Articles: health.
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This article aims to provide an overview of areas impacting adolescent well-being, offering input and sensible parenting tips. The article is structured into 5 key components that are critical in adolescent life including social media use, nutrition and physical activity, discipline, mental health, and sexual health.
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Observational Study
Social Determinants of Health and Risk-Adjusted Sepsis Mortality in the Nationwide Veterans Affairs Healthcare System.
Traditional risk prediction and risk adjustment models have focused on clinical characteristics, but accounting for social determinants of health (SDOH) and complex health conditions could improve understanding of sepsis outcomes and our ability to predict outcomes, treat patients, and assess quality of care. ⋯ In patients with community-acquired sepsis, adjusting for community SDOH variables such as ADI did not improve 90-day sepsis mortality predictions in mortality models and did not substantively alter hospital performance within the VA Healthcare System. Understanding the role of SDOH in risk prediction and risk adjustment models is vital because it could prevent hospitals from being negatively evaluated for treating less advantaged patients. However, we found that in VA hospitals, the potential impact of SDOH on 90-day sepsis mortality was minimal.
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Studies investigating the potential health effects of floor of residence have reported conflicting results. In the Rotterdam Study, we examined associations between floor and mortality among elderly residents of a neighborhood of Rotterdam, the Netherlands. ⋯ Compared to floors 13 and above, adjusted hazard ratios [95% confidence interval] were: 1.31 [0.89-1.95] (floors 1-2), 1.52 [1.04-2.22] (floors 3-4), 1.07 [0.73-1.57] (floors 5-6), 1.12 [0.76-1.66] (floors 7-8), 1.45 [0.96-2.18] (floors 9-10), and 1.04 [0.69-1.58] (floors 11-12). In this prospective population-based cohort of elderly adults in Rotterdam, the Netherlands, a nonlinear association was observed between floor level of residence and mortality, with stronger associations observed at lower floors compared to the highest floors.
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People from ethnic minority groups are disproportionately affected by COVID-19, less likely to access primary health care, and have reported dissatisfaction with health care. Although the prevalence of long COVID in ethnic minority groups is unclear, such populations are underrepresented in long-COVID specialist clinics and long-COVID lived-experience research, which informed the original long-COVID healthcare guidelines. ⋯ Empathy, validation of experiences, and fairness in recognition and support of healthcare needs are required to restore trust in health care and improve the experiences of people with long COVID.
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Adults with learning disability face multiple adversities, but evidence on their needs and primary care experiences is limited. ⋯ Adults reporting a learning disability had a higher likelihood of chronic health conditions. Their reported experiences of primary care indicate that, despite recent initiatives to improve services offered, further adaptations to the consistency and ease of access to primary care is needed.