Clinical Epidemiology and Global Health最新文献

{"title":"From dysbiosis to disease: Tracing gut microbiota's role in neonatal sepsis","authors":"","doi":"10.1016/j.cegh.2024.101809","DOIUrl":"10.1016/j.cegh.2024.101809","url":null,"abstract":"<div><h3>Introduction</h3><div>Neonatal sepsis remains a critical health issue, contributing significantly to morbidity and mortality among preterm infants. Dysbiosis, an imbalance in gut microbiota, is increasingly recognized as a key factor influencing the susceptibility to sepsis. This study aims to elucidate these associations by tracing gut microbiota development in preterm neonates.</div></div><div><h3>Method</h3><div>ology: A prospective cohort study was conducted at a tertiary care hospital in Karnataka, India, involving 182 preterm neonates (gestational age &lt;37 weeks, birth weight &lt;1500 g) from January 2021 to September 2023. Two cohorts were defined: Cohort 1 (Healthy neonates) and Cohort 2 (Neonates with sepsis). Stool samples were collected on day 4 and day 14 for microbiological analysis. Conventional culture techniques were used to identify bacterial isolates.</div></div><div><h3>Results</h3><div>The study included 182 neonates, equally divided between two cohorts. On Day 4, Cohort 1 had 45 % <em>E. coli</em> and 44 % <em>Klebsiella pneumoniae</em>, which decreased to 40.7 % and 40.7 % by Day 14, respectively. Conversely, <em>Bifidobacterium</em> spp. increased from 30.8 % to 52.7 %. Cohort 2 exhibited higher persistence of pathogenic bacteria, with <em>Klebsiella pneumoniae</em> increasing from 70.3 % to 74.7 % and <em>E. coli</em> from 38.5 % to 51.6 %. Mode of delivery significantly influenced gut flora, with NVD linked to higher beneficial bacteria prevalence (<em>Enterococcus faecalis</em> and <em>Bifidobacterium</em> spp.).</div></div><div><h3>Conclusion</h3><div>The study highlights significant differences in gut microbial patterns between healthy and sepsis neonates, emphasizing the role of initial gut colonization in neonatal health outcomes. Factors such as delivery mode and prenatal antibiotic exposure significantly impact gut microbiota composition, influencing infection susceptibility.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142421780","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":"Adherence to antiretroviral therapy among HIV patients at a hospital in Tacna, Peru","authors":"","doi":"10.1016/j.cegh.2024.101803","DOIUrl":"10.1016/j.cegh.2024.101803","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to provide an overview of antiretroviral therapy adherence and its related factors within a hospital in southern Peru.</div></div><div><h3>Materials and methods</h3><div>We conducted an analytical cross-sectional study spanning from April to October 2022. This study involved a review of medical records and the administration of a survey to individuals living with Human Immunodeficiency Virus. Adherence to antiretroviral treatment was assessed using the CEAT-HIV (Questionnaire for the Evaluation of Antiretroviral Treatment Adherence), and was categorized as high, adequate, insufficient, or low. The statistical analysis included the calculation of crude and adjusted prevalence ratios (PRs).</div></div><div><h3>Results</h3><div>Our study comprised 300 participants, with a median age of 30 years, predominantly male (78.3 %). Among these individuals, 83 % exhibited low or insufficient adherence to antiretroviral treatment according to the CEAT-VIH scale. Notably, patients with a viral load &gt;50,000 copies/ml scored higher on the CEAT-VIH scale than those with a viral load &lt;400 (adjusted PR: 2.78, 95 % CI: 1.21 to 6.40). Furthermore, a higher level of education and a viral load below 400 copies/ml were associated to higher scores in the treatment compliance dimension of the CEAT-VIH scale.</div></div><div><h3>Conclusion</h3><div>Eight out of ten evaluated patients exhibited low or insufficient adherence. While lower adherence was correlated with lower education, the connection between viral load and adherence remains inconclusive.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142421840","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":"Childhood cerebral malaria: Pattern of biochemical parameters and clinical outcome in a Nigerian tertiary hospital","authors":"","doi":"10.1016/j.cegh.2024.101786","DOIUrl":"10.1016/j.cegh.2024.101786","url":null,"abstract":"<div><h3>Background</h3><div>The outcome of children with cerebral malaria involves an interplay of factors including clinical and biochemical parameters, a deep knowledge of these laboratory biochemical parameters is essential. Thus, this study aimed to assess the pattern of the biochemical parameters in children with cerebral malaria and how it may affect the clinical outcomes.</div></div><div><h3>Methods</h3><div>A prospective observational cohort study among fifty subjects at the children's emergency unit. The participants were children aged 6 months to 12 years admitted with a history of fever and altered sensorium, demonstrable malaria parasite in the blood film and cerebrospinal fluid (CSF) analysis not suggestive of central nervous system (CNS) infections. Detailed history was taken with thorough examinations of each child. Samples were collected for malaria parasites, serum electrolytes, urea, creatinine, and blood glucose values. The clinical outcomes were correlated with the analyte levels.