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International Journal of Environmental Research and Public Health, Volume 20, Issue 22

2023 November-2 - 60 articles

Cover Story: Occupational fatigue is a common experience in emergency first responders (EFRs). Measuring fatigue in EFRs is difficult because there is no consensus on the most applicable measures or a single measurement of fatigue, highlighted by the 186 outcome measures identified in this systematic review. The main factors causing fatigue were a lack of sleep during a shift, consistently poor sleep quality, and the accumulation of sleep deprivation. The impacts associated with fatigue show decreases in cognitive and physical function, alertness, and physical health, with increasing safety-compromising behaviors and injuries. The negative impacts are further compounded as those with fatigue report higher rates of depression and anxiety that exceed those of the general population. The findings highlight the importance of regular fatigue monitoring in EFRs. View this paper
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Articles (60)

  • Article
  • Open Access
3 Citations
3,645 Views
13 Pages

The Promotion of Mental Health and Prevention of First-Episode Psychosis: A Pilot and Feasibility Non-Randomised Clinical Trial

  • Lucia Santonja Ayuso,
  • Antonio Ruiz-Hontangas,
  • José Javier González Cervantes,
  • Concepción Martínez Martínez,
  • Eva Gil Pons,
  • Sonia Ciscar Pons,
  • Laura Andreu Pejó and
  • José Vicente Carmona-Simarro

Background: Mental-health-related stigma prevents active help seeking and therefore early therapeutic approaches and the recovery of functionality. National and international agencies recommend the implementation of prevention and mental health promo...

(This article belongs to the Section Adolescents)
  • Article
  • Open Access
3 Citations
2,330 Views
12 Pages

The global COVID-19 pandemic presented not only challenges for services but also opportunities for reflection and change. This study aimed to understand young people, parents/carers, and professionals’ experiences of remote provision across a v...

(This article belongs to the Section Mental Health)
  • Article
  • Open Access
5 Citations
3,617 Views
13 Pages

Implementation of Intelligent Physical Exercise Training at a Danish Hospital—A Qualitative Study of Employees’ Barriers and Facilitators for Participation

  • Christina Juul Pultz,
  • Thea Mundt Lohse,
  • Just Bendix Justesen,
  • Charlotte Ahlgren Særvoll,
  • Sofie Fønsskov Møller,
  • Birgitte Lindegaard,
  • Thea K. Fischer,
  • Tina Dalager and
  • Stig Molsted

Background: Exercise training at work has the potential to improve employees’ productivity, health, and well-being. However, exercise interventions for healthcare workers in hospitals may be challenged by time pressure and the ongoing workflow...

(This article belongs to the Special Issue Leadership and Management in the Health Care System)
  • Review
  • Open Access
10 Citations
6,584 Views
16 Pages

(1) Background: Health literacy (HL) debates have increased significantly in the last two decades. HL concepts/themes and models have achieved substantial development in the US and Europe. Although there have been some efforts to develop HL in Latin...

(This article belongs to the Section Health Communication and Informatics)
  • Article
  • Open Access
8 Citations
4,807 Views
17 Pages

Early Life Factors and Polycystic Ovary Syndrome in a Swedish Birth Cohort

  • Beata Vivien Boldis,
  • Ilona Grünberger,
  • Agneta Cederström,
  • Jonas Björk,
  • Anton Nilsson and
  • Jonas Helgertz

Polycystic ovary syndrome (PCOS) is a medical condition with important consequences for women’s well-being and reproductive outcomes. Although the etiology of PCOS is not fully understood, there is increasing evidence of both genetic and enviro...

(This article belongs to the Collection Women's Reproductive and Maternal Health)
  • Systematic Review
  • Open Access
61 Citations
13,129 Views
22 Pages

Exercise-Induced Muscle Damage after a High-Intensity Interval Exercise Session: Systematic Review

  • Carine D. F. C. Leite,
  • Paulo V. C. Zovico,
  • Roberta L. Rica,
  • Bruna M. Barros,
  • Alexandre F. Machado,
  • Alexandre L. Evangelista,
  • Richard D. Leite,
  • Valerio G. Barauna,
  • Adriano F. Maia and
  • Danilo S. Bocalini

High-intensity interval training (HIIT) is considered an effective method to improve fitness and health indicators, but its high-intensity exercises and the mechanical and metabolic stress generated during the session can lead to the occurrence of ex...

