969 results match your criteria: "Stempel School of Public Health Florida International University; Miami[Affiliation]"

Glycemia reduction in type 2 diabetes-Hypoglycemia outcomes: A randomized clinical trial.

PLoS One

November 2024

Department of Biostatistics and Bioinformatics, Milken Institute of Public Health, The Biostatistics Center, The George Washington University, Rockville, MD, United States of America.

Article Synopsis
  • The study aimed to compare the risk of hypoglycemia among type 2 diabetes patients on metformin and adding one of four common therapies: glargine, glimepiride, liraglutide, or sitagliptin.
  • The trial included 5,047 participants, assessing severe hypoglycemia events and symptoms over an average of 5 years, with a per-protocol analysis of 4,830 who completed follow-ups.
  • Results showed that glimepiride had the highest incidence of severe hypoglycemia (1.3%), while liraglutide and sitagliptin had the lowest risks, indicating varying hypoglycemia likelihood based on the second medication added
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Objectives: Studies have demonstrated that people with disabilities are more likely to use cannabis than people without disabilities. However, less is known about novel forms of use, such as cannabis vaping, in this population. We examined the correlates of cannabis vaping among people with disabilities and the association between cannabis vaping and the frequency of cannabis use in any form.

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Background: Work-related stress is a psychosocial risk factor linked to a higher risk of cardiovascular disease. However, the association between work-related stress and cardiovascular health (CVH) is not well established. We estimated the association between work-related stress and CVH in a multiethnic sample of adults free of cardiovascular disease at baseline.

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Background: Pregnant people are often introduced to fetal movement counting to monitor the health of their fetus. This study aims to examine the impacts of app-based fetal movement counting on experiences during pregnancy and birth.

Method: This study used two types of secondary data including individual user's app use and their end of pregnancy survey data collected on the Count the Kicks (CTK) app.

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Burn injuries impose challenges such as infection risk, pain management, fluid loss, electrolyte imbalance and psychological and emotional impact, on healthcare professionals, requiring effective treatments to enhance wound healing. The present study evaluated the efficacy superoxidized electrolyzed solution (SES), with low (SES-low) or high (SES-high) concentrations of active species, alone or in combination with a formulation in gel (G), in comparison with commonly prescribed treatments for burn injury, including nitrofurazone (NF) and silver sulfadiazine (S); normal saline was used as placebo (PI). A scald burn model was established in BALB/c mice.

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Males Have Lower Anal Pap Smear Screening in a Miami Safety-Net HIV Clinic.

Int J Behav Med

October 2024

Robert Stempel College of Public Health & Social Work, Florida International University, 11200 S.W. 8Th Street, AHC5, #407, Miami, FL, 33199, USA.

Background: Although people with HIV have a markedly higher risk of anal squamous cell carcinoma (ASCC), there are few evaluations of anal Pap screening determinants within safety-net HIV clinics.

Method: We conducted an evaluation of anal Pap screening correlates within a safety-net HIV clinic in Miami. Medical records were reviewed for 298 people ages 45 and older receiving HIV primary care.

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Objectives: Trauma registries are essential tools for improving trauma care quality and efficiency, but many fail to capture long-term patient-reported outcome measures (PROMs). Focusing on these outcomes is crucial for understanding the extent of disability patients experience and identifying potential post-discharge interventions to optimize recovery. Studies reflecting the experience from low- and middle-income countries in this area are limited.

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Background: Many waterpipe users are willing to quit but have difficulty doing so. Little is known about the characteristics of those who are willing to quit.

Methods: Using two-stage cluster sampling, we conducted a secondary analysis of a population-based household survey of 2038 adults in Aleppo, Syria.

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Article Synopsis
  • HIV Impact on Couples
  • : HIV significantly affects sexual minority men (SMM) in Lima, Peru, with a large percentage of new infections occurring among male couples; existing research often overlooks the dynamics of couples in prevention efforts.
  • P3 Intervention Developed
  • : To address this gap, the Para Ti, Para Mí, Para Nosotros (P3) program was created as a digital intervention aimed at helping SMM couples improve communication, decision-making, and adherence to tailored HIV prevention plans based on their sexual agreements.
  • Research Goals
  • : The pilot randomized controlled trial aims to evaluate the effectiveness and acceptability of the P3 intervention over six months, assessing its impact on couples' adherence to prevention
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Article Synopsis
  • The study investigated the links between saturated and unsaturated fatty acids and cardiovascular disease (CVD), focusing on conditions like coronary heart disease (CHD) and stroke in a large group of participants.
  • Results showed that higher levels of saturated fatty acids were linked to increased CVD risks, with specific subtypes having varying effects on CHD and stroke.
  • Conversely, higher concentrations of certain polyunsaturated fatty acids (both n-3 and n-6 types) were associated with lower risks of CHD and stroke, suggesting dietary fats play a significant role in cardiovascular health.
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Black men who have sex with men (BMSM) face multiple minority stressors (e.g., homophobia, racism, and presumed HIV status) that may indirectly erode their confidence in pursuing HIV testing uptake through exacerbating alcohol use disorder (AUD).

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Coronavirus disease 2019 (COVID-19) has been associated with brain functional, structural, and cognitive changes that persist months after infection. Most studies of the neurologic outcomes related to COVID-19 focus on severe infection and aging populations. Here, we investigated the neural activities underlying COVID-19 related outcomes in a case-control study of mildly infected youth enrolled in a longitudinal study in Lombardy, Italy, a global hotspot of COVID-19.

