Pub Date : 2024-05-01eCollection Date: 2024-04-01DOI: 10.1177/22799036241249659
Gavino Faa, Riccardo Cau, Alberto Ravarino, Andrea Canino, Peter Van Eyken, Matteo Fraschini, Jasjit S Suri, Luca Saba
Atherosclerosis is a complex disease characterized by the accumulation of plaques in arterial walls. Understanding its pathogenesis remains incomplete, with factors like inflammation, oxidative stress, and hypertension playing critical roles. The disease exhibits preferential localization of plaques, with variability observed even within the same individual. Genetic, environmental, and lifestyle factors contribute to its heterogeneity. Histological plaque phenotypes vary widely, prompting classification schemes focusing on systemic and local factors deteriorating fibrous caps. Recent research highlights differences in plaque histology among arterial systems, suggesting unique pathophysiological mechanisms. This study reports on multiple atherosclerotic plaques detected at autopsy in various vascular sites of a single subject, emphasizing their histological diversity and underscoring the systemic nature of atherosclerosis.
{"title":"Lessons from autopsy: Topographical variability of atherosclerosis plaques.","authors":"Gavino Faa, Riccardo Cau, Alberto Ravarino, Andrea Canino, Peter Van Eyken, Matteo Fraschini, Jasjit S Suri, Luca Saba","doi":"10.1177/22799036241249659","DOIUrl":"https://doi.org/10.1177/22799036241249659","url":null,"abstract":"<p><p>Atherosclerosis is a complex disease characterized by the accumulation of plaques in arterial walls. Understanding its pathogenesis remains incomplete, with factors like inflammation, oxidative stress, and hypertension playing critical roles. The disease exhibits preferential localization of plaques, with variability observed even within the same individual. Genetic, environmental, and lifestyle factors contribute to its heterogeneity. Histological plaque phenotypes vary widely, prompting classification schemes focusing on systemic and local factors deteriorating fibrous caps. Recent research highlights differences in plaque histology among arterial systems, suggesting unique pathophysiological mechanisms. This study reports on multiple atherosclerotic plaques detected at autopsy in various vascular sites of a single subject, emphasizing their histological diversity and underscoring the systemic nature of atherosclerosis.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11062232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.1177/22799036241243268
Azza M Abdel-Meguid, Sara M Awad, Mostafa Noaman, Asmaa M Abdel Gawad, Doaa A. E. Abou-Taleb
Background: Urticaria affects a wide range of daily activities and social relationships. It has a severe impact on quality of life (QOL) and causes psychological problems. Objective: was to assess the impact of chronic urticaria (CU) on quality of sleep, the levels of depression, anxiety, QOL and their interaction with each other and their relation to disease related factors. Patients and methods: The study included 25 patients with CU and 25 healthy controls. Urticaria Activity Score (UAS) was used for objective evaluation of the intensity of urticaria. Patients completed a 10-cm visual analogue score (VAS) indicating the overall severity of their itching over the previous 2 weeks. The Dermatology Life Quality Index (DLQI) was used to evaluate patients’ QOL. Patients were also assessed for anxiety and depression with the Hospital Anxiety and Depression Scale (HADS). Pittsburgh Sleep Quality Index (PSQI) was used for evaluation of sleep quality and sleep disturbances. Results: In our CU patients the mean of UAS7 score was 39.72 ± 2.76 and the mean of VAS score was 28 ± 1.34. The mean of DLQI score was 24.8 ± 4.37 indicating severe impact of QOL. CU patients had higher total HADS score when compared to controls; 72% of the patients had depression and 92% had anxiety. By using PSQI, CU patients had significantly longer sleep latency onset, shorter total sleep duration, lower sleep efficiency and higher PSQI scores compared to controls. Conclusion: CU highly affects the QOL of patients and is associated with higher levels of anxiety, depression and poor sleep quality.
