1,722 results match your criteria: "Lāna'i Community Health Center[Affiliation]"

Introduction: Efforts to improve pre-exposure prophylaxis (PrEP) uptake among gay men, transgender women, and Black cisgender women are evident across the United States, responding to epidemiologic data showing a disproportionate HIV burden in these communities. However, transgender men and other transmasculine people who have sex with men (TMSM)-those assigned female at birth who identify otherwise and have sex with cisgender men-are often excluded from these statistics. This community has unique vulnerabilities and prevention needs.

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Background: The long-term sequelae of coronavirus disease 2019 (COVID-19) and its recovery have becoming significant public health concerns. Therefore, this study aimed to enhance the limited evidence regarding the relationship between sleep quality on long COVID among the older population aged 60 years or old.

Methods: Our study included 4,781 COVID-19 patients enrolled from April to May 2023, based on the Peking University Health Cohort.

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Introduction: Generalized anxiety disorder (GAD) is the most common type of anxiety disorders. GAD usually occurs in adolescence or early adulthood, and the prevalence of GAD is higher among college-enrolled young adults than in the general adult population. However, there is a lack of evidence regarding the effectiveness of acupuncture in the treatment of GAD.

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Background: Among hypertensive cohorts across different nations, the relationship between the triglyceride-glucose index (TyG) and its conjunction with obesity metrics in relation to cardiovascular disease (CVD) incidence and mortality remains to be elucidated.

Methods: This study enrolled 9,283, 164,357, and 5,334 hypertensives from the National Health and Nutrition Examination Survey (NHANES), UK Biobank (UKBB), and Shanghai Pudong cohort. The related outcomes for CVD were defined by multivariate Cox proportional hazards models, Generalized Additive Models and Mendelian randomization analysis.

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Introduction: Dengue infection poses a serious threat to global public health, including Indonesia. The rapid spread and significant economic impact are crucial concerns for control efforts. Investigating risk factors of dengue virus infection is necessary to formulate effective strategies, particularly at the household level.

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Background: Millions of Americans have medical debt and/or defer care due to cost. Few studies have examined the association of such health-related financial problems with sexual orientation or gender identity, and whether state-level policies protecting sexual and gender minority (SGM) people affect disparities in such problems.

Objective: To examine the relationships between SGM status, state-level SGM protections, and health-related financial problems.

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The predictive role of the hs-CRP/HDL-C ratio for long-term mortality in the general population: evidence from a cohort study.

BMC Cardiovasc Disord

December 2024

Center for Cardiovascular Disease, Suzhou Municipal Hospital, Gusu School, The Affiliated Suzhou Hospital of Nanjing Medical University, Nanjing Medical University, Suzhou, Jiangsu, 215000, China.

Background: The high-sensitivity C-reactive protein (hs-CRP) to high-density lipoprotein cholesterol (HDL-C) ratio, a composite marker of low-grade inflammation and lipid metabolism, is reportedly associated with the occurrence of new cardiovascular diseases (CVDs) in certain people. However, the predictive value of the hs-CRP/HDL-C ratio for long-term mortality in the general population remains unclear.

Methods: This retrospective cohort study included data from 9,492 adults obtained from the National Health and Nutrition Examination Survey (NHANES) (2015-2018) in the United States.

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Purpose: Transgender and nonbinary adults (TNB) are disproportionately burdened by sexually transmitted infections (STI) and the human immunodeficiency virus (HIV). This study investigated whether gender-affirming hormone therapy was associated with TNB adults' odds of screening for STI and HIV.

Methods: Longitudinal data came from the electronic medical records of TNB primary care patients receiving care at two community health centers located in Boston, Massachusetts, and New York City, New York, between January 2013 and December 2019.

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Background: Since the outbreak of the novel SARS-CoV-2 that caused COVID-19 in 2019, the government of Sierra Leone implemented immediate preventive measures to stop the disease from entering the country. On March 24, 2020, the country declared a state of emergency in response to the emerging global COVID-19 pandemic, even though no confirmed cases had been reported at that time. However, Sierra Leone recorded its first COVID-19 case later in March 2020.

