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[PMID]:28471340
[Au] Autor:Sanberk I; Emen M; Kabakçi D
[Ad] Endereço:a Department of Counseling Psychology , Cukurova University , Adana , Turkey.
[Ti] Título:An Investigation of Socially Advantaged and Disadvantaged Turkish Mothers' Views About Training on Preventing Children From Sexual Abuse.
[So] Source:J Child Sex Abus;26(3):288-307, 2017 Apr.
[Is] ISSN:1547-0679
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study aims to investigate the views of socially advantaged (N = 8) and disadvantaged mothers (N = 8) whose children are aged between 48 and 66 months old about the issue of sexual abuse before and after the training provided to them. The views of mothers in both groups were investigated before and after the 5-week experience-based training about my body belongs to me, knowing and expressing feelings, good and bad touch, good and bad secrets, knowing how to say no, and help resources. The data were analyzed using content analysis methods. The study showed that the mothers have inaccurate or insufficient information and approaches about preventing sexual abuse. However, short-term training provided to the mothers changed their views, and the mothers in the disadvantaged group gained more awareness. The mothers in both groups stated that sexual abuse prevention trainings should be disseminated in preschool institutions.
[Mh] Termos MeSH primário: Atitude Frente à Saúde
Abuso Sexual na Infância/prevenção & controle
Mães/psicologia
[Mh] Termos MeSH secundário: Adulto
Abuso Sexual na Infância/psicologia
Pré-Escolar
Educação
Feminino
Seres Humanos
Masculino
Fatores Socioeconômicos
Turquia
Populações Vulneráveis/psicologia
Populações Vulneráveis/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1080/10538712.2017.1292338


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[PMID]:28464812
[Au] Autor:Murgatroyd D; Harris IA; Chen JS; Adie S; Mittal R; Cameron ID
[Ad] Endereço:John Walsh Centre for Rehabilitation Research, The University of Sydney, Kolling Institute, Sydney, NSW, Australia. dmur0062@uni.sydney.edu.au.
[Ti] Título:Predictors of seeking financial compensation following motor vehicle trauma: inception cohort with moderate to severe musculoskeletal injuries.
[So] Source:BMC Musculoskelet Disord;18(1):177, 2017 05 02.
[Is] ISSN:1471-2474
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Compensation related factors have been repeatedly associated with poor recovery following orthopaedic trauma. There is limited research into the factors associated with seeking financial compensation. Further understanding of these factors could facilitate injury recovery by purposeful compensation scheme design. The aim of this study was to investigate the predictors of seeking financial compensation, namely making a claim and seeking legal representation, following motor vehicle related orthopaedic trauma. The study was conducted in New South Wales (NSW), Australia, in motor vehicle crash and workers' compensation schemes. METHODS: Participants were patients admitted with upper or lower extremity factures following a motor vehicle crash to two trauma hospitals. Data were collected at baseline within two weeks of injury. Participants were followed up at six months. Analysis involved: descriptive statistics for baseline characteristics; comparison of compensable and non-compensable participants with Analysis of Variance (ANOVA) and chi-squared tests; and logistic regression for predictor models. RESULTS: The cohort consisted of 452 participants with a mean age 40 years; 75% male; 74% working pre-injury; 30% in excellent pre-injury health; 56% sustained serious injuries with an Injury Severity Score (ISS) 9-15; 61% had a low-middle range household income; and 35% self-reported at fault in the crash. There was no significant difference in pre-injury/baseline health between compensable and non-compensable participants. Follow up data was available for 301 (67%) participants. The significant predictor of claiming compensation in the adjusted analysis was higher body mass index (BMI) (overweight Odds Ratio [OR] 3.05, 95% Confidence Interval [CI] 1.63-5.68; obese OR 1.63, 95% CI 0.83-3.20). Participants less likely to claim were: involved in a motorcycle crash (OR 0.47, 95% CI 0.28-0.82); socioeconomically less disadvantaged (OR 0.37, 95% CI 0.17-0.82) or least disadvantaged (OR 0.39, 95% CI 0.17-0.90); at risk for short term harm (injury) due to alcohol consumption (OR 0.56, 95% CI 0.32-0.97); and with fair-poor pre-injury health (OR 0.30, 95% CI 0.09-0.94). The predictors for seeking legal representation were speaking a language other than English at home (OR 2.80, 95% CI 1.2-6.52) and lower household income (OR 3.63, 95% CI 1.22-10.72). Participants less likely to seek legal representation were least socioeconomically disadvantaged (OR 0.15, 95% CI 0.04-0.50). CONCLUSIONS: Seeking financial compensation was associated with a higher pre-injury BMI rather than injury-related factors. Seeking legal representation was solely related to socio-economic factors.
