Clinical Epidemiology and Global Health最新文献

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Correlation between students’ traditional medicine body constitution types and their quality of life 学生传统医学体质类型与生活质量的相关性
IF 2.3
Clinical Epidemiology and Global Health Pub Date : 2024-08-23 DOI: 10.1016/j.cegh.2024.101768
Thao Thu Le, Huy Khanh Tang, Linh Thi Hoang Le, Tu Huynh Anh Nguyen, Luu Bao Le
{"title":"Correlation between students’ traditional medicine body constitution types and their quality of life","authors":"Thao Thu Le,&nbsp;Huy Khanh Tang,&nbsp;Linh Thi Hoang Le,&nbsp;Tu Huynh Anh Nguyen,&nbsp;Luu Bao Le","doi":"10.1016/j.cegh.2024.101768","DOIUrl":"10.1016/j.cegh.2024.101768","url":null,"abstract":"<div><h3>Objectives</h3><p>Evaluating the physical health, mental health, and Quality of life (QoL) in relationship to body constitution (BC) types in students of the Faculty of Traditional Medicine (FTM) in the University of Medicine and Pharmacy at Ho Chi Minh City (UMP).</p></div><div><h3>Methods</h3><p>A cross-sectional descriptive study on 717 students of FTM through face-to-face interviews used three questionnaires to investigate the following sections: general demographic information questionnaire; physical health (PCS), mental health (MCS), and QoL (Vietnamese version of SF-36 questionnaire); BC types (Vietnamese version of the CCMQ questionnaire). We used multiple linear regression analyses to assess the associations between BC types and each of the QoL domains’ scores. The dependent variables are the scores of eight QoL domains and integration scores in PCS and MCS.</p></div><div><h3>Results</h3><p>Most students had Unbalanced BC types (87.03 %). Qi-depression, Qi-deficiency, and Blood-stasis had the three highest percentages (48.1 %, 33.2 %, 26.9 %). There were relationships between BC types and students’ physical health, mental health, and QoL. The SF-36 resulted in “high” scores in most of the Neutral-type students, while the majority of students with Unbalanced BC types had “poor” scores in both physical health, mental health, and QoL (p &lt; 0.01). The estimated impact of 8 Unbalanced types on SF-36 scales was significantly negative. The impact was most remarkable for Qi-stagnation, followed by Blood-stasis.</p></div><div><h3>Conclusion</h3><p>87.03 % of students had Unbalanced BC types, which in turn can increase the likelihood of disease. Research results also initially showed that adjusting these types to the Neutral type can help improve FTM students’ health.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424002653/pdfft?md5=dd74804deaf9a2a329540e68e478f27f&pid=1-s2.0-S2213398424002653-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047926","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
Assessment and management of dysphagia in the neonatal intensive care units in India: A survey report 印度新生儿重症监护病房吞咽困难的评估和管理:调查报告
IF 2.3
Clinical Epidemiology and Global Health Pub Date : 2024-08-23 DOI: 10.1016/j.cegh.2024.101683
Mary Jose , Rahul Krishnamurthy , Lakshmi Venkatesh , Nutan Kamath , Kamalakshi G. Bhat , Radish Kumar Balasubramanium
{"title":"Assessment and management of dysphagia in the neonatal intensive care units in India: A survey report","authors":"Mary Jose ,&nbsp;Rahul Krishnamurthy ,&nbsp;Lakshmi Venkatesh ,&nbsp;Nutan Kamath ,&nbsp;Kamalakshi G. Bhat ,&nbsp;Radish Kumar Balasubramanium","doi":"10.1016/j.cegh.2024.101683","DOIUrl":"10.1016/j.cegh.2024.101683","url":null,"abstract":"<div><h3>Background</h3><p>Evidence-based assessment and management of dysphagia in neonates, especially those in the neonatal intensive care unit (NICU), are limited. Understanding existing clinical practices may be the first step toward developing a consensus. The current study aimed to identify clinical practice patterns of speech-language pathologists (SLPs) in India towards facilitating the development of feeding skills and assessment and management of dysphagia among neonates.</p></div><div><h3>Method</h3><p>An electronic survey questionnaire comprising 46 questions categorized into two main sections (demographics and a hypothetical case scenario) was emailed to 35 SLPs practicing in the NICU. The hypothetical clinical case was created to include considerations of assessment and management of dysphagia in the NICU, and the participants answered questions about clinical decision-making.