1
|
Arlauskas R, Austys D, Dobrovolskij V, Stukas R. Consumption of Dietary Supplements among Working-Age Residents of Lithuania in the Period from 2021 to 2023. Medicina (Kaunas) 2024; 60:669. [PMID: 38674315 PMCID: PMC11051780 DOI: 10.3390/medicina60040669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2024] [Revised: 04/10/2024] [Accepted: 04/18/2024] [Indexed: 04/28/2024]
Abstract
Background and Objectives: The aim of this study was to assess the consumption of dietary supplements (DS) among working-age residents of Lithuania from 2021 to 2023 with respect to social and demographic factors and an assessment of personal health. Materials and Methods: Using stratified sampling techniques, this study included three samples of working-age residents (1600 each year, 4800 total). Three surveys were conducted, the distribution of the respondents between groups was compared using the χ2 test. Results: The consumption of DS significantly differed each year and accounted for 78.1%, 71.6%, and 72.7% of the respondents, respectively (p < 0.05). In 2022, the prevalence of the consumption of DS was lower in the majority of social and demographic groups (p < 0.05). In 2023, it was higher among females, younger residents, and those from larger families, who suffered from COVID-19 (p < 0.05). Despite similar changes found in the consumption of DS among those who negatively assessed their health, this group showed more prevalent consumption of DS among residents with non-university education, unemployed respondents, and those with lower income (p < 0.05). Conclusions: Despite a significantly lower prevalence in the consumption of DS in 2022, it was higher again in 2023. The assessment of personal health shows different habits in the consumption of DS.
Collapse
Affiliation(s)
- Rokas Arlauskas
- Department of Public Health, Institute of Health Sciences, Faculty of Medicine, Vilnius University, M. K. Čiurlionio 21/27, 03101 Vilnius, Lithuania; (D.A.); (V.D.); (R.S.)
| | | | | | | |
Collapse
|
2
|
Ferioli RB, da Mata AR, Sánchez-Sarmiento AM, Marcon M, K M C Flaiban K, Castilho P, Kolesnikovas CKM, Steuernagel A, Lemos GG, Domit C, Soares RL, Alvarez MCL, do Valle RDR, Maranho A, Kyllar AC, Neto HG, Barbosa CB. Hematology and Serum Biochemistry of Coastal Seabirds Rehabilitated on the Southeastern and Southern Coast of Brazil. J Wildl Dis 2024; 60:319-326. [PMID: 38345460 DOI: 10.7589/jwd-d-22-00127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Accepted: 10/24/2023] [Indexed: 04/06/2024]
Abstract
Complete blood counts (n=566) and serum biochemistry (n=426) were assessed in seven coastal seabirds species that underwent rehabilitation along the southeastern and southern coast of Brazil from Saquarema, Rio de Janeiro State (22°56'16.44″S, 42°18'24.16″W) to Laguna, Santa Catarina State (28°29'43″S, 48°45'39.2″W), from August 2016 to August 2020. Blood samples were collected from four species of Charadriiformes, including Kelp Gull (Larus dominicanus, n=136), South American Tern (Sterna hirundinacea, n=25), Cabot's Tern (Thalasseus acuflavidus, n=17), and Common Tern (Sterna hirundo, n=14) as well as three species of Suliformes, the Brown Booby (Sula leucogaster, n=212), Magnificent Frigatebird (Fregata magnificens, n=104), and Neotropic Cormorant (Nannopterum brasilianum, n=58). The individuals were sampled as part of the protocol required before their release into the wild when considered healthy. This work aimed to establish the normal hematologic and biochemical reference values of those seabird species and, when possible, to analyze variations among age class and sex and to compare those with the available data in the literature. In addition, we provide the first baseline data for the South American Tern, Cabot's Tern, and Neotropic Cormorant. Baseline hematologic data are crucial for assessing health status of individuals and to support management and conservation actions, including release of seabirds into the wild.
Collapse
Affiliation(s)
- Raquel B Ferioli
- Instituto Argonauta para a Conservação Costeira e Marinha, Avenida Governador Abreu Sodré, 1067, Perequê-Açu, Ubatuba, São Paulo, 11695-240, Brazil
| | - Amanda R da Mata
- Instituto Argonauta para a Conservação Costeira e Marinha, Avenida Governador Abreu Sodré, 1067, Perequê-Açu, Ubatuba, São Paulo, 11695-240, Brazil
| | - Angélica M Sánchez-Sarmiento
- Instituto Argonauta para a Conservação Costeira e Marinha, Avenida Governador Abreu Sodré, 1067, Perequê-Açu, Ubatuba, São Paulo, 11695-240, Brazil
| | - Melissa Marcon
- Instituto Argonauta para a Conservação Costeira e Marinha, Avenida Governador Abreu Sodré, 1067, Perequê-Açu, Ubatuba, São Paulo, 11695-240, Brazil
| | - Karina K M C Flaiban
- Departamento de Medicina Veterinária Preventiva Universidade Estadual de Londrina, Rodovia Celso Garcia Cid PR 445, Km 380, Campus Universitário, Londrina, Paraná, 86057-970, Brazil
| | - Pedro Castilho
- Universidade do Estado de Santa Catarina, Avenida Colombo Machado Salles, 1873, Praia do Gi, Laguna, Santa Catarina, 88790-000, Brazil
| | - Cristiane K M Kolesnikovas
- Associação R3 Animal, Rua João Gualberto Soares, s/n Rio Vermelho, Florianópolis, Santa Catarina, 88060-000, Brazil
| | - Adriane Steuernagel
- Universidade do Vale do Itajaí, Rua Uruguai, 458, Centro, Itajaí, Santa Catarina, 88302-90, Brazil
| | - Giulia G Lemos
- Universidade da Região de Joinville, Rodovia Duque de Caxias, 6365, Iperoba, São Francisco do Sul, Santa Catarina, 89240-000, Brazil
| | - Camila Domit
- Centro de Estudos do Mar, Laboratório de Ecologia e Conservação, Avenida Beira mar, s/n, Pontal do Paraná, Paraná, 83255-000, Brazil
| | - Renata L Soares
- Centro de Estudos do Mar, Laboratório de Ecologia e Conservação, Avenida Beira mar, s/n, Pontal do Paraná, Paraná, 83255-000, Brazil
| | - Maria C L Alvarez
- Instituto de Pesquisas Cananéia, Avenida Nina, 523, Retiro das Caravelas, Cananéia, São Paulo, 11990-000, Brazil
| | - Rodrigo Del Rio do Valle
- Instituto Biopesca, Rua Carlos Eduardo Conte de Castro, 93, Canto do Forte, Praia Grande, São Paulo, 11700-570, Brazil
| | - Andrea Maranho
- Instituto GREMAR, Rua João Ruiz, 799, Jardim Las Palmas, Guarujá, São Paulo, 11420-350, Brazil
| | - Anneliese C Kyllar
- Econservation, Rua Jose Alexandre Buaiz, 300, Sala 1113-1117, Enseada do Sua, Vitoria, Espírito Santo, 29050-545, Brazil
| | - Hugo G Neto
- Instituto Argonauta para a Conservação Costeira e Marinha, Avenida Governador Abreu Sodré, 1067, Perequê-Açu, Ubatuba, São Paulo, 11695-240, Brazil
| | - Carla B Barbosa
- Instituto Argonauta para a Conservação Costeira e Marinha, Avenida Governador Abreu Sodré, 1067, Perequê-Açu, Ubatuba, São Paulo, 11695-240, Brazil
| |
Collapse
|
3
|
Andrade HS, Cazarim MDS, de Oliveira VC, Baldoni AO, Guimarães EADA. Evaluation of Immunobiological Cold Chain Costs. J Nurs Meas 2024:JNM-2023-0052.R1. [PMID: 38519079 DOI: 10.1891/jnm-2023-0052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/24/2024]
Abstract
Background and Purpose: Studies assessing the costs of the immunobiological cold chain (CC) are scarce. Therefore, the factors that influence the allocation of resources in this process are not known. The objective of this study is to determine the cost of the immunobiological CC. Methods: The Health Economic Assessment study was carried out in Minas Gerais, Brazil, between 2021 and 2022. The unit of analysis was the municipal level of the CC. The perspective of the Public Health System (Sistema Único de Saúde) was considered as a funder, the year 2021 was considered as the time frame, and the period of 1 year was considered as the time horizon of the analysis. Direct medical, nonmedical, and indirect costs were included. A mixed technique was used involving micro- and macrocosting and sensitivity analysis to identify the influence of the main categories on the final cost. Results: The total cost was USD 20,014,545, with nonmedical direct costs being the most representative (61.24%). Human resources were the most influential items, representing 76.43% of the total cost. Conclusions: The most influential items should be those of greatest concern and planned by managers to make the CC more efficient.
Collapse
|
4
|
He Y, Sun CS, Hou YM, Hu E, Hou XR, Feng ZY, Zhang XD, Pan BZ. Evaluation of water ecological health of Yanhe River based on benthic fauna integrity index. Ying Yong Sheng Tai Xue Bao 2024; 35:806-816. [PMID: 38646769 DOI: 10.13287/j.1001-9332.202402.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/23/2024]
Abstract
Yanhe River Basin is located in the hilly gully area of the Loess Plateau with serious soil erosion. Strong human activities in the middle and lower reaches lead to fragile ecological environment. Soil erosion status varies among different geomorphic units within the watershed (loess liang hilly and gully region, loess mao hilly and gully region, and broken platform region). In this study, we surveyed the benthic community from the Yanhe River Basin in April (spring) and October (autumn) of 2021. To evaluate the water ecological health status of the watershed and investigate the effects of different geomorphic units on the benthic integrity of the benthos, we constructed the benthic-index of biotical integrity (B-IBI) based on the biological data. We identified a total of 113 species of 73 genera in 4 phyla of benthic fauna, with aquatic insects as the dominant taxa in both seasons. Through screening 26 candidate indicators, we found that the spring B-IBI consisted of three indicators: relative abundance of individuals of dominant taxonomic units, family biotic index (FBI), and relative abundance of predator individuals, and that autumn B-IBI was composed of the number of taxonomic units of Ephemeroptera, FBI value, and the relative abundance of predator individuals. Results of the B-IBI evaluation showed that 83.3% of the sampling sites in the upper mainstem and tributaries were at a healthy condition, while only 28.6% sampling sites in the middle and lower mainstem and tributaries were at a healthy condition. In addition, the health status of the watershed was better in spring than in autumn. The Kruskal-Wallis nonparametric tests showed that benthic density, species number, and B-IBI percentile scores in the fragmented loess area were significantly higher in spring than in autumn, and significantly lower in autumn than in the loess liang hilly and gully region and loess mao hilly and gully region, being mainly caused by the increasing erosion due to the concentrated rainfall in wet season. Results of the redundancy analysis showed that key environmental factors affecting benthic community structure in spring were boulder substrate, chlorophyll-a, oxidation reduction potential, turbidity, conductivity, and dissolved oxygen, and were nitrate-nitrogen, oxidation reduction potential, and pH in autumn.
Collapse
Affiliation(s)
- Yao He
- State Key Laboratory of Eco-hydraulics in Northwest Arid Region of China, Xi'an University of Technology, Xi'an 710048, China
| | - Chang-Shun Sun
- Shaanxi Provincial Academy of Environmental Science, Xi'an 710069, China
| | - Yi-Ming Hou
- State Key Laboratory of Eco-hydraulics in Northwest Arid Region of China, Xi'an University of Technology, Xi'an 710048, China
| | - En Hu
- Shaanxi Provincial Academy of Environmental Science, Xi'an 710069, China
| | - Xiang-Ran Hou
- State Key Laboratory of Eco-hydraulics in Northwest Arid Region of China, Xi'an University of Technology, Xi'an 710048, China
| | - Zhi-Yuan Feng
- State Key Laboratory of Eco-hydraulics in Northwest Arid Region of China, Xi'an University of Technology, Xi'an 710048, China
| | - Xu-da Zhang
- State Key Laboratory of Eco-hydraulics in Northwest Arid Region of China, Xi'an University of Technology, Xi'an 710048, China
| | - Bao-Zhu Pan
- State Key Laboratory of Eco-hydraulics in Northwest Arid Region of China, Xi'an University of Technology, Xi'an 710048, China
| |
Collapse
|
5
|
Terry PE. Why Not Offer Routine Screenings for Brain Health? Am J Health Promot 2024; 38:302-305. [PMID: 38016050 DOI: 10.1177/08901171231219542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2023]
Abstract
The merits of routine health screening for cancer and cardiovascular diseases are well established given the strong evidence that early detection can lead to effective interventions. Health systems, insurance providers and public health agencies have incorporated systematic approaches to ensuring that preventive screenings for hypertension, hyperlipidemia and cancers are encouraged, readily accessible and reimbursed. Workplace wellness programs intent on containing preventable healthcare costs have also sponsored age- and risk-adjusted health screenings, often including financial incentives to encourage same. Should we also screen for brain health? Is early detection of value for a condition with no proven treatment or cure? This editorial reviews the pros and cons of testing for cognitive decline, Alzheimer's and related dementias and suggests that with nearly every country in the world getting proportionally older, promoting brain health could emerge as a key intrinsic motivation for promoting healthier lifestyles. I conclude that a person-centered approach to deciding about testing is needed given uncertain evidence connecting health behaviors to cognitive decline.
Collapse
Affiliation(s)
- Paul E Terry
- Editor in Chief, American Journal of Health Promotion, Senior Fellow, The Health Enhancement Research Organization
| |
Collapse
|
6
|
Ishizaki M, Kobayashi M, Hashimoto H, Nakamura A, Maeda Y, Ueyama H, Matsumura T. Caregiver Burden with Duchenne and Becker Muscular Dystrophy in Japan: A Clinical Observation Study. Intern Med 2024; 63:365-372. [PMID: 37344421 PMCID: PMC10901721 DOI: 10.2169/internalmedicine.9372-22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 05/14/2023] [Indexed: 06/23/2023] Open
Abstract
Objective Skeletal muscle weakness and cardiomyopathy can be seen in carriers of dystrophinopathy. Therefore, the health management of caregivers of Duchenne/Becker muscular dystrophy (DMD/BMD) patients who are themselves carriers is an important issue. However, few studies have focused on caregivers who have dystrophin mutations. Methods In this cross-sectional study conducted at five hospitals, the daily living, situation medical treatment status, genetic testing, physical assessment, care burden, and quality of life of caregivers of DMD/BMD patients were surveyed. Results The subjects were 36 main caregivers (mean age 55.7±8.4 years old), of whom 52.8% were diagnosed as carriers, 8.3% were noncarriers, and 38.9% were not confirmed. In addition, half of the caregivers were not examined regularly at medical institutions. Of all caregivers, 54.3% had muscle or cardiac symptoms, and 75% had elevated serum creatine kinase levels. The mean Zarit Caregiver Burden Interview (ZBI) total score of current caregivers was 20.9±13.1. The frequency of a ZBI total score ≥25 was significantly higher in caregivers diagnosed as carriers than in caregivers unexamined as carriers (p=0.04). The health-related quality of life score (Short Form 36; SF-36) in caregivers was slightly lower than the Japanese standard scores in the sections of physical functioning, role limitations-physical, bodily pain, and social functioning. Conclusion Some caregivers of DMD/BMD patients can themselves have muscular or cardiac symptoms and a heavy care burden. It is therefore necessary for carrier caregivers, especially women, to undergo regular health checkups and receive appropriate health management.
