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The Influence of Climate, Atmospheric Pollution, and Natural Disasters on Cardiovascular Diseases and Diabetes Mellitus in Drylands: A Scoping Review 气候、大气污染和自然灾害对旱地心血管疾病和糖尿病的影响:范围综述
IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-08-08 DOI: 10.3389/phrs.2024.1607300
R. P. Moreira, Clara Beatriz Costa da Silva, Tainara Chagas de Sousa, Flávia Lavinnya Betsaida Félix Leitão, Huana Carolina Condido Morais, Andressa Suelly Saturtino de Oliveira, Gonzalo Duarte-Clíments, María Begoña Sánchez Gómez, T. F. Cavalcante, Alexandre Cunha Costa
In the face of escalating global aridification, this study examines the complex relationship between climate variability, air pollution, natural disasters, and the prevalence of cardiovascular disease (CVD) and diabetes mellitus (DM) in arid regions.The study conducted a scoping review of multiple databases using JBI guidelines and included 74 studies.The results show that acute myocardial infarction (n = 20) and stroke (n = 13) are the primary CVDs affected by these factors, particularly affecting older adults (n = 34) and persons with hypertension (n = 3). Elevated air temperature and heat waves emerge as critical risk factors for CVD, exacerbating various cardiovascular mechanisms. Atmospheric pollutants and natural disasters increase this risk. Indirect effects of disasters amplify risk factors such as socioeconomic vulnerability (n = 4), inadequate medical care (n = 3), stress (n = 3), and poor diet (n = 2), increasing CVD and DM risk.The study underscores the need for nations to adhere to the Paris Agreement, advocating for reduced air pollutants, resilient environments, and collaborative, multidisciplinary research to develop targeted health interventions to mitigate the adverse effects of climate, pollution, and natural disasters.
面对全球干旱化的不断升级,本研究探讨了气候多变性、空气污染、自然灾害与干旱地区心血管疾病(CVD)和糖尿病(DM)发病率之间的复杂关系。结果显示,急性心肌梗死(20 例)和中风(13 例)是受这些因素影响的主要心血管疾病,尤其影响老年人(34 例)和高血压患者(3 例)。气温升高和热浪成为心血管疾病的关键风险因素,加剧了各种心血管机制。大气污染物和自然灾害增加了这一风险。该研究强调,各国有必要遵守《巴黎协定》,倡导减少空气污染物、建立有弹性的环境,并开展多学科合作研究,以制定有针对性的健康干预措施,减轻气候、污染和自然灾害的不利影响。
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引用次数: 0
Let's Be Clear-Health Impact Assessments or Assessing Health Impacts? 让我们明确一点--健康影响评估还是健康影响评估?
IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-08-05 eCollection Date: 2024-01-01 DOI: 10.3389/phrs.2024.1607722
Jinhee Kim, Andrew Dannenberg, Fiona Haigh, Ben Harris-Roxas
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引用次数: 0
Domains and Methods of Medical Device Technology Evaluation: A Systematic Review 医疗器械技术评估的领域和方法:系统回顾
IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-24 DOI: 10.3389/phrs.2024.1606343
F. Toscas, Daiana Laurenci Orth Blas, Leidy Anne Alves Teixeira, Marisa da Silva Santos, Eduardo Mario Dias
Identify, through a systematic review, the main domains and methods to support health technology assessment of Medical Devices (MD) from the perspective of technological incorporation into healthcare systems.Performed structured searches in MEDLINE, Embase, BVS, Cochrane Library, and Web of Science for full studies published between 2017 and May 2023. Selection, extraction, and quality assessment were performed by two blinded reviewers, and discrepancies were resolved by a third reviewer.A total of 5,790 studies were retrieved, of which 41 were included. We grouped the identified criteria into eight domains for the evaluations.Overall, studies discuss the need to establish specific methods for conducting HTA in MD. Due to the wide diversity of MD types, a single methodological guideline may not encompass all the specificities and intrinsic characteristics of the plurality of MD. Studies suggest using clustering criteria through technological characterization as a strategy to make the process as standardized as possible.
通过系统性综述,从技术融入医疗保健系统的角度确定支持医疗设备(MD)卫生技术评估的主要领域和方法。在MEDLINE、Embase、BVS、Cochrane Library和Web of Science中对2017年至2023年5月期间发表的完整研究进行结构化检索。筛选、提取和质量评估由两名盲审稿人完成,不一致之处由第三名审稿人解决。共检索到5790项研究,其中41项被纳入。我们将已确定的标准分为八个领域进行评估。总体而言,这些研究讨论了在医学领域开展 HTA 的具体方法的必要性。由于多发性硬化症的类型多种多样,单一的方法指南可能无法涵盖多发性硬化症的所有特性和内在特征。研究建议通过技术特征描述来使用聚类标准,以此作为使流程尽可能标准化的策略。
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引用次数: 0
Unraveling Herpes Zoster Vaccine Hesitancy, Acceptance, and Its Predictors: Insights From a Scoping Review 带状疱疹疫苗的犹豫、接受度及其预测因素:范围审查的启示
IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-24 DOI: 10.3389/phrs.2024.1606679
Xiaolong Wang, Shuhui Shang, Enming Zhang, Zhengyue Dai, Yufei Xing, Jiale Hu, Yaojuan Gao, Qiong Fang
Herpes zoster vaccination is critical in preventing herpes zoster virus infection and its associated consequences. Despite its relevance, global herpes zoster immunisation coverage remains alarmingly low. Understanding the factors that drive vaccine scepticism and acceptance is crucial for increasing immunisation rates and improving public health outcomes.This scoping review, following Joanna Briggs Institute guidelines, included 18 studies examining vaccine hesitancy, acceptance, and associated factors. Meticulous data analysis revealed hesitancy’s intricate dynamics across countries and demographics.Studies displayed a wide range of acceptance rates (2.8%–89.02%), showcasing the complex interplay of attitudes and behaviors towards vaccination. Reasons for vaccine refusal were repeatedly identified in this setting, including worries about potential adverse effects, views of vaccine necessity, and vaccine supply constraints. Notably, individuals’ patterns of vaccine acceptance and hesitancy differed among countries, vaccines, and vaccination-related factors.Addressing acceptance hurdles by improving accessibility, providing accurate information, and strengthening healthcare recommendations is crucial. Understanding the multifaceted factors influencing hesitancy allows for targeted interventions, elevating immunization rates and enhancing public health globally.
带状疱疹疫苗接种对于预防带状疱疹病毒感染及其相关后果至关重要。尽管疫苗具有重要意义,但全球带状疱疹免疫接种率仍然低得惊人。本范围界定综述遵循乔安娜-布里格斯研究所(Joanna Briggs Institute)的指导方针,纳入了 18 项研究,考察了疫苗的犹豫性、接受性及相关因素。缜密的数据分析揭示了不同国家和不同人群在犹豫不决方面错综复杂的动态变化。各项研究显示了广泛的接受率(2.8%-89.02%),展示了疫苗接种态度和行为之间复杂的相互作用。在这种情况下,拒绝接种疫苗的原因被反复提及,包括对潜在不良反应的担忧、对疫苗必要性的看法以及疫苗供应的限制。值得注意的是,不同国家、不同疫苗和不同疫苗接种相关因素导致个人接受疫苗和犹豫不决的模式各不相同。了解影响犹豫不决的多方面因素有助于采取有针对性的干预措施,在全球范围内提高免疫接种率并改善公共卫生。
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引用次数: 0
Deep Diving Into the Cardiovascular Health Paradox: A Journey Towards Personalized Prevention 深入探索心血管健康悖论:迈向个性化预防之路
IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-17 DOI: 10.3389/phrs.2024.1606879
B. Gaye, Nabila Bouatia Naji, Mario Sims, Yendelela L. Cuffee, Oluwabunmi Ogungbe, E. Michos, Camille Lassale, Pierre Sabouret, Xavier Jouven
The Life’s Simple 7 score (LS7) promotes cardiovascular health (CVH). Despite this, some with optimal LS7 develop cardiovascular disease (CVD), while others with poor CVH do not, termed the “CVH paradox.” This paper explores pathways explaining this paradox.We examined methodological aspects: 1) misclassification bias in self-reported lifestyle factors (smoking, physical activity, diet); 2) cumulative exposure to risk factors over a lifetime, impacting the CVH paradox. Punctual risk factor assessments are suboptimal for predicting outcomes. We proposed personalized prevention using “novel” elements to refine CVH assessment: 1) subclinical vascular disease markers, 2) metabolic biomarkers in blood and urine, 3) emerging risk factors, 4) polygenic risk scores (PRS), 5) epigenetics, and 6) the exposome.Addressing the CVH paradox requires a multifaceted approach, reducing misclassification bias, considering cumulative risk exposure, and incorporating novel personalized prevention elements.A holistic, individualized approach to CVH assessment and CVD prevention can better reduce cardiovascular outcomes and improve population health. Collaboration among researchers, healthcare providers, policymakers, and communities is essential for effective implementation and realization of these strategies.
生命简单 7 分(LS7)可促进心血管健康(CVH)。尽管如此,一些 LS7 最佳的人却会患上心血管疾病(CVD),而另一些 CVH 较差的人却不会,这被称为 "CVH 悖论"。本文探讨了解释这一悖论的途径:我们研究了方法学方面的问题:1)自我报告的生活方式因素(吸烟、体育锻炼、饮食)的分类偏差;2)一生中暴露于危险因素的累积,对 CVH 悖论产生影响。准时的风险因素评估对于预测结果并不理想。我们建议使用 "新型 "元素来完善 CVH 评估,从而实现个性化预防:解决心血管健康悖论需要采取多方面的方法,减少错误分类偏差,考虑累积风险暴露,并纳入新型个性化预防要素。研究人员、医疗保健提供者、决策者和社区之间的合作对于有效实施和实现这些策略至关重要。
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引用次数: 0
Harnessing Health Information Technology in Domestic Violence in the United States: A Scoping Review. 在美国家庭暴力中利用医疗信息技术:范围审查》。
IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-21 eCollection Date: 2024-01-01 DOI: 10.3389/phrs.2024.1606654
Vivian Hui, Bohan Zhang, Bomin Jeon, Kwan Ching Arkers Wong, Mary Lou Klem, Young Ji Lee

