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  Subjects -> HEALTH AND SAFETY (Total: 1353 journals)
    - CIVIL DEFENSE (23 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (564 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (384 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (106 journals)
    - PHYSICAL FITNESS AND HYGIENE (107 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (564 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 12)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 23)
African Health Sciences     Open Access   (Followers: 2)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Ageing & Society     Hybrid Journal   (Followers: 40)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 13)
American Journal of Health Education     Hybrid Journal   (Followers: 31)
American Journal of Health Promotion     Hybrid Journal   (Followers: 27)
American Journal of Health Sciences     Open Access   (Followers: 7)
American Journal of Health Studies     Full-text available via subscription   (Followers: 11)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 28)
American Journal of Public Health     Full-text available via subscription   (Followers: 206)
American Journal of Public Health Research     Open Access   (Followers: 28)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 5)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 3)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 9)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 9)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 3)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 8)
Behavioral Healthcare     Full-text available via subscription   (Followers: 6)
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 6)
BMC Pregnancy and Childbirth     Open Access   (Followers: 21)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 10)
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 11)
Canadian Family Physician     Partially Free   (Followers: 11)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 9)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 20)
Case Reports in Women's Health     Open Access   (Followers: 3)
Case Studies in Fire Safety     Open Access   (Followers: 15)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 10)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access  
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia, Tecnología y Salud     Open Access  
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 1)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 3)
Conflict and Health     Open Access   (Followers: 7)
Contraception and Reproductive Medicine     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 4)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 3)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 13)
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription   (Followers: 1)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 19)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 20)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 6)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 4)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 2)
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 4)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 18)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 5)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 6)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
Eurasian Journal of Health Technology Assessment     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 2)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 7)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Partially Free   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 7)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 13)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 6)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 13)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 7)
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 10)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 9)
Health and Social Work     Hybrid Journal   (Followers: 56)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)
Health Care Analysis     Hybrid Journal   (Followers: 15)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 19)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 41)
Health Policy and Technology     Hybrid Journal   (Followers: 4)
Health Professional Student Journal     Open Access   (Followers: 2)
Health Promotion International     Hybrid Journal   (Followers: 22)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 51)
Health Psychology Research     Open Access   (Followers: 19)
Health Psychology Review     Hybrid Journal   (Followers: 40)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 13)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 4)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 12)
Health, Risk & Society     Hybrid Journal   (Followers: 13)
Healthcare     Open Access   (Followers: 3)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
Healthcare Technology Letters     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
HIV & AIDS Review     Full-text available via subscription   (Followers: 12)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 6)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 4)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 2)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Indonesian Journal of Public Health     Open Access  
Infodir : Revista de Información científica para la Dirección en Salud     Open Access  
Inmanencia. Revista del Hospital Interzonal General de Agudos (HIGA) Eva Perón     Open Access  
Innovative Journal of Medical and Health Sciences     Open Access  
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 2)
interactive Journal of Medical Research     Open Access  
International Archives of Health Sciences     Open Access  
International Health     Hybrid Journal   (Followers: 5)
International Journal for Equity in Health     Open Access   (Followers: 6)

        1 2 3 | Last

Journal Cover
Epidemiology, Biostatistics and Public Health
Journal Prestige (SJR): 0.254
Number of Followers: 18  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2282-0930 - ISSN (Online) 2282-0930
Published by Prex S.p.A Homepage  [2 journals]
  • The epidemiology of breast cancer, a summary overview

    • Authors: Carlo La Vecchia, Greta Carioli
      PubDate: 2018-03-20
      DOI: 10.2427/12853
      Issue No: Vol. 15, No. 1 (2018)
       
