Hafidlotul Mu’awanah, Maria Ulfa, R. Rajikan, Meltem Saygili, Nesrin Akca
Objective: Food waste in hospitals has a significant impact on environmental sustainability. The effect of food waste includes the potential for pollution, eutrophication, and global warming, all of which are highly destructive to the Earth’s ecology. This study aims to determine the trends of hospital food service based on hospital waste to achieve a sustainable hospital. Material and Methods: This study examined 137 articles from the Scopus database using the descriptive-analytic method. The records issued between 2018 to 2022 that were gathered based on the keywords “hospital,” and “food,” and “waste” were used in this exploration investigation. Results: The result indicated that the three-year (93 papers) analysis trend of hospital food waste has been toward developing sustainable hospitals. The top three keywords are waste (3.3%), food (3.09%), and hospital (2.06%). The hospital food waste was positively associated with the food, food service, and hospital assessment, with correlation values ranging from 0.76 to 0.85 (p-value≥0.70). The cluster’s themes on hospital food were waste food contamination (36.13%), environmental sustainability (34.45%), and hospital food services (29.4%). Conclusion: Addressing hospital food waste is crucial for achieving sustainable hospital development. Managing food waste is essential to achieve sustainability in hospitals as it produces the highest amount compared to other sectors.
{"title":"Hospital Food Waste Trends: A Bibliometric Analysis","authors":"Hafidlotul Mu’awanah, Maria Ulfa, R. Rajikan, Meltem Saygili, Nesrin Akca","doi":"10.31584/jhsmr.20241069","DOIUrl":"https://doi.org/10.31584/jhsmr.20241069","url":null,"abstract":"Objective: Food waste in hospitals has a significant impact on environmental sustainability. The effect of food waste includes the potential for pollution, eutrophication, and global warming, all of which are highly destructive to the Earth’s ecology. This study aims to determine the trends of hospital food service based on hospital waste to achieve a sustainable hospital. Material and Methods: This study examined 137 articles from the Scopus database using the descriptive-analytic method. The records issued between 2018 to 2022 that were gathered based on the keywords “hospital,” and “food,” and “waste” were used in this exploration investigation. Results: The result indicated that the three-year (93 papers) analysis trend of hospital food waste has been toward developing sustainable hospitals. The top three keywords are waste (3.3%), food (3.09%), and hospital (2.06%). The hospital food waste was positively associated with the food, food service, and hospital assessment, with correlation values ranging from 0.76 to 0.85 (p-value≥0.70). The cluster’s themes on hospital food were waste food contamination (36.13%), environmental sustainability (34.45%), and hospital food services (29.4%). Conclusion: Addressing hospital food waste is crucial for achieving sustainable hospital development. Managing food waste is essential to achieve sustainability in hospitals as it produces the highest amount compared to other sectors.","PeriodicalId":36211,"journal":{"name":"Journal of Health Science and Medical Research","volume":"57 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141798669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rituparna Ghoshal, Somnath Ghosh, S. Sharanjeet-Kaur, Norliza Mohamad Fadzil, N. Ngah
Objective: The relationship between morphological and visual parameters in age-related macular degeneration may reveal markers for diagnosis and management of this disease. However, there is an insignificant paucity of research reporting any strong correlation between visual and morphological components of typical neovascular age-related macular degeneration (nAMD). Hence, the objectives of the present pilot research were to assess detailed visual components and various optical coherence tomography (OCT) parameters in eyes with typical nAMD, and to determine the association between them.Material and Methods: Patients identified as naïve nAMD were recruited from a public hospital in Malaysia. Distance visual acuity (DVA), near visual acuity (NVA), reading speed (RS) and contrast sensitivity (CS) were assessed. Several quantitative and qualitative morphological parameters were evaluated, using the spectral-domain OCT. Results: Fifteen newly diagnosed Typical nAMD eyes were examined. Mean (±standard deviation) DVA, NVA, CS and RS were recorded as: 0.92±0.39, 0.80±0.38, 0.75±0.39, 70.02±14, respectively. Average retinal thickness, central thickness and centre maximum thickness demonstrated good correlation (r≥0.05 with BCVA, NVA and CS. Similarly, the Centre minimum thickness demonstrated a good correlation (r≥0.50) with DVA. An intact external limiting membrane and photoreceptors inner and outer segment showed better visual components. Conclusion: This present pilot study reported visual components and OCT parameters of Malaysian eyes with Typical nAMD, with some of the OCT parameters showing good correlation with visual components. Thus, regardless of its small sample size, this present pilot study generated new knowledge and understanding in this area. Future research with a larger sample is recommended.