{"title":"Does chronic urticaria affect quality of sleep and quality of life?","authors":"Azza M Abdel-Meguid, Sara M Awad, Mostafa Noaman, Asmaa M Abdel Gawad, Doaa A. E. Abou-Taleb","doi":"10.1177/22799036241243268","DOIUrl":"https://doi.org/10.1177/22799036241243268","url":null,"abstract":"Background: Urticaria affects a wide range of daily activities and social relationships. It has a severe impact on quality of life (QOL) and causes psychological problems. Objective: was to assess the impact of chronic urticaria (CU) on quality of sleep, the levels of depression, anxiety, QOL and their interaction with each other and their relation to disease related factors. Patients and methods: The study included 25 patients with CU and 25 healthy controls. Urticaria Activity Score (UAS) was used for objective evaluation of the intensity of urticaria. Patients completed a 10-cm visual analogue score (VAS) indicating the overall severity of their itching over the previous 2 weeks. The Dermatology Life Quality Index (DLQI) was used to evaluate patients’ QOL. Patients were also assessed for anxiety and depression with the Hospital Anxiety and Depression Scale (HADS). Pittsburgh Sleep Quality Index (PSQI) was used for evaluation of sleep quality and sleep disturbances. Results: In our CU patients the mean of UAS7 score was 39.72 ± 2.76 and the mean of VAS score was 28 ± 1.34. The mean of DLQI score was 24.8 ± 4.37 indicating severe impact of QOL. CU patients had higher total HADS score when compared to controls; 72% of the patients had depression and 92% had anxiety. By using PSQI, CU patients had significantly longer sleep latency onset, shorter total sleep duration, lower sleep efficiency and higher PSQI scores compared to controls. Conclusion: CU highly affects the QOL of patients and is associated with higher levels of anxiety, depression and poor sleep quality.","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140773817","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}
Pub Date : 2024-04-01DOI: 10.1177/22799036241248022
M. Carta, M. Fornaro, Diego Primavera, A. E. Nardi, Elie Karam
A syndrome centered on the dysregulation of behavioral rhythms (DBR) is discussed. Recent pandemic brought to observe: (1) Having a DBR affecting sleep patterns, eating habits, and social interactions, before the lockdown period, was a determinant for depressive episodes during the lockdown; (2) In tighter lockdowns, DBR triggered depressive episodes in bipolar patients; (3) DBR in healthcare workers under pressure was a determinant of burnout; (4) DBR influenced the course of chronic diseases by altering immune responses. In addition, it was found that scoring positive on the Mood Disorder Questionnaire (MDQ) was closely associated with the dysregulation of sleep rhythms. MDQ is a screening tool for bipolar disorder (BD), criticized for detecting too many false positives. Studies showed that positivity to the MDQ implied a severe impairment of quality of life even in people without psychiatric diagnoses. According to this evidence, three different hyperactivation levels could be proposed (from normality to pathology): firstly, an adaptive increase in energy (e.g. athletes performing well); secondly, a DBR determined from the continuous stimulation of stress hormones, with possible positive scores on the MDQ without a diagnosis of bipolar disorder, like in burnout syndromes and, thirdly, hyperactivity during manic episodes. The Dysregulation of Mood, Energy, and Social Rhythms Syndrome (DYMERS), the second level of the scale, is proposed as a working hypothesis. DYMERS is also seen as a vulnerable condition that may evolve in other disorders (including BD) according to the individual susceptibility (including genetic predisposition) and the specific nature/level of the stressor.
{"title":"Dysregulation of mood, energy, and social rhythms syndrome (DYMERS): A working hypothesis","authors":"M. Carta, M. Fornaro, Diego Primavera, A. E. Nardi, Elie Karam","doi":"10.1177/22799036241248022","DOIUrl":"https://doi.org/10.1177/22799036241248022","url":null,"abstract":"A syndrome centered on the dysregulation of behavioral rhythms (DBR) is discussed. Recent pandemic brought to observe: (1) Having a DBR affecting sleep patterns, eating habits, and social interactions, before the lockdown period, was a determinant for depressive episodes during the lockdown; (2) In tighter lockdowns, DBR triggered depressive episodes in bipolar patients; (3) DBR in healthcare workers under pressure was a determinant of burnout; (4) DBR influenced the course of chronic diseases by altering immune responses. In addition, it was found that scoring positive on the Mood Disorder Questionnaire (MDQ) was closely associated with the dysregulation of sleep rhythms. MDQ is a screening tool for bipolar disorder (BD), criticized for detecting too many false positives. Studies showed that positivity to the MDQ implied a severe impairment of quality of life even in people without psychiatric diagnoses. According to this evidence, three different hyperactivation levels could be proposed (from normality to pathology): firstly, an adaptive increase in energy (e.g. athletes performing well); secondly, a DBR determined from the continuous stimulation of stress hormones, with possible positive scores on the MDQ without a diagnosis of bipolar disorder, like in burnout syndromes and, thirdly, hyperactivity during manic episodes. The Dysregulation of Mood, Energy, and Social Rhythms Syndrome (DYMERS), the second level of the scale, is proposed as a working hypothesis. DYMERS is also seen as a vulnerable condition that may evolve in other disorders (including BD) according to the individual susceptibility (including genetic predisposition) and the specific nature/level of the stressor.","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140792935","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}
Pub Date : 2024-04-01DOI: 10.1177/22799036241243272
Vipin Kumar Sharma, Bidhan Mahajon, A. Jain, Renu Singh, Rakesh Rana, Pratap Makhija, Narayanam Srikanth, K. Dhiman
Swasthya Rakshan Programme (SRP) provides health care services through Ayurveda, an initiative of the Government of India that aims to survey and create alertness of essential health appliances to ameliorate society from its grassroots level. The present study aimed to survey the prevailing health standards of residents in certain districts of India and to record the prevalence of diseases among them according to their living conditions, food habits, lifestyle, education, occupation and other socio-economic status. Data was collected through a community-based cross-sectional survey conducted from April 2018 to March 2019 in 22 Districts of 19 states in India. A stratified multi-stage sampling design was adopted for the survey. Documentation of demographic profile, food habits, lifestyle, hygiene status, and existing health conditions was assessed. A pre-designed semi-structured questionnaire was used for the collection of the data. Before initiating the programme, written consent was obtained. In this study, from 162 selected villages/colonies/areas, a total of 562,913 population and 81,651 households were surveyed. Sixty-nine thousand three hundred nineteen patients were cared for various ailments through health camps. The study found that the most prevalent disease in the concerned population was ‘Sandhivata’ (Osteo-arthritis), that is, 43.0%, followed by ‘Dourbalya’ (Debility), that is, 11.7%. The study includes insightful analyses of comprehensive demographic and health indicators classified by various socio-economic categories. The collected data regarding the prevalence of diseases with their sociodemographic correlations may provide a better understanding of the locality and thus may help in all future health endeavours.
