Tag: pubmed

Int J Health Plann Manage. 2021 Nov 11. doi: 10.1002/hpm.3384. Online ahead of print.

ABSTRACT

BACKGROUND: During a pandemic, the occurrence of infections and case fatality rates are expected to vary from one country to another due to several variables such as poverty, existing comorbidities, population density, access to health care, availability and quality of health system resources, and environmental factors.

OBJECTIVES: Our aim is to investigate the relationship between various demographic and socioeconomic factors and reported COVID-19 morbidity and mortality indicators in different countries. Also, to determine the position of the countries relative to each other in terms of three indicators including COVID-19 cases, deaths and tests.

METHODS: Canonical correlation analysis is used to investigate the intercorrelations between independent variables and the COVID-19 cases and deaths for 92 countries. Countries’ performances are measured by MULTIMOORA.

RESULTS: Human Development Index, smoking habits, percentage of elderly population and test frequency are the most significant variables associated with COVID-19 morbidity and mortality according to our study findings. Singapore, New Zealand and Australia are the best performed countries.

CONCLUSIONS: Several significant and unexpected associations exist between socioeconomic factors and the COVID-19 cases and deaths. Singapore, New Zealand and Australia are surrounded by water, have been more successful in the pandemic process compared to other countries.

PMID:34762746 | DOI:10.1002/hpm.3384

Med Ultrason. 2021 Nov 3. doi: 10.11152/mu-3246. Online ahead of print.

ABSTRACT

AIM: Transvaginal ultrasonography (TVUS) has shown varying results in the staging of cervical cancer patients around the world. Hence, the current review was done to assess the diagnostic accuracy of TVUS for identifying parametrial, stromal invasion and lymph node metastasis among cervical cancer patients.

MATERIAL AND METHODS: We conducted a systematic search for all studies reporting the diagnostic accuracy of TVUS for staging of cervical cancer in the databases of PubMed Central, MEDLINE, EMBASE, MEDLINE, SCOPUS and Cochrane library from inception till March 2021. Meta-analysis was performed using STATA software “midas” package.

RESULTS: Eleven studies with 760 patients were included. The pooled sensitivity and specificity of TVUS for diagnosing parametrial invasion were 62% (95% CI, 40-80) and 91% (95% CI, 79-97), for stromal invasion were 84% (95% CI, 77-90) and 80% (95% CI, 61-91), for lymph node metastasis were 52% (95% CI, 8-93) and 95% (95% CI, 68-99). There was significant heterogeneity found with all the outcomes with significant chi-square test and I2 statistic >75%.

CONCLUSION: TVUS has limited applicability and use as a screening or diagnostic tool for local staging of cervical cancer patients. Further reviews comparing multiple non-invasive imaging modalities are required to pick the best tool for local staging of cervical cancer.

PMID:34762728 | DOI:10.11152/mu-3246

PLoS One. 2021 Nov 11;16(11):e0259631. doi: 10.1371/journal.pone.0259631. eCollection 2021.

ABSTRACT

The COVID-19 pandemic has affected all dimensions of lives and has become a social problem as it continues to spread widely through the continuous interactions of people in public spaces where they earn a living. Curbing the spread of COVID-19 requires restrictions in these public spaces, however, the compliance to these measures depends largely on the understanding and interpretations of COVID 19 by users of these public spaces. This study examined the contextual interpretations of public space users about COVID-19 prevention in Ibadan Metropolis, Oyo State. The study was a rapid ethnographic survey in selected public spaces (markets and commercial motor parks) in Ibadan metropolis. Data were collected through participant observation, key informant interviews (3 females; 3 males) and in-depth interviews (30) with, traders, head porters, clients/buyers and commercial vehicle drivers in these public spaces. Interviews conducted were transcribed, sorted into themes using Atlas-ti 7.5.7 and subjected to interpretive-content analysis. Findings revealed that some respondents felt COVID-19 was brought into Nigeria by rich frequent global voyagers, others felt it was through “uncultured” sexual life or wrath of God. Some also doubted the existence of the disease and many of the respondents perceived COVID-19 as a disease reported by the government or a political propaganda to siphon funds. The users of the public spaces in Ibadan Metropolis have variegated perception about the existence and severity of this rapidly spreading virus and this has grave implications for COVID-19 control in the State. Thus, regular interaction with public space users are essential for control efforts.