(This article belongs to the Section Exercise and Health-Related Quality of Life)
  • Article
  • Open Access
20 Citations
5,876 Views
17 Pages

Physical education (PE) is an important part of school education worldwide, and at the same time, almost the only subject that explicitly deals with body and movement. PE is therefore of elementary importance in the upbringing of young people. This a...

  • Article
  • Open Access
9 Citations
4,790 Views
19 Pages

Key Factors in Crane-Related Occupational Accidents in the Spanish Construction Industry (2012–2021)

  • Virginia Herrera-Pérez,
  • Francisco Salguero-Caparrós,
  • María del Carmen Pardo-Ferreira and
  • Juan Carlos Rubio-Romero

The construction industry is one of the riskiest sectors worldwide, with crane operations being one of the most dangerous activities. The aim of this study was to gain insight into the key factors involved in crane-related occupational accidents in t...

(This article belongs to the Special Issue Occupational Safety and Risks in Construction)
  • Review
  • Open Access
34 Citations
10,591 Views
17 Pages

Background: Electronic cigarettes (e-cigarettes) comprise a variety of products designed to deliver nicotine, flavorings, and other substances. To date, multiple epidemiological and experimental studies have reported a variety of health issues associ...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
5 Citations
3,270 Views
16 Pages

Intimate partner violence (IPV) is a complex and pervasive global phenomenon. Despite extensive research on physical and sexual violence, there has been a relative lack of investigation into the detrimental and distinctive consequences of psychologic...

(This article belongs to the Special Issue Protecting and Promoting Family Members’ Psychological Health in Challenging Times)
  • Article
  • Open Access
8 Citations
4,121 Views
17 Pages

Firefighters face many hazards on the job and have a high rate of work-related injuries and illnesses (WRII). We analyzed Washington workers’ compensation claims from 2006–2020 to characterize WRII in firefighters compared to law enforcem...

(This article belongs to the Section Occupational Safety and Health)
  • Article
  • Open Access
2 Citations
3,826 Views
19 Pages

Psychosocial support programs have been increasingly implemented to protect asylum seekers’ wellbeing, though how and why these interventions work is not yet fully understood. This study first uses questionnaires to examine how self-efficacy, s...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
4 Citations
5,458 Views
14 Pages

Despite great strides in the development of contraceptive technologies, the United States has one of the highest teen pregnancy rates in the world. Religion and associated values may shape the sexual health behaviors of college students, as prior stu...

(This article belongs to the Special Issue Adolescent and Youth Sexual and Reproductive Health and Rights)
  • Article
  • Open Access
5 Citations
3,259 Views
12 Pages

After more than two decades of the expansion of antiretroviral treatment (ART) in adolescents living with perinatal HIV (APHIV) in sub-Saharan Africa, there is still poorly sustained long-term adherence to ART due to multifactorial factors with the c...

  • Review
  • Open Access
5 Citations
7,237 Views
18 Pages

Cardiovascular diseases (CVD) are prevalent and lead to high morbidity and mortality globally. Physiotherapists regularly interact with patients with or at risk of CVDs (pwCVDs). This study aimed to assess the nature of existing evidence, interventio...

  • Article
  • Open Access
6 Citations
3,055 Views
15 Pages

Current programming and resources aimed at supporting the well-being of family caregivers often fail to address considerations unique to those caring for people with intellectual and/or developmental disabilities (IDDs). As a result, many caregivers...

  • Article
  • Open Access
9 Citations
6,407 Views
13 Pages

The Brief Health Literacy Scale for Adults: Adaptation and Validation of the Health Literacy for School-Aged Children Questionnaire

  • Stinne Eika Rasmussen,
  • Anna Aaby,
  • Anne Søjbjerg,
  • Anna Mygind,
  • Helle Terkildsen Maindal,
  • Olli Paakkari and
  • Kaj Sparle Christensen

The Health Literacy for School-Aged Children (HLSAC) is a brief, generic instrument measuring health literacy among school-aged children. Given its brevity and broad conceptualization of health literacy, the HLSAC is a potentially valuable measuring...