{"title":"Health and demographic indicators of selected districts of India: An impact of Swasthya Rakshan Programme (SRP)","authors":"Vipin Kumar Sharma, Bidhan Mahajon, A. Jain, Renu Singh, Rakesh Rana, Pratap Makhija, Narayanam Srikanth, K. Dhiman","doi":"10.1177/22799036241243272","DOIUrl":"https://doi.org/10.1177/22799036241243272","url":null,"abstract":"Swasthya Rakshan Programme (SRP) provides health care services through Ayurveda, an initiative of the Government of India that aims to survey and create alertness of essential health appliances to ameliorate society from its grassroots level. The present study aimed to survey the prevailing health standards of residents in certain districts of India and to record the prevalence of diseases among them according to their living conditions, food habits, lifestyle, education, occupation and other socio-economic status. Data was collected through a community-based cross-sectional survey conducted from April 2018 to March 2019 in 22 Districts of 19 states in India. A stratified multi-stage sampling design was adopted for the survey. Documentation of demographic profile, food habits, lifestyle, hygiene status, and existing health conditions was assessed. A pre-designed semi-structured questionnaire was used for the collection of the data. Before initiating the programme, written consent was obtained. In this study, from 162 selected villages/colonies/areas, a total of 562,913 population and 81,651 households were surveyed. Sixty-nine thousand three hundred nineteen patients were cared for various ailments through health camps. The study found that the most prevalent disease in the concerned population was ‘Sandhivata’ (Osteo-arthritis), that is, 43.0%, followed by ‘Dourbalya’ (Debility), that is, 11.7%. The study includes insightful analyses of comprehensive demographic and health indicators classified by various socio-economic categories. The collected data regarding the prevalence of diseases with their sociodemographic correlations may provide a better understanding of the locality and thus may help in all future health endeavours.","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140757848","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}
Pub Date : 2024-04-01DOI: 10.1177/22799036241239464
Dewi Ratna Sulistina, Santi Martini, Budi Prasetyo, F. S. Rahman, Arga Setyo Adji, Chung-Yi Li, M. Lusida
Background: Currently, human immunodeficiency virus and acquired immunodeficiency syndrome (HIV/AIDS) has become one of the major health problems worldwide, including Indonesia. East Java is one of the provinces in Indonesia with the highest prevalence of HIV infection. One of the causes of HIV infection transmission is lesbian, gay, bisexual, and transgender (LGBT) practice. Furthermore, the treatment using antiretroviral (ARV) drugs in HIV-1 patients can fail due to the presence of HIV drug resistance. Objective: The aim of this study is to identify the behavior at risk of HIV transmission among LGBT, patterns of genetic variation and antiretroviral (ARV) resistance. Methods: A systematic review and meta-analysis based on the PRISMA guidelines was conducted. We searched three databases including PubMed, ScienceDirect, and Google scholar for studies investigating the non-heterosexual behavior as risk factor of HIV infection and antiretroviral resistance. Only studies published in English are considered. The adjusted estimates of the risk were carried out using best-adjusted OR with 95% confidence interval (CI) and significant p value < 0.05. Results: In the quantitative analysis of HIV infection risk factors, a total of 13 studies were included, which investigated non-heterosexual behavior as a potential factor. The studies involved a total of 37,129 participants, comprising 10,449 individuals in the non-heterosexual behavior group (LGBTQ+) and 26,680 individuals in the heterosexual group. The majority of the participants in this study were from the USA, Japan, China, and Brazil, and the main HIV subgenotypes were B and CRF. Additionally, the antiretroviral resistance of HIV patients was examined, involving a total of 3062 individuals, with 1296 individuals in the non-heterosexual behavior group and 1766 individuals in the heterosexual group. Our calculation showed that non-heterosexual behavior was significant as risk factor of HIV infection (OR = 2.17, 95% CI = 1.94–2.43, p < 0.001) and antiretroviral resistance (OR = 1.31, 95% CI = 1.00–1.71, p = 0.05). Conclusion: This study concludes that non heterosexual behavior is significant risk factor of HIV infection. A quite prevalent of antiretroviral resistance were found among non heterosexual behavior. The main subgenotype of HIV are B and CRF.