目的：老年性黄斑变性的形态学参数和视觉参数之间的关系可能揭示出诊断和治疗这种疾病的标志。然而，关于典型新生血管性老年性黄斑变性（nAMD）的视觉和形态学成分之间是否存在密切联系的研究报告却少之又少。因此，本试验性研究的目的是评估典型 nAMD 患者眼睛的详细视觉成分和各种光学相干断层扫描（OCT）参数，并确定它们之间的关联：材料和方法：从马来西亚一家公立医院招募被确定为天真型 nAMD 的患者。评估了远视力（DVA）、近视力（NVA）、阅读速度（RS）和对比敏感度（CS）。使用光谱域 OCT 评估了几个定量和定性形态参数。结果：对 15 只新诊断的典型 nAMD 眼睛进行了检查。平均（±标准偏差）DVA、NVA、CS 和 RS 分别为0.92±0.39、0.80±0.38、0.75±0.39、70.02±14。视网膜平均厚度、中心厚度和中心最大厚度与 BCVA、NVA 和 CS 的相关性良好（r≥0.05）。同样，中心最小厚度与 DVA 的相关性也很好（r≥0.50）。完整的外缘膜和感光器内外节显示出更好的视觉成分。结论：本试验性研究报告了马来西亚典型 nAMD 患者的视觉成分和 OCT 参数，其中一些 OCT 参数与视觉成分显示出良好的相关性。因此，尽管样本量较小，本试验性研究还是在这一领域产生了新的知识和认识。建议今后开展更大样本的研究。
{"title":"Association between Retinal Morphology and Visual Functions in Eyes with Typical Neovascular Age Related Macular Degeneration: A Pilot Study","authors":"Rituparna Ghoshal, Somnath Ghosh, S. Sharanjeet-Kaur, Norliza Mohamad Fadzil, N. Ngah","doi":"10.31584/jhsmr.20241068","DOIUrl":"https://doi.org/10.31584/jhsmr.20241068","url":null,"abstract":"Objective: The relationship between morphological and visual parameters in age-related macular degeneration may reveal markers for diagnosis and management of this disease. However, there is an insignificant paucity of research reporting any strong correlation between visual and morphological components of typical neovascular age-related macular degeneration (nAMD). Hence, the objectives of the present pilot research were to assess detailed visual components and various optical coherence tomography (OCT) parameters in eyes with typical nAMD, and to determine the association between them.Material and Methods: Patients identified as naïve nAMD were recruited from a public hospital in Malaysia. Distance visual acuity (DVA), near visual acuity (NVA), reading speed (RS) and contrast sensitivity (CS) were assessed. Several quantitative and qualitative morphological parameters were evaluated, using the spectral-domain OCT. Results: Fifteen newly diagnosed Typical nAMD eyes were examined. Mean (±standard deviation) DVA, NVA, CS and RS were recorded as: 0.92±0.39, 0.80±0.38, 0.75±0.39, 70.02±14, respectively. Average retinal thickness, central thickness and centre maximum thickness demonstrated good correlation (r≥0.05 with BCVA, NVA and CS. Similarly, the Centre minimum thickness demonstrated a good correlation (r≥0.50) with DVA. An intact external limiting membrane and photoreceptors inner and outer segment showed better visual components. Conclusion: This present pilot study reported visual components and OCT parameters of Malaysian eyes with Typical nAMD, with some of the OCT parameters showing good correlation with visual components. Thus, regardless of its small sample size, this present pilot study generated new knowledge and understanding in this area. Future research with a larger sample is recommended.","PeriodicalId":36211,"journal":{"name":"Journal of Health Science and Medical Research","volume":"46 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141805701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: This study aimed to examine the effectiveness of a patient-family-shared care program in delaying the progression of chronic kidney disease (PFS-DCKD-P) in uncontrolled type 2 diabetic patients within Phrae province, Thailand.Material and Methods: In this quasi-experimental research, twenty-three patient-family member dyads in the intervention group completed the 16-week PFS-DCKD-P; while twenty-two patient-family member dyads of the control group received a regular program. Outcomes included: patients’ shared care, family members’ shared care and the clinical outcomes, which were chronic kidney disease clinical indexes (CKDC-Indexes). Differences were compared within the groups before and after participating in the program as well as differences between groups after participating in the program. Descriptive statistics, paired t-test, and independent t-test statistics were used for data analysis.Results: The patients’ shared care of a decision-making component and a reciprocity component, systolic blood pressure (SBP), and blood sugar (BS) after program participation were higher than before in the intervention group (p-value<0.05). When compared between groups, the SBP of the intervention group was lower than the control group (p-value<0.05). There were no statistical differences of patients’ and family members’ shared care mean scores between the two groups. However, family members’ shared care of the communication component was increased in the intervention group (p-value<0.05). Conclusion: The PFS-DCKD-P showed no explicit effectiveness on improving shared care for both patients and family members, nor for CKDC-Indexes. Further studies should optimize each program activity and encourage more consistent participation from family members.
