Puerto Rico health sciences journal最新文献

Disparities in Opioid Distribution in Puerto Rico and the Continental United States (2018-2023). 波多黎各和美国大陆阿片类药物分布差异（2018-2023）。

Puerto Rico health sciences journal Pub Date : 2025-06-01

Lara A Costello, Lauren C Rowe, Stephanie C Forbes, Brian J Piper

{"title":"Disparities in Opioid Distribution in Puerto Rico and the Continental United States (2018-2023).","authors":"Lara A Costello, Lauren C Rowe, Stephanie C Forbes, Brian J Piper","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The objective of this study was to analyze and compare the distribution patterns of fentanyl, morphine, meperidine, and codeine in the continental US compared to Puerto Rico from 2018-2023. Attention was given to meperidine due to its extensive adverse effect profile and irreversible central nervous system toxicity.Methods: Data was collected from Automation of Reports and Consolidated Orders Systems (ARCOS). The dataset included annual distribution data for meperidine, fentanyl, morphine, and codeine in the US and Puerto Rico. Population data was collected from US Census data and the American Community Survey. Data analyses were conducted using Microsoft Excel Version 2410. For each opioid, the mean distribution and standard deviation (SD) were calculated for the continental US. The mean distribution in Puerto Rico was compared to the US mean distribution with a 95% confidence interval. ANOVA tests were performed to assess differences in distribution of each opioid across years (2018, 2020, and 2022) within the continental US. All descriptive statistics and ANOVA calculations were conducted with statistical significance determined at p < 0.05.Results: From 2018 to 2023, meperidine distribution declined in both regions but decreased more sharply in the continental US (82.6%) compared to Puerto Rico (43.5%). Distribution levels exceeded six standard deviations above the US mean in 2023. Fentanyl and morphine distributions were consistently lower in Puerto Rico than in the continental US.Conclusion: There was a disproportionately high distribution of meperidine in Puerto Rico compared to the continental US across the years studied.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 2","pages":"84-88"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328257","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

An Unusual Presentation of a Left Anterior Descending Artery Obstruction, A Deadly Disease. 左前降支梗阻的罕见表现，一种致命疾病。

Puerto Rico health sciences journal Pub Date : 2025-06-01

Osvaldo E Duran-Melendez, Frank Zorrilla-Caballero, Juan Gonzalez-Sanchez

引用次数: 0

Maxillary Canine Impaction in Subjects Aged 14 Years and Older: A Cross-Sectional Study. 14岁及以上上颌犬牙嵌塞：一项横断面研究。

Puerto Rico health sciences journal Pub Date : 2025-06-01

Antonia Alfonso-Pagán, Sona Rivas-Tumanyan, Francis Picón, Jose A Morales-Diaz

{"title":"Maxillary Canine Impaction in Subjects Aged 14 Years and Older: A Cross-Sectional Study.","authors":"Antonia Alfonso-Pagán, Sona Rivas-Tumanyan, Francis Picón, Jose A Morales-Diaz","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This cross-sectional study aimed to estimate the prevalence of impacted maxillary canines in patients seeking treatment from 2016 2020 at the University of Puerto Rico School of Dental Medicine Orthodontic Graduate Program and compare it to the prevalence of published reports. Additionally, we sought to describe the clinical pattern of impaction using initial photographs and panoramic radiographs.Materials and methods: Data were extracted from the dental records aged 14 years and older who had sought orthodontic treatment in 2016 2020. A calibrated examiner conducted all the dental measurements using 2D images from the initial records. Descriptive statistics included means (standard deviations), medians (interquartile range), and frequencies. A one-sample binomial test was used to compare the prevalence found to those of published reports. A chi-square, Fisher's exact, and the Mann-Whitney tests were used to compare patients with and without impaction. We used logistic regression to evaluate the associations between tooth-level risk factors and impaction, accounting for clustering and adjusting for age and sex.Results: The study included 217 patients (mean age: 21.38 ± 9.16 years; 58.5% were female). The prevalence of maxillary canine impaction was 7.83%. The odds of impaction were higher if the deciduous canine was present (OR = 67.59; 95% CI: 18.61-245.40) or if the canine overlapped the lateral incisor root (OR = 155.92; 95% CI: 36.32-669.29).Conclusion: The overall prevalence of maxillary canine impaction was high, although parallel to that reported in a Mexican population; site-level risk factors (deciduous canine presence, overlap) were identified.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 2","pages":"89-94"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328259","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

