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Estimating the respiratory syncytial virus-associated hospitalisation burden in older adults in European countries: a systematic analysis | BMC Medicine

by Dr. Michael Lee – Health Editor August 3, 2025
written by Dr. Michael Lee – Health Editor

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  • Abu-Raddad LJ, et al. Global, regional, and national estimates of the burden of respiratory syncytial virus infection in young children: a modelling study. Lancet. 2021;398(10304):1289-1302.

  • Falsey AR,et al.RSV-associated hospitalization among adults aged 65 years and older. J Infect Dis.2005;192(11):1779-1784.

  • Glezen WP, et al. Respiratory syncytial virus disease in elderly and immunocompromised persons. J Infect Dis. 1986;153(6):941-948.

  • National Institute for Health and Care Excellence. Respiratory syncytial virus (RSV). https://www.nice.org.uk/guidance/ng188. Published 2021. Accessed 15 Jul 2024.

  • Centers for Disease Control and Prevention. RSV in Older Adults and immunocompromised Adults.https://www.cdc.gov/rsv/high-risk/older-adults.html. Accessed 15 Jul 2024.

  • European Medicines Agency. Beyfortus (nirsevimab). https://www.ema.europa.eu/en/medicines/human/medicines/beyfortus. Accessed 15 Jul 2024.

  • Pfizer. Pfizer Announces Completion of Regulatory Submissions for RSV Vaccine Candidate

  • August 3, 2025 0 comments
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    World

    Prevalence and predictors of poor oral health-related quality of life among the Saudi elderly | BMC Public Health

    by Lucas Fernandez – World Editor August 2, 2025
    written by Lucas Fernandez – World Editor

    Breaking News: Dental Insurance Emerges as Key Protector of Oral Health-Related Quality of Life in Elderly

    A recent study highlights dental insurance as the most significant factor safeguarding the oral health-related quality of life (OHRQoL) among the elderly. Even when accounting for oral health status adn brushing habits, which serve as indicators of self-care, having dental insurance provided the strongest protective effect.The research also found that individuals who regularly visit the dentist generally experiance a higher quality of life. These regular dental attendees exhibited lower levels of oral disease compared to those who only sought dental care episodically. Furthermore,unmet treatment needs were identified as a significant predictor of poor OHRQoL.

    These findings come at a time when the kingdom of saudi Arabia is implementing a new strategy for 2030, aiming to enhance healthcare standards and optimize spending in response to increasing demand and expenditure in the sector.

    On a related note,encouragement of flossing has been linked to improved oral health in older adults.Data from the piedmont 65+ Dental Study indicated that elderly individuals who flossed had lower interproximal clinical attachment levels (iCAL) and interproximal probing depths (iPD) than their non-flossing counterparts.

    Evergreen Context: The Enduring Link Between Dental Care Access and Well-being

    The findings underscore a persistent truth: access to consistent and thorough dental care is intrinsically linked to an individual’s overall well-being, notably as they age. Dental insurance acts as a critical enabler,removing financial barriers that often prevent regular check-ups and necessary treatments.This proactive approach to oral health not only prevents the progression of disease but also contributes to a better quality of life, impacting everything from nutrition and speech to social interaction and self-esteem.

    The study’s emphasis on regular dental visits reinforces the value of preventive care. Consistent professional cleanings and examinations can detect early signs of oral health issues, which, if left untreated, can lead to more severe problems and a decline in OHRQoL.The identification of unmet treatment needs as a predictor of poor OHRQoL highlights a critical gap in care. addressing these needs is paramount to improving the oral health outcomes and overall well-being of the elderly population.The mention of national healthcare strategies, such as saudi Arabia’s Vision 2030, signifies a growing global recognition of the importance of oral health within the broader public health agenda. Such initiatives, when effectively implemented, have the potential to improve access to care and promote better oral health outcomes for all citizens.

    the association between flossing and improved oral health metrics serves as a reminder of the power of daily self-care practices. While professional dental care is essential, consistent personal hygiene habits play a vital role in maintaining oral health and preventing disease.

