Pub Date : 2024-06-10DOI: 10.1016/j.glmedi.2024.100119
Muhammad Rafay Shahzad Cheema , Abdulqadir J. Nashwan
This study examines mortality trends and disparities in arrhythmia-related deaths among older adults in the United States from 1999 to 2020. Utilizing mortality data from the CDC WONDER database, we analyzed over 3 million arrhythmia-related deaths identified by ICD-10 codes I47.0-I49.9. The study computed age-standardized mortality rates (ASMR) to assess trends across demographic groups and geographical locations. Statistical techniques, including Joinpoint regression analysis, were employed to examine demographic and regional trends in mortality rates. The overall ASMR for arrhythmia-related deaths increased from 38.0 per 10,000 in 1999 to 47.0 in 2020. The trend showed a decline from 1999 to 2009 (APC: −0.9), followed by increases from 2009 to 2018 (APC: 1.5) and a significant rise from 2018 to 2020 (APC: 7.4). Men had higher ASMRs than women (45.2 vs. 33.0), with significant increases observed in both sexes in recent years. Racial disparities were evident, with Non-Hispanic (NH) Whites having the highest ASMR (40.5), followed by NH Blacks (31.1), NH American Indians/Alaska Natives (28.3), Hispanics (22.7), and NH Asians/Pacific Islanders (19.7). Geographic disparities were also prominent, with Vermont exhibiting the highest ASMR (55.8) and Nevada the lowest (24.9). The Midwest region had the highest regional ASMR (41.2), while nonmetropolitan areas consistently showed higher rates than metropolitan areas (42.1 vs. 37.2). These findings highlight significant disparities in arrhythmia-related mortality, underscoring the need for targeted interventions to address these public health challenges.
{"title":"Trends and disparities in arrhythmia-related deaths among older adults in the United States, 1999–2020","authors":"Muhammad Rafay Shahzad Cheema , Abdulqadir J. Nashwan","doi":"10.1016/j.glmedi.2024.100119","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100119","url":null,"abstract":"<div><p>This study examines mortality trends and disparities in arrhythmia-related deaths among older adults in the United States from 1999 to 2020. Utilizing mortality data from the CDC WONDER database, we analyzed over 3 million arrhythmia-related deaths identified by ICD-10 codes I47.0-I49.9. The study computed age-standardized mortality rates (ASMR) to assess trends across demographic groups and geographical locations. Statistical techniques, including Joinpoint regression analysis, were employed to examine demographic and regional trends in mortality rates. The overall ASMR for arrhythmia-related deaths increased from 38.0 per 10,000 in 1999 to 47.0 in 2020. The trend showed a decline from 1999 to 2009 (APC: −0.9), followed by increases from 2009 to 2018 (APC: 1.5) and a significant rise from 2018 to 2020 (APC: 7.4). Men had higher ASMRs than women (45.2 vs. 33.0), with significant increases observed in both sexes in recent years. Racial disparities were evident, with Non-Hispanic (NH) Whites having the highest ASMR (40.5), followed by NH Blacks (31.1), NH American Indians/Alaska Natives (28.3), Hispanics (22.7), and NH Asians/Pacific Islanders (19.7). Geographic disparities were also prominent, with Vermont exhibiting the highest ASMR (55.8) and Nevada the lowest (24.9). The Midwest region had the highest regional ASMR (41.2), while nonmetropolitan areas consistently showed higher rates than metropolitan areas (42.1 vs. 37.2). These findings highlight significant disparities in arrhythmia-related mortality, underscoring the need for targeted interventions to address these public health challenges.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100119"},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000720/pdfft?md5=7f7c6278d611694dcb954ea055137a69&pid=1-s2.0-S2949916X24000720-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141313816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-04DOI: 10.1016/j.glmedi.2024.100117
Benjamin L. Antonio , Mitchell H. Tsai
Recently, Menezes and Zahalka commented on the shortage of anesthesia providers across the United States. With broad strokes, they explore various perspectives of the issue, from the limitations in training positions to the continued growth in demand for surgery. Although rural health care systems face unprecedented challenges, rural residents deserve perioperative care managed by anesthesiologists at the systems level. Physicians, hospital administrators, and health care regulators need to lead the way by exploring different staffing models, lobbying for new legislation that ensures the safety of the most complex patients. And perhaps, by understanding how we can build a different system in the rural setting, we can better health care for American citizens.