研究目的本研究旨在探讨患者-家庭共享护理计划（PFS-DCKD-P）对泰国帕府未受控制的 2 型糖尿病患者延缓慢性肾病进展的效果：在这项准实验研究中，干预组的 23 名患者-家属二人组完成了为期 16 周的 PFS-DCKD-P 项目；对照组的 22 名患者-家属二人组接受了常规项目。研究结果包括：患者共同护理、家庭成员共同护理和临床结果，即慢性肾脏病临床指数（CKDC-Indexes）。比较了各组在参加计划前后的差异，以及参加计划后各组之间的差异。数据分析采用了描述性统计、配对 t 检验和独立 t 检验：结果：干预组患者参与计划后的共同护理（决策部分和互惠部分）、收缩压（SBP）和血糖（BS）均高于干预前（P值<0.05）。组间比较，干预组的收缩压低于对照组（P 值<0.05）。两组患者和家属的共同护理平均得分无统计学差异。然而，干预组患者家属在沟通部分的共同护理得分有所增加（P 值<0.05）。结论PFS-DCKD-P对改善患者和家属的共同护理以及CKDC-Indexes均无明显效果。进一步的研究应优化每项计划活动，鼓励家庭成员更持续地参与。
{"title":"Effectiveness of a Patient-Family-Shared Care Program on Delaying the Progression of Chronic Kidney Disease in Uncontrolled Type 2 Diabetic Patients: A Quasi-Experimental Study","authors":"Kanlayanee No-in, Adul Wuttijurepan, Saowapa Dedkhard, Saifon Insrichuen, Sripare Khemwichai","doi":"10.31584/jhsmr.20241067","DOIUrl":"https://doi.org/10.31584/jhsmr.20241067","url":null,"abstract":"Objective: This study aimed to examine the effectiveness of a patient-family-shared care program in delaying the progression of chronic kidney disease (PFS-DCKD-P) in uncontrolled type 2 diabetic patients within Phrae province, Thailand.Material and Methods: In this quasi-experimental research, twenty-three patient-family member dyads in the intervention group completed the 16-week PFS-DCKD-P; while twenty-two patient-family member dyads of the control group received a regular program. Outcomes included: patients’ shared care, family members’ shared care and the clinical outcomes, which were chronic kidney disease clinical indexes (CKDC-Indexes). Differences were compared within the groups before and after participating in the program as well as differences between groups after participating in the program. Descriptive statistics, paired t-test, and independent t-test statistics were used for data analysis.Results: The patients’ shared care of a decision-making component and a reciprocity component, systolic blood pressure (SBP), and blood sugar (BS) after program participation were higher than before in the intervention group (p-value<0.05). When compared between groups, the SBP of the intervention group was lower than the control group (p-value<0.05). There were no statistical differences of patients’ and family members’ shared care mean scores between the two groups. However, family members’ shared care of the communication component was increased in the intervention group (p-value<0.05). Conclusion: The PFS-DCKD-P showed no explicit effectiveness on improving shared care for both patients and family members, nor for CKDC-Indexes. Further studies should optimize each program activity and encourage more consistent participation from family members.","PeriodicalId":36211,"journal":{"name":"Journal of Health Science and Medical Research","volume":"29 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141802805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Neamhom, Chanchira Phosat, Thanathorn Chumprasittichok
Objective: This study aimed to determine the health effects on undergraduate students from online learning and connectivity devices, characterizing the association between significant confounding factors and the prevalence of health symptoms among undergraduates.Material and Methods: This cross-sectional study was conducted from July to August 2021 and involved 219 undergraduates selected by simple random sampling from an academic institute within Thailand. Data were analyzed using Chi-square and Kendall’s tau-c tests. All data were collected through a self-administered questionnaire.Results: Among participants, (1) tablets and smartphones were the major devices used (97.7% and 77.2%, respectively), (2) the prevalence of nervous-related and mental symptoms was over 80% for headache, dizziness, fatigue, difficulty concentrating, stress, tiredness and anxiety, (3) the Chi-square test results for laptop devices revealed an association with anxiety and burnout effects (p-value<0.05 for all), while anxiety presented as a positive correlation coefficient of Kendall rank (0.003), with desktop PC devices, and (4) learning media including video, PowerPoint and academic articles, played a major role in affecting health; especially academic articles, which exhibited a positive relationship in all related effects.Conclusion: The use of learning media during the Coronavirus Disease-19 (COVID-19) pandemic has had an impact on students’ mental health. Decisions regarding implementing mitigation measures and monitoring programs should be reconsidered to reduce risks to students’ health.
{"title":"Association of Online Learning Tools and Students’ Health: A Case Study During the COVID-19 Pandemic","authors":"T. Neamhom, Chanchira Phosat, Thanathorn Chumprasittichok","doi":"10.31584/jhsmr.20241066","DOIUrl":"https://doi.org/10.31584/jhsmr.20241066","url":null,"abstract":"Objective: This study aimed to determine the health effects on undergraduate students from online learning and connectivity devices, characterizing the association between significant confounding factors and the prevalence of health symptoms among undergraduates.Material and Methods: This cross-sectional study was conducted from July to August 2021 and involved 219 undergraduates selected by simple random sampling from an academic institute within Thailand. Data were analyzed using Chi-square and Kendall’s tau-c tests. All data were collected through a self-administered questionnaire.Results: Among participants, (1) tablets and smartphones were the major devices used (97.7% and 77.2%, respectively), (2) the prevalence of nervous-related and mental symptoms was over 80% for headache, dizziness, fatigue, difficulty concentrating, stress, tiredness and anxiety, (3) the Chi-square test results for laptop devices revealed an association with anxiety and burnout effects (p-value<0.05 for all), while anxiety presented as a positive correlation coefficient of Kendall rank (0.003), with desktop PC devices, and (4) learning media including video, PowerPoint and academic articles, played a major role in affecting health; especially academic articles, which exhibited a positive relationship in all related effects.Conclusion: The use of learning media during the Coronavirus Disease-19 (COVID-19) pandemic has had an impact on students’ mental health. Decisions regarding implementing mitigation measures and monitoring programs should be reconsidered to reduce risks to students’ health.","PeriodicalId":36211,"journal":{"name":"Journal of Health Science and Medical Research","volume":"5 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141807355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Oral submucous fibrosis (OSMF) is manifested by symptoms such as palpable fibrotic bands, ulceration, presence of stiffness in the mouth and lip, xerostomia, pigmentation in the oral mucosal layer, and burning sensation and drying of the mouth. It poses a challenge for researchers as there is no viable therapy for this gradually debilitating disorder with a high malignancy potential. Ayurveda is a traditional medicinal practice of the past and present times which can be useful in providing a viable cure. Thus, the current study was designed to assess and compare the effect of Oxitard capsule and Immusante tablet on the clinical and subjective symptoms of OSMF. Material and Methods: The study included 36 patients with clinically diagnosed OSMF who were split evenly into two groups: Group A, the Oxitard group, and Group B, the Immusante group. For three months, Group A received two Oxitard capsules twice daily, while Group B received two Immusante tablets twice daily. At regular intervals, the clinical parameters were evaluated, and the data were analysed using repeated measures ANOVA and the Bonferroni post hoc test. P-value≤0.05 was regarded as statistically significant. Results: On assessment of mouth opening, tongue protrusion, cheek flexibility and subjective symptoms there was significant improvement reported in both groups. In group comparison, the Oxitard and Immusante groups showed a significant difference in cheek flexibility at 3 months. There were no significant differences in subjective symptoms in either of the groups pre- and post-treatment. Conclusion: Efficacy of both the drugs were equall was found to be similar when used as an adjunct to tobacco cessation counselling in the management of early stages of oral submucous fibrosis when used as an adjunct to behavioral management.
