Lancet Regional Health-Americas最新文献

{"title":"Mental health impacts of air disasters: a call for a coordinated response to Brazil’s christmas tragedy","authors":"Felipe Ornell , Juliana Nichterwitz Scherer , Daniel Prates-Baldez , Simone Hauck , Flavio Kapczinski","doi":"10.1016/j.lana.2025.101016","DOIUrl":"10.1016/j.lana.2025.101016","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"43 ","pages":"Article 101016"},"PeriodicalIF":7.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time series forecasting of Valley fever infection in Maricopa County, AZ using LSTM","authors":"Xueting Jin ,&nbsp;Fangwu Wei ,&nbsp;Srinivasa Srivatsav Kandala ,&nbsp;Tejas Umesh ,&nbsp;Kayleigh Steele ,&nbsp;John N. Galgiani ,&nbsp;Manfred D. Laubichler","doi":"10.1016/j.lana.2025.101010","DOIUrl":"10.1016/j.lana.2025.101010","url":null,"abstract":"<div><h3>Background</h3><div>Coccidioidomycosis (CM), also known as Valley fever, is a respiratory infection. Recently, the number of confirmed cases of CM has been increasing. Precisely defining the influential factors and forecasting future infection can assist in public health messaging and treatment decisions.</div></div><div><h3>Methods</h3><div>We utilized Long Short-Term Memory (LSTM) networks to forecast CM cases, based on the daily pneumonia cases in Maricopa County, Arizona from 2020 to 2022. Besides weather and climate variables, we examined the impact of people's lifestyle change during COVID-19. Factors, including temperature, precipitation, wind speed, PM₁₀ and PM_2.5 concentration, drought, and stringency index, were included in LSTM networks, considering their association with CM prevalence, time-lag effect, and correlation with other factors.</div></div><div><h3>Findings</h3><div>LSTM can predict CM prevalence with accurate trend and low mean squared error (MSE). We also found a tradeoff between the length of the forecasting period and the performance of the forecasting model. The models with longer forecasting periods have less accurate trends over time and higher MSEs. Two models with different lengths of forecasting periods, 10 days and 30 days, are identified with good prediction.</div></div><div><h3>Interpretation</h3><div>LSTM algorithms, combined with traditional statistical methods, could help with the forecasting of CM cases. By predicting the CM prevalence, our results can inform researchers, epidemiologists, clinicians, and the public in order to assist public health.</div></div><div><h3>Funding</h3><div>“Getting to the Source of Arizona's Valley Fever Problem: A Tri-University Collaboration to Map and Characterize the Pathogen Where It Grows” funded by the <span>Arizona Board of Regents</span>.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"43 ","pages":"Article 101010"},"PeriodicalIF":7.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-care interventions for legal and safe abortions: lessons learned from a woman-centered approach to sexual and reproductive healthcare in Uruguay","authors":"Cecilia Stapff ,&nbsp;Lucía Gómez Garbero ,&nbsp;Rodolfo Gómez Ponce de León ,&nbsp;Leonel Briozzo ,&nbsp;Antonella Lavelanet ,&nbsp;Manjulaa Narasimhan","doi":"10.1016/j.lana.2024.100981","DOIUrl":"10.1016/j.lana.2024.100981","url":null,"abstract":"<div><h3>Problem</h3><div>In the 1990s, almost 40% of maternal deaths in Uruguay were caused by unsafe abortions.</div></div><div><h3>Approach</h3><div>A harm reduction model implemented in Uruguay, which addressed the risks associated with unsafe abortion practices by promoting and supporting the self-management of medical abortions by women in their homes, encouraged women’s autonomy.</div></div><div><h3>Local setting</h3><div>Since 2005, an accelerated decrease in maternal mortality has been recorded in Uruguay, coinciding with the implementation of two major actions: a harm reduction approach with active promotion of self-care through self-management of medical abortions; and in 2012, a change in legislation, which made abortion legal within sexual and reproductive health facilities when requested by women up to 12 weeks of pregnancy or later for specific indications.</div></div><div><h3>Relevant changes</h3><div>This example demonstrates that progress in public policies is possible through the combined efforts of civil society, healthcare professionals and policy makers. The initiative expanded the entry points to the healthcare system while strengthening women’s autonomy.</div></div><div><h3>Lessons learned</h3><div>Increased access to self-care interventions for SRH contributed to advancing achievement of universal health coverage and the highest, most attainable standards of health.</div></div><div><h3>Funding</h3><div>The authors have no financial relationships relevant to this article to disclose.