{"title":"The adjacent possible: Rural anesthesia","authors":"Benjamin L. Antonio , Mitchell H. Tsai","doi":"10.1016/j.glmedi.2024.100117","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100117","url":null,"abstract":"<div><p>Recently, Menezes and Zahalka commented on the shortage of anesthesia providers across the United States. With broad strokes, they explore various perspectives of the issue, from the limitations in training positions to the continued growth in demand for surgery. Although rural health care systems face unprecedented challenges, rural residents deserve perioperative care managed by anesthesiologists at the systems level. Physicians, hospital administrators, and health care regulators need to lead the way by exploring different staffing models, lobbying for new legislation that ensures the safety of the most complex patients. And perhaps, by understanding how we can build a different system in the rural setting, we can better health care for American citizens.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100117"},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000707/pdfft?md5=fcb0c746b0aac608897bc8798d058003&pid=1-s2.0-S2949916X24000707-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141303479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-31DOI: 10.1016/j.glmedi.2024.100116
Usamah Al-Anbagi , Mohamed I. Abdelrahim , Mohamad G. Safieh , Aya M. Abdelgadir , Rania F. Eisa , Claret C. Isabirye , Abdulqadir J. Nashwan
Lemierre's syndrome (LS) is a life-threatening, rare condition that starts with an oropharyngeal infection leading to internal jugular vein septic thrombophlebitis and potentially severe systemic complications, highlighting the need for prompt recognition and treatment by healthcare professionals. We present a case of LS in a 37-year-old male who initially presented with a sore throat, cough, and high-grade fever. A diagnostic workup revealed a positive blood culture with Fusobacterium necrophorum, and an ultrasound examination demonstrated internal jugular vein thrombophlebitis, confirming the diagnosis of LS. Treatment commenced with oral antibiotics planned for 6 weeks, alongside oral anticoagulation scheduled for 12 weeks. Our case underscores the need for vigilance and multidisciplinary collaboration in managing LS, highlighting the importance of prompt recognition, targeted therapies, and ongoing research to optimize outcomes and enhance diagnosis and management.
莱米埃尔综合征(Lemierre's syndrome,LS)是一种危及生命的罕见疾病,起病于口咽部感染,可导致颈内静脉化脓性血栓性静脉炎和潜在的严重全身并发症,因此需要医护人员及时识别和治疗。我们介绍了一例37岁男性的LS病例,患者最初表现为咽喉痛、咳嗽和高烧。诊断性检查显示坏死镰刀菌血液培养呈阳性,超声检查显示颈内静脉血栓性静脉炎,确诊为 LS。治疗开始后,患者计划口服抗生素 6 周,同时口服抗凝药 12 周。我们的病例强调了在管理 LS 时保持警惕和多学科合作的必要性,突出了及时识别、靶向治疗和持续研究对优化治疗效果、加强诊断和管理的重要性。
{"title":"Lemierre’s syndrome: A clinician's dilemma – A case report","authors":"Usamah Al-Anbagi , Mohamed I. Abdelrahim , Mohamad G. Safieh , Aya M. Abdelgadir , Rania F. Eisa , Claret C. Isabirye , Abdulqadir J. Nashwan","doi":"10.1016/j.glmedi.2024.100116","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100116","url":null,"abstract":"<div><p>Lemierre's syndrome (LS) is a life-threatening, rare condition that starts with an oropharyngeal infection leading to internal jugular vein septic thrombophlebitis and potentially severe systemic complications, highlighting the need for prompt recognition and treatment by healthcare professionals. We present a case of LS in a 37-year-old male who initially presented with a sore throat, cough, and high-grade fever. A diagnostic workup revealed a positive blood culture with Fusobacterium necrophorum, and an ultrasound examination demonstrated internal jugular vein thrombophlebitis, confirming the diagnosis of LS. Treatment commenced with oral antibiotics planned for 6 weeks, alongside oral anticoagulation scheduled for 12 weeks. Our case underscores the need for vigilance and multidisciplinary collaboration in managing LS, highlighting the importance of prompt recognition, targeted therapies, and ongoing research to optimize outcomes and enhance diagnosis and management.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100116"},"PeriodicalIF":0.0,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000690/pdfft?md5=09209737c536904b80fc4643f51e5c5c&pid=1-s2.0-S2949916X24000690-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141244343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-20DOI: 10.1016/j.glmedi.2024.100114
Yilin Bao , Luying Qin , Mengxuan Hao , Zhiwei Jiang , Ying Wang , Rui Pu
Periodontitis has a high global prevalence, and sleep may impact both the occurrence and the severity of the condition. With an emphasis on sex disparities, this study examined the association between sleep and severe periodontitis in a population sample that was representative of the United States. This study used a sample of 5495 people from the National Health and Nutrition Examination Survey (NHANES) and conducted univariate and multivariate logistic regression analyses before and after adjusting for age, sex, ethnicity, poverty-income ratio (PIR), body mass index (BMI), smoking status, and diabetes mellitus (DM) status. Furthermore, this study included a stratified sex-based analysis to investigate potential sex differences between severe periodontitis and sleep. The results are presented with odds ratios (ORs) and 95% confidence intervals (95% CIs). The results of multivariate logistic regression revealed a significant association between the recommended sleep duration each night (seven to nine hours) and the prevalence of severe periodontitis in women (ORad = 0.68, p = 0.003). Furthermore, in women, urinating twice or three times per night was significantly associated with severe periodontitis (ORad = 1.44, p = 0.011), whereas the association was more significant in women who urinated at least four times per night (ORad = 1.68, p = 0.035). In men, these associations were not observed. There was no significant association between poor sleep quality and severe periodontitis, but the association differed by sex. Severe periodontitis in women was found to be significantly associated with poor sleep quality, but not in men.
