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Serum γ-glutamyltransferase levels and obesity status changes the risk of prehypertension in Chinese adults 血清γ-谷氨酰转移酶水平和肥胖状况会改变中国成年人罹患高血压前期的风险
IF 2.8 3区 医学 Pub Date : 2024-06-10 DOI: 10.1016/j.pmedr.2024.102792
Zhi Wang , Dongjun Chen , Lingling Peng , Xian Wang , Qun Ding , Liang Li , Tongdao Xu

Objective

It’s well known that γ-Glutamyltransferase (γ-GGT) and obesity plays an important role in the development of preHT. However, the effect of γ-GGT on preHT in populations with different obesity status remains unclear.

Methods

From February 2014 to January 2018, a total of 20,368 participants were enrolled in this study after excluding those with hypertension and liver diseases. Fasting blood samples were collected to measure γ-GGT and blood lipid levels and glucose indices. Demographic and clinical parameters such as sex, age, height, weight, neck circumference (NC), waist circumference (WC), hip circumference (HC), and body fat ratio (BFR); and information on smoking and alcohol consumption were collected by trained medical professionals.

Results

Participants were divided into three groups based on obesity status. The prevalence of preHT was 83.5 % in the obesity group was higher than that in the overweight group (58.9 %) and the normal group (47.1 %). γ-GGT in different categories of obesity indices were significantly different, and higher obesity indices were found with higher γ-GGT levels. The interaction of γ-GGT and obesity indices such as NC, WC, HC, and BFR on the prevalence of preHT was significant (P = 0.028, 0.002, 0.007, and 0.034, respectively). Serum γ-GGT was found to be positively associated with preHT in participants with normal and overweight body mass indices.

Conclusion

Our results indicate that γ-GGT is a risk factor for preHT in participants who are nonobese, and that the obesity indices NC, WC, HC, BFR, and γ-GGT were contributing factors in increasing the risk of preHT.

目的众所周知,γ-谷氨酰转移酶(γ-GGT)和肥胖在前高血压的发病中起着重要作用。然而,γ-谷氨酰转肽酶对不同肥胖状态人群的前高血压的影响仍不清楚。方法从 2014 年 2 月至 2018 年 1 月,在排除高血压和肝脏疾病患者后,共有 20368 名参与者参与了这项研究。收集空腹血样以测量γ-GGT、血脂水平和血糖指数。经过培训的医务人员收集了性别、年龄、身高、体重、颈围(NC)、腰围(WC)、臀围(HC)和体脂比(BFR)等人口统计学和临床参数,以及吸烟和饮酒信息。肥胖组的前高血压患病率为 83.5%,高于超重组(58.9%)和正常组(47.1%)。不同肥胖指数组的γ-GGT存在显著差异,肥胖指数越高,γ-GGT水平越高。γ-GGT与NC、WC、HC和BFR等肥胖指数对高血压前期患病率的交互作用具有显著性(P=0.028、0.002、0.007和0.034)。结论:我们的研究结果表明,γ-GGT 是非肥胖参与者罹患高血压前病变的风险因素,而肥胖指数 NC、WC、HC、BFR 和 γ-GGT 是增加高血压前病变风险的诱因。
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引用次数: 0
Individual Placement and Support (IPS) beyond severe mental health: An overview review and meta-analysis of evidence around vocational outcomes 超越严重心理健康的个别安置和支持(IPS):围绕职业成果的证据综述和荟萃分析
IF 2.8 3区 医学 Pub Date : 2024-06-10 DOI: 10.1016/j.pmedr.2024.102786
Adam Whitworth , Susan Baxter , Jane Cullingworth , Mark Clowes

Objective

To provide an overview review of international evidence of vocational outcomes in Individual Placement and Support (IPS) interventions for populations other than severe mental health.

Methods

An overview of reviews published in English since 2000 reporting vocational outcomes (job entry, work sustainment, earnings, work hours, time to job entry) against counterfactuals of IPS interventions for population groups other than severe mental health. The overview review maximises data from individual studies and includes additional recent primary studies. DerSimonian-Laird random effects meta-analysis was performed.

Results

Thirteen eligible studies were identified from five reviews and five more recent individual studies were also identified. IPS studies covered a range of groups with a concentration towards mental health. For the primary vocational outcome of job entry all IPS studies showed superior job entry rates compared to control groups with an overall weighted odds ratio of 1.78 [1.42,2.22]. Substantial heterogeneity was identified by study size and the overall weighted odds ratio of 1.32 [1.2,1.46] estimated from the large and medium sized studies seems a more plausible estimate of the likely effects of scaled-up IPS interventions in groups beyond severe mental health. Secondary vocational outcomes including job sustainment, total earnings, average weekly hours worked and time to job entry were typically superior in IPS services than control groups.

Conclusions

IPS services are consistently more effective in supporting diverse population groups into sustained employment compared to business-as-usual employment services. The evidence is limited by unclear terminology, small sample sizes, incomplete intervention fidelity, intervention contamination and inconsistent measurement.

