Health Scholars Research Articles

Effects of Dental Bleaching Treatment Ingredients and Their Influence on the Hardness of Tooth Enamel

Dental bleaching treatment is currently a trend at the moment. Dental bleaching treatment is not only for aesthetics but a person can become more confident with white teeth. However, it turns out that it has bad effects if it does not comply with correct dental principles, especially in selecting dental bleaching materials. Know the ingredients, effects and methods for whitening teeth, including those that can be used by patients themselves, with or without professional supervision, and products for professional use. This literature study uses the Narrative Review method. References were collected in the form of journals through databases and online websites of BMC Oral Health, PubMed, Wacana and Google Scholar. References are also selected through reference analysis in the form of research, articles and systematic reviews. Carbamide Peroxide can be recommended as a choice of dental bleaching agent because it has a remineralization effect and increases the microhardness of enamel after 8 weeks of application.

Exploring the influence of commercial determinants on public health: An overview in the context of social sciences

Despite the increasing attention that is devoted to the social-economic determinants of public health (SDoH) factors that influence people's health, the prevalence of non-communicable diseases (NCDs) is at an all-time high worldwide. Commercial determinants of public health (CDoPH), or the associated corporate and business environments, have garnered much interest. This study attempts to articulate the CDoPH to summarize key results, as stated in the literature and to assess the strengths and weaknesses of the body of available material. Review formal sources (Scopus, Global Health and Google Scholar). The search technique employed the terms commercial determination of public health, among others. Some major factors contributing to CDoPH dynamics are trade, social and economic power expression, corporate structures, regulatory frameworks, neoliberal and capitalist through. Corporate activities, including advertising, mutual social responsibility, corporate politics, vast supply chains, hazardous product development and accessibility problems are additional factors. These worsen the status of the results for global health. The use of CDoPH nomenclature in work examines how business operations and macro conditions affect health that can be beneficial. It would be helpful to facilitate an updated, operationalized definition of CDoPH. To enhance global health, systematic methods for recognizing, defining and avoiding these are needed.

Queering Cisgender LGB+ Women’s Sexual Health Scripts

ABSTRACT The invisibility of lesbian, gay, and bisexual (LGB+) women in sexual health research is of particular concern when it comes to understanding and supporting their sexual health practices. We conducted a qualitative secondary analysis of sexual health decision-making interviews among 22 LGB+ cisgender women who ranged in age from 20 to 26 (M = 23.1 years, SD = 1.8 years). Participants were mostly bisexual (n = 9), White (n = 13), and all reported at least some college education. Results showed that LGB+ women both reify and push against heteronormativity in their sexual partnerships. By queering definitions of “sex” beyond heterosexual intercourse, leaning into trust as a foundation of new sexual partnerships, and promoting accessible and realistic hygienic strategies for STI prevention, LGB+ women queer, or reimagine, new sexual scripts. These results highlight the need for relationship and sexual health scholars to direct focus toward the promotion of holistic sexual and relationship education and research which reflects LGB+ women’s various sexual desires, goals and needs. Understanding LGB+ women’s sexual scripts and health outcomes will ensure that this population continues to be validated and supported by clinicians, researchers, and educators.

Exploring Public Health Research for Corporate Health Policy: Insights for Business and Society Scholars

Despite the growing interest in societal impact in the business and society literature, there remains a notable gap in research on the impact of health interventions on physical and mental health and social welfare. To address this gap, we shift the unit of analysis to the intervention, akin to the level of analysis used in health research. Drawing on a curated subset of health interventions in the workplace from the public health literature, we argue that management scholars can adopt the methods used by public health scholars to design and assess health interventions. By tapping into the rich insights gained from these studies, management scholars can propose evidence-based interventions and policies that can enhance health outcomes, improve productivity, and cultivate a healthier workplace atmosphere. Collaborating with public health researchers, business and society scholars can help create a new field of research on corporate health policy.