  • The reform of the Italian Legislation on Childhood immunization

    • Authors: Gianluca Montanari Vergallo, Simona Zaami, Rosario Andrea Cocchiara, Giuseppe La Torre, Enrico Marinelli
      Abstract: Over the past few decades, giant strides have been made in the field of vaccinations, the range of vaccines available has been broadened, with a higher degree of safety and effectiveness. Paradoxically, distrust towards childhood immunization has also increased in the public opinion, a significant share of which sees not so much its advantages as the possibility of potentially serious side-effects. Vaccinations pose an issue as to the reconciliation of interests pertaining, on the one hand, to the safeguard of health, spelled out in art.13 of the Italian Constitution, and to the freedom of personal choice, protected in art.13, on the other. Therefore, the question to which the authors of this paper have sought to answer reads as follows: should immunization, and childhood immunization in particular, be deemed mandatory treatment, or is it best left up to the parents to choose' The legislation on the subject appears outdated and untimely, and the dichotomy between “mandatory vaccination” and “recommended vaccination” only adds to the sense of confusion in the public opinion. It appears necessary to improve the quality of vaccination counseling practices in childcare, but such activities need to take place within the framework of a broader strategy, centered on the fostering of a culture of prevention, backed by scientific research to the fullest extent possible. The paper’s authors point to the absolute necessity for a new, updated set of national regulations aimed at overcoming current inconsistencies and the discrepancies in guidelines set forth by each region. 
      PubDate: 2018-03-20
      DOI: 10.2427/12467
      Issue No: Vol. 15, No. 1 (2018)
       
  • Evaluating the Reform of Healthcare System in Sicily: variations of
           efficiency and appropriateness between 2008 and 2010

    • Authors: Francesca Sapienza, Domenica Matranga
      Abstract: Background. Sicilian government has developed a very ambitious Reform through the Regional Law n. 5 (14th April 2009). Hospitals were requested to ensure the quality of care through monitoring of appropriateness and quality of service. The aim of this study was to assess variations of efficiency and organizational appropriateness of healthcare delivery before and after this Reform and to show patterns associated to different types of healthcare delivery organizations. Methods. This study was based on repeated cross-sectional data for 118 (out of 129) short-term, acute-care, non teaching-and-research Sicilian hospitals, in 2008 and 2010. Congestion and slacks analysis was used, with four inputs, two desirable outputs and two undesirable outputs of healthcare delivery. Results. The loss of desirable output increased between 2008 (23%) and 2010 (31%). Most of the variation between two years in the measured inefficiency could be attributed to congestion due to inappropriate care (p=0.009) and scale inefficiency (p=0.028). Hospitals that have undergone an organizational transformation did not show congestion in the study period. Conversely, hospitals with no variations in their organization were congested in association to the shortfall in the ODs (p=0.019) and in DHs (p=0.018). Conclusion. This study has shown the general worsening of efficiency of acute-care Sicilian hospitals from 2008 and 2010 and, in particular, has suggested that the reduction of efficiency was due to hospitals that have not undergone an organizational transformation. They are medium-low sized and low-complexity public hospitals and for-profits, while larger and high-complexity organizations resulted the least congested ones.
      PubDate: 2018-03-20
      DOI: 10.2427/12593
      Issue No: Vol. 15, No. 1 (2018)
       
  • An algorithm to identify patients with type 2 diabetes among undocumented
           migrants using data on drug dispensation by charities.

    • Authors: Gianfrancesco Fiorini, Cesare Cerri, Antonello E Rigamonti, Silvia Bini, Nicoletta Marazzi, Alessandro Sartorio, Silvano G. Cella
      Abstract: Background. Electronic databases of chronic diseases are available in many countries. Health data of residents, natives and documented migrants, are thus easily accessible. This does not happen for the growing population of undocumented migrants. Methods. We analysed the databases of two Italian non-governmental organisations (NGOs) containing the records of all drug dispensations to 12,386 undocumented migrants from January 1st, 2013 to December 31st, 2016, with the aim to identify treated for type 2 diabetes (T2D) on the basis of demographic data and dispensed medicines. Medications were identified according to the Anatomical Chemical Therapeutic (ATC) classification. All the patients with at least one dispensation per year of any A10 (antidiabetic) drug were selected. An algorithm to match this observation with the diagnosis of type 2 diabetes mellitus (T2D), on the basis of demographic data and use or not of insulin, was developed. The algorithm was validated in 400 diabetic and 400 non-diabetic patients randomly selected. Results. The algorithm correctly identified all patients (N=660) with T2D. When our patients were grouped according to ethnicity, we found that all ethnic groups contributed a comparable percentage of patients with T2D. Also, no difference was seen between the group of EU citizens living in poverty cared for by the NGOs and any of the ethnic groups. Conclusions. This algorithm can be used to identify patients treated for T2D when no diagnostic codes are available, as is frequently the case with undocumented migrants. Therefore it can be useful for many aspects of public health.
      PubDate: 2018-03-20
      DOI: 10.2427/12700
      Issue No: Vol. 15, No. 1 (2018)
       