{"title":"Comparative Efficacy of Oxitard Capsules and Immusante Tablets in Early Stages of Oral Submucous Fibrosis - A Randomized Controlled Trial","authors":"K. Dash, Anmol Mathur, L. Rajpurohit, Sonal Kale","doi":"10.31584/jhsmr.20241064","DOIUrl":"https://doi.org/10.31584/jhsmr.20241064","url":null,"abstract":"Objective: Oral submucous fibrosis (OSMF) is manifested by symptoms such as palpable fibrotic bands, ulceration, presence of stiffness in the mouth and lip, xerostomia, pigmentation in the oral mucosal layer, and burning sensation and drying of the mouth. It poses a challenge for researchers as there is no viable therapy for this gradually debilitating disorder with a high malignancy potential. Ayurveda is a traditional medicinal practice of the past and present times which can be useful in providing a viable cure. Thus, the current study was designed to assess and compare the effect of Oxitard capsule and Immusante tablet on the clinical and subjective symptoms of OSMF. Material and Methods: The study included 36 patients with clinically diagnosed OSMF who were split evenly into two groups: Group A, the Oxitard group, and Group B, the Immusante group. For three months, Group A received two Oxitard capsules twice daily, while Group B received two Immusante tablets twice daily. At regular intervals, the clinical parameters were evaluated, and the data were analysed using repeated measures ANOVA and the Bonferroni post hoc test. P-value≤0.05 was regarded as statistically significant. Results: On assessment of mouth opening, tongue protrusion, cheek flexibility and subjective symptoms there was significant improvement reported in both groups. In group comparison, the Oxitard and Immusante groups showed a significant difference in cheek flexibility at 3 months. There were no significant differences in subjective symptoms in either of the groups pre- and post-treatment. Conclusion: Efficacy of both the drugs were equall was found to be similar when used as an adjunct to tobacco cessation counselling in the management of early stages of oral submucous fibrosis when used as an adjunct to behavioral management.","PeriodicalId":36211,"journal":{"name":"Journal of Health Science and Medical Research","volume":"68 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141353093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amontis Chaimongkolpipob, Supapen Lertvutivivat, T. Nanthakomon, C. Tanprasertkul, Banthisa Somboon, C. Somprasit
Objective: To evaluate the diagnostic precision of the 50-gram glucose challenge test (50-g GCT) at various levels for the detection of gestational diabetes mellitus (GDM), and to examine its association with clinical risk indicators. Material and Methods: At Thammasat University Hospital, our retrospective cohort comprised 1,197 pregnant women screened using the 50-g GCT based on risk factors, including a family history of GDM, obesity, and other factors. Out of these, 219 tested positive, with 83 (37.9%) diagnosed with GDM and 136 (62.1%) without GDM. Comprehensive data including baseline characteristics, as well as maternal and neonatal outcomes, were compiled. We assessed the correlations between clinical risk factors and 50-g GCT values to ascertain GDM. The positive predictive value (PPV) and negative predictive value (NPV) for various cut-off levels were determined. Results: The best cutoff for the 50-g GCT for GDM diagnosis was ≥220 mg/dL with 100% PPV without adding clinical risk. The PPVs reached 75% and 100%, respectively, when combined with maternal age ≥35 years at 50-g GCT thresholds of ≥210 mg/dL and ≥220 mg/dL. A history of diabetes in the family combined with a 50-g GCT provided 100% PPV at 200 mg/dL. Conclusion: A 50-g GCT cut-off value of ≥220mg/dL is proposed for a definitive GDM diagnosis in certain circumstances, negating the need for this additional test. When a pregnant woman has a family history of diabetes, the 50-g GCT cut-off of 200 mg/dL could be a promising marker for identifying GDM.
