International journal of translational medical research and public health最新文献

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Prevalence and Sociodemographic and Behavioral Correlates of Psychological Distress among Lesbian, Gay, and Bisexual Adults in the United States, 2013-2018 2013-2018年美国女同性恋、男同性恋和双性恋成年人心理困扰的患病率及其社会形态和行为相关性
International journal of translational medical research and public health Pub Date : 2022-03-23 DOI: 10.21106/ijtmrph.415
Gopal K. Singh, Hyunju Lee, G. Daus
{"title":"Prevalence and Sociodemographic and Behavioral Correlates of Psychological Distress among Lesbian, Gay, and Bisexual Adults in the United States, 2013-2018","authors":"Gopal K. Singh, Hyunju Lee, G. Daus","doi":"10.21106/ijtmrph.415","DOIUrl":"https://doi.org/10.21106/ijtmrph.415","url":null,"abstract":"Background: The lesbian, gay, bisexual, and transgender (LGBT) population comprises approximately 5.6% of the total US population. Levels and patterns of psychological distress in the LGBT population are less well known compared with the general population. This study examines the prevalence and sociodemographic and behavioral correlates of psychological distress among lesbian, gay, and bisexual (LGB) adults in the United States.\u0000Methods: Using the pooled cross-sectional data from the 2013-2018 National Health Interview Surveys (N=183,020), differentials in serious psychological distress (SPD) and factor-based psychological distress scores were analyzed by multivariate linear and logistic regression.\u0000Results: The prevalence of SPD was 8.0% for the LGB population aged ≥18, 7.0% for gay and bisexual males, and 8.9% for LGB females, compared with 3.4% for the total straight/heterosexual population, 2.7% for straight males, and 4.0% for straight females. Mean psychological distress index scores were highest among LGB females (109.8), followed by gay and bisexual males (105.8), straight females (100.6), and straight males (97.7). Compared with the straight population, LGB adults had higher education, unemployment, and poverty levels and were more likely to be non-Hispanic White and single. LGB adults were more likely to smoke and drink alcohol and more likely to be physically active than straight adults. LGB females had higher obesity but gay and bisexual males had lower obesity rates than their straight counterparts. After controlling for covariates, LGB adults had 89% higher odds of SPD and significantly higher distress levels than straight adults. Younger age, lower-income, divorce/separation, lack of health insurance, functional limitation, smoking, physical inactivity, and obesity were significant predictors of SPD and higher psychological distress levels in LGB adults.\u0000Conclusion and Implications for Translation: Significant disparities in mental health exist, with LGB adults at substantially increased risk of psychological distress and likely in greater need of appropriate social and mental health services. Health policies aimed at improving the material conditions and social environments may lead to improved mental health outcomes among LGB adults and the general population. \u0000 \u0000Copyright © 2022 Singh, et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.","PeriodicalId":93768,"journal":{"name":"International journal of translational medical research and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42027123","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}
引用次数: 0
Examining Trends in Black-White Disparity in Traumatic Spinal Cord Injuries among Pregnancy-Related Hospitalizations in the United States 美国妊娠相关住院治疗中创伤性脊髓损伤的黑人-白人差异趋势研究
International journal of translational medical research and public health Pub Date : 2022-03-22 DOI: 10.21106/ijtmrph.392
Deepa Dongarwar, Ayleen Hernandez, L. Miranda, H. Salihu