[Mh] Termos MeSH primário: Acidentes de Trânsito/economia
Compensação e Reparação
Sistema Musculoesquelético/lesões
Ferimentos e Lesões/economia
[Mh] Termos MeSH secundário: Acidentes de Trânsito/legislação & jurisprudência
Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Automóveis
Índice de Massa Corporal
Compensação e Reparação/legislação & jurisprudência
Grupos Étnicos
Feminino
Seres Humanos
Renda
Serviços Jurídicos
Masculino
Meia-Idade
Motocicletas
New South Wales
Recuperação de Função Fisiológica
Fatores Socioeconômicos
Populações Vulneráveis
Ferimentos e Lesões/etiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1186/s12891-017-1535-z


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[PMID]:28452689
[Au] Autor:An R; Khan N; Loehmer E; McCaffrey J
[Ad] Endereço:Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
[Ti] Título:Assessing the Network of Agencies in Local Communities that Promote Healthy Eating and Lifestyles among Populations with Limited Resources.
[So] Source:Am J Health Behav;41(2):127-138, 2017 Mar 01.
[Is] ISSN:1945-7359
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: We assessed the network of agencies in local communities that promote healthy eating and lifestyles among populations with limited resources. METHODS: Network surveys were administered among 159 Illinois agencies identified as serving limited-resource audiences categorized into 8 types: K-12 schools, early childhood centers, emergency food providers, health-related agencies, social resource centers, low-income/subsidized housing complexes, continuing education organizations, and others. Network analysis was conducted to examine 4 network structures - communications, funding, cooperation, and collaboration networks between agencies within each county/county cluster. RESULTS: Agencies in a network were found to be loosely connected, indicated by low network density. Reporting accuracy might be of concern, indicated by low reciprocity. Agencies in a network are decentralized rather than centralized around a few influential agencies, indicated by low betweenness centrality. There is suggestive evidence regarding homophily in a network, indicated by some significant correlations within agencies of the same type. Agencies connected in one network are significantly more likely to be connected in all the other networks as well. CONCLUSIONS: Promoting healthy eating and lifestyles among populations with limited resources warrants strong partnership across agencies in communities. Network analysis serves as a useful tool to evaluate community partnerships and facilitate coalition building..
[Mh] Termos MeSH primário: Órgãos Governamentais
Promoção da Saúde
Dieta Saudável
Colaboração Intersetorial
Estilo de Vida
Populações Vulneráveis
[Mh] Termos MeSH secundário: Seres Humanos
Illinois
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.5993/AJHB.41.2.3


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[PMID]:29422756
[Au] Autor:Hatef E; Alexander M; Vanderver BG; Fagan P; Albert M
[Ad] Endereço:Center for Population Health IT, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
[Ti] Título:Assessment of Annual Diabetic Eye Examination Using Telemedicine Technology Among Underserved Patients in Primary Care Setting.
[So] Source:Middle East Afr J Ophthalmol;24(4):207-212, 2017 Oct-Dec.
