBN: 9780323910941
CID: 5461432

Key differences in pediatric versus adult sleep

Chapter by: Voleti, Deepa; Himelfarb, Madeline; Patel, Nikhil; Shatkin, Jess P.
in: Encyclopedia of Sleep and Circadian Rhythms: Volume 1-6, Second Edition by
[S.l.] : Elsevier, 2023
pp. 548-554
ISBN: 9780323910941
CID: 5461452

Exploring Associative Pathways and Gender Effects of Racial and Weight Discrimination with Sleep Quality, Physical Activity, and Dietary Behavior in Adults with Higher Body Mass Index and Elevated Cardiovascular Disease Risk [Meeting Abstract]

Wittleder, Sandra; Lee, Linda; Patel, Nikhil; Chang, Jinhee; Geesey, Emilie; Saha, Sreejan; Merriwether, Ericka; Orstad, Stephanie L.; Wang, Binhuan; Seixas, Azizi; Jay, Melanie
ISI:000752020004089
ISSN: 0009-7322
CID: 5477632

Development of wellness programs during the COVID-19 pandemic response

Spray, Amanda M.; Patel, Nikhil A.; Sood, Ashvin; Wu, Stephanie X.; Simon, Naomi M.; Podbury, Rachel; Vasserman, Ariela; Caravella, Rachel A.; Silverman, Yona; Pochtar, Randi; Liaw, K. Ron Li; Ackerman, Marra G.
Health care workers are on the front lines of the recent pandemic, facing significant challenges to their physical and mental health. This article details the efforts undertaken by a health care system and two academically affiliated hospital systems to provide emotional support to their frontline staff. The multipronged approach describes coordinating efforts to decrease duplication of services and to increase centralization of information. This included enhancing pathways for faculty, staff, and trainees to obtain individual and group treatment and to have access to highquality self-help resources. Continuous feedback has been elicited to ensure that efforts are consistent with expressed needs and in turn services undergo modifications as needed. This article seeks to provide an overview of how one health system has thus far approached the important issue of staff support as well as the challenges experienced and lessons learned along the way.
SCOPUS:85087423070
ISSN: 0048-5713
CID: 4543512

Availability of Buprenorphine Treatment in the 10 States With the Highest Drug Overdose Death Rates in the United States

Flavin, Lila; Malowney, Monica; Patel, Nikhil A; Alpert, Michael D; Cheng, Elisa; Noy, Gaddy; Samuelson, Sarah; Sreshta, Nina; Boyd, J Wesley
OBJECTIVE:The objective of this study was to assess the accuracy of the Substance Abuse and Mental Health Services Administration (SAMHSA) database for patients who use it to seek buprenorphine treatment. DESIGN AND MEASUREMENTS/METHODS:Buprenorphine providers within a 25-mile radius of the county with the highest drug-related death rates within the 10 states with the highest drug-related death rates were identified and called to determine whether the provider worked there, prescribed buprenorphine, accepted insurance, had appointments, or charged for visits. RESULTS:The number of providers listed in each county ranged from 1 to 166, with 5 counties having <10 providers. In 3 counties no appointments were obtained, and another 3 counties had ≤3 providers with availability. Of the 505 providers listed, 355 providers (70.3%) were reached, 310 (61.4%) of the 505 listings were correct numbers, and 195 (38.6%) of the 505 providers in the listings provided buprenorphine. Of the 173 clinics that provided buprenorphine and were asked about insurance, 131 (75.7%) accepted insurance. Of the 167 clinics that provided buprenorphine and were asked about Medicaid, 105 (62.9%) accepted it. Wait times for appointments ranged from 1 to 120 days, with an average of 16.8 days for those that had a waitlist. Among the 39 providers who reported out-of-pocket costs, the average cost was $231 (range: $90 to $600). One hundred forty of the 505 providers listed in the database had appointments available (27.7%). Three hundred sixty-five of the 505 providers did not have appointments available (72.3%) for various reasons, including the fact that 120 providers (32.9% of the 365 providers) could not be reached, and 137 of the numbers (37.5% of the 365 listed numbers) were wrong. Other reasons appointments could not be obtained included the fact that providers did not treat outpatients, were not accepting new patients, were out of office, or required a referral. CONCLUSION/CONCLUSIONS:Although the SAMHSA buprenorphine practitioner locator is used by patients and providers to locate treatment options, only a small portion of clinicians in the database ultimately offered initial appointments, implying that the database is only marginally useful for patients.
PMID: 31913966
ISSN: 1538-1145
CID: 4292982

Psychiatric Resident Participation in an Asylum Clinic: a Single-Institutional Experience

Patel, Nikhil A; Sreshta, Nina; Frank, Amber; Marlin, Robert P; Boyd, J Wesley
OBJECTIVE:This study describes the experiences of adult psychiatry residents working in an established faculty-led asylum clinic within a community-based, academic residency program at the Cambridge Health Alliance. METHODS:Eighteen psychiatry residents who participated in the asylum clinic were sent electronic surveys asking about their background and experience. Respondents' responses were collected anonymously. RESULTS:Sixteen out of 18 (89%) trainees responded. Thirteen respondents had a personal history with immigration. Fifty-three percent of residents wanted to utilize their professional standing to advance moral good. Writing up affidavits was noted to be challenging by nine (60%) of 15 trainees. Ninety-four percent (15/16) of trainees noted that they would be willing to perform future evaluations. Most noted that performing evaluations had a significant impact on their clinical practice and their conceptualization of their own roles as psychiatrists. CONCLUSIONS:Participating in asylum evaluations impacts residents' sense of themselves as psychiatrists and expands their views about psychiatrists' roles.
PMID: 29687306
ISSN: 1545-7230
CID: 4292972

The role of psychiatrists in the growing migrant and refugee crises

Patel, Nikhil "Sunny" A; Sreshta, Nina
ORIGINAL:0014513
ISSN: 2474-4662
CID: 4293022

Power, politics and privilege: public health at the Thai-Burma border

Patel, Nikhil A; Licthman, Amos B; Nair, Mohit M; Parmar, Parveen K
ORIGINAL:0014512
ISSN: 1460-9819
CID: 4293012

Professionalism and conflicting interests: the American Psychological Association's involvement in torture

Patel, Nikhil A; Elkin, G David
PMID: 26496055
ISSN: 2376-6980
CID: 4292992

Health and social justice: the role of today's physician [Editorial]

Patel, Nikhil A
PMID: 26812899
ISSN: 2376-6980
CID: 4293002