Peripartum Cardiomyopathy Leading to Multiorgan Dysfunction in a Previously Healthy 30-Year-Old Puerto Rican Woman. 一名健康的30岁波多黎各妇女围产期心肌病导致多器官功能障碍

Puerto Rico health sciences journal Pub Date : 2025-06-01

Karlene Vega-Figueroa, Amanda Detres, Alfredo Raffucci, Thomas Vazquez-Suarez, José V Somohano-Short, Maryrose Concepcion

引用次数: 0

Association of Health Literacy and Medication Adherence with Quality of Life in COPD Patients. 慢性阻塞性肺病患者健康素养和药物依从性与生活质量的关系

Puerto Rico health sciences journal Pub Date : 2025-06-01

Guven Bektemur, Mustafa Cortuk, Esra Keles, Kursad Nuri Baydili

{"title":"Association of Health Literacy and Medication Adherence with Quality of Life in COPD Patients.","authors":"Guven Bektemur, Mustafa Cortuk, Esra Keles, Kursad Nuri Baydili","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To determine the association between health literacy, adherence to treatment with quality of life in patients with chronic obstructive pulmonary disease (COPD).Methods: This cross-sectional study conducted among adults with COPD between February and March 2023. Sociodemographic characteristics, EuroQol Five-Dimension questionnaire (EQ-5D-5L), Health Literacy Scale, Morisky Medication Adherence Scale (MMAS-8), and COPD assessment test (CAT) were assessed.Results: A total of 425 patients with COPD were included. Better treatment adherence was positively correlated with better quality of life (p<0.001). There was a negative correlation between the quality of life and age (p<0.001; r=-0.174), COPD duration (p<0.001; r=-0.261), pack-years smoking history (p=0.002; r=- 0.162), and CAT score (p<0.001; r=-0.765). There was a positive correlation between quality of life and body mass index (p=0.049; r=0.096), and health literacy scores (p<0.001; r=0.473). Increased health literacy scores were also significantly related to better quality of life (p=0.004).Conclusion: Treatment adherence and health literacy significantly influenced HRQoL, highlighting the need for interventions focused on enhancing health literacy and adherence in COPD management.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 2","pages":"116-120"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328256","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

Healthcare Costs for Diabetes Associated with Health Disparities in Puerto Rico. 波多黎各与健康差异相关的糖尿病医疗费用。

Puerto Rico health sciences journal Pub Date : 2025-06-01

Mariela Torres-Cintrón, Ruth Ríos-Motta, Heriberto Marín-Centeno, Cynthia M Pérez-Cardona

{"title":"Healthcare Costs for Diabetes Associated with Health Disparities in Puerto Rico.","authors":"Mariela Torres-Cintrón, Ruth Ríos-Motta, Heriberto Marín-Centeno, Cynthia M Pérez-Cardona","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This study compared the healthcare utilization of and costs for adults (18-64 years) with diabetes mellitus (DM) by plan type in Puerto Rico in 2013. This study is important because understanding disparities in healthcare access and expenditures can inform public health policy decisions aimed at improving diabetes care in Puerto Rico.Methods: Puerto Rico public and private medical insurance paid claims and enrollment data from 2013 were used to calculate the diabetes prevalence and medical care expenditures associated with this disease for total enrollers and by type of health insurance. This cross-sectional analytic study analyzed healthcare claims from 96% of the insured population in Puerto Rico, providing a comprehensive assessment of diabetes-related healthcare costs.Results: The total expenditure for patients with DM for 2013 was $388,536,735, with 58.0% attributed to the private sector. In the public sector, the largest expenditure was for hospital services (53.8%), while in the private sector, the highest spending occurred in outpatient services (54.6%). After adjusting for sex, age, Charlson comorbidity index, and percent of copayment, public insurance beneficiaries were more likely to use hospital services (PR=3.23, 95% CI: 3.13-3.33, p<0.001) and emergency services (PR=1.61, 95% CI: 1.56-1.64, p<0.001), while private insurance beneficiaries used more ambulatory services (PR=0.91, 95% CI: 0.89-0.93, p<0.001).Conclusion: The findings of this study suggest disparities in access to primary health services for people with DM between public and private insureds, and that there is no continuity of care, leading to high costs for such services.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 2","pages":"95-98"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328258","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

