Puerto Rico Health Sciences Journal最新文献_第5页

Effectiveness of Multiple Consecutive Fecal Immunohistochemical Testing for Colorectal Cancer Screening. 多次连续粪便免疫组化检测在大肠癌筛查中的有效性。

IF 0.5 4区医学

Puerto Rico Health Sciences Journal Pub Date : 2022-09-01

Loscar Santiago, Doris H Toro

{"title":"Effectiveness of Multiple Consecutive Fecal Immunohistochemical Testing for Colorectal Cancer Screening.","authors":"Loscar Santiago, Doris H Toro","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The fecal immunohistochemical test (FIT) is a simple colorectal-cancer screening test. There are no recent studies evaluating the benefits of doing more than one a year. Our study aimed to evaluate the effectiveness of performing the test for 3 consecutive days in terms of detecting cancer and advanced adenomas.Methods: This was a single-center retrospective review of records of patients who had daily tests for 3 consecutive days and had at least one positive during the period from 2009-2011.Results: A total of 456 records were reviewed, 410 met the inclusion criteria. Most of the participants were men (95.9%), with the mean age of all the participants being 64.3 (±7.8) years. Regarding the FIT results, 18.8% had positive results on all 3 tests, 20.2% had 2 positive tests, and 61.0% had 1 positive FIT. There were 16 (3.9%) patients in the studied sample that had colon cancer. Their lesions were located predominantly in the distal colon (ratio of distal to proximal: 2:1). The patients with 3 positive FITs had a higher prevalence of advanced adenomas (33.3% vs. 13.4%, respectively; P < .05).Discussion: Our study showed a low concordance between daily consecutive tests results. those patients with more than 1 positive FIT had a higher prevalence of advanced adenoma or adenocarcinoma than patients who had only one. Fewer than 4% of the patients in our study had colon cancer. Prospective studies would be needed to determine the effectiveness of more than 1 annual FIT in colon cancer prevention.","PeriodicalId":54529,"journal":{"name":"Puerto Rico Health Sciences Journal","volume":"41 3","pages":"117-122"},"PeriodicalIF":0.5,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116953/pdf/nihms-1887057.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 of Academic-Community Partnerships in Translational Research. 翻译研究中学术界与社区伙伴关系的评估。

IF 0.5 4区医学

Puerto Rico Health Sciences Journal Pub Date : 2021-12-01

Irene Lafarga-Previdi, Carmen M Velez-Vega, Edda I Santiago-Rodriguez, Yolanda Lasalle

{"title":"Assessment of Academic-Community Partnerships in Translational Research.","authors":"Irene Lafarga-Previdi, Carmen M Velez-Vega, Edda I Santiago-Rodriguez, Yolanda Lasalle","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The Community Engagement Core (CEC) of the Center of Collaborative Research in Health Disparities focuses on developing and implementing strategies to increase academic-community collaborations and partnerships, enhance the recruitment and retention of study participants, disseminate research findings to a broader audience, and mitigate health disparities in Puerto Rico.Methods: In order to assess the current state of academic-community relationships and also collect ideas for their improvement, a strengths, weaknesses, opportunities, and threats (SWOT) analysis was conducted. Participants for the SWOT analysis activity were drawn from a pool of stakeholders at the University of Puerto Rico Medical Sciences Campus and a group of community representatives.Results: The areas identified by the group for the CEC to focus on were weaknesses such as 1) a lack of interaction and involvement with community leaders, 2) limited numbers of advocacy groups in several health areas, and 3) few research consortia. Opportunities identified included the possibilities of 1) creating alliances between academia and industry, municipalities, and community-based organizations, 2) advocating integration in research proposals, and 3) establishing a network of researchers and community leaders.Conclusion: The SWOT analysis activity served to foster relationships with diverse community stakeholders and select members for a community advisory board to collaborate in developing educational activities for our researchers and communities. These findings will also help the CEC establish a strategic plan that should be able to supply a strong community-based participatory research approach that would help mitigate health disparities in Puerto Rico, as well as define the strategies to implement such recommendations.","PeriodicalId":54529,"journal":{"name":"Puerto Rico Health Sciences Journal","volume":"40 4","pages":"157-161"},"PeriodicalIF":0.5,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8981519/pdf/nihms-1790656.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10812792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute Liver Infarct with a Superimposed Liver Abscess as a Consequence of Hypercoagulable State in a Patient with COVID-19 without Respiratory Manifestations. 无呼吸症状的COVID-19患者高凝状态导致急性肝梗死合并肝脓肿