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Article Synopsis
  • The study examines the complex relationship between psychosocial factors and methamphetamine use among sexual minority men living with HIV, using syndemic theory to understand these dynamics.
  • Researchers utilized both quantitative surveys and qualitative interviews to gather data on how elements like post-traumatic stress disorder and depression contribute to substance use.
  • Findings indicate that these psychosocial issues not only promote methamphetamine use as a coping mechanism but also hinder recovery, highlighting the need for interventions that address these interconnected challenges.
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Article Synopsis
  • A study involving 1,296 sexual and gender minority people assigned male at birth in Chicago highlighted an increasing trend in methamphetamine use from 2015 to 2023, particularly among those aged 25 and older.
  • The average age for first-time use of methamphetamine was found to be around 23.9 years.
  • The research indicated that those with a history of HIV diagnosis had a two-fold higher risk of initiating methamphetamine use, and higher inflammation levels (measured by C-reactive protein) also increased the likelihood of first-time use.
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Fifty-five of 62 women who inject drugs (WWID) selected long-acting cabotegravir (CAB-LA) over oral PrEP, and 51/55 received a first injection. More recent injection drug use and number of sexual partners were associated with selecting CAB-LA (P < .05).

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In the United States, Chronic Kidney Disease (CKD) affects approximately 1 in 7 adults. Despite its significant impact, CKD awareness, education, and screening are often lacking among underserved Latine populations, leading to poorer health outcomes and higher mortality rates. Various studies highlight the crucial role of Community Health Workers (CHWs) in improving health outcomes within minority communities both domestically and globally.

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The methylenetetrahydrofolate reductase () gene 677C➔T polymorphism is capable of altering folate metabolism and can modify certain neoplasia risk. Reports have suggested that folate can have an influence on bone development and so it is of interest to know if the 677C➔T polymorphism is associated with the malignant transformation process of this tissue. The polymorphism was determined in 55 patients with osteosarcoma and in 180 healthy individuals.

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Background: There is clear evidence that loneliness and social isolation have profound health consequences. Documenting the associations of loneliness and social isolation with inflammatory bowel disease (IBD) symptoms, disease severity, and treatment outcomes could meaningfully improve health and quality of life in patients with IBD.

Purpose: The purpose of this narrative review was to synthesize the empirical evidence on the associations of loneliness and social isolation with IBD symptoms, disease severity, and treatment outcomes.

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Article Synopsis
  • Researchers studied strokes from 1990 to 2021 to understand how many people get them and how they are affected around the world.
  • In 2021, strokes caused about 7.3 million deaths and were a major cause of health problems, especially in specific regions like Southeast Asia and Oceania.
  • There are differences in stroke risks based on where people live and their age, and some areas actually saw more strokes happening since 2015.
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Article Synopsis
  • - The study tracked waterpipe tobacco smoking (WTS) trends among U.S. adolescents and adults from 2013 to 2021, revealing a significant decrease in both ever and current WTS among adolescents (86.5% and 97.1% decrease, respectively).
  • - Despite the overall decline in adolescents, females had higher rates of WTS compared to males, while Hispanic youth exhibited the highest prevalence, and older adolescents (15-17) smoked more than younger ones (12-14).
  • - In contrast, adults saw a 27.4% increase in ever WTS, especially among young adults aged 18-24, and a 45.5% decrease in current WTS, indicating
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Supporting treatment adherence for resilience and thriving (START): protocol for a mHealth randomized controlled trial.

BMC Public Health

August 2024

Department of Disease Prevention and Health Promotion, Robert Stempel College of Public Health & Social Work, Florida International University, 11200 S.W. 8th Street, AHC5, #407, Miami, Fl, 33199, USA.

Background: Although behavioral interventions show some promise for reducing stimulant use and achieving durable viral suppression in sexual minority men (SMM) with HIV, scalable mHealth applications are needed to optimize their reach and cost-effectiveness.

Methods: Supporting Treatment Adherence for Resilience and Thriving (START) is a randomized controlled trial (RCT) testing the efficacy and cost-effectiveness of a mHealth application that integrates evidence-based positive affect regulation skills with self-monitoring of adherence and mood. The primary outcome is detectable HIV viral load (i.

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(SO) is one of the most widely used plants in traditional medicine worldwide. In the present study, the effect of an ethanolic extract of leaves on hallmarks of cancer of HPV-16-positive cancer tumorigenic cells, TC-1, was analyzed in vitro. Phytochemical and spectroscopic analysis were performed.

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Background: Studies have explored the connections between tobacco use, sleep and cardiovascular disease (CVD) risks in adults, but no study has examined the link between tobacco use and sleep among adults with CVDs. This study explores the association between tobacco use (cigarette only, e-cigarette only, and dual use) and poor sleep duration among adults with CVDs.

Methods: A sample of 47,180 US adults with CVDs (myocardial infarction, coronary heart disease, or stroke) was drawn from the 2022 Behavioral Risk Factor Surveillance System (BRFSS) cross-sectional survey.

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Article Synopsis
  • - The study examined the link between methamphetamine use and awareness/interest in event-driven (ED) PrEP among HIV-negative and unknown status cisgender males and transgender individuals.
  • - Results showed that participants who recently used methamphetamine were less aware of ED PrEP but showed increased interest in it after adjusting for demographics and HIV-related behaviors.
  • - The findings suggest the need for targeted efforts to promote PrEP among methamphetamine users to effectively address the HIV epidemic, along with ongoing research to understand their specific needs.
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