Collapse
Affiliation(s)
- Masatoshi Ishizaki
- Department of Neurology, National Hospital Organization Kumamoto Saishun Medical Center, Japan
| | - Michio Kobayashi
- Department of Neurology, National Hospital Organization Akita National Hospital, Japan
| | - Hiroya Hashimoto
- Clinical Research Management Center, Nagoya City University Hospital, Japan
| | - Akinori Nakamura
- Department of Neurology, National Hospital Organization Matsumoto Medical Center, Japan
| | - Yasushi Maeda
- Department of Neurology, National Hospital Organization Kumamoto Saishun Medical Center, Japan
| | - Hidetsugu Ueyama
- Department of Neurology, National Hospital Organization Kumamoto Saishun Medical Center, Japan
| | - Tsuyoshi Matsumura
- Department of Neurology, National Hospital Organization Osaka Toneyama Medical Center, Japan
| |
Collapse
|
7
|
Schwacke LH, Thomas L, Wells RS, Rowles TK, Bossart GD, Townsend F, Mazzoil M, Allen JB, Balmer BC, Barleycorn AA, Barratclough A, Burt L, De Guise S, Fauquier D, Gomez FM, Kellar NM, Schwacke JH, Speakman TR, Stolen ED, Quigley BM, Zolman ES, Smith CR. An expert-based system to predict population survival rate from health data. Conserv Biol 2024; 38:e14073. [PMID: 36751981 DOI: 10.1111/cobi.14073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 01/15/2023] [Accepted: 01/25/2023] [Indexed: 06/18/2023]
Abstract
Timely detection and understanding of causes for population decline are essential for effective wildlife management and conservation. Assessing trends in population size has been the standard approach, but we propose that monitoring population health could prove more effective. We collated data from 7 bottlenose dolphin (Tursiops truncatus) populations in the southeastern United States to develop a method for estimating survival probability based on a suite of health measures identified by experts as indices for inflammatory, metabolic, pulmonary, and neuroendocrine systems. We used logistic regression to implement the veterinary expert system for outcome prediction (VESOP) within a Bayesian analysis framework. We fitted parameters with records from 5 of the sites that had a robust network of responders to marine mammal strandings and frequent photographic identification surveys that documented definitive survival outcomes. We also conducted capture-mark-recapture (CMR) analyses of photographic identification data to obtain separate estimates of population survival rates for comparison with VESOP survival estimates. The VESOP analyses showed that multiple measures of health, particularly markers of inflammation, were predictive of 1- and 2-year individual survival. The highest mortality risk 1 year following health assessment related to low alkaline phosphatase (odds ratio [OR] = 10.2 [95% CI: 3.41-26.8]), whereas 2-year mortality was most influenced by elevated globulin (OR = 9.60 [95% CI: 3.88-22.4]); both are markers of inflammation. The VESOP model predicted population-level survival rates that correlated with estimated survival rates from CMR analyses for the same populations (1-year Pearson's r = 0.99, p = 1.52 × 10-5 ; 2-year r = 0.94, p = 0.001). Although our proposed approach will not detect acute mortality threats that are largely independent of animal health, such as harmful algal blooms, it can be used to detect chronic health conditions that increase mortality risk. Random sampling of the population is important and advancement in remote sampling methods could facilitate more random selection of subjects, obtainment of larger sample sizes, and extension of the approach to other wildlife species.
Collapse
Affiliation(s)
- Lori H Schwacke
- National Marine Mammal Foundation, San Diego, California, USA
| | - Len Thomas
- Centre for Research into Ecological and Environmental Modelling, University of St Andrews, The Observatory, St Andrews, UK
| | - Randall S Wells
- Chicago Zoological Society's Sarasota Dolphin Research Program, c/o Mote Marine Laboratory, Sarasota, Florida, USA
| | - Teresa K Rowles
- National Oceanic and Atmospheric Administration, National Marine Fisheries Service, Office of Protected Resources, Silver Spring, Maryland, USA
| | | | - Forrest Townsend
- College of Veterinary Medicine, Auburn University, Auburn, Alabama, USA
| | - Marilyn Mazzoil
- Harbor Branch Oceanographic Institute, Florida Atlantic University, Vero Beach, Florida, USA
| | - Jason B Allen
- Chicago Zoological Society's Sarasota Dolphin Research Program, c/o Mote Marine Laboratory, Sarasota, Florida, USA
| | - Brian C Balmer
- National Marine Mammal Foundation, San Diego, California, USA
| | - Aaron A Barleycorn
- Chicago Zoological Society's Sarasota Dolphin Research Program, c/o Mote Marine Laboratory, Sarasota, Florida, USA
| | | | - Louise Burt
- Centre for Research into Ecological and Environmental Modelling, University of St Andrews, The Observatory, St Andrews, UK
| | - Sylvain De Guise
- Department of Pathobiology and Veterinary Science, University of Connecticut, Storrs, Connecticut, USA
| | - Deborah Fauquier
- National Oceanic and Atmospheric Administration, National Marine Fisheries Service, Office of Protected Resources, Silver Spring, Maryland, USA
| | - Forrest M Gomez
- National Marine Mammal Foundation, San Diego, California, USA
| | - Nicholas M Kellar
- National Oceanic and Atmospheric Administration, National Marine Fisheries Service, Southwest Fisheries Science Center, La Jolla, California, USA
| | - John H Schwacke
- Scientific Research Corporation, North Charleston, South Carolina, USA
| | - Todd R Speakman
- National Marine Mammal Foundation, San Diego, California, USA
| | - Eric D Stolen
- Department of Biology, University of Central Florida, Orlando, Florida, USA
| | - Brian M Quigley
- National Marine Mammal Foundation, San Diego, California, USA
| | - Eric S Zolman
- National Marine Mammal Foundation, San Diego, California, USA
| | - Cynthia R Smith
- National Marine Mammal Foundation, San Diego, California, USA
| |
Collapse
|
8
|
Bogan JE, O'Hanlon BM, Steen DA, Horan T, Taylor R, Mason AK, Breen T, Andreotta H, Cornelius B, Childress A, Elmore M. Health Assessment of Free-Ranging Eastern Indigo Snakes (Drymarchon couperi) from Hydrologic Restoration Construction Sites in South Florida, USA. J Wildl Dis 2024; 60:39-51. [PMID: 37972635 DOI: 10.7589/jwd-d-22-00184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Accepted: 06/21/2023] [Indexed: 11/19/2023]
Abstract
There is a paucity of information regarding the health status of free-ranging eastern indigo snakes (EIS; Drymarchon couperi) in heavily modified and developing landscapes. As a component of regional Florida Everglades restoration efforts, several areas occupied by EIS are being converted from agricultural lands to reservoirs. From 2020 to 2022, 28 EIS were opportunistically captured at two of these sites and brought into captivity to join a captive breeding colony; however, 11 snakes died within 5 mo of capture. Health assessments were performed on 28 individuals and included hematology and plasma biochemistry analysis, as well as screening for pesticide contaminant levels, parasites, and other pathogens. Overall, the presence of pathogens was relatively high, suggesting immunosuppression secondary to stress: 25/28 (89.4%) Kalicephalus sp.; 12/28 (42.9%) Raillietiella orientalis; 11/28 (39.2%) Ochetosoma validum; 7/28 (25.0%) Cryptosporidium serpentis; 3/28 (10.7%) snake adenovirus 1; and 1/28 (3.6%) Ferlavirus genotype C. Stress may have been caused by physical displacement, habitat modification, and noise pollution. These potential stressors (including the presence of remnant harmful chemicals from previous land use and the impacts on this federally threatened species) should be considered further when making restoration or construction decisions.
Collapse
Affiliation(s)
- James E Bogan
- Central Florida Zoo's Orianne Center for Indigo Conservation, 30931 Brantley Branch Road, Eustis, Florida 32736, USA
| | - Bradley M O'Hanlon
- Florida Fish and Wildlife Conservation Commission, 620 S Meridian St., Tallahassee, Florida 32399, USA
| | - David A Steen
- Fish and Wildlife Research Institute, Florida Fish and Wildlife Conservation Commission, 1105 SW Williston Road, Gainesville, Florida 32601, USA
| | - Terrence Horan
- South Florida Water Management District, 3301 Gun Club Road, West Palm Beach, Florida 33406, USA
| | - Robert Taylor
- South Florida Water Management District, 3301 Gun Club Road, West Palm Beach, Florida 33406, USA
| | - Alexandra K Mason
- Central Florida Zoo's Orianne Center for Indigo Conservation, 30931 Brantley Branch Road, Eustis, Florida 32736, USA
| | - Timothy Breen
- United States Fish and Wildlife Service, Florida Ecological Services Field Office, 1339 20th Street, Vero Beach, Florida 32960, USA
| | - Holly Andreotta
- South Florida Water Management District, 3301 Gun Club Road, West Palm Beach, Florida 33406, USA
| | - Bryan Cornelius
- South Florida Water Management District, 3301 Gun Club Road, West Palm Beach, Florida 33406, USA
| | - April Childress
- Department of Comparative, Diagnostic, and Population Medicine, College of Veterinary Medicine, University of Florida, Gainesville, Florida 32610, USA
| | - Michele Elmore
- United States Fish and Wildlife Service, Georgia Ecological Services, PO Box 52560, Fort Benning, Georgia 31995, USA
| |
Collapse
|
9
|
Lopes SG, Poveda VDB. Model proposal for calculating waste associated with processing consigned surgical instruments. Rev Lat Am Enfermagem 2023; 31:e4061. [PMID: 38055587 PMCID: PMC10695286 DOI: 10.1590/1518-8345.6716.4061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 08/31/2023] [Indexed: 12/08/2023] Open
Abstract
OBJECTIVE to evaluate the waste generated from processing surgical instruments consigned in elective orthopedic surgeries and propose a model for calculating waste associated with processing consigned surgical instruments. METHOD a quantitative, descriptive-exploratory case study carried out in a large university hospital in two phases: (1) retrospective by consulting administrative records of canceled elective orthopedic surgeries, with provision for the use of consigned materials for identification of the sub-specializations with the greatest demand; and (2) prospective through direct, non-participant observations of processing consigned surgical instruments prepared for the identified surgeries and proposition of a model for calculating waste associated with processing these materials. RESULTS hip arthroplasty, spine arthrodesis and knee arthroplasty surgeries were identified as presenting the greatest demand, resulting in 854 boxes of consigned surgical instruments processed and unused. Processing waste was estimated at R$34,340.18 (US$6,359.30). CONCLUSION the proposed equation made it possible to calculate the waste related to the production and non-use of boxes of surgical instruments consigned for orthopedic procedures and can equip nurses for planning based on institutional, care and financial data, aiming to make better use of resources through waste identification.
Collapse
Affiliation(s)
- Simone Garcia Lopes
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brasil
- Centro Universitário Faculdade de Medicina do ABC, Faculdade de Enfermagem, Santo André, SP, Brasil
| | | |
Collapse
|
10
|
McCormack H, Wand H, Newman CE, Bourne C, Kennedy C, Guy R. Exploring Whether the Electronic Optimization of Routine Health Assessments Can Increase Testing for Sexually Transmitted Infections and Provider Acceptability at an Aboriginal Community Controlled Health Service: Mixed Methods Evaluation. JMIR Med Inform 2023; 11:e51387. [PMID: 38032729 PMCID: PMC10722379 DOI: 10.2196/51387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Revised: 10/22/2023] [Accepted: 11/13/2023] [Indexed: 12/01/2023] Open
Abstract
BACKGROUND In the context of a syphilis outbreak in neighboring states, a multifaceted systems change to increase testing for sexually transmitted infections (STIs) among young Aboriginal people aged 15 to 29 years was implemented at an Aboriginal Community Controlled Health Service (ACCHS) in New South Wales, Australia. The components included electronic medical record prompts and automated pathology test sets to increase STI testing in annual routine health assessments, the credentialing of nurses and Aboriginal health practitioners to conduct STI tests independently, pathology request forms presigned by a physician, and improved data reporting. OBJECTIVE We aimed to determine whether the systems change increased the integration of STI testing into routine health assessments by clinicians between April 2019 and March 2020, the inclusion of syphilis tests in STI testing, and STI testing uptake overall. We also explored the understandings of factors contributing to the acceptability and normalization of the systems change among staff. METHODS We used a mixed methods design to evaluate the effectiveness and acceptability of the systems change implemented in 2019. We calculated the annual proportion of health assessments that included tests for chlamydia, gonorrhea, and syphilis, as well as an internal control (blood glucose level). We conducted an interrupted time series analysis of quarterly proportions 24 months before and 12 months after the systems change and in-depth semistructured interviews with ACCHS staff using normalization process theory. RESULTS Among 2461 patients, the annual proportion of health assessments that included any STI test increased from 16% (38/237) in the first year of the study period to 42.9% (94/219) after the implementation of the systems change. There was an immediate and large increase when the systems change occurred (coefficient=0.22; P=.003) with no decline for 12 months thereafter. The increase was greater for male individuals, with no change for the internal control. Qualitative data indicated that nurse- and Aboriginal health practitioner-led testing and presigned pathology forms proved more difficult to normalize than electronic prompts and shortcuts. The interviews identified that staff understood the modifications to have encouraged cultural change around the role of sexual health care in routine practice. CONCLUSIONS This study provides evidence for the first time that optimizing health assessments electronically is an effective and acceptable strategy to increase and sustain clinician integration and the completeness of STI testing among young Aboriginal people attending an ACCHS. Future strategies should focus on increasing the uptake of health assessments and promote whole-of-service engagement and accountability.
Collapse
Affiliation(s)
- Heather McCormack
- Kirby Institute, University of New South Wales, Kensington, Australia
- Centre for Population Health, New South Wales Ministry of Health, Sydney, Australia
| | - Handan Wand
- Kirby Institute, University of New South Wales, Kensington, Australia
| | - Christy E Newman
- Centre for Social Research in Health, University of New South Wales, Kensington, Australia
| | - Christopher Bourne
- Kirby Institute, University of New South Wales, Kensington, Australia
- Centre for Population Health, New South Wales Ministry of Health, Sydney, Australia
- Sydney Sexual Health Centre, Sydney, Australia
| | | | - Rebecca Guy
- Kirby Institute, University of New South Wales, Kensington, Australia
| |
Collapse
|
11
|
Zhang YH, Qu XD, Peng WQ, Zhang M, Zhang HP, Du LF, Zhang SC. [ Health Assessment of the Stream Ecosystem in Beijing, China]. Huan Jing Ke Xue 2023; 44:5478-5489. [PMID: 37827765 DOI: 10.13227/j.hjkx.202210340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 10/14/2023]
Abstract
With economic development, the health of river ecosystems is becoming severely threatened because of the increasing effects of human activities on river ecosystems. Here, 101 sites along regional river systems in Beijing rivers were investigated from autumn 2020 to summer 2021. A total of 34 metrics, including aquatic organisms, hydrology, water quality, and habitat, were calculated to be the candidate indicators. Principal component and correlation analyses were used to select the core metrics from the candidate indicators, and the weight of each core metric was estimated using the entropy method. The integrated index of stream ecological health was constructed to assess the health condition of the Beijing rivers. The results of the PCA and correlation analyses revealed that eleven metrics were selected as the core metrics to construct the integrated index of stream ecological health, including water temperature, flow velocity, BOD5, NH4+-N, Cu, the density of phytoplankton and zooplankton, the Shannon-Wiener diversity index of macroinvertebrates and fish, the BMWP index, and the qualitative habitat evaluation index. According to the health assessment results, 4.95% of the sampling sites were healthy, 23.76% were subhealthy, and 71.29% were in a fair or below healthy state. The river health status showed strong spatial heterogeneity, and the river health statuses in the northern and western regions were relatively good, whereas the river health status in the central and southeastern regions were relatively poor. The results of four aspects stream ecosystem assessment showed that the overall water quality of the rivers was "subhealthy" and the aquatic organisms and habitat were "general poor," but the hydrology was "poor." The evaluation results of five water systems demonstrated that the Chaobai River had the best health status, followed by that of the Yongding River, Daqing River, and Jiyun River, and the Beiyun River had the worst health status. Maintaining river ecological baseflow, ensuring river system connectivity, and improving and restoring the river habitat environment are the key aspects of river ecological restoration and protection in Beijing in the future.
