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[PMID]:29323851
[Au] Autor:Borisevich SV; Marennikova SS; Stovba LF; Petrov AA; Krotvov VT; Makhlai AA
[Ti] Título:Buffalopox.
[So] Source:Vopr Virusol;61(5):200-4, 2016.
[Is] ISSN:0507-4088
[Cp] País de publicação:Russia (Federation)
[La] Idioma:eng
[Ab] Resumo:Buffalopox is a contagious viral disease affecting milch buffaloes (Bubalus Bubalis) and, rarely, cows. The disease has zoonotic implications, as outbreaks are frequently associated with human infections, particularly in the milkers. Buffalopox is associated with high morbidity (80%). The clinical symptoms of the disease are characterized by wartline lesions on the udder, teats, inguinal region, base of the ears, and over the parotid. In the severe form, generalized rash is observed. Although the disease does not lead to high mortality, it has an adverse effect on the productivity and working capacity of the animals resulting in large economic losses. The outbreaks of buffalopox occurred frequently in India, Pakistan, Bangladesh, Nepal, Iran, Egypt, and Indonesia, where buffaloes are reared as milch animals. The buffalopox is closely related with other Orthopoxviruses. In particular, it is close to the vaccinia virus. There is a view that the buffalopox virus might be derived from the vaccinia virus. It is possible that it became pathogenic to humans and animals through adaptive evolution of the genome by obtaining the virulence genes. PCR is performed for the C18L gene for the purpose of specific detection and differentiation of the buffalopox virus from other orthopoxviruses. The C18L gene encodes the ankyrin repeat protein, which determines the virus host range. The open reading frame of this gene is only 150-nucleotide long as against 453 nucleotide in the vaccinia virus, 756 - in the camelpox virus, and 759 - in the cowpox virus. It can be concluded that a systematic study based on the epidemiology of the virus, existence of reservoirs, biological transmission, and the molecular organization of the buffalopox virus from buffalo, cow, and humans may pave the way to a better understanding of the circulating virus and contribute to the control of the disease using the suitable diagnostic and prophylactic measures.
[Mh] Termos MeSH primário: Vírus da Varíola Bovina/genética
Varíola Bovina/epidemiologia
Surtos de Doenças
Vírus Vaccinia/genética
Vaccinia/veterinária
Zoonoses/epidemiologia
[Mh] Termos MeSH secundário: Animais
Repetição de Anquirina
Ásia Ocidental/epidemiologia
Búfalos/virologia
Bovinos
Varíola Bovina/transmissão
Varíola Bovina/virologia
Vírus da Varíola Bovina/classificação
Vírus da Varíola Bovina/isolamento & purificação
DNA Viral/genética
Oriente Médio/epidemiologia
Filogenia
Vaccinia/epidemiologia
Vaccinia/transmissão
Vaccinia/virologia
Vírus Vaccinia/classificação
Vírus Vaccinia/isolamento & purificação
Proteínas Virais/genética
Zoonoses/transmissão
Zoonoses/virologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (DNA, Viral); 0 (Viral Proteins)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180112
[St] Status:MEDLINE


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[PMID]:28759681
[Au] Autor:Rahman MM; Karan A; Rahman MS; Parsons A; Abe SK; Bilano V; Awan R; Gilmour S; Shibuya K
[Ad] Endereço:Department of Global Health Policy, School of International Health, The University of Tokyo, Tokyo, Japan.
[Ti] Título:Progress Toward Universal Health Coverage: A Comparative Analysis in 5 South Asian Countries.
[So] Source:JAMA Intern Med;177(9):1297-1305, 2017 Sep 01.
