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Developing a Charlson Comorbidity Index for the American Indian Population Using the Epidemiologic Data from the Strong Heart Study.
J Racial Ethn Health Disparities
December 2024
Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Background: The Charlson Comorbidity Index (CCI) is a frequently used mortality predictor based on a scoring system for the number and type of patient comorbidities health researchers have used since the late 1980s. The initial purpose of the CCI was to classify comorbid conditions, which could alter the risk of patient mortality within a 1-year time frame. However, the CCI may not accurately reflect risk among American Indians because they are a small proportion of the US population and possibly lack representation in the original patient cohort.
View Article and Find Full Text PDFAnthropometric measurements as predictors of nutritional status in black South African women during pregnancy.
J Obstet Gynaecol Res
January 2025
Department of Medical Biochemistry, University of KwaZulu-Natal, Durban, South Africa.
Background: Nutritional risk assessment is an essential component of primary health care screening, especially for pregnant women. The aim of this study was to investigate the relationship between maternal body mass index (BMI) and maternal anthropometric measurements in black South African pregnant women, both with and without human immunodeficiency virus (HIV).
Materials And Methods: A cross-sectional observational study design was used.
Reclaiming the narrative: countering harmful commercial discourses.
Health Promot Int
December 2024
Global Health 50/50, The Guildhall Market Square, Cambridge CB2 3QJ, UK.
The discourses promoted by powerful commercial actors whose business activities are damaging to health undermine the potential for the transformational changes urgently needed to address pressing public health and environmental threats globally. This piece provides an analysis of corporate discursive practices and the mechanisms through which they contaminate scientific and policy debates and harm public and environmental health. We refer to this phenomenon as 'discursive pollution' to reflect the parallels between the effects of informational strategies and the commercial activities of harmful industries.
View Article and Find Full Text PDFRisk factors for low back pain amongst adults in Nigeria and South Africa: a systematic review.
BMC Musculoskelet Disord
November 2024
East Suffolk and North Essex Foundation Trust (ESNEFT), Ipswich, UK.
Background: The burden on the individual, society and healthcare providers of low back pain in the western world is well documented. Globalisation and urbanisation, it has been reported, has led to an increase in low back pain in developing countries such as those situated in Sub-Saharan Africa. Low back pain determinants are framed, according to the individual, social and cultural context.
View Article and Find Full Text PDFSeverity Patterns in COVID-19 Hospitalised Patients in Spain: I-MOVE-COVID-19 Study.
Viruses
October 2024
Research Group on Infections Difficult to Diagnose and Treat, Miguel Servet University Hospital, Institute for Health Research Aragón, 50009 Zaragoza, Spain.
In the frame of the I-MOVE-COVID-19 project, a cohort of 2050 patients admitted in two Spanish reference hospitals between March 2020 and December 2021 was selected and a range of clinical factor data were collected at admission to assess their impact on the risk COVID-19 severity outcomes through a multivariate adjusted analysis and nomograms. The need for ventilation and intensive care unit (ICU) admission were found to be directly associated with a higher death risk (OR 6.9 and 3.
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