International Journal of Circumpolar Health最新文献_第7页

Living with chronic obstructive pulmonary disease or type 2 diabetes in Greenland - a qualitative interpretive description study. 格陵兰慢性阻塞性肺病或 2 型糖尿病患者的生活--定性解释性描述研究。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2023-12-21 DOI: 10.1080/22423982.2023.2296706

Maja Hykkelbjerg Nielsen, Annesofie Lunde Jensen, Michael Lynge Pedersen, Lene Seibæk

{"title":"Living with chronic obstructive pulmonary disease or type 2 diabetes in Greenland - a qualitative interpretive description study.","authors":"Maja Hykkelbjerg Nielsen, Annesofie Lunde Jensen, Michael Lynge Pedersen, Lene Seibæk","doi":"10.1080/22423982.2023.2296706","DOIUrl":"10.1080/22423982.2023.2296706","url":null,"abstract":"Non-communicable diseases such as chronic obstructive pulmonary disease (COPD) and type 2 diabetes mellitus (T2D) represent major challenges for health systems all over the world. In an interview study, we explored patient experiences and perspectives of being diagnosed and living with COPD or T2D in Greenland. Participants (n = 24) were selected by purposeful sampling and recruited by phone. We conducted individual semi-structured interviews at the National Hospital in Nuuk and the four regional hospitals. Interviews were audio-recorded, transcribed verbatim, and analysed using interpretive description. Three themes emerged: shock and shame on receiving the diagnosis, coping with a changed life, and varying needs for care and communication. We found that being diagnosed with COPD or T2D required a rapid change in the participants' everyday lives and lifestyle behaviours. Some self-managed their disease well and were able to transfer their knowledge and integrate it into their daily lives, while others struggled to make lifestyle changes. Additionally, living with COPD or T2D could be related to silence and shame. The findings contribute to a better understanding of living with COPD or T2D in the Arctic region and the development of future, culturally-adapted patient education initiatives.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2296706"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10763871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138829611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The use of artificial intelligence to assess diabetic eye disease among the Greenlandic population. 利用人工智能评估格陵兰岛居民的糖尿病眼病。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-02-15 DOI: 10.1080/22423982.2024.2314802

Trine Jul Larsen, Maria Bråthen Pettersen, Helena Nygaard Jensen, Michael Lynge Pedersen, Henrik Lund-Andersen, Marit Eika Jørgensen, Stine Byberg

{"title":"The use of artificial intelligence to assess diabetic eye disease among the Greenlandic population.","authors":"Trine Jul Larsen, Maria Bråthen Pettersen, Helena Nygaard Jensen, Michael Lynge Pedersen, Henrik Lund-Andersen, Marit Eika Jørgensen, Stine Byberg","doi":"10.1080/22423982.2024.2314802","DOIUrl":"10.1080/22423982.2024.2314802","url":null,"abstract":"Background: Retina fundus images conducted in Greenland are telemedically assessed for diabetic retinopathy by ophthalmological nurses in Denmark. Applying an AI grading solution, in a Greenlandic setting, could potentially improve the efficiency and cost-effectiveness of DR screening.Method: We developed an AI model using retina fundus photos, performed on persons registered with diabetes in Greenland and Denmark, using Optos® ultra wide-field scanning laser ophthalmoscope, graded according to ICDR.Using the ResNet50 network we compared the model's ability to distinguish between different images of ICDR severity levels in a confusion matrix.Results: Comparing images with ICDR level 0 to images of ICDR level 4 resulted in an accuracy of 0.9655, AUC of 0.9905, sensitivity and specificity of 96.6%.Comparing ICDR levels 0,1,2 with ICDR levels 3,4, we achieved a performance with an accuracy of 0.8077, an AUC of 0.8728, a sensitivity of 84.6% and a specificity of 78.8%. For the other comparisons, we achieved a modest performance.Conclusion: We developed an AI model using Greenlandic data, to automatically detect DR on Optos retina fundus images. The sensitivity and specificity were too low for our model to be applied directly in a clinical setting, thus optimising the model should be prioritised.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2314802"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10877649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139740957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Repeated freezing to very low temperatures does not impact the amount ejected from EpiPen® and Jext® adrenaline autoinjectors. 反复低温冷冻不会影响 EpiPen® 和 Jext® 肾上腺素自动注射器的喷射量。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-06-14 DOI: 10.1080/22423982.2024.2367273

Felix N R Wood, Rosemary Hartley, Rebecca Boys, Timothy Parham, Jonathon Lowe, Matthew Warner