方法综述自 2000 年以来发表的英文综述,这些综述报告了针对非重度精神疾病人群的 IPS 干预的职业结果(就业、持续工作、收入、工作时间、就业时间)与反事实。综述最大限度地利用了单项研究的数据,并纳入了近期的其他主要研究。结果从五篇综述中确定了 13 项符合条件的研究,还确定了五项最新的个别研究。IPS 研究涵盖了一系列群体,主要集中在心理健康方面。对于就业这一主要职业结果,所有 IPS 研究均显示,与对照组相比,就业率更高,总体加权几率比为 1.78 [1.42,2.22]。根据研究规模确定了大量的异质性,从大型和中型研究中估算出的总体加权几率为 1.32 [1.2,1.46] ,这似乎是对扩大的 IPS 干预措施在严重精神健康以外群体中可能产生的效果的一个更可信的估计。IPS服务的次要职业成果,包括工作持续性、总收入、每周平均工作时数和进入工作岗位的时间,通常都优于对照组。结论IPS服务在支持不同人群持续就业方面一直比常规就业服务更有效。由于术语不明确、样本量小、干预不完全忠实、干预污染和测量不一致,证据受到了限制。
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引用次数: 0
Attitudes and experiences of traditional Korean medicine practitioners in cases of traffic accidents: A qualitative study 传统韩医在交通事故中的态度和经验:定性研究
IF 2.8 3区 医学 Pub Date : 2024-06-09 DOI: 10.1016/j.pmedr.2024.102767
Tae-Yoon Kim , Jung-Hyun Kim , Bonhyuk Goo , Byung-Kwan Seo

Objective

The surge in vehicles has escalated traffic volume, leading to an upswing in traffic accidents and subsequent disorders. Complex symptoms often characterize post-traumatic syndrome from these accidents. Traditional Korean medicine (TKM), increasingly used in car insurance, forms a substantial part of treatment costs. However, the current system lacks explicit fee guidelines and approval criteria for non-reimbursable TKM procedures, relying heavily on practitioners’ judgment without robust evidence-based decision-making. This scenario raises concerns about treatment appropriateness and transparency. We aim to explore physicians’ perspectives on utilizing TKM in emergency medicine, their participation sentiments, and their session selection process post-traffic accident.

Methods

We collected TKM practitioners’ opinions regarding their role in clinical environment and involvement in treating patients after traffic accidents. The need for comprehensive and standardized protocols for the diagnosis, treatment, management, and prognosis of patients with post-traumatic syndrome is evident. Additionally, improvements that facilitate rational decision-making by medical consumers and protect the treatment rights of healthcare providers are necessary. Results has emphasized the importance of evidence-based decision-making, establishing appropriate fee structures and detailed criteria for non-reimbursable TKM-based procedures, and enhancing regulations for the reliability and transparency of TKM-based treatments in the context of car insurance.

Results and conclusions

The perspective of healthcare providers directly involved in TKM-based treatments must be considered to maintain a sustainable vehicular insurance system, transcending administrative policy discourse. We highlighted the challenges and potential solutions for improving the effectiveness and appropriateness of TKM-based treatments in the context of car insurance.

目标车辆的激增使交通流量不断攀升,导致交通事故和随之而来的疾病增多。这些事故造成的创伤后综合症往往症状复杂。韩国传统医学(TKM)越来越多地被用于汽车保险中,成为治疗费用的重要组成部分。然而,现行制度缺乏明确的收费指南,也没有对不可报销的 TKM 治疗程序制定审批标准,这在很大程度上依赖于从业人员的判断,而没有以证据为基础的有力决策。这种情况引发了人们对治疗适当性和透明度的担忧。我们旨在探讨医生对在急诊医学中使用 TKM 的看法、他们的参与情绪以及他们在交通事故后的疗程选择过程。对创伤后综合征患者的诊断、治疗、管理和预后进行全面和标准化规范的必要性显而易见。此外,有必要改进工作,以促进医疗消费者做出理性决策,并保护医疗服务提供者的治疗权利。结果强调了循证决策的重要性,建立了适当的收费结构和基于 TKM 的非报销程序的详细标准,并在汽车保险方面加强了对基于 TKM 的治疗的可靠性和透明度的监管。结果和结论要维持一个可持续的车辆保险系统,必须考虑直接参与基于 TKM 的治疗的医疗服务提供者的观点,超越行政政策的讨论。我们强调了在汽车保险中提高基于 TKM 的治疗的有效性和适当性所面临的挑战和潜在解决方案。
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引用次数: 0
A collective agenda: A qualitative study on Exercise is Medicine® On Campus gold-level institutions 集体议程:关于校园黄金级院校运动即医学®的定性研究
IF 2.8 3区 医学 Pub Date : 2024-06-09 DOI: 10.1016/j.pmedr.2024.102785
Cayla R. McAvoy , Alicia A. Dahl , Jae Hoon Lim , Patricia Bauer , Larissa R. Brunner Huber

Objective

The Exercise is Medicine® On Campus (EIM-OC) international campaign leverages university resources (e.g., health centers, recreation, and kinesiology departments) to encourage students, faculty, and staff to integrate physical activity into campus culture. This involves evaluating student physical activity levels during health visits and establishing referral systems for exercise prescriptions. EIM-OC allows universities to earn tiered recognition (Gold, Silver, or Bronze) based on their on-campus physical activity promotion and integration. For Gold recognition, schools must incorporate routine physical activity assessments into their health system, ultimately connecting healthcare providers with health/fitness professionals (HFPs, e.g., campus recreation professionals, kinesiology professors). This research worked to uncover pivotal factors driving EIM-OC on-campus collaborations through HFPs’ perspectives.