Collapse
Affiliation(s)
- Yu-Hang Zhang
- China Institute of Water Resource and Hydropower Research, Beijing 100038, China
| | - Xiao-Dong Qu
- China Institute of Water Resource and Hydropower Research, Beijing 100038, China
| | - Wen-Qi Peng
- China Institute of Water Resource and Hydropower Research, Beijing 100038, China
| | - Min Zhang
- China Institute of Water Resource and Hydropower Research, Beijing 100038, China
| | - Hai-Ping Zhang
- China Institute of Water Resource and Hydropower Research, Beijing 100038, China
| | - Long-Fei Du
- China Institute of Water Resource and Hydropower Research, Beijing 100038, China
| | - Shu-Chao Zhang
- China Institute of Water Resource and Hydropower Research, Beijing 100038, China
- College of Fisheries and Life Science, Dalian Ocean University, Dalian 116023, China
| |
Collapse
|
12
|
Banaszewska D, Kasianiuk A, Biesiada-Drzazga B, Zaremba U. Development of Chicken Embryos in Double-Yolk Eggs: Fertility, Hatchability, Embryo Malposition and Time of Embryonic Mortality. Animals (Basel) 2023; 13:2931. [PMID: 37760330 PMCID: PMC10525855 DOI: 10.3390/ani13182931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 08/28/2023] [Accepted: 09/13/2023] [Indexed: 09/29/2023] Open
Abstract
Fertility rate and hatchability rate are low for all types of double-yolk (DY) eggs in comparison to single-yolk eggs (SY), but these parameters also depend on the number of developing embryos in the egg. The hatchability rate of double-yolk eggs containing two developing embryos (DY2F) is vastly lower than in the case of double-yolk eggs containing only one embryo (DY1F). The aim of the study was to determine the differences between egg fertility rate, hatchability rate, time of embryonic mortality, and embryo malposition during incubation in three types of eggs from Hy-Line Brown hens: SY, DY1F and DY2F. In addition, the quality of the hatched chicks was assessed using the Pasgar©score. Following a 21-day incubation, chicks were obtained from DY1F and SY eggs. No chicks were obtained from DY2F eggs, although the embryos in these eggs developed up to the late stage of incubation. Early (≤7 d of incubation), middle (8-14 d), and late (≥15 d) embryonic mortality was significantly higher in DY eggs than in SY eggs. The embryonic mortality rate during early incubation was the same for DY1F and DY2F eggs, but middle and late embryonic mortality were significantly higher for DY2F eggs. Based on evaluation of embryo position according to Landauer, only three types of malposition that could potentially lead to embryonic death were noted. There were fewer malpositioned embryos in double-yolk eggs containing one embryo. Quality assessment of chicks (Pasgar©score) showed no differences between chicks hatched from eggs containing one yolk and those hatched from double-yolk eggs with one developing embryo, but chicks from double-yolk eggs were significantly heavier. The results of the research will contribute to a better understanding of the development and mortality of embryos in double-yolk eggs.
Collapse
Affiliation(s)
- Dorota Banaszewska
- Faculty of Agrobioengineering and Animal Husbandry, Siedlce University of Natural Sciences and Humanities, Prusa 14, 08-110 Siedlce, Poland; (D.B.); (A.K.); (B.B.-D.)
| | | | | | - Urszula Zaremba
- Faculty of Agrobioengineering and Animal Husbandry, Siedlce University of Natural Sciences and Humanities, Prusa 14, 08-110 Siedlce, Poland; (D.B.); (A.K.); (B.B.-D.)
| |
Collapse
|
13
|
Briscoe F, Ajunwa I, Bourgoin A, Maxwell J. Racial Differences in Perceptions of Genetic Wellness Programs. Am J Health Promot 2023; 37:940-952. [PMID: 37439004 PMCID: PMC10469479 DOI: 10.1177/08901171231184360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/14/2023]
Abstract
PURPOSE Genetic wellness programs (GWPs) are a highly innovative workforce wellness product. Recently marketed to U.S. employers by at least 16 vendors, GWPs take advantage of low-cost DNA sequencing to detect genetic risk factors for an increasing array of diseases. The purpose of this research is to understand perceptions, concerns, and barriers related to GWPs, among employees from Black, White, and Asian backgrounds and different income levels. APPROACH Qualitative study with 3 focus groups (FGs). SETTING Employees of large high-technology companies (deemed likely early GWP adopters). RESPONDENTS 21 individuals recruited online through User Interviews. METHOD FG guide developed via literature review and landscape analysis, and pre-tested. FGs led by a trained moderator and audio-recorded. Transcripts content analyzed for key themes. RESULTS Nearly all respondents saw potential benefits to GWP participation for themselves or their families. However, there were profound differences in perceptions of risks to GWP participation between Black and White/Asian respondents. These differences surfaced in three broad areas: privacy and discrimination risks; family impact risks; and feelings about the employer. Willingness to participate in a GWP also varied between Black employee respondents and White and Asian employee respondents (including low-income White employees). Only 27% of Black employees would participate in GWP, compared to 90% of the other employees. CONCLUSION Most employees appear likely to support employer adoption of GWPs. However, Black employees report significant concerns regarding participation. Addressing these concerns through program design would benefit all employees, and could increase trust and uptake of GWPs.
Collapse
Affiliation(s)
- Forrest Briscoe
- Smeal College of Business, The Pennsylvania State University, University Park, PA, USA
| | - Ifeoma Ajunwa
- University of North Carolina School of Law, Chapel Hill, NC, USA
| | | | | |
Collapse
|
14
|
Bradley CS, Bliss DZ, Becker A, Olson ET, Flaten C, Gurvich OV, Muehlbauer M, Condon J, Bauer J. Development and Evaluation of a Wearable Simulator System. Clin Simul Nurs 2023; 81:101428. [PMID: 38053582 PMCID: PMC10695350 DOI: 10.1016/j.ecns.2023.101428] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2023]
Abstract
Background Peer physical examination is a clinical teaching-learning approach used for decades because of the convenient sample of peers for practicing. However, this approach has limitations when learning to assess abnormalities and threatens psychologically safe learning. A wearable simulator system was designed for learning physical examination skills to minimize ethical and learning challenges. Sample The sample consisted of fifty prelicensure nursing students and ten faculty in an upper Midwest university. Method The wearable simulator was constructed into a vest with RFID tags and ribcage landmarks. An observational, evaluative design was used for participants to rate seven categories during a one-hour evaluation session of the wearable simulator worn by a standardized patient trained to portray an individual with pneumonia. Results Satisfaction was rated highly among participants. More than 80% of student participants indicated the wearable simulator promotes privacy and reduces embarrassment. Conclusion The wearable simulator system offers a promising teaching-learning alternative with scenario-specific auscultation and palpation feedback to provide a safe, repeatable, and consistent simulation experience.
Collapse
Affiliation(s)
| | - Donna Z Bliss
- University of Minnesota School of Nursing, 308 Harvard Street S.E., Minneapolis, MN 55455, USA
| | - Adam Becker
- Innovative Design Labs, Inc., Minneapolis, Minnesota, USA, 861 E Hennepin Ave Suite 350, Minneapolis, MN 55414, USA
| | - Erica Timko Olson
- University of Minnesota School of Nursing, 308 Harvard Street S.E., Minneapolis, MN 55455, USA
| | - Carol Flaten
- University of Minnesota School of Nursing, 308 Harvard Street S.E., Minneapolis, MN 55455, USA
| | - Olga V Gurvich
- University of Minnesota School of Nursing, 308 Harvard Street S.E., Minneapolis, MN 55455, USA
| | - Marshall Muehlbauer
- University of Minnesota School of Nursing, 308 Harvard Street S.E., Minneapolis, MN 55455, USA
| | - John Condon
- Innovative Design Labs, Inc., Minneapolis, Minnesota, USA, 861 E Hennepin Ave Suite 350, Minneapolis, MN 55414, USA
| | - Jeremiah Bauer
- Realityworks Inc., 2709 Mondovi Rd, Eau Claire, WI 54701, USA
| |
Collapse
|
15
|
Mao Y, Zhang X, Cao W, Fan S, Wang H, Yang Z, Ding B, Bai Y. Research on the Health Assessment Method of the Safety Retaining Wall in a Dump Based on UAV Point-Cloud Data. Sensors (Basel) 2023; 23:5686. [PMID: 37420856 DOI: 10.3390/s23125686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 06/09/2023] [Accepted: 06/13/2023] [Indexed: 07/09/2023]
Abstract
The safety retaining wall is a critical infrastructure in ensuring the safety of both rock removal vehicles and personnel. However, factors such as precipitation infiltration, tire impact from rock removal vehicles, and rolling rocks can cause local damage to the safety retaining wall of the dump, rendering it ineffective in preventing rock removal vehicles from rolling down and posing a huge safety hazard. To address these issues, this study proposed a safety retaining wall health assessment method based on modeling and analysis of UAV point-cloud data of the safety retaining wall of a dump, which enables hazard warning for the safety retaining wall. The point-cloud data used in this study were obtained from the Qidashan Iron Mine Dump in Anshan City, Liaoning Province, China. Firstly, the point-cloud data of the dump platform and slope were extracted separately using elevation gradient filtering. Then, the point-cloud data of the unloading rock boundary was obtained via the ordered crisscrossed scanning algorithm. Subsequently, the point-cloud data of the safety retaining wall were extracted using the range constraint algorithm, and surface reconstruction was conducted to construct the Mesh model. The safety retaining wall mesh model was isometrically profiled to extract cross-sectional feature information and to compare the standard parameters of the safety retaining wall. Finally, the health assessment of the safety retaining wall was carried out. This innovative method allows for unmanned and rapid inspection of all areas of the safety retaining wall, ensuring the safety of rock removal vehicles and personnel.
Collapse
Affiliation(s)
- Yachun Mao
- School of Resources & Civil Engineering, Northeastern University, Shenyang 110819, China
| | - Xin Zhang
- School of Resources & Civil Engineering, Northeastern University, Shenyang 110819, China
| | - Wang Cao
- School of Resources & Civil Engineering, Northeastern University, Shenyang 110819, China
| | - Shuo Fan
- School of Resources & Civil Engineering, Northeastern University, Shenyang 110819, China
| | - Hui Wang
- School of Resources & Civil Engineering, Northeastern University, Shenyang 110819, China
| | - Zhexi Yang
- School of Resources & Civil Engineering, Northeastern University, Shenyang 110819, China
| | - Bo Ding
- School of Resources & Civil Engineering, Northeastern University, Shenyang 110819, China
| | - Yu Bai
- School of Resources & Civil Engineering, Northeastern University, Shenyang 110819, China
| |
Collapse
|
16
|
de Araújo Oliveira SR, Cazarin G, Soares Sampaio A, Ribeiro de Vasconcelos AL, Furtado B, Gomes de Medeiros S, Correia Paes Zacarias A, Reis Andrade AC, Paz de Sousa KM, Zinszer K, Ridde V. Potential Strengths and Weaknesses in Hospital Resilience in the Context of the COVID-19 Pandemic in Brazil: A Case Study. Health Syst Reform 2023; 9:2177242. [PMID: 37036130 DOI: 10.1080/23288604.2023.2177242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/11/2023] Open
Abstract
The analysis of hospital resilience is essential in understanding how health services prepared for and responded to sudden shocks and unexpected challenges in the COVID-19 health crisis. This study aimed to analyze the resilience of a referral hospital in the state of Pernambuco, Brazil, in the context of the COVID-19 pandemic. The main theoretical approach based on resilience is the system's capacity to maintain essential functions and to absorb, adapt, and transform in the face of unprecedented or unexpected changes. A single case study approach was used to identify the strengths and weaknesses of this response capacity. Data triangulation was employed. Data were collected from April (beginning of case discharges) to October 2020 (decrease in the moving average of cases in 2020). A content analysis was then conducted. Data were analyzed in relation to context, effects, strategies, and impacts in facing the disruptions caused by the pandemic. The results indicated the occurrence of four configurations mostly favorable to hospital resilience during the study period. Among the main strengths were: injection of financial resources; implementation of new hospital protocols; formation of a support network; equipping and continuing education of professionals; and proactive leadership. Weaknesses found in the analysis included: initial insufficiency of personal protective equipment and confirmatory tests; difficulties in restructuring work schedules; increasing illness among professionals; stress generated by constant changes and work overload; sense of discrimination for being a health professional; lack of knowledge about the clinical management of the disease; and the reduction of non-COVID assistance services.
Collapse
Affiliation(s)
| | - Gisele Cazarin
- Public Health Department, Instituto Aggeu Magalhães, Fiocruz, Pernambuco, Brazil
| | | | | | - Betise Furtado
- Public Health Department, University of Pernambuco, Nossa Senhora das Graças Nursing School, FENSG/UPE, FOP/UPE, Pernambuco, Brazil
| | | | | | | | | | - Kate Zinszer
- Public Health Department, University of Montreal, Montreal, Quebec, Canada
| | - Valéry Ridde
- Public Health Department, Université Paris Cité, IRD, Inserm, Ceped, Paris, France
| |
Collapse
|
17
|
Waller D, Putnam J, Steiner JN, Fisher B, Burcham GN, Oliver J, Smith SB, Erickson R, Remek A, Bodoeker N. Targeted metabolomics characterizes metabolite occurrence and variability in stable freshwater mussel populations. Conserv Physiol 2023; 11:coad040. [PMID: 37701372 PMCID: PMC10494281 DOI: 10.1093/conphys/coad040] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 03/30/2023] [Accepted: 06/06/2023] [Indexed: 09/14/2023]
Abstract
Freshwater mussels (order Unionida) play a key role in freshwater systems as ecosystem engineers and indicators of aquatic ecosystem health. The fauna is globally imperilled due to a diversity of suspected factors; however, causes for many population declines and mortality events remain unconfirmed due partly to limited health assessment tools. Mussel-monitoring activities often rely on population-level measurements, such as abundance and age structure, which reflect delayed responses to environmental conditions. Measures of organismal health would enable preemptive detection of declining condition before population-level effects manifest. Metabolomic analysis can identify shifts in biochemical pathways in response to stressors and changing environmental conditions; however, interpretation of the results requires information on inherent variability of metabolite concentrations in mussel populations. We targeted metabolites in the haemolymph of two common mussels, Lampsilis cardium and Lampsilis siliquoidea, from three Indiana streams (USA) using ultra-high-performance liquid chromatography combined with quadrupole time-of-flight mass spectroscopy. The influence of species, stream and sex on metabolite variability was examined with distance-based redundancy analysis. Metabolite variability was most influenced by species, followed by site and sex. Inter- and intraspecies metabolite variability among sexes was less distinct than differences among locations. We further categorized metabolites by occurrence and variability in mussel populations. Metabolites with high occurrence (Categories 1 and 2) included those indicative of energy status (catabolism versus anabolism; arginine, proline, carnitine, nicotinic acid, pantothenic acid), oxidative stress (proline, glutamine, glutamate) and protein metabolism (thymidine, cytidine, inosine). Metabolites with lower occurrence (Category 3) are constituents of assorted metabolic pathways and can be important biomarkers with additional temporal sampling to characterize their variability. These data provide a reference for future temporal (before/after) monitoring and for studies of stressor-metabolite linkages in freshwater mussels.
