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1.
Rev. int. med. cienc. act. fis. deporte ; 24(95): 1-23, mar.-2024. graf, tab
Artículo en Inglés | IBECS | ID: ibc-ADZ-313

RESUMEN

CBA is a sports event that allows fans to enjoy themselves and players to give full play, and traditional Chinese cultural values have a profound influence on it. This paper takes the 100 sets of historical rating data of the fourteen teams in CBA league as the basic basis, firstly, we simply deal with the 100 sets of historical rating data and use Excel function formula to find out the mean, extreme deviation and variance of each team, then we carry out SAS normal test, and we find that except for the very few data with large deviation, the historical rating data satisfy the normal distribution. Through the outlier algorithm to screen the values, compare the confidence intervals as well as carry out hypothesis testing, to objectively and scientifically explore the probability of each team winning the championship in the CBA league. Compare the probability of winning the championship of these fourteen teams and predict the top four teams in the CBA league to ensure that the prediction results are as reasonable as possible. With the help of hierarchical analysis to qualitatively analyze the level of each team, and then through cluster analysis to compare these data, and combined with the trend of the development of the world's basketball movement, the use of multiple regression and SPSS to analyze the level of the team's factors, in-depth thinking about the league, a more reasonable to give a more scientific to improve the probability of the team's winning the championship, and to promote better development of the basketball movement. (AU)


Asunto(s)
Humanos , Intervalos de Confianza , Pruebas de Hipótesis , Predicción , Apoyo a la Investigación como Asunto , Baloncesto
2.
Memory ; 32(3): 383-395, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38466582

RESUMEN

ABSTRACTThe ability to remember our past and to imagine the future are critical to our sense of self. Previous research has indicated that they are disrupted in schizophrenia. However, it is unclear (i) whether this is found when examining experimenter-scored indices of content and/or participants' self-report of phenomenological characteristics, and (ii) how these abilities might be related to symptoms. This study sought to address these questions by taking a dimensional approach and measuring positive and negative schizotypal experiences in healthy people (n = 90). Participants were given cue words. For some, they remembered an event from the past and for others they generated an event in the future. No significant relationships were found with any aspect of schizotypy when participants' descriptions were scored by the experimenter according to a standardised episodic content measure. In contrast, several significant positive correlations were observed for past memory and future thinking when examining the positive dimension of schizotypy and participants' ratings, particularly to sensory characteristics of the experience and mental pre- or reliving. These results indicate enhanced subjective experiences of autobiographical memory and future thinking in those who report delusional and hallucinatory-like occurrences, which might be linked to mental imagery or metacognitive alterations.


Asunto(s)
Memoria Episódica , Trastorno de la Personalidad Esquizotípica , Humanos , Autoinforme , Imaginación , Predicción
3.
Emergencias (Sant Vicenç dels Horts) ; 36(1): 48-62, feb. 2024. ilus, tab
Artículo en Español | IBECS | ID: ibc-EMG-467

RESUMEN

Objetivo. La obtención de hemocultivos (HC) se realiza en el 15% de los pacientes atendidos con sospecha de infección en los servicios de urgencias (SU) con una rentabilidad diagnóstica variable (2-20%). La mortalidad a 30 días de estos pacientes con bacteriemia es elevada, doble o triple que el resto con el mismo proceso. Así, encontrar un modelo predictivo de bacteriemia eficaz y aplicable en los SU sería muy importante. Clásicamente, el modelo de Shapiro ha sido la referencia en todo el mundo. El objetivo de esta revisión sistemática (RS) es comparar la capacidad para predecir bacteriemia en los SU de los distintos modelos predictivos publicados desde el año 2008 (fecha de publicación del modelo de Shapiro). Métodos. Se realiza una RS siguiendo la normativa PRISMA en las bases de datos de PubMed, Web of Science, EMBASE, Lilacs, Cochrane, Epistemonikos, Tripdatabase y ClinicalTrials.gov desde enero de 2008 hasta 31 mayo 2023 sin restricción de idiomas y utilizando una combinación de términos MESH: “Bacteremia/Bacteraemia/Blood Stream Infection”, “Prediction Model/Clinical Prediction Rule/Risk Prediction Model”, “Emergencies/Emergency/Emergency Department” y “Adults”. Se incluyeron estudios de cohortes observacionales (analíticos de rendimiento diagnóstico). Para valorar la calidad del método empleado y el riesgo de sesgos de los artículos incluidos se utilizó la NewcastleOttawa Scale (NOS). No se incluyeron estudios de casos y controles, revisiones narrativas y en otros tipos de artículos. No se realizaron técnicas de metanálisis, pero los resultados se compararon narrativamente. El protocolo de la RS se registró en PROSPERO (CRD42023426327). Resultados. Se identificaron 917 artículos y se analizaron finalmente 20 que cumplían los criterios de inclusión. Los estudios incluidos contienen 33.182 HC procesados con 5.074 bacteriemias (15,3%). Once estudios fueron calificados de calidad alta, 7 moderada y 2 baja... (AU)