Objectives: The following scoping review aims to identify and map the existing evidence for HIT interventions among women with DV experiences in the United States. And provide guidance for future research, and facilitate clinical and technical applications for healthcare professionals.

Methods: Five databases, PubMed, EBSCOhost CINAHL, Ovid APA PsycINFO, Scopus and Google Scholar, were searched from date of inception to May 2023. Reviewers extracted classification of the intervention, descriptive details, and intervention outcomes, including physical safety, psychological, and technical outcomes, based on representations in the included studies.

Results: A total of 24 studies were included, identifying seven web-based interventions and four types of abuse. A total of five studies reported safety outcomes related to physical health. Three studies reported depression, anxiety, and post-traumatic stress disorder as psychological health outcomes. The effectiveness of technology interventions was assessed in eight studies.

Conclusion: Domestic violence is a major public health issue, and research has demonstrated the tremendous potential of health information technology, the use of which can support individuals, families, and communities of domestic violence survivors.

目标:以下范围界定综述旨在确定和绘制美国对有家庭暴力经历的妇女进行 HIT 干预的现有证据。并为今后的研究提供指导,促进医护人员的临床和技术应用:方法:对 PubMed、EBSCOhost CINAHL、Ovid APA PsycINFO、Scopus 和 Google Scholar 五个数据库进行了检索,检索时间从开始日期起至 2023 年 5 月。根据纳入研究中的表述,审稿人提取了干预的分类、描述性细节和干预结果,包括身体安全、心理和技术结果:结果:共纳入 24 项研究,确定了 7 种基于网络的干预措施和 4 种滥用类型。共有五项研究报告了与身体健康相关的安全结果。三项研究报告了抑郁、焦虑和创伤后应激障碍等心理健康结果。八项研究对技术干预的有效性进行了评估:家庭暴力是一个重大的公共健康问题,研究表明,健康信息技术具有巨大的潜力,使用该技术可以为家庭暴力幸存者的个人、家庭和社区提供支持。
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引用次数: 0
The Transformative Power of Virtual Hospitals for Revolutionising Healthcare Delivery. 虚拟医院在革新医疗服务方面的变革力量。
IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-19 eCollection Date: 2024-01-01 DOI: 10.3389/phrs.2024.1606371
Alexandre Vallée, Maxence Arutkin