IF 0.5 4区医学

Puerto Rico Health Sciences Journal Pub Date : 2021-10-01 DOI: 10.14309/01.ajg.0000784136.77918.fe

P. Rivera-Cariño, Pedro A. Rosa-Cortés, Liliana Llopart-Herrera, Eduardo Acosta-Pumarejo, Luis Rey-Mejías, D. Toro

引用次数: 0

The Effect of an Education and Counseling Program on Maternal/Neonatal Outcomes in Pregnant Women at Risk of Preeclampsia. 教育和咨询项目对有子痫前期风险的孕妇的孕产妇/新生儿结局的影响

IF 0.5 4区医学

Puerto Rico Health Sciences Journal Pub Date : 2021-09-01

Meltem Ugurlu, Tulay Yavan, Kazim Emre Karasahin

{"title":"The Effect of an Education and Counseling Program on Maternal/Neonatal Outcomes in Pregnant Women at Risk of Preeclampsia.","authors":"Meltem Ugurlu, Tulay Yavan, Kazim Emre Karasahin","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To evaluate, in pregnant women at risk for preeclampsia, the effect of an education and counseling program on healthy lifestyle behaviors, self-efficacy, and maternal/neonatal outcomes.Methods: This study had a randomized controlled trial design and was conducted with 132 pregnant women at risk of preeclampsia and attending an antenatal clinic for routine care. The intervention group received education and counseling focused on preventing preeclampsia and were given a preeclampsia booklet; the control group received standard prenatal care. The members of the 2 groups were seen 4 times during their pregnancies, and once after giving birth. Data were gathered with the Health Promoting Lifestyle Profile-II, the Self-Efficacy Scale (SES), pregnant woman and fetal follow-up forms, and a postpartum data collection form. Permission from the ethics committee was obtained for the study.Results: Education and counseling about preeclampsia had a statistically significant effect on healthy lifestyle behaviors (P < .008). However, we found no statistically significant differences in the total SES scores (P > .0125), systolic and diastolic blood pressure averages, edema status, or feeling the baby move (P > .05). We found differences in terms of physical activity in the first and third follow-ups, and in terms of breathing exercises in the first, second, and third follow-ups (P < .05). Preeclampsia developed in 4 of the pregnant women (7.6%) in the control group but not at all in the intervention group.Conclusion: A preeclampsia education and counseling program could help to develop healthy lifestyle behaviors in pregnant women at risk of preeclampsia.","PeriodicalId":54529,"journal":{"name":"Puerto Rico Health Sciences Journal","volume":"40 3","pages":"127-135"},"PeriodicalIF":0.5,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Compound Heterozygous Mutations in the BBS-1 Gene and its Clinical Presentation: A Case Report. BBS-1基因的复合杂合突变及其临床表现:1例报告。

IF 0.5 4区医学

Puerto Rico Health Sciences Journal Pub Date : 2021-09-01

Eduardo Michelen-Gómez, Gabriel Guardiola-Dávila, Natalio J Izquierdo

引用次数: 0

Social Media and Mobile-App use for Sexual Encounters among Men Who Have Sex With Men in Puerto Rico. 波多黎各男同性恋者使用社交媒体和移动应用程序进行性接触。

