scholarly journals Cervix Uteri Cancer in Lebanon: Incidence, Temporal Trends, and Comparison to Countries From Different Regions in the World

2022 ◽  
Vol 29 ◽  
pp. 107327482110686
Author(s):  
Najla A. Lakkis ◽  
Mona H. Osman ◽  
Reem M. Abdallah
Keyword(s):  
Middle East ◽  
Incidence Rate ◽  
Health Care Providers ◽  
Sexual Behaviors ◽  
Temporal Trends ◽  
Cervix Uteri ◽  
Age Group ◽  
Care Providers ◽  
Annual Percent Change ◽  
Western Asia

Background Invasive cervix uteri cancer is the fourth most common malignancy in women globally. This study investigates the incidence and trends of cervix uteri cancer in Lebanon, a country in the Middle East, and compares these rates to regional and global ones. Methods Data on cervix uteri were obtained from the Lebanese national cancer registry for the currently available years 2005 to 2016. The calculated age-standardized incidence and age-specific rates were expressed as per 100,000 population. Results From 2005 to 2016, cervix uteri cancer was the tenth most common cancer among women. Its age-standardized incidence rate fluctuated narrowly between 3.5 and 5.7 per 100,000, with the lowest rate in 2013 and the highest rate in 2012. The age-specific incidence rate had 2 peaks, the highest peak at age group 70–74 years and the second at age group 50–59 years. The annual percent change (+.05%) showed a non-statistically significant trend of increase. The age-standardized incidence rate of cervix uteri cancer in Lebanon was comparable to that of the Western Asia region that has the lowest incidence rate worldwide. The rate was intermediate as compared to other countries in the Middle East and North Africa Region and relatively similar to the ones in Australia, North America, and some Western European countries. Conclusion The incidence rates of invasive cervix uteri are low in Lebanon. This could be attributed to the low prevalence of human papilloma virus infection and other sexually transmitted infections among Lebanese women, and the opportunistic screening practices. It is important to adopt a comprehensive approach to decrease the potential burden of cervix uteri, especially with the rising patterns of risky sexual behaviors. This includes improving awareness, enhancing access to preventive services, developing clinical guidelines, and training health care providers on these guidelines.

scholarly journals New Syphilis Cases in Older Adults, 2004–2019: An Analysis of Surveillance Data From South China

2021 ◽  
Vol 8 ◽  
Author(s):  
Cheng Wang ◽  
Peizhen Zhao ◽  
Mingzhou Xiong ◽  
Joseph D. Tucker ◽  
Jason J. Ong ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Providers ◽  
Temporal Trends ◽  
Health Concern ◽  
Targeted Prevention ◽  
Care Providers ◽  
Annual Percent Change ◽  
Syphilis Infection ◽  
Over Time

Background: Sexual health among older adults is a major public health concern globally. The syphilis burden is increasing in older adults in China. This study aimed to describe factors associated with syphilis infection and diagnosis among older adults in China during a 16 year period.Methods: Using 16 years of data (2004–2019) from the syphilis case report system of Guangdong, China, we compared data from older adults (aged ≥50 years) with those from younger people (aged 15–49 years). We compared the two age group with the Chi-square test for difference, and Joinpoint regression models to assess the temporal trends.Results: During the study period, 242,115 new syphilis diagnoses were reported in older adults. The mean notification rate of new diagnoses was 64.1 per 100,000 population across the entire 16-year period, which significantly increased over time (average annual percent change [AAPC] 16.2%, 95% CI 13.7–18.7). Syphilis diagnoses increased significantly over time among less developed cities and older women. In 2019, compared with younger adults, newly diagnosed older adults were more likely to be male, native to reporting city, had unknown transmission routes, and were diagnosed late.Conclusion: Our findings call for an urgent need to deliver more targeted prevention interventions for older adults, such as strengthen awareness among health care providers, and integration of syphilis services and primary health care for older adults.