{"title":"Examining Trends in Black-White Disparity in Traumatic Spinal Cord Injuries among Pregnancy-Related Hospitalizations in the United States","authors":"Deepa Dongarwar, Ayleen Hernandez, L. Miranda, H. Salihu","doi":"10.21106/ijtmrph.392","DOIUrl":"https://doi.org/10.21106/ijtmrph.392","url":null,"abstract":"The proportion of women with traumatic Spinal Cord Injuries (tSCI) is increasing globally, yet there is a dearth of data in the literature on female-specific health conditions, such as pregnancy, in this population. In this retrospective cohort study, we sought to fill the gap in the literature regarding racial differences in the trends of tSCI among hospitalized pregnant women. Using Nationwide Inpatient Sample data, all hospitalizations among pregnant women with tSCI were identified. Joinpoint regression analyses were utilized to examine the temporal trends in the rates of tSCI among the entire pregnant hospitalized population in the US during the 10-year study period of 2009-2018. We compared the tSCI hospitalization trends between non-Hispanic (NH) Blacks and NH-Whites. Overall, there was an increase in the rates of tSCI in the entire pregnant population, during the study period (Average annual percentage change [AAPC]: 7.1, 95% CI: 1.2, 13.4). The rates of tSCI were consistently higher in NH-Blacks in comparison to NH-Whites. More public health policies should be directed at preventing acute tSCIs during pregnancy and physicians should understand how to meet the needs of pregnant patients with tSCI, especially those who belong to racial/ethnic minority groups.\u0000 \u0000Copyright © 2022 Dongarwar et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.","PeriodicalId":93768,"journal":{"name":"International journal of translational medical research and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46941324","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}
引用次数: 0
Sex and Age-Based Differences in Adult Acute Myeloid Leukemia Hospitalizations in the United States, 2009-2018 2009-2018年美国成人急性髓细胞白血病住院患者的性别和年龄差异
International journal of translational medical research and public health Pub Date : 2022-03-22 DOI: 10.21106/ijtmrph.402
Deepa Dongarwar, Karla Moriel, Kobby A. Wiafe, H. Salihu
{"title":"Sex and Age-Based Differences in Adult Acute Myeloid Leukemia Hospitalizations in the United States, 2009-2018","authors":"Deepa Dongarwar, Karla Moriel, Kobby A. Wiafe, H. Salihu","doi":"10.21106/ijtmrph.402","DOIUrl":"https://doi.org/10.21106/ijtmrph.402","url":null,"abstract":"Acute myeloid leukemia (AML) represents the fifth-worst five-year overall survival by cancer type in the United States, and the prognosis is shown to vary by age and sex. However, published data exploring temporal trends in the rates of hospitalization by sex and prognosis patterns incorporating both age and sex remains limited. Therefore, we investigated trends of acute myeloid leukemia (AML) hospitalization rates by sex and the differences in the AML hospitalization rates by sex and age in the adult population using the Nationwide Inpatient Sample database for the years 2009-2018. We examined the differences in rates of AML hospitalizations by sex and age. Next, we stratified the study duration into two groups of five years each: 2009-2013 and 2014-2018 and examined the differences in age and sex across the study period and groups. Pearson’s chi-squared tests were conducted to determine the statistically significant differences in these bivariate comparisons. Overall, during the entire study period, we observed an increased rate of hospitalizations in males, when compared with their female counterparts. The highest AML hospitalization rate for both males and females was observed in the age group of 60-79 years; males accounted for 33.8 per 10,000 hospitalizations and females accounted for 23.3 per 10,000 hospitalizations. The greatest difference in hospitalization rates by age group and sex was observed in 18-39 years (males: 23.6 per 10,000 hospitalizations, females: 7.7 per 10,000 hospitalizations [p-value=<0.01]). The trend in the prevalence of AML hospitalizations by age or sex remains unchanged irrespective of the 5-year study period group. The results from this study would prove vital in directing the decision-making process for healthcare providers and AML patients alike as they work in tandem to navigate the complexities of AML and everything it entails.\u0000 \u0000Copyright © 2022 Dongarwar et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.","PeriodicalId":93768,"journal":{"name":"International journal of translational medical research and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46776083","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}
引用次数: 0
Individual and Community Level Factors Related to Contraceptive Access, Family Planning, and Reproductive Health Challenges Among Women in Kumasi, Ghana: A Field Study 与加纳库马西妇女避孕获取、计划生育和生殖健康挑战相关的个人和社区层面因素:一项实地研究
