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The influence of methylphenidate on auditory brainstem response patients with attention deficit hyperactivity disorder; an exploratory study. 哌甲酯对注意缺陷多动障碍患者听性脑干反应的影响;探索性研究。
IF 2.3
Journal of Public Health Research Pub Date : 2023-10-11 eCollection Date: 2023-10-01 DOI: 10.1177/22799036231204319
Emma Claesdotter-Knutsson, Johan Källstrand, Katalin Niklasson, Mitchell Andersson, Magnus Lindvall
{"title":"The influence of methylphenidate on auditory brainstem response patients with attention deficit hyperactivity disorder; an exploratory study.","authors":"Emma Claesdotter-Knutsson,&nbsp;Johan Källstrand,&nbsp;Katalin Niklasson,&nbsp;Mitchell Andersson,&nbsp;Magnus Lindvall","doi":"10.1177/22799036231204319","DOIUrl":"10.1177/22799036231204319","url":null,"abstract":"<p><strong>Background: </strong>Attention-deficit hyperactivity disorder (ADHD), characterized by periods of inattention, overactivity, and impulsiveness, is the most prevalent neurodevelopmental disorder among children. Auditory Brainstem Response (ABR) is a technique in which clickshaped sounds elicit potentials that are recorded from electrodes placed on a patient's skull. Extant research indicates that ABR is frequently affected in neurodevelopmental disorders such as ADHD. Methylphenidate (MPH), a psychostimulant, is often prescribed to children with ADHD as a first-line pharmacological treatment. The aim of this study was to explore the effects of Methylphenidate treatment on previously observed amplitude alterations in the ABR of patients with ADHD.</p><p><strong>Methods: </strong>We recruited 32 drug-naïve children and adolescents (19 males and 13 females; mean age 11 years) diagnosed with ADHD and 35 health controls (15 males and 20 females; mean age 12 years). The ADHD group was treated with Methylphenidate, and ABR was recorded before treatment and at a steady state of medical treatment.</p><p><strong>Results: </strong>Medicated ADHD patients exhibited increased activity in the right side ABR in Wave VI.</p><p><strong>Conclusions: </strong>A significant increase in activity was found in a part of the ABR thought to correspond to the thalamic area in medicated ADHD patients compared to the same area of non-medicated ADHD patients. The results add to the growing body of research suggesting that specific ABR peaks correlate to certain psychiatric symptoms.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10568990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239756","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}
引用次数: 0
Knowledge and practice of nurses regarding the care of patients with head trauma in intensive care units in the West Bank. 约旦河西岸重症监护室护士对头部创伤患者护理的知识和实践。
IF 2.3
Journal of Public Health Research Pub Date : 2023-10-11 eCollection Date: 2023-10-01 DOI: 10.1177/22799036231204336
Wa'el Shehade, Ahmad Ayed, Lobna Harazneh
{"title":"Knowledge and practice of nurses regarding the care of patients with head trauma in intensive care units in the West Bank.","authors":"Wa'el Shehade,&nbsp;Ahmad Ayed,&nbsp;Lobna Harazneh","doi":"10.1177/22799036231204336","DOIUrl":"10.1177/22799036231204336","url":null,"abstract":"<p><strong>Background: </strong>Nurses in the intensive care unit are responsible for the continuous assessment and management of physiological parameters associated with head trauma. Nurses have a vital and significant role in the care of patients suffering from moderate-to-severe head trauma, both during acute and non-acute care.The purpose of this study was to investigate the Knowledge and Practice of nurses regarding the care of patients with head trauma in an intensive care unit.</p><p><strong>Design and methods: </strong>The study was designed as a cross-sectional study. The study recruited 165 nurses who work at intensive care unit (ICU) nurses in Palestinian hospitals. The data collected by a self-administered questionnaire developed by the researcher.</p><p><strong>Results: </strong>Among the 165 intensive nurses, the study findings revealed the majority of nurses 99 (60.0%) have low level knowledge regarding Care of Patients with a head trauma, and showed that most of the nurses 115 (69.7%) have poor level practice regarding Care of Patients with a head trauma.</p><p><strong>Conclusions: </strong>According to the results of the current study, approximately two-thirds of the studied nurses had unsatisfactory knowledge level regarding head trauma care. More than two-thirds of the studied nurses had poor level practice regarding head trauma care. Also, the study confirmed no statistical significant relation between knowledge and demographic characteristics. There was significant differences between total practice scores and both experience in general and experience in ICU.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7b/42/10.1177_22799036231204336.PMC10568987.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239755","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}
