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Sexual wellness clinic collaborative initiative with a large urban emergency department: sexual health outcomes and linkage to HIV pre-exposure prophylaxis.
Ther Adv Infect Dis
December 2024
Section of Infectious Diseases & Global Health, University of Chicago Medicine, 5841 S. Maryland Avenue, MC5065, Chicago, IL 60637, USA.
Introduction: Despite escalating rates of sexually transmitted infections (STIs) in the United States (US), there has been progressive divestment of sexual health services leading to the reliance on emergency departments (EDs) for sexual healthcare, particularly among vulnerable populations. The Sexual Wellness Clinic (SWC), a novel care delivery model operating in collaboration with the ED, offers comprehensive sexual health services.
Objectives: This study aims to analyze the demographics, STI positivity, and HIV Pre-Exposure Prophylaxis (PrEP) uptake among patients accessing the SWC.
The role of neighborhood on preterm birth among a high-risk group of birthing people in Boston, MA.
BMC Pregnancy Childbirth
November 2024
Department of Neonatology, Beth Israel Deaconess Medical Center, Rose 3, Boston, MA, 02215, USA.
Article Synopsis
- Preterm birth (PTB) is linked to serious health issues and is influenced by racial, ethnic, and socioeconomic disparities, particularly due to structural racism and neighborhood factors.
- The Boston Birth Cohort study examined PTB among high-risk birthing people between 2000 and 2018 and found that neighborhoods accounted for only 3% of PTB risk variability, with individual factors like previous PTB history playing a more significant role.
- The study suggests that focusing on individual-level interventions, rather than broad neighborhood policies, might be more effective in addressing PTB issues among high-risk groups.
Spatial Analyses of Crisis Pregnancy Centers and Abortion Facilities in the United States, 2021 (Pre-Dobbs): Cross-Sectional Study.
JMIR Public Health Surveill
November 2024
Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, United States.
Background: Crisis pregnancy centers (CPCs) are religious nonprofit organizations with a primary mission of diverting people from having abortions. One CPC tactic has been to locate near abortion facilities. Despite medical groups' warnings that CPCs do not adhere to medical and ethical standards and pose risks, government support for CPCs has significantly increased.
View Article and Find Full Text PDFCase report: Hand-arm vibration syndrome in a dental technician.
Front Public Health
October 2024
Department of Occupational and Environmental Medicine, Singapore General Hospital, Singapore, Singapore.
Article Synopsis
- Occupational exposure to vibration from hand-held tools can lead to hand-arm vibration syndrome (HAVS), as shown in the case of a 39-year-old dental technician who experienced chronic wrist pain, numbness, and tingling for three years after five years of repetitive tool use.
- She was diagnosed with bilateral median nerve neuropathy, mild carpal tunnel syndrome, and had MRI results indicating soft tissue damage due to repetitive strain injury, particularly in her dominant right wrist.
- A workplace health risk assessment identified high-risk tasks associated with her symptoms, leading to modifications and monitoring protocols that helped stabilize her condition.
Estimating and planning hospital costs of public hospitals in Brazil.
Int J Health Plann Manage
November 2024
Faculty of Economic Sciences, UFMG, Belo Horizonte, Minas Gerais, Brazil.
While the estimate of hospital costs concerns the past, its planning focuses on the future. However, in many low and middle-income countries, public hospitals do not have robust accounting health systems to evaluate and project their expenses. In Brazil, public hospitals are funded based on government estimates of available hospital infrastructure, historical expenditures and population needs.
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