    Limitations of the Study:

    it is important to acknowledge the limitations of the study. The use of a convenience sample accessed via the internet may have introduced selection bias, possibly over-representing individuals with internet access and higher education levels. This could limit the generalizability of the findings to the broader population. Reporting bias may also influence the applicability of the results.

    as a cross-sectional study, it is not possible to establish causality between the observed factors. Future longitudinal studies are recommended to further investigate these relationships. Self-reported assessments of oral health can be subject to social desirability and recall biases. Additionally, the study did not examine other potential confounding variables such as psychological factors (depression and anxiety), lifestyle choices, and medication use, which could have influenced the findings.

    August 2, 2025 0 comments
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    Health

    Association between coffee intake and serum α-Klotho levels in adults: a population-based study | BMC Public Health

    by Dr. Michael Lee – Health Editor July 30, 2025
    written by Dr. Michael Lee – Health Editor

    Coffee’s Hidden Link to Longevity Protein Discovered

    Study Reveals Key Connection Between Daily Brew and Klotho Levels

    A groundbreaking study analyzing data from over 9,000 US adults aged 40-79 has unveiled a significant association between regular coffee consumption and levels of alpha-Klotho (SαKl), a protein linked to aging and overall health. The research, drawing from the National Health and Nutrition Examination Survey (NHANES), suggests that our daily cup of coffee might play a more profound role in our well-being than previously understood.

    Unpacking the Research Methodology

    Rigorous Data Collection and Participant Selection

    The study meticulously examined data from five NHANES cycles spanning 2007 to 2016. These cycles, managed by the Centers for Disease Control and Prevention, utilize a comprehensive approach involving household interviews, physical examinations, and laboratory tests to ensure representative data on US civilians. All procedures adhered to the Declaration of Helsinki, with ethical approval and informed consent secured from participants.

    The initial dataset comprised 19,344 eligible individuals aged 40-79 who consented to surplus serum use. After stringent exclusion criteria were applied—including missing Klotho data, incomplete coffee intake information, pregnancy, cancer diagnoses, and other missing covariates like demographic or health history factors—the final analytical sample narrowed to 9,811 participants.

    Quantifying Coffee Intake and Measuring SαKl

    Researchers quantified coffee consumption, differentiating between total, caffeinated, and decaffeinated varieties, by analyzing 24-hour dietary recall interviews. Data from the Food and Nutrient Database for Dietary Studies, developed by the US Department of Agriculture, was used to assess dietary caffeine content. The primary exposure variable focused on daily total coffee consumption in grams per day.

    Levels of SαKl, a critical protein associated with aging, were measured using serum samples processed between 2019 and 2020. The analysis employed an enzyme-linked immunosorbent assay kit from IBL International, with each sample tested twice for accuracy. The average SαKl levels observed in the study were 698.0 pg/mL.

    Examining Confounding Factors

    A Multifaceted Approach to Data Analysis

    To ensure the robustness of their findings, the research team accounted for numerous potential confounding variables. These included race/ethnicity, body mass index (BMI), family income to poverty ratio (PIR), education level, and smoking status. Alcohol consumption, total energy intake, physical activity levels, hypertension, cardiovascular disease (CVD), and chronic obstructive pulmonary disease (COPD) were also factored into the analysis.

    For instance, hypertension was defined by specific blood pressure thresholds or the habitual use of related medication, following established clinical guidelines. The study meticulously adjusted for these factors to isolate the relationship between coffee intake and SαKl levels.

    Statistical Insights into Coffee and SαKl

    Uncovering Non-linear Relationships

    Statistical analyses were performed using R software (version 4.3.2), with a significance threshold set at P < 0.05. The researchers utilized NHANES survey weights to manage sampling design and nonresponse, presenting baseline characteristics through weighted linear regression and chi-square tests.

    Multivariate linear regression models were employed to explore the associations between various coffee consumption metrics and SαKl levels. The analysis was structured to progressively adjust for demographic factors, and then for a comprehensive set of lifestyle and health variables. To investigate potential non-linear connections, generalized additive models (GAM) and restricted cubic splines (RCS) were utilized. This approach allowed for the identification of a “turning point” in the relationship, which was then further analyzed using piecewise linear regression models.