International journal of translational medical research and public health Pub Date : 2022-02-09 DOI: 10.21106/ijtmrph.393
Lauren M. Gibson, Albert Adusei Dua, Jake Coldiron, Amanda Peters, Sushana Lamsal, Grace-Elizabeth Edeh, Destiny Masha, Elizabeth Armstrong-Mensah
{"title":"Individual and Community Level Factors Related to Contraceptive Access, Family Planning, and Reproductive Health Challenges Among Women in Kumasi, Ghana: A Field Study","authors":"Lauren M. Gibson, Albert Adusei Dua, Jake Coldiron, Amanda Peters, Sushana Lamsal, Grace-Elizabeth Edeh, Destiny Masha, Elizabeth Armstrong-Mensah","doi":"10.21106/ijtmrph.393","DOIUrl":"https://doi.org/10.21106/ijtmrph.393","url":null,"abstract":"Despite the availability of contraceptives, cultural practices and social factors create barriers that prevent women in Ghana from realizing their reproductive health potential. The purpose of the field study was to examine individual and community level factors related to contraceptive access, family planning, and reproductive health challenges among women in Kumasi, Ghana. Specifically, we conducted a field-based comparison of women’s health-related issues in Kumasi and the US to determine areas of similarities and differences. Since our focus was Kumasi in general and the Suntreso Government Hospital in particular, we used convenience sampling. Thus, study results are not generalizable to the entire population of Ghana. Given the short duration of the entire field study (three weeks), and the fact that information on the women’s health areas of focus in Ghana is available in the US, secondary data from various sources were used for the US comparison. Utilizing a cross-sectional, mixed-methods study design, 100 women of reproductive age were surveyed. Results showed that 69.0% of study participants in Kumasi knew where to go to access birth control services but had little desire to use them. Like the study participants in Kumasi, most women in the US also know where to access reproductive health services but are more desirous and interested in using such services. We also found that while cultural norms and gender roles served as primary barriers to family planning and contraceptive access for women in Kumasi, access to health insurance is the barrier in the US.\u0000 \u0000Copyright © 2022 Gibson et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.","PeriodicalId":93768,"journal":{"name":"International journal of translational medical research and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42708732","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}
引用次数: 0
Individual and Community Level Factors Related to HIV Diagnosis, Treatment, and Stigma in Kumasi, Ghana: A Field Report 加纳库马西与艾滋病毒诊断、治疗和污名相关的个人和社区层面因素:一份实地报告
International journal of translational medical research and public health Pub Date : 2022-02-09 DOI: 10.21106/ijtmrph.396
Cameran Mosley, E. Ofori, Caylin Andrews, Elizabeth Armstrong-Mensah
{"title":"Individual and Community Level Factors Related to HIV Diagnosis, Treatment, and Stigma in Kumasi, Ghana: A Field Report","authors":"Cameran Mosley, E. Ofori, Caylin Andrews, Elizabeth Armstrong-Mensah","doi":"10.21106/ijtmrph.396","DOIUrl":"https://doi.org/10.21106/ijtmrph.396","url":null,"abstract":"The human immunodeficiency virus (HIV) is a public health issue globally and in Ghana. While efforts are underway to reduce HIV prevalence in Ghana, there are still some HIV-related issues (duration lived with HIV, mode of HIV diagnosis, HIV status disclosure, HIV treatment, HIV knowledge, and HIV prevention and stigma) that need to be addressed. The purpose of the field study was to examine individual and community level factors related to HIV diagnosis, treatment, and stigma in Kumasi, Ghana. Specifically, we conducted a field-based comparison of HIV-related issues in Kumasi and the US to determine areas of similarities and differences. Since our focus was the Kumasi district in general, and the Suntreso Government Hospital in particular, we used convenient sampling. Thus, study results are not generalizable to the entire population of Ghana. Given the short duration of the entire field study (three weeks) and the fact that most information on the HIV-related issues focused in Ghana are available in the US, secondary data from various sources were used for the US comparison. Results