Methods

HFPs (n = 11) working full-time at a Gold-level institution (n = 10 in United States) participated. Semi-structured, Zoom-recorded interviews with a generic qualitative research design were completed between June and September 2022.

Results

Major thematic findings included the importance of tangible support (e.g., personnel), encounters with both trust and tension cross-campus, positive student development opportunities, and variations in outcome reporting and program evaluation. Faculty and staff emphasized the need for methods to obtain and sustain program funding. Participants also expressed the importance of interdisciplinary collaboration to increase the collective impact of EIM-OC on student health and overall collegiate success.

Conclusion

HFPs expanded on their EIM-OC experiences and program sustainment or growth requirements. With increased interdisciplinary collaboration, rigor in outcome reporting, and tangible resources, the collective impact of EIM-OC on student health outcomes and overall collegiate success could be greatly perpetuated.

目标 "校园运动即医学®"(EIM-OC)国际运动利用大学资源(如健康中心、娱乐和运动系),鼓励学生、教职员工将体育锻炼融入校园文化。这包括在健康检查中评估学生的体育锻炼水平,并建立运动处方转介系统。EIM-OC 允许大学根据其校内体育活动推广和整合情况获得分级认证(金、银或铜)。要获得金牌认证,学校必须将常规体育锻炼评估纳入其健康系统,最终将医疗保健提供者与健康/健身专业人员(HFP,如校园娱乐专业人员、运动学教授)联系起来。本研究旨在通过健康/体适能专业人员的视角,揭示推动 EIM-OC 校内合作的关键因素。方法在金级院校(美国 10 所)工作的全职健康/体适能专业人员(n = 11)参与了本研究。结果主要的专题发现包括:有形支持(如人员)的重要性、跨校区的信任和紧张关系、积极的学生发展机会以及成果报告和项目评估方面的差异。教职员工强调了获得和维持项目资金的方法的必要性。与会者还表达了跨学科合作的重要性,以增强 EIM-OC 对学生健康和大学整体成功的集体影响。随着跨学科合作的加强、成果报告的严谨性以及有形资源的投入,EIM-OC 对学生健康成果和大学整体成功的集体影响可以得到极大的延续。
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引用次数: 0
Exploring the impact of occupational factors on low back pain in ride-sharing motorbike drivers in Bangladesh: A comprehensive cross-sectional analysis 探讨孟加拉国共享摩托车司机的职业因素对腰痛的影响:综合横截面分析
IF 2.8 3区 医学 Pub Date : 2024-06-09 DOI: 10.1016/j.pmedr.2024.102788
Mohammad Ali , Monirul Islam , Md. Abu Bakar Siddiq , Nujaim Khan Pranto , Marium Akter , Marjan Akter Munny , Md. Yusuf Ali , S.M. Ahsan-ul-Hoque , Suriya Afrin , Md. Murad Hossain Mehedi

Objective

Low back pain (LBP) is a major global public health issue, prevalent among various occupational groups worldwide. However, existing studies have predominantly focused on sedentary workers in developed nations, leaving a gap in understanding LBP prevalence and associated factors among occupational cohorts in low- and middle-income countries like Bangladesh. This study aimed to determine the prevalence and occupational factors contributing to LBP among ride-sharing motorbike drivers (RSMD) in Bangladesh.

Methods

A cross-sectional study was conducted in Dhaka city from May 20 to August 08, 2023. Data were collected from Bangladeshi adult RSMD using a paper-based questionnaire developed by Eriksen et al. Chi-square or Fisher’s Exact tests compared categorical variables with and without LBP, and multiple logistic regression analyses were performed with LBP as the dependent variable and various predictors to compute adjusted odds ratios with a 95% confidence interval.

Results

The one-month prevalence of LBP was 58.8%. Regression analysis revealed elevated adjusted odds of experiencing LBP among participants with hypertension, those using multiple ride-sharing operators, commuter and older bike users, and non-users of riding kits. Additionally, increased adjusted odds of LBP were observed among participants of higher age, higher body mass index, and those covering longer distances per week.

Conclusion

This study underscores a significantly higher prevalence of LBP among RSMD in Bangladesh, with occupational factors strongly predicting LBP. Implementing strategies such as regular physical exercise, weight reduction, using sports and newer motorbikes, and reducing working hours per week may help mitigate the prevalence of LBP within this cohort.