引用次数: 0
Food access narratives as told by consumers and retailers engaging in a COVID-19-stricken urban food system: A brief report. 参与以新冠肺炎为中心的城市食品系统的消费者和零售商讲述的食品获取故事:一份简短报告。
IF 2.3
Journal of Public Health Research Pub Date : 2023-10-09 eCollection Date: 2023-10-01 DOI: 10.1177/22799036231204355
Emma C Lewis, Penny Pei, Joel Gittelsohn
{"title":"Food access narratives as told by consumers and retailers engaging in a COVID-19-stricken urban food system: A brief report.","authors":"Emma C Lewis, Penny Pei, Joel Gittelsohn","doi":"10.1177/22799036231204355","DOIUrl":"10.1177/22799036231204355","url":null,"abstract":"<p><p>Small food retail (\"corner\") stores in many underserved urban settings face challenges to stocking healthy, affordable foods. The food supply chain is considered one of the most important sectors of the economy and has suffered recent negative impacts due to the Coronavirus disease 2019 (COVID-19) pandemic, from farm to consumer. As part of the larger Baltimore Urban food Distribution (BUD) Study, we examine corner store owner and consumer perceptions of the impact of COVID-19 on navigating an urban food environment using a brief, reflective, semi-structured oral interview framed as \"storytelling.\" Open-ended responses are documented, transcribed, and analyzed for key themes. Presently, we discuss initial key findings in hopes of helping to ensure sufficient value added for corner store owners and consumers who will interact with the BUD mobile application as part of a full-scale trial being implemented in Baltimore, Maryland.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1c/0b/10.1177_22799036231204355.PMC10563484.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215683","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}
引用次数: 0
Contraceptive use among people with disabilities in sub-Sahara Africa: A systematic review and meta-analysis. 撒哈拉以南非洲残疾人使用避孕药具的情况:一项系统综述和荟萃分析。
IF 2.3
Journal of Public Health Research Pub Date : 2023-10-08 eCollection Date: 2023-10-01 DOI: 10.1177/22799036231204330
Zelalem Tenaw, Taye Gari, Zebenay Workneh Bitew, Achamyelesh Gebretsadik
{"title":"Contraceptive use among people with disabilities in sub-Sahara Africa: A systematic review and meta-analysis.","authors":"Zelalem Tenaw,&nbsp;Taye Gari,&nbsp;Zebenay Workneh Bitew,&nbsp;Achamyelesh Gebretsadik","doi":"10.1177/22799036231204330","DOIUrl":"10.1177/22799036231204330","url":null,"abstract":"<p><p>In sub-Saharan Africa, there are different studies on contraceptive use and associated factors among people with disabilities. However, the findings are inconsistent and inconclusive. This study aimed to estimate the pooled prevalence of contraceptive use and associated factors among women with disabilities in sub-Saharan Africa. Comprehensive search was performed from different databases. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis guideline was followed to report the results. The data were analyzed by using STATA software. Heterogeneity and publication bias was checked. The pooled odds ratio (POR) with a 95% confidence interval (CI) was used to report the measures of associations. The pooled prevalence of contraceptive use was 25.61% (95% CI: 20.68, 30.54). Being married (POR = 2.96; 95% CI: 1.31, 4.62), high income (POR = 2.20; 95% CI: 1.42, 2.97), having media access (POR = 1.74; 95% CI: 1.24, 2.23), being in the age group of 25-34 (POR = 2.52; 95% CI: 1.01, 3.94), vision impairment (POR = 3.82; 95% CI: 2.05, 5.59), good contraceptive knowledge (POR = 2.09; 95% CI: 1.27, 2.91), primary education (POR = 1.82; 95% CI: 1.25, 2.39), secondary education (POR = 2.31; 95% CI: 1.03, 3.59) and tertiary educational status (POR = 3.37; 95% CI: 1.28, 5.46) were factors associated with contraceptive use. Contraceptive use among women with disabilities is considerably low in sub-Saharan Africa. The use of contraceptives is primarily dependent on socio-demographic and economic status.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cd/d0/10.1177_22799036231204330.PMC10563474.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215682","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}
引用次数: 0
The epidemiology and clinical features of pediatric acute pancreatitis in north of Guizhou, China. 黔北地区儿童急性胰腺炎的流行病学及临床特点。
IF 2.3
Journal of Public Health Research Pub Date : 2023-10-08 eCollection Date: 2023-10-01 DOI: 10.1177/22799036231204322
Shixing Bo, Jingyan Gao, Yanna Zhou, Chaohui Wang, Wenmei Liang, Xiaoyun Fu