{"title":"Repeated freezing to very low temperatures does not impact the amount ejected from EpiPen® and Jext® adrenaline autoinjectors.","authors":"Felix N R Wood, Rosemary Hartley, Rebecca Boys, Timothy Parham, Jonathon Lowe, Matthew Warner","doi":"10.1080/22423982.2024.2367273","DOIUrl":"10.1080/22423982.2024.2367273","url":null,"abstract":"It has previously been shown that EpiPen® autoinjectors are likely to activate normally following up to five excursions to -25°C but data about the post-freezing performance of other brands of adrenaline autoinjectors has not previously been published. Additionally, conditions experienced by polar medics may be substantially colder than this and the performance of adrenaline autoinjectors following more extreme freeze-thaw cycles remains uncharacterised. Investigators in Antarctica and the United Kingdom performed laboratory testing on two brands of adrenaline autoinjector, EpiPen® and Jext® (12 devices of each type). A single freeze-thaw cycle involved freezing the device to -80°C then allowing it to come to room temperature. Devices were exposed to 0, 1, 5 or 15 freeze-thaw cycles. The mass of liquid ejected from each device, when activated, was then measured. No significant differences in the mass of the liquid ejected was found between the test groups. Multiple freeze-thaw cycles to -80°C are unlikely to significantly impact the amount of adrenaline solution expelled from EpiPen® and EpiPen® autoinjectors. This preliminary finding encourages further work investigating the safety and effectiveness of adrenaline autoinjectors after exposure to very low temperatures. This information would be valuable for future polar medics planning and delivering medical provision in extreme environments.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2367273"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11182065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141320897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preventing type 2 diabetes among Indigenous youth: A systematic review of community-based interventions. 在土著青年中预防 2 型糖尿病：基于社区的干预措施系统回顾。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-02-27 DOI: 10.1080/22423982.2024.2320449

Shelley Spurr, Meridith Burles, Shannon Hyslop, Jill Bally, Carol Bullin, Amanda Froehlich Chow, Helen Tootoosis, Sarah Oosman

{"title":"Preventing type 2 diabetes among Indigenous youth: A systematic review of community-based interventions.","authors":"Shelley Spurr, Meridith Burles, Shannon Hyslop, Jill Bally, Carol Bullin, Amanda Froehlich Chow, Helen Tootoosis, Sarah Oosman","doi":"10.1080/22423982.2024.2320449","DOIUrl":"10.1080/22423982.2024.2320449","url":null,"abstract":"A systematic review was conducted to assess evidence on effectiveness of community-based interventions promoting wellbeing and prevention of type 2 diabetes (T2D) among Indigenous youth. A convergent, segregated, mixed methods approach was used, with six databases and four grey literature sites searched from inception to May 2022. Articles selected for inclusion were about community-based interventions related to T2D prevention with Indigenous youth that evaluated effectiveness or youth experience published in English. Reference lists were also searched for relevant sources. Seven quantitative research articles met the inclusion and quality assessment criteria. No qualitative articles were identified. The results were synthesised through narrative analysis, while meta-analysis was not possible due to heterogenous study designs. Common foci across interventions included promoting physical wellness, improving physical activity and healthy eating patterns, enhancing knowledge, and psychosocial wellness. Interventions deemed effective addressed multiple areas, were school-based, and operated for at least a year. Findings support multi-strategy, community-based interventions implemented over longer periods of time. However, gaps in research and reporting included the extent to which interventions are culturally informed and based on community-driven priorities. Future research should include Indigenous, mixed and qualitative methods and Indigenous-driven measures of success to better understand effectiveness in alignment with Indigenous worldviews.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2320449"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139982927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Key recommendations and research priorities of the 2021 AMAP human health assessment. 2021 年 AMAP 人类健康评估的主要建议和研究重点。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-10-03 DOI: 10.1080/22423982.2024.2408057

Cheryl Khoury, Pál Weihe

引用次数: 0

Orientation affects the integrity of glass ampoules of 1 in 1000 adrenaline on exposure to very low temperatures. 在极低的温度下，方向会影响 1:1000 肾上腺素玻璃安瓿的完整性。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-01-30 DOI: 10.1080/22423982.2024.2309756

Felix N R Wood, Jason Hicks, Rhiannon Wilkinson, Rosemary Hartley, Jonathon Lowe

引用次数: 0

Hysteroscopy needs of indigenous communities in Northern Quebec: a retrospective cohort study. 魁北克北部原住民社区对宫腔镜检查的需求：一项回顾性队列研究。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-05-27 DOI: 10.1080/22423982.2024.2359162