(This article belongs to the Special Issue Health Literacy: Measurements, Interventions and Evaluation)
  • Article
  • Open Access
3 Citations
3,900 Views
14 Pages

Associations between Power Training-Induced Changes in Body Composition and Physical Function in Older Men: A Pre-Test–Post-Test Experimental Study

  • Sindre H. Fosstveit,
  • Kolbjørn Lindberg,
  • Thomas Bjørnsen,
  • Erlend E. Sibayan,
  • Joachim S. Fjeller,
  • Sondre Løvold,
  • Tommy Kolnes,
  • Fredrik T. Vårvik,
  • Sveinung Berntsen and
  • Hilde Lohne-Seiler

Background: It is well-established that cross-sectional measurements of poor body composition are associated with impaired physical function and that power training effectively enhances total lean mass and physical function in older adults. However,...

(This article belongs to the Special Issue 2nd Edition: Physical Fitness in an Aged Population)
  • Study Protocol
  • Open Access
23 Citations
9,397 Views
12 Pages

The illegal dumping of solid waste is a prevalent issue in Nigeria, affecting all states. Lagos State, in particular, faces waste disposal problems that stem from urbanization, negative public perception towards waste management, insufficient waste d...

(This article belongs to the Section Environmental Health)
  • Article
  • Open Access
16 Citations
6,939 Views
22 Pages

The Effect of Melasma on the Quality of Life in People with Darker Skin Types Living in Durban, South Africa

  • Nomakhosi Mpofana,
  • Michael Paulse,
  • Nceba Gqaleni,
  • Mokgadi Ursula Makgobole,
  • Pavitra Pillay,
  • Ahmed Hussein and
  • Ncoza Cordelia Dlova

Melasma is a common skin disorder of acquired hyperpigmentation that appears commonly on the face. Although asymptomatic, melasma causes psychosocial and emotional distress. This study aimed to assess melasma’s severity on people with darker sk...

(This article belongs to the Section Skin Health)
  • Article
  • Open Access
10 Citations
3,874 Views
17 Pages

Evaluation of the Implementation of the NFFF Stress First Aid Intervention in Career Fire Departments: A Cluster Randomized Controlled Trial

  • Sara A. Jahnke,
  • Patricia Watson,
  • Frank Leto,
  • Nattinee Jitnarin,
  • Christopher M. Kaipust,
  • Brittany S. Hollerbach,
  • Christopher K. Haddock,
  • W. S. Carlos Poston and
  • Richard Gist

Firefighting is inherently dangerous, though recently concerns have shifted from traditional fireground injuries (burns and asphyxiation) to a focus on mental and behavioral health. Although firefighters are remarkably resilient, research suggests ma...

(This article belongs to the Section Occupational Safety and Health)
  • Article
  • Open Access
5 Citations
3,723 Views
10 Pages

Harmful use of alcohol is a problem in the Northern Territory (NT), Australia. The aim of this study was to assess and compare alcohol-attributable deaths and the contribution of alcohol to the burden of disease and injury (BOD) among the Aboriginal...

  • Article
  • Open Access
6 Citations
4,710 Views
12 Pages

Japanese diet adherence has been inversely correlated with muscle weakness. In this study, we aimed to validate that association. Longitudinal data from 1699 individuals aged ≥50 years (mean age 62.5 ± 6.9 years, 50.4% female) at two time p...

(This article belongs to the Section Health Care Sciences)
  • Article
  • Open Access
7 Citations
5,262 Views
19 Pages

Rates of suicidality amongst Indigenous Peoples are linked to historical and ongoing settler-colonialism including land seizures, spiritual oppression, cultural disconnection, forced enculturation, and societal alienation. Consistent with decolonial...

(This article belongs to the Special Issue Advances in Indigenous and American Indian and Alaska Native Health and Wellness)
  • Article
  • Open Access
8 Citations
3,869 Views
15 Pages

Climate change is a public health threat on a global scale. Over the last two decades, research has uncovered the myriad health effects of climate change and its associated costs. The literature is also beginning to show the direct and indirect effec...

(This article belongs to the Special Issue The Intersection of Nursing Education, Public Health and Climate Change)
  • Article
  • Open Access
5 Citations
2,776 Views
12 Pages

Validation of the Portuguese Version of the Scleroderma Health Assessment Questionnaire

  • Inês Genrinho,
  • Pedro L. Ferreira,
  • Tânia Santiago,
  • Adriana Carones,
  • Carolina Mazeda,
  • Anabela Barcelos,
  • Tiago Beirão,
  • Flávio Costa,
  • Inês Santos and
  • Paulo Monteiro
  • + 3 authors

The Health Assessment Questionnaire Disability Index (HAQ-DI) was completed with five visual analog scales to assess systemic sclerosis (SSc) called Scleroderma HAQ (SHAQ). We performed a validation of the European Portuguese version of SHAQ for pati...