Objectives: The objective of this narrative review is to explore the advantages and limitations of VHs in delivering healthcare, including access to specialized professionals, streamlined communication, efficient scheduling, integration of electronic health records, ongoing monitoring, and support, transcending geographical boundaries, and resource optimization. Methods: Review of literature. Results: The national healthcare systems are facing an alarming rise in pressure due to global shifts. Virtual hospitals (VH) offer a practical solution to numerous systemic challenges, including rising costs and increased workloads for healthcare providers. VH also facilitate the delivery of personalized services and enable the monitoring of patients beyond the conventional confines of healthcare settings, reducing the reliance on waiting medicine carried out in doctors' offices or hospitals. Conclusion: VH can mirror the conventional healthcare referral system.

目的:本叙述性综述旨在探讨虚拟医院在提供医疗保健服务方面的优势和局限性,包括获得专业人员的服务、简化沟通、高效调度、整合电子健康记录、持续监测和支持、跨越地域界限以及资源优化。方法:文献综述:文献综述。结果:由于全球形势的变化,国家医疗保健系统正面临着惊人的压力。虚拟医院(VH)为众多系统性挑战提供了切实可行的解决方案,包括成本上升和医疗服务提供者工作量增加。虚拟医院还有助于提供个性化服务,并能在传统医疗机构之外对患者进行监测,从而减少对医生办公室或医院开展的候诊医学的依赖。结论:虚拟医院可以反映传统的医疗转诊系统。
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引用次数: 0
Two Decades of Air Pollution Health Risk Assessment: Insights From the Use of WHO's AirQ and AirQ+ Tools. 空气污染健康风险评估二十年:使用世界卫生组织 AirQ 和 AirQ+ 工具的启示。
IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-18 eCollection Date: 2024-01-01 DOI: 10.3389/phrs.2024.1606969
Heresh Amini, Fatemeh Yousefian, Sasan Faridi, Zorana J Andersen, Ellénore Calas, Alberto Castro, Karla Cervantes-Martínez, Thomas Cole-Hunter, Magali Corso, Natasa Dragic, Dimitris Evangelopoulos, Christian Gapp, Mohammad Sadegh Hassanvand, Ingu Kim, Alain Le Tertre, Sylvia Medina, Brian Miller, Stephanie Montero, Weeberb J Requia, Horacio Riojas-Rodriguez, David Rojas-Rueda, Evangelia Samoli, Jose Luis Texcalac-Sangrador, Maayan Yitshak-Sade, Joel Schwartz, Nino Kuenzli, Joseph V Spadaro, Michal Krzyzanowski, Pierpaolo Mudu

Objectives: We evaluated studies that used the World Health Organization's (WHO) AirQ and AirQ+ tools for air pollution (AP) health risk assessment (HRA) and provided best practice suggestions for future assessments.

Methods: We performed a comprehensive review of studies using WHO's AirQ and AirQ+ tools, searching several databases for relevant articles, reports, and theses from inception to Dec 31, 2022.

Results: We identified 286 studies that met our criteria. The studies were conducted in 69 countries, with most (57%) in Iran, followed by Italy and India (∼8% each). We found that many studies inadequately report air pollution exposure data, its quality, and validity. The decisions concerning the analysed population size, health outcomes of interest, baseline incidence, concentration-response functions, relative risk values, and counterfactual values are often not justified, sufficiently. Many studies lack an uncertainty assessment.