Collapse
Affiliation(s)
- Diane Waller
- United States Geological Survey, Upper Midwest Environmental Sciences Center, 2630 Fanta Reed Road, La Crosse, WI 54603, USA
| | - Joel Putnam
- Conagen, Inc., 15 Deangelo Dr, Bedford, MA 01730, USA
| | - J Nolan Steiner
- United States Geological Survey, Upper Midwest Environmental Sciences Center, 2630 Fanta Reed Road, La Crosse, WI 54603, USA
| | - Brant Fisher
- Indiana Department of Natural Resources – Division of Fish & Wildlife, Atterbury Fish & Wildlife Area, 7970 South Rowe Street, Edinburgh, IN 46124, USA
| | - Grant N Burcham
- Heeke Animal Disease Diagnostic Laboratory, 11367 East Purdue Farm Road, Dubois, IN 47527 and Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, West Lafayette, IN 47907, USA
| | - John Oliver
- United States Geological Survey, Upper Midwest Environmental Sciences Center, 2630 Fanta Reed Road, La Crosse, WI 54603, USA
| | - Stephen B Smith
- Department of Animal Science, Texas A&M University, 2471 TAMU, College Station, TX 77843, USA
| | - Richard Erickson
- United States Geological Survey, Upper Midwest Environmental Sciences Center, 2630 Fanta Reed Road, La Crosse, WI 54603, USA
| | - Anne Remek
- 200 W Washington St, Indianapolis, IN 46204, USA
| | - Nancy Bodoeker
- Department of Comparative Pathobiology, Purdue University College of Veterinary Medicine, 625 Harrison St. West Lafayette, IN 47907, USA
| |
Collapse
|
18
|
Indrayan A, Vishwakarma G, Verma S, Sarmukaddam S, Tyagi A. Quest for Biomarkers of Positive Health: A Review. Indian J Community Med 2023; 48:382-389. [PMID: 37469906 PMCID: PMC10353687 DOI: 10.4103/ijcm.ijcm_480_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2022] [Accepted: 09/19/2022] [Indexed: 07/21/2023] Open
Abstract
The positive health of a person can be defined as the ability to live long in good health, possibly with no activity limitation. No method is yet available for its objective assessment in individuals, and we propose a framework in this communication that can operationalize this concept. Instead of distal factors, such as diet and lifestyle because these are subjective and difficult to measure, we concentrate on the objectively measurable biomarkers such as immunity level, endorphins, and handgrip strength. The focus is on the major parameters that may protect from diseases and infirmity and can be assessed by noninvasive methods. A combination of such parameters may signify positive health. This may be a novel way to measure positive health at the individual level. In this communication, we briefly review the literature and identify a few major biomarkers that provide a protective shield and could determine the status of positive health at the individual level. This exercise demonstrates that the assessment of the positive health of a person is feasible. A scale based on these and other relevant parameters can be developed later that could quantitatively measure the exact level of positive health. As the exact combination of the parameters that protects from ailments is not fully known yet, a framework such as this may help in identifying the data gaps that require attention in this context. The proposed framework may initiate a discussion on indicators of positive health and characterize the parameters for intervention that could increase a healthy life.
Collapse
Affiliation(s)
- Abhaya Indrayan
- Department of Clinical Research, Max Healthcare, New Delhi, India
| | - Gayatri Vishwakarma
- Department of Biostatistics, George Institute of Global Health India, New Delhi, India
| | - Saumya Verma
- Department of Biostatistics, George Institute of Global Health India, New Delhi, India
| | - Sanjeev Sarmukaddam
- Department of Community Medicine, BJ Medical College, Pune, Maharashtra, India
| | - Asha Tyagi
- Department of Anesthesia, University College of Medical Sciences, Delhi, India
| |
Collapse
|
19
|
Lewis N, Zarate B, Wnek J, Wurst B. HEALTH ASSESSMENT OF WILD NORTHERN DIAMOND-BACKED TERRAPINS (MALACLEMYS TERRAPIN TERRAPIN) IN NEW JERSEY, USA. J Wildl Dis 2023:491788. [PMID: 36996083 DOI: 10.7589/jwd-d-22-00027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 10/17/2022] [Indexed: 03/31/2023]
Abstract
A popular species in the pet trade, and therefore in the illegal wildlife trade, the diamond-backed terrapin, Malaclemys terrapin, population has seen significant declines. Associated with the illegal wildlife trade, occasions arise in which terrapins are confiscated, and no standard operating procedures exist for repatriation into the wild. To develop such procedures, an understanding of the pathogens circulating in the wild diamond-backed terrapin population in New Jersey is needed. We sampled 30 wild female diamond-backed terrapins for herpesvirus, Mycoplasmopsis, ranavirus, and intestinal and blood parasites and performed white blood cell counts and differentials and evaluated biochemistry values. Terrapins had an average age of 10 yr (8-15 yr), and 70% were gravid at the time of sampling. Thirty-three percent of the sampled northern diamond-backed terrapins were positive for Mycoplasmopsis sp., and all were negative for ranavirus and herpesviruses. Occasional blood parasites were found, and few intestinal parasites were noted. There was no significant difference between gravid status and any of the blood parameters (P<0.05). Blood chemistry values appeared to vary according to feeding activity; no differences were noted in the values in relation to gravid status. Four terrapins had heterophil to lymphocyte (H:L) ratios above 4.5, significantly higher than the other terrapins sampled, which may indicate inflammation. Two of the four had Mycoplasmopsis, one sample was contaminated by other bacteria and was discarded, and one was negative. No significant difference was found between Mycoplasmopsis infection status and H:L ratio (P=0.926). Our findings, though conducted on a small number of female terrapins at a specific time point, provide data on the pathogens that may be circulating in this population, adding to the current body of knowledge and helping to guide decision making for the reintroduction of confiscated diamond-backed terrapins into New Jersey's wild population.
Collapse
Affiliation(s)
- Nicole Lewis
- New Jersey Fish and Wildlife, Office of Fish and Wildlife Health and Forensics, 141 Van Syckels Rd., Hampton, New Jersey 08827, USA
| | - Brian Zarate
- New Jersey Fish and Wildlife, Endangered and Nongame Species Program, 1255 Stanton Lebanon Rd., Lebanon, New Jersey 08833, USA
| | - Johnathan Wnek
- Marine Academy of Technology and Environmental Science Project Terrapin, 195 Cedar Bridge Rd., Stafford Township, New Jersey 08050, USA
| | - Benjamin Wurst
- Conserve Wildlife Foundation of New Jersey, 2 Preservation Pl., Princeton, New Jersey 08540, USA
| |
Collapse
|
20
|
Shan T, Yuan AL, Huang ZR, Zhou JY, Lu XX, Fan YW. [Characteristics of Benthic Diatom Community Structure and Water Ecological Health Evaluation in the Lalin River Basin]. Huan Jing Ke Xue 2023; 44:1465-1474. [PMID: 36922207 DOI: 10.13227/j.hjkx.202205168] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Abstract
With the improvement of public requirements for the health status of aquatic ecosystems, there have been innovative assessment methods developed for aquatic ecosystems. In this study, benthic algae assemblages and water quality variables were analyzed to develop a benthic diatom-based index of biotic integrity (D-IBI) for the assessment of the aquatic environment in the Lalin River. In addition, using redundancy analysis (RDA) based on dominant species and physicochemical indexes, the ecological distribution characteristics of the benthic diatom community were revealed, and the key influencing factors were identified. The results showed that the benthic diatom community structure in the Lalin River basin had obvious spatial differences. The application of the index revealed that the water quality could be described as excellent condition in the upper reaches of the Lalin River, good to common condition in the middle of the sites, and moderate to poor condition in the downstream. The assessment further revealed that the main reason for the degradation of the Lalin River ecosystem was nutrient enrichment through agricultural land use.
Collapse
Affiliation(s)
- Tao Shan
- College of Life Science and Technology, Harbin Normal University, Harbin 150025, China
| | - An-Long Yuan
- College of Life Science and Technology, Harbin Normal University, Harbin 150025, China
| | - Zi-Rui Huang
- College of Life Science and Technology, Harbin Normal University, Harbin 150025, China
| | - Jing-Yi Zhou
- College of Life Science and Technology, Harbin Normal University, Harbin 150025, China
| | - Xin-Xin Lu
- College of Life Science and Technology, Harbin Normal University, Harbin 150025, China.,Key Laboratory of Biodiversity of Aquatic Organisms, Harbin Normal University, Harbin 150025, China
| | - Ya-Wen Fan
- College of Life Science and Technology, Harbin Normal University, Harbin 150025, China.,Key Laboratory of Biodiversity of Aquatic Organisms, Harbin Normal University, Harbin 150025, China
| |
Collapse
|
21
|
Wu T, Chen T. A Gated Multiscale Multitask Learning Model Using Time-Frequency Representation for Health Assessment and Remaining Useful Life Prediction. Sensors (Basel) 2023; 23:1922. [PMID: 36850519 PMCID: PMC9967891 DOI: 10.3390/s23041922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 02/02/2023] [Accepted: 02/03/2023] [Indexed: 06/18/2023]
Abstract
Health assessment and remaining useful life prediction are usually seen as separate tasks in industrial systems. Some multitask models use common features to handle these tasks synchronously, but they lack the usage of the representation in different scales and time-frequency domain. A lack of balance also exists among these scales. Therefore, a gated multiscale multitask learning model known as GMM-Net is proposed in this paper. By using the time-frequency representation, GMM-Net can obtain features of different scales via different kernels and compose the features by a gating network. A detailed loss function whose weight can be searched in a smaller scale is designed. The model is tested with different weights in the total loss function, and an optimal weight is found. Using this optimal weight, it is observed that the proposed method converges to a smaller loss and has a smaller model size than long short-term memory (LSTM) and gated recurrent unit (GRU) with less training time. The experiment results demonstrate the effectiveness of the proposed method.
Collapse
Affiliation(s)
- Tong Wu
- Department of Instrument and Electrical Engineering, Xiamen University, Xiamen 361102, China
| | - Tengpeng Chen
- Department of Instrument and Electrical Engineering, Xiamen University, Xiamen 361102, China
- Shenzhen Research Institute of Xiamen University, Shenzhen 518000, China
| |
Collapse
|
22
|
Capdevila E, Rodríguez-Bailón M, Szot AC, Gálvez-Ruiz P, Portell M. Cross-cultural adaptation and validation of the Spanish version of the Client-Centred Rehabilitation Questionnaire (CCRQ). Disabil Rehabil 2023; 45:310-321. [PMID: 35075950 DOI: 10.1080/09638288.2022.2028021] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
PURPOSE The aim of the study is to present the process of translation, adaptation and validation of the Client-Centred Rehabilitation Questionnaire (CCRQ) in the Spanish context. METHODS The process integrates two sequential phases. Phase 1 consists of a questionnaire translation and back-translation process conducted by a panel of experts, and a pilot study. In phase 2, CCRQ-e (Spanish version) was administered to 305 rehabilitation inpatients to collect evidence on the reliability and validity of the instrument. RESULTS The exploratory and confirmatory analysis confirmed seven original domains, eliminating four items from the original scale. CCRQ-e has a good internal consistency. Discriminative construct validity distinguished significant differences based on age, educational level, and severity of diagnosis. Criterion validity of the CCRQ and EQ-5D showed negative significant correlations between CCRQ-e and the general perception of health EQ-VAS, and a positive correlation between CCRQ-e and EQ pain and EQ anxiety (higher scores in CCRQ-e mean lower client-centered practice perceived). CONCLUSIONS The Spanish version of the CCRQ is suitable for evaluating person-centered rehabilitation from the person's perspective. It includes aspects related to the comfort, decision-making, and participation of the client, as well as questions about the provision of service and the environment.Implications for rehabilitationThe original seven domains of the CCRQ could be replicated in the sample of patients from Spanish rehabilitation services.By eliminating four items from the original scale, the validated scale, known as the CCRQ-e (Spanish version), was obtained.The CCRQ-e allows a reliable and valid evaluation of the perception of the person-centeredness of the Spanish rehabilitation services.The CCRQ-e is the first self-reported measure in Spanish of an individual's experience during the rehabilitation service.
Collapse
Affiliation(s)
- Elisabet Capdevila
- Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa (EUIT), Universitat Autònoma de Barcelona (UAB), Terrassa, Spain
| | - María Rodríguez-Bailón
- Department of Physiotherapy (Occupational Therapy), Facultad Ciencias de la Salud, Universidad de Málaga (UMA), Málaga, Spain
| | - Ana Clara Szot
- Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa (EUIT), Universitat Autònoma de Barcelona (UAB), Terrassa, Spain
| | - Pablo Gálvez-Ruiz
- Faculty of Law and Social Sciences, Valencian International University (VIU), Valencia, Spain
| | - Mariona Portell
- Department of Psychobiology and Methodology in Health Sciences, Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain
| |
Collapse
|
23
|
de Lima Barros LO, Nunes Diniz GT, Silva FB, de Araújo Oliveira SR. Evaluating the implementation of user embracement in the healthcare system of Jaboatão dos Guararapes city, Brazil. Int J Health Plann Manage 2022; 37 Suppl 1:187-203. [PMID: 36134731 DOI: 10.1002/hpm.3572] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Revised: 08/18/2022] [Accepted: 08/31/2022] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND The advent of the Family Health Strategy required healthcare teams to strengthen bonding and accountability towards users. In this sense, humanisation has been the key to a successful care provision and to the acceptance of interventions that can meet demands. Our study aimed to evaluate the implementation of user embracement in Family Health Units of Jaboatão dos Guararapes, Pernambuco, Brazil. METHODS The studied population belonged to 48 Family Health teams. Eighty-five healthcare workers with higher education answered the questionnaire, and the registration forms of 272 users were examined, from which sociodemographic information was gathered. These data were analysed according to the degree of vulnerability. Questionnaire results were collected and tabulated using the HCMaps software. Dimensions were analysed through a Likert-type grading scale ranging from 1 to 5. This is an evaluative, cross-sectional study with a quantitative approach, considering the dimensions proposed in the RE-AIM framework. RESULTS User embracement was considered unsatisfactory, as were Reach and Adoption. The Effectiveness, Implementation, and Maintenance dimensions yielded satisfactory results. The main ones were the perception of user embracement as a screening process, and the delimitation of open slots and/or schedules. CONCLUSIONS The study shows that user embracement has been effective in strengthening bonds, reducing queues, and solving demands. However, the potential user embracement sustainability and implementation have been hampered by factors related to the Adoption of the intervention.
Collapse
|
24
|
da Silva VC, Coêlho AA, de Queiroz AAR, Costa GMC, Alchieri JC, Arcêncio RA, Uchôa SADC. Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil. Int J Environ Res Public Health 2022; 19:15148. [PMID: 36429865 PMCID: PMC9690976 DOI: 10.3390/ijerph192215148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 09/27/2022] [Accepted: 10/14/2022] [Indexed: 06/16/2023]
Abstract
The supply of mental health processes in primary care has gaps. This study aims to analyze the association of agreement criteria and flows between primary care teams and the Family Health Support Center (NASF) for mental health collaborative care, considering the difference between capital and non-capital cities in Brazil. This cross-sectional study was conducted based on secondary data from the Primary Care Access and Quality Improvement Program. Agreement criteria and flows were obtained from 3883 NASF teams of the matrix support or collaborative care. The Chi-square test and multiple Poisson regression were used; p < 0.05 was considered statistically significant. Prevalence ratios of negative associations demonstrated protective factors for support actions: follow-up at Psychosocial Care Center, management of psychopharmacotherapy, offer of other therapeutic actions, care process for users of psychoactive substances, and offer of activities to prevent the use of psychoactive substances. Collaborative care in primary care was effective, and capital cities were a protective factor compared with non-capital cities.
