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  • 1
    Online Resource
    Online Resource
    Analyzing the predictors of health care utilization in the agricultural worker population using decision tree analysis: Does language matter?
    Wiley ; 2021
    In:  Public Health Nursing Vol. 38, No. 1 ( 2021-01), p. 56-63
    Details
    In: Public Health Nursing, Wiley, Vol. 38, No. 1 ( 2021-01), p. 56-63
    Abstract: To analyze the predictors of health care utilization among respondents to the National Agricultural Worker Survey. Specifically, we hypothesized that English proficiency would predict utilization of health care services within the last 2 years. Methods Using the 2015–2016 National Agricultural Worker Survey, we performed a secondary data analysis to analyze the predictors of health care utilization within the last 2 years in the United States' agricultural worker population. Data were cleaned and analyzed using decision tree analysis, which produced a classification tree model that was trained on 90% of the data and validated on 10%. Results Exposure to English was not a predictor of health care utilization in our classification tree. The first major partition that predicted utilization was insurance status. Additional partitions were on age, gender, hypertension diagnosis, and public aid. Conclusions By partitioning on insurance status and use of public aid, the decision tree provided evidence that systemic factors are key determinants of health care utilization in the agricultural worker community. This highlights the importance of agencies that connect agricultural workers with resources that provide insurance and improve access to health care. This is especially important given that agricultural workers are one of the highest risk groups for occupational injury or death in the United States.
    Type of Medium: Online Resource
    ISSN: 0737-1209 , 1525-1446
    URL: Issue
    URL: Article
    DOI: 10.1111/phn.v38.1
    DOI: 10.1111/phn.12826
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2010328-1
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  • 2
    Online Resource
    Online Resource
    Stool Immune Profiles Evince Gastrointestinal Inflammation in Parkinson's Disease
    Wiley ; 2018
    In:  Movement Disorders Vol. 33, No. 5 ( 2018-05), p. 793-804
    Details
    In: Movement Disorders, Wiley, Vol. 33, No. 5 ( 2018-05), p. 793-804
    Abstract: Background: Gastrointestinal symptoms are common in Parkinson's disease and frequently precede the development of motor impairments. Intestinal inflammation has been proposed as a driver of disease pathology, and evaluation of inflammatory mediators in stool could possibly identify valuable early‐stage biomarkers. We measured immune‐ and angiogenesis‐related proteins in human stool to examine inflammatory profiles associated with Parkinson's disease. Methods: Stool samples and subjects' self‐reported metadata were obtained from 156 individuals with Parkinson's disease and 110 without, including spouse and nonhousehold controls. Metadata were probed for disease‐associated differences, and levels of 37 immune and angiogenesis factors in stool homogenates were measured by multiplexed immunoassay and compared across experimental groups. Results: Parkinson's disease patients reported greater incidence of intestinal disease and digestive problems than controls. Direct comparison of levels of stool analytes in patients and controls revealed elevated vascular endothelial growth factor receptor 1, interleukin‐1α, and CXCL8 in patients' stool. Paired comparison of patients and spouses suggested higher levels of multiple factors in patients, but this was complicated by sex differences. Sex, body mass index, a history of smoking, and use of probiotics were found to strongly influence levels of stool analytes. Multivariate analysis accounting for these and other potential confounders confirmed elevated levels of interleukin‐1α and CXCL8 and also revealed increased interleukin‐1β and C‐reactive protein in stool in Parkinson's disease. These differences were not dependent on subject age or disease duration. Conclusions: Levels of stool immune factors indicate that intestinal inflammation is present in patients with Parkinson's disease. © 2018 International Parkinson and Movement Disorder Society
    Type of Medium: Online Resource
    ISSN: 0885-3185 , 1531-8257
    URL: Issue
    URL: Article
    DOI: 10.1002/mds.v33.5
    DOI: 10.1002/mds.27326
    RVK:
    XA 10000
    Language: English
    Publisher: Wiley
    Publication Date: 2018
    detail.hit.zdb_id: 2041249-6
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  • 3
    Online Resource
    Online Resource