</div></div><div><h3>Results</h3><div>60 % of the children survived without any sequelae with the highest proportion (70 %) of survivors being children above five years. Children with hypoglycemia had a 3.5-fold higher risk of poor outcomes and this is statistically significant (RR = 3.65 <em>p</em> = 0.014). Hyperkalaemia was significantly associated with poor outcomes (RR = 2.57, <em>p</em> = 0.009). Subjects with hypochloraemia had three times the risk of poor outcome and mortality with statistically significant association (RR = 3.07, χ² = 8.519, <em>p</em> = 0.004). There was a significant association between metabolic acidosis and poor clinical outcome. (RR = 1.99, <em>χ</em>^<em>2</em> = 4.089, <em>p</em> = 0.043). The parasite density was significantly associated with the serum bicarbonate (HCO₃⁻<strong>)</strong> and Chloride, <em>p-value</em> &lt; 0.05.</div></div><div><h3>Conclusion</h3><div>Hypoglycaemia, hyperkalemia, hypochloremia and metabolic acidosis were significantly associated with poor outcomes, thus, good predictors of clinical outcomes in children diagnosed with cerebral malaria. Periodic evaluation and monitoring of these parameters is essential for prompt intervention to forestall devastating outcomes.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142421781","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":"Hyper fibrinolysis state in COVID 19 and its correlation to lipid parameters","authors":"","doi":"10.1016/j.cegh.2024.101811","DOIUrl":"10.1016/j.cegh.2024.101811","url":null,"abstract":"<div><h3>Background</h3><div>Coronavirus disease 2019 (COVID 19) is associated with systemic effects involving especially the respiratory and cardiovascular system. The unique features of this condition are disseminated intravascular coagulation, excess fibrin degradation products due to abnormality in the coagulation system that could independently predict mortality. Abberations in lipid parameters that normally predict cardiovascular disease (CVD) were compared with D-dimer levels as risk markers in patients with COVID 19.</div></div><div><h3>Methods</h3><div>A hospital based cross sectional study was conducted over a period of five months in patients aged 30–70 years diagnosed with COVID-19. The patients were categorised based on the D-dimer levels as: Group I &lt; 0.5 μg/ml (Normal), Group II 0.5–2.0 μg/ml (Intermediate high), Group III &gt;2.0 μg/ml (Very high). The lipid parameters, atherogenic indices were compared between the three groups.</div></div><div><h3>Results</h3><div>The mean age of the selected COVID-19 patients was 49.3 ± 19.1 years of which 63 were males and 37 females (2:1). Significantly high D-dimer levels were detected which had a weak positive correlation with TG, Atherogenic Index Plasma (AIP). Significant rise in TC, LDL and Non-HDL was seen in Group II. Increasing trend of AIP was seen across the groups. D-dimer showed a weak positive correlation with TG, AIP and statistically non-significant negative correlation with rest of the lipid parameters.</div></div><div><h3>Conclusion</h3><div>Though an overall increase in D-dimer, TG and AIP was observed in COVID-19 patients, categorization based on D-dimer status detected lowering LDL and increasing AIP on deterioration of disease state.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142422446","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":"Role of KIM-1 in early diagnosis of contrast-induced nephropathy following invasive cardiac procedure: A systematic review","authors":"","doi":"10.1016/j.cegh.2024.101765","DOIUrl":"10.1016/j.cegh.2024.101765","url":null,"abstract":"<div><div>This systematic review aims to provide a comprehensive analysis of the diagnostic efficacy of KIM-1 in CI-AKI. We evaluated its potential as a robust biomarker for the early identification and prediction of AKI progression.</div></div><div><h3>Methodology</h3><div>To assess KIM-1 as a biomarker for CI-AKI, relevant databases were searched. Inclusion criteria comprised studies measuring KIM-1 levels in patients undergoing cardiac procedures with contrast media and data were extracted. Methodological quality and bias were evaluated using Quadas-2 tool.</div></div><div><h3>Conclusion</h3><div>KIM-1 shows promise as a biomarker for renal injury. Its upregulation, correlation with injury severity, and involvement in tissue repair support its clinical relevance.</div></div><div><h3>Prospero registration number</h3><div>CRD42023431419.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441598","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":"Exploring the association between household sanitation and women’s menstrual hygiene management in rural Odisha, India","authors":"","doi":"10.1016/j.cegh.2024.101804","DOIUrl":"10.1016/j.cegh.2024.101804","url":null,"abstract":"<div><h3>Introduction</h3><div>Access to water, sanitation, and hygiene (WASH) facilities has been globally recognized as a critical need, especially for women and girls to ensure their menstrual hygiene. This study aimed to investigate the association between household sanitation and women's menstrual management experience in Odisha, India.