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Sample records for brazil cross-sectional study

  1. Factors associated with dental fluorosis in school children in southern Brazil: a cross-sectional study

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    Marina Sousa Azevedo

    2014-05-01

    Full Text Available This cross-sectional study assessed risk factors for dental fluorosis (DF among 8- to 12-year-old children in southern Brazil. Children attending 20 schools were randomly selected (n = 1,196. They were interviewed and their parents answered a questionnaire that was sent home. Prevalence of DF was 8.53% (modified Dean’s criteria, and the prevalence of severe DF was 0.17%. The results of multiple logistic regression analyses indicated that DF was associated with a higher frequency of tooth brushing and with initial use of fluoride toothpaste at the emergence of the first tooth. DF does not constitute a public health problem in southern Brazil.

  2. Approach towards total knee arthroplasty in Brazil: cross-sectional study

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    Raul Frankllim de Carvalho Almeida

    Full Text Available CONTEXT AND OBJECTIVE: Total knee arthroplasty (TKA has evolved particularly since the 1970s, with improvements in implants and surgical instruments, and has thus become an effective intervention for treating knee arthrosis. Many studies have presented rates of satisfactory clinical and radiological results greater than 90%, from follow-ups of over ten years. Nevertheless, despite scientific evidence showing the efficacy of TKA, the approaches taken present controversies in certain respects. The objective of this study was to evaluate how the Brazilian orthopedists deal with TKA, with investigation of the main aspects of this procedure. DESIGN AND SETTING: Cross-sectional survey conducted during the 39th Brazilian Congress of Orthopedics and Traumatology, in São Paulo, Brazil, in November 2007. METHODS: We applied a questionnaire to orthopedists registered at the congress. The questionnaire was randomly distributed and participation was voluntary; 858 completed questionnaires were included in the analysis. RESULTS: Most of the Brazilian orthopedists were members of SBOT and worked in the southeastern region. They used imported cemented implants through an anterior access route centered on the patella, with replacement of the joint surface of the patella and preservation of the posterior cruciate ligament. They did not have experience with simultaneous bilateral TKA. Postoperatively, they used antibiotics and suction drains for 48 hours. There was no consensus regarding prophylaxis for venous thromboembolism or the frequency of the main complications. CONCLUSION: The majority of Brazilian orthopedists work in the southeastern region of the country and agree about the main aspects of the approaches towards TKA.

  3. A Cross - Sectional Study

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    Afsoon Fazlinezhad

    2013-05-01

    Full Text Available   Introduction: Aortic valve sclerosisis considered as a manifestation of coronary atherosclerosis. Recent studies demonstrated an association between aortic valve sclerosis and obstructive coronary artery disease. The purpose of this study was to evaluatethe correlation betweenaortic valve sclerosis andobstructive coronary artery disease and the extent of coronary artery disease in patients hospitalized for chest pain.   Materials and Methods: A total of 230 consecutive patients were referred to the coronary angiography of GhaemMedical Center and were subjected to transthorasic echocardiography for screening of aortic valve sclerosis and coronary risk assessment. The diagnostic value of obstructive coronary artery disease for aortic valve sclerosis was calculated. Results: The patients with obstructive coronary artery disease had a higher prevalence of aortic valve sclerosis compared to those with no coronary artery disease (P< 0.05. Aortic valve sclerosis was an independent predictor for obstructive coronary artery disease by multivariate analysis (P< 0.05. Aortic valve sclerosis had sensitivity of 47% and specificity of 79% and positive predictor value of 92%. Conclusions: Aortic valve sclerosis was an independent predictor for obstructive coronary artery disease in patients with chest pain and was strongly interrelated with the extent of coronary artery disease in these patients.

  4. The influence of patient’s knowledge about stroke in Brazil: a cross sectional study

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    Maurício Isaac Panício

    2014-12-01

    Full Text Available Little is known about stroke patients’ awareness about the warning signs of stroke and its therapeutic time window in Brazil. Method We interviewed consecutive patients with acute stroke admitted to a terciary public hospital in Brazil. Data collected included demographics, mode of arrival, National Institutes of Health Stroke Scale (NIHSS scores and knowledge of stroke warning signs and therapeutic time window. Early arrival was defined as within 4.5 hours of symptoms onset. Results Although 66.2% of patients knew the warning signs of stroke, only 7.8% reported to know that stroke had a limited therapeutic time window. Stroke severity measured by the NIHSS was independently associated with early arrival, but not knowledge of stroke signs and symptoms. Conclusion Knowledge about stroke symptoms was not a predictor of early arrival.

