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n and adequate resourcing is required to ensure policy implementation.We report a case of primary malposition of a PICC inserted by guidewire replacement in the emergency room. Intraprocedural tip location by intracavitary electrocardiography was not feasible because the patient had atrial fibrillation; intraprocedural tip location by ultrasound (using the so-called “bubble test”) showed that the tip was not in the superior vena cava or in the right atrium. A post-procedural chest X-ray confirmed the malposition but could not precise the location of the tip. A CT scan (scheduled for other purposes) finally visualized the tip in a very unusual location, the left pericardiophrenic vein.In an attempt to move the field of public health from documenting health disparities to acting to rectify them, in 2001, the American Public Health Association (APHA) recognized racism as a fundamental cause of racial health disparities. Both APHA and the Council on Education for Public Health have moved to incorporate new competencies in health equity for public health professionals. As schools and programs of public health work to establish curricular offerings in race and racism, a need exists to identify approaches currently in use that can be replicated, adapted, and scaled. This systematic review sought to identify pedagogical methods and curricula that exist to support the training of US public health students in understanding racism as a structural determinant of health. We found 11 examples from peer-reviewed literature of curricula, lessons, and competencies that have been developed by public health faculty and departments since 2006. The articles discussed a range of approaches to teaching about structural racism in public health, suggesting that little consensus may exist on how to best teach this material. Furthermore, we found little rigorous evaluation of these teaching methods and curricula. The results of this review suggest future research is needed on public health pedagogy on structural racism.Background Circular RNAs (circRNAs) have been considered as vital regulators in the progression of human ocular diseases, including diabetic cataract (DC). This report was designed to research the biological role of circRNA phosphoprotein associated with glycosphingolipid-enriched microdomains 1 (circPAG1) in high glucose (HG)-induced lens epithelial damages.Methods Lens epithelial damage in DC was investigated by the effects of 25 mM glucose (HG) on human lens epithelial cells (HLE-B3). CircPAG1, microRNA-630 (miR-630), and ephrin type-A receptor 2 (EPHA2) levels were examined by the quantitative real-time polymerase chain reaction (qRT-PCR). Cell proliferation analysis was performed by 3-(4, 5-dimethylthiazol-2-y1)-2, 5-diphenyl tetrazolium bromide (MTT) assay and colony formation assay. Cell apoptosis was measured through flow cytometry. Protein levels were detected using western blot. Oxidative stress was determined by malondialdehyde (MDA), superoxide dismutase (SOD), and glutathione peroxidase (GSH-PX) 2 axis.
Maternal mental distress in pregnancy can be damaging to the mother’s and child’s physical and mental health. This study aimed to provide an insight into mental well-being of pregnant women in Denmark during COVID-19 by assessing symptoms of depression and anxiety.
Data from two cohorts of pregnant women recruited from Danish general practice were compared. find more A COVID-19 lockdown cohort (
=330) completed questionnaires between 8 April and 6 May. Responses were compared to those from a control cohort of women from 2016 (
=1428). Mental well-being was measured with the Major Depression Inventory (MDI) and the Anxiety Symptom Scale (ASS).
Questionnaires were returned by 83% of the COVID-19 lockdown cohort and by 93% of the control cohort. Multivariable analysis controlling for age, cohabitation status, occupation, smoking, alcohol use, chronic disease, fertility treatment, parity and children living at home showed no difference in depressive symptoms (MDI). Anxiety symptoms (ASS) were slightly worse in the COVID-19 lockdown cohort (mean difference=1.4 points), mainly driven by questions concerning general anxiety. The largest differences in anxiety were seen in first trimester (adjusted mean difference=4.0 points).
Pregnant women questioned during the COVID-19 pandemic showed no change in symptoms of depression and only a modest elevation of anxiety when compared to pregnant women questioned during a non-pandemic period in 2016.
Pregnant women questioned during the COVID-19 pandemic showed no change in symptoms of depression and only a modest elevation of anxiety when compared to pregnant women questioned during a non-pandemic period in 2016.Heterozygous truncation variants in RCBTB1 have been reported to cause familial exudative vitreoretinopathy (FEVR). Such genotype-phenotype association is not supported by our recent study based on big data from our own, HGMD, and gnomAD. The authors, who reported association between RCBTB1 and FEVR, made further explanation on their own results without additional supporting data. In response to their comments, we would like to further clarify the pathogenesis of heterozygous truncation variants in RCBTB1 based on the current understanding of variant curation at individual gene level. Genes associated with FEVR are of great attention since it has been recognized as a common disease-causing blindness in children and adolescents. Curation of questionable causative genes or variant curation in well-known genes is a critical task in clinical gene test at the era of next-generation sequencing, since clinical application of biomarkers in questions may lead to inappropriate management or even disastrous consequence.
The aim of this study is to analyse the potential impact from the financial crisis (onset in 2009) on suicide rates in Denmark. The hypothesis is that the global financial crisis raised unemployment which leads to raising the suicide rate in Denmark and that the impact is most prominent in men.
This study used an ecological study design, including register data from 2001 until 2016 on unemployment, suicide, gender and calendar time which was analysed using Poisson regression models and interrupted time series analysis.
The correlation between unemployment and suicide rates was positive in the period and statistically significant for all, but at a moderate level. A dichotomised version of time (calendar year) showed a significant reduction in the suicide rate for women (incidence rate ratio 0.87,
=0.002). Interrupted time series analysis showed a significant decreasing trend for the overall suicide rate and for men in the pre-recession period, which in both cases stagnated after the onset of recession in 2009.