</p></div><div><h3>Results</h3><p>As many as 22 individuals completed the survey. The responses were analyzed descriptively to identify themes and trends in practice patterns. Our results revealed varied practice patterns in the clinical swallowing assessment and management approaches for neonatal dysphagia.</p></div><div><h3>Conclusion</h3><p>There is a need to develop a consensus statement and standard guidelines for the assessment and intervention for dysphagia by the SLP in the NICU. Translation of current evidence-based research into clinical practice is critical to patient care.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001799/pdfft?md5=03fc3e1d94a26e2667c8b151f407f380&pid=1-s2.0-S2213398424001799-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142084328","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
Uncontrolled hypertension among adult patients at ambulatory primary care: Frequency and factors associated in urban and peri-urban Bobo–Dioulasso, Burkina Faso 流动初级保健机构成年患者中未得到控制的高血压:布基纳法索博博迪乌拉索城市和城市周边地区高血压发病率及相关因素
IF 2.3
Clinical Epidemiology and Global Health Pub Date : 2024-08-20 DOI: 10.1016/j.cegh.2024.101764
Jeoffray Diendéré , Pingdéwendé Victor Ouédraogo , Sibiri Konaté , Victorien Ouaré , Edmond Nongkouni , Augustin Nawidimbasba Zeba , Nicolas Meda
{"title":"Uncontrolled hypertension among adult patients at ambulatory primary care: Frequency and factors associated in urban and peri-urban Bobo–Dioulasso, Burkina Faso","authors":"Jeoffray Diendéré ,&nbsp;Pingdéwendé Victor Ouédraogo ,&nbsp;Sibiri Konaté ,&nbsp;Victorien Ouaré ,&nbsp;Edmond Nongkouni ,&nbsp;Augustin Nawidimbasba Zeba ,&nbsp;Nicolas Meda","doi":"10.1016/j.cegh.2024.101764","DOIUrl":"10.1016/j.cegh.2024.101764","url":null,"abstract":"<div><h3>Introduction</h3><p>This study described the different stages of uncontrolled hypertension, and assessed independently of the socio-demographic parameters, the non-modifiable and modifiable factors associated with uncontrolled hypertension at ambulatory care, in urban and peri-urban primary health care centres (PHCCs) of Bobo–Dioulasso, Burkina Faso.</p></div><div><h3>Methods</h3><p>A sample of 380 hypertensive adults were consecutively interviewed from January to February 2022, in 20 public PHCCs, in Bobo-Dioulasso. Sociodemographic, non- and modifiable lifestyle, anthropometric and blood pressure parameters were collected. Descriptive, comparative and logistic regression tests were performed.</p></div><div><h3>Results</h3><p>The participants’ mean age was 56.2 ± 10.4 years and frequency of uncontrolled hypertension stage I, II and III was respectively 40.3 %, 23.3 % and 7.9 %. Those with family history of hypertension was 42.4 %. Participants with monotherapy, bi-therapy and tri-therapy represented 51.6 %, 42.6 % and 2.1 % respectively, while 38.2 % declared to be uncompliant with the therapy. About 36 % were current alcohol users, 29.7 % physically inactive, 23.7 % ate less than three servings of fruits and vegetables (FV), 15.3 % were obese, and 12.9 % current tobacco users. In logistic regression analysis, the presence of family history of hypertension [adjusted odds ratio (aOR) = 2.1; p = 0.005], use of bi-/tri-therapy (aOR = 1.7; p = 0.044), daily intake of less than three FV servings (aOR = 1.9; p = 0.025); non-adherence with therapy (aOR = 3.3, p = 0.0001) and obesity (aOR = 4.5; p = 0.003) were associated with uncontrolled hypertension.</p></div><div><h3>Conclusion</h3><p>Uncontrolled hypertension was high at ambulatory primary care. For its efficient management in secondary prevention, a tailored in-hospital strategy including permanent education for a healthier lifestyle practice is needed; and should be complementary strengthened with specific community-based interventions.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424002616/pdfft?md5=ed9d7c55f0b2a8a493b8a7e09ff7df4a&pid=1-s2.0-S2213398424002616-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142040306","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
Poor sleep quality and associated factors among pregnant women in Ethiopia: A systematic review and meta-analysis 埃塞俄比亚孕妇睡眠质量差及相关因素:系统回顾和荟萃分析
IF 2.3
Clinical Epidemiology and Global Health Pub Date : 2024-08-17 DOI: 10.1016/j.cegh.2024.101755
Agerie Mengistie Zeleke , Worku Chekol Tassew , Gashaw Melkie Bayeh , Yeshiwas Ayale Ferede