  • Relationship between health literacy of cancer patients and shared
           clinical decision-making in a Middle East country

    • Authors: Mohammad Khammarnia, Fatemeh Setoodezadeh, Alireza Ansari-Moghadam, Alireza Yusefi, Monire Eskandari, Arezo Alinejad Ranjbar, Mostafa Peyvand
      Abstract: Introduction: The study aimed to investigate the relationship between Health literacy (HL) and shared clinical decision-making among cancer patients in Iran.
      Methods: A cross-sectional questionnaire survey was performed in the south of Iran between January and March of 2017. The study's population was all patients in the southeast of Iran. From here, 500 patients were selected as the study sample by the stratified sampling method. Two standard questionnaires were selected for data-gathering. The data was analyzed using SPSS version 21.0.
      Results: About 52% of patients did not have enough HL and 47% had a poor participation record in clinical decision-making. There is a positive statistical relationship between HL and participation in clinical decision-making among cancer patients (P=0.001). About 49% of the patients with low HL had poor participation in clinical decision-making. Moreover, HL had a relationship with age, gender, education, place of living, region, and type of cancer (P>0.05).
      Conclusion: HL among cancer patients is limited and has a positive impact on decision-making in clinical participation. Physicians must try and boost HL among patients. Higher HL helps patients engage in their clinical decision-making. Health workers are an important source for increasing HL among patients.
      PubDate: 2018-03-20
      DOI: 10.2427/12699
      Issue No: Vol. 15, No. 1 (2018)
       
  • Factor associated with health-related quality of life among population in
           Northern Jordan

    • Authors: Laila Mahmoud Matalqah, Khaldoon M Radaideh, Moawia M Khatatbeh, Omar Al Omari
      Abstract: Objective: This study aimed to assess health-related quality of life among Jordanians. Design: A cross-sectional design study was conducted at three shopping centers in Northern Jordan. Measures: Respondents were invited to fill a questionnaire assessed quality of life (QoL) using the SF-36 health survey.Results: Data was obtained from 915 Jordanian adults from the public with a mean age of 33.8 years (SD= 28.2). The total SF-36 score for the whole population was 71.2. Significantly, females reported lower SF-36 scores in both physical and emotional health domains (P= <0.001). Furthermore, elderly reported the lowest mean score in physical health scores (P=0.05). Physical health was dramatically affected by having health problems such as rheumatoid arthritis, obesity, back pain and asthma (P=0.05). On the other hand, emotional health domain was adversely affected only by monthly income (P<0.001).Conclusions: Quality of life among Jordanian populations is considered fine. Young adults need more concern about their emotional health, which is highly affected by their economic level. 
      PubDate: 2018-03-20
      DOI: 10.2427/12680
      Issue No: Vol. 15, No. 1 (2018)
       
  • Health-Related Quality of Life among Atrial fibrillation Patients
           Undergoing Anticoagulation Therapy