{"title":"Association between severe periodontitis and sleep quality: Results from the NHANES, 2009–2014","authors":"Yilin Bao , Luying Qin , Mengxuan Hao , Zhiwei Jiang , Ying Wang , Rui Pu","doi":"10.1016/j.glmedi.2024.100114","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100114","url":null,"abstract":"<div><p>Periodontitis has a high global prevalence, and sleep may impact both the occurrence and the severity of the condition. With an emphasis on sex disparities, this study examined the association between sleep and severe periodontitis in a population sample that was representative of the United States. This study used a sample of 5495 people from the National Health and Nutrition Examination Survey (NHANES) and conducted univariate and multivariate logistic regression analyses before and after adjusting for age, sex, ethnicity, poverty-income ratio (PIR), body mass index (BMI), smoking status, and diabetes mellitus (DM) status. Furthermore, this study included a stratified sex-based analysis to investigate potential sex differences between severe periodontitis and sleep. The results are presented with odds ratios (ORs) and 95% confidence intervals (95% CIs). The results of multivariate logistic regression revealed a significant association between the recommended sleep duration each night (seven to nine hours) and the prevalence of severe periodontitis in women (OR<sub>ad</sub> = 0.68, <em>p</em> = 0.003). Furthermore, in women, urinating twice or three times per night was significantly associated with severe periodontitis (OR<sub>ad</sub> = 1.44, <em>p</em> = 0.011), whereas the association was more significant in women who urinated at least four times per night (OR<sub>ad</sub> = 1.68, <em>p</em> = 0.035). In men, these associations were not observed. There was no significant association between poor sleep quality and severe periodontitis, but the association differed by sex. Severe periodontitis in women was found to be significantly associated with poor sleep quality, but not in men.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100114"},"PeriodicalIF":0.0,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000677/pdfft?md5=577f9ecbe18e26924edae74acb975c79&pid=1-s2.0-S2949916X24000677-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141078635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-13DOI: 10.1016/j.glmedi.2024.100113
Moustaq Karim Khan Rony , Khadiza Akter , Mitun Debnath , Md Moshiur Rahman , Fateha tuj Johra , Fazila Akter , Dipak Chandra Das , Sujit Mondal , Mousumi Das , Muhammad Join Uddin , Mst Rina Parvin
The primary objective of this commentary was to identify the strengths and weaknesses of AI technologies, uncover opportunities for improvement, and recognize potential threats that could impede their successful implementation in nursing care. This commentary involved constructing a SWOT matrix to analyze AI adoption, identifying internal strengths and weaknesses, and external opportunities and threats. The analysis revealed several strengths of AI adoption in nursing care, including enhanced data analysis capabilities, improved patient monitoring, and increased efficiency in routine tasks. However, weaknesses such as the high initial costs of implementation and concerns about data security were identified. Opportunities included the potential for AI to reduce healthcare costs and improve patient outcomes. Nonetheless, threats such as resistance to technological change and ethical dilemmas related to AI decision-making processes were recognized as potential barriers to successful adoption. This article sheds light on the intricate landscape of AI adoption in nursing care. While AI brings forth substantial strengths, it simultaneously poses challenges that healthcare systems should confront. To fully harness AI's potential, healthcare organizations should thoughtfully deliberate on the identified weaknesses and threats, actively seeking avenues for seamless integration. In this concerted effort, the healthcare industry is poised to unlock the transformative capabilities of AI, elevating nursing care standards, and ultimately, advancing patient outcomes.