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SYNTAX I score is associated with genetically confirmed familial hypercholesterolemia in chinese patients with coronary heart disease.

BMC Cardiovasc Disord

December 2024

Heart Center & Beijing Key Laboratory of Hypertension, Beijing Chaoyang Hospital, Capital Medical University, Beijing, People's Republic of China.

Background: Familial hypercholesterolemia (FH) is a genetically inherited disorder caused by monogenic mutations or polygenic deleterious variants. Patients with FH innate with significantly elevated risks for coronary heart disease (CHD). FH prevalence based on genetic testing in Chinese CHD patients is missing.

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Background: Mortality statistics are vital for health policy development, epidemiological research, and health care service planning. A robust surveillance system is essential for obtaining vital information such as cause of death (CoD) information.

Objective: This study aims to develop a comprehensive model to strengthen the CoD information in the selected study sites.

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[Study on the association of diet pattern with chronic obstructive pulmonary disease in population aged 40 years and above in Songjiang District, Shanghai].

Zhonghua Liu Xing Bing Xue Za Zhi

December 2024

Department of Epidemiology, School of Public Health, Fudan University, Key Laboratory of Public Health Safety of Ministry of Education, Shanghai200032, China.

To explore the incidence of chronic obstructive pulmonary disease (COPD) in a cohort aged 40 years and above in Songjiang District, Shanghai, and to analyze the association of Mediterranean diet pattern and dietary approaches in stopping hypertension pattern (DASH) with the risk of developing COPD. Based on a natural population cohort in Songjiang District, Shanghai, 27 474 adults aged 40 years and above who did not have COPD at baseline were enrolled in the study. The Cox proportional risk regression model was used to analyze the association of baseline Mediterranean diet pattern score and DASH score with the risk of COPD, and the hazard ratio () of the risk and its 95% were calculated.

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HIV incidence among transgender women remains high and disproportionately impacts young, Black, and Latina transgender women. Data on preferred PrEP modalities among this population are limited. Participants in The LITE Cohort completed a survey module on PrEP modality preferences during 24-month study visits.

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Indonesia's stunting prevention programs have shown limited effectiveness and scalability. Interprofessional collaboration (IPC) is crucial for preventing and treating pediatric stunting. This study aimed to investigate the roles of primary health centers and IPC in addressing stunting in Indonesia.

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Background: Transgender women living with HIV face intersectional oppression resulting in consequences for their mental and physical health. Interventions are needed that center the voices of transgender women living with HIV (TWLWH) and community stakeholders engrossed in work on behalf of the transgender community through advocacy and/or work roles.

Methods: Through a partnership with a trans led and focused program of a community-based health organization and an academic partner, from October 2020 through October 2021, TWLWH and community stakeholders participated in qualitative interviews on trauma, violence, mental health struggles, HIV stigma, gender discrimination, health behaviors (e.

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After a decade of implementation in the US, PrEP uptake remains underutilized by communities that would greatly benefit from it. Event-Driven (ED) PrEP is a potential avenue to increase uptake, however very little is known about its use in the US. We analyzed data derived from Together 5000, an internet-based U.

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Dupilumab is the first US FDA-approved biologic for moderate to severe atopic dermatitis (AD) in adults and children of age more than six months. It is a fully monoclonal antibody that inhibits interleukin (IL)-4 and IL-13 signal transmission. The initial product monograph mentioned major side effects like hypersensitivity reactions and eye problems like conjunctivitis, dry eye, and keratitis.

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Introduction: Food as Medicine is increasingly recognized as an important strategy for addressing the related challenges of food insecurity and nutrition-related chronic conditions. Food as Medicine refers to integration of food-based nutrition interventions into healthcare to prevent and treat disease. However, there is limited evidence to understand the effectiveness of Food as Medicine.

