Health Care Sciences & Services

Article Health Care Sciences & Services

A Novel Diabetes Healthcare Disease Prediction Framework Using Machine Learning Techniques

Raja Krishnamoorthi, Shubham Joshi, Hatim Z. Almarzouki, Piyush Kumar Shukla, Ali Rizwan, C. Kalpana, Basant Tiwari

Summary: Diabetes is a chronic disease that affects the entire population's health. This study uses machine learning methods and proposes an intelligent framework for diabetes prediction, achieving good prediction results.

JOURNAL OF HEALTHCARE ENGINEERING (2022)

Article Health Care Sciences & Services

Factors Associated with Post-Acute Sequelae of SARS-CoV-2 (PASC) After Diagnosis of Symptomatic COVID-19 in the Inpatient and Outpatient Setting in a Diverse Cohort

Sun M. Yoo, Teresa C. Liu, Yash Motwani, Myung S. Sim, Nisha Viswanathan, Nathan Samras, Felicia Hsu, Neil S. Wenger

Summary: This study investigated the association of demographic and clinical characteristics with the development of Post-Acute Sequelae of SARS-CoV-2 (PASC). The results showed that three in ten COVID-19 survivors developed PASC symptoms. Hospitalization for COVID-19, diabetes, and higher BMI were independently associated with PASC, while Medicaid, organ transplant, and certain demographic factors showed an inverse association. Age, race/ethnicity, vulnerability index, and baseline functional status were not associated with PASC.

JOURNAL OF GENERAL INTERNAL MEDICINE (2022)

Article Health Care Sciences & Services

Assessing Healthcare Workers' Knowledge and Their Confidence in the Diagnosis and Management of Human Monkeypox: A Cross-Sectional Study in a Middle Eastern Country

Malik Sallam, Kholoud Al-Mahzoum, Ala'a B. Al-Tammemi, Mohammed Alkurtas, Fatemeh Mirzaei, Nariman Kareem, Hala Al-Naimat, Laila Jardaneh, Laith Al-Majali, Akram AlHadidi, Khaled Al-Salahat, Eyad Al-Ajlouni, Nadin Mohammad AlHadidi, Faris G. Bakri, Harapan Harapan, Azmi Mahafzah

Summary: This study aimed to assess the knowledge and confidence of healthcare workers in Jordan regarding human monkeypox (HMPX) and their attitudes towards emerging virus infections from a conspiracy point of view. The results showed a lack of knowledge about HMPX among healthcare workers and low confidence in diagnosing and managing the disease. Additionally, some healthcare workers held beliefs linking the spread of the disease to male homosexuals. These findings highlight the urgent need to raise awareness about the disease and take appropriate measures to prevent stigma and discrimination among at-risk groups.

HEALTHCARE (2022)

Article Health Care Sciences & Services

A large language model for electronic health records

Xi Yang, Aokun Chen, Nima PourNejatian, Hoo Chang Shin, Kaleb E. Smith, Christopher Parisien, Colin Compas, Cheryl Martin, Anthony B. Costa, Mona G. Flores, Ying Zhang, Tanja Magoc, Christopher A. Harle, Gloria Lipori, Duane A. Mitchell, William R. Hogan, Elizabeth A. Shenkman, Jiang Bian, Yonghui Wu

Summary: This study develops a large clinical language model and evaluates it on five clinical NLP tasks. By scaling up the number of parameters and increasing the size of the training data, the model improves accuracy and shows potential for enhancing medical AI systems.

NPJ DIGITAL MEDICINE (2022)

Article Health Care Sciences & Services

Role of telepharmacy in pharmacist counselling to coronavirus disease 2019 patients and medication dispensing errors

Osama M. Ibrahim, Rana M. Ibrahim, Ahmad Al Meslamani, Nadia Al Mazrouei

Summary: This study aimed to compare the rates and types of pharmacist interventions related to COVID-19 and medication dispensing errors across community pharmacies with and without telepharmacy services. The results showed that pharmacies with telepharmacy services had a lower rate of medication dispensing errors and showed positive impact on access to pharmaceutical care for COVID-19 patients.

JOURNAL OF TELEMEDICINE AND TELECARE (2023)

Review Health Care Sciences & Services

Adverse events of active and placebo groups in SARS-CoV-2 vaccine randomized trials: A systematic review

Martina Amanzio, Dimos D. Mitsikostas, Fabio Giovannelli, Massimo Bartoli, Giuseppina Elena Cipriani, Walter A. Brown

Summary: This systematic review compared the rates of adverse events (AEs) in the active and placebo groups of approved SARS-CoV-2 vaccines. The results showed that the occurrence of AEs was higher in the vaccine groups, and the most frequently reported AEs were fatigue, headache, local pain, and myalgia. These AEs were more common in the younger population and in the first dose of placebo recipients.