IF 0.5 4区医学

Puerto Rico Health Sciences Journal Pub Date : 2021-09-01

Vivian Colón-López, Nadia Centeno-Alvarado, Ivony Y Agudelo-Salas, Maureen M Canario de la Torre, Sandra Miranda de León, Yadira Rolón-Colón, Jorge Rodríguez, María Pabón-Martínez

{"title":"Social Media and Mobile-App use for Sexual Encounters among Men Who Have Sex With Men in Puerto Rico.","authors":"Vivian Colón-López, Nadia Centeno-Alvarado, Ivony Y Agudelo-Salas, Maureen M Canario de la Torre, Sandra Miranda de León, Yadira Rolón-Colón, Jorge Rodríguez, María Pabón-Martínez","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To describe the use and frequency of use of mobile apps (internetand/ or smartphone-based geospatial networking apps) among men who have sex with men (MSM) and how these platforms are used to engage with sexual partners in PR.Methods: A local module including questions regarding mobile apps and sexual engagement and derived from the 2017 Puerto Rico National HIV Behavioral Surveillance System, fifth MSM cycle, was used for this analysis. A subsample of 127 eligible participants was recruited through venue-based sampling and assented to participate. Univariate analysis was used to evaluate sociodemographic and behavioral characteristics, HIV testing, and the ways in which mobile apps are used to find sexual partners.Results: The participants' median age was 35 years, with a standard deviation of ±11.37 years. Most of our sample (97%) had had anal sex with at least 1 partner in the last 12 months, and 76% of them had had condomless anal sex. Over three fourths (81%) reported using apps for sexual encounters, while 45% stated that the most frequently used app was Grindr. Of the participants who had used apps for sexual encounters, 57% had met 5 or more sexual partners through apps in their lifetime.Conclusion: This study shows that there is a need for further research to understand the habits of this population in PR regarding the use of apps to find sexual partners and, also, as a possible way to develop strategies for prevention and health promotion in this group.","PeriodicalId":54529,"journal":{"name":"Puerto Rico Health Sciences Journal","volume":"40 3","pages":"136-141"},"PeriodicalIF":0.5,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

¡Habla de VPH! An Educational Activity for College Students in Puerto Rico. ¡Habla de VPH！波多黎各大学生教育活动。

IF 0.4 4区医学

Puerto Rico Health Sciences Journal Pub Date : 2021-09-01

Vivian Colón-López, Alelí Ayala-Marín, Camille Vélez-Alamo, Marievelisse Soto-Salgado, Lizbeth Medina-Cortés, Adrianna I Acevedo-Fontanez, Ana P Ortiz, Natalie Fernández-Espada, Marta Sánchez-Aracil, Omayra Salgado-Cruz

{"title":"¡Habla de VPH! An Educational Activity for College Students in Puerto Rico.","authors":"Vivian Colón-López, Alelí Ayala-Marín, Camille Vélez-Alamo, Marievelisse Soto-Salgado, Lizbeth Medina-Cortés, Adrianna I Acevedo-Fontanez, Ana P Ortiz, Natalie Fernández-Espada, Marta Sánchez-Aracil, Omayra Salgado-Cruz","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To evaluate human papillomavirus (HPV) infection knowledge, willingness to get vaccinated, and vaccination uptake, following a brief educational activity entitled ¡Habla de VPH! (Let's talk about HPV!) in a sample of college students at the University of Puerto Rico, Bayamón.Methods: Participants completed a self-administered questionnaire developed by the research team, which gathered information regarding sociodemographic characteristics, HPV vaccination status, and willingness to receive the vaccine. Once the participant completed the survey, the staff of the Outreach Program conducted an educational activity. Study participants completed a pre- and post-test, which included a scale with items related to knowledge about HPV infection, associated malignancies, and the vaccine. To compute the mean knowledge score for each test, the correct responses were summed; the total scores for each test ranged from 0 to 11. Follow-up interviews (3 and 6 months) explored knowledge changes and-in the previously unvaccinated students-vaccine uptake.Results: A total of forty students answered the questionnaire. A significant difference between the average knowledge before (7.6 ± 2.1) and after the intervention (10.6 ±0.6) (P < .001) was observed. Of the non-vaccinated group, 59.3% reported being interested in receiving the vaccine. By the 3- and 6-month follow-ups, only 2 students had started the vaccine series.Conclusion: Knowledge about HPV and associated malignancies increased significantly. However, few students initiated the vaccine after either of the followups. Future efforts should line up the vaccine promotion and outreach activities with immunization services, making the vaccine available in the communities to be impacted.","PeriodicalId":54529,"journal":{"name":"Puerto Rico Health Sciences Journal","volume":"40 3","pages":"142-146"},"PeriodicalIF":0.4,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11391476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 Inflammatory Bowel Diseases in Puerto Rico: A Health Care Claims Analysis of an Insured Population. 波多黎各炎症性肠病的流行:一项保险人群的医疗保健索赔分析。