PMID:34762710 | DOI:10.1371/journal.pone.0259631

PLoS One. 2021 Nov 11;16(11):e0259680. doi: 10.1371/journal.pone.0259680. eCollection 2021.

ABSTRACT

Cities and towns have often developed infrastructure that enabled a variety of socio-economic interactions. Street networks within these urban settings provide key access to resources, neighborhoods, and cultural facilities. Studies on settlement scaling have also demonstrated that a variety of urban infrastructure and resources indicate clear population scaling relationships in both modern and ancient settings. This article presents an approach that investigates past street network centrality and its relationship to population scaling in urban contexts. Centrality results are compared statistically among different urban settings, which are categorized as orthogonal (i.e., planned) or self-organizing (i.e., organic) urban settings, with places having both characteristics classified as hybrid. Results demonstrate that street nodes have a power law relationship to urban area, where the number of nodes increases and node density decreases in a sub-linear manner for larger sites. Most median centrality values decrease in a negative sub-linear manner as sites are larger, with organic and hybrid urban sites’ centrality being generally less and diminishing more rapidly than orthogonal settings. Diminishing centrality shows comparability to modern urban systems, where larger urban districts may restrict overall interaction due to increasing transport costs over wider areas. Centrality results indicate that scaling results have multiples of approximately ⅙ or ⅓ that are comparable to other urban and road infrastructure, suggesting a potential relationship between different infrastructure features and population in urban centers. The results have implications for archaeological settlements where urban street plans are incomplete or undetermined, as it allows forecasts to be made on past urban sites’ street network centrality. Additionally, a tool to enable analysis of street networks and centrality is provided as part of the contribution.

PMID:34762716 | DOI:10.1371/journal.pone.0259680

PLoS One. 2021 Nov 11;16(11):e0259855. doi: 10.1371/journal.pone.0259855. eCollection 2021.

ABSTRACT

BACKGROUND: Multiple sclerosis (MS) is the most common autoimmune inflammatory disease of the central nervous system in Europe, often causing severe physical, cognitive and emotional impairments. Currently, it is unclear whether the healthcare provisions of people with MS (PwMS) are in line with the recommendations for treatment based on guidelines or patients’ needs. The main objectives of the study are as follows: (a) to investigate how well PwMS are treated; and (b) to develop a needs-oriented, patient-centred care model.

METHODS: This mixed-methods study focuses on adult PwMS living in Lower Saxony, a federal state in Germany. The qualitative study comprises focus groups with PwMS, physicians and people involved in the healthcare process as well as a future workshop. The quantitative study comprises a cross-sectional online survey and addresses the patient-relevant outcomes and needs, as previously determined by literature searches and focus groups. It will be administered to all PwMS who are insured by the statutory health insurance company involved in the project (n~7,000). The survey data will be linked to the longitudinal secondary data from the statutory health insurance company and data from the German MS registry where available. The linked and single data sources will be statistically analysed.

DISCUSSION: By comprehensively comparing the current healthcare provisions with the needs and requirements of PwMS, the strengths and weaknesses of the overall healthcare process and provision of assistive devices can be identified. The barriers and facilitators of the health service providers and their impact on daily life will be explored (qualitative analyses). Reliable recommendations for improvements will be given based on a study population drawn from the largest statutory health insurance company in Lower Saxony (quantitative analyses). However, the inherent advantages and limitations of the qualitative and quantitative research approaches need to be considered.

TRIAL REGISTRATION: The study is registered at German Clinical Trials Register DRKS00021741.

PMID:34762697 | DOI:10.1371/journal.pone.0259855

PLoS One. 2021 Nov 11;16(11):e0259908. doi: 10.1371/journal.pone.0259908. eCollection 2021.

