Clinical Epidemiology and Global Health最新文献

{"title":"Lower habitual Intake of grains and protein groups associated with increasing the disease risk among Jordanians: A cross-sectional population-based study","authors":"Lana M. Agraib ,&nbsp;Buthaina Alkhatib ,&nbsp;Islam Al-Shami","doi":"10.1016/j.cegh.2024.101690","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101690","url":null,"abstract":"<div><h3>Background</h3><p>Dietary habits have drastically and quickly altered worldwide, and this is a crucial modifiable factor affecting obesity prevalence, a risk factor for several non-communicable diseases.</p></div><div><h3>Aims</h3><p>This study aims to illuminate Jordanians' dietary habits and their potential association with non-communicable diseases.</p></div><div><h3>Methods</h3><p>This is a population-based cross-sectional study. A randomly selected sample of children, adolescents, adults, and older adults was invited to participate. Participants were categorized into two groups: those with diseases (diabetes, cardiovascular diseases, and their comorbidities) and those who had no diseases. A valid food frequency questionnaire was used to recall each food group's average daily number of portions.</p></div><div><h3>Results</h3><p>The intake and percentage of recommendations from the groups that included fruits, cereals, and proteins were highest in the obese group. Disease-free individuals had the highest daily intake of proteins and grains, and a higher percentage of grains consumed. Compared to individuals without a condition (83.6 % and 57.6 %, respectively), participants with a disease were more likely to consume less protein (68.8 %) and grains (87.6 %) than the recommended amount. Less than the required amount of grain consumption raises the risk of disease by OR = 1.57 (95%CI: 1.05–2.34). The chance of contracting diseases is reduced when more grains are consumed than recommended (p-trend = 0.001). A lower-than-recommended protein intake doubled the risk of disease (OR = 2.08, 95%CI: 1.13–3.84).</p></div><div><h3>Conclusion</h3><p>Obesity shifts habitual food toward more fruits, grains, and protein consumption. Grains and protein consumption less than recommendations were associated with increasing the risk of having disease.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001866/pdfft?md5=038231f4ba61878845900f67f2bff490&pid=1-s2.0-S2213398424001866-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481040","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 prevalence of human papillomavirus genotypes among patients with sexually transmitted HPV in north Iran","authors":"Sajad Salehi ,&nbsp;Rana Rafiei ,&nbsp;Reyhaneh Ghadarjani ,&nbsp;Kaveh Gharaei Nejad","doi":"10.1016/j.cegh.2024.101693","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101693","url":null,"abstract":"<div><h3>Objective</h3><p>Given the high prevalence of sexually transmitted human papillomavirus (HPV) and the increasing number of individuals affected by this disease, the present study investigated the frequency of HPV genotypes in patients with sexually transmitted HPV.</p></div><div><h3>Methods</h3><p>In this cross-sectional study, samples of 2534 patients who were diagnosed with sexually transmitted HPV from 2016 to 2023, were examined for HPV genotype in Rasht, Iran. HPV infection was confirmed by performing a polymerase chain reaction (PCR), and samples were genotyped for classification. Also, data on the age and gender of patients were recorded, and all data was analyzed using SPSS version 22 with a significant level &lt;0.05.</p></div><div><h3>Results</h3><p>The mean age of the patients was 33.8 ± 13.34 years, and 89.1 % were females. A total number of 4739 samples from 2534 patients were genotyped. About 52.2 % of HPV genotypes were low-risk HPV, and 47.8 % were high-risk HPV. HPV6 exhibited the highest prevalence in the low-risk category, while HPV16 showed the highest prevalence in the high-risk category. The frequency of HPV was significantly different among patients according to age and gender (P &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>Due to the high prevalence of sexually transmitted high-risk HPV, vaccination programs may lead to a reduction in sexually transmitted infections and alleviate the associated economic and social burdens.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001891/pdfft?md5=20200ee98ee83f14320ef98239d4a909&pid=1-s2.0-S2213398424001891-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481039","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 gaps in COVID-19 vaccine knowledge: Effects of multimodal narratives on message elaboration and recall across science literacy levels","authors":"Shiyu Yang ,&nbsp;Dominique Brossard ,&nbsp;Nan Li ,&nbsp;Leonardo Barolo Gargiulo","doi":"10.1016/j.cegh.2024.101681","DOIUrl":"10.1016/j.cegh.2024.101681","url":null,"abstract":"<div><h3>Objective</h3><p>The study examines the effects of message modalities (visual vs. textual) and rhetorical approaches (narrative vs. expository information) on the elaboration and recall of COVID-19 vaccine information among individuals with diverse levels of science literacy.