Objective. Blood cultures are ordered in emergency departments for 15% of patients with suspected infection. The diagnostic yield varies from 2% to 20%. Thirty-day mortality in patients with bacteremia is high, doubling or tripling the rate in patients with the same infection but without bacteremia. Thus, finding an effective model to predict bacteremia that is applicable in emergency departments is an important goal. Shapiro’s model is the one traditionally used as a reference internationally. The aim of this systematic review was to compare the predictive power of bacteremia risk models published since 2008, when Shapiro’s model first appeared. Methods. We followed the recommendations of the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA) statement, searching in the following databases for articles published between January 2008 and May 31, 2023: PubMed, Web of Science, EMBASE, Lilacs, Cochrane, Epistemonikos, Trip Medical Database, and ClinicalTrials.gov. No language restrictions were specified. The search terms were the following Medical Subject Headings: bacteremia/bacteraemia/blood stream infection, prediction model/clinical prediction rule/risk prediction model, emergencies/emergency/emergency department, and adults. Observational cohort studies analyzing diagnostic yield were included; case-control studies, narrative reviews, and other types of articles were excluded. The Newcastle-Ottawa Scale was used to score quality and risk of bias in the included studies. The results were compared descriptively, without meta-analysis. The protocol was included in the PROSPERO register (CRD42023426327). Results. Twenty studies out of a total of 917 were found to meet the inclusion criteria. The included studies together analyzed 33 182 blood cultures, which detected 5074 cases of bacteremia (15.3%). Eleven studies were of high quality, 7 of moderate quality, and 2 of low quality... (AU)


Asunto(s)
Bacteriemia , Predicción/métodos , Servicios Médicos de Urgencia
4.
J Intern Med ; 295(5): 695-706, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38420693

RESUMEN

The emergence of the planetary health approach was highlighted by the report of The Rockefeller Foundation-Lancet Commission on Planetary Health in 2015 and changed how we comprehend human well-being. The report advocates integrating the health of other living beings and Earth's natural systems as intrinsic components of human health. Drawing on over three decades of experience in respiratory epidemiology and environmental health, this article outlines how my perspective on human health underwent a transformative shift upon reading the abovementioned report. The planetary health approach offers a lens through which human health issues and potential solutions can be understood within the context of the Anthropocene. It addresses the pressing existential challenges arising from humanity's transgression of planetary limits. Embracing the planetary health paradigm within the field of health sciences can catalyze transformative changes essential for cultivating a sustainable and equitable future.


Asunto(s)
Salud Ambiental , Medicina , Humanos , Planeta Tierra , Predicción
5.
BMC Public Health ; 24(1): 80, 2024 01 03.
Artículo en Inglés | MEDLINE | ID: mdl-38172756