    Subgroup analyses were also conducted to examine potential differences in the coffee-SαKl association across various demographic groups, including by age (≥ 60 years) and sex, providing a nuanced understanding of the findings.

    The study’s findings align with a broader understanding of how lifestyle factors impact health. For example, research published in 2023 in Scientific Reports also noted a connection between cigarette smoking and serum alpha-Klotho levels in US adults over 40, highlighting the complex interplay of habits and this crucial protein.

    July 30, 2025 0 comments
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    Health

    Breast cancer screening and prevention in the UAE: a cross-sectional study of risk awareness and provider engagement | BMC Public Health

    by Dr. Michael Lee – Health Editor July 29, 2025
    written by Dr. Michael Lee – Health Editor

    Breast Cancer Awareness Efforts Expand in Arab Gulf Nations

    Focus on Screening and Risk Assessment Gains Momentum

    Efforts to bolster breast cancer awareness and screening are intensifying across the Middle East, with a growing body of research highlighting the importance of accessible information and risk assessment tools for women in the region.

    Regional Data Illuminates Screening Gaps

    Recent studies indicate that while breast cancer is a significant concern globally, its epidemiology and the factors influencing detection vary across regions. Research specifically examining the Gulf Cooperation Council (GCC) countries, such as the work by Sm S Albeshan and colleagues in 2018, underscores the need for localized strategies. Similarly, a 2023 analysis by H Al-Shamsi and a team explored breast cancer prevalence within these nations, contributing to a clearer regional picture.

    Targeted Outreach and Education Initiatives

    Community-based initiatives are playing a crucial role in these awareness campaigns. The “Pink Caravan Ride,” for instance, has conducted extensive free breast cancer screenings, with its 11th campaign alone reaching over 13,000 women, as reported by Friends of Cancer Patients (FOCP). This highlights a proactive approach to making diagnostic services more available.

    Understanding Risk and Enhancing Screening Practices

    Knowledge and practice concerning breast cancer risk factors and screening remain central to prevention efforts. Studies such as the one by MO Abbas and M Baig in 2023 investigated these aspects among women in the UAE, revealing areas for improved health literacy. Globally, factors influencing screening practices are being systematically reviewed, as seen in the work by B Tavakoli and others in 2024, which examined worldwide trends and barriers.

    Leveraging Technology and Healthcare Providers

    The integration of digital tools and the role of healthcare professionals are also critical. The impact of breast cancer awareness programs on screening utilization in the UAE was assessed in a 2025 study by RA Abdulla and associates, pointing to the importance of effective outreach. Furthermore, research has begun to explore the performance of various breast cancer risk-assessment models, including the Gail model, in different populations, such as in Saudi women studied by HH Al Otaibi in 2017.

    Healthcare providers are increasingly recognized as key facilitators in shared decision-making regarding breast cancer screening. A 2020 analysis by AH McClintock and colleagues outlined a step-wise approach for primary care providers. Their insights underscore the importance of patient-provider communication in encouraging proactive health behaviors, a theme echoed in studies examining adherence to treatment and health information seeking.

    Global Guidelines Inform Local Strategies

    International guidelines for breast cancer screening provide a framework for national efforts. A systematic review by W Ren and colleagues in 2022 summarized these global approaches. Tools like the National Cancer Institute’s Breast Cancer Risk Assessment Tool and the Gail Model are widely referenced resources for projecting individual risk, assisting both patients and clinicians in making informed decisions.

    The growing focus on breast cancer awareness and screening in the Middle East reflects a broader global trend. As noted by the World Health Organization, breast cancer remains a leading cause of cancer-related mortality worldwide. In 2023, for example, the global burden of cancer was estimated to affect millions, with early detection being a critical factor in improving survival rates (World Health Organization, n.d.).

    Cultural Considerations in Screening Engagement

    Understanding and addressing cultural barriers are also vital. A 2022 study by SS Azeez and II Andsoy evaluated cultural impediments for Muslim Arab Iraqi women, while another review by L Racine and I Isik Andsoy explored barriers and facilitators for Arab Muslim immigrant and refugee women. Such research aims to tailor awareness campaigns effectively to diverse cultural contexts.