from the study showed that 29.2% of participants in Kumasi had lived with HIV for seven or more years, while data from the US showed that people generally live with HIV for 20 years or more after testing positive for the disease. Most of the study participants in Kumasi (68.5%) stated that they were diagnosed with HIV through a laboratory blood sample test, while rapid antibody and ELISA (enzyme-linked immunosorbent assay) tests were found to be the most commonly used methods in HIV diagnosis in the US. The majority of participants living with HIV in Kumasi (71.7%) and the US (67%) were concerned about their friends and family knowing of their HIV status. Unlike the US where patient assisted programs administered by pharmaceutical companies offer free to lowly priced HIV medication to low-income people living with HIV (PLWH), 92.7% of PLWH in Kumasi had free access to HIV medication. HIV-related stigma was an issue in both Kumasi and the US.\u0000 \u0000Copyright © 2022 Mosley et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.","PeriodicalId":93768,"journal":{"name":"International journal of translational medical research and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43578498","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}
引用次数: 1
Individual and Community Level Factors Related to Sanitation, Water Quality, Treatment and Management in Rural Communities in Accra, Ghana: A Field Study Report 加纳阿克拉农村社区与卫生、水质、处理和管理相关的个人和社区层面因素:一份实地研究报告
International journal of translational medical research and public health Pub Date : 2022-02-09 DOI: 10.21106/ijtmrph.395
Angelique Willis, Mildred Addo, Lauren Yoder, Cassandra M Johnson, S. Resler, Leticia Young, Elizabeth Armstrong-Mensah
{"title":"Individual and Community Level Factors Related to Sanitation, Water Quality, Treatment and Management in Rural Communities in Accra, Ghana: A Field Study Report","authors":"Angelique Willis, Mildred Addo, Lauren Yoder, Cassandra M Johnson, S. Resler, Leticia Young, Elizabeth Armstrong-Mensah","doi":"10.21106/ijtmrph.395","DOIUrl":"https://doi.org/10.21106/ijtmrph.395","url":null,"abstract":"Access to safe drinking water and adequate sanitation are basic necessities of life, yet not everyone in the world is able to access these services, particularly people living in rural areas. Rural areas in Ghana, defined as communities with populations less than 5,000 people, and some rural areas in the United States (US), defined as non-metropolitan communities, experience water and sanitation-related issues to varying degrees. The purpose of the field study was to examine individual and community level issues related to sanitation, and water sources, water quality, treatment and management, water needs and water-related illness in Accra, Ghana, and to determine areas of similarities and differences with the US. Thus, study results are not generalizable to the entire population of Ghana. Given the short duration of the entire field study (three weeks) and the fact that most information on water and sanitation in the US is publicly-available, secondary data from various sources were used for the US comparison. Results from the study showed that 61.4% of study participants in the selected communities in Accra and 80.0% of Americans living in rural areas had access to safe water. Lack of access to toilet facilities was minimal in rural communities in both Ghana and the US.\u0000 \u0000Copyright © 2022 Willis et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.","PeriodicalId":93768,"journal":{"name":"International journal of translational medical research and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42911711","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}
引用次数: 1
A Qualitative Exploration of Perceptions of the COVID-19 Vaccine in the United Kingdom During the Later Stages of the Vaccine Rollout 在疫苗推出的后期阶段,英国对COVID-19疫苗的看法的定性探索
International journal of translational medical research and public health Pub Date : 2022-02-09 DOI: 10.21106/ijtmrph.407
J. Eberhardt, J. Ling