</p></div><div><h3>Methods</h3><p>We recruited 328 U.S. adults who were not fully vaccinated against COVID-19 and measured their message elaboration and information recall following exposure to a comic strip, an infographic, a written story, and a short article pertaining to the safety of COVID-19 vaccines.</p></div><div><h3>Results</h3><p>Results indicated no significant difference in levels of message elaboration and information recall among the four treatment groups. However, exposure to narratives mitigated the gap in message elaboration, whereas exposure to visual information reduced the disparity in information recall among individuals with varying levels of science literacy.</p></div><div><h3>Conclusion</h3><p>Narratives can serve as a powerful tool for engaging individuals with lower levels of science literacy, as well as reducing the dependence on scientific knowledge for information processing among those with higher literacy levels. Furthermore, the inclusion of visuals in vaccine messages can augment their effectiveness in fostering shared knowledge among audiences with varying levels of science literacy.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001775/pdfft?md5=737d005b8896ee4bd703fb0ffbeef13e&pid=1-s2.0-S2213398424001775-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141400080","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":"A systematic review of the epidemiology of cystic fibrosis in arab countries: An update","authors":"Samer Hammoudeh ,&nbsp;Sarah Aqel ,&nbsp;Farha Mukthar ,&nbsp;Prem Chandra ,&nbsp;Ibrahim A. Janahi","doi":"10.1016/j.cegh.2024.101697","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101697","url":null,"abstract":"<div><h3>Background</h3><p>This study presents an updated report on the epidemiology of cystic fibrosis (CF) in the Arab region.</p></div><div><h3>Objectives</h3><p>It provides a comprehensive review of existing publications on CF, focusing on the prevalence and/or incidence in the period span from year 2019–2023.</p></div><div><h3>Methods</h3><p>A search was conducted primarily through PubMed, followed by the snowballing technique to identify additional studies.</p></div><div><h3>Results</h3><p>A total of 10 articles were identified.</p></div><div><h3>Conclusion</h3><p>This study highlights the pressing need for extensive research, multi-country collaborations, and the establishment of CF registries to enhance our understanding and management of CF in the Arab world.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001933/pdfft?md5=413faf589365443ec2c8c8e8c54fcd2b&pid=1-s2.0-S2213398424001933-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141479249","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":"Ewings sarcoma in pediatric population of North India: Demographics, outcome & prognostic factors","authors":"Gitika Pant ,&nbsp;Nishant Verma ,&nbsp;Vinay Shukla","doi":"10.1016/j.cegh.2024.101708","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101708","url":null,"abstract":"<div><h3>Background</h3><p>Ewings sarcoma is relatively rare and accounts for a 3–4% of childhood cancer. The data of Ewings sarcoma is scarce in North India and so the study was planned to find out the demographics, outcome and prognostic factors of Ewings sarcoma.</p></div><div><h3>Methods</h3><p>This is a retrospective study conducted in the Department of Pediatrics, Pediatric Oncology unit at a tertiary care centre (KGMC, Lucknow) in North India. All patients of age 1–16 years with biopsy and IHC proven Ewings sarcoma during 2015–2020 were included in the study. Parameters were noted and follow up was done till December 2021. Statistical analysis was done by Microsoft Excel and GraphPad Prism 10. Overall survival was assessed using Kaplan Meir Survival Analysis. P value &lt; 0.05 was considered significant.</p></div><div><h3>Results</h3><p>75 patients i.e.4.1 % of the total were diagnosed with ES. Median age of patients was 10 years. 37.35 % had metastasis at presentation. 32 % were defaulters (abandoned and not taking treatment). Extremity ES constituted 46.7 % of the patient. 29.4 % patients relapsed. The overall survival of the whole cohort was 23.5 % and OS of localised disease was 42.3 %. OS of patients with respect to various sites failed to show any significance. Staging of disease have shown to be affecting outcome.</p></div><div><h3>Conclusion</h3><p>Proportion of Ewings sarcoma was in accordance with the world's data but the survival outcome was low at our centre primarily due to delayed presentation translating to metastatic disease at diagnosis and abandonment issues along with defaults in treatment. Conducting focussed group discussions, awareness sessions, caregivers counselling and educating them about disease might help in curbing these factors.