Social Media Preference and Condom Use Behaviors: An Analysis of Digital Spaces With Young African American Males

2021 ◽  
Vol 48 (2) ◽  
pp. 190-198
Author(s):  
Jade C. Burns ◽  
Shawtaabdee Chakraborty ◽  
Denise Saint Arnault
Keyword(s):  
Social Media ◽  
African American ◽  
Condom Use ◽  
Health Care Providers ◽  
Sexual Behaviors ◽  
African American Males ◽  
African American Adolescents ◽  
Lifestyle Changes ◽  
Perceived Behavioral Control ◽  
Care Providers

Background. African American adolescents and young adults have an increased likelihood of engaging in risky sexual behaviors. With rising rates of sexually transmitted infections among this population, deeper consideration is now being focused on using social media to engage, educate, and improve sexual behavior in this group. Purpose. To determine why social media is useful and how it may affect the attitude, norms, and perceived behavioral control on condom use among young African American males (YAAMs) ages 18 to 21. Method. Group-depth interviews ( n = 41, mean age = 19, SD = 1.2) were conducted in metro Detroit to understand and describe the who, what, where, why, and how regarding social media use and preference among YAAMs) ages 18 to 21, and their condom use behaviors. Results. The most popular reasons for using social media were for educational purposes, entertainment, browsing the site, self-expression, seeking out or maintaining relationships with friends and family, and social justice. YouTube was stated as the easiest site to promote condom use education. YAAMs would seek out condom use education on social media sites if someone respected in the community or someone famous promoted condom use messages on the sites or if it was used to show where condoms were available for free or for purchase. Conclusion. Understanding how YAAMs use social media may help researchers design better questions to address disparities within this population. More important, it can help health care providers, families, and the community promote healthy behaviors and lifestyle changes among YAAMs.

scholarly journals Risky sexual behaviors of schizophrenic patients: a single center study in Ethiopia, 2018

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Biruk Negash ◽  
Bethlehem Asmamewu ◽  
Wondale Getinet Alemu
Keyword(s):  
Sexual Behavior ◽  
Health Care Providers ◽  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Addis Ababa ◽  
Risky Sexual Behaviors ◽  
Positive Symptom ◽  
Care Providers ◽  
Schizophrenic Patients ◽  
Patient Service

Abstract Objective Identify factors related to risky sexual behavior can facilitate health care providers to approach programs that improve quality of services provided to the patient service. The aim of study to assess the prevalence of risky sexual behaviors and associated factors among schizophrenia patient at Amanuel Mental specialized hospital, Addis Ababa, Ethiopia, 2019. Result A total of four hundred twenty-nine participants were interviewed with a response rate of 97.05%. The prevalence of risky sexual behavior was 39.4% (95% CI 34.3, 43.6). In the multivariate logistic regression, being male sex (AOR = 3.78 (1.94, 7.38)), patients in age group between 18 and 24 (AOR = 4.85 (1.73, 13.6)), current use of alcohol (AOR = 1.86 (1.049, 3.32)), place of residence (AOR = 6.22 (2.98, 12.98)), positive symptom (AOR = 3.01 (1.55, 5.84)) were associated with risky sexual behavior.

scholarly journals To study the prescriptions of the bed-head tickets of inpatients of the selected depts. of JNIMS hospital about the appropriateness of the prescriptions in geriatric patients

2017 ◽  
Vol 6 (11) ◽  
pp. 2707
Author(s):  
Oinam Joychandra Singh ◽  
Surbala L. ◽  
S. Losica R. K.
Keyword(s):  
Old Age ◽  
Health Care Providers ◽  
Geriatric Patients ◽  
Age Group ◽  
Inappropriate Prescription ◽  
Care Providers ◽  
Start Criteria ◽  
Stopp Criteria ◽  
The Status ◽  
Inappropriate Prescriptions

Background: Polypharmacy is an increasing problem among the health care providers. This happened during the management of old age people with much comorbidity and weak functioning of the vital organs like heart, lungs and kidneys, etc. Over and above this, self-medication and adverse drug effects of using many drugs are the causes of polypharmacy. Age 65 years or above is considered as Geriatric.Methods: 550 case sheets or Bed head tickets of the inpatients of selected departments were examined for a period of three months. 434 bed head tickets having discharge slips with written prescriptions of 5 or more drugs were re-examined as it fulfilled the criteria of Polypharmacy or inappropriate prescriptions. Demographic data, clinical and drug history were recorded in the prepared data sheet. These data were studied as per guidelines of the tools-Beer’s criteria, STOPP criteria, START criteria, MAI criteria.Results: Accordingly, the reasons for polypharmacy and inappropriate prescriptions were elicited. The common drugs mostly prescribed are antibiotics and NSAIDs preparations. The status of polypharmacy or inappropriate prescription were more in the age group of 65-75 years and also mainly among the male geriatric patients. The maximum number of comorbidity was observed in the age group 65-75 years.Conclusions: As per the criteria of the tools, the number of overprescribing was 70 (19.15%), inappropriate prescription as 17 (4.6%). For prevention and decreasing the incidence of polypharmacy or inappropriate prescriptions, the tools (Beer’s criteria, STOPP criteria, START criteria, MAI criteria) are nowadays put forward to the prescriber as a guideline of good and appropriate prescription. Therefore, the present study can find out the status of prescription i.e. under-prescription, over-prescription, avoid prescription and inappropriate prescription. Hence, the study can draw the attention of the prescribers before and during prescribing drugs to the patients particularly old age patients.

