The nature of self-medication in Uganda: a systematic review and meta-analysis

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 17, 2025

In Uganda, many people self-medicate and the practice raises important questions about access to healthcare, patient choices, increasing prevalence of antimicrobial resistance. This systematic review meta-analysis investigated factors associated with self-medication in Uganda. We searched Scopus, PubMed, Embase databases, WHO AFRO, UNIPH registries, Google Scholar search engine from inception November 2024 using algorithm "Self-Medication" AND "Uganda". Twenty-two eligible studies were included while adhering preferred reporting items for reviews (PRISMA). A total 9113 participants represented across different demographics regions Our analysis revealed a 55.63% (95%CI [40.40; 70.66] pooled Antibiotics are commonly self-medicated drugs ease medications, perceived cost effectiveness, long hospital waiting time, home storage (leftovers), perceptions minor illnesses key contributors behaviour. At least 1 2 Ugandans antibiotics constitute dominant compounding situation an era Awareness campaigns on dangers will be timely.

Language: Английский

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Assessment of health conditions from patient electronic health record portals vs self-reported questionnaires: an analysis of the INSPIRE study

Journal of the American Medical Informatics Association, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 27, 2025

Direct electronic access to multiple health record (EHR) systems through patient portals offers a novel avenue for decentralized research. Given the critical value of characterization, we sought compare computable evaluation conditions from patient-portal EHR against traditional self-report. In nationwide Innovative Support Patients with SARS-CoV-2 Infections Registry (INSPIRE) study, which linked self-reported questionnaires multiplatform data, compared across different clinical domains definitions based on diagnosis codes, medications, vital signs, and laboratory testing. We assessed their concordance using Cohen's Kappa prognostic significance differentially captured features as predictors 1-year all-cause hospitalization risk. Among 1683 participants (mean age 41 ± 15 years, 67% female, 63% non-Hispanic Whites), prevalence varied substantially between self-report (-13.2% +11.6% definitions). Compared comprehensive phenotypes, under-captured all conditions, including hypertension (27.9% vs 16.2%), diabetes (10.1% 6.2%), heart disease (8.5% 4.3%). However, codes alone were insufficient. The risk was better defined by same (area under receiver operating curve [AUROC] 0.79) than (AUROC 0.68). EHR-derived phenotypes identified higher comorbidities self-report, additionally features. solely often undercaptured suggesting role broader elements. this patient-portal-derived data enabled extensive capture characteristics platforms, allowing phenotyping

Language: Английский

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Pandemic Impact on Research Faculty in Academic Medicine: A Mixed Method Study

Women s Health Reports, Journal Year: 2025, Volume and Issue: 6(1), P. 21 - 28

Published: Jan. 1, 2025

This mixed-method study sought to elucidate the impact of COVID-19 on professional environments and career trajectories midcareer research faculty in U.S. medical schools. Participants were 40 school enrolled Brandeis University C-Change Mentoring Leadership Institute, a group peer mentoring development course being tested National Institutes Health-funded randomized controlled trial. We observed gender disparity both quantitative qualitative data, with women describing more negatively impacting their trajectory. negative was independent having children home. largely reported no change commitment conducting or interest applying for funding. A total 54% effect pandemic relationships colleagues (n = 21) 33% 13). trend emerged when examining data by degree, however, PhD about twice as likely physicians report relationship (47% n 9 vs. 20% 4, respectively). The ordinal test 5-point scale approached statistical significance but did not meet standard 0.05 cut-off (p value 0.06; Z-value -1.86). While initially some positive outcomes SARS-CoV-2 own experiences April 2020, 1 year later reflected impacts trajectory, especially women, colleagues, higher intensity signal scientists.

Language: Английский

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Engaging health system, service and consumer representatives in the co-design of a multi-criteria decision-making framework for commissioning overweight and obesity programs and services

Health Research Policy and Systems, Journal Year: 2025, Volume and Issue: 23(1)

Published: Jan. 20, 2025

Obesity is a multi-faceted problem that requires complex health system responses. While no single program or service sufficient to meet every individual's needs, some criteria increase the likelihood of program/service quality delivery produce effective outcomes exist. However, although research on commissioning available internationally and growing within Australian context, evidence exists multi-criteria decision-making framework address complexity required for overweight obesity early intervention weight management programs services. This study aimed develop set support in this context. A mixed-methods co-design approach was used framework. literature review informed three-stage consensus-gathering approach. Participants included Western stakeholders from system, services consumers, who reviewed, ranked validated responses through ongoing discussions. deliberative forum held between two online, modified Delphi surveys reach consensus among stakeholders. Through co-design, total 63 were identified: 24 completed round 1 survey assessing 22 proposed criteria, 40 attended 30 2 survey. 4 themes arose process: (1) reduce duplication, (2) demote (3) re-organize (4) simplify language, 10 established: safety, collaboration consultation, appropriateness, effectiveness, efficiency, equity, evidence-based, model, sustainability workforce capacity competence. The underpinned by indicators highlighting relevant sub-themes. developed its application process will enable selection likely have an impact individuals' use satisfaction with services, obesity-related inter-agency collaborations maximize economic resources.

Language: Английский

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RETRACTED ARTICLE: Changes in Blood Pressure is Associated with Bone Loss in US Adults: A Cross-Sectional Study from NHANES 2005–2018

Calcified Tissue International, Journal Year: 2024, Volume and Issue: 114(3), P. 276 - 285

Published: Jan. 23, 2024

Language: Английский

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Race, Ethnicity, and Gender Differences in Patient Reported Well-Being and Cognitive Functioning Within 3 Months of Symptomatic Illness During COVID-19 Pandemic

Journal of Racial and Ethnic Health Disparities, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 22, 2024

Differences in acute COVID-19 associated morbidity based on race, ethnicity, and gender have been well described; however, less is known about differences subsequent longer term health-related quality of life well-being.

Language: Английский

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