背景：目前，人类免疫缺陷病毒和获得性免疫缺陷综合症（HIV/AIDS）已成为包括印度尼西亚在内的全球主要健康问题之一。东爪哇省是印度尼西亚艾滋病毒感染率最高的省份之一。女同性恋、男同性恋、双性恋和变性者（LGBT）行为是导致艾滋病毒感染传播的原因之一。此外，由于 HIV 耐药性的存在，HIV-1 患者使用抗逆转录病毒（ARV）药物的治疗可能会失败。研究目的本研究旨在确定 LGBT 中的 HIV 传播风险行为、基因变异模式和抗逆转录病毒 (ARV) 抗药性。研究方法根据 PRISMA 指南进行系统回顾和荟萃分析。我们在三个数据库（包括 PubMed、ScienceDirect 和 Google scholar）中搜索了有关非异性恋行为作为 HIV 感染风险因素和抗逆转录病毒耐药性的研究。仅考虑以英文发表的研究。使用最佳调整 OR 和 95% 置信区间 (CI) 对风险进行调整估计，显著性 P 值小于 0.05。结果在艾滋病毒感染风险因素的定量分析中，共纳入了 13 项研究，这些研究调查了作为潜在因素的非异性恋行为。这些研究共涉及 37 129 名参与者，其中非异性恋行为组（LGBTQ+）10 449 人，异性恋组 26 680 人。这项研究的大多数参与者来自美国、日本、中国和巴西，主要的艾滋病毒亚基因型为 B 型和 CRF 型。此外，我们还对艾滋病患者的抗逆转录病毒耐药性进行了研究，共涉及 3062 人，其中非异性恋行为组 1296 人，异性恋组 1766 人。计算结果显示，非异性恋行为是艾滋病病毒感染（OR = 2.17，95% CI = 1.94-2.43，p < 0.001）和抗逆转录病毒耐药（OR = 1.31，95% CI = 1.00-1.71，p = 0.05）的重要风险因素。结论本研究得出结论，非异性恋行为是感染 HIV 的重要风险因素。在非异性恋行为中，抗逆转录病毒耐药性相当普遍。艾滋病毒的主要亚基因型为 B 型和 CRF 型。
{"title":"A systematic review and meta-analysis of HIV transmission risk behaviors, genetic variations, and antiretroviral (ARV) resistance in LGBT populations","authors":"Dewi Ratna Sulistina, Santi Martini, Budi Prasetyo, F. S. Rahman, Arga Setyo Adji, Chung-Yi Li, M. Lusida","doi":"10.1177/22799036241239464","DOIUrl":"https://doi.org/10.1177/22799036241239464","url":null,"abstract":"Background: Currently, human immunodeficiency virus and acquired immunodeficiency syndrome (HIV/AIDS) has become one of the major health problems worldwide, including Indonesia. East Java is one of the provinces in Indonesia with the highest prevalence of HIV infection. One of the causes of HIV infection transmission is lesbian, gay, bisexual, and transgender (LGBT) practice. Furthermore, the treatment using antiretroviral (ARV) drugs in HIV-1 patients can fail due to the presence of HIV drug resistance. Objective: The aim of this study is to identify the behavior at risk of HIV transmission among LGBT, patterns of genetic variation and antiretroviral (ARV) resistance. Methods: A systematic review and meta-analysis based on the PRISMA guidelines was conducted. We searched three databases including PubMed, ScienceDirect, and Google scholar for studies investigating the non-heterosexual behavior as risk factor of HIV infection and antiretroviral resistance. Only studies published in English are considered. The adjusted estimates of the risk were carried out using best-adjusted OR with 95% confidence interval (CI) and significant p value < 0.05. Results: In the quantitative analysis of HIV infection risk factors, a total of 13 studies were included, which investigated non-heterosexual behavior as a potential factor. The studies involved a total of 37,129 participants, comprising 10,449 individuals in the non-heterosexual behavior group (LGBTQ+) and 26,680 individuals in the heterosexual group. The majority of the participants in this study were from the USA, Japan, China, and Brazil, and the main HIV subgenotypes were B and CRF. Additionally, the antiretroviral resistance of HIV patients was examined, involving a total of 3062 individuals, with 1296 individuals in the non-heterosexual behavior group and 1766 individuals in the heterosexual group. Our calculation showed that non-heterosexual behavior was significant as risk factor of HIV infection (OR = 2.17, 95% CI = 1.94–2.43, p < 0.001) and antiretroviral resistance (OR = 1.31, 95% CI = 1.00–1.71, p = 0.05). Conclusion: This study concludes that non heterosexual behavior is significant risk factor of HIV infection. A quite prevalent of antiretroviral resistance were found among non heterosexual behavior. The main subgenotype of HIV are B and CRF.","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140778011","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}
Pub Date : 2024-04-01DOI: 10.1177/22799036241243267
Raghda Atawi, Ahmad Ayed, Ahmad Batran
Background: Traditional eye medicine (TEM) is becoming more widely used across the world. Depending on the drugs used, TEM usage can be considered harmful or innocuous. The therapy may induce infection or irreparable blindness in the already injured eye. The aim of the study was to determine the proportion of traditional eye medicine practices and associated factors among adult ophthalmic patients attending ophthalmic clinics in the governmental hospitals in the West Bank. Design and methods: A cross-sectional study conducted on 300 patients. The data was collected using a structured, self-administered questionnaire. Results: The results of the study revealed that 65.7% of people use TEM. The most common symptoms that necessitated the use of traditional eye practice were inflammatory symptoms of the eye (49.2%), blurred vision (15.7%), and allergic conjunctivitis (10.7%). The most common TEM used was tea (34.0%), followed by herbal products (25.4%) and vegetable slices (potato, cucumber, and onion) (14.7%). The most traditional eye treatment was the topical route (92.9%). The majority of prescribers of traditional eye practice were traditional healers (48.7%). Furthermore, the current study found that occupation and the income were predictors of using traditional eye practice among ophthalmic patients attending ophthalmic clinics in selected West Bank hospitals. Conclusion: The proportion of traditional eye medicine practice was high among ophthalmic patients in the West Bank. The predictors of using traditional eye treatment were occupation and the income. The most common TEM used was tea, followed by herbal products and vegetable slices (potato, cucumber, and onion).