scholarly journals Watch Out! Syphilis Is Back – Case Series of Four Cases of Ocular syphilis

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S106-S106
Author(s):  
Hesham Awadh ◽  
Haresh Visweshwar ◽  
Jacob Kilgore ◽  
Kara Willenburg
Keyword(s):  
Health Care Providers ◽  
Sexual Behaviors ◽  
Case Series ◽  
Response To Treatment ◽  
Penicillin G ◽  
Ophthalmological Examination ◽  
Care Providers ◽  
Variable Response ◽  
Ocular Manifestations

Abstract Background Syphilis is an ulcerative sexually transmitted genital infection caused by Treponema pallidum, which is a member of the order Spirochaetales, family Spirochaetaceae, and genus Treponema. The incidence rate of Syphilis has been steadily rising since 2000; from 2.1 cases per 100,000 population to up to 7.5 cases per 100,000 population in 2014–2015 (the highest rate since 1994). In the state of West Virginia, we have witnessed an increase in the number of cases from 0.5 cases per 100,000 population in 2011, to 5.9 cases per 100,000 population in 2015. Systemic symptoms can include cardiovascular and neurological manifestations. We report to your attention four cases of syphilis mainly with neurological and ocular manifestations. Methods We report a series of four cases of neurosyphilis we encountered between 2013 and 2016. Main presentation of all four cases was ocular; primarily redness and photophobia. Diagnosis was confirmed by standard ophthalmological examination with positive initial rapid plasma regain titers (RPR) and fluorescent treponemal antibody absorption testing (FTA-ABS). The cerebrospinal fluid venereal disease research laboratory test (CSF-VDRL) was positive in two of the four cases (in which lumbar puncture was performed). Two of the four cases suffered from an overt immunodeficiency (HIV and laryngeal cancer on chemotherapy) and subjects of all four cases confessed to high-risk sexual behaviors. All four cases were managed with continuous infusions of Penicillin G potassium 24 million International Units for 14 days with variable response. Results Response to treatment was variable in that initial complete resolution was achieved in one patient (Case #3), another (Case #1) was retreated in 6 months due to rising RPR titers on follow-up with subsequent improvement. Two patients were lost to follow-up (Cases #2 and #4). Conclusion Sir William Osler reportedly said: “He who knows syphilis knows medicine”. The steady rise in the incidence of Syphilis warrants that health care providers consider such a diagnosis in the evaluation of suggestive neurological and ocular manifestations in predisposed patients. We also stress on the importance of follow-up to detect failure of initial treatment. Disclosures All authors: No reported disclosures.

scholarly journals Analysis of an Infectious Diseases Pharmacist on Call Pager Program to Inform Educational Efforts

2017 ◽  
Vol 33 (4) ◽  
pp. 146-150
Author(s):  
Elise M. Gilbert ◽  
Nathaniel J. Rhodes ◽  
Milena M. McLaughlin ◽  
Jessica M. Cottreau ◽  
Marc H. Scheetz ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Health Care Providers ◽  
Medical Center ◽  
Academic Medical Center ◽  
Temporal Trends ◽  
Question Type ◽  
Care Providers ◽  
Educational Initiatives ◽  
Academic Medical ◽  
Secondary Objective