[Is] ISSN:2168-6114
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Achieving universal health coverage is one of the key targets in the newly adopted Sustainable Development Goals of the United Nations. Objective: To investigate progress toward universal health coverage in 5 South Asian countries and assess inequalities in health services and financial risk protection indicators. Design and Settings: In a population-based study, nationally representative household (335 373 households) survey data from Afghanistan (2014 and 2015), Bangladesh (2010 and 2014), India (2012 and 2014), Nepal (2014 and 2015), and Pakistan (2014) were used to calculate relative indices of health coverage, financial risk protection, and inequality in coverage among wealth quintiles. The study was conducted from June 2012 to February 2016. Main Outcomes and Measures: Three dimensions of universal health coverage were assessed: access to basic services, financial risk protection, and equity. Composite and indicator-specific coverage rates, stratified by wealth quintiles, were then estimated. Slope and relative index of inequality were used to assess inequalities in service and financial indicators. Results: Access to basic care varied substantially across all South Asian countries, with mean rates of overall prevention coverage and treatment coverage of 53.0% (95% CI, 42.2%-63.6%) and 51.2% (95% CI, 45.2%-57.1%) in Afghanistan, 76.5% (95% CI, 61.0%-89.0%) and 44.8% (95% CI, 37.1%-52.5%) in Bangladesh, 74.2% (95% CI, 57.0%-88.1%) and 83.5% (95% CI, 54.4%-99.1%) in India, 76.8% (95% CI, 66.5%-85.7%) and 57.8% (95% CI, 50.1%-65.4%) in Nepal, and 69.8% (95% CI, 58.3%-80.2%) and 50.4% (95% CI, 37.1%-63.6%) in Pakistan. Financial risk protection was generally low, with 15.3% (95% CI, 14.7%-16.0%) of respondents in Afghanistan, 15.8% (95% CI, 14.9%-16.8%) in Bangladesh, 17.9% (95% CI, 17.7%-18.2%) in India, 11.8% (95% CI, 11.8%-11.9%) in Nepal, and 4.4% (95% CI, 4.0%-4.9%) in Pakistan reporting incurred catastrophic payments due to health care costs. Access to at least 4 antenatal care visits, institutional delivery, and presence of skilled attendant during delivery were at least 3 times higher among the wealthiest mothers in Afghanistan, Bangladesh, Nepal, and Pakistan compared with the rates among poor mothers. Access to institutional delivery was 60 to 65 percentage points higher among wealthy than poor mothers in Afghanistan, Bangladesh, Nepal, and Pakistan compared with 21 percentage points higher in India. Coverage was least equitable among the countries for adequate sanitation, institutional delivery, and the presence of skilled birth attendants. Conclusions and Relevance: Health coverage and financial risk protection was low, and inequality in access to health care remains a serious issue for these South Asian countries. Greater progress is needed to improve treatment and preventive services and financial security.
[Mh] Termos MeSH primário: Acesso aos Serviços de Saúde
Disparidades em Assistência à Saúde
Participação no Risco Financeiro
Cobertura Universal/organização & administração
[Mh] Termos MeSH secundário: Ásia Ocidental/epidemiologia
Gastos em Saúde
Acesso aos Serviços de Saúde/economia
Acesso aos Serviços de Saúde/estatística & dados numéricos
Disparidades em Assistência à Saúde/economia
Disparidades em Assistência à Saúde/estatística & dados numéricos
Seres Humanos
Determinação de Necessidades de Cuidados de Saúde
Indicadores de Qualidade em Assistência à Saúde
Participação no Risco Financeiro/métodos
Participação no Risco Financeiro/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170801
[St] Status:MEDLINE
[do] DOI:10.1001/jamainternmed.2017.3133


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[PMID]:28424259
[Au] Autor:Tabatabaei N; Auger N; Herba CM; Wei S; Allard C; Fink GD; Fraser WD
[Ad] Endereço:Ste-Justine University Hospital Centre and.
[Ti] Título:Maternal Vitamin D Insufficiency Early in Pregnancy Is Associated with Increased Risk of Preterm Birth in Ethnic Minority Women in Canada.
[So] Source:J Nutr;147(6):1145-1151, 2017 Jun.