Conclusion: Our review found a number of common shortcomings in the published assessments. We suggest better practices and urge future studies to focus on the quality of input data, its reporting, and associated uncertainties.

目的:我们对使用世界卫生组织(WHO)AirQ 和 AirQ+ 工具进行空气污染健康风险评估(HRA)的研究进行了评估,并为今后的评估提供了最佳实践建议:我们对使用世界卫生组织(WHO)的 AirQ 和 AirQ+ 工具进行空气污染健康风险评估(HRA)的研究进行了评估,并为未来的评估提供了最佳实践建议:我们对使用世界卫生组织 AirQ 和 AirQ+ 工具的研究进行了全面审查,在多个数据库中搜索了从开始到 2022 年 12 月 31 日的相关文章、报告和论文:结果:我们确定了 286 项符合标准的研究。这些研究在 69 个国家进行,其中大多数(57%)在伊朗,其次是意大利和印度(各占 8%)。我们发现,许多研究没有充分报告空气污染暴露数据、其质量和有效性。有关分析人群规模、相关健康结果、基线发病率、浓度-反应函数、相对风险值和反事实值的决定往往没有充分说明理由。许多研究缺乏不确定性评估:我们的审查发现,已发表的评估报告中存在许多共同的缺点。我们建议采取更好的做法,并敦促今后的研究重点关注输入数据的质量、其报告以及相关的不确定性。
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引用次数: 0
Depressive Symptoms Among Higher Education Students in Germany—A Systematic Review and Meta-Analysis 德国高校学生的抑郁症状--系统回顾与元分析
IF 5.5 Q1 Nursing Pub Date : 2024-06-10 DOI: 10.3389/phrs.2024.1606983
E. Heumann, Ana Valentina Palacio Siebe, C. Stock, Katherina Heinrichs
Higher education students in Germany are vulnerable to depressive symptoms. Despite ample evidence, no comprehensive review has recently been conducted. Thus, our systematic review and meta-analysis aims at describing the extent to which students are affected by depressive symptoms.We searched three databases for articles reporting the prevalence rates of depressiveness among students in Germany published between 2002 and 2023. Pooled prevalence rates were calculated using random effects models, both for the overall sample and for subgroups categorized by gender, study setting, assessment instrument, and whether the study was conducted before or during the COVID-19 pandemic.The search yielded 992 records. After screening, 60 articles remained for data extraction. About one out of five students (21.1%) exhibits depressive symptoms. Pooled prevalence rates differ between subgroups, with higher rates during the COVID-19 pandemic than before (30.6% versus 18.0%) and with females being more affected than their male counterparts (29.0% versus 23.1%).This review underlines the urgency with which the mental health of students should be addressed at the (higher educational) policy level.PROPSPERO, Identifier CRD42022384066.
德国的高校学生很容易出现抑郁症状。尽管有大量的证据,但最近还没有进行过全面的综述。因此,我们的系统综述和荟萃分析旨在描述学生受抑郁症状影响的程度。我们在三个数据库中检索了 2002 年至 2023 年间发表的报告德国学生抑郁症患病率的文章。我们使用随机效应模型计算了总体样本和按性别、研究环境、评估工具以及研究是在 COVID-19 大流行之前还是期间进行的亚组的汇总患病率。经过筛选,剩下 60 篇文章用于提取数据。大约五分之一的学生(21.1%)有抑郁症状。本综述强调了在(高等教育)政策层面解决学生心理健康问题的紧迫性。PROPSPERO,标识符 CRD42022384066。
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引用次数: 0
Corrigendum: Merging Academy and Healthcare in the Public Health Training of Medical Students. 更正:在医科学生的公共卫生培训中将学院与医疗保健相结合。
IF 3.5 Q1 Nursing Pub Date : 2024-06-07 eCollection Date: 2024-01-01 DOI: 10.3389/phrs.2024.1607564
Teresa Leão, Henrique Barros

[This corrects the article DOI: 10.1186/s40985-020-00146-1.].

[此处更正了文章 DOI:10.1186/s40985-020-00146-1]。
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引用次数: 0
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