Background: An on call infectious diseases (ID) pharmacist may be used as a resource for physicians, pharmacists, and other health care providers to help answer questions regarding anti-infective agents. Objective: To assess type, requestor, resources dedicated, and temporal trends of questions received through an ID pharmacist on call pager program. A secondary objective was to gather insight as to how this information was utilized to inform educational initiatives. Methods: This was a retrospective study of questions received by the ID pharmacist on call via pager at a large academic medical center. Question data were documented in a central database and analyzed to assess temporal trends and question type, and qualitatively analyzed to determine areas for targeted educational efforts. Results: The ID pharmacist on call recorded 545 questions during the 1-year study period; questions were composed of various antimicrobial agent–related queries, including antibiotic spectrum and selection (n = 251, 46.1%), dosing of antimicrobials (n = 195, 35.8%), and drug monitoring (n = 26, 4.8%). Targeted educational initiatives secondary to questions received included pharmacist education regarding the use of polymyxin antibiotics and antibiotic dosing protocol updates. Conclusions: An ID pharmacist on call pager program was utilized to inquire about antibiotic spectrum and selection for the majority of questions. Records of questions received may be utilized to direct educational efforts and create or revise targeted resources for pharmacists and other clinicians.

scholarly journals Pediatric Thyroid Carcinoma Incidence and Temporal Trends in the USA (1973–2007): Race or Shifting Diagnostic Paradigm?

ISRN Oncology ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Laurens Holmes ◽  
Jobayer Hossain ◽  
Franklin Opara
Keyword(s):  
Thyroid Carcinoma ◽  
Predominantly White ◽  
Age At Onset ◽  
Temporal Trends ◽  
Least Square ◽  
Age Group ◽  
Annual Percent Change ◽  
Percent Change ◽  
Seer Data ◽  
The Usa

Pediatric thyroid carcinoma is relatively uncommon. But variability in incidence rate by race, sex, age at onset/diagnosis, and geographic local had been observed in adult thyroid carcinoma in the USA. We aimed to examine the patterns, rates, and temporal trends of thyroid carcinoma among pediatric patients (0–19 years) between 1973 and 2007. The Surveillance, Epidemiology, and End Results (SEER) data of the National Cancer Institute were utilized. Data were available on sex, age at diagnosis, race/ethnicity, and geographic locale (9 SEER registries) and were used for rates and trends computation. The frequency and percentage, percent changes (PCs) were calculated by using 1 year of each endpoint. Similarly, the annual percent changes (APCs) were calculated as well, with APCs estimated using weighted least square methods. Between 1973 and 2007, 1,360 thyroid cancer cases were ascertained in the 9 SEER areas ( = 247,638,734) in the USA. The percent change was 47.9, while the APC was significantly different from 0, 1.0 (95% CI: 0.5–1.6, ). The rate ratio (RR) was significantly lower in 1975 (RR: 0.62, 95% CI: 0.38–0.98, ) relative to the rate between 1973 and 2007 (RR: 1.60, per 100,000, 95% CI: 1.50–1.70), but higher in 2007 (RR: 2.3 per 100,000, 95% CI: 1.70–3.10; RR: 1.44, 95% CI: 1.05–1.93, ). The rate was significantly higher in whites relative to blacks, highest among age group of 15–19 years and girls, and in some SEER registries, with some significant PC in Connecticut. This temporal trend study of pediatric thyroid carcinoma indicates increase in the rate of this malignancy given the percent change and the annual percent change between 1973 and 2007. In addition, the incidence was higher among girls, lower among blacks, highest in age group of 15–19 years, and relatively higher in SEER registries with predominantly white or Hispanic populations.

scholarly journals Medical schools in times of war: Integrating conflict medicine in medical education

2020 ◽  
Vol 11 ◽  
pp. 5 ◽  
Author(s):  
Jawad Fares ◽  
Mohamad Y. Fares ◽  
Youssef Fares
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Middle East ◽  
Health Care Providers ◽  
Care Providers ◽  
Traumatic Injuries ◽  
Medical Curricula ◽  
Transmission Of Knowledge ◽  
Hands On ◽  
Shed Light

Amid the rise in conflict and war and their ensuing repercussions, traumatic injuries, psychological distress, and communicable diseases spread widely. Today, health-care providers in the Middle East are faced with new and unfamiliar cases resulting from the use of new and advanced types of weapons. In addition, there has not been enough emphasis on hands-on experiences in medical school, which can be imperative in times of war. Lack of academia is another inadequacy that limits the transmission of knowledge onto the newer generations. Here, we will shed light on the inadequacies in medical curricula in the Middle East when it comes to addressing patients of war. We also call for action to advance medical education in war-ridden areas by incorporating “conflict medicine” as an integral module in medical curricula.

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