  • Editorial
  • Open Access
4,194 Views
3 Pages

Integrated Human Exposure to Air Pollution: A Step Further

  • Nuno Canha,
  • Evangelia Diapouli and
  • Susana Marta Almeida

Along with climate change, air pollution is one of the biggest environmental problems affecting everyone in the world today [...]

(This article belongs to the Special Issue 2nd Edition of Integrated Human Exposure to Air Pollution)
  • Article
  • Open Access
6 Citations
3,379 Views
11 Pages

Previous research has shown a discrepancy in incidences of knee injuries, stress fractures, and concussions between cisgender men and women. Little is known regarding the incidence of musculoskeletal injuries among patients on gender-affirming hormon...

  • Article
  • Open Access
15 Citations
4,346 Views
13 Pages

Effect of Vitamin D in Long COVID Patients

  • Ramsen Ghasan Hikmet,
  • Christian Wejse and
  • Jane Agergaard

Vitamin D deficiency has been studied in the context of acute coronavirus disease 2019 (COVID-19), revealing associations with increased severity and mortality. Yet, the influence of vitamin D on long COVID symptoms remains unknown. The purpose of th...

(This article belongs to the Special Issue Understanding the Transmission Dynamics, Control Strategies, and Epidemiological Characteristics of the COVID-19 Pandemic)
  • Case Report
  • Open Access
10 Citations
7,967 Views
31 Pages

Climate change threatens the health of all Australians: without adaptation, many areas may become unlivable, in particular the tropical north. The Northern Territory (NT) health workforce is already under colliding operational pressures worsened by e...

(This article belongs to the Special Issue HEAL: Transformational Change for Environmental, Planetary, and Human Health)
  • Article
  • Open Access
2 Citations
2,642 Views
10 Pages

Risk Factors for the Impairment of Ambulation in Older People Hospitalized with COVID-19: A Retrospective Cohort Study

  • Erika Christina Gouveia e Silva,
  • Ana Carolina Basso Schmitt,
  • Caroline Gil de Godoy,
  • Danielle Brancolini de Oliveira,
  • Clarice Tanaka,
  • Carlos Toufen,
  • Carlos Roberto Ribeiro de Carvalho,
  • Celso R. F. Carvalho,
  • Carolina Fu and
  • José Eduardo Pompeu
  • + 1 author

(1) Background: Some older people hospitalized with COVID-19 have experienced reduced ambulation capacity. However, the prevalence of the impairment of ambulation capacity still needs to be established. Objective: To estimate the prevalence of, and i...

(This article belongs to the Section Aging)
  • Systematic Review
  • Open Access
42 Citations
15,500 Views
45 Pages

Occupation-Induced Fatigue and Impacts on Emergency First Responders: A Systematic Review

  • Graham Marvin,
  • Ben Schram,
  • Robin Orr and
  • Elisa F. D. Canetti

Fatigue in emergency first responders (EFRs) is known to affect performance abilities and safety outcomes for both patients and EFRs. The primary aim of this review was to determine the main contributors to occupation-induced fatigue in EFRs and its...

(This article belongs to the Special Issue Occupational Health & Safety Management—Risk Identification and Assessment)
  • Article
  • Open Access
6 Citations
4,091 Views
20 Pages

Residents of an extensive area of the Veneto Region (Italy) face one of the largest technological disasters due to per- and polyfluoroalkyl substances (PFAS). On the basis of a risk gradient of contamination, the affected territories were divided int...

(This article belongs to the Section Environmental Health)
  • Article
  • Open Access
4 Citations
9,290 Views
17 Pages

Tobacco Vendors’ Perceptions and Compliance with Tobacco Control Laws in Nigeria

  • Omotayo F. Fagbule,
  • Catherine O. Egbe and
  • Olalekan A. Ayo-Yusuf

Tobacco vendors are critical stakeholders in the tobacco supply chain. This study examined their perception, compliance, and potential economic impact of Nigeria’s tobacco control laws related to the retail setting. This was a qualitative study...