{"title":"Strengths, weaknesses, opportunities and threats (SWOT) analysis of artificial intelligence adoption in nursing care","authors":"Moustaq Karim Khan Rony , Khadiza Akter , Mitun Debnath , Md Moshiur Rahman , Fateha tuj Johra , Fazila Akter , Dipak Chandra Das , Sujit Mondal , Mousumi Das , Muhammad Join Uddin , Mst Rina Parvin","doi":"10.1016/j.glmedi.2024.100113","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100113","url":null,"abstract":"<div><p>The primary objective of this commentary was to identify the strengths and weaknesses of AI technologies, uncover opportunities for improvement, and recognize potential threats that could impede their successful implementation in nursing care. This commentary involved constructing a SWOT matrix to analyze AI adoption, identifying internal strengths and weaknesses, and external opportunities and threats. The analysis revealed several strengths of AI adoption in nursing care, including enhanced data analysis capabilities, improved patient monitoring, and increased efficiency in routine tasks. However, weaknesses such as the high initial costs of implementation and concerns about data security were identified. Opportunities included the potential for AI to reduce healthcare costs and improve patient outcomes. Nonetheless, threats such as resistance to technological change and ethical dilemmas related to AI decision-making processes were recognized as potential barriers to successful adoption. This article sheds light on the intricate landscape of AI adoption in nursing care. While AI brings forth substantial strengths, it simultaneously poses challenges that healthcare systems should confront. To fully harness AI's potential, healthcare organizations should thoughtfully deliberate on the identified weaknesses and threats, actively seeking avenues for seamless integration. In this concerted effort, the healthcare industry is poised to unlock the transformative capabilities of AI, elevating nursing care standards, and ultimately, advancing patient outcomes.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100113"},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000665/pdfft?md5=b91ca8fb553413100fc3c9404ecc0320&pid=1-s2.0-S2949916X24000665-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140951003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-08DOI: 10.1016/j.glmedi.2024.100112
R. Andrew Yockey , Rachel A. Hoopsick , Jennifer L. Brown , Phillip W. Schnarrs
Simultaneous alcohol and marijuana (SAM) use has become increasingly prevalent among young adult populations. Moreover, lesbian, gay, and bisexual populations are at increased risk for substance use initiation. To date, little research has examined trends in SAM use by sexual identity. This study aimed to investigate trends in SAM use among recent drinkers using nationally representative data. Pooled data from the 2015–2019 and 2020 National Survey on Drug Use and Health (NSDUH) were examined among 120,061 individuals (5.75% LGB) 18 years or older who reported using alcohol in the past month. Given the methodological changes in the study design, we analyzed these waves separately. Covariates included age, race, biological sex, sexual identity, rurality, and past month use of tobacco. Weighted logistic regression models and trend analyses were conducted. An estimated 11,952 of the sample reported using marijuana during their last episode of drinking. A significant linear trend (b = 0.12) of increasing SAM use among recent drinkers from 2015 to 2019. When compared to heterosexual individuals, lesbian or gay (aPR: 1.44, 95% CI 1.26, 1.63) and bisexual (aPR: 1.92, 95% CI 1.77, 2.09) individuals were more likely to report SAM use. Among the entire sample, females had a lower risk of SAM use than males (aPR: 0.68, 95% CI 0.65, 0.72). For 2020, a total of 25,679 adults 18 years or older participated in the survey, with 2622 identifying as LGB and 54.1% reporting past month alcohol use. An estimated 1503 individuals reported SAM use. Consistent with our findings, of those reporting past month alcohol use, LGB populations were at higher risk for SAM use, with gay individuals (aPR: 1.59, 95% CI 1.11, 2.30) at increased risk and bisexual individuals having higher risk (aPR: 2.12, 95% CI 1.73, 2.60). SAM use among individuals presents several critical health concerns, especially for at-risk populations. Findings from the present study can inform tailored interventions to reduce minority stress and stigmatized identities are needed.
