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Multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA) within an intersectional framework

Background: Analyzing Body Mass Index as a didactical example, the study by Evans, Williams, Onnela, and Subramanian (EWOS study) introduce a novel methodology for the investigation of socioeconomic disparities in health. By using multilevel analysis to model health inequalities within and between strata defined by the intersection of multiple social and demographic dimensions, the authors provide

Effects of barley variety, dietary fiber and β-glucan content on bile acid composition in cecum of rats fed low- and high-fat diets

Diet-induced obesity and insulin resistance have been linked to changes in bile acid (BA) profiles, which in turn are highly dependent on the dietary composition and activity of the gut microbiota. The objective of the present study was to investigate whether the type and level of fiber had an effect on cecal BA composition when included in low- and high-fat diets. Groups of rats were fed two barl

Combinations of BMI and metabolic syndrome and the risk of myocardial infarction, stroke, and heart failure

Background and aims: The relationship between uncommon phenotypes, such as metabolically healthy obesity and normal weight with metabolic syndrome (MetS), and cardiovascular disease (CVD) risk, remains unclear. We investigated how different combinations of body mass index (BMI) and MetS are associated with overall and specific CVDs and how the number of MetS components influences CVD risk in indiv

Bone microstructure and TBS in diabetes : what have we learned? A narrative review

Abstract: Diabetes is associated with an increased risk of fracture. Areal bone mineral density (aBMD), the most reliable indicator of fracture risk in healthy adults, is low in patients with type 1 diabetes mellitus but normal or high in patients with type 2 diabetes mellitus. Most trabecular and cortical parameters measured by high-resolution peripheral quantitative computed tomography (HR-pQCT)

Higher Serum Free T4 Is Associated With Increased Risk of Mortality and Cerebrovascular Events in Elderly Men

Background: It is unclear whether thyroid hormone levels are associated with the risk of mortality, cardiovascular disease (CVD) events, or cancer in men with normal TSH. Objectives: We analyzed if serum free T4 (FT4) or TSH is associated with the risk of mortality, incident CVD events, or cancer in Swedish men. Methods: Elderly men (n = 1801; mean age 75 years) in the Gothenburg and Malmö subcoho

Social and geographical inequalities in prenatal care coverage in Colombia : A multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA)

Background Access to adequate antenatal care (ANC) is crucial for improving maternal and neonatal health outcomes. Despite high national ANC coverage, Colombia still faces regional and socioeconomic disparities. This study aims to estimate geographical and intersectional inequalities in ANC coverage and evaluate the contribution of social determinants to these disparities. Methods We conducted a c

Injuries, illnesses and athlete health in para athletes

Para athletes are at higher risk for sports-related injuries, illnesses and other health conditions when participating in sports. In fact, the unique demands placed on Para athletes, both in terms of the specific impairments they experience and the adaptive equipment they use, can lead to a distinctive set of challenges and risks in the context of sports-related health compared to nondisabled athl

A data-driven approach for early dementia prediction using insights from the Swedish National Study on Aging and Care

Patients with dementia experience a steady deterioration in cognitive function that increases mortality and impairments. Moreover, dementia is also anticipated to increase significantly in prevalence as the world's population ages, placing a strain on healthcare systems throughout the globe. Hence, early identification and prediction of dementia are essential due to timely treatments, enhanced pat

Applications of Isokinetics in Neuromuscular Disorders

Neuromuscular disorders (NMDs) are disorders of the motor unit (motor neuron diseases, diseases of the peripheral nerves, neuromuscular junction diseases, and diseases affecting the muscle fibers). A common denominator of these diseases is muscle atrophy and progressive weakness. Quantitative assessments of muscle function are therefore essential to follow disease progression, to understand the as

Blood Levels of Dendritic Cell Populations in Patients with Moderate to Severe Traumatic Brain Injury

Traumatic brain injury (TBI) leads to intracerebral inflammation involving resident microglial cells and astrocytes as well as invading peripheral dendritic cells (DCs), monocytes, and neutrophils. However, the profile of immune blood cells activated by TBI remains poorly defined. Several animal models showing invasion of circulating classical dendritic cells type 2 (cDC2s) to the traumatically in

Trends of musculoskeletal pain in children and young people consulting primary care : an electronic primary health care record study

Background: Pain in childhood is common, but there is an information gap on initial care seeking. Our aim was to determine trends and variations in the consultation prevalence and incidence of musculoskeletal pain, and most common sites of pain, in children and young people presenting to UK primary care. Methods: A national UK primary care database (CPRD Aurum) was used to determine annual prevale

The Statistical Advantages of Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy for Estimating Intersectional Inequalities

Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA) is a multilevel regression approach grounded in intersectionality theory. It examines inequalities across intersections of social identities (e.g., gender, ethnicity, class) and is argued to provide more accurate predictions of intersectional means than conventional methods that estimate group means directly or vi

Don’t ask, don’t tell (DADT) : under-recognition of breathlessness in clinical care—a national survey

Introduction The recognition of breathlessness in clinical practice appears suboptimal, despite its prevalence and impact. This study aimed to explore the content of clinical conversations about breathlessness and patients’ level of self-reported openness when discussing their breathlessness. Methods A cross-sectional, online survey of Australian adults (≥18 years) stratified to the 2016 National

Anxiety and depression impact exertional breathlessness in daily life and during exercise testing : the CanCOLD study

Background Exertional breathlessness is a limiting symptom that often coexists with anxiety and depression. We tested the hypothesis that anxiety and depression negatively impact exertional breathlessness in daily life and during standardised cardiopulmonary exercise testing (CPET). Methods Analysis of people aged ⩾40 years undergoing incremental cycle CPET. Exertional breathlessness in daily life

Products, Performance, and Technological Development of Ambulatory Oxygen Therapy Devices : Scoping Review

Background: Ambulatory oxygen therapy is prescribed for patients with chronic lung diseases who experience exertional hypoxemia. However, available devices may not adequately meet user requirements, and their performance characteristics are heterogeneous. Objective: This study aims to identify devices available for delivery of ambulatory oxygen therapy, the technologies that they use to generate o