    Future Directions in Risk Assessment and Prevention

    Ongoing research continues to refine our understanding of breast cancer risk factors and enhance screening strategies. Studies are examining the application of risk assessment models in various populations, including Qatari women by A Bener and colleagues in 2017 and Saudi women by R Alnemari and associates in 2020. These efforts are crucial for developing targeted and effective breast cancer prevention programs.

    July 29, 2025 0 comments
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    Health

    Suboptimal distribution and utilization of antenatal care given bed Nets undermine pregnant women’s protection in Benin: a prospective field study | BMC Public Health

    by Dr. Michael Lee – Health Editor July 23, 2025
    written by Dr. Michael Lee – Health Editor

    Benin Study Assesses Long-Lasting Insecticidal Nets

    Examining Effectiveness and Durability in Pregnant Women

    A comprehensive study conducted in Benin between 2019 and 2021 investigated the physical integrity and bio-efficacy of long-lasting insecticidal nets (LLINs) among pregnant women. The research aimed to understand LLIN performance in real-world conditions across diverse climatic and geographic settings within the country.

    Study Design and Regions

    The research spanned three distinct regions of Benin: Southern, Central, and Northern. The Southern area experiences a sub-equatorial climate with two dry and two rainy seasons. The Central and Northern regions have a tropical climate, characterized by a single rainy season from May to October and a dry season from November to April, with the Northern region exhibiting more pronounced seasonal shifts.

    Figure 1: Overview of study locations across Benin’s Southern, Central, and Northern regions.

    Study sites were selected in partnership with Benin’s National Malaria Control Program. A total of 14 maternity clinics were chosen, with five in the Southern region, five in the Central, and four in the Northern part of the country. These sites included both public and private health centers in rural and urban environments, ensuring a representative sample. Health districts were randomly selected, and clinics were stratified based on location, type, and setting, requiring a minimum of 20 antenatal care (ANC) visits monthly.

    Data Collection Methodology

    Data were systematically gathered using the KoBo Toolbox platform, with questionnaires designed in XLSForm for optimized data quality. Field teams received thorough training on the data collection tool, utilizing the KoBo Collect mobile app for electronic data entry. This approach allowed for real-time data capture, even in offline conditions, and facilitated secure data transfer.

    The study targeted approximately 240 pregnant women in each of the three regions, aiming for a total of 720 participants. Ultimately, 718 women were enrolled. Participants were recruited during their first antenatal care visit (ANC1). They underwent two home visits: one within 48 hours of recruitment and another a month later. Initial data collection focused on LLIN ownership, usage patterns, and the age of LLINs prior to the ANC1 visit. Information on LLIN distribution during ANC1, including installation, and attendance at sensitization sessions regarding LLIN use was also recorded.

    Assessing Net Condition and Performance

    During the second home visit, LLINs were collected for laboratory analysis to evaluate their physical integrity and bio-efficacy. Physical integrity was assessed by counting and categorizing holes based on size: Size 1 (0.5–2 cm), Size 2 (2–10 cm), Size 3 (10–25 cm), and Size 4 (>25 cm). The hole index (HI) was calculated using a weighted formula derived from WHO guidelines, categorizing nets as “good” (0–64 HI), “acceptable” (65–642 HI), or “bad” (>643 HI).

    The bio-efficacy of the LLINs was determined using the standard WHO cone test. Mosquitoes were exposed to net samples to measure knock-down (Kd) and mortality rates at 1 and 24 hours, respectively. According to WHO criteria, an LLIN is considered bio-effective if its Kd rate reaches at least 95% or its mortality rate is 80% or higher.

    Statistical Analysis and Findings

    Statistical analysis was performed using STATA version 15 to determine proportions and confidence intervals for various indicators, including LLIN ownership, distribution, and usage, alongside physical integrity and bio-efficacy metrics. Chi-square tests were employed to compare these indicators across different regions, urban/rural settings, and public/private health center statuses. All analyses accounted for the clustered nature of the data by using STATA’s survey data analysis module, ensuring robust standard errors and adjusted confidence intervals.