    • Authors: Laila Mahmoud Matalqah, Khaldoon Radaideh
      Abstract:    In Malaysia, studies sought to evaluate the health-related quality of life (HRQoL) among patients undergoing anticogaultaion therapy are still recent and scarce as there is no specific tool available. This cross sectional descriptive study was undertaken with a representative cohort of atrial fibrillation patients undergoing anticoagulation therapy. Using prevalence based sampling techniques, a total of 339 patients were recruited from the Anticoagulation Clinics at two public hospitals in Penang, Malaysia. A bilingual specific instrument; Duke Anticoagulation Satisfaction Scale (DASS) and a generic instrument; the European Quality of Life scale (EQ-5D-3L) were used for data collection. The mean (SD) age of the patients was 60.4±14.5 years, with 204 (60.2%) males dominating the entire study. The majority of patients were from lower socioeconomic level and one third of subjects had a secondary level of education. DASS instrument presented a good average score of 70.8 (±19.8), while the means±SD of EQ-VAS was 69.3% (± 16.3%) and for the EQ-Index (TTO) was 79.8%  (± 26.5%) indicated satisfactory health related quality of life (HRQoL) in our study participants.Their QoL perception is affected positively by age, education level, and occupation and negatively by sex gender and previous hemorrhagic event. The worse evaluations were in mobility and pain domains. Consequently, it was noted that warfarin therapy is not usually associated with a significant decrease in perceived health, unless a bleeding episode has occurred. Results from this study could be useful in clinical practice, particularly in newly detected AF patients, at point where improving HRQoL is still possible. Keywords: Anticoagulation, Quality of life, DASS, Atrial Fibrillation, INR Control   
      PubDate: 2018-03-20
      DOI: 10.2427/12763
      Issue No: Vol. 15, No. 1 (2018)
       
  • Comparison between adenosine triphosphate bioluminescence and aerobic
           colony count to assess surface sanitation in the hospital environment

    • Authors: Daniele Domenico Raia, Lucia Cannova, Sandro Provenzano, Omar Enzo Santangelo, Dario Piazza, Enrico Alagna, Valentina Bonanno, Luigi Aprea, Alberto Firenze
      Abstract: BackgroundThe measurement of the bioluminescence produced by the firefly luciferase in the presence of adenosine triphosphate has been successfully introduced as a verification of the cleaning procedures according to the Hazard Analysis Critical Control Point system in the food industry.Our aim was to to evaluate the reliability of bioluminescence as a tool to monitor the effectiveness of sanitation in the hospital settings and to predict risk of healthcare associated infections, in  comparison with the microbiological gold standard assay.Methods614 surfaces were randomly sampled in all hospital units to detect adenosine triphosphate bioluminescence and aerobic colony count. Statystical analysis relied on linear regression model and the calculation of Pearson correlation coefficient.Results Aerobic colony count had median values of 1.71 Colony Forming Units/cm2 (interquartile range = 3.8), whereas adenosine triphosphate median was 59.9 Relative Light Units/cm2 (interquartile range = 128.3). Pearson coefficient R2 was 0.09. Sensitivity and specificity of bioluminescence test with respect to microbiology were 46% and 71%, whereas positive predictive value and negative predictive value were 53% and 65%, respectively.ConclusionAccording to our results, there seemed to be no linear correlation between aerobic colony count and adenosine triphosphate values, suggesting that the use of bioluminescence alone as predictor of infection risk is not sufficiently reliable. 
      PubDate: 2018-03-20
      DOI: 10.2427/12710
      Issue No: Vol. 15, No. 1 (2018)
       
  • A Bayesian Logistic Regression approach in Asthma Persistence Prediction

    • Authors: Ioannis I. Spyroglou, Gunter Spöck, Eleni A. Chatzimichail, Alexandros Rigas, Emmanouil Paraskakis
      Abstract: Background: A number of models based on clinical parameters have been used for the prediction of asthma persistence in children. The number and significance of factors that are used in a proposed model play a cardinal role in prediction accuracy. Different models may lead to different significant variables. In addition, the accuracy of a model in medicine is really important since an accurate prediction of illness persistence may improve prevention and treatment intervention for the children at risk.Methods: Data from 147 asthmatic children were analyzed by a new method for predicting asthma outcome using Principal Component Analysis (PCA) in combination with a Bayesian logistic regression approach implemented by the Markov Chain Monte Carlo (MCMC). The use of PCA is required due to multicollinearity among the explanatory variables.Results: This method using the most appropriate models seems to predict asthma with an accuracy of 84.076% and 86.3673%, a Sensitivity of 84.96% and 87.25% and a Specificity of 83.22% and 85.52%, respectively.Conclusion: Our approach predicts asthma with high accuracy, gives steadier results in terms of positive and negative patients and provides better information about the influence of each factor (demographic, symptoms etc.) in asthma prediction.
      PubDate: 2018-03-20
      DOI: 10.2427/12777
      Issue No: Vol. 15, No. 1 (2018)
       