{"title":"Poor sleep quality and associated factors among pregnant women in Ethiopia: A systematic review and meta-analysis","authors":"Agerie Mengistie Zeleke ,&nbsp;Worku Chekol Tassew ,&nbsp;Gashaw Melkie Bayeh ,&nbsp;Yeshiwas Ayale Ferede","doi":"10.1016/j.cegh.2024.101755","DOIUrl":"10.1016/j.cegh.2024.101755","url":null,"abstract":"<div><p>Despite the associated health risks of poor sleep quality during pregnancy, recent evidence suggests that its impact persists in most countries. However, poor sleep quality during pregnancy in Ethiopia is poorly understood because of the lack of comprehensive reviews. Hence, we aimed to assess the pooled prevalence of poor sleep quality and associated factors among pregnant women in Ethiopia.</p></div><div><h3>Methods</h3><p>A comprehensive search using electronic databases (PubMed, Cochrane Library, Google Scholar, and African Journal Online) was performed covering articles indexed before January 20, 2023. The quality of the included studies was evaluated using the Newcastle‒Ottawa Scale. Cochrane Q and I<sup>2</sup> test statistics were used to examine the heterogeneity of the studies. A random-effects meta-analysis was performed with Stats Direct statistical software and Open Meta [Analyst] to estimate the prevalence of the outcome variable, and the results are reported in a forest plot. Simple charts and tables were used to summarize the evidence on poor sleep quality during pregnancy and its associated factors.</p></div><div><h3>Results</h3><p>After 27,211 studies were reviewed, seven studies involving with 2689 study participants were included. The combined prevalence of poor sleep quality among pregnant women was 52.30 % (95 % CI: 42.39, 62.19). Depression (OR = 4.53; 95 % CI: 2.07, 9.89), perceived stress (OR = 3.42; 95 % CI: 2.46, 4.74), age greater than 35 years (OR = 3.47; 95 % CI: 1.01, 11.86), unplanned pregnancy (OR = 2.94; 95 % CI: 1.85, 4.68), anxiety (OR = 4.71; 95 % CI: 1.19, 18.65), and having poor sleep hygiene practices (OR = 4.32; 95 % CI: 1.48, 12.6) were significantly associated with poor sleep quality.</p></div><div><h3>Conclusions</h3><p>More than half of the pregnant women did not have adequate sleep quality at night. Being depressed, stressed, anxious, having poor hygiene practices, and being older than 35 years were influential factors for poor sleep quality. Therefore, healthcare providers’ regular early screening for poor sleep quality and its determinants is important for improving birth outcomes.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424002525/pdfft?md5=c51dea90330f6f1f4f7a655af0c0d161&pid=1-s2.0-S2213398424002525-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142011733","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
CBCT segmentation of the mandibular canal with both semi-automated and fully automated methods: A systematic review 用半自动和全自动方法对下颌管进行 CBCT 分段:系统性综述
IF 2.3
Clinical Epidemiology and Global Health Pub Date : 2024-08-17 DOI: 10.1016/j.cegh.2024.101760
Neil Abraham Barnes , S Sharath , Winniecia Dkhar , Yogesh Chhaparwal , Kaushik Nayak
{"title":"CBCT segmentation of the mandibular canal with both semi-automated and fully automated methods: A systematic review","authors":"Neil Abraham Barnes ,&nbsp;S Sharath ,&nbsp;Winniecia Dkhar ,&nbsp;Yogesh Chhaparwal ,&nbsp;Kaushik Nayak","doi":"10.1016/j.cegh.2024.101760","DOIUrl":"10.1016/j.cegh.2024.101760","url":null,"abstract":"<div><h3>Background</h3><p>The application of AI algorithms for the detection of the mandibular canal in Cone Beam Computed Tomography (CBCT) holds immense promise in dentistry.</p></div><div><h3>Aim</h3><p>This review aimed to identify the semi and fully automated algorithm to localize the mandibular canal. An extensive search was conducted and, out of which 12 articles are considered for review. The result revealed using various AI algorithms achieved better accuracy in localizing the mandibular canal with reporting sensitivity and specificity above 90 %. In conclusion, it is noted that the application of AI algorithms in dentistry can provide significant benefits like improving the accuracy of reporting.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424002574/pdfft?md5=16a7fb66e23c0da9a2228af4d05a41d5&pid=1-s2.0-S2213398424002574-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142011732","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, validation, user testing of patient information leaflet to improve awareness of metabolic side effects in patients on atypical antipsychotics 开发、验证和测试患者信息宣传单,以提高非典型抗精神病药物患者对代谢副作用的认识