[Is] ISSN:1541-6100
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Maternal vitamin D insufficiency (plasma 25-hydroxyvitamin D [25(OH)D] <75 nmol/L) may play a role in ethnic disparities in rates of preterm and spontaneous preterm births. We explored the relation between maternal plasma 25(OH)D concentration in the first trimester (8-14 wk of gestation) and the risk of preterm and spontaneous preterm births (<37 wk of gestation) by ethnicity. We designed a case-control study that included 120 cases of preterm birth (<37 wk of gestation) and 360 term controls (≥37 wk of gestation) of singleton pregnancies from the 3D cohort, a multicenter study in 2456 pregnant women in Quebec, Canada. Plasma 25(OH)D was measured by LC-mass spectrometry. We compared the distribution of vitamin D status between cases and controls for 8 ethnic minority subgroups. We explored the association between maternal plasma 25(OH)D concentration and preterm and spontaneous preterm births with the use of splines in logistic regression by ethnicity. The distributions of maternal vitamin D status (<50, 50-75, and >75 nmol/L) were different in preterm and spontaneous preterm birth cases compared with controls but only in women of ethnic minority ( trend = 0.003 and 0.024, respectively). Among ethnic subgroups, sub-Saharan Africans ( -trend = 0.030) and Arab-West Asians ( -trend = 0.045) showed an inverse relation between maternal vitamin D status and the risk of preterm birth. Maternal plasma 25(OH)D concentrations of 30 nmol/L were associated with 4.05 times the risk of preterm birth in the total ethnic minority population (95% CI: 1.16, 14.12; = 0.028) relative to participants with a concentration of 75 nmol/L. In contrast, there was no such association among nonethnic women (OR: 0.94; 95% CI: 0.48, 1.82; = 0.85). There was no association when we considered only spontaneous preterm births in the total ethnic minority population (OR: 1.75; 95% CI: 0.39, 7.79; = 0.46). Vitamin D insufficiency is associated with an increased risk of preterm birth in ethnic minority women in Canada.
[Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Africano
Árabes
Grupo com Ancestrais do Continente Asiático
Grupos Minoritários
Resultado da Gravidez
Nascimento Prematuro/etiologia
Deficiência de Vitamina D/complicações
[Mh] Termos MeSH secundário: Adulto
África ao Sul do Saara
Ásia Ocidental
Estudos de Casos e Controles
Feminino
Idade Gestacional
Seres Humanos
Modelos Logísticos
Razão de Chances
Gravidez
Complicações na Gravidez/sangue
Complicações na Gravidez/etnologia
Complicações na Gravidez/etiologia
Quebeque
Vitamina D/análogos & derivados
Vitamina D/sangue
Deficiência de Vitamina D/sangue
Deficiência de Vitamina D/etnologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Nm] Nome de substância:
1406-16-2 (Vitamin D); 64719-49-9 (25-hydroxyvitamin D)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170705
[Lr] Data última revisão:
170705
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170421
[St] Status:MEDLINE
[do] DOI:10.3945/jn.116.241216


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[PMID]:28405866
[Au] Autor:Suroowan S; Javeed F; Ahmad M; Zafar M; Noor MJ; Kayani S; Javed A; Mahomoodally MF
[Ad] Endereço:Department of Health Sciences, Faculty of Science, University of Mauritius, Réduit, Mauritius.
[Ti] Título:Ethnoveterinary health management practices using medicinal plants in South Asia - a review.
[So] Source:Vet Res Commun;41(2):147-168, 2017 Jun.
[Is] ISSN:1573-7446
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Animal rearing is the major occupation of most population of South Asian countries. Due to lack of resources and limited approach to modern medicine, most of the livestock raisers prefer to use plant-based traditional medicine also referred to as ethnoveterinary medicine (EVM). Indeed, the use of medicinal plants in South Asia dates back to several centuries with documented evidences. However, there is currently a dearth of documentation and compilation of use of medicinal plants for animal diseases in this part of the world. This review aims to provide an up-to-date compilation of common medicinal plants used for the treatment and/or management of common animal diseases in South Asian countries. Extensive literature search was conducted online and relevant data was retrieved from well-known scientific databases. A total of 276 plants belonging to 95 families have been documented to be in common use for managing 14 different categories of animal diseases. Solanaceae, Lamiaceae, Fabaceae, and Leguminosae were most common plant families in terms of their plant species used for EVM. Gastric diseases were commonly reported and accounted for 72 species of plants used for its treatment followed by the miscellaneous disorders category and skin diseases comprising of 65 and 39 plant species respectively. Herbs accounted for 46% of the total plant species, followed by trees (33%), and shrubs (18%). The EVM were applied through different routes of administration; oral administration accounted for 72% followed by topical application 27%, while burning of plant parts to create smoke around animals to repel insects was less common (1%). It is anticipated that the present review will stimulate further ethnoveterinary research among livestock disease management practices in South Asia.