ABSTRACT

INTRODUCTION: The incidence of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infections in the Belgian community is mainly estimated based on test results of patients with coronavirus disease (COVID-19)-like symptoms. The aim of this study was to investigate the evolution of the SARS-CoV-2 reverse transcriptase polymerase chain reaction (RT-PCR) positivity ratio and distribution of viral loads within a cohort of asymptomatic patients screened prior hospitalization or surgery, stratified by age category.

MATERIALS/METHODS: We retrospectively studied data on SARS-CoV-2 real-time RT-PCR detection in respiratory tract samples of asymptomatic patients screened pre-hospitalization or pre-surgery in nine Belgian hospitals located in Flanders over a 12-month period (1 April 2020-31 March 2021).

RESULTS: In total, 255925 SARS-CoV-2 RT-PCR test results and 2421 positive results for which a viral load was reported, were included in this study. An unweighted overall SARS-CoV-2 real-time RT-PCR positivity ratio of 1.27% was observed with strong spatiotemporal differences. SARS-CoV-2 circulated predominantly in 80+ year old individuals across all time periods except between the first and second COVID-19 wave and in 20-30 year old individuals before the second COVID-19 wave. In contrast to the first wave, a significantly higher positivity ratio was observed for the 20-40 age group in addition to the 80+ age group compared to the other age groups during the second wave. The median viral load follows a similar temporal evolution as the positivity rate with an increase ahead of the second wave and highest viral loads observed for 80+ year old individuals.

CONCLUSION: There was a high SARS-CoV-2 circulation among asymptomatic patients with a predominance and highest viral loads observed in the elderly. Moreover, ahead of the second COVID-19 wave an increase in median viral load was noted with the highest overall positivity ratio observed in 20-30 year old individuals, indicating they could have been the hidden drivers of this wave.

PMID:34762704 | DOI:10.1371/journal.pone.0259908

PLoS One. 2021 Nov 11;16(11):e0259854. doi: 10.1371/journal.pone.0259854. eCollection 2021.

ABSTRACT

In this study, 90 (51 males, 39 females) tennis players performed single-leg quiet stance and single-leg landing tasks. For the static standing task, center-of pressure (CoP) velocities, amplitudes, frequency and area were calculated. For the landing tasks, time to stabilization as well as dynamic postural stability index were considered. The analysis of differences between the legs was done based on two methods for a priori determination of leg preference, one based on the preference of kicking a ball and one based on the preference for single-leg jumping. An additional analysis was done based on the leg dominance (determined post hoc), based on the observed performance of the tasks. In case of the classification based on kicking a ball, there was a statistically significantly lower CoP anterior-posterior velocity and anterior-posterior amplitude in static balance task (p ≤ 0.017; 0.17 ≤ d ≤ 0.28) for the preferred leg. The CoP frequency was higher in the preferred leg for both directions (p ≤ 0.002; 0.10 ≤ d ≤ 0.22). For the landing task, CoP medial-lateral time to stabilization was statistically significantly shorter for the preferred leg (0.28 ± 0.38 s) compared to the non-preferred leg (0.47 ± 0.60 s) (p = 0.012; d = 0.38). There were no differences between the legs for the landing task. Moreover, there were no differences between the legs when we used the preference based on jumping for either of the tasks (d ≤ 0.14). The differences between legs in terms of observed dominance were larger than the differences based on the preference, which stresses the need for clear distinction of limb preference and limb dominance in research and practice. Regarding the effect of leg preference, small differences in static balance may exist between the legs (when the preference is based on kicking a ball).

PMID:34762690 | DOI:10.1371/journal.pone.0259854

PLoS One. 2021 Nov 11;16(11):e0259572. doi: 10.1371/journal.pone.0259572. eCollection 2021.

ABSTRACT

The objective of this study was to calculate the extent and decay of linkage disequilibrium (LD) in 96 crossbred Vrindavani cattle genotyped with Bovine SNP50K Bead Chip. After filtering, 43,821 SNPs were retained for final analysis, across 2500.3 Mb of autosome. A significant percentage of SNPs was having minor allele frequency of less than 0.20. The extent of LD between autosomal SNPs up to 10 Mb apart across the genome was measured using r2 statistic. The mean r2 value was 0.43, if pairwise distance of marker was less than10 kb and it decreased further to 0.21 for 25-50 kb markers distance. Further, the effect of minor allele frequency and sample size on LD estimate was investigated. The LD value decreased with the increase in inter-marker distance, and increased with the increase of minor allelic frequency. The estimated inbreeding coefficient and effective population size were 0.04, and 46 for present generation, which indicated small and unstable population of Vrindavani cattle. These findings suggested that a denser or breed specific SNP panel would be required to cover all genome of Vrindavani cattle for genome wide association studies (GWAS).