IF 0.5 4区医学

Puerto Rico Health Sciences Journal Pub Date : 2021-09-01

Esther A Torres, Mariela Torres-Cintron, Stephanie Velazquez, Roberto Vendrell, Antonio Del Valle, Cynthia M Pérez

{"title":"Prevalence of Inflammatory Bowel Diseases in Puerto Rico: A Health Care Claims Analysis of an Insured Population.","authors":"Esther A Torres, Mariela Torres-Cintron, Stephanie Velazquez, Roberto Vendrell, Antonio Del Valle, Cynthia M Pérez","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Inflammatory Bowel Disease has increased in Hispanics. This study estimates its prevalence in Puerto Rico for 2013 and compares it with prior reports.Methods: The database of commercial and government insurance claims of the Department of Health for 2013 was used. A case was defined as having at least two medical claims of outpatient services or one or more hospitalizations and emergency department visits with an ICD-9 code for Crohn's disease or ulcerative colitis. Cases with codes for both were classified as undetermined inflammatory bowel disease. Prevalence was calculated for inflammatory bowel disease, Crohn's disease, and ulcerative colitis overall and by age, sex, and health insurance.Results: 5,378 persons were classified as having inflammatory bowel disease, for an overall prevalence of 181.54/100,000. Of these, 2,154 had Crohn's disease and 2,689 had ulcerative colitis, with prevalences of 72.71 and 90.77/100,000 respectively. Crohn's disease was more prevalent in males and ulcerative colitis in females. Both types were more prevalent in the government insured population. 719 children had inflammatory bowel disease, for a prevalence of 89.8/100,000. Of these, 480 were classified as Crohn´s disease and 169 as ulcerative colitis. Prevalences for pediatric Crohn's disease and ulcerative colitis were 60.0 and 21.2/100,000 respectively.Conclusion: When compared with a report for 2005, the prevalence for inflammatory bowel disease in Puerto Rico for 2013 showed a 4-fold increase overall and a 3-fold increase in children. Inflammatory bowel disease was more prevalent in government-insured as opposed to commercially insured persons, in contrast with previous findings.","PeriodicalId":54529,"journal":{"name":"Puerto Rico Health Sciences Journal","volume":"40 3","pages":"103-109"},"PeriodicalIF":0.5,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39635912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Retrospective Cohort Study on Health Insurance: Related Disparities in Trauma Patients After Penetrating Injuries: 2000-2014. 健康保险的回顾性队列研究:穿透伤后创伤患者的相关差异:2000-2014。

IF 0.5 4区医学

Puerto Rico Health Sciences Journal Pub Date : 2021-09-01

Rafael De Ayala-Hillman, Cristina Diaz-Marty, Ediel Ramos-Meléndez, Omar García-Rodríguez, Lourdes Guerrios, Pablo Rodríguez-Ortiz