Collapse
Affiliation(s)
- Valdecir Carneiro da Silva
- Department of Nursing, State University of Paraiba, Rua José do Ó, 596, Campina Grande 58401-411, Brazil
| | - Ardigleusa Alves Coêlho
- Department of Nursing, State University of Paraiba, Rua José do Ó, 596, Campina Grande 58401-411, Brazil
| | | | | | - João Carlos Alchieri
- Department of Psychology, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil
| | | | | |
Collapse
|
25
|
Kim K, Sung HK, Lee K, Park SK. Semiconductor Work, Leukemia, and Cancer Risk: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2022; 19:14733. [PMID: 36429453 PMCID: PMC9690168 DOI: 10.3390/ijerph192214733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 11/06/2022] [Accepted: 11/08/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND With the development of the semiconductor industry over the past 60 years, various occupational diseases have been reported to coincide with rapid industrial growth. Among these occupational diseases, the association between semiconductor work and cancers, including leukemia, remains controversial. Therefore, this systematic review and meta-analysis assesses the associations between semiconductor work, leukemia, and cancer risk. METHODS The core research databases, including PubMed, were screened for studies published until 31 July 2022. All eligible studies assessed cancer risk among workers in the semiconductor industry. RESULTS Nine studies were selected after a literature review. The employment period of semiconductor workers in each study was between 1965 and 2009. Semiconductor work was not significantly associated with the risk of leukemia (Relative Risk [RR], 1.02; 95% Confidence Interval [CI], 0.74-1.41) or cancer (RR, 1.00; 95% CI, 0.93-1.07). CONCLUSION In this meta-analysis, semiconductor work was not significantly associated with leukemia or cancer risk. Internal comparisons, such as non-fab workers, quality of the study, employment period, and healthy worker effect, should be considered for interpretation. Furthermore, a prospective cohort study based on overall semiconductor workers in the industry could be useful to assess occupational disease risk as a mandatory component of health assessment.
Collapse
Affiliation(s)
- Kyungsik Kim
- Department of Preventive Medicine, Seoul National University College of Medicine, Daehak-ro 101, Jongno-gu, Seoul 03080, Korea
- Department of Biomedical Sciences, Seoul National University Graduate School, Daehak-ro 101, Jongno-gu, Seoul 03080, Korea
- Cancer Research Institute, Seoul National University College of Medicine, Daehak-ro 101, Jongno-gu, Seoul 03080, Korea
| | - Ho Kyung Sung
- Institute for Public Healthcare, National Medical Center, Eulji-ro 245, Jung-gu, Seoul 04564, Korea
- National Emergency Medical Center, National Medical Center, Eulji-ro 245, Jung-gu, Seoul 04564, Korea
| | - Kwan Lee
- Department of Preventive Medicine, Dongguk University College of Medicine, Gyeongju 38066, Korea
| | - Sue K. Park
- Department of Preventive Medicine, Seoul National University College of Medicine, Daehak-ro 101, Jongno-gu, Seoul 03080, Korea
- Cancer Research Institute, Seoul National University College of Medicine, Daehak-ro 101, Jongno-gu, Seoul 03080, Korea
- Integrated Major in Innovative Medical Science, Seoul National University College of Medicine, Daehak-ro 101, Jongno-gu, Seoul 03080, Korea
| |
Collapse
|
26
|
Chen L, Ma L, Jiji J, Kong Q, Ni Z, Yan L, Pan C. River Ecosystem Health Assessment Using a Combination Weighting Method: A Case Study of Beijing Section of Yongding River in China. Int J Environ Res Public Health 2022; 19:14433. [PMID: 36361312 PMCID: PMC9655439 DOI: 10.3390/ijerph192114433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Revised: 10/08/2022] [Accepted: 10/10/2022] [Indexed: 06/16/2023]
Abstract
(1) Background: River health assessment provides the foundation for sustainable river development and management. However, existing assessments have no uniform standards and methods. (2) Methods: The combination weighting method was proposed, drawing on the advantages of subjective and objective weighting methods. To comprehensively investigate the river health level, an index system based on 16 indices selected from river morphology, river water environment, riparian condition, and social services level was established. The method and framework were applied to the Beijing section of Yongding River in China. (3) Results: The comprehensive weights of river morphology, river water environment, riparian condition, and social services are 0.1614, 0.3170, 0.4459, and 0.0757, respectively. The river health comprehensive index of Yongding River is 3.805; the percentages of excellent, healthy, sub-healthy, unhealthy, and sick river segments are 0%, 11%, 69%, 20%, and 0%, respectively. (4) Conclusions: The results indicate that Yongding River is in a sub-healthy state, and the riparian condition is the key factor that affects the river ecosystem health. Health level exhibited a remarkable spatial variation, mainly influenced by anthropogenic activities, and effective measures are needed to minimize the impact in fragile ecological areas.
Collapse
Affiliation(s)
- Linglong Chen
- Key Laboratory of State Forestry and Grassland Administration on Soil and Water Conservation, School of Soil and Water Conservation, Beijing Forestry University, Beijing 100083, China
| | - Lan Ma
- Key Laboratory of State Forestry and Grassland Administration on Soil and Water Conservation, School of Soil and Water Conservation, Beijing Forestry University, Beijing 100083, China
| | - Jiamen Jiji
- Key Laboratory of State Forestry and Grassland Administration on Soil and Water Conservation, School of Soil and Water Conservation, Beijing Forestry University, Beijing 100083, China
| | - Qingqi Kong
- Key Laboratory of State Forestry and Grassland Administration on Soil and Water Conservation, School of Soil and Water Conservation, Beijing Forestry University, Beijing 100083, China
| | - Zizhao Ni
- Key Laboratory of State Forestry and Grassland Administration on Soil and Water Conservation, School of Soil and Water Conservation, Beijing Forestry University, Beijing 100083, China
| | - Lin Yan
- Key Laboratory of State Forestry and Grassland Administration on Soil and Water Conservation, School of Soil and Water Conservation, Beijing Forestry University, Beijing 100083, China
| | - Chengzhong Pan
- Beijing Key Laboratory of Urban Hydrological Cycle and Sponge City Technology, College of Water Sciences, Beijing Normal University, Beijing 100875, China
| |
Collapse
|
27
|
Bhatia V, Sahu DP, Singh AK, Patro BK, Sahoo DP, Kamble RU. Assessment of Health Status of Newborns Discharged From Sick Newborn Care Units of the Five Cyclone Fani Affected Districts of Odisha, India. Disaster Med Public Health Prep 2022; 17:e214. [PMID: 36226407 DOI: 10.1017/dmp.2022.169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE This study was undertaken to assess the health status of newborns discharged from Sick Newborn Care Units (SNCU) of the Cyclone Fani affected districts of Odisha, which is amongst the highest neonatal mortality rate states in the country. METHODS Cyclone Fani hit the coast of Odisha on May 3, 2019. This cross-sectional study was conducted in 5 districts and targeted the babies discharged from SNCU's from January to May 2019. A telephonic interview of the caregivers was conducted to assess the health status of the newborns. Data was collected in a web-based portal and analyzed by statistical package for social sciences SPSS (IBM Corp., Armonk, New York, USA). RESULTS We inquired about 1840 babies during the study period but only 875 babies could be followed up, with the highest proportion of the babies from the most affected district. Out of 875 babies, 111 (12.7%) had 1 or more illnesses during follow up. Distance from the health facility and time constraints were the major reasons for not seeking health care. Of the babies, 35.7% were reported as being underweight. Poor breastfeeding (14.1%) and kangaroo mother care (31.7%) practices were reported. Only 32% of the babies were completely immunized. CONCLUSION The health status of the babies discharged from the SNCUs was found to be poor. Newborn care can be strengthened by improving home-based and facility-based newborn care.
Collapse
|
28
|
Wu F, Mo C, Dai X, Li H. Spatial Analysis of Cultivated Land Productivity, Site Condition and Cultivated Land Health at County Scale. Int J Environ Res Public Health 2022; 19:ijerph191912266. [PMID: 36231563 PMCID: PMC9566486 DOI: 10.3390/ijerph191912266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 09/21/2022] [Accepted: 09/23/2022] [Indexed: 05/13/2023]
Abstract
Cultivated land is a fundamental factor related to the social stability and sustainable development of the whole country. However, the safety of quantity and quality of cultivated land has decreased year by year, resulting in great challenges to the sustainable development of cultivated land. Cultivated land productivity, site conditions, and soil health jointly determine the sustainable development potential of cultivated land. Analyzing and calculating the coupling and cooperative relationship between these three subsystems can provide a theoretical and methodological reference for protecting and zoning cultivated land resources. Using Jiangyou City as a case study, this paper constructs a coupling coordination degree model of cultivated land productivity, site conditions, and soil health assessment systems in different geomorphic regions, and comprehensively analyzes the level of sustainable development of cultivated land in the study area. The results show that there are differences in the development potential of cultivated land resources in the mountainous regions in the north, the hilly regions in the center, and the plain regions in the south of Jiangyou City. The coupling coordination index of the three regions were calculated as 0.34, 0.51, and 0.63, respectively, for which the overall average coupling coordination index is 0.57; notably, it only reaches the "barely coordination" level. Based on our analysis results, the cultivated lands in Jiangyou City are classified into the following zones: core protection zone, dominant remediation zone, and key regulation zone. The cultivated land located in the core protection zone has a high coupling coordination index, which can be used as the preferred area for the delimitation of high standard basic farmland and permanent basic farmland. For the cultivated land located in the dominant remediation zone, the development of its subsystems is unbalanced. Comprehensive land improvement projects can be carried out in this zone to improve the overall quality. For the cultivated land located in the key regulation zone, it is recommended to implement projects such as returning farmland to forests to improve land use efficiency. In particular, the evaluation index system constructed in this paper is sufficiently representative, as it can support the classification, quality improvement, and sustainable use of cultivated land. Thus, other similar countries and regions can learn from the evaluation system constructed in this paper.
Collapse
Affiliation(s)
- Fengqiang Wu
- School of Environment and Resource, Southwest University of Science and Technology, 59 Qinglong Road, Mianyang 621010, China
- Tianfu Institute of Research and Innovation, Southwest University of Science and Technology, Zizhou Avenue Road, Chengdu 610213, China
- Correspondence:
| | - Caijian Mo
- School of Environment and Resource, Southwest University of Science and Technology, 59 Qinglong Road, Mianyang 621010, China
- Mianyang S&T City Division, National Remote Sensing Center of China, 125 Biyun Road, Mianyang 621002, China
| | - Xiaojun Dai
- School of Civil Engineering and Geomatics, Southwest Petroleum University, 8 Xindu Road, Chengdu 610500, China
| | - Hongmei Li
- Mianyang Natural Resources Bureau and Municipal Planning, No. 2, Yunquan South Street, Mianyang 621000, China
| |
Collapse
|
29
|
Thomas BL, Holder LB, Cook DJ. Automated Cognitive Health Assessment Using Partially Complete Time Series Sensor Data. Methods Inf Med 2022; 61:99-110. [PMID: 36220111 PMCID: PMC9847015 DOI: 10.1055/s-0042-1756649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
BACKGROUND Behavior and health are inextricably linked. As a result, continuous wearable sensor data offer the potential to predict clinical measures. However, interruptions in the data collection occur, which create a need for strategic data imputation. OBJECTIVE The objective of this work is to adapt a data generation algorithm to impute multivariate time series data. This will allow us to create digital behavior markers that can predict clinical health measures. METHODS We created a bidirectional time series generative adversarial network to impute missing sensor readings. Values are imputed based on relationships between multiple fields and multiple points in time, for single time points or larger time gaps. From the complete data, digital behavior markers are extracted and are mapped to predicted clinical measures. RESULTS We validate our approach using continuous smartwatch data for n = 14 participants. When reconstructing omitted data, we observe an average normalized mean absolute error of 0.0197. We then create machine learning models to predict clinical measures from the reconstructed, complete data with correlations ranging from r = 0.1230 to r = 0.7623. This work indicates that wearable sensor data collected in the wild can be used to offer insights on a person's health in natural settings.
Collapse
Affiliation(s)
- Brian L. Thomas
- School of Electrical Engineering and Computer Science, Washington State University, Pullman, Washington, United States
| | - Lawrence B. Holder
- School of Electrical Engineering and Computer Science, Washington State University, Pullman, Washington, United States
| | - Diane J. Cook
- School of Electrical Engineering and Computer Science, Washington State University, Pullman, Washington, United States
| |
Collapse
|
30
|
Schwacke LH, Marques TA, Thomas L, Booth CG, Balmer BC, Barratclough A, Colegrove K, De Guise S, Garrison LP, Gomez FM, Morey JS, Mullin KD, Quigley BM, Rosel PE, Rowles TK, Takeshita R, Townsend FI, Speakman TR, Wells RS, Zolman ES, Smith CR. Modeling population effects of the Deepwater Horizon oil spill on a long-lived species. Conserv Biol 2022; 36:e13878. [PMID: 34918835 PMCID: PMC9545999 DOI: 10.1111/cobi.13878] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 10/22/2021] [Accepted: 12/10/2021] [Indexed: 06/01/2023]
Abstract
The 2010 Deepwater Horizon (DWH) oil spill exposed common bottlenose dolphins (Tursiops truncatus) in Barataria Bay, Louisiana to heavy oiling that caused increased mortality and chronic disease and impaired reproduction in surviving dolphins. We conducted photographic surveys and veterinary assessments in the decade following the spill. We assigned a prognostic score (good, fair, guarded, poor, or grave) for each dolphin to provide a single integrated indicator of overall health, and we examined temporal trends in prognostic scores. We used expert elicitation to quantify the implications of trends for the proportion of the dolphins that would recover within their lifetime. We integrated expert elicitation, along with other new information, in a population dynamics model to predict the effects of observed health trends on demography. We compared the resulting population trajectory with that predicted under baseline (no spill) conditions. Disease conditions persisted and have recently worsened in dolphins that were presumably exposed to DWH oil: 78% of those assessed in 2018 had a guarded, poor, or grave prognosis. Dolphins born after the spill were in better health. We estimated that the population declined by 45% (95% CI 14-74) relative to baseline and will take 35 years (95% CI 18-67) to recover to 95% of baseline numbers. The sum of annual differences between baseline and injured population sizes (i.e., the lost cetacean years) was 30,993 (95% CI 6607-94,148). The population is currently at a minimum point in its recovery trajectory and is vulnerable to emerging threats, including planned ecosystem restoration efforts that are likely to be detrimental to the dolphins' survival. Our modeling framework demonstrates an approach for integrating different sources and types of data, highlights the utility of expert elicitation for indeterminable input parameters, and emphasizes the importance of considering and monitoring long-term health of long-lived species subject to environmental disasters. Article impact statement: Oil spills can have long-term consequences for the health of long-lived species; thus, effective restoration and monitoring are needed.