背景：传统眼药（TEM）在世界各地的应用越来越广泛。根据所用药物的不同，传统眼药的使用可被视为有害或无害。这种疗法可能会诱发感染，或使已经受伤的眼睛出现无法弥补的失明。本研究旨在确定在约旦河西岸政府医院眼科诊所就诊的成年眼科患者中使用传统眼药的比例及相关因素。设计和方法：对 300 名患者进行横断面研究。采用结构化自填式问卷收集数据。结果研究结果显示，65.7% 的人使用 TEM。需要使用传统眼科疗法的最常见症状是眼部炎症（49.2%）、视力模糊（15.7%）和过敏性结膜炎（10.7%）。最常用的 TEM 是茶（34.0%），其次是草药（25.4%）和蔬菜片（土豆、黄瓜和洋葱）（14.7%）。最传统的眼科治疗方法是局部用药（92.9%）。传统眼科疗法的处方者大多是传统医士（48.7%）。此外，本研究还发现，在选定的西岸医院眼科诊所就诊的眼科患者中，职业和收入是使用传统眼科疗法的预测因素。研究结论在约旦河西岸的眼科患者中，使用传统眼科疗法的比例很高。使用传统眼科疗法的预测因素是职业和收入。最常用的TEM是茶，其次是草药产品和蔬菜片（土豆、黄瓜和洋葱）。
{"title":"Traditional eye medicine practice and its determinant factors among ophthalmic patients in the West Bank","authors":"Raghda Atawi, Ahmad Ayed, Ahmad Batran","doi":"10.1177/22799036241243267","DOIUrl":"https://doi.org/10.1177/22799036241243267","url":null,"abstract":"Background: Traditional eye medicine (TEM) is becoming more widely used across the world. Depending on the drugs used, TEM usage can be considered harmful or innocuous. The therapy may induce infection or irreparable blindness in the already injured eye. The aim of the study was to determine the proportion of traditional eye medicine practices and associated factors among adult ophthalmic patients attending ophthalmic clinics in the governmental hospitals in the West Bank. Design and methods: A cross-sectional study conducted on 300 patients. The data was collected using a structured, self-administered questionnaire. Results: The results of the study revealed that 65.7% of people use TEM. The most common symptoms that necessitated the use of traditional eye practice were inflammatory symptoms of the eye (49.2%), blurred vision (15.7%), and allergic conjunctivitis (10.7%). The most common TEM used was tea (34.0%), followed by herbal products (25.4%) and vegetable slices (potato, cucumber, and onion) (14.7%). The most traditional eye treatment was the topical route (92.9%). The majority of prescribers of traditional eye practice were traditional healers (48.7%). Furthermore, the current study found that occupation and the income were predictors of using traditional eye practice among ophthalmic patients attending ophthalmic clinics in selected West Bank hospitals. Conclusion: The proportion of traditional eye medicine practice was high among ophthalmic patients in the West Bank. The predictors of using traditional eye treatment were occupation and the income. The most common TEM used was tea, followed by herbal products and vegetable slices (potato, cucumber, and onion).","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140765346","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}
Pub Date : 2024-04-01DOI: 10.1177/22799036241246701
Susanti, Hafizah Che Hassan, Musher Abdulwahid Aljaberi
Background: Changes in one’s mental state are possible during pregnancy because it is a phase. Anxiety is one of these mental changes that is common during pregnancy and has a tendency to have a detrimental impact on both the mother and the fetus. This study aims to examine the effectiveness of pregnancy exercise on pregnancy anxiety levels. Design and methods: The method used in this study was quasi-experimental with a purposive sampling technique. The Hamilton Anxiety Rating Scale (HARS) is the instrument that is employed in this study, and it will be given to the sample group of 15 pregnant women without complications to determine their levels of anxiety. This research was conducted at one of the Health Centers in Batam City, Indonesia. The sample is instructed to perform pregnancy exercise for a total of 4 weeks, with each week’s instruction consisting of pregnancy exercise being performed twice for a total of 1 h. Result: The findings of the data analysis performed with the t-test, which assessed the differences in sample anxiety levels before and after taking out pregnant exercise, showed a value of p = 0.000. This indicates that the value of p is less than 0.05, which is the threshold at which the significance level of the test is considered to be significant. Conclusions: Therefore, childbirth of complementary care in the form of exercise during pregnancy can have the impact of lowering levels of anxiety.