IF 2.3
Clinical Epidemiology and Global Health Pub Date : 2024-08-17 DOI: 10.1016/j.cegh.2024.101763
Pooja Gopal Poojari , Keshava Pai , Sohil A. Khan , Sonia Shenoy , P.V. Bhandary , Sahana Shetty , Leelavathi D. Acharya , Swarnali Bose , Girish Thunga
{"title":"Development, validation, user testing of patient information leaflet to improve awareness of metabolic side effects in patients on atypical antipsychotics","authors":"Pooja Gopal Poojari ,&nbsp;Keshava Pai ,&nbsp;Sohil A. Khan ,&nbsp;Sonia Shenoy ,&nbsp;P.V. Bhandary ,&nbsp;Sahana Shetty ,&nbsp;Leelavathi D. Acharya ,&nbsp;Swarnali Bose ,&nbsp;Girish Thunga","doi":"10.1016/j.cegh.2024.101763","DOIUrl":"10.1016/j.cegh.2024.101763","url":null,"abstract":"<div><h3>Background</h3><p>Metabolic adverse effects of second-generation antipsychotics (SGAs) have been well-documented in literature. This study aimed to develop, validate, and evaluate the usefulness of patient information leaflet (PIL) by user testing method to improve metabolic monitoring for psychiatric patients prescribed with SGAs.</p></div><div><h3>Methods</h3><p>The study included out-patients above 18 years of age diagnosed with schizophrenia, schizoaffective, bipolar disorders prescribed with SGAs. Database such as micromedex, guidelines on developing PIL and factsheets on antipsychotics were used to prepare the content of the leaflet and was given to experts for validation. The PIL covered information on definition of antipsychotic and its types, metabolic syndrome and its prevention such as lifestyle modifications and regular monitoring. Readability of the PIL was assessed using Flesch reading ease (FRE), Flesch Kincaid grade level (FK-GL) and user testing in 20 similar patient population.</p></div><div><h3>Results</h3><p>The BALD scores on layout and design of the PILs was found to be 29. The FRE readability test score was found to be 63.5 and FKGL test score was found to be 7.6. Among the 20 patients, 5 of them favoured English PILs, while 15 chose Kannada PILs. The overall pre and post user-testing mean scores for knowledge assessment significantly increased from 60.62 ± 23.39 to 91.25 ± 11.54. Overall, about 85 % of patients gave the PIL leaflets a good rating.</p></div><div><h3>Conclusion</h3><p>Patient education materials of high quality that are created with pictures may aid in a better knowledge of the treatment for psychiatric patients who are on long term SGA therapy.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424002604/pdfft?md5=5346ef089f7eac998b33765b8b93f092&pid=1-s2.0-S2213398424002604-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142011734","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 effects of COVID-19 severity on health status in Kazakhstan: A prospective cohort study 哈萨克斯坦 COVID-19 严重程度对健康状况的影响:前瞻性队列研究
IF 2.3
Clinical Epidemiology and Global Health Pub Date : 2024-08-17 DOI: 10.1016/j.cegh.2024.101761
Elmira Kaidar , Assiya Turgambayeva , Baurzhan Zhussupov , Rimantas Stukas , Timur Sultangaziyev , Beibut Yessenbayev
{"title":"The effects of COVID-19 severity on health status in Kazakhstan: A prospective cohort study","authors":"Elmira Kaidar ,&nbsp;Assiya Turgambayeva ,&nbsp;Baurzhan Zhussupov ,&nbsp;Rimantas Stukas ,&nbsp;Timur Sultangaziyev ,&nbsp;Beibut Yessenbayev","doi":"10.1016/j.cegh.2024.101761","DOIUrl":"10.1016/j.cegh.2024.101761","url":null,"abstract":"<div><p>On May 5, 2023, the World Health Organization announced the end of the coronavirus pandemic. Nonetheless, there are growing reports indicating that individuals who have contracted COVID-19, especially in its more severe manifestations, may endure medium-to long-term impacts of the condition.</p><p><strong>The purpose</strong> of this study was to investigate the impact of the severity of COVID-19 on the subsequent health outcomes.</p></div><div><h3>Methods</h3><p>The prospective cohort study ran from March to October of 2021.482 study participants were divided into two cohorts: the first cohort encompassed 118 individuals who received hospital care, while the second cohort included 364 individuals receiving outpatient care. Propensity Score Analysis was used as the probability of being hospitalized for COVID-19 in logistic regression as a covariate, to account for the influence of intervening factors that were associated with the probability of being hospitalized for COVID-19. The odds ratio (OR) was the association metric that was applied.