{"title":"The Diagnostic Value of the 50-Gram Glucose Challenge Test at Various Cut-off Levels Combined with Clinical Risk Factors in Predicting the Diagnosis of Gestational Diabetes Mellitus","authors":"Amontis Chaimongkolpipob, Supapen Lertvutivivat, T. Nanthakomon, C. Tanprasertkul, Banthisa Somboon, C. Somprasit","doi":"10.31584/jhsmr.20241063","DOIUrl":"https://doi.org/10.31584/jhsmr.20241063","url":null,"abstract":"Objective: To evaluate the diagnostic precision of the 50-gram glucose challenge test (50-g GCT) at various levels for the detection of gestational diabetes mellitus (GDM), and to examine its association with clinical risk indicators. Material and Methods: At Thammasat University Hospital, our retrospective cohort comprised 1,197 pregnant women screened using the 50-g GCT based on risk factors, including a family history of GDM, obesity, and other factors. Out of these, 219 tested positive, with 83 (37.9%) diagnosed with GDM and 136 (62.1%) without GDM. Comprehensive data including baseline characteristics, as well as maternal and neonatal outcomes, were compiled. We assessed the correlations between clinical risk factors and 50-g GCT values to ascertain GDM. The positive predictive value (PPV) and negative predictive value (NPV) for various cut-off levels were determined. Results: The best cutoff for the 50-g GCT for GDM diagnosis was ≥220 mg/dL with 100% PPV without adding clinical risk. The PPVs reached 75% and 100%, respectively, when combined with maternal age ≥35 years at 50-g GCT thresholds of ≥210 mg/dL and ≥220 mg/dL. A history of diabetes in the family combined with a 50-g GCT provided 100% PPV at 200 mg/dL. Conclusion: A 50-g GCT cut-off value of ≥220mg/dL is proposed for a definitive GDM diagnosis in certain circumstances, negating the need for this additional test. When a pregnant woman has a family history of diabetes, the 50-g GCT cut-off of 200 mg/dL could be a promising marker for identifying GDM. ","PeriodicalId":36211,"journal":{"name":"Journal of Health Science and Medical Research","volume":" 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141370163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Violence against women during pregnancy is a critical human rights issue and a significant global public health concern. The study aimed to assess the prevalence of physical violence during any pregnancies and mental distress by ever-pregnant women, investigate the association between physical violence and mental distress, and explore additional factors linked to mental distress.Material and Methods: This secondary analysis of household-based cross-sectional study included 1,045 ever-pregnant women aged 18-49 years from Yangon Region, Myanmar, interviewed between October and November 2016. Physical violence and mental distress were assessed utilizing the standardized Demography and Health Survey questionnaire and the Hopkins Symptom Checklist-10, respectively. Multiple logistic regression analysis was used for association between physical violence and mental distress.Results: We found that 6.4% (95% CI 5.1% to 8.1%) of the women had experienced physical violence during pregnancy and 34.1% (95% CI 31.3% to 37.0%) had suffered mental distress. We identified no significant association between physical violence during pregnancy and mental distress. Women residing in an urban area, having more than three children, experiencing family debt, having poor health status, having a partner with controlling behavior, and having a partner who consumed alcohol were significantly associated with mental distress.Conclusion: One in 16 women in Yangon, Myanmar, had experienced physical violence during a pregnancy, while approximately one-third of the women had suffered from mental distress. It is a problem of serious concern in many countries to screen pregnant women for risk factors associated with mental distress during their antenatal care and prepare the appropriate mental health services for them.
目的：孕期暴力侵害妇女行为是一个重要的人权问题，也是全球公共健康的一个重大关切。本研究旨在评估曾经怀孕的妇女在怀孕期间遭受身体暴力和精神痛苦的发生率，调查身体暴力和精神痛苦之间的关联，并探讨与精神痛苦相关的其他因素：这项以家庭为基础的横断面研究的二次分析纳入了缅甸仰光地区 18-49 岁的 1045 名曾经怀孕的女性，访谈时间为 2016 年 10 月至 11 月。身体暴力和精神压力分别采用标准化的人口与健康调查问卷和霍普金斯症状检查表-10进行评估。结果显示，6.4%（6.4%）的受访者患有精神疾病：我们发现，6.4%（95% CI 5.1%-8.1%）的妇女在怀孕期间遭受过身体暴力，34.1%（95% CI 31.3%-37.0%）的妇女遭受过精神压力。我们发现，孕期身体暴力与精神痛苦之间没有明显的关联。居住在城市地区的妇女、有三个以上子女的妇女、家庭负债累累的妇女、健康状况不良的妇女、有控制欲的伴侣的妇女、酗酒的伴侣的妇女与精神痛苦有明显的相关性：在缅甸仰光，每 16 名妇女中就有一人在怀孕期间遭受过身体暴力，约三分之一的妇女遭受过精神痛苦。在许多国家，如何在孕妇产前护理期间筛查与精神痛苦相关的风险因素，并为她们准备适当的精神健康服务，是一个值得严重关注的问题。