{"title":"A Retrospective Cohort Study on Health Insurance: Related Disparities in Trauma Patients After Penetrating Injuries: 2000-2014.","authors":"Rafael De Ayala-Hillman, Cristina Diaz-Marty, Ediel Ramos-Meléndez, Omar García-Rodríguez, Lourdes Guerrios, Pablo Rodríguez-Ortiz","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Although the lack of health insurance has been linked to poor health outcomes in several diseases, this relationship is still understudied in trauma. There exist differences between the Puerto Rico health care system and that of the United States. We therefore aimed to assess mortality disparities related to insurance coverage at the Puerto Rico Trauma Hospital (PRTH).Methods: A retrospective cohort study of patients who sustained penetrating injuries (presenting at the PRTH from 2000 to 2014) was performed. Individuals were classified by their insurance status. Study variables comprised demographics, clinical characteristics and outcomes. A logistic regression analysis was performed to identify the association between health insurance status and risk of dying.Results: Patients with public health insurance experienced more complications than did individuals who had private health insurance (PrHI) or who were uninsured. This group had longer durations of mechanical ventilation and spent more time in the hospital than did patients who had PrHI or who were uninsured. However, uninsured patients with gunshot wounds were 54% (adjusted odds ratio = 1.54; 95% CI: 1.01, 2.36) more likely to die than were their counterparts who had PrHI.Conclusion: Our study suggests that having health insurance could reduce a given patient mortality risk in trauma settings. More studies with larger samples are warranted to confirm these findings. If these findings hold true, then providing equitable access to health services for the entire population could prevent patients suffering trauma from having premature, preventable deaths.","PeriodicalId":54529,"journal":{"name":"Puerto Rico Health Sciences Journal","volume":"40 3","pages":"120-126"},"PeriodicalIF":0.5,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39635915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of Short Root Anomaly in a Group of Puerto Ricans. 波多黎各人短根异常的患病率。

IF 0.5 4区医学

Puerto Rico Health Sciences Journal Pub Date : 2021-09-01

Christian Herrera, Sona Rivas-Tumanyan, Jose Morales, Omar García-Rodríguez, Augusto R Elías-Boneta

{"title":"Prevalence of Short Root Anomaly in a Group of Puerto Ricans.","authors":"Christian Herrera, Sona Rivas-Tumanyan, Jose Morales, Omar García-Rodríguez, Augusto R Elías-Boneta","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To estimate the prevalence of short root anomaly (SRA) in a group of Puerto Ricans at the Advanced Education Program in Orthodontics of the University of Puerto Rico.Methods: A cross-sectional study was conducted with digital panoramic x-rays of 203 patients (112 females and 91 males; mean age: 17 years) in Puerto Rico. Utilizing the modified Lind's method, 406 maxillary right and left central incisors (1) were measured and evaluated for SRA. Root and crown length and R/C ratio were compared by sex and side. Linear regression was used to evaluate the associations between the R/C ratio and age, sex, and side (right/left). All the statistical analyses were evaluated using significance level of .05 (2).Results: The prevalence of SRA was 0.49%. The average root and crown lengths for the maxillary right and left central incisors were 19.47 and 10.28 mm, respectively. Sex was associated with root and crown length, not with the R/C ratio. No differences were observed in the R/C ratio by the side. There were no significant associations between age, sex, and side and R/C ratio in the multivariate analysis.Conclusion: The prevalence of SRA in our population is lower than any reported in the literature. The R/C ratio in our Hispanic population was the highest compared with those of other ethnicities. Neither the sex nor the side of the incisor was associated with the R/C ratio. These findings are contrary to those of prior reports stating that males have higher R/C ratios than females.","PeriodicalId":54529,"journal":{"name":"Puerto Rico Health Sciences Journal","volume":"40 3","pages":"115-119"},"PeriodicalIF":0.5,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39635914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0