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Access Barriers in Testing for Sexually Transmitted Infections across Gender and Sexual Identities.

Clin Lab Med

December 2024

Department of Laboratory Medicine and Pathology, University of Washington, 1959 NE Pacific Street, Main Hospital, Seattle, WA 98195, USA. Electronic address:

Sexually transmitted infections (STIs) are steadily increasing in incidence. Marginalized communities across social categories (race, ethnicity, gender, and sexuality) face the heaviest burden, including Black, indigenous, Latino, queer (gay, bisexual), transgender, and nonbinary populations. These disparities persist even when controlled for high-risk sexual behaviors.

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Article Synopsis
  • Vitamin E is an essential micronutrient that may reduce cardiovascular risk in diabetes patients with the Hp 2-2 genotype, though the exact mechanism is not well understood.
  • A systematic review was conducted, examining 163 publications and ultimately including five studies with 463 participants, focusing on the effects of vitamin E on high-density lipoprotein (HDL) levels and function.
  • Results showed that while vitamin E did not significantly change HDL levels across all Hp genotypes, it appeared to enhance HDL function, specifically improving cholesterol efflux in Hp 2-2 diabetes patients, indicating a potential pharmacogenetic interaction.
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Disentangling gender, sex, and biology: a mixed methods study of gender identity data collection tools.

Patient Educ Couns

January 2025

Division of Hematology, Department of Medicine, Yale School of Medicine, Yale University, New Haven, CT, USA; Center for Community Health and Prevention, University of Rochester Medical Center, Rochester, NY, USA.

Objectives: We used community-based mixed methods to test whether transgender and gender diverse (TGD) people preferred gender identity questions developed by community members over current questions in use and generate hypotheses about data collection preferences.

Methods: We interviewed twenty TGD adults in English and Spanish, asking them to rate and discuss their responses to questions. We analyzed quantitative data with descriptive statistics and qualitative data with template analysis, then integrated them.

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The benefits and limitations of establishing the PA profession globally: A systematic review and mixed-methods study.

JAAPA

November 2024

Arden R. Turkewitz practices in family medicine at Hawai'i Island Community Health Center in Hilo and Kea'au, Hawai'i. Jane P. Sallen practices in orthopedic surgery at Dignity Health Medical Foundation in Redwood City, Calif. Rachel M. Smith practices in dermatology at Knoxville (Tenn.) Dermatology Group. Kandi Pitchford is an associate professor and director of capstone, outcomes, and assessment in the PA program at South College in Knoxville, Tenn. Kimberly Lay is an associate professor and associate program director of the PA program at South College. Scott Smalley is president of the International Academy of Physician Associate Educators and an honorary lecturer in the Division of Clinical Associates, Department of Family Medicine and Primary Care, Faculty of Health Sciences, at the University of the Witwatersrand Johannesburg (South Africa). The authors have disclosed no potential conflicts of interest, financial or otherwise.

Objective: Physician associates/assistants (PAs) and their equivalents offer a solution to the supply and demand crisis to alleviate global healthcare needs. This study investigated how PA and PA equivalents address global healthcare needs across different healthcare systems, revealing recommendations for their use. The study also sought to catalog the global healthcare needs that PAs and equivalents are successfully alleviating, the roles in which they function, and the barriers facing implementation.

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Article Synopsis
  • - The study focuses on the environmental factors affecting leptospirosis cases in Klaten Regency, Central Java, Indonesia, analyzing data from 2018 to describe both abiotic and biotic influences.
  • - Key abiotic factors linked to higher leptospirosis incidence included poor waste disposal, bad gutter conditions, close rivers, and a history of flooding, while the biotic factors showed that all cases were associated with rat nests, along with some homes having pets and multiple vegetation types.
  • - The findings suggest a strong need for rat control programs and public education to improve environmental cleanliness, highlighting the importance of collaboration between sectors like agriculture and health to combat leptospirosis outbreaks.
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