目标腰背痛(LBP)是一个重大的全球性公共卫生问题,在全球各种职业群体中普遍存在。然而,现有的研究主要集中在发达国家的久坐工作者身上,对孟加拉国等中低收入国家的职业人群的腰背痛患病率和相关因素的了解还存在空白。本研究旨在确定孟加拉国共享电单车司机(RSMD)的枸杞多糖症患病率和导致枸杞多糖症的职业因素。方法于2023年5月20日至8月8日在达卡市进行了一项横断面研究。使用 Eriksen 等人开发的纸质问卷收集了孟加拉国成年 RSMD 的数据。通过卡方检验或费雪精确检验比较了有无枸杞多糖症的分类变量,并以枸杞多糖症为因变量和各种预测因素进行了多元逻辑回归分析,以计算出调整后的几率比(95% 置信区间)。回归分析显示,患有高血压、使用多家共享单车运营商、通勤和老年自行车用户以及未使用骑行工具包的参与者出现枸杞痛的调整后几率较高。此外,年龄越大、体重指数越高以及每周骑行距离越远的参与者患腰椎间盘突出症的调整后几率也越高。实施定期体育锻炼、减轻体重、使用体育用品和较新的摩托车以及减少每周工作时间等策略,可能有助于减轻该群体中腰椎间盘突出症的发病率。
{"title":"Exploring the impact of occupational factors on low back pain in ride-sharing motorbike drivers in Bangladesh: A comprehensive cross-sectional analysis","authors":"Mohammad Ali ,&nbsp;Monirul Islam ,&nbsp;Md. Abu Bakar Siddiq ,&nbsp;Nujaim Khan Pranto ,&nbsp;Marium Akter ,&nbsp;Marjan Akter Munny ,&nbsp;Md. Yusuf Ali ,&nbsp;S.M. Ahsan-ul-Hoque ,&nbsp;Suriya Afrin ,&nbsp;Md. Murad Hossain Mehedi","doi":"10.1016/j.pmedr.2024.102788","DOIUrl":"https://doi.org/10.1016/j.pmedr.2024.102788","url":null,"abstract":"<div><h3>Objective</h3><p>Low back pain (LBP) is a major global public health issue, prevalent among various occupational groups worldwide. However, existing studies have predominantly focused on sedentary workers in developed nations, leaving a gap in understanding LBP prevalence and associated factors among occupational cohorts in low- and middle-income countries like Bangladesh. This study aimed to determine the prevalence and occupational factors contributing to LBP among ride-sharing motorbike drivers (RSMD) in Bangladesh.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted in Dhaka city from May 20 to August 08, 2023. Data were collected from Bangladeshi adult RSMD using a paper-based questionnaire developed by Eriksen et al. Chi-square or Fisher’s Exact tests compared categorical variables with and without LBP, and multiple logistic regression analyses were performed with LBP as the dependent variable and various predictors to compute adjusted odds ratios with a 95% confidence interval.</p></div><div><h3>Results</h3><p>The one-month prevalence of LBP was 58.8%. Regression analysis revealed elevated adjusted odds of experiencing LBP among participants with hypertension, those using multiple ride-sharing operators, commuter and older bike users, and non-users of riding kits. Additionally, increased adjusted odds of LBP were observed among participants of higher age, higher body mass index, and those covering longer distances per week.</p></div><div><h3>Conclusion</h3><p>This study underscores a significantly higher prevalence of LBP among RSMD in Bangladesh, with occupational factors strongly predicting LBP. Implementing strategies such as regular physical exercise, weight reduction, using sports and newer motorbikes, and reducing working hours per week may help mitigate the prevalence of LBP within this cohort.</p></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211335524002031/pdfft?md5=29c41f4304dba43252f12368b04b5cb3&pid=1-s2.0-S2211335524002031-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between sleep duration and subjective memory complaints: A large-scale cross-sectional study based on NHANES 睡眠时间长短与主观记忆抱怨之间的关系:基于 NHANES 的大规模横断面研究
IF 2.8 3区 医学 Pub Date : 2024-06-09 DOI: 10.1016/j.pmedr.2024.102790
Xiaoguang Xie , Xiaojing Zheng , Lan Mei , Yuanzhi Hu , Jing Liu , Guohua Ma , Yan Yang , Qiuyin Dai , Menghui Ma

Objective

When chatting, people often forget what they want to say, that is, they suffer from subjective memory complaints (SMCs). This research examines the Association between sleep duration and self-reported SMC in a sample representing the entire United States.

Methods

We examined data from 5567 individuals (aged 20–80) who participated in the National Health and Nutrition Examination Survey (2015–2018) to evaluate the association between sleep duration and SMC. Odds ratios (ORs) and a restricted cubic spline (RCS) curve were calculated with multiple logistic regression, and subgroup analysis was performed.

Results

Approximately 5.8 % (3 2 3) reported SMC, and most are older people (1 6 3). RCS analysis treating sleep duration as a continuous variable revealed a J-shaped curve association between sleep duration and SMC. Self-reported sleep duration was significantly linked to a 33 % elevated risk of SMC (OR, 1.33; 95 % confidence interval [CI], 1.23–1.43; P < 0.001). In the group analysis, individuals who slept more than 8 h per day had a greater association of experiencing SMC than those who slept for 6–8 h/day (OR, 1.75; 95 % CI, 1.36–2.23; P < 0.001). In the analysis of age groups, the stable association between sleep duration and SMC was observed only in the 60–80 age bracket (OR, 1.59; 95 % CI, 1.09–2.33; P < 0.001).