{"title":"Physical Violence During Pregnancy and Associated Factors of Mental Distress Among Women in Yangon Region, Myanmar: A Secondary Analysis of a Cross-Sectional Study","authors":"Win Thuzar Aye, Zaw Myo Hein, Matteo Botta, Espen Bjertness, T. Liabsuetrakul","doi":"10.31584/jhsmr.20241062","DOIUrl":"https://doi.org/10.31584/jhsmr.20241062","url":null,"abstract":"Objective: Violence against women during pregnancy is a critical human rights issue and a significant global public health concern. The study aimed to assess the prevalence of physical violence during any pregnancies and mental distress by ever-pregnant women, investigate the association between physical violence and mental distress, and explore additional factors linked to mental distress.Material and Methods: This secondary analysis of household-based cross-sectional study included 1,045 ever-pregnant women aged 18-49 years from Yangon Region, Myanmar, interviewed between October and November 2016. Physical violence and mental distress were assessed utilizing the standardized Demography and Health Survey questionnaire and the Hopkins Symptom Checklist-10, respectively. Multiple logistic regression analysis was used for association between physical violence and mental distress.Results: We found that 6.4% (95% CI 5.1% to 8.1%) of the women had experienced physical violence during pregnancy and 34.1% (95% CI 31.3% to 37.0%) had suffered mental distress. We identified no significant association between physical violence during pregnancy and mental distress. Women residing in an urban area, having more than three children, experiencing family debt, having poor health status, having a partner with controlling behavior, and having a partner who consumed alcohol were significantly associated with mental distress.Conclusion: One in 16 women in Yangon, Myanmar, had experienced physical violence during a pregnancy, while approximately one-third of the women had suffered from mental distress. It is a problem of serious concern in many countries to screen pregnant women for risk factors associated with mental distress during their antenatal care and prepare the appropriate mental health services for them.","PeriodicalId":36211,"journal":{"name":"Journal of Health Science and Medical Research","volume":" 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141371930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rheumatoid arthritis (RA) is a chronic inflammatory condition caused by genetic and environmental factors. By identifying genomic regions associated with an increased risk of RA, Genome-wide association study (GWAS) has provided insight into the genetic component of the condition. A better understanding of these characteristics is necessary to improve RA therapy. The objective is to identify gene variants associated with RA susceptibility, severity, and progression. A search of PubMed, Embase, Scopus, Science Direct, and MEDLINE databases revealed articles concerning rheumatoid arthritis, genetics, genetic aspects, and autoimmune disorders. The research studies considered were reviews, meta-analyses, randomized controlled trials, and systematic reviews. The data was sought from May 2016 and May 2023. Genetic factors are thought to play a significant role in the production of cytokines, the activity of immune cells, and abnormal immune responses in RA. By combining molecular genetics with clinical characteristics, it is possible to enhance RA medications and provide tailored care to each individual. Recent studies have identified several susceptibility loci and key genes associated with the development of RA, providing insight into the mechanism underlying the disease. These genetic associations can be used to develop targeted medicines and personalized care strategies for people whom have rheumatoid arthritis. The purpose of this review is to enhance the quality of life by finding the gene mechanism of patients suffering from RAl; however, more research is still required to understand genetic and environmental influences fully.
类风湿性关节炎（RA）是一种由遗传和环境因素引起的慢性炎症。全基因组关联研究（GWAS）通过确定与类风湿性关节炎患病风险增加相关的基因组区域，使人们对该病的遗传因素有了更深入的了解。要改善 RA 的治疗，就必须更好地了解这些特征。我们的目标是找出与 RA 易感性、严重程度和病情发展相关的基因变异。通过对 PubMed、Embase、Scopus、Science Direct 和 MEDLINE 数据库的检索，发现了有关类风湿关节炎、遗传学、基因方面和自身免疫性疾病的文章。所考虑的研究包括综述、荟萃分析、随机对照试验和系统综述。数据搜索时间为 2016 年 5 月至 2023 年 5 月。遗传因素被认为在细胞因子的产生、免疫细胞的活性以及RA的异常免疫反应中起着重要作用。通过将分子遗传学与临床特征相结合，有可能加强对RA的药物治疗，并为每个人提供量身定制的护理。最近的研究发现了几个与风湿性关节炎发病相关的易感基因位点和关键基因，使人们对该疾病的发病机制有了更深入的了解。这些基因关联可用于开发针对类风湿关节炎患者的药物和个性化护理策略。这篇综述的目的是通过寻找类风湿关节炎患者的基因机制来提高他们的生活质量；然而，要全面了解遗传和环境的影响因素，还需要进行更多的研究。