背景：怀孕是一个阶段，因此人的精神状态有可能发生变化。焦虑是孕期常见的心理变化之一，容易对母亲和胎儿产生不利影响。本研究旨在探讨孕期运动对孕期焦虑水平的影响。设计和方法本研究采用准实验法和目的性抽样技术。汉密尔顿焦虑评定量表（HARS）是本研究采用的工具，将对 15 名无并发症的孕妇进行抽样调查，以确定她们的焦虑水平。本研究在印度尼西亚巴淡市的一家保健中心进行。指导样本进行为期 4 周的孕期锻炼，每周进行两次孕期锻炼，每次锻炼时间为 1 小时。结果：通过 t 检验对样本在进行孕期锻炼前后焦虑水平的差异进行了数据分析，结果显示 p = 0.000。这表明 p 值小于 0.05，而 0.05 是检验显著性水平的临界值。结论：因此，在怀孕期间以运动的形式进行辅助护理分娩可以起到降低焦虑水平的作用。
{"title":"Pregnancy exercise effectiveness on anxiety level among pregnant women","authors":"Susanti, Hafizah Che Hassan, Musher Abdulwahid Aljaberi","doi":"10.1177/22799036241246701","DOIUrl":"https://doi.org/10.1177/22799036241246701","url":null,"abstract":"Background: Changes in one’s mental state are possible during pregnancy because it is a phase. Anxiety is one of these mental changes that is common during pregnancy and has a tendency to have a detrimental impact on both the mother and the fetus. This study aims to examine the effectiveness of pregnancy exercise on pregnancy anxiety levels. Design and methods: The method used in this study was quasi-experimental with a purposive sampling technique. The Hamilton Anxiety Rating Scale (HARS) is the instrument that is employed in this study, and it will be given to the sample group of 15 pregnant women without complications to determine their levels of anxiety. This research was conducted at one of the Health Centers in Batam City, Indonesia. The sample is instructed to perform pregnancy exercise for a total of 4 weeks, with each week’s instruction consisting of pregnancy exercise being performed twice for a total of 1 h. Result: The findings of the data analysis performed with the t-test, which assessed the differences in sample anxiety levels before and after taking out pregnant exercise, showed a value of p = 0.000. This indicates that the value of p is less than 0.05, which is the threshold at which the significance level of the test is considered to be significant. Conclusions: Therefore, childbirth of complementary care in the form of exercise during pregnancy can have the impact of lowering levels of anxiety.","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140758117","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}
Pub Date : 2024-04-01DOI: 10.1177/22799036241243269
Vu Hai Ha, Nguyen Hoang Duc, Doan Thi Anh Van, Nguyen Viet Lac Thu, Nguyen Minh Son, Nguyen Thi Xuan Hien, Nguyen Huu Le, Duong Tien Hung, Nguyen Thi Bich Ngoc, Le Thanh Hung, Nguyen Tien Huy
Background: The COVID-19 pandemic has emphasized the critical role of public knowledge, attitudes, and practices (KAP) in disease containment. Understanding these aspects can guide health promotion initiatives and policy decisions. Design and methods: This cross-sectional study examined the KAP concerning COVID-19 prevention in Vietnam. Participants’ sociodemographic data, along with KAP toward COVID-19, were collected in a survey utilizing a standardized questionnaire. Uni- and multivariable logistic regression were used to identify factors associated with poor level of KAP. Results: Of 335 participants, 97 (28.9%) had poor knowledge, 52 (15.5%) poor attitude, and 48 (14.3%) poor practices. Older age (OR = 2.23; p = 0.024), minority non-Kinh ethnicity (OR = 3.05; p = 0.03), education below high school (OR = 8.80; p < 0.001), limited social media access (OR = 2.86; p = 0.002), and limited mobile phone usage (OR = 3.08; p = 0.001) increased poor knowledge risks. Non-Kinh ethnicity (OR = 5.00; p = 0.005) and lower education (OR = 14.79; p < 0.001) were linked to poor attitude. Older age (OR = 2.26; p = 0.035), lower education (OR = 5.74; p = 0.003), and poor knowledge (OR = 3.33; p = 0.005) were associated with poor practices. Conclusions: Elderly individuals, those with low education, and limited media access had elevated risks of poor KAP. Emphasizing public health media and targeted education, especially for underserved groups, is vital for effective epidemic management and future strategy planning.