    Fertility of workers chronically exposed to chemically contaminated sewer wastes
    Elsevier BV ; 1991
    In:  Reproductive Toxicology Vol. 5, No. 1 ( 1991-1), p. 31-37
    Details
    In: Reproductive Toxicology, Elsevier BV, Vol. 5, No. 1 ( 1991-1), p. 31-37
    Type of Medium: Online Resource
    ISSN: 0890-6238
    URL: Article
    DOI: 10.1016/0890-6238(91)90107-Q
    Language: English
    Publisher: Elsevier BV
    Publication Date: 1991
    detail.hit.zdb_id: 2010593-9
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  • 4
    Online Resource
    Online Resource
    Polybrominated Diphenyl Ether Serum Concentrations and Depressive Symptomatology in Pregnant African American Women
    MDPI AG ; 2021
    In:  International Journal of Environmental Research and Public Health Vol. 18, No. 7 ( 2021-03-31), p. 3614-
    Details
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 18, No. 7 ( 2021-03-31), p. 3614-
    Abstract: (1) Polybrominated diphenyl ethers (PBDEs) were widely produced in the United States until 2004 but remain highly persistent in the environment. The potential for PBDEs to disrupt normal neuroendocrine pathways resulting in depression and other neurological symptoms is largely understudied. This study examined whether PBDE exposure in pregnant women was associated with antenatal depressive symptomatology. (2) Data were collected from 193 African American pregnant women at 8–14 weeks gestation. Serum PBDEs and depressive symptoms were analyzed and a mixture effect was calculated. (3) Urban pregnant African American women in the Southeastern United States had a high risk of depression (27%) compared to the National average. Increased levels of PBDEs were found. BDE-47 and -99 exposures are significantly associated with depressive symptomatology in the pregnant cohort. The weighted body burden estimate of the PBDE mixture was associated with a higher risk of mild to moderate depression using an Edinburgh Depression Scale cutoff score of ≥10 (OR = 2.93; CI 1.18, 7.82). (4) Since antenatal depression may worsen in postpartum, reducing PBDE exposure may have significant clinical implications.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    URL: Article
    DOI: 10.3390/ijerph18073614
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 2175195-X
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  • 5
    Online Resource
    Online Resource
    Use of dose modification schedules is effective for blinding trials of warfarin: evidence from the WASID study
    SAGE Publications ; 2008
    In:  Clinical Trials Vol. 5, No. 1 ( 2008-02), p. 23-30
    Details
    In: Clinical Trials, SAGE Publications, Vol. 5, No. 1 ( 2008-02), p. 23-30
    Abstract: Background Randomized clinical trials are blinded to prevent knowledge of treatment assignment from influencing outcomes and their assessments, thus protecting the trial's scientific integrity. Trials involving a warfarin treatment arm are difficult to blind due to the need to continuously adjust dose. Purpose We sought to examine the effectiveness of blinding secondary stroke prevention trials with a warfarin treatment arm in which the blinding system incorporates use of placebo warfarin dose modification schedules for patients in the placebo warfarin arm. Methods We examined treatment assignment guesses of 569 patients or their next of kin as well as study coordinators and principal neurologists at the clinical sites in a multicenter, randomized, double-dummy, double-blinded clinical trial of warfarin and aspirin using dose adjustment schedules for management of placebo warfarin. Results Overall, the crude rates of correct responses are 60% for patient/proxy, 66% for study coordinator, and 56% for principal neurologist. Several indices were used to assess the consistency of guesses with what would be expected if the guessing were done completely at random, and all measures indicate adequate blinding. Limitations Comparison to other trials using warfarin is difficult due to limited data and differences in assessment of blinding. However, results compared favorably to one existing trial. Conclusions Placebo warfarin dose adjustment schedules can protect blinding adequately in trials involving warfarin. Clinical Trials 2008; 5: 23—30. http://ctj.sagepub.com
    Type of Medium: Online Resource
    ISSN: 1740-7745 , 1740-7753
    URL: Article
    DOI: 10.1177/1740774507087781
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2008
    detail.hit.zdb_id: 2159773-X
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  • 6
    Online Resource
    Online Resource
    Menstrual function among women exposed to polybrominated biphenyls: A follow-up prevalence study
    Springer Science and Business Media LLC ; 2005