Risk Factors for Cardiovascular Disease among Pregnant Women in San Juan, Puerto Rico. 波多黎各圣胡安孕妇心血管疾病的危险因素

Puerto Rico health sciences journal Pub Date : 2025-06-01

Andrea A López-Cepero, Stephanie Cameron, Mariana González, Deborah Santos-Sierra, Yaritza Inostroza-Nieves

{"title":"Risk Factors for Cardiovascular Disease among Pregnant Women in San Juan, Puerto Rico.","authors":"Andrea A López-Cepero, Stephanie Cameron, Mariana González, Deborah Santos-Sierra, Yaritza Inostroza-Nieves","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Cardiovascular disease (CVD) is the leading cause of death among women in Puerto Rico (PR). Cardiovascular disease risk factors (CVDRF) during pregnancy, such as obesity, type 2 diabetes (T2D), hypertension, and hypertensive disorders of pregnancy, increase risks for maternal and neonatal health. Limited data exist on CVDRF prevalence among pregnant women in PR.Methods: This cross-sectional study analyzed medical records of 264 pregnant women aged 21-35 years with no prior pregnancies from an outpatient clinic in San Juan, PR, during 2018-2019. Key CVDRFs included pre-pregnancy obesity, T2D, gestational diabetes, hypertension, and hypertensive disorders of pregnancy. Age groups (21-25, 26-30, 31-35 years) were assessed for CVDRF prevalence. Logistic and multinomial regressions adjusted for sociodemographic variables were used to evaluate associations.Results: Pre-pregnancy obesity was the most prevalent CVDRF (23.5%). Women aged 31-35 years had significantly higher odds of T2D/ gestational diabetes (OR=4.66; 95% CI=1.18, 18.4) and were more likely to experience two or more CVDRFs (RRR=2.73; 95% CI=1.10, 6.80).Discussion: Findings align with global data showing increased CVDRF prevalence with age among pregnant women. Comparisons with Latino and non-Latino populations reveal shared risks, such as higher rates of gestational diabetes and obesity in older age groups, emphasizing the universal relevance of addressing maternal CVDRFs. Significance: This study highlights the importance of identifying and managing CVDRF among pregnant women in PR, particularly those aged 31-35 years. The findings provide critical data to inform targeted interventions, optimize prenatal care, and reduce long-term maternal and neonatal complications, contributing to improved health outcomes for Puerto Rican women.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 2","pages":"106-110"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328262","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

Smoking, Sociodemographic Characteristics, and Health History among Adults with Mental Illness in Puerto Rico. 波多黎各成年精神疾病患者的吸烟、社会人口学特征和健康史

Puerto Rico health sciences journal Pub Date : 2025-06-01

Ruthmarie Hernández-Torres, Paola Carminelli-Corretjer, Francisco Cartujano-Barrera, Juliette Rivera-Collazo, Ana Paula Cupertino, Leopoldo J Cabassa, Eliut Rivera-Segarra

{"title":"Smoking, Sociodemographic Characteristics, and Health History among Adults with Mental Illness in Puerto Rico.","authors":"Ruthmarie Hernández-Torres, Paola Carminelli-Corretjer, Francisco Cartujano-Barrera, Juliette Rivera-Collazo, Ana Paula Cupertino, Leopoldo J Cabassa, Eliut Rivera-Segarra","doi":"","DOIUrl":"","url":null,"abstract":"Objective: In Puerto Rico, two in ten adults aged 18 to 64 (18.7%) are diagnosed with a mental illness (MI), such as schizophrenia, bipolar disorder, and major depressive disorder. People with MI diagnosis report higher frequencies of chronic diseases (e.g., diabetes, cancer, heart diseases) and cigarette smoking than the general population. This study explores associations between smoking, sociodemographic characteristics and health history (i.e. chronic diseases and MI diagnosis) among adults with a MI diagnosis in Puerto Rico.Methods: This cross-sectional study includes data from 285 Puerto Rican adults (> 21 years) with a MI diagnosis receiving psychiatric or psychological treatment in a community healthcare facility between May 2017 to May 2020. Chi-square tests evaluated the associations between smoking and sociodemographic characteristics, chronic diseases and MI diagnosis. Multiple logistic regression explained the relationship between smoking, sociodemographic characteristics, and MI diagnosis.Results: A total of 25.3% (n=72) of participants reported current smoking. Significant associations were found between smoking with sociodemographic characteristics and MI diagnosis among Puerto Ricans diagnosed with MI. The logistic regression model explained 18.9% of the variance in smoking and classified 76.1% of cases.Conclusion: Results confirm high prevalence rates of current smoking and the potential impact on health among Puerto Ricans with MI diagnosis. Tailored treatments for smoking cessation for Puerto Ricans living with MI are needed.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 2","pages":"76-83"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328263","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