{"title":"The Role of Genetic Variants in Rheumatoid Arthritis Pathophysiology and their Impact on Disease Mechanisms","authors":"Jethendra Kumar Muruganantham, Ramakrishnan Veerabathiran","doi":"10.31584/jhsmr.20241061","DOIUrl":"https://doi.org/10.31584/jhsmr.20241061","url":null,"abstract":"Rheumatoid arthritis (RA) is a chronic inflammatory condition caused by genetic and environmental factors. By identifying genomic regions associated with an increased risk of RA, Genome-wide association study (GWAS) has provided insight into the genetic component of the condition. A better understanding of these characteristics is necessary to improve RA therapy. The objective is to identify gene variants associated with RA susceptibility, severity, and progression. A search of PubMed, Embase, Scopus, Science Direct, and MEDLINE databases revealed articles concerning rheumatoid arthritis, genetics, genetic aspects, and autoimmune disorders. The research studies considered were reviews, meta-analyses, randomized controlled trials, and systematic reviews. The data was sought from May 2016 and May 2023. Genetic factors are thought to play a significant role in the production of cytokines, the activity of immune cells, and abnormal immune responses in RA. By combining molecular genetics with clinical characteristics, it is possible to enhance RA medications and provide tailored care to each individual. Recent studies have identified several susceptibility loci and key genes associated with the development of RA, providing insight into the mechanism underlying the disease. These genetic associations can be used to develop targeted medicines and personalized care strategies for people whom have rheumatoid arthritis. The purpose of this review is to enhance the quality of life by finding the gene mechanism of patients suffering from RAl; however, more research is still required to understand genetic and environmental influences fully.","PeriodicalId":36211,"journal":{"name":"Journal of Health Science and Medical Research","volume":" 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141371368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tam Nguyen Van, Chi Tran Thi Quynh, Duc Nguyen Hoang Viet, Hue Do Thi
Objective: This study aimed to determine the prevalence and factors associated with depression symptoms among aquaculture workers in Hai Phong, Vietnam. Material and Methods: The study involved 1,220 aquaculture workers in coastal and offshore areas of Hai Phong, Vietnam; from March 2022 to September 2022. It was a cross-sectional descriptive epidemiological study, utilizing direct interviews with aquaculture workers to identify depression symptoms and associated factors. The Depression-Anxiety- Stress Scale (DASS 21) was used to assess depression symptoms. Results: The prevalence of depression symptoms among aquaculture workers was 28.7%, with 20.9% experiencing mild depression, 6.3% moderate depression and 1.5% severe depression. Several factors were associated with depression symptoms; including gender (OR=2.03; 95% CI 1.56-2.63), being single or divorced (OR=1.44; 95% CI 1.04-1.99), age ≥60 (OR=1.63; 95% CI 1.05-2.55) compared to those under 40, chronic illnesses (OR=3.16; 95% CI 2.43-4.11), poor sleep quality (OR=2.84; 95% CI 2.13-3.79), alcohol abuse (OR=1.36; 95% CI 1.06-1.75), and irregular physical exercise (OR=2.09; 95% CI 1.62-2.70). Conclusion: Depression disorder is a mental health concern among aquaculture workers. To alleviate depression symptoms, workers should consider lifestyle adjustments, incorporate regular physical exercise, and undergo routine health check-ups for timely counseling and treatment.
研究目的本研究旨在确定越南海防市水产养殖工人抑郁症状的发生率和相关因素。材料与方法：这项研究涉及越南海防沿海和近海地区的 1,220 名水产养殖工人；研究时间为 2022 年 3 月至 2022 年 9 月。这是一项横断面描述性流行病学研究，利用对水产养殖工人的直接访谈来确定抑郁症状和相关因素。抑郁-焦虑-压力量表（DASS 21）用于评估抑郁症状。结果显示水产养殖工人的抑郁症状发生率为28.7%，其中20.9%为轻度抑郁，6.3%为中度抑郁，1.5%为重度抑郁。55）、慢性疾病（OR=3.16；95% CI 2.43-4.11）、睡眠质量差（OR=2.84；95% CI 2.13-3.79）、酗酒（OR=1.36；95% CI 1.06-1.75）和不规律的体育锻炼（OR=2.09；95% CI 1.62-2.70）。结论抑郁症是水产养殖工人的心理健康问题。为缓解抑郁症状，从业人员应考虑调整生活方式，进行有规律的体育锻炼，并进行常规健康检查，以便及时咨询和治疗。
{"title":"Prevalence and Associated Factors of Depression Symptoms Among Aquaculture Workers in Hai Phong, Vietnam: A Cross-Sectional Study","authors":"Tam Nguyen Van, Chi Tran Thi Quynh, Duc Nguyen Hoang Viet, Hue Do Thi","doi":"10.31584/jhsmr.20241060","DOIUrl":"https://doi.org/10.31584/jhsmr.20241060","url":null,"abstract":"Objective: This study aimed to determine the prevalence and factors associated with depression symptoms among aquaculture workers in Hai Phong, Vietnam. Material and Methods: The study involved 1,220 aquaculture workers in coastal and offshore areas of Hai Phong, Vietnam; from March 2022 to September 2022. It was a cross-sectional descriptive epidemiological study, utilizing direct interviews with aquaculture workers to identify depression symptoms and associated factors. The Depression-Anxiety- Stress Scale (DASS 21) was used to assess depression symptoms. Results: The prevalence of depression symptoms among aquaculture workers was 28.7%, with 20.9% experiencing mild depression, 6.3% moderate depression and 1.5% severe depression. Several factors were associated with depression symptoms; including gender (OR=2.03; 95% CI 1.56-2.63), being single or divorced (OR=1.44; 95% CI 1.04-1.99), age ≥60 (OR=1.63; 95% CI 1.05-2.55) compared to those under 40, chronic illnesses (OR=3.16; 95% CI 2.43-4.11), poor sleep quality (OR=2.84; 95% CI 2.13-3.79), alcohol abuse (OR=1.36; 95% CI 1.06-1.75), and irregular physical exercise (OR=2.09; 95% CI 1.62-2.70). Conclusion: Depression disorder is a mental health concern among aquaculture workers. To alleviate depression symptoms, workers should consider lifestyle adjustments, incorporate regular physical exercise, and undergo routine health check-ups for timely counseling and treatment. ","PeriodicalId":36211,"journal":{"name":"Journal of Health Science and Medical Research","volume":"22 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141102855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Warath Chantaksinopas, K. Cattapan, Wiwatana Thanomkiat, Sarayut L Geater, Nantaka Kiranantawat