Andrew Zakhari, Dong Bach Nguyen, Jessica Papillon Smith, Fady W Mansour, Srinivasan Krishnamurthy

{"title":"Hysteroscopy needs of indigenous communities in Northern Quebec: a retrospective cohort study.","authors":"Andrew Zakhari, Dong Bach Nguyen, Jessica Papillon Smith, Fady W Mansour, Srinivasan Krishnamurthy","doi":"10.1080/22423982.2024.2359162","DOIUrl":"10.1080/22423982.2024.2359162","url":null,"abstract":"We aimed to determine the surgical output for patients from Nunavik undergoing transfer to an urban centre for hysteroscopy, and associated costs. We performed a retrospective chart review of all patients from the 14 villages of Nunavik transferred for hysteroscopic surgery from 2016 to 2021. Diagnoses, surgical intervention, and nature of the procedure were all extracted from the patient charts, and costs/length of stay obtained from logisticians and administrators servicing the Nunavik region. Over a 5-year period, 22 patients were transferred from Nunavik for hysteroscopy, of which all were elective save one. The most common diagnosis was endometrial or cervical polyp and the most common procedure was diagnostic hysteroscopy. The average cost for patient transfer and lodging to undergo hysteroscopy in Montreal ranged from $6,000 to $15,000 CDN. On average, 4-5 patient transfers occur annually for hysteroscopy, most commonly for management of endometrial polyps, at a cost of $6,000 to $15,000 CDN, suggesting the need to investigate local capacity building in Nunavik and assess cost-effectiveness.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2359162"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Funding the pandemic response for Indigenous Peoples: an equity-based analysis of COVID-19 using a Health Equity Impact Assessment (HEIA) Indigenous lens tool. 为土著人民的大流行病应对措施提供资金：利用健康公平影响评估（HEIA）土著透镜工具对 COVID-19 进行基于公平的分析。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-06-12 DOI: 10.1080/22423982.2024.2361987

Sean A Hillier, Elias Chaccour, Hamza Al-Shammaa, Bernice Downey, Laura C Senese, Jill Tinmouth, Naana Afua Jumah

{"title":"Funding the pandemic response for Indigenous Peoples: an equity-based analysis of COVID-19 using a Health Equity Impact Assessment (HEIA) Indigenous lens tool.","authors":"Sean A Hillier, Elias Chaccour, Hamza Al-Shammaa, Bernice Downey, Laura C Senese, Jill Tinmouth, Naana Afua Jumah","doi":"10.1080/22423982.2024.2361987","DOIUrl":"10.1080/22423982.2024.2361987","url":null,"abstract":"This study examines the allocation of COVID-19 funding for Indigenous Peoples in Canada, Australia, New Zealand, and the United States during the pandemic's first wave. Indigenous communities, already facing health disparities, systemic discrimination, and historical forces of colonisation, found themselves further vulnerable to the virus. Analysing the funding policies of these countries, we employed a Health Equity Impact Assessment (HEIA) tool and an Indigenous Lens Tool supplement to evaluate potential impacts. Our results identify three major funding equity issues: unique health and service needs, socioeconomic disparities, and limited access to community and culturally safe health services. Despite efforts for equitable funding, a lack of meaningful consultation led to shortcomings, as seen in Canada's state of emergency declaration and legal disputes in the United States. New Zealand stood out for integrating Māori perspectives, showcasing the importance of consultation. The study calls for a reconciliation-minded path, aligning with Truth and Reconciliation principles, the UN Declaration on the Rights of Indigenous Peoples, and evolving government support. The paper concludes that co-creating equitable funding policies grounded in Indigenous knowledge requires partnership, meaningful consultation, and organisational cultural humility. Even in emergencies, these measures ensure responsiveness and respect for Indigenous self-determination.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2361987"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11172235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141310712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Methodologies and challenges in Arctic human health risk assessment: case studies and evaluation of current practices. 北极人类健康风险评估的方法和挑战：案例研究和现行做法评估。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-11-19 DOI: 10.1080/22423982.2024.2428471

Khaled Abass, Alexey A Dudarev, Bryan Adlard, Zoe Gillespie, Arja Rautio, Luke Nych, Cheryl Khoury

引用次数: 0

Grateful to be working together to advance Arctic health and well-being. 很高兴能共同努力促进北极的健康和福祉。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-11-29 DOI: 10.1080/22423982.2024.2435224

Rhonda M Johnson

引用次数: 0