Conclusions

We found that people with self-report sleep duration exceeding 8 h are more likely to experience SMC, especially older adults. Improving sleep health may be an effective strategy for preventing SMC and cognitive impairment.

目的人们在聊天时经常会忘记自己想说的话,这就是主观记忆障碍(SMC)。本研究在代表全美国的样本中考察了睡眠时间与自我报告的 SMC 之间的关联。方法我们研究了参加美国国家健康与营养调查(2015-2018 年)的 5567 人(20-80 岁)的数据,以评估睡眠时间与 SMC 之间的关联。结果约有 5.8%(3 2 3)的人报告了 SMC,其中大部分是老年人(1 6 3)。将睡眠时间作为连续变量进行的RCS分析显示,睡眠时间与SMC之间呈J形曲线关系。自我报告的睡眠时间长短与 SMC 风险升高 33% 显著相关(OR,1.33;95% 置信区间 [CI],1.23-1.43;P <0.001)。在分组分析中,每天睡眠时间超过 8 小时的人比每天睡眠时间为 6-8 小时的人更容易发生 SMC(OR,1.75;95 % 置信区间[CI],1.36-2.23;P <;0.001)。结论我们发现,自我报告睡眠时间超过 8 小时的人更容易出现 SMC,尤其是老年人。改善睡眠健康可能是预防 SMC 和认知障碍的有效策略。
{"title":"Association between sleep duration and subjective memory complaints: A large-scale cross-sectional study based on NHANES","authors":"Xiaoguang Xie ,&nbsp;Xiaojing Zheng ,&nbsp;Lan Mei ,&nbsp;Yuanzhi Hu ,&nbsp;Jing Liu ,&nbsp;Guohua Ma ,&nbsp;Yan Yang ,&nbsp;Qiuyin Dai ,&nbsp;Menghui Ma","doi":"10.1016/j.pmedr.2024.102790","DOIUrl":"https://doi.org/10.1016/j.pmedr.2024.102790","url":null,"abstract":"<div><h3>Objective</h3><p>When chatting, people often forget what they want to say, that is, they suffer from subjective memory complaints (SMCs). This research examines the Association between sleep duration and self-reported SMC in a sample representing the entire United States.</p></div><div><h3>Methods</h3><p>We examined data from 5567 individuals (aged 20–80) who participated in the National Health and Nutrition Examination Survey (2015–2018) to evaluate the association between sleep duration and SMC. Odds ratios (ORs) and a restricted cubic spline (RCS) curve were calculated with multiple logistic regression, and subgroup analysis was performed.</p></div><div><h3>Results</h3><p>Approximately 5.8 % (3<!--> <!-->2<!--> <!-->3) reported SMC, and most are older people (1<!--> <!-->6<!--> <!-->3). RCS analysis treating sleep duration as a continuous variable revealed a J-shaped curve association between sleep duration and SMC. Self-reported sleep duration was significantly linked to a 33 % elevated risk of SMC (OR, 1.33; 95 % confidence interval [CI], 1.23–1.43; P &lt; 0.001). In the group analysis, individuals who slept more than 8 h per day had a greater association of experiencing SMC than those who slept for 6–8 h/day (OR, 1.75; 95 % CI, 1.36–2.23; P &lt; 0.001). In the analysis of age groups, the stable association between sleep duration and SMC was observed only in the 60–80 age bracket (OR, 1.59; 95 % CI, 1.09–2.33; P &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>We found that people with self-report sleep duration exceeding 8 h are more likely to experience SMC, especially older adults. Improving sleep health may be an effective strategy for preventing SMC and cognitive impairment.</p></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211335524002055/pdfft?md5=9adb0f75a9ab19c262e22eb7c0acf4ee&pid=1-s2.0-S2211335524002055-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141314377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementation of preconception care for preventing adverse pregnancy outcomes in rural and tribal areas of Nashik District, India 在印度纳西克县的农村和部落地区实施孕前保健以预防不良妊娠结局
IF 2.8 3区 医学 Pub Date : 2024-06-09 DOI: 10.1016/j.pmedr.2024.102796
Prakash Prabhakarrao Doke , Amruta Paresh Chutke , Sonali Hemant Palkar , Jayashree Sachin Gothankar , Prasad Dnyandeo Pore , Archana Vasantrao Patil , Aniruddha Vinayakrao Deshpande , Khanindra Kumar Bhuyan , Madhusudan Vaman Karnataki , Aparna Nishikant Shrotri , Ravindra Gopal Chaudhari , Mohan Sitaram Bacchav , Motilal Bajirao Patil , Rupeshkumar Balasaheb Deshmukh

Introduction

The World Health Organization has suggested preconception care to improve pregnancy outcomes. Hence, the study aimed to compare the effect of preconception care on pregnancy outcomes, particularly prematurity and low birth weight.