LANCET REGIONAL HEALTH-EUROPE (2022)

Review Health Care Sciences & Services

Strengthening mental health responses to COVID-19 in the Americas: A health policy analysis and recommendations

Amy Tausch, Renato Oliveira e Souza, Carmen Martinez Viciana, Claudina Cayetano, Jarbas Barbosa, Anselm J. M. Hennis

Summary: The COVID-19 pandemic has had a significant impact on the mental health of populations in the Americas, especially among women, young people, those with pre-existing mental health conditions, health workers, and vulnerable populations. The crisis can be attributed to insufficient investment in mental health services prior to the pandemic and limited implementation of decentralized community-based care approaches and policies. Urgent actions are needed to scale up mental health and psychosocial support services for all, reach marginalized and at-risk populations, and rebuild better mental health systems and services for the future.

LANCET REGIONAL HEALTH-AMERICAS (2022)

Article Health Care Sciences & Services

Quality of facility-based maternal and newborn care around the time of childbirth during the COVID-19 pandemic: online survey investigating maternal perspectives in 12 countries of the WHO European Region

Marzia Lazzerini, Benedetta Covi, Ilaria Mariani, Zalka Drglin, Maryse Arendt, Ingvild Hersoug Nedberg, Helen Elden, Raquel Costa, Daniela Drandic, Jelena Radetic, Marina Ruxandra Otelea, Celine Miani, Serena Brigidi, Virginie Rozee, Barbara Mihevc Ponikvar, Barbara Tasch, Sigrun Kongslien, Karolina Linden, Catarina Barata, Magdalena Kurbanovic, Jovana Ruzicic, Stephanie Batram-Zantvoort, Lara Martin Castaneda, Elise de La Rochebrochard, Anja Bohinec, Eline Skirnisdottir Vik, Mehreen Zaigham, Teresa Santos, Lisa Wandschneider, Ana Canales Viver, Amira Cerimagic, Emma Sacks, Emanuelle Pessa Valente

Summary: This study highlights significant inequities in the quality of maternal and newborn care across countries in the WHO European Region during the COVID-19 pandemic. Urgent quality improvement initiatives are needed to provide evidence-based, patient-centered respectful care for all mothers and newborns.

LANCET REGIONAL HEALTH-EUROPE (2022)

Article Health Care Sciences & Services

Tracking the geographic distribution and growth of clinicians with a DEA waiver to prescribe buprenorphine to treat opioid use disorder

C. Holly A. Andrilla, Davis G. Patterson

Summary: The number of clinicians with a DEA waiver to prescribe buprenorphine for OUD more than doubled between December 2017 and July 2020, reaching 98,344. While access to MOUD has increased across all geographic categories, there are still disparities in treatment availability in small rural communities, and significant regional differences by US Census Division.

JOURNAL OF RURAL HEALTH (2022)

Article Health Care Sciences & Services

Epidemiological characteristics and transmission dynamics of the outbreak caused by the SARS-CoV-2 Omicron variant in Shanghai, China: A descriptive study

Zhiyuan Chen, Xiaowei Deng, Liqun Fang, Kaiyuan Sun, Yanpeng Wu, Tianle Che, Junyi Zou, Jun Cai, Hengcong Liu, Yan Wang, Tao Wang, Yuyang Tian, Nan Zheng, Xuemei Yan, Ruijia Sun, Xiangyanyu Xu, Xiaoyu Zhou, Shijia Ge, Yuxia Liang, Lan Yi, Juan Yang, Juanjuan Zhang, Marco Ajelli, Hongjie Yu

Summary: In early March 2022, a major outbreak of the SARS-CoV-2 Omicron variant occurred in Shanghai, China. The population-based screening and lockdown policies implemented were effective in controlling the spread of the virus and understanding the epidemiological characteristics and spatiotemporal transmission dynamics of the outbreak.

LANCET REGIONAL HEALTH-WESTERN PACIFIC (2022)

Article Health Care Sciences & Services

Vaccine Hesitancy and Exposure to Misinformation: a Survey Analysis

Stephen R. Neely, Christina Eldredge, Robin Ersing, Christa Remington

Summary: Despite the widespread availability of SARS-CoV-2 vaccines in the USA, vaccine hesitancy continues to represent a significant impediment to the attainment of herd immunity and the end of the COVID-19 pandemic. This survey analysis provides an update for clinical healthcare providers and public health officials regarding current trends in misinformation exposure, as well as common objections to COVID-19 vaccination. The survey results add to previous research on misinformation and vaccine hesitancy by quantifying exposure to specific misinformation themes and identifying its relationship to vaccine hesitancy.

JOURNAL OF GENERAL INTERNAL MEDICINE (2022)

Article Economics

Conditional cash lotteries increase COVID-19 vaccination rates

Andrew Barber, Jeremy West

Summary: This study shows that conditional cash lotteries can be an effective tool in promoting COVID-19 vaccinations, leading to an increase in vaccination rates and significant reductions in COVID-19 infections.