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424002045/pdfft?md5=cf6c9774b0251df14682c1a7e4f7218a&pid=1-s2.0-S2213398424002045-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141582549","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":"Coronary artery disease, its’ socio-demographic and behavioral correlates in urban slum population of Bhubaneswar, India","authors":"Ansuman Panigrahi ,&nbsp;Soham Thakur ,&nbsp;Alpana Mishra,&nbsp;Asis Kumar Ray,&nbsp;Basanta Kumar Behera,&nbsp;Smrutiranjan Nayak","doi":"10.1016/j.cegh.2024.101666","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101666","url":null,"abstract":"<div><h3>Background</h3><p>Coronary artery disease (CAD) causes 15.5 % of all fatalities worldwide and has increased to epidemic proportions. There is dearth of data pertaining to CAD especially among slum inhabitants in India. The present study aimed to assess the prevalence of CAD and its’ socio-demographic and behavioral correlates among slum population of Bhubaneswar.</p></div><div><h3>Methods</h3><p>In a community-based cross-sectional study, we selected 625 adults as study participants using a stratified multistage cluster sampling method and gathered relevant information using a structured interview schedule. Standard protocols were followed while measuring anthropometry, blood pressure, electrocardiograms, fasting blood sugar levels, and serum lipid levels.</p></div><div><h3>Results</h3><p>The overall prevalence of definite CAD and probable CAD was 5.1 % and 7.5 % respectively. Multivariable logistic regression analysis revealed that after adjusting for other variables, currently smoking tobacco (aOR: 3.45; CI: 1.68–7.12), moderate intensity activity (aOR: 3.19; 95 % CI: 1.45–6.79), presence of hypertension (aOR: 1.99; 95 % CI: 1.10–3.59), presence of diabetes (aOR: 2.29; 95 % CI: 1.22–4.33), and body mass index ≥25 (aOR: 2.27; 95 % CI: 1.24–4.15) were significantly associated with coronary artery disease among slum population. Individuals with CAD had significantly higher serum total cholesterol, triglyceride, low density lipoprotein levels and lower high density lipoprotein levels than the control group.</p></div><div><h3>Conclusion</h3><p>The prevalence of any CAD in slum areas of Bhubaneswar was high, as were the majority of the associated factors for CAD. Targeted interventions both at individual and community level are needed to address the risk factors of CAD thereby reducing the burden of CAD in this population.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001623/pdfft?md5=f0825acef7aa17be2ffb093f0d293ec1&pid=1-s2.0-S2213398424001623-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481043","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 treatment in patients with animal bites in a hospital of Colombia","authors":"Daniela Paola Escobar Domingo ,&nbsp;Erika Marcela Méndez Ordóñez ,&nbsp;Manuel Andrés Ferro Morales ,&nbsp;Leonardo Rueda Medina ,&nbsp;Mauricio Rodríguez Urrea ,&nbsp;Francisco Zambrano García","doi":"10.1016/j.cegh.2024.101694","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101694","url":null,"abstract":"<div><h3>Background</h3><p>The treatment of animal bite wounds includes both local management and prophylactic use of oral antibiotics. However, the effectiveness of the latter in our population is inconclusive. This research aims to identify the relationship between adherence to antibiotic treatment and the infection rate after an animal bite.</p></div><div><h3>Methods</h3><p>A prospective cohort study was conducted in a tertiary hospital in Colombia. All patients who had suffered animal bites were included in this study. T-tests and chi-square tests were used to evaluate the results. Subgroup analysis was performed, and the risk ratio was calculated with a 95 % confidence interval.</p></div><div><h3>Results</h3><p>A total of 227 patients were included, of whom 56.4 % were male, with an average age of 22 years, and 43.6 % were female. Canine bites accounted for 90.3 % of the cases, with the hand being the most frequently affected anatomical area. Beta-lactam antibiotics with beta-lactamase inhibitors were the most commonly used (53 %). Adherence to antibiotic treatment was observed in 63 % of the patients. Signs and symptoms of infection occurred in 44 % of cases, while suture dehiscence occurred in only 3 %.</p></div><div><h3>Conclusions</h3><p>While adherence to treatment is acceptable, infection occurs at a high percentage. The adherence rate to antibiotic treatment in dog bites is high; however, the use of antibiotics remains controversial, as healthcare professionals do not adequately adhere to national guidelines.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001908/pdfft?md5=e2cf74ad4504e3f502a059d58af5babc&pid=1-s2.0-S2213398424001908-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141479651","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":"Correlation of maternal platelet to lymphocyte ratio, neutrophil to lymphocyte ratio, C- reactive protein with gestational age at delivery and fetal outcome - A prospective observational study from tertiary care centre","authors":"Mrinalini Kannan,&nbsp;Sajeetha Kumari R,&nbsp;Vinodhini Shanmugham","doi":"10.1016/j.cegh.2024.101687","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101687","url":null,"abstract":"<div><h3>Background</h3><p>Economic burden of preterm births can be reduced by screening and treating them at the early stage. The mechanism behind preterm birth is not clear and therefore there is no effective globally accepted treatment. Screening methods were mainly based on the previous obstetric history of the pregnant woman. Evidences indicate inflammatory markers such as neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) might be potential predictors of preterm deliveries. This study was aimed to determine the relationship between preterm births and NLR, PLR and CRP levels in a singleton pregnant woman.