RESUMEN

BACKGROUND: Primary healthcare centers (PHCs) serve as the cornerstone of accessible medical services in society, playing a crucial role in screening, detecting, and treating various health issues. This study aimed to investigate the prevalence of psychiatric disorders in middle-aged individuals who refer to PHCs and the potential of PHCs in diagnosing mental disorders. METHODS: This cross-sectional study was implemented at PHCs under the supervision of Mashhad University of Medical Sciences (MUMS) in northeast Iran in 2018. The enrolled subjects were middle-aged adults who had electronic medical records in SINA, an integrated health management system, and the electronic medical records of MUMS. The prevalence of psychiatric disorders by type and their relationship with demographic information was evaluated by a Chi-square test using SPSS 22. RESULTS: This study involved 218,341 middle-aged participants. Prevalence of psychiatric disorders was 8.59%, and depression (53.72%) and anxiety (42.02%) were the most common psychiatric disorders in both males and females. The prevalence of mental disorders was significantly higher in females than in males (88.18% vs. 18.81%; P < 0.0001). Indeed, a significant higher prevalence of depression, anxiety, somatoform, childhood psychiatric disorder, and bipolar disorders was observed in females compared to males (P < 0.05). In addition, individuals between the age of 45-60 years, and those from rural areas showed more prevalence of mental disorders than others, but these differences were not significant. CONCLUSIONS: Considering the previous studies in Iran, the prevalence of mental disorders among patients presenting to PHCs was noticeably lower than expected rates. It seems probable that this huge difference is due to poor screening and detection of mental illness in PHCs of MUMS. It is recommended that health policymakers pursue specific measures to make PHCs more helpful for people with mental health problems in the community.


Asunto(s)
Trastornos Mentales , Salud Mental , Adulto , Persona de Mediana Edad , Masculino , Femenino , Humanos , Niño , Estado de Salud , Irán/epidemiología , Estudios Transversales , Prevalencia , Predicción , Encuestas Epidemiológicas , Población Rural , Población Urbana , Distribución por Edad , Distribución por Sexo , Modelos Logísticos , Muestreo , Trastornos Mentales/epidemiología , Atención Primaria de Salud
6.
Crit Care Nurs Clin North Am ; 36(1): 1-10, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38296367

RESUMEN

Neonatology has been a rapidly growing specialty, starting in the early 1900s with premature infants displayed in incubator shows, to today with complex disease processes treated in state-of-the-art neonatal intensive care units. Along the way evolving knowledge, medications, and technology provided opportunities to learn from mistakes and misguided treatments. The ability to learn from past mistakes improves our care now and illustrates the need for humility and vigilance in everything we do. This article explores errors made in the past as we look forward to the future.


Asunto(s)
Neonatología , Recién Nacido , Lactante , Humanos , Recien Nacido Prematuro , Unidades de Cuidado Intensivo Neonatal , Predicción
7.
Clin Lung Cancer ; 25(1): 1-8, 2024 01.
Artículo en Inglés | MEDLINE | ID: mdl-37940410

RESUMEN

Lung cancer is the leading cause of cancer death for women in multiple countries including the United States. Women are exposed to unique risk factors that remain largely understudied such as indoor pollution, second-hand tobacco exposure, biological differences, gender differences in tolerability and response to therapy in lung cancer, and societal gender roles, that create distinct survivorship needs. Women continue to lack representation in lung cancer clinical trials and are typically treated with data generated from majority male patient study populations, which may be inappropriate to extrapolate and generalize to females. Current lung cancer treatment and screening guidelines do not incorporate sex-specific differences and physicians also often do not account for gender differences when choosing treatments or discussing survivorship needs. To best provide targeted treatment approaches, greater representation of women in lung cancer clinical trials and further research is necessary. Clinicians should understand the unique factors and consequences associated with lung cancer in women; thus, a holistic approach that acknowledges environmental and societal factors is necessary.


Asunto(s)
Neoplasias Pulmonares , Humanos , Masculino , Femenino , Estados Unidos/epidemiología , Neoplasias Pulmonares/epidemiología , Neoplasias Pulmonares/terapia , Neoplasias Pulmonares/etiología , Factores de Riesgo , Factores Sexuales , Predicción
8.
Value Health Reg Issues ; 39: 84-94, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38041898

RESUMEN

OBJECTIVES: Health benefits packages (HBPs), which define specific health services that can be offered for free or at a reduced cost to fit within public revenues, have been recommended for over 30 years to maximize population health in resource-limited settings. However, there remain gaps in defining and operationalizing HBPs. We propose a combination of design and prioritization methods along with practical strategies to improve the implementation of future iterations of the HBP in Malawi. METHODS: For HBP development for Malawi's Third Health Sector Strategic Plan, we combined cost-effectiveness analysis with a quantitative, consultative multicriteria decision analysis. Throughout the process of development, we documented challenges and opportunities to improve HBP design and application. RESULTS: The primary and secondary HBP included 115 interventions. However, the definition of an HBP is just one step toward focusing limited resources, with functional operationalization as the most critical component. Full implementation of previous HBPs has been limited by challenges in aid coordination with the misalignment of nonfungible vertical donor funding for the HBP without accounting for the complexity and interconnectedness of the health system. Opportunities for improved application include creation of a complementary minimum health service package to guide overall resource inputs through an integrative approach. CONCLUSIONS: We believe that expanded participatory HBP methods that consider value, equity, and social considerations, along with a shift to providing integrated health service packages at all levels of care, will improve the efficiency of using scarce resources along the journey to universal health coverage.