JOURNAL OF HEALTH ECONOMICS (2022)

Review Health Care Sciences & Services

Misinformation About COVID-19 Vaccines on Social Media: Rapid Review

Ingjerd Skafle, Anders Nordahl-Hansen, Daniel S. Quintana, Rolf Wynn, Elia Gabarron

Summary: Misinformation about COVID-19 vaccines is spreading rapidly on social media platforms, leading to an infodemic. This includes false claims about vaccine side effects and misinformation about autism and COVID-19 vaccines. Studies have shown that social media misinformation has a negative impact on vaccine hesitancy and uptake.

JOURNAL OF MEDICAL INTERNET RESEARCH (2022)

Article Health Care Sciences & Services

The dawn of digital public health in Europe: Implications for public health policy and practice

Brian Li Han Wong, Laura Maass, Alice Vodden, Robin van Kessel, Sebastiano Sorbello, Stefan Buttigieg, Anna Odone

Summary: The COVID-19 pandemic has highlighted the significance of digital health technologies and effective surveillance systems. There is untapped potential in harnessing digital technologies for public health, and comprehensive action is needed to promote its development and address the challenges.

LANCET REGIONAL HEALTH-EUROPE (2022)

Article Health Care Sciences & Services

Cross Country Comparison of Expert Assessments of the Quality of Death and Dying 2021

Eric A. Finkelstein, Afsan Bhadelia, Cynthia Goh, Drishti Baid, Ratna Singh, Sushma Bhatnagar, Stephen R. Connor

Summary: This study uses a preference-based scoring algorithm and input from key stakeholders to assess the performance of end-of-life healthcare systems in different countries. The results highlight significant disparities in the quality of end-of-life care across countries, particularly between high-income countries and others.

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2022)

Article Health Care Sciences & Services

Association of Vitamin D Status and COVID-19-Related Hospitalization and Mortality

Karen H. Seal, Daniel Bertenthal, Evan Carey, Carl Grunfeld, Daniel D. Bikle, Chuanyi M. Lu

Summary: This study aims to investigate the relationship between vitamin D status and COVID-19-related clinical outcomes. The results show a significant inverse dose-response relationship between continuous 25(OH)D concentrations and COVID-19-related hospitalization and mortality after adjusting for factors associated with both vitamin D deficiency and COVID-19 outcomes.

JOURNAL OF GENERAL INTERNAL MEDICINE (2022)

Review Health Care Sciences & Services

The Impact of Wearable Technologies in Health Research: Scoping Review

Sophie Huhn, Miriam Axt, Hanns-Christian Gunga, Martina Anna Maggioni, Stephen Munga, David Obor, Ali Sie, Valentin Boudo, Aditi Bunker, Rainer Sauerborn, Till Baernighausen, Sandra Barteit

Summary: This review examines the current usage of affordable wearable devices in health research. The findings show that wearables have been widely applied in fields such as COVID-19 prediction, fertility tracking, heat-related illness, drug effects, and psychological interventions. However, there is a lack of research on wearable devices in low-resource contexts.

JMIR MHEALTH AND UHEALTH (2022)

Article Health Care Sciences & Services

A Multi-Agent Deep Reinforcement Learning Approach for Enhancement of COVID-19 CT Image Segmentation

Hanane Allioui, Mazin Abed Mohammed, Narjes Benameur, Belal Al-Khateeb, Karrar Hameed Abdulkareem, Begonya Garcia-Zapirain, Robertas Damasevicius, Rytis Maskeliunas

Summary: In this study, a new mask extraction method based on multi-agent deep reinforcement learning (DRL) was introduced and applied to the diagnosis of COVID-19. Experimental validation showed that the method can accurately extract masks of COVID-19 infected areas and achieved good results in pathogenic diagnostic tests and time saving.

JOURNAL OF PERSONALIZED MEDICINE (2022)

Letter Health Care Sciences & Services

Addressing health disparities through implementation science-a need to integrate an equity lens from the outset

Andrew D. Kerkhoff, Erica Farrand, Carina Marquez, Adithya Cattamanchi, Margaret A. Handley

Summary: This paper highlights the importance of integrating an equity lens in the implementation process and presents four key pre-implementation steps and associated questions for researchers to consider in order to select and design interventions and strategies that effectively reduce health disparities among vulnerable populations.

IMPLEMENTATION SCIENCE (2022)

Article Health Care Sciences & Services

The Impact of the COVID-19 Pandemic on Mental Health, Occupational Functioning, and Professional Retention Among Health Care Workers and First Responders

Rebecca C. Hendrickson, Roisin A. Slevin, Katherine D. Hoerster, Bernard P. Chang, Ellen Sano, Catherine A. McCall, Gillian R. Monty, Ronald G. Thomas, Murray A. Raskind

Summary: The study shows a significant relationship between COVID-19 related occupational stressors and psychiatric symptoms and occupational outcomes among healthcare workers and first responders, with demoralization having the most prominent impact on mental health and work-related issues. Mitigating these stressors, especially by addressing factors causing demoralization, may lead to improvements in mental health, work functioning, and retention in this population.

JOURNAL OF GENERAL INTERNAL MEDICINE (2022)