Puerto Rico health sciences journal最新文献_第2页

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

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

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

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

The Effect of Foot Self-Massage on Peripheral Neuropathic Pain, Peripheral Skin Temperature and Patient Comfort in Individuals with Diabetes: A Randomized Controlled Trial. 足部自我按摩对糖尿病患者周围神经性疼痛、周围皮肤温度和患者舒适度的影响：一项随机对照试验。

Puerto Rico health sciences journal Pub Date : 2025-03-01

Kadriye Sayin-Kasar, Guler Duru-Asiret

{"title":"The Effect of Foot Self-Massage on Peripheral Neuropathic Pain, Peripheral Skin Temperature and Patient Comfort in Individuals with Diabetes: A Randomized Controlled Trial.","authors":"Kadriye Sayin-Kasar, Guler Duru-Asiret","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The aim of this study was to evaluate the effect of foot self massage on peripheral neuropathic pain, peripheral skin temperature and patient comfort in individuals with diabetes.Methods: The sample of the study consisted of 52 individuals with type 2 diabetes (26 self foot massage group and 26 control group) between August 2021 and July 2022. Individuals in the foot self-massage group performed a foot massage for 30 minutes (15 minutes for each foot) three times a week for four weeks after training. Data were collected using an Individual Description Form, a Visual Analog Scale (VAS), the DN4 Pain Questionnaire and the General Comfort Scale-Short Form and peripheral skin temperature was measured. The data were evaluated using the Independent Sample-t test, Paired Sample-t test, Mann-Whitney U test, and Wilcoxon test. Continuity correction and Pearson-χ2 (chi-square) tests were used to compare categorical variables.Results: In this study, it was found that foot self-massage did not affect the peripheral neuropathic pain level of the patients, but the mean pain (VAS) scores of the patients in the foot massage group significantly decreased compared to the patients in the control groups. In addition, it was found that foot self-massage did not affect patients' peripheral skin temperature and patient comfort.Conclusion: It is recommended that foot massage, which can be applied by itself without time and place restrictions, be learned by patients and supported by health professionals because it is easy to apply, practical and economical.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 1","pages":"39-45"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757004","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

Ischemia in the Splenium of the Corpus Callosum: A Rare Manifestation of Malaria. 胼胝体脾脏缺血：疟疾的一种罕见表现。

IF 0.3

Puerto Rico health sciences journal Pub Date : 2025-03-01

Esra Soyer-Guldogan, Mustafa Cagan-Akay, Mutlucan Kurt, Murat Albas

引用次数: 0

Long-Term Outcomes of Short versus Long Dental Implants with Sinus Lift in Atrophied Posterior Maxillae: A Systematic Review and Meta-Analysis. 后上颌萎缩的短牙种植体与长牙种植体鼻窦提升的远期疗效：一项系统综述和荟萃分析。

IF 0.3

Puerto Rico health sciences journal Pub Date : 2025-03-01

Brayann O Alemán, Irelsy Rivera-Velazquez, Zareth Jana-Hernández, Sona Rivas-Tumanyan, Lidia M Guerrero-Rodríguez, Augusto R Elias-Boneta

{"title":"Long-Term Outcomes of Short versus Long Dental Implants with Sinus Lift in Atrophied Posterior Maxillae: A Systematic Review and Meta-Analysis.","authors":"Brayann O Alemán, Irelsy Rivera-Velazquez, Zareth Jana-Hernández, Sona Rivas-Tumanyan, Lidia M Guerrero-Rodríguez, Augusto R Elias-Boneta","doi":"","DOIUrl":"","url":null,"abstract":"This study aimed to evaluate implant outcomes, including success or survival, complications, and marginal bone loss (MBL), in randomized controlled trials (RCTs), comparing short versus long implants with sinus augmentation (SA) after 5 or more years of loading. The objective was to update the qualitative and quantitative evidence on this topic and provide a comprehensive analysis of the previously identified implant outcomes. Electronic searches were conducted in 4 scientific databases from 2016 through 2024. Only RCTs with a minimum follow-up period of 5 years were included (7 studies); these were rated using the revised Cochrane risk-of-bias (RoB 2) tool for main outcomes. The overall risk of bias was \"High\" in 5 studies, whereas 2 studies were rated as \"Some concerns.\" The risk ratio (RR) and 95% confidence interval (CI) were calculated with Stata software, version 18, for implant success and survival (2.37; 95% CI: 0.83-6.78, P = .11) and for implant complications (0.88; 95% CI: 0.64-1.21, P = .43). The Cohen's d for MBL was -0.41 mm (95% CI: -0.72 to -0.09, P = .01). There was no statistically significant difference in implant success and survival between short and long implants with SA (P = .60). Due to the overall high risk of bias, no definitive conclusions can be drawn regarding the success or survival of short versus long implants. Further RCTs with clear descriptions of implant outcomes, rigorous standardization and calibration protocols, meticulous sample-size calculation, and extended follow-up periods are needed.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 1","pages":"54-62"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12424443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0