Objective: Pleural procedure-related tumor seeding detected by computed tomography (CT) is common in lung cancer patients with malignant pleural effusion. This study aimed to identify the incidence of tumor seeding and the associated factors among lung cancer patients with malignant pleural effusions. Material and Methods: This retrospective cohort study was conducted on 146 lung cancer patients with malignant pleural effusions, diagnosed between 2010 and 2017, who underwent at least 1 pleural procedure and had at least 2 series of CT images. The potential factors were categorized into clinical characteristics, pleural characteristics, treatment factors, and pleural procedures. Incidence rate ratios (IRR) were analyzed by Poisson regression to identify factors that were independently associated with tumor seeding. Results: The incidence of procedure-related tumor seeding was 26%. Significantly increased IRRs of tumor seeding were found in relation to 1 time (IRR 5.653, 95% confidence interval [CI] 2.549 to 12.538) and ≥2 times of conventional intercostal chest drainage (ICD) insertion (IRR 5.837, 95% CI 1.768 to 19.266), 1 time (IRR 8.924, 95% CI 3.181 to 25.033) and ≥2 times of pleural biopsy (IRR 6.485, 95% CI 1.372 to 30.660), adenocarcinoma (IRR 8.329, 95% CI 2.804 to 24.747), and pleural thickening (IRR 12.458, 95% CI 1.360 to 114.152). Conclusion: Patients who had at least one pleural biopsy or ICD insertion, pleural fluid cytology positive or suspicious for malignancy, adenocarcinoma, or pleural thickening were found to be significantly at risk for tumor seeding.
目的：在恶性胸腔积液的肺癌患者中，通过计算机断层扫描（CT）发现与胸腔手术相关的肿瘤播种很常见。本研究旨在确定恶性胸腔积液肺癌患者中肿瘤播散的发生率及其相关因素。材料和方法：这项回顾性队列研究的对象是在 2010 年至 2017 年期间确诊的 146 例恶性胸腔积液肺癌患者，这些患者至少接受过一次胸膜手术，并至少有两组 CT 图像。潜在因素分为临床特征、胸腔特征、治疗因素和胸腔手术。通过泊松回归分析了发病率比（IRR），以确定与肿瘤播种独立相关的因素。结果与手术相关的肿瘤播种发生率为 26%。常规肋间胸腔引流 (ICD) 插入 1 次（IRR 为 5.653，95% 置信区间 [CI] 为 2.549 到 12.538）和≥2 次（IRR 为 5.837，95% 置信区间 [CI] 为 1.768 to 19.266）、胸膜活检 1 次（IRR 8.924，95% CI 3.181 to 25.033）和≥2 次（IRR 6.485，95% CI 1.372 to 30.660）、腺癌（IRR 8.329，95% CI 2.804 to 24.747）和胸膜增厚（IRR 12.458，95% CI 1.360 to 114.152）。结论至少进行过一次胸膜活检或植入 ICD、胸腔积液细胞学检查呈阳性或疑似恶性肿瘤、腺癌或胸膜增厚的患者有明显的肿瘤播种风险。
{"title":"Factors Associated with Procedure-related Tumor Seeding in Advanced Stage Lung Cancer Patients with Malignant Pleural Effusions","authors":"Warath Chantaksinopas, K. Cattapan, Wiwatana Thanomkiat, Sarayut L Geater, Nantaka Kiranantawat","doi":"10.31584/jhsmr.20241053","DOIUrl":"https://doi.org/10.31584/jhsmr.20241053","url":null,"abstract":"Objective: Pleural procedure-related tumor seeding detected by computed tomography (CT) is common in lung cancer patients with malignant pleural effusion. This study aimed to identify the incidence of tumor seeding and the associated factors among lung cancer patients with malignant pleural effusions. Material and Methods: This retrospective cohort study was conducted on 146 lung cancer patients with malignant pleural effusions, diagnosed between 2010 and 2017, who underwent at least 1 pleural procedure and had at least 2 series of CT images. The potential factors were categorized into clinical characteristics, pleural characteristics, treatment factors, and pleural procedures. Incidence rate ratios (IRR) were analyzed by Poisson regression to identify factors that were independently associated with tumor seeding. Results: The incidence of procedure-related tumor seeding was 26%. Significantly increased IRRs of tumor seeding were found in relation to 1 time (IRR 5.653, 95% confidence interval [CI] 2.549 to 12.538) and ≥2 times of conventional intercostal chest drainage (ICD) insertion (IRR 5.837, 95% CI 1.768 to 19.266), 1 time (IRR 8.924, 95% CI 3.181 to 25.033) and ≥2 times of pleural biopsy (IRR 6.485, 95% CI 1.372 to 30.660), adenocarcinoma (IRR 8.329, 95% CI 2.804 to 24.747), and pleural thickening (IRR 12.458, 95% CI 1.360 to 114.152). Conclusion: Patients who had at least one pleural biopsy or ICD insertion, pleural fluid cytology positive or suspicious for malignancy, adenocarcinoma, or pleural thickening were found to be significantly at risk for tumor seeding.","PeriodicalId":36211,"journal":{"name":"Journal of Health Science and Medical Research","volume":"63 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140670959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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