{"title":"Knowledge, attitude and preventive practice toward Covid-19 and associated factors among outpatients in a rural hospital in Vietnam","authors":"Vu Hai Ha, Nguyen Hoang Duc, Doan Thi Anh Van, Nguyen Viet Lac Thu, Nguyen Minh Son, Nguyen Thi Xuan Hien, Nguyen Huu Le, Duong Tien Hung, Nguyen Thi Bich Ngoc, Le Thanh Hung, Nguyen Tien Huy","doi":"10.1177/22799036241243269","DOIUrl":"https://doi.org/10.1177/22799036241243269","url":null,"abstract":"Background: The COVID-19 pandemic has emphasized the critical role of public knowledge, attitudes, and practices (KAP) in disease containment. Understanding these aspects can guide health promotion initiatives and policy decisions. Design and methods: This cross-sectional study examined the KAP concerning COVID-19 prevention in Vietnam. Participants’ sociodemographic data, along with KAP toward COVID-19, were collected in a survey utilizing a standardized questionnaire. Uni- and multivariable logistic regression were used to identify factors associated with poor level of KAP. Results: Of 335 participants, 97 (28.9%) had poor knowledge, 52 (15.5%) poor attitude, and 48 (14.3%) poor practices. Older age (OR = 2.23; p = 0.024), minority non-Kinh ethnicity (OR = 3.05; p = 0.03), education below high school (OR = 8.80; p < 0.001), limited social media access (OR = 2.86; p = 0.002), and limited mobile phone usage (OR = 3.08; p = 0.001) increased poor knowledge risks. Non-Kinh ethnicity (OR = 5.00; p = 0.005) and lower education (OR = 14.79; p < 0.001) were linked to poor attitude. Older age (OR = 2.26; p = 0.035), lower education (OR = 5.74; p = 0.003), and poor knowledge (OR = 3.33; p = 0.005) were associated with poor practices. Conclusions: Elderly individuals, those with low education, and limited media access had elevated risks of poor KAP. Emphasizing public health media and targeted education, especially for underserved groups, is vital for effective epidemic management and future strategy planning.","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140789590","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}
Pub Date : 2024-04-01DOI: 10.1177/22799036241237947
D. Ayuningtyas, Ratih Oktarina, Anita Pebrina, Ambo Sakka, Roni Rozali, Sandra Barinda, Alya Pramesti
Indonesia still faces challenges in providing healthcare services, and it is crucial to develop an air medical evacuation services system for at least two reasons. Firstly, Indonesia is an archipelagic country and a popular tourist destination. Secondly, there are still significant disparities in the number and types of healthcare facilities and health workers nationwide. To respond to the current situation, the healthcare providers and government have made some efforts regarding air medical evacuation but are showing an unintegrated system. This qualitative study aimed to explore the current implementation of air medical evacuation in Indonesia and to propose an integrated standard procedure that all related stakeholders can adopt at the national and regional levels. The study used a multi-case design analysis, collecting both primary and secondary data. Secondary data was gathered through desk studies to learn related policies and previous studies. Primary data was collected through observation and in-depth interviews with relevant stakeholders, including regulators, service providers, practitioners, and non-governmental organizations. The study found that there is currently a regulatory gap for the implementation of air medical evacuation services in Indonesia. The readiness of the Health Human Resources (HHR) is limited in terms of qualification and competency, and the definitive infrastructure of air medical evacuation requires improvement since the providers continue to use the airport for civil transportation. Besides, the interaction pattern between stakeholders needs to be integrated into standardized procedures. Therefore, the study recommends proposing an integrated standard procedure and actionable recommendations to advocate for all stakeholders.