同时使用酒精和大麻(SAM)在年轻人群中越来越普遍。此外,女同性恋、男同性恋和双性恋人群开始使用药物的风险也在增加。迄今为止,很少有研究按照性别身份来调查 SAM 的使用趋势。本研究旨在利用具有全国代表性的数据,调查近期饮酒者使用 SAM 的趋势。本研究对 2015-2019 年和 2020 年全国药物使用和健康调查(NSDUH)中报告在过去一个月内使用过酒精的 120,061 名 18 岁或 18 岁以上的个人(5.75% LGB)的汇总数据进行了研究。考虑到研究设计方法的变化,我们对这些波次进行了单独分析。协变量包括年龄、种族、生理性别、性身份、居住地和过去一个月的烟草使用情况。我们建立了加权逻辑回归模型并进行了趋势分析。估计有 11,952 名样本报告在最后一次饮酒时使用过大麻。从 2015 年到 2019 年,近期饮酒者中吸食大麻的人数呈明显的线性增长趋势(b = 0.12)。与异性恋者相比,女同性恋或男同性恋(aPR:1.44,95% CI 1.26,1.63)和双性恋者(aPR:1.92,95% CI 1.77,2.09)更有可能报告使用 SAM。在所有样本中,女性使用 SAM 的风险低于男性(aPR:0.68,95% CI 0.65,0.72)。2020 年,共有 25,679 名 18 岁或以上的成年人参与了调查,其中 2622 人自称为 LGB,54.1% 的人报告在过去一个月中饮酒。估计有 1503 人报告使用过 SAM。与我们的研究结果一致,在报告过去一个月饮酒情况的人群中,LGB 群体使用 SAM 的风险较高,其中同性恋者(aPR:1.59,95% CI 1.11,2.30)的风险较高,双性恋者的风险较高(aPR:2.12,95% CI 1.73,2.60)。个人使用 SAM 会带来一些严重的健康问题,尤其是对高危人群而言。本研究的结果可为有针对性的干预措施提供依据,以减轻少数群体的压力,并减少他们被污名化的身份。
{"title":"Trends in simultaneous alcohol and marijuana use among US adult recent drinkers: Differences by sexual identity, 2015–2020","authors":"R. Andrew Yockey , Rachel A. Hoopsick , Jennifer L. Brown , Phillip W. Schnarrs","doi":"10.1016/j.glmedi.2024.100112","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100112","url":null,"abstract":"<div><p>Simultaneous alcohol and marijuana (SAM) use has become increasingly prevalent among young adult populations. Moreover, lesbian, gay, and bisexual populations are at increased risk for substance use initiation. To date, little research has examined trends in SAM use by sexual identity. This study aimed to investigate trends in SAM use among recent drinkers using nationally representative data. Pooled data from the 2015–2019 and 2020 National Survey on Drug Use and Health (NSDUH) were examined among 120,061 individuals (5.75% LGB) 18 years or older who reported using alcohol in the past month. Given the methodological changes in the study design, we analyzed these waves separately. Covariates included age, race, biological sex, sexual identity, rurality, and past month use of tobacco. Weighted logistic regression models and trend analyses were conducted. An estimated 11,952 of the sample reported using marijuana during their last episode of drinking. A significant linear trend (b = 0.12) of increasing SAM use among recent drinkers from 2015 to 2019. When compared to heterosexual individuals, lesbian or gay (aPR: 1.44, 95% CI 1.26, 1.63) and bisexual (aPR: 1.92, 95% CI 1.77, 2.09) individuals were more likely to report SAM use. Among the entire sample, females had a lower risk of SAM use than males (aPR: 0.68, 95% CI 0.65, 0.72). For 2020, a total of 25,679 adults 18 years or older participated in the survey, with 2622 identifying as LGB and 54.1% reporting past month alcohol use. An estimated 1503 individuals reported SAM use. Consistent with our findings, of those reporting past month alcohol use, LGB populations were at higher risk for SAM use, with gay individuals (aPR: 1.59, 95% CI 1.11, 2.30) at increased risk and bisexual individuals having higher risk (aPR: 2.12, 95% CI 1.73, 2.60). SAM use among individuals presents several critical health concerns, especially for at-risk populations. Findings from the present study can inform tailored interventions to reduce minority stress and stigmatized identities are needed.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100112"},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000653/pdfft?md5=2c35edba496add8057537ce47201ab14&pid=1-s2.0-S2949916X24000653-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140894526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-05DOI: 10.1016/j.glmedi.2024.100111
Priya Das , Subhadeep Saha , Tanu Das , Partha Das , Tamal Basu Roy
Background
Widowhood is a disastrous incident occurring at any stage of life for surviving oneself particularly the older women having critical reflexes on their physical, emotional and as well as socio-economic well-bring. Living alone and being cornered to home may also have serious repercussions on psychological health conditions of geriatric population, a public health concern in recent times.The main essence of this present study was to investigate the impact of widowhood, loneliness and social non-participation on older women depression in Indian context.
Methods
Data for the present study were obtained from the first wave of the Longitudinal Ageing Study in India (LASI), conducted during 2017–2018. A total of 15,559 older adult women were availed for this present study. Descriptive analyses, association studies and finally multinominal logistic regression analyses were performed to fulfill the study objectives.
Result
Currently, 5 % of total study participant’s suffered from depression for most of the times. Findings suggested that widowhood is a catastrophic event giving rise to depression for most of the old women in their later life. With this, living alone in old age period also had a great impact on the prevalence of depression. Preponderance of older women depression is also found among those, not getting involved any social events.
Conclusion
This study suggested that to reduce the prevalence of older women depression, targeted interventions in the form of psychological counseling, screening services and community involvement are very much needed.