[Is] ISSN:0975-1599
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Digital retinal imaging with the application of telemedicine technology shows promising results for screening of diabetic retinopathy in the primary care setting without requiring an ophthalmologist on site. AIMS: We assessed whether the establishment of telemedicine technology was an effective and efficient way to increase completion of annual eye examinations among underserved, low-income (Medicaid) diabetic patients. SETTINGS AND DESIGN: A cross-sectional study in a primary care setting. SUBJECTS AND METHODS: Health care claims data were collected before the establishment of telemedicine technology in 2010 and after its implementation in 2012 for Medicaid patients at East Baltimore Medical Center (EBMC), an urban health center that is part of Johns Hopkins Health System. STATISTICAL ANALYSIS USED: The primary outcome measure was the compliance rate of patients with diabetic eye examinations; calculated as the number of diabetic patients with a completed telemedicine eye examination, divided by the total number of diabetic patients. RESULTS: In 2010, EBMC treated 213 Medicaid diabetic patients and in 2012 treated 228 Medicaid patients. In 2010, 47.89% of patients completed their annual diabetic eye examination while in 2012 it was 78.07% ( < 0.001). After adjustment for age, gender, HgBA1C, disease severity, using resource utilization band score as a proxy, and medication possession ratio; telemedicine technology significantly increased the compliance (odds ratio: 4.98, < 0.001). CONCLUSIONS: Adherence to annual eye examinations is low in the studied Medicaid diabetic population. Telemedicine technology in a primary care setting can increase compliance with annual eye examinations.
[Mh] Termos MeSH primário: Retinopatia Diabética/diagnóstico por imagem
Diagnóstico por Imagem/métodos
Exame Físico
Atenção Primária à Saúde/organização & administração
Telemedicina/métodos
Populações Vulneráveis
[Mh] Termos MeSH secundário: Glicemia/metabolismo
Estudos Transversais
Retinopatia Diabética/fisiopatologia
Feminino
Hemoglobina A Glicada/metabolismo
Seres Humanos
Masculino
Medicaid
Meia-Idade
Encaminhamento e Consulta
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Blood Glucose); 0 (Glycated Hemoglobin A); 0 (hemoglobin A1c protein, human)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE
[do] DOI:10.4103/meajo.MEAJO_19_16


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[PMID]:28470975
[Au] Autor:Lee E
[Ad] Endereço:Division of Nursing/Research Institute of Nursing Science, Hallym University, 1 Hallymdaehak-gil, Chuncheon, Gangwon-do, 24252 Republic of Korea.
[Ti] Título:Longitudinal Outcomes of Home Care in Korea to Manage Pressure Ulcers.
[So] Source:Res Nurs Health;40(3):255-262, 2017 06.
[Is] ISSN:1098-240X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Home care provides preventive, support, and treatment services to economically vulnerable community populations. In this study, we examined the outcomes of a home care program for pressure ulcers (PrUs) in an economically vulnerable group. The 184 participants were admitted with PrUs and received services from a home care agency in South Korea during a study window of 5 years. The changes in PrU staging over time were analyzed in relation to the agency's home care data and the participants' health data. At enrollment, approximately 60% had a single ulcer; 40% had two or more. Most patients' ulcers were at stages 3 or 4, and most patients were bedridden. The maximum odds of reduced ulcer size from one measurement point to the next was estimated at 14.3% for ulcers in stages 1 and 2, 33.4% of those in stage 3, and 25.5% of those in stage 4; more than 10% of ulcers healed completely within a year. PrUs were a serious problem in this community-dwelling economically vulnerable group, and home care played a critical role in providing health care to this population. © 2017 Wiley Periodicals, Inc.