(This article belongs to the Special Issue Tobacco Control: Challenges, Policies and Interventions)
  • Article
  • Open Access
5 Citations
5,010 Views
13 Pages

The aim of this study was to investigate the relation between alcohol consumption and risky sexual behaviour (RSB). This study further aimed to examine whether alcohol use, gender, and employment status predicted RSB among young adults in the Cape Fl...

  • Article
  • Open Access
7 Citations
2,875 Views
13 Pages

Background: This study aimed to estimate absenteeism costs and identify their predictors in non-hospitalized patients in Sweden. Methods: This cross-sectional study’s data were derived from the longitudinal project conducted at Uppsala Universi...

(This article belongs to the Special Issue COVID and the Economics of Public Health)
  • Review
  • Open Access
15 Citations
6,866 Views
14 Pages

Health Professionals’ Motivational Strategies to Enhance Adherence in the Rehabilitation of People with Lower Limb Fractures: Scoping Review

  • Júlio Belo Fernandes,
  • Noélia Ferreira,
  • Josefa Domingos,
  • Rui Ferreira,
  • Catarina Amador,
  • Nelson Pardal,
  • Cidália Castro,
  • Aida Simões,
  • Sónia Fernandes and
  • Catarina Godinho
  • + 6 authors

Patients with lower limb fractures require rehabilitation but often struggle with adherence to interventions. Adding motivational strategies to rehabilitation programs can increase patient adherence and enhance outcomes. This review aims to identify...

  • Article
  • Open Access
47 Citations
16,527 Views
23 Pages

During the COVID-19 pandemic, remote working was pervasively implemented, causing an increase in technology-related job demands. Concurrently, there was an increase in psychological problems in the occupational population. This study on remote worker...

  • Article
  • Open Access
6 Citations
4,272 Views
15 Pages

Mi-CARE: Comparing Three Evidence-Based Interventions to Promote Colorectal Cancer Screening among Ethnic Minorities within Three Different Clinical Contexts

  • Karriem S. Watson,
  • Katherine Y. Tossas,
  • Yazmin San Miguel,
  • Nicole Gastala,
  • Liliana G. San Miguel,
  • Scott Grumeretz,
  • Vida Henderson,
  • Robert Winn,
  • Masahito Jimbo and
  • Ashley M. Hughes
  • + 3 authors

Multiple evidence-based interventions (EBIs) have been developed to improve the completion of colorectal cancer (CRC) screening within Federally Qualified Health Centers (FQHCs) and other safety net settings in marginalized communities. Little effort...

(This article belongs to the Special Issue Second Edition: Cancer Health Disparities and Public Health)
  • Review
  • Open Access
11 Citations
4,144 Views
16 Pages

Exploration of Cyberethics in Health Professions Education: A Scoping Review

  • Jennie C. De Gagne,
  • Eunji Cho,
  • Paige S. Randall,
  • Hyeyoung Hwang,
  • Emily Wang,
  • Leeho Yoo,
  • Sandy Yamane,
  • Leila S. Ledbetter and
  • Dukyoo Jung

As digital technologies rapidly integrate into Health Professions Education (HPE), understanding cyberethics is increasingly crucial. This scoping review explores the pedagogy of cyberethics in HPE, highlighting a significant gap in explicit definiti...

(This article belongs to the Section Nursing)
  • Systematic Review
  • Open Access
19 Citations
7,868 Views
28 Pages

School-Based Nutrition Programs in the Eastern Mediterranean Region: A Systematic Review

  • Ayoub Al-Jawaldeh,
  • Dana Matbouli,
  • Sarah Diab,
  • Mandy Taktouk,
  • Leila Hojeij,
  • Sally Naalbandian and
  • Lara Nasreddine

This systematic review aims at documenting government-led school nutrition programs/interventions in countries of the Eastern Mediterranean Region (EMR). A systematic review of the available literature on this topic was conducted between 25 October 2...

(This article belongs to the Section Children's Health)
  • Review
  • Open Access
7 Citations
3,363 Views
11 Pages

Positive Mental Health of Migrants in the UK during COVID-19: A Review

  • Yasuhiro Kotera,
  • Habib Adam,
  • Ann Kirkman,
  • Muhammad Aledeh,
  • Michelle Brooks-Ucheaga,
  • Olamide Todowede,
  • Stefan Rennick-Egglestone and
  • Jessica Eve Jackson

COVID-19 impacted the mental health of many people in the UK. The negative impact was especially substantial among vulnerable population groups, including migrants. While research has focused on the negative aspects of mental health during the pandem...