  • Longitudinal Joint Modelling of Binary and Continuous Outcomes: A
           Comparison of Bridge and Normal Distributions

    • Authors: Payam Amini, Geert Verbeke, Farid Zayeri, Hossein Mahjub, Saman Maroufizadeh, Abbas Moghimbeigi
      Abstract: Background: Longitudinal joint models consider the variation caused by repeated measurements over time as well as the association among the response variables. In the case of combining binary and continuous response variables using generalized linear mixed models, integrating over a normally distributed random intercept in the binary logistic regression sub-model does not yield to a closed form. In this paper, we assessed the impact of assuming a Bridge distribution for the random intercept in the binary logistic regression submodel and compared the results to that of normal distribution. Method: The response variables are combined through correlated random intercepts. The random intercept in the continuous outcome submodel follows a normal distribution. The random intercept in the binary outcome submodel follows a normal or Bridge distribution. The estimations were carried out using a likelihood-based approach in direct and conditional joint modeling approaches. To illustrate the performance of the models, a simulation study was conductedResults: Based on the simulation results and regardless of the joint modeling approach, the models with a Bridge distribution for the random intercept of the binary outcome resulted in a slightly more accurate estimations and better performance.Conclusion: In addition to the fact that assuming a bridge distribution for the random intercept in binary logistic regression yields to the same interpretation of parameter estimates in marginal and conditional forms, our study revealed that even if the random intercept of binary logistic regression is normally distributed, assuming a Bridge distribution in the model will result in more accurate results. 
      PubDate: 2018-03-20
      DOI: 10.2427/12755
      Issue No: Vol. 15, No. 1 (2018)
       
  • Effectiveness of educational interventions to improve genomic competency
           in non-­‐geneticist medical doctors: a systematic review of the
           literature

    • Authors: Roberta Pastorino, Giovanna Elisa Calabrò, Tyra Lagerberg, Maria Benedetta Michelazzo, Stefania Boccia
      Abstract: Background. Given rapid advances in genomics, continuing medical education of medical doctors (MDs) is crucial for appropriate integration of human genome discoveries into healthcare and disease prevention. This work presents a systematic review of educational interventions aimed at improving genomic competency in non‐geneticist MDs, with consideration of how outcomes are affected by intervention type (face-to-face learning, distance learning, decision aids and information provision).Methods.  We performed a systematic search of MEDLINE, ISI Web of Science, and SCOPUS databases for the relevant studies on educational interventions and genomic competency, published in English language between January, 1st, 2001 and March, 31th, 2017. In order to synthesize the results of the eligible studies, we evaluated the effect of education on knowledge, management and confidence, and we compared the outcomes between different intervention types.Results.  We included sixteen studies including different educational interventions. The majority of studies reported significant effects on at least one component of genomic competency. When the improvement in clinical application of genomic knowledge was evaluated, moderate or null effect has been reported for the different intervention types.Conclusions. The majority of studies included reported a positive impact of genomic education on non‐geneticist MDs genomic competency. However, no clear conclusion can be drawn given the heterogeneity of the studies in terms of methods, intervention types and outcome measurements. Future studies considering effectiveness of interventions with a focus on long-term outcomes are recommended.
      PubDate: 2018-03-20
      DOI: 10.2427/12657
      Issue No: Vol. 15, No. 1 (2018)
       
 
 
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