    In:  Environmental Health Vol. 4, No. 1 ( 2005-12)
    Details
    In: Environmental Health, Springer Science and Business Media LLC, Vol. 4, No. 1 ( 2005-12)
    Abstract: Alteration in menstrual cycle function is suggested among rhesus monkeys and humans exposed to polybrominated biphenyls (PBBs) and structurally similar polychlorinated biphenyls (PCBs). The feedback system for menstrual cycle function potentially allows multiple pathways for disruption directly through the hypothalamic-pituitary-ovarian axis and indirectly through alternative neuroendocrine axes. Methods The Michigan Female Health Study was conducted during 1997–1998 among women in a cohort exposed to PBBs in 1973. This study included 337 women with self-reported menstrual cycles of 20–35 days (age range: 24–56 years). Current PBB levels were estimated by exponential decay modeling of serum PBB levels collected from 1976–1987 during enrollment in the Michigan PBB cohort. Linear regression models for menstrual cycle length and the logarithm of bleed length used estimated current PBB exposure or enrollment PBB exposure categorized in tertiles, and for the upper decile. All models were adjusted for serum PCB levels, age, body mass index, history of at least 10% weight loss in the past year, physical activity, smoking, education, and household income. Results Higher levels of physical activity were associated with shorter bleed length, and increasing age was associated with shorter cycle length. Although no overall association was found between PBB exposure and menstrual cycle characteristics, a significant interaction between PBB exposures with past year weight loss was found. Longer bleed length and shorter cycle length were associated with higher PBB exposure among women with past year weight loss. Conclusion This study suggests that PBB exposure may impact ovarian function as indicated by menstrual cycle length and bleed length. However, these associations were found among the small number of women with recent weight loss suggesting either a chance finding or that mobilization of PBBs from lipid stores may be important. These results should be replicated with larger numbers of women exposed to similar lipophilic compounds.
    Type of Medium: Online Resource
    ISSN: 1476-069X
    URL: Article
    DOI: 10.1186/1476-069X-4-15
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2005
    detail.hit.zdb_id: 2092232-2
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  • 7
    Online Resource
    Online Resource
    A Pilot Study of the Gut Microbiota Associated With Depressive Symptoms and Sleep Disturbance Among Chinese and Korean Immigrants in the United States
    SAGE Publications ; 2023
    In:  Biological Research For Nursing Vol. 25, No. 1 ( 2023-01), p. 150-160
    Details
    In: Biological Research For Nursing, SAGE Publications, Vol. 25, No. 1 ( 2023-01), p. 150-160
    Abstract: Depression is prevalent among Asian Americans (AsA) during the COVID-19 pandemic, and depression often leads to sleep disturbance in this population. The gut microbiota (GM) plays a critical role in mental health and sleep quality, and the composition of the GM is largely unknown among AsA. Objectives Examine associations of the GM with depressive symptoms and sleep disturbance among Chinese and Korean American immigrants. Methods Depressive symptoms (PROMIS Short Form-Depression) and sleep quality (Pittsburgh Sleep Quality Index [PSQI]) were collected via surveys. PROMIS measure T-score 〉 55 indicates positive depressive symptoms, and a total PSQI score 〉 5 indicates sleep disturbance. 16S rRNA V3-V4 gene regions were sequenced from fecal specimens to measure GM. Permutational multivariate analysis of variance and linear discriminant analysis effect size were applied to examine associations of the GM with symptoms. Results Among 20 participants, 55% ( n = 11) reported depressive symptoms and 35% ( n = 7) reported sleep disturbance. A higher α-diversity was marginally associated with lower depressive symptoms: Chao1 (r = −0.39, p = 0.09) and Shannon index (r = −0.41, p = 0.08); β-diversity distinguished participants between categories of depressive symptoms (weighted UniFrac, p=0.04) or sleep disturbance (Jaccard, p=0.05). Those with depressive symptoms showed a higher abundance of Actinobacteria, while those without depressive symptoms had a higher abundance of Bacteroidetes. No significant taxa were identified for sleep disturbance. Conclusions Gut microbial diversity showed promising associations with depressive symptoms and sleep disturbance among Chinese and Korean immigrants. Specific taxa were identified as associated with depressive symptoms. Future studies with a larger sample size are warranted to confirm our findings.