Asunto(s)
Políticas , Proyectos de Investigación , Humanos , Malaui , Predicción
9.
Ther Innov Regul Sci ; 58(1): 34-41, 2024 01.
Artículo en Inglés | MEDLINE | ID: mdl-37996768

RESUMEN

Traditional Chinese medicine (TCM) is a valuable resource unique to China with a long history of human use and clinical practice, which can be analyzed to generate real-world evidence (RWE). The Chinese government has been actively promoting regulatory reform that is in line with the characteristics of TCM, optimizing the clinical evidence system for TCM, and exploring the important role of RWE in supporting the development of new drugs and regulatory decision-making for TCM. This article aims to provide a comprehensive review of the use of RWE in regulatory decisions for TCM. Based on the characteristics of TCM, this study focuses on the application scenarios, challenges, and opportunities of RWE in TCM. And some suggestions are put forward to promote the wider application of RWE in TCM development and supervision.


Asunto(s)
Medicina Tradicional China , Humanos , Predicción , China
10.
Soc Sci Med ; 326: 115950, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-37148746

RESUMEN

Life expectancy in the United States is decreasing. Health disparities are widening. Growing evidence for and integration of social and structural determinants into theory and practice has not yet improved outcomes. The COVID-19 pandemic reinforced the fact. In this paper, we argue that the biomedical model and its underlying scientific paradigm of causal determinism, which currently dominate population health, cannot meet population health needs. While criticism of the biomedical model is not new, this paper advances the field by going beyond criticism to recognize the need for a paradigm shift. In the first half of the paper, we present a critical analysis of the biomedical model and the paradigm of causal determinism. In the second half, we outline the agentic paradigm and present a structural model of health based on generalizable, group-level processes. We use the experience of the COVID-19 pandemic to illustrate the practical applications of our model. It will be important for future work to investigate the empirical and pragmatic applications of our structural model of population health.


Asunto(s)
COVID-19 , Pandemias , Humanos , Estados Unidos , COVID-19/epidemiología , Esperanza de Vida , Predicción
11.
Eur J Pediatr ; 182(7): 2989-2997, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37117764

RESUMEN

Musculoskeletal ultrasound (MSUS) is an important measurement tool in pediatric rheumatology as it detects subclinical disease activity and enables clinicians to treat patients during "the window of opportunity". However, the role of MSUS in assessing remission in JIA patients is not well-defined. This systematic review aimed to provide the most up-to-date published literature regarding the added value of MSUS in JIA patients in remission. This systematic review followed the preferred reporting items for systematic reviews guidelines. Original articles from PubMed and Scopus, published until February 7th 2022, and tackling the role of MSUS in JIA patients in remission were included. Eight studies met the inclusion criteria. They were published between 2011 and 2019 and included 356 children with JIA. Remission criteria were unanimous and relied on the Wallace criteria. Subclinical synovitis and Power Doppler signal (PD) were found in up to 84% and 33% of patients in remission, respectively. In most of the studies, predictors of future flares were abnormal MSUS findings at baseline particularly the presence of PD signal and patients without medication.  Conclusion: Published data indicate that JIA children in remission may have abnormal MSUS findings including PD signal. The application of a specific scoring system for the pediatric joint may be helpful in homogenizing outcomes in future trials. Further studies on this matter are needed to ascertain the specific implication for each subset for a better holistic approach. What is Known: • In these recent years, significant progress has been made on building the evidence base for MSUS in pediatric rheumatology, particularly in juvenile idiopathic arthritis (JIA). • In the frame of the OMERACT ultrasound pediatric subtask force, standardized musculoskeletal US examination for the pediatric population was established. What is New: • Published data indicate that JIA children in remission may have abnormal MSUS findings including PD signal. The role of MSUS in assessing remission in JIA is still not well-defined. • The application of a specific scoring system for the pediatric joint may be helpful in homogenizing outcomes and comparing results.