Collapse
Affiliation(s)
| | - Tiago A. Marques
- Centre for Research into Ecological and Environmental Modelling (CREEM), University of St AndrewsThe ObservatoryLondonUK
| | - Len Thomas
- Centre for Research into Ecological and Environmental Modelling (CREEM), University of St AndrewsThe ObservatoryLondonUK
| | - Cormac G. Booth
- SMRU Consulting, Scottish Oceans Institute, East SandsUniversity of St AndrewsSt AndrewsUK
| | - Brian C. Balmer
- National Marine Mammal FoundationJohns IslandSouth CarolinaUSA
| | | | - Kathleen Colegrove
- Zoological Pathology Program, College of Veterinary MedicineUniversity of Illinois at Urbana‐ChampaignBrookfieldIllinoisUSA
| | - Sylvain De Guise
- Department of Pathobiology and Veterinary ScienceUniversity of ConnecticutStorrsConnecticutUSA
| | - Lance P. Garrison
- National Oceanic and Atmospheric Administration, National Marine Fisheries ServiceSoutheast Fisheries Science CenterMiamiFloridaUSA
| | | | | | - Keith D. Mullin
- National Oceanic and Atmospheric Administration, National Marine Fisheries ServiceSoutheast Fisheries Science CenterPascagoulaMississippiUSA
| | | | - Patricia E. Rosel
- National Oceanic and Atmospheric Administration, National Marine Fisheries ServiceSoutheast Fisheries Science CenterLafayetteLouisianaUSA
| | - Teresa K. Rowles
- National Oceanic and Atmospheric Administration, National Marine Fisheries ServiceOffice of Protected ResourcesSilver SpringMarylandUSA
| | - Ryan Takeshita
- National Marine Mammal FoundationJohns IslandSouth CarolinaUSA
| | | | | | - Randall S. Wells
- Chicago Zoological Society's Sarasota Dolphin Research Programc/o Mote Marine LaboratorySarasotaFloridaUSA
| | - Eric S. Zolman
- National Marine Mammal FoundationJohns IslandSouth CarolinaUSA
| | | |
Collapse
|
31
|
Uzdavines A, Helmer DA, Spelman JF, Mattocks KM, Johnson AM, Chardos JF, Lynch KE, Kauth MR. Sexual Health Assessment Is Vital to Whole Health Models of Care. JMIRx Med 2022; 3:e36266. [PMID: 37725523 PMCID: PMC10414374 DOI: 10.2196/36266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Revised: 04/30/2022] [Accepted: 05/19/2022] [Indexed: 09/21/2023]
Abstract
Sexual health is the state of well-being regarding sexuality. Sexual health is highly valued and associated with overall health. Overall health and well-being are more than the absence of disease or dysfunction. Health care systems adopting whole health models of care need to incorporate a holistic assessment of sexual health. This includes assessing patients' sexual orientation and gender identity (SOGI). If health systems, including but not limited to the Veterans Health Administration (VHA), incorporate sexual health into whole health they could enhance preventive care, promote healthy sexual functioning, and optimize overall health and well-being. Assessing sexual health can give providers important information about a patient's health, well-being, and health goals. Sexual concerns or dysfunction may also signal undiagnosed health conditions. Additionally, collecting SOGI information as part of a sexual health assessment would allow providers to address problems that drive disparities for lesbian, gay, bisexual, transgender, queer, and similar minority (LGBTQ+) populations. Health care providers do not routinely assess sexual health in clinical practice. One barrier is a gap in communication between patients and providers. Providers cite beliefs that patients will bring up sexual concerns themselves or might be offended by discussing sexual health. Patients often report an expectation that providers will bring up sexual health and being comfortable discussing sexual health with their providers. Within the VHA, the lack of a sexual health template within the electronic health record (EHR) adds an additional barrier. The VHA's transition toward whole health and updates to its EHR provide unique opportunities to integrate sexual health assessment into routine care. We highlight system modifications to address this within the VHA. These examples may be helpful for other health care systems interested in moving toward whole health. It will be vital for health care systems integrating a whole health approach to develop both practical and educational interventions to address the communication gap. These interventions will need to target both providers and patients in health care systems that transition to a whole health model of care, not just the VHA. Both the communication gap between providers and patients, and the lack of support within some EHR systems for sexual health assessment are barriers to assessing sexual health in primary care clinics. Routine sexual health assessment would benefit patient well-being and present an opportunity to address health disparities for LGBTQ+ populations. Health care systems (ie, both the VHA and other systems) can overcome these barriers by implementing educational interventions and updating their EHRs and back-end data structures. VHA's expertise in developing and implementing health education interventions and EHR-based quality improvements may help inform interventions beyond VHA.
Collapse
Affiliation(s)
- Alex Uzdavines
- South Central Mental Illness Research, Education, and Clinical Center, Michael E. DeBakey VA Medical Center, Houston, TX, United States
| | - Drew A Helmer
- Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, United States
- Department of Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Juliette F Spelman
- VA Connecticut Healthcare System, West Haven, CT, United States
- Yale School of Medicine, New Haven, CT, United States
| | - Kristin M Mattocks
- VA Central Western Massachusetts Healthcare System, Leeds, MA, United States
- University of Massachusetts Medical School, Worcester, MA, United States
| | | | - John F Chardos
- VA Palo Alto Health Care System, Palo Alto, CA, United States
- Stanford University, Palo Alto, CA, United States
| | - Kristine E Lynch
- VA Informatics and Computing Infrastructure, VA Salt Lake City Health Care System, Salt Lake City, UT, United States
- Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, United States
| | - Michael R Kauth
- South Central Mental Illness Research, Education, and Clinical Center, Michael E. DeBakey VA Medical Center, Houston, TX, United States
- LGBTQ+ Health Program, Patient Care Services, Veterans Health Administration, Washington, DC, United States
| |
Collapse
|
32
|
Hittle BM, Norrell RM, Omololu SO, Gresham-Ulrich M. Retirement Center Worker Sleep Health Assessment During the COVID-19 Pandemic. Workplace Health Saf 2022; 70:268-277. [PMID: 35112602 DOI: 10.1177/21650799211054863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Sleep health disturbances can increase risks for workplace injury, error, and poor worker health. Essential workers have reported sleep disturbances since the COVID-19 pandemic onset, which may jeopardize their health and safety. The aims of this project were to assess sleep health among Continuing Care Retirement Community (CCRC) workers, examine potential differences between worker types, and describe the self-perceived impact of COVID-19 on workers' workload and sleep. METHODS Through an academic-practice partnership, this needs assessment used a cross-sectional design that collected self-report data during fall 2020 from CCRC workers. Guided by the Workplace Health Model, survey questions included work characteristics, sleep health, and COVID-19 impact on sleep and workload. FINDINGS Ninety-four respondents completed the survey across multiple departments. Respondents (n = 34, 36.2%) reported sleeping below recommended hours on workdays. The majority scored above the population mean on Patient-Reported Outcomes Measurement (PROMIS) measures of sleep disturbance (n = 52, 55.3%), sleep-related impairment (n = 49, 52.1%), and fatigue (n = 49, 52.1%). Differences in workday total sleep time and fatigue were noted among shift workers versus nonshift workers, with shift workers reporting less sleep and more fatigue. Shorter sleep duration was noted among respondents working shifts 10 or more hours compared with those working 8 hours. Pandemic-related workload increase was reported by 22.3% (n = 21) of respondents, with 17% (n = 16) noting more than one type of workload change. Since COVID-19 onset, 36.2% (n = 34) reported no sleep changes and 35.1% (n = 33) reported sleeping less. A medium, positive relationship was found between increased changes in work due to COVID-19 and increased difficulties sleeping (r = .41, n = 73, p = .000). CONCLUSION/APPLICATION TO PRACTICE Proper sleep health is essential to workplace safety and worker health. By assessing sleep health during a crisis, occupational health nurses can identify opportunities to support worker health and safety, through sleep education, monitoring for sleepiness and fatigue, ensuring countermeasures are available (e.g., caffeine), and assessing for opportunities to change organizational policies.
Collapse
|
33
|
Moura AS, Gubert MB, Venancio SI, Buccini G. Implementation of the Strategy for Breastfeeding and Complementary Feeding in the Federal District in Brazil. Int J Environ Res Public Health 2022; 19:5003. [PMID: 35564399 PMCID: PMC9104574 DOI: 10.3390/ijerph19095003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Revised: 02/11/2022] [Accepted: 02/13/2022] [Indexed: 12/05/2022]
Abstract
BACKGROUND The Brazilian Breastfeeding and Complementary Feeding Strategy-Estratégia Amamenta e Alimenta Brasil (EAAB) aims to promote optimal breastfeeding (BF) and complementary feeding (CF) practices through the training of primary health professionals. Competition among health priorities and programs is one of the organizational contextual barriers to consolidating the implementation of the EAAB. METHODS This case study included six Primary Health Units (PHU) certified in the EAAB. Documentary analysis, interviews, and surveys were conducted, which informed a conceptual logical model. Organizational context indicators (positive and negative) were identified across the logical model based on the Matus Triangle, and they were used to analyze the degree of implementation of the EAAB in the PHUs. RESULTS The logic model elucidated six stages of EAAB implementation, but none on post-certification monitoring. Ten indicators positively influenced the implementation, including having legislation that prioritizes BF and CF. Seven indicators exerted negative influence, especially the lack of specific funding resources for the EAAB. Only one PHU had a consolidated degree of implementation. CONCLUSIONS Lack of specific funding, monitoring of BF and CF practices, and compliance with certification criteria are the main challenges for the EAAB's sustainability.
Collapse
Affiliation(s)
- Amanda Souza Moura
- Department of Nutrition, Center of Epidemiological Studies of Health and Nutrition (NESNUT), Faculty of Health Sciences, University of Brasília, Brasília 70910-900, Brazil;
| | - Muriel Bauermann Gubert
- Department of Nutrition, Center of Epidemiological Studies of Health and Nutrition (NESNUT), Faculty of Health Sciences, University of Brasília, Brasília 70910-900, Brazil;
| | - Sonia Isoyama Venancio
- Institute of Health, State Secretariat of São Paulo Health, São Paulo 01314-000, Brazil;
| | - Gabriela Buccini
- Department of Social and Behavioral Health, University of Nevada, Las Vegas, NV 89119, USA;
| |
Collapse
|
34
|
Magwood O, Kassam A, Mavedatnia D, Mendonca O, Saad A, Hasan H, Madana M, Ranger D, Tan Y, Pottie K. Mental Health Screening Approaches for Resettling Refugees and Asylum Seekers: A Scoping Review. Int J Environ Res Public Health 2022; 19:ijerph19063549. [PMID: 35329237 PMCID: PMC8953108 DOI: 10.3390/ijerph19063549] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 03/07/2022] [Accepted: 03/08/2022] [Indexed: 12/24/2022]
Abstract
Refugees and asylum seekers often face delayed mental health diagnoses, treatment, and care. COVID-19 has exacerbated these issues. Delays in diagnosis and care can reduce the impact of resettlement services and may lead to poor long-term outcomes. This scoping review aims to characterize studies that report on mental health screening for resettling refugees and asylum seekers pre-departure and post-arrival to a resettlement state. We systematically searched six bibliographic databases for articles published between 1995 and 2020 and conducted a grey literature search. We included publications that evaluated early mental health screening approaches for refugees of all ages. Our search identified 25,862 citations and 70 met the full eligibility criteria. We included 45 publications that described mental health screening programs, 25 screening tool validation studies, and we characterized 85 mental health screening tools. Two grey literature reports described pre-departure mental health screening. Among the included publications, three reported on two programs for women, 11 reported on programs for children and adolescents, and four reported on approaches for survivors of torture. Programs most frequently screened for overall mental health, PTSD, and depression. Important considerations that emerged from the literature include cultural and psychological safety to prevent re-traumatization and digital tools to offer more private and accessible self-assessments.
Collapse
Affiliation(s)
- Olivia Magwood
- C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada; (O.M.); (O.M.); (A.S.); (H.H.); (D.R.); (Y.T.)
- Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, 25 University Private, Ottawa, ON K1N 7K4, Canada
| | - Azaad Kassam
- Department of Psychiatry, University of Ottawa, 75 Laurier Ave E, Ottawa, ON K1N 6N5, Canada;
- Pinecrest-Queensway Community Health Centre, 1365 Richmond Rd #2, Ottawa, ON K2B 6R7, Canada
- Ottawa Newcomer Health Centre, 291 Argyle, Ottawa, ON K2P 1B8, Canada
| | - Dorsa Mavedatnia
- Faculty of Medicine, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5, Canada; (D.M.); (M.M.)
| | - Oreen Mendonca
- C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada; (O.M.); (O.M.); (A.S.); (H.H.); (D.R.); (Y.T.)
| | - Ammar Saad
- C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada; (O.M.); (O.M.); (A.S.); (H.H.); (D.R.); (Y.T.)
- School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Ottawa, ON K1G 5Z3, Canada
- Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 5B2, Canada
| | - Hafsa Hasan
- C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada; (O.M.); (O.M.); (A.S.); (H.H.); (D.R.); (Y.T.)
- Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College St, Toronto, ON M5T 3M6, Canada
| | - Maria Madana
- Faculty of Medicine, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5, Canada; (D.M.); (M.M.)
| | - Dominique Ranger
- C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada; (O.M.); (O.M.); (A.S.); (H.H.); (D.R.); (Y.T.)
| | - Yvonne Tan
- C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada; (O.M.); (O.M.); (A.S.); (H.H.); (D.R.); (Y.T.)
- Faculty of Arts and Sciences, Queen’s University, 99 University Ave, Kingston, ON K7L 3N6, Canada
| | - Kevin Pottie
- C.T. Lamont Primary Care Research Center, Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 7G5, Canada; (O.M.); (O.M.); (A.S.); (H.H.); (D.R.); (Y.T.)
- Department of Family Medicine, Western University, London, ON N6A 3K7, Canada
- Correspondence:
| |
Collapse
|
35
|
Scott E, Hirabayashi L, Graham J, Krupa N, Jenkins P. Not Quite Out of the Woods: Overall Health and Chronic Disease Risk Factors among Maine Logging Workers. J Occup Environ Med 2022; 64:236-242. [PMID: 35244088 PMCID: PMC8887842 DOI: 10.1097/jom.0000000000002403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE This research reports on the health status, including chronic disease risk factors, among Maine loggers. METHODS Loggers completed a survey and health screenings were held across Maine, collecting data on a variety of health endpoints. RESULTS Seventy-five loggers participated. The majority were men (97.1%) with a median age of 46, and a mean BMI of 30.6 kg/m2 (SD 4.9). Nearly half of those screened (45.9%) had blood pressure at the level of stage II hypertension. Loggers with at least a single joint abnormality were 38.4%. The health screening cohort was similar to the non-health screening cohort for many attributes. CONCLUSIONS Future research should focus on tailored interventions to improve cardiovascular and musculoskeletal risk factors among loggers.
Collapse
Affiliation(s)
- Erika Scott
- Northeast Center for Occupational Health and Safety in Agriculture, Forestry, and Fishing (NEC), Bassett Medical Center, Cooperstown, NY (Dr Scott, Hirabayashi, Graham), Bassett Research Institute, Bassett Medical Center, Cooperstown, NY (Ms Krupa, Dr Jenkins)
| | | | | | | | | |
Collapse
|
36
|
La Rocca B, Sarazin P. MiXie, an Online Tool for Better Health Assessment of Workers Exposed to Multiple Chemicals. Int J Environ Res Public Health 2022; 19:ijerph19020951. [PMID: 35055775 PMCID: PMC8776190 DOI: 10.3390/ijerph19020951] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Revised: 01/11/2022] [Accepted: 01/12/2022] [Indexed: 11/16/2022]
Abstract
There is increasing concern for workers facing multiple chemical exposure. The accumulation of information on occupational conditions indicates the need to incorporate the concept of multiple exposures in the risk assessment process and to develop tools for assessing the potential impacts of multiple exposures on workers’ health. Our objective is to describe the MiXie online decision-making tool that can be used to assess the risk of exposure to multiple chemicals. The description includes the development of MiXie, the structure of its toxicological database according to the target organ or the mode of action, and the algorithm for quantitative analysis of a mixture. Two case studies of its use in evaluating the risks of multiple exposures in real workplace situations are presented. The case study in the printing industry showed increased risk for four toxicological classes (central nervous system damage, ocular damage, skin damage, and ototoxicity) associated with co-exposure to four chemicals during maintenance operations. The MiXie analysis also showed the presence of carcinogenic substances in the mixture and a risk to the development of the foetus. The case study in nail salons showed the presence of carcinogenic and sensitizing chemicals and an increased risk to upper airways. MiXie helps preventers evaluate the possible additive effects of mixtures, providing an easy-to-read diagnosis to identify risks incurred by co-exposed employees. In addition, MiXie identifies risky occupational situations that would go unnoticed without a multiple substance approach.
Collapse
Affiliation(s)
- Bénédicte La Rocca
- Toxicology and Biometrology Department, French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS), 1, Rue du Morvan, 54500 Vandoeuvre-lès-Nancy, France
- Correspondence:
| | - Philippe Sarazin
- Institut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail (IRSST), 505, Boulevard de Maisonneuve Ouest, Montreal, QC H3A 3C2, Canada;
| |
Collapse
|
37
|
Dharampuriya PR, Abend SL. Roadmap for Creating Effective Communication Tools to Improve Health Equity for Persons With Intellectual and Developmental Disabilities. Front Health Serv 2022; 2:859008. [PMID: 36925890 PMCID: PMC10012612 DOI: 10.3389/frhs.2022.859008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Accepted: 05/09/2022] [Indexed: 11/13/2022]
Abstract
Persons with intellectual and developmental disabilities (IDD) live 20 fewer years than the average person and almost 40% of their deaths are from preventable causes. They suffer from well-documented disparities in health and healthcare, and much of this inequity is rooted in information transfer failures between patients, their caregivers, and their healthcare providers. Tools to improve communication between these stakeholders, such as health checks and hand-held health records, or health passports, have been implemented in Europe, Australia and Canada with mixed results, and there are no standard information tools currently in widespread use in the U.S. We review the evidence of the effectiveness of these tools, as well as their barriers to adoption, to inform proposed development of next-generation information transfer tools most useful to patients with IDD and their healthcare providers. The repair of health information transfer failures will be a major step toward achieving health equity for this population.
