scholarly journals Are Anatomical Gift Donors Demographically Representative of the American Aging Patient Population?

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 626-626
Author(s):  
Amanda Collins ◽  
Yasmin Carter

Abstract Body donation for medical education is voluntary and open to all; however, it is undetermined if the donors studied at UMass Medical School (UMMS) are demographically representative of the national patient population. If not, medical students are missing the opportunity of experiencing normal variation within the population, which may promote bias in their clinical years. This cross-sectional study compared data from the UMMS Anatomical Gift Program (AGP) with the Health and Retirement Study (HRS) population data. This study examined sex, race, ethnicity, veteran status, and sexual orientation. 5 years (n=540) of AGP data and 3 waves (n=5,037) of HRS data were examined. The results demonstrate that sex differences between the AGP and HRS populations (55% for females vs. 45% for males; p=.10) are NOT significant. A significant racial difference between populations is noted (p=.000), with 98.3% of the AGP vs. 72.7% of the HRS identifying as white. Veterans are overrepresented in the AGP (22.6% AGP vs. 9.6% HRS; p=.000). 12.3% of HRS participants report Hispanic ethnicity compared to 0% in the AGP. In 2016, HRS included sexual orientation, with 92.7% of respondents identifying as heterosexual, 2.6% gay or lesbian, 1.0% bisexual and 1.3% other. No data were collected by the AGP pertaining to sexual orientation and neither database ask about gender identity. Aging populations are not represented in the anatomy labs at UMMS and likely nationally. Efforts are needed to improve this and enhance the education of the medical professionals, while expanding the end-of-life options for all community members.

Author(s):  
Olayinka Stephen Ilesanmi ◽  
Priscilla Onaopemipo Akosile ◽  
Aanuoluwapo Adeyimika Afolabi ◽  
Victor Okoliko Ukwenya

Abstract Background This study aimed to assess the level of trust in the COVID-19 risk communication efforts in Nigeria. Methods We conducted a descriptive cross-sectional study among community members aged 15 years and above in Ondo state in October, 2020. Data were collected using an interviewer-administered questionnaire. Data were analyzed using SPSS version 22. Descriptive statistics were summarized using frequencies. Trust was ranked from “1” implying “Low level of trust” to “7” denoting “High level of trust”. We conducted bivariate Chi-square test on respondents’ level of trust in the Nigeria Centre for Disease Control (NCDC) and socio-demographic characteristics. The level of significance was set at p<0.05. Results Among the 691 respondents, 244 (35.3%) were aged 21 to 29 years, and 304 (51.4%) used the NCDC to obtain COVID-19 knowledge. Overall, 205 (41.8%) had high level of trust in the NCDC. Furthermore, 51 (51.5%) individuals aged 30-39 years had high level of trust in the NCDC (ᵡ2=17.455, p= 0.001). Also, 114 (48.5%) persons who lived with children below 18 years had high level of trust in the NCDC (ᵡ2= 8.266, p= 0.004). Conclusion Policy makers should prioritize the involvement of young and educated persons in COVID-19 risk communication strategies.


Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Anshul Saxena ◽  
Muni Rubens ◽  
Sankalp Das ◽  
Tanuja Rajan ◽  
Gowtham Grandhi ◽  
...  

Objectives: Extensive data suggests that lesbian, gay and bisexual (LGB) adults are more likely to experience adverse cardiovascular outcomes relative to heterosexuals. However, evidence regarding cardiovascular health (CVH) disparities and sexual orientation is scarce. The aim of this study was to examine the distribution of CVH metrics in a US nationally representative population of heterosexual (HT), and LGB adults. Methods: This cross-sectional study analyzed 2445 participants (representing 115 million) adults aged 18 or over years in the 2011-2012 NHANES survey. The CVH factors of smoking, body mass index (BMI), physical activity (PA), diet, blood pressure (BP), total cholesterol (TC) and glucose (GLU) were measured. Each CVH factor was then classified as ideal; intermediate; or poor. Ideal CVH was defined as presence of >=5 ideal CVH metrics. Results: 95.1% of the weighted sample self-identified as HT (95% CI: 93.5%, 96.6%) compared to 4.9% (95%: 3.3%, 6.5%) LGB. The figure illustrates the distribution of each of the 7 CVH categories according to sexual orientation. In age, gender, and race adjusted analysis, LGB individuals were 36% (AOR: 0.64; 95%: 0.29, 1.4; p > 0.05) less likely to have ideal CVH compared to HT. These proportions go higher after adjusting for age. Conclusions: The results suggest that LGB individuals face a higher risk of being in the category for poor cardiovascular health compared to heterosexuals. Evidence suggests that there are sexual orientation disparities among adults. If confirmed in other studies, results point towards disproportionately higher risk for cardiovascular disease among sexual-minority populations. Figure