Asunto(s)
Artritis Juvenil , Sinovitis , Humanos , Niño , Artritis Juvenil/diagnóstico por imagen , Artritis Juvenil/tratamiento farmacológico , Ultrasonografía/métodos , Ultrasonografía Doppler/métodos , Predicción
12.
Artif Intell Med ; 138: 102511, 2023 04.
Artículo en Inglés | MEDLINE | ID: mdl-36990589

RESUMEN

Every day, 800 women and 6700 newborns die from complications related to pregnancy or childbirth. A well-trained midwife can prevent most of these maternal and newborn deaths. Data science models together with logs generated by users of online learning applications for midwives can help improve their learning competencies. In this work, we evaluate various forecasting methods to determine the future interest of users for the different types of content available in the Safe Delivery App, a digital training tool for skilled birth attendants, broken down by profession and region. This first attempt at health content demand forecasting for midwifery learning shows that DeepAR can accurately anticipate content demand in operational settings, and could therefore be used to offer users personalized content and to provide an adaptive learning journey.


Asunto(s)
Partería , Femenino , Humanos , Recién Nacido , Embarazo , Partería/educación , Predicción , Aplicaciones Móviles
13.
Environ Sci Technol ; 57(12): 4701-4719, 2023 03 28.
Artículo en Inglés | MEDLINE | ID: mdl-36912874

RESUMEN

High-frequency water quality measurements in streams and rivers have expanded in scope and sophistication during the last two decades. Existing technology allows in situ automated measurements of water quality constituents, including both solutes and particulates, at unprecedented frequencies from seconds to subdaily sampling intervals. This detailed chemical information can be combined with measurements of hydrological and biogeochemical processes, bringing new insights into the sources, transport pathways, and transformation processes of solutes and particulates in complex catchments and along the aquatic continuum. Here, we summarize established and emerging high-frequency water quality technologies, outline key high-frequency hydrochemical data sets, and review scientific advances in key focus areas enabled by the rapid development of high-frequency water quality measurements in streams and rivers. Finally, we discuss future directions and challenges for using high-frequency water quality measurements to bridge scientific and management gaps by promoting a holistic understanding of freshwater systems and catchment status, health, and function.


Asunto(s)
Hidrobiología , Calidad del Agua , Ríos , Predicción , Monitoreo del Ambiente
14.
J Behav Ther Exp Psychiatry ; 79: 101837, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-36724699

RESUMEN

BACKGROUND AND OBJECTIVES: The Best Possible Self (BPS) has been found to be an effective manipulation to temporarily improve optimism and affect. The BPS has been used in different formats. In some versions, participants just write about their best possible future, while in others this is combined with imagery. An imagery only version has not been tested yet. The aim of the current study was to examine the effectiveness of three different versions of the BPS and their equivalence in improving optimism and affect. METHODS: In an online study format, participants (N = 141) were randomly assigned to one of four conditions: (1) writing and imagery BPS; (2) writing BPS; (3) imagery BPS; and (4) a typical day (TD) control condition. RESULTS: Results showed that each BPS condition significantly improved optimism (i.e. increased positive future expectancies and decreased negative future expectancies) and affect (i.e. increased positive affect and decreased negative affect). Equivalence testing showed that all online BPS conditions were equivalent in increasing optimism and affect, thereby confirming that both the writing and imagery elements of the BPS can independently from each other increase optimism and positive affect in a healthy population. LIMITATIONS: Only the immediate effects of the BPS formats on increasing optimism and affect were measured. CONCLUSIONS: The BPS manipulation can be employed in different ways for potential future exploration, depending on the research question, design and context and/or E-mental health applications for the treatment of individuals suffering from psychological complaints.