[Mh] Termos MeSH primário: Serviços de Assistência Domiciliar/utilização
Profissionais de Enfermagem/utilização
Avaliação em Enfermagem
Lesão por Pressão/enfermagem
[Mh] Termos MeSH secundário: Idoso
Gerenciamento Clínico
Feminino
Seres Humanos
Vida Independente
Masculino
Lesão por Pressão/classificação
República da Coreia
Estudos Retrospectivos
Resultado do Tratamento
Populações Vulneráveis
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1706
[Cu] Atualização por classe:180217
[Lr] Data última revisão:
180217
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1002/nur.21793


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[PMID]:28453111
[Au] Autor:Henríquez-Mendoza GM
[Ad] Endereço:Oficina de Promoción Social. Ministerio de Salud y Protección Social de Colombia. Instituto Nacional de Cancerología. Bogotá, Colombia. gm.henriquez74@uniandes.edu.co.
[Ti] Título:[Inequalities in the continuity of outpatient care to displaced population in Colombia, 2012 - 2013].
[Ti] Título:Desigualdades en la continuidad de la atención ambulatoria de población desplazada en Colombia 2012-2013..
[So] Source:Rev Salud Publica (Bogota);18(5):687-699, 2016 Sep-Oct.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective : To establish inequalities in the continuity of outpatient care to displaced population diagnosed with depression. Methods: A cross-sectional study, based on clinical records, was performed during the period between June 1, 2012 and June 30, 2013, on population diagnosed with depression and reduced to displaced population. The odds ratio was used to associate the type of population with the outpatient care control by professionals, adjusted by sex, age, affiliation and region. Results: The following information was obtained from 74 713 records: 3 149 related to displaced population and 71 564 to non-displaced population; non-displaced population had 24 % more ambulatory care (OR: 1.24 p<0.001; CI 1.10 to 1.39), and the advantage was greater when adjusting the information to data, based on affiliation to the health system. In the displaced population group, men had greater rates of outpatient care compared to women (OR:1.40 p<0.001 CI: 1.08 to 1.83). The disadvantage was also high for non-displaced women (OR:1.26 p<0.001 CI: 1.10 to 1.44). Although these results were obtained for outpatient care in mild and moderate depressive patients, severe depression was excluded; the first type of depression was diagnosed in 92 % of people. Discussion : The performance record showed inequalities in the continuity of outpatient care and, despite the improvement of quality, its coverage is still incomplete. During the first year of the unified plan for the Health System, apparently, the coverage has not achieved to avoid by itself differences in care of displaced population. Improvement of records and interoperability is necessary for designing health policies with an equitable approach.
[Mh] Termos MeSH primário: Assistência Ambulatorial/normas
Transtorno Depressivo Maior/terapia
Disparidades em Assistência à Saúde
Refugiados
Populações Vulneráveis
[Mh] Termos MeSH secundário: Adulto
Idoso
Colômbia/epidemiologia
Estudos Transversais
Transtorno Depressivo Maior/epidemiologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Razão de Chances
Refugiados/psicologia
Refugiados/estatística & dados numéricos
Fatores Socioeconômicos
Populações Vulneráveis/psicologia
Populações Vulneráveis/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28449893
[Au] Autor:Nakajima S; Komada Y; Sasai-Sakuma T; Okajima I; Harada Y; Watanabe K; Inoue Y
[Ad] Endereço:Department of Somnology, Tokyo Medical University, Tokyo, Japan; Yoyogi Sleep Disorder Center, Tokyo, Japan; Japan Somnology Center, Neuropsychiatric Research Institute, Tokyo, Japan. Electronic address: nkjm@tokoy-med.ac.jp.
[Ti] Título:Higher sleep reactivity and insomnia mutually aggravate depressive symptoms: a cross-sectional epidemiological study in Japan.
[So] Source:Sleep Med;33:130-133, 2017 May.