“It’s too much”: Excessive smartphone use during the COVID-19 crisis, information overload, and infection self-efficacy

During the COVID-19-related lockdowns around the world, individuals received a permanent digital stream of information about the pandemic via their smartphones. We theorize that such excessive COVID-19-related smartphone use can affect information overload, i.e., the perception of being exposed to too much information about COVID-19. We also introduce the notion of infection self-efficacy, the feeling that one is able to control the likelihood of being infected. We conducted a two-wave panel survey among an adult sample in Austria (NT2 = 416) during the first lockdown in 2020. Findings of a metric measurement invariant structural equation model revealed that excessive smartphone use predicts information overload over time. Moreover, information overload resulted in lower infection self-efficacy after one month. Reciprocal effects showed that information overload at T1 also increased excessive smartphone use at T2, suggesting a spiral. However, infection self-efficacy did not predict information overload and excessive smartphone use over time. Our findings contribute to the literature on information processing mechanisms by providing clear evidence for the reciprocal relationship between excessive smartphone use and information overload over time. The findings are also important for health scholarship because they explain individuals’ perceptions about whether they are able to protect themselves from COVID-19.

Disciples and Friends: Investigations in Disability, Dementia, and Mental Health

Disciples and Friends: Investigations in Disability, Dementia, and Mental Health

Disciples and Friends: Investigations in Disability, Dementia, and Mental Health

Disciples and Friends: Investigations in Disability, Dementia, and Mental Health

Bone health in women with premature ovarian insufficiency/early menopause: a 23-year longitudinal analysis.

Bone health in women with premature ovarian insufficiency/early menopause: a 23-year longitudinal analysis.

Compassion and equity-focused clinical genomics training for health professional learners.

There remains an urgent need for expanded genomics training in undergraduate medical education, especially as genetic and genomic assessments become increasingly important in primary care and routine clinical practice across specialties. Physician trainees continue to report feeling poorly prepared to provide effective consultation or interpretation of genomic test results. Here we report on the development, pilot implementation, and evaluation of an elective offering for pre-clinical medical students called the Sanford Precision Health Scholars Immersive Learning Experience (PHS), which was designed leveraging genetic counseling expertise as one means to address this need. This 9-week course, piloted in Fall 2021 at UC San Diego, afforded students the opportunity to build technical skills and competencies in clinical genomics while identifying, addressing, and engaging with pervasive health disparities in genomics. Interactive exercises focused students' learning on strategies for empathic and compassionate patient interactions while supporting the application of concepts and knowledge to future practice. Upon completion of the course, participants reported increases in confidence related to skills required for clinical genomics practice. Drawing on learnings from this pilot implementation, recommendations for refining the program include deepening pedagogical engagement with ethical issues, expanding the offering to trainees across health professions, including pharmacy students, and incorporating an optional experiential learning component. Educational offerings, like PHS, that are designed with the input of genetic counseling expertise may ease pressures on the genetic counseling profession by building a more genomic-literate healthcare workforce that can better support efforts to expand access for patients.

Preparing healthcare leaders of the digital age with an integrative artificial intelligence curriculum: a pilot study

ABSTRACT Artificial intelligence (AI) is rapidly being introduced into the clinical workflow of many specialties. Despite the need to train physicians who understand the utility and implications of AI and mitigate a growing skills gap, no established consensus exists on how to best introduce AI concepts to medical students during preclinical training. This study examined the effectiveness of a pilot Digital Health Scholars (DHS) non-credit enrichment elective that paralleled the Dartmouth Geisel School of Medicine’s first-year preclinical curriculum with a focus on introducing AI algorithms and their applications in the concurrently occurring systems-blocks. From September 2022 to March 2023, ten self-selected first-year students enrolled in the elective curriculum run in parallel with four existing curricular blocks (Immunology, Hematology, Cardiology, and Pulmonology). Each DHS block consisted of a journal club, a live-coding demonstration, and an integration session led by a researcher in that field. Students’ confidence in explaining the content objectives (high-level knowledge, implications, and limitations of AI) was measured before and after each block and compared using Mann-Whitney U tests. Students reported significant increases in confidence in describing the content objectives after all four blocks (Immunology: U = 4.5, p = 0.030; Hematology: U = 1.0, p = 0.009; Cardiology: U = 4.0, p = 0.019; Pulmonology: U = 4.0, p = 0.030) as well as an average overall satisfaction level of 4.29/5 in rating the curriculum content. Our study demonstrates that a digital health enrichment elective that runs in parallel to an institution’s preclinical curriculum and embeds AI concepts into relevant clinical topics can enhance students’ confidence in describing the content objectives that pertain to high-level algorithmic understanding, implications, and limitations of the studied models. Building on this elective curricular design, further studies with a larger enrollment can help determine the most effective approach in preparing future physicians for the AI-enhanced clinical workflow.