</p></div><div><h3>Results</h3><p>Patients with more severe COVID-19 are more prone to infectious and parasitic diseases ORadj 6.61 (with 95 % CI 1.84–23.75), p = 0.004, more likely to show complications from the respiratory system ORadj 2.37 (with 95 % CI 1.35–4.16), p = 0.003, more frequently diagnosed eye pathologies ORadj 5.60 (with 95 % CI 1.96–15.98), p = 0.001, susceptible to hospitalization, ORadj 3.49 (1.78–6.84), p &lt; 0.001.</p></div><div><h3>Conclusion</h3><p>Our study's findings indicate that patient with more severe COVID-19 have a higher requirement for medical attention regardless of other factors that influence the need for medical care.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424002586/pdfft?md5=88b7233b8857737c4617fa0c1d389a66&pid=1-s2.0-S2213398424002586-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142045032","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
Prevalence of risk factors in cardiovascular patients in a Caribbean country: Age and sex differences 一个加勒比国家心血管疾病患者的风险因素流行情况:年龄和性别差异
IF 2.3
Clinical Epidemiology and Global Health Pub Date : 2024-08-15 DOI: 10.1016/j.cegh.2024.101759
Sasha Ramkhelawan, Andrea Joseph, Ricardo Clarke
{"title":"Prevalence of risk factors in cardiovascular patients in a Caribbean country: Age and sex differences","authors":"Sasha Ramkhelawan,&nbsp;Andrea Joseph,&nbsp;Ricardo Clarke","doi":"10.1016/j.cegh.2024.101759","DOIUrl":"10.1016/j.cegh.2024.101759","url":null,"abstract":"<div><h3>Background/objectives</h3><p>Cardiovascular disease (CVD) is the leading cause of death worldwide, however little is known about the prevalence of risk factors in the Caribbean country of Trinidad and Tobago. This study investigates the prevalence of major cardiovascular risk factors in patients with CVD in Trinidad and Tobago between two age groups – &lt;60 years and ≥60 years – and determines if the prevalence differed with sex.</p></div><div><h3>Methods</h3><p>Medical records of 151 patients with CVD admitted to a private hospital in Trinidad and Tobago between January 2015 and March 2021 were analyzed. Patients were divided by sex, and into two age groups: &lt;60 years (young) and ≥60 years (elderly). Chi-squared and Mann-Whitney U tests were used to analyze five major cardiovascular risk factors: hypertension, diabetes, smoking, hypercholesterolaemia, and family history of coronary heart disease (CHD).</p></div><div><h3>Results</h3><p>It was found that the prevalence of hypertension was higher in the elderly group, while smoking, hypercholesterolaemia and family history of CHD were more common in males than in females. The prevalence of different risk factors varied with sex in the age groups: diabetes and family history of CHD in the &lt;60 age group, and smoking and hypercholesterolaemia in the ≥60 age group. These risk factors were more prevalent in males than in females within the age groups. Additionally, the mean age of females in the ≥60 age group was found to be greater than that of males in the same age group.</p></div><div><h3>Conclusions</h3><p>Age and sex differences were observed in the prevalence of major CVD risk factors, which may influence the management of CVD in Trinidad and Tobago. Intervention strategies, such as health education and counselling programmes that are age- and sex-specific, are recommended.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424002562/pdfft?md5=375613fc2189dd7b12901c15fb79f548&pid=1-s2.0-S2213398424002562-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141997803","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
Evaluation of measles-rubella control and prevention program implementation: System and community review 麻疹风疹防控计划实施评估:系统和社区审查
IF 2.3
Clinical Epidemiology and Global Health Pub Date : 2024-08-13 DOI: 10.1016/j.cegh.2024.101758
Sylvia Gusrina , Mei Neni Sitaresmi , Samsu Aryanto , Bayu Satria Wiratama