Asunto(s)
Imágenes en Psicoterapia , Optimismo , Humanos , Optimismo/psicología , Imágenes en Psicoterapia/métodos , Ansiedad , Salud Mental , Predicción
15.
Artículo en Inglés | MEDLINE | ID: mdl-36673842

RESUMEN

To reduce the burden caused by an increased elderly population and to provide efficient service resources, scholars worldwide have proposed and applied smart elderly care. This paper summarizes the hotspots of the existing literature and explores the research frontiers to ignite future research. CiteSpace software was used to conduct a scientometric analysis of high-quality literature collected from both the China National Knowledge Infrastructure (CNKI) and the Web of Science (WOS). Based on the results of the basic situation description, this article highlights six research hotspots in CNKI and 11 research themes in WOS. In addition, it offers three major evolution stages and three future research directions for smart elderly care research. This paper provides a holistic overview of the smart elderly care literature from two major global databases. The results will contribute to healthcare policy designers, practitioners, and developers by giving them comprehensive knowledge and generating strategies to enhance elderly people's quality of life.


Asunto(s)
Conocimiento , Calidad de Vida , Humanos , Anciano , China , Bases de Datos Factuales , Predicción
16.
Arch Gerontol Geriatr ; 108: 104940, 2023 05.
Artículo en Inglés | MEDLINE | ID: mdl-36709562

RESUMEN

PURPOSE: While identifying older adults at risk for falls is important, fall prediction models have had limited success, in part because of a poor understanding of which physical function measures to include. The purpose of this secondary analysis was to determine physical function measures that are associated with future falls in older adults. METHODS: In a 12-month trial comparing Vitamin D3 supplementation versus placebo on neuromuscular function, 124 older adults completed physical function measures at baseline, including the Short Physical Performance Battery (SPPB), Timed Up and Go, tests of leg strength and power, standing balance on a force plate with firm and foam surfaces, and walking over an instrumented walkway. Falls were recorded with monthly diaries over 12 months and categorized as no falls vs. one or more falls. Univariate and multivariable logistic regression adjusting for demographics, treatment assignment, depression, and prescription medications were conducted to examine the association between each physical function measure and future falls. Models were additionally adjusted for fall history. RESULTS: 61 participants sustained one or more falls. In univariate analysis, white race, depression, fall history, SPPB, and postural stability on foam were significantly associated with future falls. In multivariable analysis, fall history (OR (95% CI): 3.20 (1.42-7.43)), SPPB (0.80 (0.62-1.01)), and postural stability on foam (3.01 (1.18, 8.45)) were each significantly associated with future falls. After adjusting for fall history, only postural stability on foam was significantly associated with falls. CONCLUSIONS: When developing fall prediction models, fall history, the SPPB, and postural stability when standing on foam should be considered.


Asunto(s)
Modalidades de Fisioterapia , Equilibrio Postural , Humanos , Anciano , Predicción
17.
J Infect Public Health ; 16(2): 196-205, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36584636

RESUMEN

INTRODUCTION: Global Health Security borders on prevention, detection and response to public health threats like the novel coronavirus disease 2019 (COVID-19). Global Health Security Index (GHSI) of 2019 and 2021 revealed the world remains ill-prepared to deal with future pandemics, evident in the historic impact of COVID-19 on countries. As at 7th December 2022, COVID-19 has infected over 600 million people and claimed over six million lives, mostly in countries with higher GHSI scores. OBJECTIVE: Determine whether the GHSI scores of countries have a correlation with COVID-19 cases, deaths and vaccination coverage, while adjusting for country level dynamics. METHODS: This paper utilizes GHSI database of 195 countries. Data consists of 171 questions grouped into 37 indicators across six overarching categories on health security and COVID-19. Multivariate multiple regression analysis with robust standard errors was conducted to test the hypothesis that high GHSI ratings do not guarantee better COVID-19 outcomes like cases, deaths and vaccination coverage. Also, avplots STATA command was used to check outliers with potential negative effect on outcome and predictor variables. RESULTS: Global average GHSI score for all 195 countries was 38.9. United States of America recorded the highest GHSI score of 75.9 but also recorded one of the highest COVID-19 cases and deaths; Somalia recorded the worst GHSI score of 16.0 and one of the lowest COVID-19 cases and deaths. High GHSI scores did not associate positively with reduction in COVID-19 cases (Coef=157133.4, p-value=0.009, [95%CI 39728.64 274538.15]) and deaths (Coef=1405.804, p-value=0.047, [95%CI 18.1 2793.508]). However, high GHSI ratings associated with increases in persons fully vaccinated per 100 population (Coef=0.572, p-value=0.000, [95%CI.272.873]). CONCLUSION: It appears the world might still not be adequately prepared for the next major pandemic, if the narrative remains unchanged. Countries that recorded higher GHSI scores, counter-intuitively, recorded higher COVID-19 cases and deaths. Countries need to invest more in interventions towards attaining Universal Health Coverage (UHC) including integrated health systems and formidable primary health care to enhance preparedness and response to pandemics.