[Mh] Termos MeSH primário: Medicina Tradicional/métodos
Plantas Medicinais
Medicina Veterinária/métodos
[Mh] Termos MeSH secundário: Animais
Ásia Ocidental
Gado
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE
[do] DOI:10.1007/s11259-017-9683-z


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[PMID]:28399916
[Au] Autor:Garcia R; Ali N; Guppy A; Griffiths M; Randhawa G
[Ad] Endereço:Institute for Health Research, The University of Bedfordshire, Putteridge Bury, Hitchin Road, Luton, UK. Rebecca.Garcia@beds.ac.uk.
[Ti] Título:A comparison of antenatal classifications of 'overweight' and 'obesity' prevalence between white British, Indian, Pakistani and Bangladeshi pregnant women in England; analysis of retrospective data.
[So] Source:BMC Public Health;17(1):308, 2017 Apr 11.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Maternal obesity increases women's risk of poor birth outcomes, and statistics show that Pakistani and Bangladeshi women (who are born or settled) in the UK experience higher rates of perinatal mortality and congenital anomalies than white British or white Other women. This study compares the prevalence of maternal obesity in Indian, Pakistani, Bangladeshi and white British women using standard and Asian-specific BMI metrics. METHOD: Retrospective cross-sectional analysis using routinely recorded secondary data in Ciconia Maternity information System (CMiS), between 2008 and 2013. Mothers (n = 15,205) whose ethnicity was recorded as white British, Bangladeshi, Pakistani or Indian. Adjusted standardised residuals and Pearson Chi-square. MAIN OUTCOME MEASURES: Percentage of mothers stratified by ethnicity (Indian, Pakistani, Bangladeshi and white British) who are classified as overweight or obese using standard and revised World Health Organisation BMI thresholds. RESULTS: Compared to standard BMI thresholds, using the revised BMI threshold resulted in a higher prevalence of obesity: 22.8% of Indian and 24.3% of Bangladeshi and 32.3% of Pakistani women. Pearson Chi-square confirmed that significantly more Pakistani women were classified as 'obese' compared with white British, Indian or Bangladeshi women (χ  = 499,88 df = 9, p < 0.001). CONCLUSIONS: There are differences in the prevalence of obese and overweight women stratified by maternal ethnicity of white British, Indian, Pakistani and Bangladeshi. Using revised anthropometric measures in Indian, Pakistani and Bangladeshi women has clinical implications for identifying risks associated with obesity and increased complications in pregnancy.
[Mh] Termos MeSH primário: Sobrepeso/etnologia
Gestantes/etnologia
[Mh] Termos MeSH secundário: Adulto
Ásia Ocidental/etnologia
Grupo com Ancestrais do Continente Asiático/estatística & dados numéricos
Estudos Transversais
Inglaterra/epidemiologia
Grupos Étnicos
Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos
Feminino
Seres Humanos
Obesidade/etnologia
Gravidez
Prevalência
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170816
[Lr] Data última revisão:
170816
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170413
[St] Status:MEDLINE
[do] DOI:10.1186/s12889-017-4211-1


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[PMID]:28345473
[Au] Autor:Wilkinson E; Waqar M; Gill B; Hoque P; Jetha C; Bola KK; Mahmood R; Mahmood S; Saujani R; Randhawa G
[Ad] Endereço:Senior Research Fellow, at the University of Bedfordshire, UK.
[Ti] Título:Exploring end-of-life care for South Asian kidney patients: interviewer reflections.
[So] Source:Int J Palliat Nurs;23(3):120-128, 2017 Mar 16.