The Politics of Prevention and Government Responses to Homelessness

Recently, the logic of public health prevention has found a foothold in research and advocacy about homelessness. From a commonsense perspective, the prevention of a social problem like homelessness is an objectively positive aim. However, in the realm of social and health policy, the concept of prevention is not simply a common-sense word. It is part of a wider set of rationalities and technologies of governance which operate in and through the institution of public health. Research demonstrates that state-driven interventions designed to advance the health of a population often pose problems for particular groups. Prevention efforts, and their differential effects, thus have the potential to illuminate how state-interventions pursued with the objective of safe-guarding the public in general may simultaneously exacerbate specific structural and systemic forms of inequality. In this article, we probe the ethical, empirical, and political dimensions of state-driven responses to the coronavirus disease of 2019 (COVID-19) public health crisis, surfacing some of the ways these interventions posed problems for people who are homeless and experience intersecting health and socio-political disparities. From this vantage point, we then look critically at moves to frame homelessness as a public health crisis, as well as government efforts to prevent homelessness by drawing on public health rationalities. Although our focus is homelessness prevention, as constructed and pursued by governments, our analysis is inspired by critical public health scholarship that challenges the apparent impartiality of prevention as a central logic and set of practices in public health contexts.

The Promise and Perils of Artificial Intelligence in Health Professions Education Practice and Scholarship.

Artificial intelligence (AI) methods, especially machine learning and natural language processing, are increasingly affecting health professions education (HPE), including the medical school application and selection processes, assessment, and scholarship production. The rise of large language models over the past 18 months, such as ChatGPT, has raised questions about how best to incorporate these methods into HPE. The lack of training in AI among most HPE faculty and scholars poses an important challenge in facilitating such discussions. In this commentary, the authors provide a primer on the AI methods most often used in the practice and scholarship of HPE, discuss the most pressing challenges and opportunities these tools afford, and underscore that these methods should be understood as part of the larger set of statistical tools available.Despite their ability to process huge amounts of data and their high performance completing some tasks, AI methods are only as good as the data on which they are trained. Of particular importance is that these models can perpetuate the biases that are present in those training datasets, and they can be applied in a biased manner by human users. A minimum set of expectations for the application of AI methods in HPE practice and scholarship is discussed in this commentary, including the interpretability of the models developed and the transparency needed into the use and characteristics of such methods.The rise of AI methods is affecting multiple aspects of HPE including raising questions about how best to incorporate these models into HPE practice and scholarship. In this commentary, we provide a primer on the AI methods most often used in HPE and discuss the most pressing challenges and opportunities these tools afford.

Human Rights-based Approaches and the Right to Health: A Systematic Literature Review

Abstract The term ‘human rights-based approach’ is common in rights and international development literature. Yet there is no single, universally agreed definition of a human rights-based approach, let alone its application to the right to health. This article uses a PRISMA-informed systematic literature review to address the question, ‘What is the current status of the human rights-based approach to health in international law?’ Previous reviews have described how international organizations and development donors have tackled human rights-based approaches to development generally and discussed prominent works on human rights-based approaches to health. However, this is the first review to sample the peer-reviewed literature systematically. The study revealed that authors use the terms ‘human rights’, ‘human rights-based approach’ and ‘right to health’ to import a raft of legal implications, or none at all. Similarly, readers may assign legal meanings to these terms, or none at all. Confusion arises because although these terms often have different meanings for authors and readers from different disciplines, this is not commonly acknowledged, and authors rarely clarify their perspectives. The author concludes that scholars should seek co-authors with human rights law or public health qualifications, as relevant. Most academic institutions research and teach health and law separately; interdisciplinary centres of excellence in health, law and human rights offer an opportunity to overcome these historical obstacles to interdisciplinary dialogue and understanding. The study and its conclusions will be of interest to legal researchers, human rights advocates, public health scholars, and advocates from other disciplines.

