Improving the Health of Migrant Workers: A Community Health Nursing Advocacy Project

Background: Migrant workers play a critical role in Canada’s economic structure. Yet, they face insurmountable challenges as they strive to make a living in Canada; one of the most significant issues experienced by migrant workers in Canada pertains to adequate access to health care. A community health nursing course completed during Fall 2020 term afforded five students the opportunity to explore the inequities migrant workers face and the necessary reforms needed to ensure the health, safety, and wellbeing of migrant workers who come to Canada to work, regardless of their status. Purpose: The aim of this paper is to share knowledge with other health care professionals in the hopes of fostering community collaboration and formulating approaches to mitigate the exploitation faced by migrant workers in Canada. Implications: The persistent marginalization and exploitation encountered by migrant workers makes them extremely vulnerable to inequality and injustice. Strategies that nurses can employ to mitigate the marginalization and exploitation of migrant workers in Canada are discussed. Conclusion: Migrant workers deserve adequate access to health care. Nurses can advocate for migrant workers through collaboration with community agencies to build an engaging social responsibility strategy.  &nbsp

Predictive Health Analysis in Industry 5.0: A Scientometric and Systematic Review of Motion Capture in Construction

In an era of rapid technological advancement, the rise of Industry 4.0 has prompted industries to pursue innovative improvements in their processes. As we advance towards Industry 5.0, which focuses more on collaboration between humans and intelligent systems, there is a growing requirement for better sensing technologies for healthcare and safety purposes. Consequently, Motion Capture (MoCap) systems have emerged as critical enablers in this technological evolution by providing unmatched precision and versatility in various workplaces, including construction. As the construction workplace requires physically demanding tasks, leading to work-related musculoskeletal disorders (WMSDs) and health issues, the study explores the increasing relevance of MoCap systems within the concept of Industry 4.0 and 5.0. Despite the growing significance, there needs to be more comprehensive research, a scientometric review that quantitatively assesses the role of MoCap systems in construction. Our study combines bibliometric, scientometric, and systematic review approaches to address this gap, analyzing articles sourced from the Scopus database. A total of 52 papers were carefully selected from a pool of 962 papers for a quantitative study using a scientometric approach and a qualitative, indepth examination. Results showed that MoCap systems are employed to improve worker health and safety and reduce occupational hazards.The in-depth study also finds the most tested construction tasks are masonry, lifting, training, and climbing, with a clear preference for markerless systems

Exploring the Knowledge, Attitude and Practices towards Use of Unprescribed Drugs among Adults of a Selected City of Somaliland

Background: The emergence and spread of resistance related to the irrational use of antibiotics is a major global public health problem. The aim of this study was to assess Knowledge, Attitude and Practices towards use of unprescribed drugs among adults in a selected city of Somaliland. Methods: This study used cross-sectional survey and data was collected through semi-structured questionnaire. A purposive sampling of 400 individuals was obtained; Slovene’s Formula was used to calculate the sample size & Data was analysed by using SSPS v.20 and Ms Excel. Results: It is found that 64.3% of the respondents used any form of medicine without a medical practitioner's prescription. It is found that there is a significant association between respondent's level of knowledge and practice of unprescribed drug use. Conclusion: The conclusion is that it is important to formulate policies and strategies for drug distribution and sales aimed for controlling the public use of unprescribed drugs

Prevalence and Factors Associated with Tobacco Consumption Among Students of a Selected Private University in Bangladesh

INTRODUCTION: Tobacco consumption has a significant association with several health problems. Among the eight leading causes of morbidity and mortality, tobacco consumption is the major risk factor for six causes. This study aimed to find out the prevalence and the factors associated with tobacco consumption among the students at a private university. METHODS: This cross-sectional study was conducted at Daffodil International University from January to May 2017, and data were collected using a structured questionnaire. RESULTS: A total of 384 students participated in this study. The findings showed that 184 (48.4%) of the students of a private university were smoking any form of tobacco. Age, place of residence, knowledge of the consequences of tobacco consumption, health problems that the respondents were suffering, an affair of love, the frequency of library had a significant association with tobacco consumption. DISCUSSION AND CONCLUSION: Identifying associated risk factors is important to develop a prevention program and mitigate the epidemic situation of tobacco consumption among the students

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Using AMANHI-ACT cohorts for external validation of Iowa new-born metabolic profiles based models for postnatal gestational age estimation.