[Is] ISSN:1878-5506
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Sleep reactivity assessed using the Ford Insomnia Response to Stress Test (FIRST) is associated with depression. This study clarified stress reactivity and insomnia effects on depressive symptoms. METHODS: A cross-sectional questionnaire survey was administered to 2645 participating government employees (35.4% female, mean age 42.8 years) during health checks conducted at Tottori prefecture, Japan, in June 2012. Questionnaire items included: demographic information; the FIRST; the Pittsburgh Sleep Quality Index (PSQI); and a 12-item version of the Center for Epidemiological Studies Depression scale (CES-D). The study defined CES-D scores of ≥12 points as positive for depression, PSQI scores of ≥5.5 points as positive for insomnia symptoms, and FIRST scores of ≥19 points as indicating higher sleep reactivity. RESULTS: Multivariate logistic regression analysis revealed insomnia (adjusted OR = 3.40), higher sleep reactivity (adjusted OR = 1.78), presence of disease currently being treated (adjusted OR = 1.84), and being female (adjusted OR = 1.53) as independently associated with depression. Participants with insomnia and a high FIRST score showed higher CES-D scores than those with insomnia alone and those with high FIRST without insomnia (all p < 0.01). CONCLUSIONS: Sleep reactivity might be associated with depression, independent of insomnia. Elevated sleep reactivity and insomnia symptoms are thought to aggravate depressive symptoms.
[Mh] Termos MeSH primário: Depressão/complicações
Distúrbios do Início e da Manutenção do Sono/complicações
Sono/fisiologia
Populações Vulneráveis/psicologia
[Mh] Termos MeSH secundário: Adulto
Comorbidade
Estudos Transversais
Depressão/epidemiologia
Depressão/psicologia
Feminino
Seres Humanos
Japão/epidemiologia
Masculino
Meia-Idade
Distúrbios do Início e da Manutenção do Sono/epidemiologia
Distúrbios do Início e da Manutenção do Sono/psicologia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28453155
[Au] Autor:Eslava-Schmalbach JH; Welch VA; Tugwell P; Amaya AC; Gaitán H; Mosquera P; Molina F; Peralta F; Romero-Vanegas S; Pardo R; Alzate JP
[Ad] Endereço:Universidad Nacional de Colombia, Bogotá, Colombia.
[Ti] Título:Incorporating equity issues into the development of Colombian clinical practice guidelines: suggestions for the GRADE approach.
[So] Source:Rev Salud Publica (Bogota);18(1):72-81, 2016 Feb.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:eng
[Ab] Resumo:Objective To propose how to incorporate equity issues, using the GRADE approach, into the development and implementation of Colombian Clinical Practice Guidelines. Methodology This proposal was developed in four phases: 1. Included a literature review and the development of a preliminary proposal about how to include equity issues; 2. Involved an informal discussion to reach a consensus on improving the first proposal; 3. Was a survey of the researchers' acceptance levels of the proposal, and; 4. A final informal consensus was formed to adjust the proposal. Results A proposal on how to incorporate equity issues into the GRADE approach was developed. It places particular emphasis on the recognition of disadvantaged populations in the development and implementation of the suggested guideline. PROGRESS-Plus is recommended for use in exploring the various categories of disadvantaged people. The proposal suggests that evidence be rated differentially by giving higher ratings to studies that consider equity issues than those that do not. The proposal also suggests the inclusion of indicators to monitor the impacts of the implementation of CPGs on disadvantaged people. Conclusions A consideration of equity in the development and implementation of clinical practice guidelines and quality assessments of the evidence would achieve more in the participation of potential actors in the process and reflect on the effectiveness of the proposed interventions across all social groups.
[Mh] Termos MeSH primário: Prática Clínica Baseada em Evidências/normas
Disparidades em Assistência à Saúde
Guias de Prática Clínica como Assunto/normas
Populações Vulneráveis
[Mh] Termos MeSH secundário: Colômbia
Consenso
Assistência à Saúde/normas
Seres Humanos
Literatura de Revisão como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28468266
[Au] Autor:Whitworth KW; Han I; Afshar M; Mei Y; Berens PD; Sharma SV; Symanski E
[Ad] Endereço:Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in San Antonio, San Antonio, TX 78229, USA. Kristina.W.Whitworth@uth.tmc.edu.