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 100981"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Trump again preparing a pathway for disease spread?","authors":"Christopher David Simms","doi":"10.1016/j.lana.2025.100993","DOIUrl":"10.1016/j.lana.2025.100993","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 100993"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Children are family members too: can we continue to keep the door closed for them?","authors":"Bruna Brandao Barreto ,&nbsp;Mariana Luz ,&nbsp;Dimitri Gusmao-Flores","doi":"10.1016/j.lana.2024.100970","DOIUrl":"10.1016/j.lana.2024.100970","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 100970"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11718334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decarceration and COVID-19 infections in U.S. Immigration and Customs Enforcement detention facilities: a simulation modeling study","authors":"Christopher Weyant ,&nbsp;Jaimie P. Meyer ,&nbsp;Daniel Bromberg ,&nbsp;Chris Beyrer ,&nbsp;Frederick L. Altice ,&nbsp;Jeremy D. Goldhaber-Fiebert","doi":"10.1016/j.lana.2024.100971","DOIUrl":"10.1016/j.lana.2024.100971","url":null,"abstract":"<div><h3>Background</h3><div>U.S. Immigration and Customs Enforcement (ICE) facilities had high rates of COVID-19 infections and mortality during the global pandemic. We sought to quantify how many COVID-19 infections could have been averted through different decarceration strategies.</div></div><div><h3>Methods</h3><div>We developed a set of stochastic simulation models of SARS-CoV-2 transmission in ICE facilities. Employing incremental mixture importance sampling (IMIS), we calibrated them to empirical targets derived from publicly available case time series for ICE facilities, and publicly available facility population censuses prior to vaccine availability (May 6, 2020 to December 31, 2020). The models included infection importation from extra-facility sources. We evaluated reduction of the incarcerated population by 10–90%. People who were decarcerated faced background cumulative risks of infection and detection based on a weighted average of county-level estimates from the covidestim model, which is a Bayesian evidence synthesis model.</div></div><div><h3>Findings</h3><div>Without decarceration, the infection rate was 5.05 per 1000 person-days (95% CrI 3.40–6.81) and case rate was 1.53 per 1000 person-days (95% CrI 1.04–2.02). Rates declined linearly when decarceration did not reduce contacts of people remaining in facilities and faster than linearly when it did reduce contacts. At all decarceration levels, rates were substantially higher when contacts were not reduced. Even with 90% decarceration, infection rates for people remaining in facilities were higher than or comparable to otherwise similar free-living people.</div></div><div><h3>Interpretation</h3><div>The decline in COVID-19 infection rates with decarceration was linear or faster than linear depending on how decarceration was implemented. Our findings highlight infection risks associated with incarceration, which compound other health harms of incarceration.</div></div><div><h3>Funding</h3><div><span>Stanford’s COVID-19 Emergency Response Fund</span>; the <span>National Institute on Drug Abuse</span>; and the <span>National Institute of Mental Health</span>.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 100971"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging the gap of cardiovascular disease burden in the Americas: a call for action","authors":"Daniel Diaz ,&nbsp;Diana Z. Velazquez-Valdez ,&nbsp;Pavel E. Hernandez-Carreño ,&nbsp;Saul A. Beltran-Ontiveros ,&nbsp;Edgar L. Gonzalez-Gonzalez ,&nbsp;Lina S. Palacio-Mejia","doi":"10.1016/j.lana.2025.101023","DOIUrl":"10.1016/j.lana.2025.101023","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 101023"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Venous thromboembolism (VTE) prevention program implementation in a community oncology practice: author response to Yang et al","authors":"Steven Ades,&nbsp;Chris Holmes","doi":"10.1016/j.lana.2024.100980","DOIUrl":"10.1016/j.lana.2024.100980","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 100980"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Los Angeles County in flames: responsibilities on fire","authors":"Orison O. Woolcott","doi":"10.1016/j.lana.2025.101005","DOIUrl":"10.1016/j.lana.2025.101005","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 101005"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The complex landscape of abortion law and public health in Brazil","authors":"Felipe Ornell ,&nbsp;Anne Orgler Sordi ,&nbsp;Bárbara Sordi Stock ,&nbsp;Juliana Nichterwitz Scherer ,&nbsp;Joana Corrêa de Magalhães Narvaez","doi":"10.1016/j.lana.2024.100987","DOIUrl":"10.1016/j.lana.2024.100987","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 100987"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11751558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}