    Type of Medium: Online Resource
    ISSN: 1099-8004 , 1552-4175
    URL: Article
    DOI: 10.1177/10998004221124273
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2070503-7
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  • 8
    Online Resource
    Online Resource
    Heat Exposure in Central Florida Fernery Workers: Results of a Feasibility Study
    Informa UK Limited ; 2017
    In:  Journal of Agromedicine Vol. 22, No. 2 ( 2017-04-03), p. 89-99
    Details
    In: Journal of Agromedicine, Informa UK Limited, Vol. 22, No. 2 ( 2017-04-03), p. 89-99
    Type of Medium: Online Resource
    ISSN: 1059-924X , 1545-0813
    URL: Article
    DOI: 10.1080/1059924X.2017.1282906
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2017
    detail.hit.zdb_id: 2113048-6
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  • 9
    Online Resource
    Online Resource
    Examining Agricultural Workplace Micro and Macroclimate Data Using Decision Tree Analysis to Determine Heat Illness Risk
    Ovid Technologies (Wolters Kluwer Health) ; 2019
    In:  Journal of Occupational & Environmental Medicine Vol. 61, No. 2 ( 2019-02), p. 107-114
    Details
    In: Journal of Occupational & Environmental Medicine, Ovid Technologies (Wolters Kluwer Health), Vol. 61, No. 2 ( 2019-02), p. 107-114
    Type of Medium: Online Resource
    ISSN: 1076-2752
    URL: Article
    DOI: 10.1097/JOM.0000000000001484
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2019
    detail.hit.zdb_id: 2070230-9
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  • 10
    Online Resource
    Online Resource
    Hydration Interventions Among Agricultural Workers : A Pilot Study
    Ovid Technologies (Wolters Kluwer Health) ; 2022
    In:  Journal of Occupational & Environmental Medicine Vol. 64, No. 5 ( 2022-05), p. e357-e359
    Details
    In: Journal of Occupational & Environmental Medicine, Ovid Technologies (Wolters Kluwer Health), Vol. 64, No. 5 ( 2022-05), p. e357-e359
    Abstract: To estimate the impact of hydration interventions on postworkday hydration status and incidence of acute kidney injury (AKI). Methods: Thirty agricultural workers were first monitored on a workday without any interventions. On the intervention workday, the same workers were randomized to one of two groups: 169 ounces (oz) (5 L) of plain water ( n  = 16) or 169 oz (5L) of water with electrolytes ( n  = 14). Results: No participants in the electrolyte group had an estimate glomerular filtration rate (eGFR) at the end of the workday of less than 90 mL/min/1.73 m2 or met the criteria for AKI in comparison to the water group (eGFR 〈 90: 15%; AKI: 23%) or the control group (eGFR 〈 90: 28%; AKI: 18%). Conclusion: The study showed that drinking water with electrolytes may lower the risk for development of AKI among agricultural workers.
    Type of Medium: Online Resource
    ISSN: 1076-2752 , 1536-5948
    URL: Article
    DOI: 10.1097/JOM.0000000000002531
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2022
    detail.hit.zdb_id: 2070230-9
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