{"title":"Indonesian air medical evacuation: Analyzing readiness and proposing an integrated standard procedure","authors":"D. Ayuningtyas, Ratih Oktarina, Anita Pebrina, Ambo Sakka, Roni Rozali, Sandra Barinda, Alya Pramesti","doi":"10.1177/22799036241237947","DOIUrl":"https://doi.org/10.1177/22799036241237947","url":null,"abstract":"Indonesia still faces challenges in providing healthcare services, and it is crucial to develop an air medical evacuation services system for at least two reasons. Firstly, Indonesia is an archipelagic country and a popular tourist destination. Secondly, there are still significant disparities in the number and types of healthcare facilities and health workers nationwide. To respond to the current situation, the healthcare providers and government have made some efforts regarding air medical evacuation but are showing an unintegrated system. This qualitative study aimed to explore the current implementation of air medical evacuation in Indonesia and to propose an integrated standard procedure that all related stakeholders can adopt at the national and regional levels. The study used a multi-case design analysis, collecting both primary and secondary data. Secondary data was gathered through desk studies to learn related policies and previous studies. Primary data was collected through observation and in-depth interviews with relevant stakeholders, including regulators, service providers, practitioners, and non-governmental organizations. The study found that there is currently a regulatory gap for the implementation of air medical evacuation services in Indonesia. The readiness of the Health Human Resources (HHR) is limited in terms of qualification and competency, and the definitive infrastructure of air medical evacuation requires improvement since the providers continue to use the airport for civil transportation. Besides, the interaction pattern between stakeholders needs to be integrated into standardized procedures. Therefore, the study recommends proposing an integrated standard procedure and actionable recommendations to advocate for all stakeholders.","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140763229","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}
Pub Date : 2024-03-28eCollection Date: 2024-01-01DOI: 10.1177/22799036241238667
Van Thi Hai Hoang, Hai-Thanh Pham, Linh Thi Phuong Nguyen, Ngoc-Anh Tran, Va Quynh-Trang Le-Thi
Background: The impact of stigma on individuals with HIV remains a significant challenge, causing feelings of worthlessness, shame, and emotional distress. This study aimed to examine the relationship between HIV-related stigma and quality of life (QOL) among HIV-infected outpatients initiating antiretroviral therapy (ART) in Vietnam.
Design and methods: This was a cross-sectional study which conducted at Vinh General Hospital, Nghe An Province, involved 323 HIV-infected outpatients. Participants were surveyed between October 2020 and October 2021. The study collected data through structured interviews, assessing socio-demographic factors, HIV stigma, and QOL.
Results: The result showed that HIV-infected outpatients experiencing higher stigma showed poorer QOL across various domains. The negative impact of stigma was particularly evident in domains related to physical health, psychological well-being, and spirituality. Participants who were married, had children, consumed alcohol, had comorbidities (particularly hepatitis B/C), and lacked a history of drug use reported varying levels of correlation with QOL domains and stigma.
Conclusions: By identifying the intricate connections between stigma and QOL, the study provides valuable insights for designing comprehensive interventions that prioritize the well-being of HIV infected outpatients.
背景：污名化对艾滋病病毒感染者的影响仍然是一项重大挑战，它导致了无价值感、羞耻感和情绪困扰。本研究旨在探讨越南接受抗逆转录病毒疗法（ART）的门诊艾滋病病毒感染者的艾滋病相关耻辱感与生活质量（QOL）之间的关系：这是一项横断面研究，在义安省荣总医院进行，涉及 323 名门诊艾滋病病毒感染者。调查时间为 2020 年 10 月至 2021 年 10 月。研究通过结构式访谈收集数据，评估社会人口学因素、艾滋病耻辱感和 QOL：结果表明，门诊艾滋病毒感染者在各方面的QOL都较差，尤其是对HIV感染者的负面影响更大。污名化的负面影响在身体健康、心理健康和精神方面尤为明显。已婚、有子女、饮酒、有合并症（尤其是乙型/丙型肝炎）以及无吸毒史的参与者的 QOL 领域与污名之间存在不同程度的相关性：通过确定污名化与 QOL 之间错综复杂的联系，该研究为设计综合干预措施，优先考虑门诊艾滋病感染者的福利提供了有价值的见解。
{"title":"The relationship between HIV-related stigma and quality of life among HIV infected outpatients: A cross-sectional study in Vietnam.","authors":"Van Thi Hai Hoang, Hai-Thanh Pham, Linh Thi Phuong Nguyen, Ngoc-Anh Tran, Va Quynh-Trang Le-Thi","doi":"10.1177/22799036241238667","DOIUrl":"10.1177/22799036241238667","url":null,"abstract":"<p><strong>Background: </strong>The impact of stigma on individuals with HIV remains a significant challenge, causing feelings of worthlessness, shame, and emotional distress. This study aimed to examine the relationship between HIV-related stigma and quality of life (QOL) among HIV-infected outpatients initiating antiretroviral therapy (ART) in Vietnam.</p><p><strong>Design and methods: </strong>This was a cross-sectional study which conducted at Vinh General Hospital, Nghe An Province, involved 323 HIV-infected outpatients. Participants were surveyed between October 2020 and October 2021. The study collected data through structured interviews, assessing socio-demographic factors, HIV stigma, and QOL.</p><p><strong>Results: </strong>The result showed that HIV-infected outpatients experiencing higher stigma showed poorer QOL across various domains. The negative impact of stigma was particularly evident in domains related to physical health, psychological well-being, and spirituality. Participants who were married, had children, consumed alcohol, had comorbidities (particularly hepatitis B/C), and lacked a history of drug use reported varying levels of correlation with QOL domains and stigma.</p><p><strong>Conclusions: </strong>By identifying the intricate connections between stigma and QOL, the study provides valuable insights for designing comprehensive interventions that prioritize the well-being of HIV infected outpatients.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10981238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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