[Is] ISSN:1357-6321
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The reduction of inequalities in access to quality care has been a central tenet of UK health policy. Ethnic minorities may experience additional inequalities because of language and other cultural barriers. This article reports interviewer reflections of conducting interviews with South Asian kidney patients about their experiences of end-of-life care. It explores themes which emerged from the analysis of a focus group held with eight bilingual research interviewers. The relevance of these themes to understanding inequalities and access to end-of-life care is discussed; together with the potential for the research process to contribute to service improvement.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Barreiras de Comunicação
Competência Cultural
Grupos Étnicos
Falência Renal Crônica
Pesquisadores
Assistência Terminal
[Mh] Termos MeSH secundário: Ásia Ocidental/etnologia
Grupo com Ancestrais do Continente Asiático
Ética em Pesquisa
Grupo com Ancestrais do Continente Europeu
Grupos Focais
Seres Humanos
Grupos Minoritários
Pesquisa
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170615
[Lr] Data última revisão:
170615
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170328
[St] Status:MEDLINE
[do] DOI:10.12968/ijpn.2017.23.3.120


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[PMID]:28335724
[Au] Autor:Silva M; Oliveira M; Vieira D; Brandão A; Rito T; Pereira JB; Fraser RM; Hudson B; Gandini F; Edwards C; Pala M; Koch J; Wilson JF; Pereira L; Richards MB; Soares P
[Ad] Endereço:Department of Biological Sciences, School of Applied Sciences, University of Huddersfield, Queensgate, Huddersfield, HD1 3DH, UK.
[Ti] Título:A genetic chronology for the Indian Subcontinent points to heavily sex-biased dispersals.
[So] Source:BMC Evol Biol;17(1):88, 2017 Mar 23.
[Is] ISSN:1471-2148
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: India is a patchwork of tribal and non-tribal populations that speak many different languages from various language families. Indo-European, spoken across northern and central India, and also in Pakistan and Bangladesh, has been frequently connected to the so-called "Indo-Aryan invasions" from Central Asia ~3.5 ka and the establishment of the caste system, but the extent of immigration at this time remains extremely controversial. South India, on the other hand, is dominated by Dravidian languages. India displays a high level of endogamy due to its strict social boundaries, and high genetic drift as a result of long-term isolation which, together with a very complex history, makes the genetic study of Indian populations challenging. RESULTS: We have combined a detailed, high-resolution mitogenome analysis with summaries of autosomal data and Y-chromosome lineages to establish a settlement chronology for the Indian Subcontinent. Maternal lineages document the earliest settlement ~55-65 ka (thousand years ago), and major population shifts in the later Pleistocene that explain previous dating discrepancies and neutrality violation. Whilst current genome-wide analyses conflate all dispersals from Southwest and Central Asia, we were able to tease out from the mitogenome data distinct dispersal episodes dating from between the Last Glacial Maximum to the Bronze Age. Moreover, we found an extremely marked sex bias by comparing the different genetic systems. CONCLUSIONS: Maternal lineages primarily reflect earlier, pre-Holocene processes, and paternal lineages predominantly episodes within the last 10 ka. In particular, genetic influx from Central Asia in the Bronze Age was strongly male-driven, consistent with the patriarchal, patrilocal and patrilineal social structure attributed to the inferred pastoralist early Indo-European society. This was part of a much wider process of Indo-European expansion, with an ultimate source in the Pontic-Caspian region, which carried closely related Y-chromosome lineages, a smaller fraction of autosomal genome-wide variation and an even smaller fraction of mitogenomes across a vast swathe of Eurasia between 5 and 3.5 ka.
[Mh] Termos MeSH primário: Genética Populacional
Migração Humana
[Mh] Termos MeSH secundário: Ásia Ocidental
Cromossomos Humanos Y
Clima
DNA Mitocondrial/genética
Feminino
Variação Genética
Estudo de Associação Genômica Ampla
Projeto Genoma Humano
Seres Humanos
Índia/etnologia
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (DNA, Mitochondrial)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170627
[Lr] Data última revisão:
170627
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170325
[St] Status:MEDLINE
[do] DOI:10.1186/s12862-017-0936-9


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[PMID]:28222961
[Au] Autor:Malik KJ; Unwin G; Larkin M; Kroese BS; Rose J
[Ad] Endereço:School of Psychology, The University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom.
[Ti] Título:The complex role of social care services in supporting the development of sustainable identities: Insights from the experiences of British South Asian women with intellectual disabilities.