{"title":"Association of depression with widowhood, loneliness, and social non-participation among older women in India","authors":"Priya Das , Subhadeep Saha , Tanu Das , Partha Das , Tamal Basu Roy","doi":"10.1016/j.glmedi.2024.100111","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100111","url":null,"abstract":"<div><h3>Background</h3><p>Widowhood is a disastrous incident occurring at any stage of life for surviving oneself particularly the older women having critical reflexes on their physical, emotional and as well as socio-economic well-bring. Living alone and being cornered to home may also have serious repercussions on psychological health conditions of geriatric population, a public health concern in recent times.The main essence of this present study was to investigate the impact of widowhood, loneliness and social non-participation on older women depression in Indian context.</p></div><div><h3>Methods</h3><p>Data for the present study were obtained from the first wave of the Longitudinal Ageing Study in India (LASI), conducted during 2017–2018. A total of 15,559 older adult women were availed for this present study. Descriptive analyses, association studies and finally multinominal logistic regression analyses were performed to fulfill the study objectives.</p></div><div><h3>Result</h3><p>Currently, 5 % of total study participant’s suffered from depression for most of the times. Findings suggested that widowhood is a catastrophic event giving rise to depression for most of the old women in their later life. With this, living alone in old age period also had a great impact on the prevalence of depression. Preponderance of older women depression is also found among those, not getting involved any social events.</p></div><div><h3>Conclusion</h3><p>This study suggested that to reduce the prevalence of older women depression, targeted interventions in the form of psychological counseling, screening services and community involvement are very much needed.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100111"},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000641/pdfft?md5=de99b041a082d44c41ca39f9bec995fe&pid=1-s2.0-S2949916X24000641-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-26DOI: 10.1016/j.glmedi.2024.100110
Sorif Hossain , Tonmoy Alam Shuvo, Nahid Mia
Background
Bangladesh is not excluded from the global issue of children being underweight or overweight. This study examined the relationship between underweight, overweight, and sociodemographic variables in children.
Methods
Data from the Multiple Indicator Cluster Survey (MICS) 2019 were used for this study. We employed chi-square and one-way analysis of variance (ANOVA) tests to identify significant variables. Subsequently, we fitted a multilevel mixed-effects logistic regression model and reported odds ratios (OR), confidence intervals (CI), and p-values. STATA version 17 was used for analysis.
Results
The sample size for our study consisted of 10,875 Bangladeshi children under five years of age. From a total of 10,875 children, 20.57% were underweight and 6.80% were overweight. Data were available for 8858 rural and 2017 urban under-five children. The prevalence of underweight was greatly influenced by age, and in rural regions, it consistently increased from 12 months to 59 months. Male children were more likely to be overweight and underweight than female children. Children in the Sylhet division were likelier to be underweight and overweight. Educated mothers reduce the risk of underweight children in urban and rural areas. The richest family children were more likely to be overweight in urban areas. In rural areas, children born with a smaller size were more likely to become underweight and less likely to become overweight.
Conclusions
Our research revealed that the poorest sociodemographic category, the Sylhet division, small newborns, and illiterate mothers were the most vulnerable to child weight problems.
{"title":"Factors associated with underweight and overweight prevalence among children in Bangladesh","authors":"Sorif Hossain , Tonmoy Alam Shuvo, Nahid Mia","doi":"10.1016/j.glmedi.2024.100110","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100110","url":null,"abstract":"<div><h3>Background</h3><p>Bangladesh is not excluded from the global issue of children being underweight or overweight. This study examined the relationship between underweight, overweight, and sociodemographic variables in children.</p></div><div><h3>Methods</h3><p>Data from the Multiple Indicator Cluster Survey (MICS) 2019 were used for this study. We employed chi-square and one-way analysis of variance (ANOVA) tests to identify significant variables. Subsequently, we fitted a multilevel mixed-effects logistic regression model and reported odds ratios (OR), confidence intervals (CI), and p-values. STATA version 17 was used for analysis.</p></div><div><h3>Results</h3><p>The sample size for our study consisted of 10,875 Bangladeshi children under five years of age. From a total of 10,875 children, 20.57% were underweight and 6.80% were overweight. Data were available for 8858 rural and 2017 urban under-five children. The prevalence of underweight was greatly influenced by age, and in rural regions, it consistently increased from 12 months to 59 months. Male children were more likely to be overweight and underweight than female children. Children in the Sylhet division were likelier to be underweight and overweight. Educated mothers reduce the risk of underweight children in urban and rural areas. The richest family children were more likely to be overweight in urban areas. In rural areas, children born with a smaller size were more likely to become underweight and less likely to become overweight.</p></div><div><h3>Conclusions</h3><p>Our research revealed that the poorest sociodemographic category, the Sylhet division, small newborns, and illiterate mothers were the most vulnerable to child weight problems.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100110"},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X2400063X/pdfft?md5=f33639a310244245d4809ca567846a8a&pid=1-s2.0-S2949916X2400063X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-23DOI: 10.1016/j.glmedi.2024.100109
David B. Olawade , Nicholas Aderinto , Gbolahan Olatunji , Emmanuel Kokori , Aanuoluwapo C. David-Olawade , Manizha Hadi
Using Artificial intelligence technologies in cardiology has witnessed rapid advancements across various domains, fostering innovation and reshaping clinical practices. The study aims to provide a comprehensive overview of these AI-driven advancements and their implications for enhancing cardiovascular healthcare. A systematic approach was adopted to conduct an extensive review of scholarly articles and peer-reviewed literature focusing on the application of AI in cardiology. Databases including PubMed/MEDLINE, ScienceDirect, IEEE Xplore, and Web of Science were systematically searched. Articles were screened following a defined selection criteria. These articles' synthesis highlighted AI's diverse applications in cardiology, including but not limited to diagnostic innovations, precision medicine, remote monitoring technologies, drug discovery, and clinical decision support systems. The review shows the significant role of AI in reshaping cardiovascular medicine by revolutionising diagnostics, treatment strategies, and patient care. The diverse applications of AI in cardiology showcased in this study reflect the transformative potential of these technologies. However, challenges such as algorithm accuracy, interoperability, and integration into clinical workflows persist. AI's continued advancements and strategic integration in cardiology promise to deliver more personalised, efficient, and effective cardiovascular care, ultimately improving patient outcomes and shaping the future of cardiology practice.