{"title":"The epidemiology and clinical features of pediatric acute pancreatitis in north of Guizhou, China.","authors":"Shixing Bo,&nbsp;Jingyan Gao,&nbsp;Yanna Zhou,&nbsp;Chaohui Wang,&nbsp;Wenmei Liang,&nbsp;Xiaoyun Fu","doi":"10.1177/22799036231204322","DOIUrl":"10.1177/22799036231204322","url":null,"abstract":"<p><strong>Background: </strong>The epidemiological data on distribution of pediatric acute pancreatitis was deficiency. And the purpose of this research was to investigate the epidemiology and clinical features of pediatric acute pancreatitis in the population in north of Guizhou, China.</p><p><strong>Design and methods: </strong>A retrospective case analysis was conducted to accomplish the aim. Patients who were under 18 years old with acute pancreatitis were recruited. Data were collected directly from Hospital Information System (HIS) after patients were discharged from the hospital.</p><p><strong>Results: </strong>A total of 95 children aged from 3 to 17 years were collected, 49 patients were boys and 46 were girls. In addition, the percentage of acute pancreatitis occurring in girls aged 15-17 years was significantly higher than that of boys (54.3% vs 36.7%). Meanwhile, the percentage of severe patients over 12 years exceeded 90.0%. Moreover, the proportion of severe acute pancreatitis in girls was significantly higher than that in boys (26.1% vs 10.2%), and 64.7% of severe patients were from 12 to 14. What's more, more patients occurred in May, June, and December and on weekends, 47.1% (8/17) severe cases occurred in May, June, and July, and 47.1% (8/17) severe patients occurred on weekend. The length of hospitalization and hospitalization costs of severe patients were found higher compared to mild patients.</p><p><strong>Conclusions: </strong>Higher risk of pediatric acute pancreatitis, especially severe acute pancreatitis, in north of Guizhou, China occurred on weekend, during May and June, and among children aged 12-17 years, especially girls. Additionally, severe acute pancreatitis was associated with higher hospitalization costs and longer hospitalization length.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/26/29/10.1177_22799036231204322.PMC10563480.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215686","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}
引用次数: 0
Association between fluoride exposure and blood pressure. 氟化物暴露与血压之间的关系。
IF 1.6
Journal of Public Health Research Pub Date : 2023-10-08 eCollection Date: 2023-10-01 DOI: 10.1177/22799036231204323
Man Hung, Amir Mohajeri, Teresa Vu, Hyma Moparthi, Martin S Lipsky
{"title":"Association between fluoride exposure and blood pressure.","authors":"Man Hung, Amir Mohajeri, Teresa Vu, Hyma Moparthi, Martin S Lipsky","doi":"10.1177/22799036231204323","DOIUrl":"10.1177/22799036231204323","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated whether fluoride was associated with an increased prevalence of high blood pressure (BP) among adolescents in the United States.</p><p><strong>Methods: </strong>The study sample consisted of 2015-2016 National Health and Nutrition Examination Survey participants aged 13-17 years. Independent-samples <i>t-</i>tests, Chi-square tests, and regression models were used to analyze the data.</p><p><strong>Results: </strong>A total of 814 participants met the study criteria. The findings showed that the proportion of patients with high levels of water or plasma fluoride in the high BP group was higher than that in the normal BP group. However, after adjusting for sociodemographic covariates, neither water nor plasma fluoride levels were significantly associated with a high BP.</p><p><strong>Conclusions: </strong>This study did not find an association between either water or plasma fluoride levels and high BP. Further study is needed to exclude a dose dependent effect at higher levels of fluoride.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8e/28/10.1177_22799036231204323.PMC10563487.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215681","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}
引用次数: 0
Occupational exposure to silicon dioxide and prevalence of chronic respiratory symptoms in the cement manufacturing industries: A review. 水泥制造业中二氧化硅的职业暴露与慢性呼吸道症状的流行:一项综述。
IF 2.3
Journal of Public Health Research Pub Date : 2023-10-08 eCollection Date: 2023-10-01 DOI: 10.1177/22799036231204316
Phoka C Rathebe