[So] Source:Res Dev Disabil;63:74-84, 2017 Apr.
[Is] ISSN:1873-3379
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND AIMS: Carers and service users with intellectual disabilities from minority ethnic groups have typically been reported to be dissatisfied with the social care services they receive. However, service users themselves have rarely been asked directly about their experiences of social care. This paper aims to understand the meaning of social care services in the lives of South Asian women with intellectual disabilities, in the United Kingdom. METHOD AND PROCEDURE: 10 British South Asian women with mild-moderate intellectual disabilities were interviewed about their experiences of social care services. The transcripts were analysed using interpretative phenomenological analysis. RESULTS: The analysis produced three super-ordinate themes, which focus on how services facilitate the development of complex identities, how the participants explored their sense of being 'stuck' between cultures as they negotiated their journeys towards independence, and the triple disadvantage which they experienced as a consequence of the intersection between gender, ethnicity and disability. The participants were broadly satisfied with the role which services played in these domains, and appeared to find them valuable and helpful. CONCLUSIONS: The results suggest that the participants successfully managed complex identity issues, such as acculturation processes, with the support of services. It may be helpful to give more explicit consideration to the positive role which good services can play in supporting people with intellectual disabilities in the development of their identities and goals, alongside the more traditionally 'concrete' objectives of such social care. Engagement with families in 'positive risk-taking' is likely to be an important component of success.
[Mh] Termos MeSH primário: Deficiência Intelectual/psicologia
Identificação Social
Serviço Social
Mulheres/psicologia
[Mh] Termos MeSH secundário: Aculturação
Adulto
Ásia Ocidental/etnologia
Atitude
Grupos Étnicos/psicologia
Feminino
Seres Humanos
Meia-Idade
Grupos Minoritários/psicologia
Pesquisa Qualitativa
Índice de Gravidade de Doença
Reino Unido
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170223
[St] Status:MEDLINE


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[PMID]:28158990
[Au] Autor:Marlow LA; Meisel SF; Wardle J
[Ad] Endereço:Cancer Research UK Health Behaviour Research Centre, Department of Epidemiology & Public Health, UCL, Gower Street, London, WC1E 6BT, UK. l.marlow@ucl.ac.uk.
[Ti] Título:Ethnic minority women prefer strong recommendations to be screened for cancer.
[So] Source:BMC Public Health;17(1):164, 2017 Feb 03.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cancer screening invitations can explicitly recommend attendance or encourage individuals to consider the risks and benefits before deciding for themselves. Public preferences for these approaches might vary. We explored ethnic minority women's preferences for a strong recommendation to be screened. METHODS: Women aged 30-60 years from Indian, Pakistani, Bangladeshi, Caribbean, African and white British backgrounds (n = 120 per group) completed face-to-face interviews with a multi-lingual interviewer. The interview included a question on which approach to screening invitations they would prefer: i) A strong recommendation from the National Health Service (NHS) to go for screening, ii) A statement that the NHS thinks you should go for screening, but it's up to you to decide, iii) No recommendation. Analyses examined predictors of preference for a strong recommendation. RESULTS: Preferences varied by ethnicity (χ (5) = 98.20, p <.001). All ethnic minority groups had a preference for a strong recommendation to be screened (53-86% across ethnic groups vs 31% white British). Socio-demographic factors (marital status, education and employment), and indicators of acculturation (main language and migration status), contributed to explaining recommendation preferences (χ (5) = 35.95 and χ (3) = 11.59, respectively, both p <.001), but did not mediate the ethnicity effect entirely. Self-rated comprehension of written health information did not contribute to the model. CONCLUSIONS: A strong recommendation to participate in cancer screening appears to be important for ethnic minority women, particularly non-English speakers. Future research could explore how to best arrive at a consensus that respects patient autonomy while also accommodating those that would prefer to be guided by a trusted source.