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted in Balasore district of Odisha state in India among 694 rural women and girls aged 15–45 years selected using a multi-stage sampling method. The Performance Monitoring and Accountability (PMA) 2020 questionnaire was used for data collection. Multivariate logistic regression analysis was carried out using SPSS version 25.</div></div><div><h3>Results</h3><div>More than two-third (68.4 %) of rural families used improved sanitary facilities. Around 30 % of households have been using an unimproved sanitary facility, which means the practice of open defecation is still prevalent in rural areas. About 40.6 % of women and girls reported using clothes as their primary menstrual hygiene material. Further, women and girls with improved sanitation facilities (aOR = 1.56, 95 % CI: 1.09–2.59) were more likely to change menstrual materials at the main household sanitation facility than those with an unimproved sanitation facility. In contrast, households using improved sanitation facility were less likely to use bedroom/sleeping areas to change the menstrual materials (aOR = 0.65, 95 % CI: 0.42–0.99) than those with an unimproved facility.</div></div><div><h3>Conclusion</h3><div>Availability of improved household sanitation is critical to good menstruation management practices. State-specific policy for menstrual health and hygiene could provide the much-needed impetus to strengthen WASH infrastructure in rural and tribal regions of Odisha.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142421845","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":"Association of socioeconomic status with unintended pregnancy and induced abortion in married couples: An analysis of the 2021 national survey data in Japan","authors":"","doi":"10.1016/j.cegh.2024.101814","DOIUrl":"10.1016/j.cegh.2024.101814","url":null,"abstract":"<div><h3>Background</h3><div>An association of the major indicators of socioeconomic status with unintended pregnancy and induced abortion in married couples has not been investigated in Japan, and we investigated it using recent nationwide survey data in Japan.</div></div><div><h3>Methods</h3><div>Data from the National Fertility Survey in 2021 in Japan, which evaluated the outcomes and intentions of previous pregnancies in married couples, were used. Number of unintended pregnancies, induced abortions, and unintended pregnancies ending in induced abortion was used as outcomes, and the number of unintended pregnancies ending in induced abortion was analyzed among couples who experienced an unintended pregnancy. Associations with current educational attainment, employment status, and household income were investigated using Poisson regression analysis. A complete-case analysis was conducted for dealing with missing data, as well as an analysis using multiple imputation.</div></div><div><h3>Results</h3><div>The average number of unintended pregnancy and induced abortion per pregnancy of junior high school graduates was the highest among educational attainments of wives and husbands. The adjusted regression analysis showed that junior high school graduate in husbands was significantly associated with higher number of unintended pregnancies and induced abortions, regardless of the missing data analysis methods. In addition, high school or training school graduate in husbands was significantly associated with higher number of induced abortions. A significant association between socioeconomic status and the unintended pregnancy ending in induced abortion was not observed.</div></div><div><h3>Conclusion</h3><div>This study showed that a lower educational attainment in husband was associated with higher number of unintended pregnancies and induced abortions in Japan.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142421844","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":"Exploring the gut microbiota of rural region of Haryana (India): sociodemographic, socioeconomic factors and lifestyle","authors":"","doi":"10.1016/j.cegh.2024.101806","DOIUrl":"10.1016/j.cegh.2024.101806","url":null,"abstract":"<div><h3>Background</h3><div>The normal gut microbiota serves numerous functions in our body, which includes metabolism of food and drugs, maintenance of integrity of mucosal barrier and also protection against pathogens. Various factors are responsible in designing the structure of gut microbiota such as diet, lifestyle, sociodemographic and socioeconomic factors. The aim of the research was to study the composition of gut microbiota of individuals from rural regions of Haryana and to understand the impact of sociodemographic factors, lifestyle, and socioeconomic status on the diversity of gut microbiota.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted on 200 healthy individuals from rural region of Haryana, data pertaining to their socioeconomic and sociodemographic factors, lifestyle and diet was recorded through a questionnaire, followed by the processing of stool samples by both culture-dependent and independent techniques.</div></div><div><h3>Results</h3><div>Out of the 200 samples, the abundance of phylum Firmicutes, Bacteroidetes, Actinobacteria, and Proteobacteria were found. High alpha diversity with less beta diversity was observed. High counts of <em>Lactobacillus, Bifidobacterium</em> and <em>Prevotella</em> were found among males, whereas among females high abundance of <em>Fusobacterium</em>, <em>Streptococcus, Enterococcus</em> and <em>E.coli</em> were found. Occupation wise we found increased abundance of <em>Bifidobacterium, Clostridium, Bacteroides</em>, <em>Rhuminicoccus</em> and <em>Salmonella</em> in homemakers, whereas among employed subjects abundance of <em>Lactobacillus</em> and <em>Yersinia</em> were increased. Presence of butyrate producing bacteria (<em>Bifidobacterium</em> and <em>Lactobacillus</em>) among the subjects with sufficient sleep was also recorded.