Historical Value Matrix of the Relics of the Sriwijaya Musi River Objects as Source Local History Learning in Palembang

In late December 2019, the global population was shocked by the discovery of the coronavirus originating in Wuhan Province, China. On February 12, 2020, the World Health Organization (WHO) declared the virus highly deadly and named it coronavirus 2019. The virus rapidly spreads to various parts of the world. It is almost certain that the outbreak has affected every country, including Indonesia. The Indonesian government subsequently declared the COVID-19 outbreak a national disaster. To ensure life safety and curb the spread of COVID-19, a policy was implemented, limiting the movement and activities of people outside their homes. This decision was based on considerations from various parties, particularly health experts and scholars. This policy certainly has an impact on the economic activities of the community, including those in rural areas. Research conducted in Pakkabba Village revealed that restrictions on activities outside the home led to decreased incomes and economic challenges. However, the community’s strong optimism to make a living can overcome these difficulties. Facing COVID-19 involves adhering to health protocols and strengthening solidarity through mutual assistance to alleviate the economic burden. In addition, a religious approach (religious coping) was also carried out in fostering work spirit despite being in a COVID-19 situation.
 Keywords: COVID-19, religious coping, social solidarity, optimism

Religious Coping of Farming Communities in Dealing with COVID-19 Pandemic in Pakkabba Village, Takalar District

In late December 2019, the global population was shocked by the discovery of the coronavirus originating in Wuhan Province, China. On February 12, 2020, the World Health Organization (WHO) declared the virus highly deadly and named it coronavirus 2019. The virus rapidly spreads to various parts of the world. It is almost certain that the outbreak has affected every country, including Indonesia. The Indonesian government subsequently declared the COVID-19 outbreak a national disaster. To ensure life safety and curb the spread of COVID-19, a policy was implemented, limiting the movement and activities of people outside their homes. This decision was based on considerations from various parties, particularly health experts and scholars. This policy certainly has an impact on the economic activities of the community, including those in rural areas. Research conducted in Pakkabba Village revealed that restrictions on activities outside the home led to decreased incomes and economic challenges. However, the community’s strong optimism to make a living can overcome these difficulties. Facing COVID-19 involves adhering to health protocols and strengthening solidarity through mutual assistance to alleviate the economic burden. In addition, a religious approach (religious coping) was also carried out in fostering work spirit despite being in a COVID-19 situation.
 Keywords: COVID-19, religious coping, social solidarity, optimism

Bibliometric Analysis on Geriatric Rehabilitation in Scopus Database (1948-2022)

Background: Aging presents both challenges and opportunities. It will increase demand for health care to restore function or enhance residual functional capability and improving the quality of life in older people. The objective of the present investigation was to offer perspectives into the worldwide research production concerning the geriatric rehabilitation. Methods: A bibliometric analysis was conducted utilizing the Scopus database covering the period of 1948 through 2022. Several methods and instruments were employed to scrutinize and illustrate the data. Results: The search strategy found 6630 articles. The United States was the most active country with the highest number of coauthors. VA Medical Center was the most active organization with Becker the most active author in Geriatric Rehabilitation research with 40 articles from Germany, followed by Hauer and Trabucchi with 39 and 37 articles, respectively. The most frequent words in this field were “rehabilitation, elderly, geriatrics, stroke, hip fracture, aged, dementia and activities of daily living.” The most influential articles were specified. In terms of journals, BMC Geriatrics was the most active, while the most cited article was “Gait Variability and Fall Risk in Community-Living Older Adults: A 1-Year Prospective Study” by Hausdorff in 2001. Conclusions: Geriatric rehabilitation has received special attention in the last decade. Current studies highlight the importance and understanding of the unique needs of older adults. The core for this area that includes impairment related to physical, cognitive, and functional needs is considered. Hence, health care practitioners and scholars must prioritize geriatric rehabilitation as a specialty and comprehend the optimal strategy for supporting elderly individuals to maintain their independence as much as feasible.

Association between illegal drug use and cigarette smoking among Ethiopian students: A systematic review and meta-analysis.