2021 ◽  
Vol 9 (E) ◽  
pp. 324-327
Author(s):  
Lili Fajria ◽  
Nuzulia Irawati ◽  
Hema Malini ◽  
Mudjiran Mudjiran ◽  
Randi Refnandes

BACKGROUND: In the transition period, in adolescents occur the process of physical, cognitive, and social maturation. This period is essential in the formation of sexual identity, which related to gender and sexual orientation. Improper sexual identities will provoke sexual behavior problems. The problems with sexual behavior begin from differences in sexual orientation with a sexual orientation generally accepted by the public (heterosexual). In some adolescents, there is a change in sexual orientation that leads to homosexuality. The factors that play a significant role in adolescent sexual orientation are parenting. AIM: This study aimed to examine the risk of different sexual orientation tendencies in adolescents and the families’ factors in West Sumatra. MATERIALS AND METHODS: This study’s design was a cross-sectional study with 532 adolescents aged 13–18 years old as the respondents. It took 3 months to research by using a questionnaire as the instrument. The questionnaire’s data were analyzed using Chi-square. RESULTS: The results showed that the risk of different sexual behaviors in adolescents was 59.4% normal tendency, 26.7% low tendency, and 13.9% high tendency. Furthermore, family factors related significantly to the risk of different sexual behavior tendencies were gender and family intimacy factors (p < 0.05), while age, family type factors, and family income factors (p > 0.05) are not significantly related. CONCLUSION: Based on that, it concluded that the parents expected to develop closer relationships with family members.


Author(s):  
Ernest K. Ofori ◽  
Savitha Subramaniam ◽  
Shuaijie Wang ◽  
Tanvi Bhatt

Background: Recent studies demonstrate improvements in both postural stability and mobility among aging populations and those with stroke who are exposed to dance-based exergaming (DBExG). However, age-related deficits and aging with cortical pathology may lead to distinct movement adaptation patterns during DBExG, which could impact therapeutic outcomes.Aim: The aim of this study was to examine the movement kinematics (postural stability and mobility) of healthy older adults, older adults with stroke, and young adults for different paces of dance during DBExG. Method: The study included 33 particpants (11 participant from each group of healthy older adults, older adults with chronic stroke, and healthy young adults) who performed the DBExG using slow- (SP), medium- (MP), and fast-paced (FP) songs with movements in the anteroposterior (AP) and mediolateral (ML) directions. Center of mass (CoM) sway area, excursion (Ex), and peaks as well as hip, knee, and ankle joint excursions were computed. Results: Results of the study revealed that CoM sway areas and Exs were greater for healthy young adults than for older adults with stroke for the SP dance (p < 0.05) and that there were significantly more AP CoM peaks for young adults than for healthy older adults and those with stroke for the FP dance (p < 0.05). Young adults also exhibited greater hip and ankle Exs than older adults with stroke (p < 0.05) for all song paces. Similarly, knee and ankle Exs were greater for healthy older adults than for older adults with stroke for all song paces (p < 0.05). Conclusion: The quantitative evaluation and comparison of the movement patterns presented for the three groups could provide a foundation for both assessing and designing therapeutic DBExG protocols for these populations.


2020 ◽  
Author(s):  
Kiros Fenta ◽  
Tewolde Wubayehu ◽  
Nega Mamo Bezabih ◽  
Yrgalem Meles ◽  
Goitom Mehari ◽  
...  

Abstract Background Mass psychogenic illness has been documented for more than 600 years in a variety of culture, ethnic, and religious settings. The aim of this study was to assess the nature and characteristics of mass psychogenic illness in Tigray, Northern Ethiopia, Methods School based cross-sectional study was conducted in haraza elementary school from January –February, 2020. Students who were victims of an episode were subjects of the study. A total of twelve students were investigated using semi-structured questionnaire for quantitative study. Seven key informant interviews were conducted using guiding questionnaires. Quantitative data was analyzed using XL sheet while qualitative data was analyzed manually. Result the mean age of study participants was 14 years (SD±1.3). Majority (87%) were teenage female students. The incident was unspecified disease with psychiatric disorder, migraine and syncope with no plausible organic causes. An important feature of migraine and syncope was their co-morbidity with mass psychogenic illness. The community perceived that Evil-devil force and blaming as being an evil-eye were common causes for the occurrence of an episode. Conclusion lack of empirical knowledge and awareness about its management and prevention among community members and health professionals resulted exaggerated rumor that would perceived as newly emerging disease that affected school activities. Integrating MPI in PHEM package at health facility level, advocacy workshops for media and other relevant stakeholders will minimize its impact for the future.


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