(This article belongs to the Topic Cultural Differences and Migrant Mental Health in the Age of COVID-19)
  • Article
  • Open Access
10 Citations
6,512 Views
11 Pages

Restrictions associated with the COVID-19 pandemic had forced American college students to significantly reduce their daily energy expenditure and increase their sedentary behaviors, thus presumably increasing mental health symptoms, decreasing physi...

  • Article
  • Open Access
1 Citations
5,175 Views
11 Pages

Willingness to Pay for COVID-19 Vaccines in Japan

  • Takeshi Yoda,
  • Nagisa Iwasaki and
  • Hironobu Katsuyama

More than 80% of the Japanese population had received the coronavirus disease 2019 (COVID-19) vaccination by the end of April 2023; however, this vaccination rate continues to decline along with the need for booster shots. Further, the vaccines may n...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
4 Citations
4,868 Views
13 Pages

Factors Associated with the Extent of Clinical Attachment Loss in Periodontitis: A Multicenter Cross-Sectional Study

  • Gloria Inés Lafaurie,
  • María Alejandra Sabogal,
  • Adolfo Contreras,
  • Diana Marcela Castillo,
  • Diego Fernando Gualtero,
  • Juliette De Avila,
  • Tamy Goretty Trujillo,
  • Andrés Duque,
  • Astrid Giraldo and
  • Carlos Martín Ardila
  • + 2 authors

Periodontitis has significant public health implications, affecting individuals’ overall health, well-being, and quality of life. This study aimed to assess the risk factors associated with the extent of clinical attachment loss (CAL) in a popu...

(This article belongs to the Section Oral Health)
  • Article
  • Open Access
7 Citations
4,220 Views
13 Pages

Differential Influence of Environmental Factors on Malaria Due to Vector Control Interventions in Uganda

  • Margaux L. Sadoine,
  • Audrey Smargiassi,
  • Ying Liu,
  • Philippe Gachon,
  • Michel Fournier,
  • Guillaume Dueymes,
  • Jane Frances Namuganga,
  • Grant Dorsey,
  • Bouchra Nasri and
  • Kate Zinszer

Background: Few studies have explored how vector control interventions may modify associations between environmental factors and malaria. Methods: We used weekly malaria cases reported from six public health facilities in Uganda. Environmental variab...

(This article belongs to the Section Infectious Disease Epidemiology)
  • Viewpoint
  • Open Access
17 Citations
4,832 Views
11 Pages

The critical inquiry is how Pacific communities themselves characterize mental distress as a result of climate change. If not solastalgia, what more suitable terms might they use? This viewpoint article aims to initiate a discourse using solastalgia...

(This article belongs to the Section Environmental Health)
  • Article
  • Open Access
7 Citations
2,777 Views
12 Pages

The onset of the Coronavirus disease 2019 (COVID-19) pandemic has affected the mental health and well-being of women in vulnerable settings. Currently, there is limited evidence that explores the wellness of elderly women under the associated restric...

(This article belongs to the Section Mental Health)
  • Article
  • Open Access
7 Citations
4,416 Views
24 Pages

Countries worldwide are grappling with a pressing demographic challenge characterized by a growing older population. This poses a significant healthcare dilemma, presenting challenges for healthcare systems and providers. To address these challenges,...

(This article belongs to the Section Health Care Sciences)
  • Article
  • Open Access
1 Citations
3,429 Views
12 Pages

Maternal and Neonatal Outcomes of Pregnant Women with Abnormal 50 g Glucose Challenge Tests in Nakhon Si Thammarat, Thailand: A Retrospective Study

  • Suda Jaihow,
  • Nonthapan Phasuk,
  • Udomsak Narkkul,
  • Wipawan Chaoum Pensuksan,
  • Stephen J. Scholand and
  • Chuchard Punsawad

(1) Background: An abnormal 50 g glucose challenge test (50 g GCT) during pregnancy, even without a diagnosis of gestational diabetes mellitus (GDM), may result in undesirable obstetric and neonatal outcomes. This study sought to evaluate the outcome...

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Int. J. Environ. Res. Public Health - ISSN 1660-4601