Asunto(s)
COVID-19 , Humanos , COVID-19/epidemiología , Pandemias/prevención & control , Salud Global , Salud Pública , Predicción
18.
Environ Sci Pollut Res Int ; 30(12): 33833-33848, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-36502476

RESUMEN

China's carbon emission trading market has gradually attracted worldwide attention. In this paper, a structural VAR model and Shenzhen, a typical city in China, are selected to study the dynamic relationships between China's carbon emission rights price, energy prices, macroeconomic level, and weather conditions. Shanghai crude oil futures, the first crude oil futures contract in China, is used to describe changes in oil market as a substitute for Daqing crude oil price. The results show that the price of carbon emission rights is mainly affected by its own historical price; and the price of carbon emission rights is positively correlated with crude oil price and natural gas price, but negatively correlated with coal price; the change of macroeconomic level will still have a relatively large impact on carbon emission rights price in the current stage of economic development in China, but this impact is not significant; The impact of weather conditions on the price of carbon emission rights is not obvious. It is found that the launch of the national unified carbon market has indeed achieved certain results, but the situation that China's carbon market is still in its infancy has not been changed; further efforts are needed.


Asunto(s)
Carbono , Petróleo , China , Carbono/análisis , Desarrollo Económico , Predicción
19.
Environ Sci Pollut Res Int ; 30(4): 9127-9163, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36449240

RESUMEN

Around the globe, seawater intrusion in the coastal aquifer is a significant problem. Excessive groundwater extraction because of population growth, industrialization, tourism, and other anthropogenic activities and geogenic processes initiates and accelerates this problem. The contaminated groundwater impacts the health, economic activities, and social and cultural development of coastal regions. This work aims to explore the current status and a holistic comprehending review of geophysical studies applied to delineate the seawater intrusion in the high-quality coastal aquifers in India, as well as its origin and causes, mitigation strategies, and recent advancements in geophysical techniques to access the qualitative and quantitative properties of the complex aquifer system. In the future, it is recommended to do a detailed subsurface imaging of the entire coastal belt of India to decipher the lateral and vertical variation of the lithological conditions and seawater intrusion in space and time with improved/advanced geophysical techniques, which can lead toward sustainable development.


Asunto(s)
Monitoreo del Ambiente , Agua Subterránea , Monitoreo del Ambiente/métodos , Agua de Mar , India , Predicción
20.
Artículo en Inglés | MEDLINE | ID: mdl-36294248

RESUMEN

In this study, socioeconomic, medical treatment, and health check-up data from 2010 to 2017 of the National Health Insurance Service (NHIS) of Korea were analyzed. This year's socioeconomic, treatment, and health check-up data are used to develop a predictive model for high medical expenses in the next year. The characteristic of this study is to derive important variables related to the high cost of domestic medical expenses users by using data on health check-up items conducted by the country. In this study, we tried to classify data and evaluate its performance using classification supervised learning algorithms for high-cost medical expense prediction. Supervised learning for predicting high-cost medical expenses was performed using the logistic regression model, random forest, and XGBoost, which have been known to result the best performance and explanatory power among the machine learning algorithms used in previous studies. Our experimental results show that the XGBoost model had the best performance with 77.1% accuracy. The contribution of this study is to identify the variables that affect the prediction of high-cost medical expenses by analyzing the medical bills using the health check-up variables and the Korea Classification Disease (KCD) large group as input variables. Through this study, it was confirmed that musculoskeletal disorders (M) and respiratory diseases (J), which are the most frequently treated diseases, as important KCD disease groups for high-cost prediction in Korea, affect the future high cost prediction. In addition, it was confirmed that malignant neoplasia diseases (C) with high medical cost per treatment are a group of diseases related to high future medical cost prediction. Unlike previous studies, it is the result of analyzing all disease data, so it is expected that the study will be more meaningful when compared with the results of other national health check-up data.


Asunto(s)
Algoritmos , Aprendizaje Automático , Modelos Logísticos , Programas Nacionales de Salud , Predicción
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