[Ti] Título:Accessing Disadvantaged Pregnant Women in Houston, Texas, and Characterizing Biomarkers of Metal Exposure: A Feasibility Study.
[So] Source:Int J Environ Res Public Health;14(5), 2017 04 29.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:Communities of color or low socioeconomic status are disproportionately affected by metal exposure given spatial variability of the ambient levels of these contaminants. Despite this, there is little research characterizing metal concentrations in blood among disadvantaged populations in the U.S., especially among pregnant women who are particularly vulnerable and difficult to access. Thus, we conducted a pilot study among disadvantaged pregnant women in Houston, Texas to assess willingness to participate in key activities of an epidemiologic study and characterize exposures to 16 metals. Thirty-one women attending a Medicaid-serving prenatal clinic were included in this pilot study and completed an interviewer-administered questionnaire. We obtained and measured metal compounds in whole blood samples for 22 of these women during third-trimester prenatal visits. Median whole blood concentrations of Ni, As, Cd, and Pb were 27, 1.4, 0.6, and 6.3 µg/L, respectively. Most women were willing to participate in critical aspects of a research study, including wearing a personal air-sampling badge for 2-3 days (87.1%), receiving ultrasounds (83.9%), and providing blood draws (64.5%). Despite the small sample, our results provide evidence of women's metal exposure and their willingness to participate in future research studies to elucidate exposure pathways and explore related health effects experienced among this population of disadvantaged pregnant women.
[Mh] Termos MeSH primário: Arsênico/sangue
Exposição Ambiental/análise
Poluentes Ambientais/sangue
Metais Pesados/sangue
[Mh] Termos MeSH secundário: Adulto
Biomarcadores/sangue
Estudos de Viabilidade
Feminino
Seres Humanos
Projetos Piloto
Gravidez/sangue
Texas
Populações Vulneráveis
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Nm] Nome de substância:
0 (Biomarkers); 0 (Environmental Pollutants); 0 (Metals, Heavy); N712M78A8G (Arsenic)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180201
[Lr] Data última revisão:
180201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE


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[PMID]:28452144
[Au] Autor:Horner MW; Ozguven EE; Marcelin JM; Kocatepe A
[Ad] Endereço:PhD is a Professor in the Department of Geography, Florida State University, United States.
[Ti] Título:Special needs hurricane shelters and the ageing population: development of a methodology and a case study application.
[So] Source:Disasters;42(1):169-186, 2018 Jan.
[Is] ISSN:1467-7717
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Recent experience of hurricanes, particularly in the southeast United States, has heightened awareness of the multifaceted nature of and the challenges to effective disaster relief planning. One key element of this planning is providing adequate shelter at secure locations for people who evacuate. Some of these individuals will have 'special needs', yet there is little research on the relationship with shelter space. This study designed a geographic information systems-based network optimisation methodology for the siting of special needs hurricane relief shelters, with a focus on the transportation component. It sought to find new locations for shelters that maximise accessibility by vulnerable populations, given capacity constraints, concentrating on the ageing population. The framework was implemented in a medium-sized metropolitan statistical area in the state of Florida where data suggest a possible deficit in special needs shelter space. The study analysed options for increasing special needs shelter capacity, while considering potential uncertainties in transportation network availability.
[Mh] Termos MeSH primário: Tempestades Ciclônicas
Planejamento em Desastres/métodos
Planejamento em Desastres/organização & administração
Abrigo de Emergência
Determinação de Necessidades de Cuidados de Saúde
[Mh] Termos MeSH secundário: Idoso
Florida
Sistemas de Informação Geográfica
Seres Humanos
Estudos de Casos Organizacionais
Transportes
Populações Vulneráveis
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1111/disa.12233



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