</p></div><div><h3>Material and methods</h3><p>This prospective observational study was conducted in the Department of obstetrics and gynaecology in a tertiary care hospital located at Chengalpattu, Kanchipuram, Tamil Nadu with an objective to determine the relationship between inflammatory markers and the foetal outcome among singleton pregnant woman.The Study period was from August 2022 to July 2023 for a period of 1 year. This study enrolled pregnant women between 28 and 32 weeks of gestation attending regular antenatal clinic and those willing to give informed consent.</p></div><div><h3>Results</h3><p>There was mean difference between both the groups in terms of WBC count (white blood cell) [11.87(±3.7) in pre term vs. 10.71(±2.76) in term], platelet count [262.7(±59.1) in pre term vs. 234.5(±73.6) in term], Absolute lymphocyte count [194.0(±93.6) in preterm vs. 203.8(±63.3) in term], Neutrophil lymphocyte ratio (NLR) [6.3(±2.8) in preterm vs. 3.7(±0.8) in term] and platelet lymphocyte ratio (PLR) [165.1(±87.9) in pre term vs. 120.7± (39.1) term] and all these difference were found to be statistically significant (p-value &lt;0.05*).</p></div><div><h3>Conclusion</h3><p>This prospective observational study deduced the association between the inflammatory markers and preterm delivery in a singleton pregnant woman. Rise in inflammatory parameters like neutrophil lymphocyte ratio, platelet lymphocyte ratio and C-reactive protein proved to be useful in predicting spontaneous preterm labour (before 37 weeks of gestation).</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001830/pdfft?md5=71d8db29efbf5268abbbcb41746d12ae&pid=1-s2.0-S2213398424001830-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141480933","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":"Corrigendum to ’Central obesity and its associated factors among adults in Southwest Ethiopia’ [Clinical Epidemiology and Global Health 28 (2024) 101664]","authors":"A. Sebeta, Eyob Tekalign, Tewodros Yosef","doi":"10.1016/j.cegh.2024.101714","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101714","url":null,"abstract":"","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141702722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring challenges and considerations while providing hemodialysis to pediatric, elderly, and pregnant cases: A narrative review of globally published literature","authors":"Megha Nagaraj Nayak,&nbsp;Veena Natti Krishna","doi":"10.1016/j.cegh.2024.101685","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101685","url":null,"abstract":"<div><h3>Background</h3><p>Hemodialysis patients have unique physiological characteristics that necessitate specialized care during the treatment. As the prevalence of kidney disease continues to rise, the importance of addressing the unique needs of these patient populations in hemodialysis cannot be overstated. This paper aims to explore the distinct considerations and challenges involved in providing hemodialysis in pediatric, elderly, and pregnant cases.</p></div><div><h3>Methods</h3><p>The narrative search was conducted in the online database of Google Scholar, and Pub Med and the inclusion period for eligible studies spanned from 2012 to 2022. The final extraction of data focused specifically on the topic of “Challenges and considerations when providing hemodialysis to elderly patients, pregnant women, and children”. The gathered data was narratively summarized into themes derived by authors.</p></div><div><h3>Results</h3><p>Hemodialysis treatment poses distinct challenges for pediatric, elderly, and pregnant cases, requiring specialized attention. In the case of pediatric patients, ensuring proper vascular access was a major challenge, while elderly cases on hemodialysis had issues related to cardiovascular health and frailty. Pregnant women face the delicate balance of providing adequate dialysis to manage uremic symptoms while safeguarding the well-being of the mother and the developing foetus.</p></div><div><h3>Conclusion</h3><p>Tailoring treatment plans to account for unique physiological, psychosocial, and medical considerations is essential to achieve optimal outcomes when providing hemodialysis to pediatric, elderly, and pregnant cases. The literature review underscores the importance of evidence-based practice, ongoing research, and the collaboration of healthcare providers from various disciplines.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001817/pdfft?md5=4b3513e5ca8aed998698c4fe279c88f2&pid=1-s2.0-S2213398424001817-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481036","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}