{"title":"Occupational exposure to silicon dioxide and prevalence of chronic respiratory symptoms in the cement manufacturing industries: A review.","authors":"Phoka C Rathebe","doi":"10.1177/22799036231204316","DOIUrl":"10.1177/22799036231204316","url":null,"abstract":"<p><p>The aim of this review was to assess the association between occupational exposure to silicon dioxide and chronic respiratory symptoms among workers in the cement manufacturing industries. Approximately 60 articles published from 2010 to 2021 were found and four independent reviewers extracted the data from each eligible study using PubMed, Google scholar etc. The following terms were used: exposure to cement dust, exposure to silicon dioxide etc. Inclusion and exclusion criteria were considered while searching for the studies. In this review, a total of 14 articles were included in this study. Chronic cough was the most prevalence exposure symptoms (OR 1.90; CI 9.90, 0.78), with wheezing reported to be the least experienced symptom (OR 1.34; CI 11.5, 0.50). Two studies reported exposure concentration ranging from 0.026 to 0.044 mg/m<sup>3</sup>, and 0.27 mg/m<sup>3</sup> was also reported in one study. The FEV1 and FVC was lower in exposed workers when compared to the control group. Studies reported the crystalline silica quartz to be 21.5% in limestone, 22.5% in bauxite, 21.22% in clinker, and 21.22% in raw cement. Chronic cough, phlegm, wheezing, and shortness of breath or dyspnea was found to be significantly prevalence among workers, particularly cleaning personnel, in the cement manufacturing industries.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2a/0a/10.1177_22799036231204316.PMC10563475.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215685","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}
引用次数: 0
Impact of stroke on people that receive rehabilitation and are living in Ankara, Turkey. 中风对土耳其安卡拉接受康复治疗和生活的人的影响。
IF 2.3
Journal of Public Health Research Pub Date : 2023-10-08 eCollection Date: 2023-10-01 DOI: 10.1177/22799036231204321
Orkun Tahir Aran, Barkın Köse, Gunilla Erikson, Susanne Guidetti
{"title":"Impact of stroke on people that receive rehabilitation and are living in Ankara, Turkey.","authors":"Orkun Tahir Aran,&nbsp;Barkın Köse,&nbsp;Gunilla Erikson,&nbsp;Susanne Guidetti","doi":"10.1177/22799036231204321","DOIUrl":"10.1177/22799036231204321","url":null,"abstract":"<p><strong>Background: </strong>Clinical guidelines for stroke rehabilitation and practices vary between high and low/middle-income countries (LMICs). Knowledge of the perceived impact of stroke in Turkey is limited. Understanding these perceptions can serve as a basis for developing rehabilitation.</p><p><strong>Design and methods: </strong>The aim was to investigate and compare the perceived impact of stroke in two groups of people living in Ankara. A cross-sectional study with 150 participants divided by stroke onset (Group I: stroke onset <12 months; Group II: >12 months) was conducted. The Barthel Index was used to describe the level of independence in daily living activities and stroke severity. The Stroke Impact Scale (SIS 3.0) was used to investigate the perceived impact of stroke.</p><p><strong>Results: </strong>The proportion of mild strokes was 78 and 82%, respectively, and 46% of participants in the total sample were moderately dependent. The impact of stroke was high; mean domain scores were below 50 in six of the eight SIS domains.</p><p><strong>Conclusions: </strong>Turkish stroke survivors perceived a higher impact of stroke regardless of the time passed since stroke onset, compared to survivors from other countries, including other LMICs. The high impact among survivors with mostly mild stroke indicates that Turkish survivors might not receive adequate rehabilitation. The content of rehabilitation services needs to be developed, and an evaluation of individually tailored interventions, preferably with a multidisciplinary approach, is warranted to find ways to decrease the perceived impact of stroke among Turkish stroke survivors.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10563490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215684","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}
引用次数: 0
Development of pregnancy class with husband's assistance on the outcome of teenage pregnancy. 在丈夫的协助下,就青少年怀孕的结果开设怀孕课程。
IF 2.3
Journal of Public Health Research Pub Date : 2023-09-21 eCollection Date: 2023-07-01 DOI: 10.1177/22799036231197195
Riyanti, Lutfi Agus Salim, Marselinus Heriteluna, Legawati
{"title":"Development of pregnancy class with husband's assistance on the outcome of teenage pregnancy.","authors":"Riyanti,&nbsp;Lutfi Agus Salim,&nbsp;Marselinus Heriteluna,&nbsp;Legawati","doi":"10.1177/22799036231197195","DOIUrl":"https://doi.org/10.1177/22799036231197195","url":null,"abstract":"<p><strong>Background: </strong>Teenage pregnancy is an international phenomenon without a definite solution to date. Globally, an estimated 16 million girls aged 15-19 give birth each year. Husbands need to play their assistance role in order to thwart the negative impact of the outcome of teenage pregnancy.</p><p><strong>Research objective: </strong>To identify the effect of the development of Pregnancy Classes with the Husband's Assistance on the Outcome of Teenage Pregnancy in the Dayak community, Central Kalimantan.