    The study’s findings are crucial for understanding the ongoing effectiveness of malaria prevention strategies in Benin. Globally, the World Health Organization reports that in 2022, 24 countries in Africa reported more than 10,000 malaria cases each, highlighting the persistent need for reliable LLINs (Source: WHO Malaria Dashboard, 2023).

    July 23, 2025 0 comments
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    Health

    Determinants of inequalities in health care seeking behavior for childhood illness in Bangladesh: a trend analysis | BMC Public Health

    by Dr. Michael Lee – Health Editor July 21, 2025
    written by Dr. Michael Lee – Health Editor

    Child Healthcare Sees Dramatic Turnaround

    Care-seeking surges after period of decline, new study reveals

    A recent analysis of childhood illness care-seeking trends shows a remarkable recovery in healthcare access, particularly for younger children. After a significant drop between 2006 and 2012-2013, a strong upward trajectory emerged by 2019.

    Shifting Trends in Child Healthcare

    In 2006, just over 17% of children under five experienced illness, with only 30% receiving medical attention. This figure plummeted to 18.5% during 2012-2013. However, by 2019, the situation dramatically improved, with 74.6% of sick children seeking medical care.

    Figure 2 illustrates the changing patterns in care-seeking behavior for childhood illnesses.

    Gender Disparities Emerge in Care Seeking

    While in 2006 care-seeking was gender-neutral, subsequent years saw a significant trend towards prioritizing male children. By 2012-2013 and again in 2019, male children were more likely to receive medical care for illnesses.

    Regional and Age-Related Variations

    Geographical location played a crucial role in care access, with notable regional disparities evident across study periods. In 2019, regions like Rangpur showed an impressive 84.7% care-seeking rate, a stark contrast to earlier periods. Age also influenced care-seeking; infants under 11 months were prioritized in 2006 and 2012-2013, but by 2019, children aged 48-59 months saw the highest rate of medical attention, suggesting an increased awareness of health needs in older age groups.

    Maternal education’s influence on care-seeking decreased by 2019, potentially due to broader improvements in healthcare access. Conversely, the educational attainment of household heads became a more significant factor. The impact of religion on care-seeking diminished over time, while ethnic disparities in healthcare access became more pronounced, with Bengali participants consistently seeking more care.

    Socioeconomic Factors and Health Practices

    Breastfeeding status emerged as a significant factor in care-seeking by 2019. While socioeconomic status (wealth quintiles) only briefly influenced care-seeking in 2012-2013, the wealthiest quintile showed a notable increase in seeking care by 2019. The number of young children in a household also affected care-seeking patterns, though this association became insignificant by 2019.

    Improved hygiene, indicated by the availability of hand-washing facilities, correlated with higher care-seeking rates in earlier years but this link weakened by 2019. Despite overall improvements, childhood stunting did not show a significant association with care-seeking in the most recent study period.

    Multivariate Analysis Reveals Key Determinants

    Multivariate analysis confirmed that female children were consistently less likely to receive care than their male counterparts throughout the study. Regional differences were stark in 2019, with Chittagong, Khulna, Rajshahi, Rangpur, and Mymensingh divisions showing significantly higher care-seeking rates compared to Dhaka. Conversely, Sylhet division displayed the lowest rates.

    While younger children were prioritized in earlier years, by 2019, those aged 12-23 months showed a slightly lower likelihood of seeking care. Maternal education showed an increasing positive association with care-seeking, and household heads with secondary education were more likely to seek care for their children. Significant disparities persisted among ethnic groups, with ‘Others’ seeking substantially less care than Bengali participants in 2019.

    In 2019, the wealthiest quintile demonstrated a higher propensity for seeking care. The number of children in a household no longer significantly influenced care-seeking, and the availability of hand-washing facilities and childhood stunting impacts were not significant by 2019. Factors such as area of residence, religion, and breastfeeding status showed limited association with care-seeking behavior across all periods.

    July 21, 2025 0 comments
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