BACKGROUND: Globally, 15 million infants are born preterm and another 23.2 million infants are born small for gestational age (SGA). Determining burden of preterm and SGA births, is essential for effective planning, modification of health policies and targeting interventions for reducing these outcomes for which accurate estimation of gestational age (GA) is crucial. Early pregnancy ultrasound measurements, last menstrual period and post-natal neonatal examinations have proven to be not feasible or inaccurate. Proposed algorithms for GA estimation in western populations, based on routine new-born screening, though promising, lack validation in developing country settings. We evaluated the hypothesis that models developed in USA, also predicted GA in cohorts of South Asia (575) and Sub-Saharan Africa (736) with same precision. METHODS: Dried heel prick blood spots collected 24-72 hours after birth from 1311 new-borns, were analysed for standard metabolic screen. Regression algorithm based, GA estimates were computed from metabolic data and compared to first trimester ultrasound validated, GA estimates (gold standard). RESULTS: Overall Algorithm (metabolites + birthweight) estimated GA to within an average deviation of 1.5 weeks. The estimated GA was within the gold standard estimate by 1 and 2 weeks for 70.5% and 90.1% new-borns respectively. Inclusion of birthweight in the metabolites model improved discriminatory ability of this method, and showed promise in identifying preterm births. Receiver operating characteristic (ROC) curve analysis estimated an area under curve of 0.86 (conservative bootstrap 95% confidence interval (CI) = 0.83 to 0.89); P < 0.001) and Youden Index of 0.58 (95% CI = 0.51 to 0.64) with a corresponding sensitivity of 80.7% and specificity of 77.6%. CONCLUSION: Metabolic gestational age dating offers a novel means for accurate population-level gestational age estimates in LMIC settings and help preterm birth surveillance initiatives. Further research should focus on use of machine learning and newer analytic methods broader than conventional metabolic screen analytes, enabling incorporation of region-specific analytes and cord blood metabolic profiles models predicting gestational age accurately

Machine learning prediction of gestational age from metabolic screening markers resistant to ambient temperature transportation: Facilitating use of this technology in low resource settings of South Asia and East Africa.

BACKGROUND: Knowledge of gestational age is critical for guiding preterm neonatal care. In the last decade, metabolic gestational dating approaches emerged in response to a global health need; because in most of the developing world, accurate antenatal gestational age estimates are not feasible. These methods initially developed in North America have now been externally validated in two studies in developing countries, however, require shipment of samples at sub-zero temperature. METHODS: A subset of 330 pairs of heel prick dried blood spot samples were shipped on dry ice and in ambient temperature from field sites in Tanzania, Bangladesh and Pakistan to laboratory in Iowa (USA). We evaluated impact on recovery of analytes of shipment temperature, developed and evaluated models for predicting gestational age using a limited set of metabolic screening analytes after excluding 17 analytes that were impacted by shipment conditions of a total of 44 analytes. RESULTS: With the machine learning model using all the analytes, samples shipped in dry ice yielded a Root Mean Square Error (RMSE) of 1.19 weeks compared to 1.58 weeks for samples shipped in ambient temperature. Out of the 44 screening analytes, recovery of 17 analytes was significantly different between the two shipment methods and these were excluded from further machine learning model development. The final model, restricted to stable analytes provided a RMSE of 1.24 (95% confidence interval (CI) = 1.10-1.37) weeks for samples shipped on dry ice and RMSE of 1.28 (95% CI = 1.15-1.39) for samples shipped at ambient temperature. Analysis for discriminating preterm births (gestational age <37 weeks), yielded an area under curve (AUC) of 0.76 (95% CI = 0.71-0.81) for samples shipped on dry ice and AUC of 0.73 (95% CI = 0.67-0.78) for samples shipped in ambient temperature. CONCLUSIONS: In this study, we demonstrate that machine learning algorithms developed using a sub-set of newborn screening analytes which are not sensitive to shipment at ambient temperature, can accurately provide estimates of gestational age comparable to those from published regression models from North America using all analytes. If validated in larger samples especially with more newborns <34 weeks, this technology could substantially facilitate implementation in LMICs