</p><p><strong>Research methods: </strong>This was a quasi-experimental study with the posttest-only non-equivalent control group design involving the husband's assistance in pregnancy classes. The respondents were 60 individuals where 30 of them were given the pregnancy class assistance intervention while the other 30 were not given any intervention (control group).</p><p><strong>Results and discussion: </strong>Pregnancy class with Assistance by the husband increases positive pregnancy outcomes 2.4 times compared to without the husband's assistance. Family support increases positive pregnancy outcomes 2.5 times compared to pregnant women without support from the family. Pregnant women that are highly motivated regarding antenatal care are likely to have positive pregnancy outcomes 5.4 times greater than pregnant women with low motivation. Based on the analysis, then the variables that have no effect are the history of antenatal care, frequency of antenatal care, and support from health workers.</p><p><strong>Conclusions: </strong>Pregnancy class with husband's assistance affects positive outcomes of teenage pregnancy. Other factors with meaningful influence on pregnancy outcomes include family support and motivation to seek teenage antenatal care. Furthermore, other factors that have no influence include the teenager's age, history of antenatal care, frequency of antenatal care, and support from health workers. An intervention is needed that involves the husband/partner in the form of active assistance.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/9c/10.1177_22799036231197195.PMC10515537.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41173729","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}
引用次数: 0
A mixed methods evaluation of a differentiated care model piloted for TB care in south India. 对印度南部结核病护理差异化护理模式的混合方法评估。
IF 2.3
Journal of Public Health Research Pub Date : 2023-09-20 eCollection Date: 2023-07-01 DOI: 10.1177/22799036231197176
Reynold Washington, Satyanarayana Ramanaik, Karthikeyan Kumarasamy, Prarthana B Sreenivasa, Rajesham Adepu, Ramesh Chandra Reddy, Amar Shah, Reuben Swamickan, Bala Krishna Maryala, Aparna Mukherjee, Ashwini Pujar, Vikas Panibatla, Mohan Harnahalli Lakkappa, Rajaram Subramanian Potty
{"title":"A mixed methods evaluation of a differentiated care model piloted for TB care in south India.","authors":"Reynold Washington,&nbsp;Satyanarayana Ramanaik,&nbsp;Karthikeyan Kumarasamy,&nbsp;Prarthana B Sreenivasa,&nbsp;Rajesham Adepu,&nbsp;Ramesh Chandra Reddy,&nbsp;Amar Shah,&nbsp;Reuben Swamickan,&nbsp;Bala Krishna Maryala,&nbsp;Aparna Mukherjee,&nbsp;Ashwini Pujar,&nbsp;Vikas Panibatla,&nbsp;Mohan Harnahalli Lakkappa,&nbsp;Rajaram Subramanian Potty","doi":"10.1177/22799036231197176","DOIUrl":"https://doi.org/10.1177/22799036231197176","url":null,"abstract":"<p><strong>Background: </strong>India's National TB Elimination Program emphasizes patient-centered care to improve TB treatment outcomes. We describe the lessons learned from the implementation of a differentiated care model for TB care among individuals diagnosed with active TB.</p><p><strong>Design and methods: </strong>Used mixed methods to pilot the Differentiated Care Model. Community health workers (CHWs) conducted a risk and needs assessment among individuals who were recently began TB treatment. Individuals identified with specific factors that are associated with poor treatment adherence were provided education, counseling, and linked to treatment and support services. Examined changes in TB treatment outcomes between the two cohorts of individuals on TB treatment before and after the intervention. We used qualitative research methods to explore the experiences of patients, family members, and front-line TB workers with the implementation of the DCM pilot.</p><p><strong>Results: </strong>The CHWs were adept at the identification of individuals with risks to non-adherence. However, only a few provided differentiated care, as envisioned. There was no significant change in the TB treatment outcomes between the two cohorts of patients examined. CHWs' ability to provide differentiated care on a scale was limited by the short duration of implementation, their inadequate skills to manage co-morbidities, and the suboptimal support at the field level.</p><p><strong>Conclusions: </strong>It is feasible for a cadre of well-trained front-line workers, mentored and supported by counselors and doctors, to provide differentiated care to those at risk for unfavorable TB treatment outcomes. However, differentiated care must be implemented on a scale for a duration that allows a change from the conventional practice of front-line workers, in order to influence the outcomes of population-level TB treatment.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d5/68/10.1177_22799036231197176.PMC10515523.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154655","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}
引用次数: 0
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