人工智能技术在心脏病学领域的应用见证了各个领域的快速发展,促进了创新并重塑了临床实践。本研究旨在全面概述这些人工智能驱动的进步及其对加强心血管医疗保健的影响。本研究采用了一种系统方法,对学术文章和同行评审文献进行了广泛的综述,重点关注人工智能在心脏病学中的应用。系统地检索了包括 PubMed/MEDLINE、ScienceDirect、IEEE Xplore 和 Web of Science 在内的数据库。文章按照规定的筛选标准进行筛选。这些文章的综述强调了人工智能在心脏病学中的各种应用,包括但不限于诊断创新、精准医疗、远程监控技术、药物发现和临床决策支持系统。综述显示,人工智能通过彻底改变诊断、治疗策略和患者护理,在重塑心血管医学方面发挥着重要作用。本研究中展示的人工智能在心脏病学中的各种应用反映了这些技术的变革潜力。然而,算法准确性、互操作性以及与临床工作流程的整合等挑战依然存在。人工智能在心脏病学领域的不断进步和战略整合有望提供更加个性化、高效和有效的心血管护理,最终改善患者预后并塑造心脏病学实践的未来。
{"title":"Advancements and applications of Artificial Intelligence in cardiology: Current trends and future prospects","authors":"David B. Olawade , Nicholas Aderinto , Gbolahan Olatunji , Emmanuel Kokori , Aanuoluwapo C. David-Olawade , Manizha Hadi","doi":"10.1016/j.glmedi.2024.100109","DOIUrl":"10.1016/j.glmedi.2024.100109","url":null,"abstract":"<div><p>Using Artificial intelligence technologies in cardiology has witnessed rapid advancements across various domains, fostering innovation and reshaping clinical practices. The study aims to provide a comprehensive overview of these AI-driven advancements and their implications for enhancing cardiovascular healthcare. A systematic approach was adopted to conduct an extensive review of scholarly articles and peer-reviewed literature focusing on the application of AI in cardiology. Databases including PubMed/MEDLINE, ScienceDirect, IEEE Xplore, and Web of Science were systematically searched. Articles were screened following a defined selection criteria. These articles' synthesis highlighted AI's diverse applications in cardiology, including but not limited to diagnostic innovations, precision medicine, remote monitoring technologies, drug discovery, and clinical decision support systems. The review shows the significant role of AI in reshaping cardiovascular medicine by revolutionising diagnostics, treatment strategies, and patient care. The diverse applications of AI in cardiology showcased in this study reflect the transformative potential of these technologies. However, challenges such as algorithm accuracy, interoperability, and integration into clinical workflows persist. AI's continued advancements and strategic integration in cardiology promise to deliver more personalised, efficient, and effective cardiovascular care, ultimately improving patient outcomes and shaping the future of cardiology practice.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100109"},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000628/pdfft?md5=184f41c4f0dab02bddbde10d75e331be&pid=1-s2.0-S2949916X24000628-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140768471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-18DOI: 10.1016/j.glmedi.2024.100106
Margaret Trimble , Sita Manasa Susarla , Claudia Campos , Bathsheba Turton , Karen Sokal-Gutierrez
Background
Tooth decay affects 40–90 % of children in low- and middle-income countries (LMICs), contributing to adverse consequences, including oral pain, difficulty focusing in school, lifelong dental problems, and overall lower quality of life. Few studies have examined the relationship between pocket money given to children, their purchase of sugary snacks and drinks with that money, and the risk for tooth decay.