{"title":"A Qualitative Exploration of Perceptions of the COVID-19 Vaccine in the United Kingdom During the Later Stages of the Vaccine Rollout","authors":"J. Eberhardt, J. Ling","doi":"10.21106/ijtmrph.407","DOIUrl":"https://doi.org/10.21106/ijtmrph.407","url":null,"abstract":"Background and Objective: Although COVID-19 vaccine uptake in the United Kingdom (UK) has been encouraging, many individuals are either hesitant to get vaccinated for COVID-19 or refuse to do so. Research has uncovered associated demographic and psychological factors, but there is a lack of qualitative work involving individuals across the UK to explore reasons for this hesitancy. We aimed to qualitatively explore perceptions of the COVID-19 vaccine in individuals across the UK during the latter stages of the vaccine rollout.\u0000Methods: Free-text responses were collected within an online survey assessing factors associated with COVID-19 vaccine acceptance. In total, 861 individuals took part (156 males, 698 females, 1 non-binary, 6 preferred not to say); 217 provided free-text responses. The mean age was 42.04 (SD = 13.20). Six hundred thirty-one respondents (73.3%) had been vaccinated, and 230 (26.7%) had not. An inductive thematic analysis was conducted.\u0000Results: Five themes were yielded, describing fear as a vaccination barrier; perceptions of the COVID-19 vaccine being ineffective, unnecessary, unnatural, and experimental; perceived pressure to get vaccinated; practical barriers to getting vaccinated; and getting vaccinated to protect others and ‘get back to normal.’\u0000Conclusion and Implications for Translation: Measures to increase COVID-19 vaccine uptake should target misinformation, fear, and practical factors as deterrents. Interventions such as motivational interviewing should be considered for guiding individuals towards considering COVID-19 vaccination.\u0000 \u0000Copyright © 2022 Maiyaki et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.","PeriodicalId":93768,"journal":{"name":"International journal of translational medical research and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43148973","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}
引用次数: 4
Transitioning a Public Health Study Abroad Program to Virtual Format During the COVID-19 Pandemic: Implications for Public Health Practice 在COVID-19大流行期间,将公共卫生出国留学项目转变为虚拟格式:对公共卫生实践的影响
International journal of translational medical research and public health Pub Date : 2022-02-09 DOI: 10.21106/ijtmrph.399
Elizabeth Armstrong-Mensah
{"title":"Transitioning a Public Health Study Abroad Program to Virtual Format During the COVID-19 Pandemic: Implications for Public Health Practice","authors":"Elizabeth Armstrong-Mensah","doi":"10.21106/ijtmrph.399","DOIUrl":"https://doi.org/10.21106/ijtmrph.399","url":null,"abstract":"High impact learning practices (HIPs) are practices that promote deep learning through student engagement. They focus on the knowledge, attitudes, and skills college students need to succeed academically and professionally and afford students the opportunity to participate in activities beyond the classroom, resulting in learning and personal development. HIPs take various forms and include study abroad, signature experience, first-year seminars, and learning communities. As part of its HIPs, the Georgia State University (GSU) School of Public Health (SPH) offers students the opportunity to study abroad every summer under the auspices of faculty. However, in the summer of 2021, all GSU SPH study abroad programs, including my program, Field Study of Contemporary and Emerging Public Health Issues in Ghana: A Focus on Water and Sanitation, HIV, and Women’s Health Program, were canceled due to the COVID-19 pandemic. Owing to student continued interest, it was imperative to devise a creative method to ensure that students received a comparable experience despite the pandemic. This paper documents the transitioning of a three-week program to a virtual synchronous format to give students the opportunity to work with and learn from in-country partners in Accra, Ghana. The activities, challenges, and lessons learned from transitioning the program are also shared. Overall, students and in-country partners completed three comparative field studies that explored issues related to water and sanitation, the human immunodeficiency virus (HIV), and women’s reproductive health in Ghana. Students and partners identified and reflected on areas of similarities and differences between Ghana and the United States on the public health issues they focused on in the field.\u0000 \u0000Copyright © 2022 Maiyaki et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.","PeriodicalId":93768,"journal":{"name":"International journal of translational medical research and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47613623","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}