[Mh] Termos MeSH primário: Detecção Precoce de Câncer/psicologia
Grupos Étnicos/psicologia
Grupos Minoritários/psicologia
Neoplasias/diagnóstico
Aceitação pelo Paciente de Cuidados de Saúde/etnologia
[Mh] Termos MeSH secundário: Aculturação
Adulto
África/etnologia
Ásia Ocidental/etnologia
Região do Caribe/etnologia
Feminino
Seres Humanos
Meia-Idade
Neoplasias/etnologia
Neoplasias/psicologia
Pesquisa Qualitativa
Medicina Estatal
Confiança
Reino Unido/etnologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170205
[St] Status:MEDLINE
[do] DOI:10.1186/s12889-017-4093-2


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[PMID]:28024655
[Au] Autor:Gobardhan SN; Dimitriu-Leen AC; van Rosendael AR; van Zwet EW; Roos CJ; Oemrawsingh PV; Kharagjitsingh AV; Jukema JW; Delgado V; Schalij MJ; Bax JJ; Scholte AJ
[Ad] Endereço:Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
[Ti] Título:Prevalence by Computed Tomographic Angiography of Coronary Plaques in South Asian and White Patients With Type 2 Diabetes Mellitus at Low and High Risk Using Four Cardiovascular Risk Scores (UKPDS, FRS, ASCVD, and JBS3).
[So] Source:Am J Cardiol;119(5):705-711, 2017 Mar 01.
[Is] ISSN:1879-1913
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to explore the association between various cardiovascular (CV) risk scores and coronary atherosclerotic burden on coronary computed tomography angiography (CTA) in South Asians with type 2 diabetes mellitus and matched whites. Asymptomatic type 2 diabetic South Asians and whites were matched for age, gender, body mass index, hypertension, and hypercholesterolemia. Ten-year CV risk was estimated using different risk scores (United Kingdom Prospective Diabetes Study [UKPDS], Framingham Risk Score [FRS], AtheroSclerotic CardioVascular Disease [ASCVD], and Joint British Societies for the prevention of CVD [JBS3]) and categorized into low- and high-risk groups. The presence of coronary artery calcium (CAC) and obstructive coronary artery disease (CAD; ≥50% stenosis) was assessed using coronary CTA. Finally, the relation between coronary atherosclerosis on CTA and the low- and high-risk groups was compared. UKPDS, FRS, and ASCVD showed no differences in estimated CV risk between 159 South Asians and 159 matched whites. JBS3 showed a significant greater absolute CV risk in South Asians (18.4% vs 14.2%, p <0.01). Higher presence of CAC score >0 (69% vs 55%, p <0.05) and obstructive CAD (39% vs 27%, p <0.05) was observed in South Asians. South Asians categorized as high risk, using UKPDS, FRS, and ASCVD, showed more CAC and CAD compared than whites. JBS3 showed no differences. In conclusion, asymptomatic South Asians with type 2 diabetes mellitus more frequently showed CAC and obstructive CAD than matched whites in the population categorized as high-risk patients using UKPDS, FRS, and ASCVD as risk estimators. However, JBS3 seems to correlate best to CAC and CAD in both ethnicity groups compared with the other risk scores.
[Mh] Termos MeSH primário: Doenças Cardiovasculares/epidemiologia
Doença da Artéria Coronariana/epidemiologia
Estenose Coronária/epidemiologia
Diabetes Mellitus Tipo 2/epidemiologia
Placa Aterosclerótica/epidemiologia
Calcificação Vascular/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Ásia Ocidental/etnologia
Grupo com Ancestrais do Continente Asiático/estatística & dados numéricos
Doenças Cardiovasculares/etnologia
Angiografia por Tomografia Computadorizada
Angiografia Coronária
Doença da Artéria Coronariana/diagnóstico por imagem
Doença da Artéria Coronariana/etnologia
Estenose Coronária/diagnóstico por imagem
Estenose Coronária/etnologia
Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos
Feminino
Seres Humanos
Masculino
Meia-Idade
Países Baixos/epidemiologia
Placa Aterosclerótica/diagnóstico por imagem
Placa Aterosclerótica/etnologia
Prevalência
Medição de Risco
Fatores de Risco
Calcificação Vascular/diagnóstico por imagem
Calcificação Vascular/etnologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170524
[Lr] Data última revisão:
170524
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161228
[St] Status:MEDLINE



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