Collapse
Affiliation(s)
- Priyanka R Dharampuriya
- Lincoln Memorial University - DeBusk College of Osteopathic Medicine, Knoxville, TN, United States.,The Right Care Now Project, Inc., Westborough, MA, United States
| | - Susan L Abend
- The Right Care Now Project, Inc., Westborough, MA, United States
| |
Collapse
|
38
|
Chen CW, Tang SY, Hwang JS, Chan CC, Hsu CC, Lin CY, Su TC. Association between Levels of Urine Di-(2-ethylhexyl)phthalate Metabolites and Heart Rate Variability in Young Adults. Toxics 2021; 9:351. [PMID: 34941785 DOI: 10.3390/toxics9120351] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 11/29/2021] [Accepted: 12/08/2021] [Indexed: 12/17/2022]
Abstract
Phthalate exposure is associated with cardiovascular risk. Among the various phthalates, di-(2-ethylhexyl) phthalate (DEHP) is a deleterious plasticizer in our daily lives. This study investigated the association between DEHP exposure and the alteration of heart rate variability (HRV). During 2017–2019, we recruited 974 young adults to investigate the effects of living environments and dietary habits on cardiometabolic disorders in Taiwan. We quantitatively analyzed urinary metabolites of DHEP. A continuous electrocardiogram was recorded to obtain a 5-min ECG. Time-domain and frequency-domain HRV analyses were performed. Multiple linear regression showed that urinary oxidized DEHP metabolites MEHHP and MEOHP were associated with decreased HRV after controlling for associated cardiovascular risk factors. A higher MEHHP level was associated with a lower triangular interpolation of NN interval histogram (TINN), very low frequency (VLF), and low frequency/high frequency (LF/HF) ratio. A higher MEOHP level was associated with a decreased LF/HF ratio. In addition, trend analysis showed that higher MEHHP and MEOHP quantiles were significantly associated with a decreased LF/HF ratio. DEHP is a potentially harmful and invisible chemical. The urinary DEHP metabolites MEHHP and MEOHP are associated with decreased HRV, indicating an adverse effect on autonomic balance in young adults in Taiwan.
Collapse
|
39
|
Nanda S, Chon TY, Mahapatra S, Lindeen SA, Fischer KM, Krüger M, Schierwater B, Schmidt CO, Wahner-Roedler DL, Bauer BA. Preventiometer, a Novel Wellness Assessment Device, Used With Healthy Volunteers: A Phase 2 Study. Glob Adv Health Med 2021; 10:21649561211045016. [PMID: 34840917 PMCID: PMC8619782 DOI: 10.1177/21649561211045016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 08/23/2021] [Indexed: 11/16/2022] Open
Abstract
Background We previously reported on a pilot study to assess the incorporation of a novel wellness assessment device, the Preventiometer (iPEx5 GmbH, Greifswald, Germany), into an academic medical practice. The present follow-up study expands on those data and evaluates the acceptability of the assessment process in a larger sample population. Objective The aim of this study was to evaluate participant satisfaction with the Preventiometer wellness assessment. Methods A total of 60 healthy volunteers participated. Each participant underwent a comprehensive wellness assessment with the Preventiometer and received data from more than 30 diagnostic tests. A 32-question survey (with a numeric rating scale from 0 to 10) was used to rate the wellness assessment tests and participants' impressions of the wellness assessment. Results Each assessment had a significantly higher rating than 7 (P < .001), and the majority of participants agreed or strongly agreed that they were satisfied (98.3%), and they strongly agreed that they were engaged the entire time (93.2%), and liked the instant test results feature of the Preventiometer device (93.2%). Conclusion This study confirms findings from our previous pilot study regarding the feasibility of the Preventiometer as a wellness assessment tool. The study further demonstrated that 98% of participants were satisfied with the assessment and that all of them would recommend it to others.
Collapse
Affiliation(s)
| | - Tony Y Chon
- Division of General Internal Medicine, MN, USA
| | | | | | | | - Markus Krüger
- Institute for Community Medicine, Mayo Clinic, Rochester, MN, USA.,Center for Oral Health, Universitätsmedizin Greifswald, Germany
| | | | | | | | | |
Collapse
|
40
|
Nguyen TQ, Michaels IH, Bustamante-Zamora D, Waterman B, Nagasako E, Li Y, Givens ML, Gennuso K. Generating Subcounty Health Data Products: Methods and Recommendations From a Multistate Pilot Initiative. J Public Health Manag Pract 2021; 27:E40-E47. [PMID: 32332489 PMCID: PMC7690642 DOI: 10.1097/phh.0000000000001167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND County Health Rankings & Roadmaps (CHR&R) makes data on health determinants and outcomes available at the county level, but health data at subcounty levels are needed. Three pilot projects in California, Missouri, and New York explored multiple approaches for defining measures and producing data at subcounty geographic and demographic levels based on the CHR&R model. This article summarizes the collective technical and implementation considerations from the projects, challenges inherent in analyzing subcounty health data, and lessons learned to inform future subcounty health data projects. METHODS The research teams used 12 data sources to produce 40 subcounty measures that replicate or approximate county-level measures from the CHR&R model. Using varying technical methods, the pilot projects followed similar stages: (1) conceptual development of data sources and measures; (2) analysis and presentation of small-area and subpopulation measures for public health, health care, and lay audiences; and (3) positioning the subcounty data initiatives for growth and sustainability. Unique technical considerations, such as degree of data suppression or data stability, arose during the project implementation. A compendium of technical resources, including samples of automated programs for analyzing and reporting subcounty data, was also developed. RESULTS The teams summarized the common themes shared by all projects as well as unique technical considerations arising during the project implementation. Furthermore, technical challenges and implementation challenges involved in subcounty data analyses are discussed. Lessons learned and proposed recommendations for prospective analysts of subcounty data are provided on the basis of project experiences, successes, and challenges. CONCLUSIONS This multistate pilot project offers 3 successful approaches for creating and disseminating subcounty data products to communities. Subcounty data often are more difficult to obtain than county-level data and require additional considerations such as estimate stability, validating accuracy, and protecting individual confidentiality. We encourage future projects to further refine techniques for addressing these critical considerations.
Collapse
Affiliation(s)
- Trang Q. Nguyen
- Office of Public Health Practice, New York State Department of Health, Albany, New York (Dr Nguyen, Mr Michaels, and Ms Li); Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, Rensselaer, New York (Dr Nguyen, Mr Michaels, and Ms Li); Office of Health Equity, California Department of Public Health, Sacramento, California (Dr Bustamante-Zamora); Hospital Industry Data Institute, Missouri Hospital Association, Jefferson City, Missouri (Dr Waterman); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St Louis, Missouri (Dr Nagasako); BJC HealthCare Center for Clinical Excellence, St Louis, Missouri (Dr Nagasako); and University of Wisconsin Population Health Institute, University of Wisconsin-Madison, Madison, Wisconsin (Drs Givens and Gennuso)
| | - Isaac H. Michaels
- Office of Public Health Practice, New York State Department of Health, Albany, New York (Dr Nguyen, Mr Michaels, and Ms Li); Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, Rensselaer, New York (Dr Nguyen, Mr Michaels, and Ms Li); Office of Health Equity, California Department of Public Health, Sacramento, California (Dr Bustamante-Zamora); Hospital Industry Data Institute, Missouri Hospital Association, Jefferson City, Missouri (Dr Waterman); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St Louis, Missouri (Dr Nagasako); BJC HealthCare Center for Clinical Excellence, St Louis, Missouri (Dr Nagasako); and University of Wisconsin Population Health Institute, University of Wisconsin-Madison, Madison, Wisconsin (Drs Givens and Gennuso)
| | - Dulce Bustamante-Zamora
- Office of Public Health Practice, New York State Department of Health, Albany, New York (Dr Nguyen, Mr Michaels, and Ms Li); Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, Rensselaer, New York (Dr Nguyen, Mr Michaels, and Ms Li); Office of Health Equity, California Department of Public Health, Sacramento, California (Dr Bustamante-Zamora); Hospital Industry Data Institute, Missouri Hospital Association, Jefferson City, Missouri (Dr Waterman); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St Louis, Missouri (Dr Nagasako); BJC HealthCare Center for Clinical Excellence, St Louis, Missouri (Dr Nagasako); and University of Wisconsin Population Health Institute, University of Wisconsin-Madison, Madison, Wisconsin (Drs Givens and Gennuso)
| | - Brian Waterman
- Office of Public Health Practice, New York State Department of Health, Albany, New York (Dr Nguyen, Mr Michaels, and Ms Li); Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, Rensselaer, New York (Dr Nguyen, Mr Michaels, and Ms Li); Office of Health Equity, California Department of Public Health, Sacramento, California (Dr Bustamante-Zamora); Hospital Industry Data Institute, Missouri Hospital Association, Jefferson City, Missouri (Dr Waterman); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St Louis, Missouri (Dr Nagasako); BJC HealthCare Center for Clinical Excellence, St Louis, Missouri (Dr Nagasako); and University of Wisconsin Population Health Institute, University of Wisconsin-Madison, Madison, Wisconsin (Drs Givens and Gennuso)
| | - Elna Nagasako
- Office of Public Health Practice, New York State Department of Health, Albany, New York (Dr Nguyen, Mr Michaels, and Ms Li); Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, Rensselaer, New York (Dr Nguyen, Mr Michaels, and Ms Li); Office of Health Equity, California Department of Public Health, Sacramento, California (Dr Bustamante-Zamora); Hospital Industry Data Institute, Missouri Hospital Association, Jefferson City, Missouri (Dr Waterman); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St Louis, Missouri (Dr Nagasako); BJC HealthCare Center for Clinical Excellence, St Louis, Missouri (Dr Nagasako); and University of Wisconsin Population Health Institute, University of Wisconsin-Madison, Madison, Wisconsin (Drs Givens and Gennuso)
| | - Yunshu Li
- Office of Public Health Practice, New York State Department of Health, Albany, New York (Dr Nguyen, Mr Michaels, and Ms Li); Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, Rensselaer, New York (Dr Nguyen, Mr Michaels, and Ms Li); Office of Health Equity, California Department of Public Health, Sacramento, California (Dr Bustamante-Zamora); Hospital Industry Data Institute, Missouri Hospital Association, Jefferson City, Missouri (Dr Waterman); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St Louis, Missouri (Dr Nagasako); BJC HealthCare Center for Clinical Excellence, St Louis, Missouri (Dr Nagasako); and University of Wisconsin Population Health Institute, University of Wisconsin-Madison, Madison, Wisconsin (Drs Givens and Gennuso)
| | - Marjory L. Givens
- Office of Public Health Practice, New York State Department of Health, Albany, New York (Dr Nguyen, Mr Michaels, and Ms Li); Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, Rensselaer, New York (Dr Nguyen, Mr Michaels, and Ms Li); Office of Health Equity, California Department of Public Health, Sacramento, California (Dr Bustamante-Zamora); Hospital Industry Data Institute, Missouri Hospital Association, Jefferson City, Missouri (Dr Waterman); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St Louis, Missouri (Dr Nagasako); BJC HealthCare Center for Clinical Excellence, St Louis, Missouri (Dr Nagasako); and University of Wisconsin Population Health Institute, University of Wisconsin-Madison, Madison, Wisconsin (Drs Givens and Gennuso)
| | - Keith Gennuso
- Office of Public Health Practice, New York State Department of Health, Albany, New York (Dr Nguyen, Mr Michaels, and Ms Li); Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, Rensselaer, New York (Dr Nguyen, Mr Michaels, and Ms Li); Office of Health Equity, California Department of Public Health, Sacramento, California (Dr Bustamante-Zamora); Hospital Industry Data Institute, Missouri Hospital Association, Jefferson City, Missouri (Dr Waterman); Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St Louis, Missouri (Dr Nagasako); BJC HealthCare Center for Clinical Excellence, St Louis, Missouri (Dr Nagasako); and University of Wisconsin Population Health Institute, University of Wisconsin-Madison, Madison, Wisconsin (Drs Givens and Gennuso)
| |
Collapse
|
41
|
Krzyżak J, Korzeniewski K. Medical assessment of fitness to dive after COVID-19. Int Marit Health 2021; 72:223-227. [PMID: 34604993 DOI: 10.5603/imh.2021.0041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Accepted: 09/09/2021] [Indexed: 11/25/2022] Open
Abstract
Since the global pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the etiological agent of a coronavirus disease 2019 (COVID-19) infection started, millions of people globally have become infected. It must not be forgotten that thousands of those affected are commercial or recreational divers. A severe COVID-19 seriously affects the respiratory system and the pulmonary parenchyma but it may also involve the cardiovascular and the blood coagulation system. For this reason, many divers and hyperbaric medicine specialists are becoming increasingly concerned about a diver's ability to safely return to diving after a SARS-CoV-2 infection. The article presents current guidelines for diving fitness health assessment after a COVID-19 both for active and prospective divers, with particular emphasis on the types of diagnostic procedures and tests to be performed in cases of asymptomatic infection with SARS-CoV-2 as well as in patients who have recovered from a symptomatic COVID-19.
Collapse
Affiliation(s)
- Jarosław Krzyżak
- Polish Society of Hyperbaric Medicine and Technology, Gdynia, Poland
| | - Krzysztof Korzeniewski
- Department of Epidemiology and Tropical Medicine, Military Institute of Medicine, Warsaw, Poland. .,Department of Tropical Medicine and Epidemiology, Institute of Maritime and Tropical Medicine, Medical University of Gdansk, Poland.
| |
Collapse
|
42
|
de Freitas Nakata KC, Marques LD, de Oliveira HC, Magalhães GCB, de Oliveira RG, Botelho C. Anti-interleukin-5 in the Management of Eosinophilic Asthma: A Review of Effectiveness, Safety, and Budgetary Impact From the Perspective of the Brazilian Health System. Value Health Reg Issues 2021; 26:169-181. [PMID: 34547665 DOI: 10.1016/j.vhri.2021.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Revised: 03/30/2021] [Accepted: 06/12/2021] [Indexed: 11/19/2022]
Abstract
OBJECTIVES To evaluate the efficacy and safety of anti-interleukin-5 class therapy agents in the treatment of eosinophilic asthma and the financial impact of these drugs on the Brazilian and Mato Grosso public health systems. METHODS The literature review in important databases was guided by a structured research question including patient or population, intervention, comparator, outcome and type of study. The retrieved studies went through a screening, selection, data extraction, and methodological quality assessment process. A model with two scenarios, one with mepolizumab and the other with benralizumab, was created for budget impact analysis. RESULTS Evidence indicated that anti-interleukins-5 have an acceptable safety profile and can reduce exacerbation rates by up to 50% in the population with eosinophilic asthma; however, they showed no significant difference in quality of life. The adoption of these drugs in the Brazilian health system can impact the budget from R$ 40,379,731.50 to R$ 140,301,211.34 depending on the drug incorporated, considering a time horizon of 5 years. From the perspective of the state of Mato Grosso, the budget impact may reach, in the fifth year, an amount of R$ 1,301,210.58 and R$ 2,050.687.62 for the scenarios with mepolizumab and benralizumab, respectively. CONCLUSION Anti-interleukins-5 are promising treatments for eosinophilic asthma because they minimise exacerbations and are well tolerated and safe. The financial impact is large, implying that technology costs may be a barrier to accessing this treatment class.