Methods

We carried out interventions in one tribal and one non-tribal block. For comparison, one adjacent tribal block and one non-tribal block were included in Nashik district, India. The total study period was from April 2018 to July 2021. All reproductive age group women desiring pregnancy within one year in selected four blocks participated in the study. The services included clinical examination, laboratory investigations, treatment, six-monthly deworming, anemia management, folic acid supplementation, family planning services, and behavioral change communication using different media. The existing healthcare workers provided services to the women until they became pregnant or until the end of the follow-up period (27 months). We monitored pregnancy outcomes, including abortion, stillbirth, and live birth; among live births, low birth weight, preterm birth, congenital physical anomaly, and neonatal death.

Results

The study enrolled 7,875 women, and 3,601 had outcomes. The proportion of preterm births in the intervention and comparison block was 11.18 % and 14.99 %, respectively (p = 0.001), and the proportion of low-birth-weight babies was 9.23 % and 11.25 %, respectively (p = 0.01). The adjusted prevalence ratio showed that the risk of preterm births in the absence of intervention was 1.3 (CI: 1.1–1.6). Preterm birth was a mediator between preconception care and low birth weight.

Conclusion

Reduction in proportion of low birth weight and preterm babies can be achieved through preconception care using minimal additional resources.

导言世界卫生组织建议通过孕前保健来改善妊娠结局。因此,本研究旨在比较孕前保健对妊娠结局(尤其是早产和出生体重不足)的影响。为了进行比较,我们还纳入了印度纳西克地区相邻的一个部落区和一个非部落区。研究时间为 2018 年 4 月至 2021 年 7 月。选定的四个区块中所有希望在一年内怀孕的育龄妇女都参与了研究。服务内容包括临床检查、实验室检查、治疗、半年一次的驱虫、贫血管理、叶酸补充、计划生育服务以及利用不同媒体进行的行为改变沟通。现有医护人员为妇女提供服务,直到她们怀孕或随访期结束(27 个月)。我们对妊娠结局进行了监测,包括流产、死胎和活产;在活产中,监测了低出生体重、早产、先天性身体异常和新生儿死亡。干预区和对比区的早产比例分别为 11.18 % 和 14.99 %(P = 0.001),低出生体重儿的比例分别为 9.23 % 和 11.25 %(P = 0.01)。调整后的流行率显示,在没有干预的情况下,早产的风险为 1.3(CI:1.1-1.6)。早产是孕前保健与低出生体重之间的中介因素。
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引用次数: 0
Evaluation of clinical characters and use of alternative medicines in the management of headache and predictors of treatment satisfaction among Saudi adults – A community-based study in Saudi Arabia 对沙特成年人在头痛治疗中的临床特征和替代药物使用情况以及治疗满意度预测因素的评估--一项基于沙特阿拉伯社区的研究
IF 2.8 3区 医学 Pub Date : 2024-06-09 DOI: 10.1016/j.pmedr.2024.102787
Alya Alghamdi , Mashael Eidhah Alsufyani , Falah Ali Alwadei , Hussam Abdullah Alshehri , Osama Samarkandi , Wajid Syed

Background and objective

The use of alternative medicine (AM) is rising globally. Hence this study aimed to assess the Use of and Satisfaction with Alternative Medicine in the management of headache and Related Factors in Individuals, living in Saudi Arabia.

Methods

A cross-sectional study was conducted from July to December 2023 using an online questionnaire in Riyadh Saudi Arabia. The data was collected using a series, of prevalidated questionnaires aimed to assess the utilization and satisfaction of AM for the headache. Convenience sampling was applied for data collection.

Results

A response rate of 93.1 % (n = 550) was obtained. Among the respondents, 78.7 % reported having headaches, while 69.2 % had a history of using AMs for headaches. However, among the users of AMs, 65.9 % of them were satisfied with the results of AMs, of those who were satisfied, 33.7 % said that AMs helped to prevent headache attacks, and 53.8 % reported that AMs use reduced pain intensity. The regression results demonstrated that there was a significant relationship between the satisfaction of AM for the headache and age (p < 0.004), and Active in sports (p < 0.019) and severity of the headache pain (p < 0.081)

Conclusion

The findings reported that relatively high prevalence of AMs used to manage headaches, while 65.9% of the users were satisfied with the outcomes, the satisfaction was found to have a significant relationship with age, activity in sports and severity of pain. To avoid negative effects of AM, it is recommended to use under the qualified healthcare professionals.

背景和目的替代医学(AM)的使用在全球范围内呈上升趋势。因此,本研究旨在评估替代医学在治疗头痛方面的使用情况和满意度,以及居住在沙特阿拉伯的个人的相关因素。方法 2023 年 7 月至 12 月,在沙特阿拉伯利雅得使用在线问卷进行了一项横断面研究。数据收集采用了一系列普遍适用的调查问卷,旨在评估头痛患者对 AM 的使用情况和满意度。数据收集采用了便利抽样法。在受访者中,78.7%的人表示患有头痛,69.2%的人有使用AM治疗头痛的历史。然而,在AMs的使用者中,65.9%的人对AMs的效果表示满意,在表示满意的人中,33.7%的人表示AMs有助于预防头痛发作,53.8%的人表示AMs的使用降低了疼痛强度。回归结果表明,头痛患者对AM的满意度与年龄(p <0.004)、运动活跃度(p <0.019)和头痛疼痛的严重程度(p <0.081)之间存在显著关系。为避免AM的负面影响,建议在专业医护人员的指导下使用。
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引用次数: 0
Testing trends and co-testing patterns for HIV, hepatitis C and sexually transmitted infections (STIs) in Emergency departments 急诊科艾滋病毒、丙型肝炎和性传播感染 (STI) 的检测趋势和联合检测模式
IF 2.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-08 DOI: 10.1016/j.pmedr.2024.102777
Hasan Symum , Michelle Van Handel , Amy Sandul , Angela Hutchinson , Clarisse A. Tsang , William S. Pearson , Kevin P. Delaney , Laura A. Cooley , Thomas L. Gift , Karen W. Hoover , William W. Thompson