Cigarette smoking is a persistent public health problem as it is a risk factor for many diseases. Previous studies on the role of illegal drug use in cigarette smoking have yielded disparate and inconclusive results, hindering the development of effective intervention strategies to address this issue. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence of cigarette smoking and its associated factors, with a specific focus on the influence of illegal drug use among students in Ethiopia. We conducted a comprehensive search of international databases, including PubMed, Cochrane Library, Science Direct, CINAHL, African Journals Online, HINARI, Global Health, and Google and Google Scholar. Grey literature was also identified from various university digital libraries. The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA) guidelines. Due to the high heterogeneity among the included studies (I2 = 98.6%; p-value <0.001), we employed a random-effects model with a 95% confidence interval (CI) to estimate the pooled effect using STATA 14 software. The publication bias was assessed using a statistical Egger regression test. A total of 22 studies involving 18,144 students met the eligibility criteria for this systematic review and meta-analysis. The pooled prevalence of lifetime and current cigarette smoking among students in Ethiopia was 13.8% (95% CI: 9.90-17.82) and 9.61% (95% CI: 7.19-12.03), respectively. Students who used illegal drugs were twenty-three times more likely to smoke cigarettes compared to their counterparts (OR = 23.57, 95% CI: 10.87-51.1). Living in urban settings (OR = 2.9; 95% CI: 1.15-7.28) and the habit of alcohol consumption (OR = 4.79; 95% CI: 1.57-14.64) were also identified as factors associated with cigarette smoking. We found that more than one in eight students in Ethiopia have engaged in lifetime cigarette smoking. Notably, students who used illegal drugs exhibited a significantly higher likelihood of cigarette smoking. In light of these findings, it is imperative to implement comprehensive public health interventions that target illegal drug use, cigarette smoking, and alcohol consumption, with a particular emphasis on urban residents.

Interventions to promote household waste segregation: A systematic review

Waste segregation at source, particularly at the household level, is an integral component of sustainable solid waste management, which is a critical public health issue. Although multiple interventions have been published, often with contradictory findings, few authors have conducted a comprehensive systematic synthesis of the published literature. Therefore, we undertook a systematic review to synthesize all published interventions conducted in any country in the world which targeted household-level waste segregation with or without additional focus on recycling or composting.Following PRISMA guidelines, Web of Science, Medline, Global Health, and Google Scholar were searched using a search strategy created by combining the keywords ‘Waste’, ‘Segregation’, and ‘Household’. Two-stage blinded screening and consensus-based conflict resolution were done, followed by quality assessment, data extraction, and narrative synthesis.8555 articles were identified through the database searches and an additional 196 through grey literature and citation searching. After excluding 2229 duplicates and screening title abstracts of 6522 articles, 283 full texts were reviewed, and 78 publications reporting 82 intervention studies were included in the data synthesis.High methodological heterogeneity was seen, excluding the possibility of a meta-analysis. Most (n = 60) of the interventions were conducted in high-income countries. Interventions mainly focused on information provision. However, differences in the content of information communicated and mode of delivery have not been extensively studied. Finally, our review showed that the comparison of informational interventions with provision of incentives and infrastructural modifications needs to be explored in-depth. Future studies should address these gaps and, after conducting sufficient formative research, should aim to design their interventions following the principles of behaviour change.

A schema for coding health equity scholarship within pediatric research.

Seattle Children's Research Institute is identifying the amount and type of health equity scholarship being conducted institution wide. However, methods for categorizing how scholarship is equity-focused are lacking. We developed and evaluated the reliability of a health equity scholarship coding schema applied to Seattle Children's affiliated scholarship. A 2021-2022 Ovid MEDLINE affiliation search yielded 3551 affiliated scholarship records, with 1079 records identified via an existing filter as scholarship addressing social determinants of health. Through reliability testing and examining concordance and discordance across three independent coders of these records, we developed a coding schema to classify health equity scholarship (yes/no). When health equity scholarship proved positive/Yes, the coders assigned a one through five maturity rating of the scholarship towards addressing inequities. Subsequent reliability testing including a new coder was conducted for 992 subsequent affiliated scholarship records (Oct 2022-June 2023), with additional testing of the sensitivity and specificity of the existing filter relative to the new coding schema. Reliability for identifying health equity scholarship was consistently high (Fleiss kappas ≥ .78) and categorization of health equity scholarship into maturity levels was moderate (Fleiss kappas ≥ .47). The coding schema identified additional health equity scholarship not captured in an existing filter for social determinants of health scholarship. Based on the new schema, 23.3% of Seattle Childrens' affiliated scholarship published October 2002-June 2023 was health equity focused. This new coding schema can be used to identify and categorize health equity scholarship to help quantitate the health equity focus of portfolios of human-focused research.

Benefits and Challenges of a Global Health Scholars Track for Family Medicine Residents

Benefits and Challenges of a Global Health Scholars Track for Family Medicine Residents