Collapse
Affiliation(s)
| | - Luisa Daige Marques
- Núcleo de Avaliação de Tecnologias em Saúde - NATS/SES/MT, Cuiabá-MT, Brasil
| | - Helder Cássio de Oliveira
- Núcleo de Avaliação de Tecnologias em Saúde - NATS/SES/MT, Cuiabá-MT, Brasil; Coordenador do NATS-HUJM - Hospital Universitário Júlio Muller, Cuiabá-MT, Brasil
| | - Graciane Catarina Batista Magalhães
- Núcleo de Avaliação de Tecnologias em Saúde - NATS/SES/MT, Cuiabá-MT, Brasil; Centro Estadual de Referência em Média e Alta Complexidade - Cermac/SES MT, Cuiabá-MT, Brasil
| | - Ruberlei Godinho de Oliveira
- Hospital Universitário Júlio Muller - Programa de Pós-Graduação Mestrado em Ciências Aplicadas a Atenção Hospitalar, Cuiabá-MT, Brasil
| | - Clóvis Botelho
- Universidade Federal de Mato Grosso - UFMT/Universidade de Várzea Grande-MT, Cuiabá-MT, Brasil
| |
Collapse
|
43
|
Kinyon K, D’Alton S, Poston K, Navarrete S. Improving Physical Assessment and Clinical Judgment Skills without Increasing Content in a Prelicensure Nursing Health Assessment Course. Nurs Rep 2021; 11:600-607. [PMID: 34968335 PMCID: PMC8608134 DOI: 10.3390/nursrep11030057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 07/13/2021] [Accepted: 07/15/2021] [Indexed: 11/19/2022] Open
Abstract
One hundred twenty-six assessment skills are taught in prelicensure nursing health assessment courses, yet 30 skills are used on a routine basis in practice. New nurses struggle to apply their acquired knowledge in clinical settings. Method: A literature review was completed. Based on the results, a first semester health assessment course in a southeastern accelerated baccalaureate nursing program was redesigned. Lectures and skills labs were adjusted to focus on the most critical assessment skills. To foster critical thinking and clinical judgement, a health assessment post conference was added where students completed concept maps, system specific case studies, nursing priority setting, and patient teaching plans. Results: Outcome surveys were completed by second semester faculty. Prior to course adjustments, 33 percent of students did not meet the benchmark. Following course changes, all students met or exceeded the benchmark. Conclusion: Focusing on critical assessment skills will increase student nurses’ ability to deliver safe patient care.
Collapse
|
44
|
Elisabeth M, Maneesh PS, Katarina SF, Slobodan Z, Michael S. Antimicrobial Resistance & Migrants in Sweden: Poor Living Conditions Enforced by Migration Control Policies as a Risk Factor for Optimal Public Health Management. Front Public Health 2021; 9:642983. [PMID: 34277534 PMCID: PMC8281056 DOI: 10.3389/fpubh.2021.642983] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Accepted: 06/11/2021] [Indexed: 11/13/2022] Open
Abstract
Infectious diseases exacerbated by Antimicrobial Resistance (AMR) are of increasing concern in Sweden, with multi-drug resistant strains associated with new resistance mechanisms that are emerging and spreading worldwide. Existing research has identified that sub-optimal living conditions and poor access to healthcare are significant factors in the spread and incubation of AMR strains. The article considers this linkage and the effort to control the spread of AMR in relation to migrants, highlighting deficiencies in public policy where such individuals are often increasingly exposed to those conditions that exacerbate AMR. In many of the richest countries, those conditions are not accidental, but often direct goals of policies designed with the goal of deterring migrants from staying within host countries. Without engaging with the politics around migration control, the article points to urgent need for more holistic assessment of all public policies that may, however unintentionally, undermine AMR control through worsening living conditions for vulnerable groups. The consequences of prioritizing policies meant to deliberately worsen the living conditions of migrants over avoiding those conditions that accelerate AMR spread, are today made ever apparent where new AMR strains have the potential to dwarf the societal effects of the current Covid-19 pandemic.
Collapse
Affiliation(s)
- Mangrio Elisabeth
- Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.,Malmö Institute for Studies of Migration, Diversity and Welfare (MIM), Malmö University, Malmö, Sweden
| | | | - Sjögren Forss Katarina
- Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden
| | - Zdravkovic Slobodan
- Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.,Malmö Institute for Studies of Migration, Diversity and Welfare (MIM), Malmö University, Malmö, Sweden
| | - Strange Michael
- Malmö Institute for Studies of Migration, Diversity and Welfare (MIM), Malmö University, Malmö, Sweden.,Global Political Studies, Malmö University, Malmö, Sweden
| |
Collapse
|
45
|
Krzyżak J, Korzeniewski K. Medical assessment of fitness to dive. Part II. Int Marit Health 2021; 72:115-120. [PMID: 34212351 DOI: 10.5603/imh.2021.0020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 06/10/2021] [Accepted: 06/11/2021] [Indexed: 11/25/2022] Open
Abstract
Good physical and mental health is a prerequisite for anyone planning to scuba dive. A certificate of fitness to dive for those willing to enter a scuba diving course as well as for active divers, either amateur or occupational, can only be issued if there are no medical contraindications to dive. It is usually within the competence of a diving instructor, a manager of underwater work or a physician to assess a person's mental and physical health and grant them permission to stay under hyperbaric conditions. The legal requirements for issuing a certificate of fitness to dive are different for recreational and occupational divers. The part II of this article discusses the issues concerning medical assessment of fitness to dive for professionals, and divers in uniformed services. It also discusses contraindications to scuba diving and guidelines for medical assessment of fitness to dive in divers with a history of a diving-related condition.
Collapse
Affiliation(s)
- Jarosław Krzyżak
- Polish Society of Hyperbaric Medicine and Technique, Gdynia, Poland
| | - Krzysztof Korzeniewski
- Department of Epidemiology and Tropical Medicine, Military Institute of Medicine, Warsaw, Poland. .,Department of Occupational, Metabolic and Internal Diseases, Institute of Maritime and Tropical Medicine, Medical University of Gdansk, Poland.
| |
Collapse
|
46
|
Carey M, Zucca A, Rhee J, Sanson-Fisher R, Norton G, Oldmeadow C, Evans T, Nair K. Essential components of health assessment for older people in primary care: a cross-sectional survey of Australian general practitioners. Aust N Z J Public Health 2021; 45:506-511. [PMID: 33970553 DOI: 10.1111/1753-6405.13108] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Revised: 02/01/2021] [Accepted: 03/01/2021] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE To examine general practitioners' views about how health assessments for older people should be conducted. METHODS General practitioners were randomly sampled from a national database of medical practitioners and invited to complete a survey. Survey items explored general practitioners' views about essential components of a 75+ Health Assessment and who should assess each component, consultation time, use of standardised templates and tools, and home visits. RESULTS Overall, 185 (19.2%) general practitioners participated. Of 61 items presented, 24 were rated 'essential' by ≥70% of practitioners, with an average estimated consultation time of 65 minutes. Of the 24 essential items, it was perceived that 21 could be assessed by either a general practitioner or clinic nurse. Most practitioners indicated a standardised template (86%) and standardised tools for complex issues (79%) should be used, and home visits conducted (75%). CONCLUSIONS General practitioners agreed on 24 items as essential for every health assessment, with assessments estimated to take more than one hour. Implications for public health: Increases to remuneration for prolonged assessments or mechanisms for improving efficiency and quality of assessments are needed. Acceptable mechanisms may include standardised patient-reported tools, standardised templates and the use of non-medical staff to assist with assessments.
Collapse
Affiliation(s)
- Mariko Carey
- Faculty of Health and Medicine, The University of Newcastle, New South Wales.,Hunter Medical Research Institute, New South Wales
| | - Alison Zucca
- Faculty of Health and Medicine, The University of Newcastle, New South Wales.,Hunter Medical Research Institute, New South Wales
| | - Joel Rhee
- General Practice Academic Unit, School of Medicine, University of Wollongong, New South Wales.,Illawarra Health and Medical Research Institute, New South Wales
| | - Rob Sanson-Fisher
- Faculty of Health and Medicine, The University of Newcastle, New South Wales.,Hunter Medical Research Institute, New South Wales
| | - Grace Norton
- Faculty of Health and Medicine, The University of Newcastle, New South Wales.,Hunter Medical Research Institute, New South Wales
| | | | | | - Kichu Nair
- Faculty of Health and Medicine, The University of Newcastle, New South Wales
| |
Collapse
|
47
|
Nowinski CJ, DeWalt DA, Carter AS, Chacko A, Gross HE, Perrin EM, Krug CW, Holl JL, Gershon RC. Recommendations for Assessment of Social, Emotional, and Behavioral Health for the National Children's Study. Front Pediatr 2021; 9:624524. [PMID: 34017804 PMCID: PMC8129017 DOI: 10.3389/fped.2021.624524] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Accepted: 01/28/2021] [Indexed: 11/22/2022] Open
Abstract
The Social Emotional Behavioral (SEB) Team of the National Children's Study (NCS) was tasked with making recommendations for assessment of important aspects of social-emotional health and function in children. This paper describes the constructs recommended for assessment along with the rationale for their assessment. These constructs, representing aspects of Social Relationships, Social Capital, Temperament, Negative Affect, Externalizing Behavior, Social Competence, Self-efficacy, Self-image, Psychological well-being, Ethnic/racial Socialization, Perceived Discrimination, Sexual Orientation, Religiosity, and Perceived Stress and Resilience were identified as being critical to the understanding of children's health and development from birth to age 21.
Collapse
Affiliation(s)
- Cindy J. Nowinski
- Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States
| | - Darren A. DeWalt
- Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC, United States
| | - Alice S. Carter
- Department of Psychology, University of Massachusetts Boston, Boston, MA, United States
| | - Anil Chacko
- Department of Applied Psychology, New York University, New York, NY, United States
| | - Heather E. Gross
- Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC, United States
| | - Eliana M. Perrin
- Department of Pediatrics, Duke University School of Medicine, Durham, NC, United States
| | - Chelsea Weaver Krug
- Department of Psychology, University of Pittsburgh, Pittsburgh, PA, United States
| | - Jane L. Holl
- Department of Neurology, Center for Healthcare Delivery Science and Innovation, University of Chicago, Chicago, IL, United States
| | - Richard C. Gershon
- Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States
| |
Collapse
|
48
|
Johnson A, Murcko A, Castro Thompson A, Merica C, Stephan M. A Culturally Relevant Care Model to Reduce Health Disparities Among Medicaid Recipients. Hisp Health Care Int 2021; 20:10-14. [PMID: 33896260 DOI: 10.1177/15404153211005403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Health disparities among Hispanics are associated with poorer health status across multiple health conditions, greater use of high-acuity services, and lower use of care continuity and preventive services. A new integrated delivery organization (IDO) designed around culturally responsive care aims to reduce health disparities and improve health outcomes among the Hispanic community by deploying a multifeatured approach. The IDO combines the universal administration of a culturally sensitive health risk screening tool, the delivery of culturally appropriate medical, behavioral and spiritual health, and creative support of provider practices with training and informational resources, financial incentives, actionable data, technology, and cultural sensitivity training for providers and staff. The IDO further distinguishes its unique approach by partnering with a university informatics program to establish a local learning health care system destined to enrich the evidence base for culturally appropriate interventions that reduce health disparities. Longitudinal research is currently underway that focuses on the impact of culturally motivated interventions on resource utilization, retention, and quality.
Collapse
Affiliation(s)
- Andrew Johnson
- Biomedical Informatics Program, College of Health Solutions, 7864Arizona State University, Phoenix, AZ, USA
| | - Anita Murcko
- Biomedical Informatics Program, College of Health Solutions, 7864Arizona State University, Phoenix, AZ, USA
| | | | | | | |
Collapse
|
49
|
Silva-e-Dutra FCM, Barcelos JLM, Kososki E, Cavalcanti A. Health needs analysis based on the functional assessment of workers seen in primary care. Rev Bras Med Trab 2021; 19:122-131. [PMID: 34603407 PMCID: PMC8447642 DOI: 10.47626/1679-4435-2020-564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Accepted: 05/08/2020] [Indexed: 11/20/2022] Open
Abstract
INTRODUCTION Illness in workers and the configuration of health care services for this population constitute a major public health challenge in Brazil. OBJECTIVES To evaluate factors associated with the activities and participation components of functioning in workers seen in primary care. METHODS This was a cross-sectional study of 111 workers who completed a sociodemographic, occupational, and health questionnaire, as well as the World Health Organization Disability Assessment Schedule 2.0. Results were analyzed using descriptive methods, the Mann-Whitney U test, and Spearman correlation coefficients. RESULTS Most workers were women (63.1%), with a mean age of 36.54 years, single (48.6%), with secondary education (33.3%), and a sedentary lifestyle (68.5%). Over 70% rated their health as "very good/good," were actively employed, and reported difficulties on at least one item of the World Health Organization Disability Assessment Schedule. Carrying out household activities, working, standing up, learning new tasks, and dealing with strangers were the items most frequently associated with mild/moderate disability. Walking for long distances, feeling emotionally affected, and engaging in community activities were the items for which the most severe/extreme difficulties were reported. Functioning was associated with education (p = 0.009), occupational status (p = 0.000), and perceived health (p = 0.000). The results indicated that less-educated individuals who were not actively working and had poor perceived health had the highest levels of disability. CONCLUSIONS Our results identified several functional difficulties in the working population. Interdisciplinary strategies are needed to address the activity limitations and restrictions to participation in workers seen in primary care.
Collapse
Affiliation(s)
- Fabiana Caetano Martins Silva-e-Dutra
- Departamento de Terapia Ocupacional, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil
- Programa de Pós-Graduação em Atenção à Saúde, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil
- Núcleo de Estudos e Pesquisas em Trabalho, Participação Social e Saúde, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil
- Curso de Mestrado em Estudos da Ocupação, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Joyce Lorena Maia Barcelos
- Programa de Pós-Graduação em Atenção à Saúde, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil
- Núcleo de Estudos e Pesquisas em Trabalho, Participação Social e Saúde, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil
| | - Edinara Kososki
- Programa de Pós-Graduação em Atenção à Saúde, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil
- Núcleo de Estudos e Pesquisas em Trabalho, Participação Social e Saúde, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil
| | - Alessandra Cavalcanti
- Departamento de Terapia Ocupacional, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil
- Curso de Mestrado em Estudos da Ocupação, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| |
Collapse
|
50
|
Krzyżak J, Korzeniewski K. Medical assessment of fitness to dive. Part I. Int Marit Health 2021; 72:36-45. [PMID: 33829471 DOI: 10.5603/mh.2021.0005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 03/01/2021] [Accepted: 03/02/2021] [Indexed: 11/25/2022] Open
Abstract
Good physical and mental health is a prerequisite for anyone planning to scuba dive. A fitness to dive certificate for those willing to enter a scuba diving course as well as for active divers, either amateur or occupational, can only be issued if there are no medical contraindications to dive. It is usually within the competence of a diving instructor, a manager of underwater work or a physician to assess a person's mental and physical health and grant them permission to stay under hyperbaric conditions. The legal requirements for issuing a fitness to dive certificate are different for recreational and occupational divers. The part I of this article discusses the issues concerning medical assessment of fitness to dive for amateurs.
Collapse
Affiliation(s)
- Jarosław Krzyżak
- Polish Society of Hyperbaric Medicine and Technique, Gdynia, Poland
| | - Krzysztof Korzeniewski
- Department of Epidemiology and Tropical Medicine; Military Institute of Medicine, Warsaw, Poland. .,Department of Occupational, Metabolic and Internal Diseases, Institute of Maritime and Tropical Medicine, Medical University of Gdańsk, Poland.
| |
Collapse
|