Background

Many underserved populations use Emergency Department (EDs) as primary sources of care, representing an important opportunity to provide infectious disease testing and linkage to care. We explored national ED testing trends and co-testing patterns for HIV, hepatitis C, and sexually transmitted infections (STIs).

Methods

We used 2010–2019 Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample data to estimate ED visit testing rates for HIV, hepatitis C, chlamydia, gonorrhea, and syphilis infections, identified by Current Procedural Terminology codes. Trends and co-testing (visit with tests for > 1 infection) patterns were analyzed by sociodemographic, hospital, and visit characteristics. Trends were evaluated as the average annual percentage change (AAPC) using the Joinpoint Regression.

Results

During 2010–2019, testing events per 1000 visits (AAPCs) increased for HIV from 1.3 to 4.2 (16.3 %), hepatitis C from 0.4 to 2.2 (25.1 %), chlamydia from 9.1 to 16.0 (6.6 %), gonorrhea from 8.4 to 15.7 (7.4 %), and syphilis from 0.7 to 2.0 (12.9 %). Rate increases varied by several characteristics across infections. The largest AAPC increases were among visits by groups with lower base rate testing in 2010, including persons aged ≥ 65 years (HIV: 36.4 %), with Medicaid (HIV: 43.8 %), in the lowest income quintile (hepatitis C: 36.9 %), living in the West (syphilis: 49.4 %) and with non-emergency diagnoses (hepatitis C: 44.1 %). Co-testing increased significantly for all infections except hepatitis C.

Conclusions

HIV, hepatitis C, and STI testing increased in EDs during 2010–2019; however, co-testing patterns were inconsistent. Co-testing may improve diagnosis and linkage to care, especially in areas experiencing higher rates of infection.

背景许多服务不足的人群将急诊科(ED)作为主要就医渠道,这为提供传染病检测和就医链接提供了重要机会。我们探讨了全国急诊科艾滋病毒、丙型肝炎和性传播感染(STIs)的检测趋势和联合检测模式。方法我们使用 2010-2019 年医疗成本与利用项目全国急诊科抽样数据来估算急诊科就诊艾滋病毒、丙型肝炎、衣原体、淋病和梅毒感染的检测率,这些数据由当前程序术语代码确定。根据社会人口学、医院和就诊特征对趋势和联合检测(就诊时同时检测一种感染)模式进行了分析。结果在 2010-2019 年期间,每 1000 次就诊中的 HIV 检测事件(AAPCs)从 1.3 增加到 4.2(16.2%)。3% 增加到 4.2 (16.3%),丙型肝炎从 0.4% 增加到 2.2 (25.1%),衣原体从 9.1% 增加到 16.0 (6.6%),淋病从 8.4% 增加到 15.7 (7.4%),梅毒从 0.7% 增加到 2.0 (12.9%)。感染率的增长因不同感染的几个特征而异。在 2010 年基础检测率较低的群体中,AAPC 的增幅最大,包括年龄≥ 65 岁(艾滋病毒:36.4%)、享受医疗补助(艾滋病毒:43.8%)、收入最低的五分之一人口(丙型肝炎:36.9%)、居住在西部地区(梅毒:49.4%)和非急诊诊断(丙型肝炎:44.1%)的人群。除丙型肝炎外,其他所有感染的联合检测率均大幅上升。结论2010-2019年间,急诊室的艾滋病毒、丙型肝炎和性传播感染检测率均有所上升;然而,联合检测模式并不一致。联合检测可能会改善诊断和护理联系,尤其是在感染率较高的地区。
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引用次数: 0
The association between emotional and physical intimate partner violence and COVID-19 vaccine uptake in a community-based U.S. Cohort 美国社区队列中亲密伴侣情感和身体暴力与 COVID-19 疫苗接种率之间的关系
IF 2.8 3区 医学 Pub Date : 2024-06-08 DOI: 10.1016/j.pmedr.2024.102784
Kate Penrose , Ansu Abraham , McKaylee Robertson , Amanda Berry , Bai Xi Jasmine Chan , Yanhan Shen , Avantika Srivastava , Subha Balasubramanian , Surabhi Yadav , Rachael Piltch-Loeb , Denis Nash , Angela M. Parcesepe

Objective

To estimate risk of being unvaccinated against COVID-19 by experience of intimate partner violence (IPV).