引用次数: 0
Profiles and Characteristics of Patients with Mild to Moderate COVID -19 Disease Phenotypes in a Teaching Hospital in Kano, Northern Nigeria 尼日利亚北部卡诺一所教学医院轻至中度COVID -19疾病表型患者的概况和特征
International journal of translational medical research and public health Pub Date : 2022-02-09 DOI: 10.21106/ijtmrph.408
B. Musa, Garba Dahiru, Amina Amina, Tijjani Hussaini, Sabitu Y Shuaibu, M. Ibrahim, Auwal Adamu, Nura Mohammed, M. H. Maje, H. Salihu
{"title":"Profiles and Characteristics of Patients with Mild to Moderate COVID -19 Disease Phenotypes in a Teaching Hospital in Kano, Northern Nigeria","authors":"B. Musa, Garba Dahiru, Amina Amina, Tijjani Hussaini, Sabitu Y Shuaibu, M. Ibrahim, Auwal Adamu, Nura Mohammed, M. H. Maje, H. Salihu","doi":"10.21106/ijtmrph.408","DOIUrl":"https://doi.org/10.21106/ijtmrph.408","url":null,"abstract":"Background and Introduction: COVID-19 has affected almost 180 million people around the world, causing the death of about 5 million persons, as of November 16, 2021. The disease presents with a plethora of pulmonary and extrapulmonary symptoms of varying severity. After an exhaustive review of the literature, we found no data on the mild and moderate COVID-19 disease phenotypes in Northern Nigeria. Our objective is to describe the clinical characteristics of non-severe COVID -19 disease phenotypes in Kano State.\u0000Methods: This is a retrospective cohort study at the COVID-19 Isolation Center of Muhammad Buhari Specialist Hospital Kano, Nigeria. We included all patients admitted from May 2020 to December 2020. Patients’ medical records were assessed and evaluated to describe the clinical characteristics at presentation. We explored time to discharge between patients aged ≤ 50 years old versus those >50. We applied the Kaplan-Meier product-limit estimator to generate cumulative probabilities of discharge over time and used the Log-rank test to determine differences between the two age groups. We applied Cox Proportional Hazards to identify predictors of time to discharge among the patients in the study. The study variables comprised of time of viral clearance and time to discharge as outcome variables, while main exposure variables included, age, sex, occupation, mode of exposure, presence of co-morbidity, and duration of hospitalization.\u0000Results: A total of 187 COVID-19 patients were reviewed. The commonest symptoms were fever, breathing difficulty, and dry cough. There was no recorded death. Contact with a confirmed COVID-19 positive person was the source of infection in 167(89.3%) of patients. We noted faster time to viral clearance in patients on lopinavir compared to those on chloroquine (Log-rank test p-value = 0.048). There were no significant differences in time to discharge between younger (< 50 years) versus older patients (≥ 50 years) [24 days vs. 26 days respectively; Log-rank test p-value = 0.082]. Age, sex, and source of infection did not appear to be predictors of infection phenotype.\u0000Conclusion and Implications for Translation: The findings of this study have a bearing on the surveillance and diagnosis of COVID-19 in Nigeria. While the plethora of clinical features may not be limited to infection with the SARS-CoV-2 virus, healthcare practitioners should consider these symptom clusters in addition to cognate contact and travel history when confronted with a suspected COVID-19 infection. \u0000 \u0000Copyright © 2022 Maiyaki et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.","PeriodicalId":93768,"journal":{"name":"International journal of translational medical research and public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42332078","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}
引用次数: 0
Building Physician-Scientist Skills in R Programming:A Short Workshop Report. 培养医生-科学家的 R 语言编程技能:短期研讨会报告。
International journal of translational medical research and public health Pub Date : 2022-02-09 Epub Date: 2022-05-27 DOI: 10.21106/ijtmrph.418
Muktar H Aliyu, Mahmoud U Sani, Donna J Ingles, Fatima I Tsiga-Ahmed, Baba M Musa, M Shannon Byers, Deepa Dongarwar, Hamisu M Salihu, C William Wester
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