{"title":"Evaluation of measles-rubella control and prevention program implementation: System and community review","authors":"Sylvia Gusrina ,&nbsp;Mei Neni Sitaresmi ,&nbsp;Samsu Aryanto ,&nbsp;Bayu Satria Wiratama","doi":"10.1016/j.cegh.2024.101758","DOIUrl":"10.1016/j.cegh.2024.101758","url":null,"abstract":"<div><h3>Introduction</h3><p>The WHO targets Southeast Asia to eliminate measles and rubella by 2023. Measles-Contain Vaccination (MCV) coverage in Indonesia has dropped 6 %, and vaccine-preventable disease (VPD) reporting has fallen 30 % due to the pandemic. Bantul's MR positive rate rose 16 % in 2022. Measles outbreak with 71 cases in March 2023. We evaluated the system to identify program implementation gaps.</p></div><div><h3>Methods</h3><p>Following system surveillance evaluation guidelines 2006, we conducted a descriptive cross-sectional study. We evaluate the structure and attribute components. We chose eighteen public health facilities for sub-districts, with 52 health workers as representatives of all areas in the Bantul district. We interviewed with a semi-structured questionnaire. We calculated the frequencies and proportions of each component, categorized as good, fair, and weak.</p></div><div><h3>Results</h3><p>The average service time was almost ten years. No Public Health Center (PHC) used the system to make decisions. Since the private health facilities and community involvement was minimal, the surveillance system contains structural weaknesses in networks and partnerships. Timeliness completeness coupled with the weak evidence for variables of accessibility and flexibility is also vulnerable.</p></div><div><h3>Conclusions</h3><p>The Bantul measles-rubella disease surveillance system lacked networking, partnerships, and community involvement. The health office is expected to boost private health facility participation, monitoring and assessment, and vaccine coverage by at least 95 %, especially in vulnerable areas.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424002550/pdfft?md5=21995ad29ef627d3608695cab3d41f98&pid=1-s2.0-S2213398424002550-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141993620","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
Nutritional status and dietary pattern of government school going adolescents of Lucknow city with reference to recommended dietary allowances- ICMR 2024, India 勒克瑙市公立学校青少年的营养状况和膳食模式,参照建议的膳食津贴--ICMR 2024,印度
IF 2.3
Clinical Epidemiology and Global Health Pub Date : 2024-08-13 DOI: 10.1016/j.cegh.2024.101757
Poonam Tiwari , Janmejai Kumar Srivastava , Vandana Tiwari , Mahima Gupta
{"title":"Nutritional status and dietary pattern of government school going adolescents of Lucknow city with reference to recommended dietary allowances- ICMR 2024, India","authors":"Poonam Tiwari ,&nbsp;Janmejai Kumar Srivastava ,&nbsp;Vandana Tiwari ,&nbsp;Mahima Gupta","doi":"10.1016/j.cegh.2024.101757","DOIUrl":"10.1016/j.cegh.2024.101757","url":null,"abstract":"<div><h3>Background</h3><p>Adolescent is the second growth spurt and transitional phase in individual's life. Malnutrition is prevailing highly in adolescents. This study aims at studying the actual nutritional intake and the consumption pattern and its comparison with the newly formulated RDA 2024 among the school going Adolescents of the Lucknow City.</p></div><div><h3>Methods</h3><p>607 students of age 13–19 years from various government schools of Lucknow city were selected as early and late adolescents. Daily consumption of various macronutrients and micronutrients was obtained and compared with Recommended Dietary Allowance (RDA) 2024. Data was analysed using IBM SPSS software version 20.</p></div><div><h3>Results</h3><p>The revised Dietary Guidelines-ICMR India (2024) talks about Estimated Energy Requirement (EER) rather than Recommended Dietary Allowance (RDA), the caloric intake as compared to Estimated Average Requirement (EAR) was found to be at lower side. Protein consumption was lower than Recommended Dietary Allowance (RDA). Whereas fat consumption was high. The study concluded that consumption of micronutrients in Early and Late adolescents was below Recommended Dietary Allowance (RDA).</p></div><div><h3>Conclusion</h3><p>This results to conclusion that population had lower amount of nutrients intake as compared to the guidelines. Therefore, robust nutritional intervention approach is needed to address malnutrition prevailing in this area.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424002549/pdfft?md5=4734413a34b461cbe28828268827764d&pid=1-s2.0-S2213398424002549-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141990416","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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