Methods

Among 3,343 partnered individuals in a community-based U.S. cohort, we quantified emotional and physical IPV experienced between March and December 2020 and estimated risk of being unvaccinated against COVID-19 through June 2021 by experience of IPV. Experience of recent IPV was defined as endorsement of more frequent or severe IPV since the start of the pandemic or report of any past-month IPV in at least one of four follow-up surveys conducted by the end of December 2020. We created a three-level composite variable – no experience of IPV, experience of emotional but not physical IPV, and experience of physical IPV.

Results

Cisgender women, non-binary, or transgender individuals who reported experiencing emotional, but not physical, IPV and those who reported experiencing physical IPV were both at significantly higher risk of being unvaccinated for COVID-19 compared to those who reported experiencing no IPV (ARRemotional violence: 1.28 [95 % CI: 1.09 – 1.51]; ARRphysical violence: 1.70 [95 % CI: 1.41 – 2.05]). Cisgender men who reported experiencing physical IPV were also at significantly higher risk of being unvaccinated for COVID-19 (ARRphysical violence: 1.52 [95 % CI: 1.15 – 2.02]).

Conclusions

IPV may increase the risk of low vaccine uptake. Results highlight the need to incorporate IPV prevention and support into public health responses, with targeted resources and consideration for reducing barriers to public health interventions among those impacted.

方法在美国社区队列中的 3,343 名伴侣中,我们量化了 2020 年 3 月至 12 月间经历的情感和身体 IPV,并根据 IPV 经历估算了 2021 年 6 月前未接种 COVID-19 疫苗的风险。近期的 IPV 经历被定义为自大流行开始以来更频繁或更严重的 IPV,或者在 2020 年 12 月底之前进行的四次随访调查中至少有一次报告了上个月的任何 IPV。我们创建了一个三级复合变量--未经历过 IPV、经历过情感但未经历过肢体 IPV 和经历过肢体 IPV。结果与那些报告未经历过 IPV 的人相比,报告经历过情感但未经历过肢体 IPV 的顺性别女性、非二元性别或变性人以及报告经历过肢体 IPV 的人未接种 COVID-19 的风险都显著较高(情感暴力平均值:1.28 [95 % CI: 1.28]):1.28 [95 % CI: 1.09 - 1.51];ARRphysical violence:1.70 [95 % CI: 1.41 - 2.05])。报告遭受过 IPV 人身暴力的顺性别男性未接种 COVID-19 疫苗的风险也显著较高(ARR:1.52 [95 % CI:1.15 - 2.02])。研究结果突出表明,有必要将 IPV 预防和支持纳入公共卫生应对措施中,同时提供有针对性的资源,并考虑减少受影响人群对公共卫生干预措施的障碍。
{"title":"The association between emotional and physical intimate partner violence and COVID-19 vaccine uptake in a community-based U.S. Cohort","authors":"Kate Penrose ,&nbsp;Ansu Abraham ,&nbsp;McKaylee Robertson ,&nbsp;Amanda Berry ,&nbsp;Bai Xi Jasmine Chan ,&nbsp;Yanhan Shen ,&nbsp;Avantika Srivastava ,&nbsp;Subha Balasubramanian ,&nbsp;Surabhi Yadav ,&nbsp;Rachael Piltch-Loeb ,&nbsp;Denis Nash ,&nbsp;Angela M. Parcesepe","doi":"10.1016/j.pmedr.2024.102784","DOIUrl":"https://doi.org/10.1016/j.pmedr.2024.102784","url":null,"abstract":"<div><h3>Objective</h3><p>To estimate risk of being unvaccinated against COVID-19 by experience of intimate partner violence (IPV).</p></div><div><h3>Methods</h3><p>Among 3,343 partnered individuals in a community-based U.S. cohort, we quantified emotional and physical IPV experienced between March and December 2020 and estimated risk of being unvaccinated against COVID-19 through June 2021 by experience of IPV. Experience of recent IPV was defined as endorsement of more frequent or severe IPV since the start of the pandemic or report of any past-month IPV in at least one of four follow-up surveys conducted by the end of December 2020. We created a three-level composite variable – no experience of IPV, experience of emotional but not physical IPV, and experience of physical IPV.</p></div><div><h3>Results</h3><p>Cisgender women, non-binary, or transgender individuals who reported experiencing emotional, but not physical, IPV and those who reported experiencing physical IPV were both at significantly higher risk of being unvaccinated for COVID-19 compared to those who reported experiencing no IPV (ARR<sub>emotional violence</sub>: 1.28 [95 % CI: 1.09 – 1.51]; ARR<sub>physical violence</sub>: 1.70 [95 % CI: 1.41 – 2.05]). Cisgender men who reported experiencing physical IPV were also at significantly higher risk of being unvaccinated for COVID-19 (ARR<sub>physical violence</sub>: 1.52 [95 % CI: 1.15 – 2.02]).</p></div><div><h3>Conclusions</h3><p>IPV may increase the risk of low vaccine uptake. Results highlight the need to incorporate IPV prevention and support into public health responses, with targeted resources and consideration for reducing barriers to public health interventions among those impacted.</p></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211335524001992/pdfft?md5=404d68404b18dd86c7ff6a6b3d3edfb6&pid=1-s2.0-S2211335524001992-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Preventive Medicine Reports
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