Association of 6-Minute Walk Test (6MWT) Data with Cardiopulmonary Factors in Hispanic Systemic Sclerosis Patients. 西班牙系统性硬化症患者6分钟步行试验（6MWT）数据与心肺因素的关联

Puerto Rico health sciences journal Pub Date : 2025-06-01

Grissel Rios, Naydi Pérez-Ríos

{"title":"Association of 6-Minute Walk Test (6MWT) Data with Cardiopulmonary Factors in Hispanic Systemic Sclerosis Patients.","authors":"Grissel Rios, Naydi Pérez-Ríos","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Systemic Sclerosis (SSc) is an autoimmune disease with significant morbidity and mortality secondary to pulmonary manifestations. The six-minute walk test (6MWT) has been used in SSc studies to measure respiratory complications, particularly pulmonary hypertension. In this study, we evaluated whether the six-minute walk distance (6MWD), measured during the 6MWT, is associated with clinical SSc symptoms in Puerto Rican patients in a rheumatology clinic.Methods: We prospectively collected 6MWT data for 37 consecutive SSc patients at the University of Puerto Rico every three months for one year between 2013 and 2015. A linear mixed regression model was used to investigate the effects of the SSc clinical features and subtypes on average 6MWD over time.Results: The average baseline distance walked by SSc patients was 365.2 (± 8.1) meters, with no significant differences over time. No statistically significant differences (p>0.05) were found in the sixminute walk distance (6MWD) at different time intervals for SSc subtypes. Two clinical features, palpitations and lung crackles, were associated with a significantly shorter 6MWD(p<0.05).Conclusion: Our study showed that the 6MWT can be used to evaluate SSc patients. No association was found between 6MWD and most clinical SSc symptoms in our population. Two clinical symptoms, lung crackles and palpitations, were associated with decreased 6MWD.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 2","pages":"111-115"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328255","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

Predicting Pneumoconiosis Risk in Coal Workers using Artificial Neural Networks. 应用人工神经网络预测煤矿工人尘肺发病风险。

Puerto Rico health sciences journal Pub Date : 2025-06-01

Isil Zorlu, Mehmet Ali Kurcer

{"title":"Predicting Pneumoconiosis Risk in Coal Workers using Artificial Neural Networks.","authors":"Isil Zorlu, Mehmet Ali Kurcer","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This study aimed to create a model to predict pneumoconiosis risk in coal workers using artificial neural networks (ANNs).Methods: An ANN-based model was developed using the health records of a population of coal workers (all men). Input neurons comprised current age, year the worker began his employment, occupational category, the number of days spent working underground, the total days spent working, the duration of employment in working underground (i.e., in a so-called group 1 job), and smoking status. Output neurons comprised the states of having pneumoconiosis and being free of pneumoconiosis.Results: The study found that an ANN model incorporating the variables age, the duration of employment in a group 1 job, the number of days spent working underground, year the worker began his employment, the total days spent working, smoking status, and occupational category can be used to estimate pneumoconiosis risk. The model's success rate was 95.3%; sensitivity was 90.3%, and specificity was 96.5%. The most influential input variable for pneumoconiosis was age, followed by the duration of employment in a group 1 job.Conclusion: Predicting pneumoconiosis risk in coal workers provides great advantages for strategically monitoring miners and developing preventive health programs. Artificial neural network models should be developed, integrated into occupational medicine practice, and used to evaluate workers' health status.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 2","pages":"99-105"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328261","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