</div></div><div><h3>Conclusion</h3><div>While comparing the association of gut microbiota with various sociodemographic factors, we found differences in the phylum abundance, but statistically it was nonsignificant. Whereas positive association was observed between gut microbiota and healthy lifestyle which includes consumption of balanced diet, non smokers, sufficient water intake and good quality of sleep.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142421846","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":"Ophthalmic surgeries at a Nigerian teaching hospital from the perspectives of undergraduate medical education","authors":"","doi":"10.1016/j.cegh.2024.101808","DOIUrl":"10.1016/j.cegh.2024.101808","url":null,"abstract":"<div><h3>Background</h3><div>An appraisal of the profile of ophthalmic surgeries performed at Ladoke Akintola University of Technology Teaching Hospital (LAUTECHTH), Ogbomosho, Nigeria over a seven-year period with a view to harnessing their potentials for maximising ophthalmic experiences of medical students.</div></div><div><h3>Methods</h3><div>A retrospective review of ophthalmic surgery records over a seven-year period (2013–2019) at LAUTECHTH.</div></div><div><h3>Results</h3><div>There were 386 eye surgeries, mean ophthalmic surgeries: 4–5/month or 55/year. Most (329, 85.2 %) surgeries were performed on individuals aged at least 45 (range 10–95) years with slight male dominance (1.1:1). The most common indication for surgery was cataract (307, 79.6 %). Most surgeries were elective (362, 93.8 %) and performed under local anaesthesia (367, 95.1 %). Despite the highest number of surgeries being performed in the months of April and September; and lowest during the months of May and October; there was fair distribution across and over the years. Small incision cataract surgery with or without intraocular lens implant (307, 79.6 %) was the most common surgery followed by pterygium excision with adjuvant therapy (37, 9.6 %).</div></div><div><h3>Conclusion</h3><div>The study showed a broad spectrum of eye surgeries, including cataract and pterygium, performed at the teaching hospital, encompassing common conditions that lead to visual impairment or blindness. This exposure provides valuable training opportunities for undergraduate medical students to become physicians especially those aspiring to become ophthalmologists. However, there is a need to increase the overall volume of eye surgeries to enhance the learning experience and potentially influence career choices.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142422447","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":"Prevalence of poststroke fatigue and its relationship with clinical characteristics among community-dwelling stroke survivors: A cross-sectional survey","authors":"","doi":"10.1016/j.cegh.2024.101812","DOIUrl":"10.1016/j.cegh.2024.101812","url":null,"abstract":"<div><h3>Background and objective</h3><div>Poststroke fatigue is widely overlooked due to a lack of awareness, definite cause, and cure. It is influenced by cultural variance in psychosocial factors and stroke epidemiology patterns across different countries. To date, the prevalence of poststroke fatigue has not been determined in the Indian setting. Hence our objective was to estimate the prevalence of fatigue among community-living late subacute and chronic stroke survivors. Additionally, we determined the association between poststroke fatigue and participants’ clinical and demographic data.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted among first-time stroke survivors following discharge from two tertiary care hospitals. Medical records were screened and included if they met the criteria for age &gt;18 years, able to follow a two-step command with no existing neurological or systemic conditions that would influence fatigue scores. Telephonic consent was obtained, and an interview was conducted to obtain the scores for fatigue, daytime sleepiness, depression, functional mobility, and disability.</div></div><div><h3>Results</h3><div>A total of 323 participants (mean age: 60.3 ± 12.6 years, mean stroke duration: 8.6 ± 4.4 months) completed the interview. Poststroke fatigue was reported in 11.8 % (n = 38) of the population. Occupational status (χ² = 5.73), functional mobility (χ² = 5.84), and disability scores (χ² = 8.00) were significantly associated (p &lt; 0.05) with fatigue scores. Individuals with disability exhibited five times (OR = 5.00, CI: 1.45–17.23, p = 0.01) higher odds of experiencing fatigue than those without disability.</div></div><div><h3>Conclusion</h3><div>Our study reported a relatively lower prevalence of fatigue among community-living late subacute and chronic stroke survivors. Implementing strategies to address these contributing factors could effectively ease fatigue in individuals recovering from stroke.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142421782","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}