Methods
This secondary cross-sectional analysis utilized data which were collected in 2014 as part of an oral health promotion program in rural El Salvador. A convenience sample of 279 children and their mothers who participated in the program were recruited to complete an interview with trained community health workers, and children received a dental examination from trained and licensed Salvadoran and U.S. dentists. Only children with teeth (primary, mixed, or permanent dentition) were included in this analysis; as such, children ranged in age from 6 months through 14 years. Descriptive, multivariate logistic regression, and Zero-Inflated Negative Binomial analyses were used to identify associations between pocket money given to children and three oral health outcomes: number of decayed, missing/extracted due to decay, and filled teeth (dmft for primary teeth and DMFT for permanent teeth); presence of deep decay; and occurrence of oral pain.
Results
Overall, almost two-thirds of children received daily pocket money with which over 70 % purchased unhealthy snacks/drinks; 83 % of children had tooth decay, with a mean dmft/DMFT of 6.0. After adjusting for covariates, receiving pocket money was associated with 0.18 (95 % CI: 0.05–0.54) times the odds of having zero-dmft/DMFT (i.e., being cavity-free) (p = 0.002). Among children with at least one decayed tooth, receiving pocket money was associated with 1.22 (95 % CI: 1.01–1.53) times the expected dmft/DMFT count (p = 0.04), 3.39 (95 % CI: 1.59–7.22) times the odds of deep decay (p < 0.001), and 2.66 (95 % CI: 1.24–5.70) times the odds of oral pain (p = 0.007) compared to children who did not receive pocket money.
Conclusion
Interventions to reduce the prevalence and severity of tooth decay should include nutrition and oral health education for children and families—including addressing pocket money and healthy vs. unhealthy purchases—in schools, communities, and primary health clinics; school programs to provide healthy foods and beverages for children; and enforcement of policies to prohibit the sale of ultra-processed foods and sugary drinks in and around schools.
{"title":"Pocket money and the risk of dental caries and oral pain in children","authors":"Margaret Trimble , Sita Manasa Susarla , Claudia Campos , Bathsheba Turton , Karen Sokal-Gutierrez","doi":"10.1016/j.glmedi.2024.100106","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100106","url":null,"abstract":"<div><h3>Background</h3><p>Tooth decay affects 40–90 % of children in low- and middle-income countries (LMICs), contributing to adverse consequences, including oral pain, difficulty focusing in school, lifelong dental problems, and overall lower quality of life. Few studies have examined the relationship between pocket money given to children, their purchase of sugary snacks and drinks with that money, and the risk for tooth decay.</p></div><div><h3>Methods</h3><p>This secondary cross-sectional analysis utilized data which were collected in 2014 as part of an oral health promotion program in rural El Salvador. A convenience sample of 279 children and their mothers who participated in the program were recruited to complete an interview with trained community health workers, and children received a dental examination from trained and licensed Salvadoran and U.S. dentists. Only children with teeth (primary, mixed, or permanent dentition) were included in this analysis; as such, children ranged in age from 6 months through 14 years. Descriptive, multivariate logistic regression, and Zero-Inflated Negative Binomial analyses were used to identify associations between pocket money given to children and three oral health outcomes: number of decayed, missing/extracted due to decay, and filled teeth (dmft for primary teeth and DMFT for permanent teeth); presence of deep decay; and occurrence of oral pain.</p></div><div><h3>Results</h3><p>Overall, almost two-thirds of children received daily pocket money with which over 70 % purchased unhealthy snacks/drinks; 83 % of children had tooth decay, with a mean dmft/DMFT of 6.0. After adjusting for covariates, receiving pocket money was associated with 0.18 (95 % CI: 0.05–0.54) times the odds of having zero-dmft/DMFT (i.e., being cavity-free) (<em>p</em> = 0.002). Among children with at least one decayed tooth, receiving pocket money was associated with 1.22 (95 % CI: 1.01–1.53) times the expected dmft/DMFT count (<em>p</em> = 0.04), 3.39 (95 % CI: 1.59–7.22) times the odds of deep decay (<em>p</em> < 0.001), and 2.66 (95 % CI: 1.24–5.70) times the odds of oral pain (<em>p</em> = 0.007) compared to children who did not receive pocket money.</p></div><div><h3>Conclusion</h3><p>Interventions to reduce the prevalence and severity of tooth decay should include nutrition and oral health education for children and families—including addressing pocket money and healthy vs. unhealthy purchases—in schools, communities, and primary health clinics; school programs to provide healthy foods and beverages for children; and enforcement of policies to prohibit the sale of ultra-processed foods and sugary drinks in and around schools.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100106"},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000598/pdfft?md5=f6e498f69b76d3eae16bd408c2753775&pid=1-s2.0-S2949916X24000598-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140650033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}