PMID:34762692 | DOI:10.1371/journal.pone.0259572

PLoS One. 2021 Nov 11;16(11):e0259780. doi: 10.1371/journal.pone.0259780. eCollection 2021.

ABSTRACT

Amazonia and the Northeast region of Brazil exhibit the highest levels of climate vulnerability in the country. While Amazonia is characterized by an extremely hot and humid climate and hosts the world largest rainforest, the Northeast is home to sharp climatic contrasts, ranging from rainy areas along the coast to semiarid regions that are often affected by droughts. Both regions are subject to extremely high temperatures and are susceptible to many tropical diseases. This study develops a multidimensional Extreme Climate Vulnerability Index (ECVI) for Brazilian Amazonia and the Northeast region based on the Alkire-Foster method. Vulnerability is defined by three components, encompassing exposure (proxied by seven climate extreme indicators), susceptibility (proxied by sociodemographic indicators), and adaptive capacity (proxied by sanitation conditions, urbanization rate, and healthcare provision). In addition to the estimated vulnerability levels and intensity, we break down the ECVI by indicators, dimensions, and regions, in order to explore how the incidence levels of climate-sensitive infectious and parasitic diseases correlate with regional vulnerability. We use the Grade of Membership method to reclassify the mesoregions into homoclimatic zones based on extreme climatic events, so climate and population/health data can be analyzed at comparable resolutions. We find two homoclimatic zones: Extreme Rain (ER) and Extreme Drought and High Temperature (ED-HT). Vulnerability is higher in the ED-HT areas than in the ER. The contribution of each dimension to overall vulnerability levels varies by homoclimatic zone. In the ER zone, adaptive capacity (39%) prevails as the main driver of vulnerability among the three dimensions, in contrast with the approximately even dimensional contribution in the ED-HT. When we compare areas by disease incidence levels, exposure emerges as the most influential dimension. Our results suggest that climate can exacerbate existing infrastructure deficiencies and socioeconomic conditions that are correlated with tropical disease incidence in impoverished areas.

PMID:34762688 | DOI:10.1371/journal.pone.0259780

PLoS One. 2021 Nov 11;16(11):e0259803. doi: 10.1371/journal.pone.0259803. eCollection 2021.

ABSTRACT

Racial/ethnic disparities are among the top-selective underlying determinants associated with the disproportional impact of the COVID-19 pandemic on human mobility and health outcomes. This study jointly examined county-level racial/ethnic differences in compliance with stay-at-home orders and COVID-19 health outcomes during 2020, leveraging two-year geo-tracking data of mobile devices across ~4.4 million point-of-interests (POIs) in the contiguous United States. Through a set of structural equation modeling, this study quantified how racial/ethnic differences in following stay-at-home orders could mediate COVID-19 health outcomes, controlling for state effects, socioeconomics, demographics, occupation, and partisanship. Results showed that counties with higher Asian populations decreased most in their travel, both in terms of reducing their overall POIs’ visiting and increasing their staying home percentage. Moreover, counties with higher White populations experienced the lowest infection rate, while counties with higher African American populations presented the highest case-fatality ratio. Additionally, control variables, particularly partisanship, median household income, percentage of elders, and urbanization, significantly accounted for the county differences in human mobility and COVID-19 health outcomes. Mediation analyses further revealed that human mobility only statistically influenced infection rate but not case-fatality ratio, and such mediation effects varied substantially among racial/ethnic compositions. Last, robustness check of racial gradient at census block group level documented consistent associations but greater magnitude. Taken together, these findings suggest that US residents’ responses to COVID-19 are subject to an entrenched and consequential racial/ethnic divide.

PMID:34762685 | DOI:10.1371/journal.pone.0259803