  5. Prevalence of Obesity and Overweight in an Indigenous Population in Central Brazil: A Population-Based Cross-Sectional Study

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    Geraldo F. Oliveira

    2015-10-01

    Full Text Available Objective: To estimate the prevalence of obesity and overweight and associated factors in indigenous people of the Jaguapiru village in Central Brazil. Methods: We conducted a population-based cross-sectional study between January 2009 and July 2011 in the adult native population of the Jaguapiru village, Central Brazil. Sociodemographic and lifestyle data were obtained; anthropometric measures, arterial blood pressure, and blood glucose were measured. The independent variables were tested by Poisson regression, and the interactions between them were analyzed. Results: 1,608 indigenous people (982 females, mean age 37.7 ± 15.1 years were included. The prevalence of obesity was 23.2% (95% CI 20.9-25.1%. Obesity was more prevalent among 40- to 49-year-old and overweight among 50- to 59-year-old persons. Obesity was positively associated with female sex, higher income, and hypertension. Among indigenous people, interactions were found with hypertension and sedentary lifestyle - hypertension in males and sedentary lifestyle in females. Conclusions: The prevalence of obesity and overweight in indigenous people of the Jaguapiru village is high. Males as well as hypertensive and higher family income individuals have higher rates. Sedentary lifestyle and hypertension leverage the rates of obesity. Prevention and adequate public health policies can be critical for the control of excess weight and its comorbidities among Brazilian indigenous people.

  6. Knowledge of family health program practitioners in Brazil about sickle cell disease: a descriptive, cross-sectional study

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    Barbosa Thiago LA

    2011-08-01

    Full Text Available Abstract Background Although sickle cell disease is an important public health problem in Brazil, there is a gap in the literature on the level of knowledge of primary health care professionals about the treatment and management of sickle cell disease. Therefore, this study aimed to evaluate the level of knowledge about sickle cell disease of physicians and nurses who work in the Family Health Program in a region of Brazil with a high prevalence of this disease. Methods This is a descriptive, cross-sectional study conducted at the municipality of Montes Claros, in the north of Minas Gerais, Brazil. Study participants included 96 physicians and nurses who work at the Family Health Program in an urban area of the city. Data was collected using an original, partially tested questionnaire based on health care check points for children with sickle cell disease established in educational protocols from the State Health Secretary of Minas Gerais and the Ministry of Health. The structured questionnaire contained 47 questions addressing three axes: epidemiology (8 questions; clinical manifestations (13 questions; and management of children with sickle cell disease (26 questions. Knowledge was measured through mean correct responses to proposed questions. Ethical principles were respected and this project was approved by the Committee of Ethics in Research. Results 59.4% (57 of the study participants were nurses and 40.6% (39 were physicians. The median length of training and median length of service in primary health care were 4.3 (2.8-8.0 years and 4.0 (2.0-7.1 years, respectively. The mean performance in knowledge tests was Conclusion There is an urgent need to improve primary health care professional training in the care of children with sickle cell disease.

  7. Frailty syndrome in an independent urban population in Brazil (FIBRA study: a cross-sectional populational study

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    Larissa Barradas Calado

    Full Text Available ABSTRACT: CONTEXT AND OBJECTIVE: Frailty is a multifactorial syndrome. The aim of this study was to determine the prevalence and characteristics of frailty syndrome in an elderly urban population. DESIGN AND SETTING: Cross-sectional study carried out at the homes of a randomized sample representing the independent elderly individuals of Ribeirão Preto, Brazil. METHODS: Sociodemographic characteristics, clinical data and criteria of the frailty phenotype were obtained at the subjects' homes; 385 individuals were evaluated. Frailty was defined based on detection of weight loss, exhaustion, weakness, slowness and low physical activity level. Individuals with three or more of these characteristics were classified as frail and those with one or two as pre-frail. Specific cutoff points for weakness, slowness and low physical activity level were calculated. RESULTS: The participants' mean age was 73.9 ± 6.5 years, and 64.7% were women. 12.5% had lost weight over the last year; 20.5% showed exhaustion, 17.1% slowness, 24.4% low physical activity level and 20.5% weakness. 9.1% were considered frail and 49.6% pre-frail. Frail subjects were older, attended more medical visits, had a higher chance of hospitalization within the last 12 months and had more cerebrovascular events, diabetes, neoplasms, osteoporosis and urinary and fecal incontinence. CONCLUSION: In this independent elderly population, there were numerous frail and pre-frail individuals. Frailty syndrome was associated with high morbidity. Cutoff points for weakness, slowness and low physical activity level should be adjusted for the population under study. It is essential to identify frail and pre-frail older individuals for appropriate interventions.

  8. Antibiotic Resistance of Bacteria Involved in Urinary Infections in Brazil: A Cross-Sectional and Retrospective Study

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    Wellington Francisco Rodrigues

    2016-09-01

    Full Text Available Empirical and prolonged antimicrobial treatment of urinary tract infections caused by Escherichia coli is associated with the emergence of bacterial resistance, and not all countries have strict policies against the indiscriminate use of drugs in order to prevent resistance. This cross-sectional and retrospective study (2010–2015 aimed to evaluate the sensitivity and resistance of patient-derived E. coli to different drugs broadly used to treat urinary infections in Brazil: ampicillin + sulbactam, cephalothin, ciprofloxacin, norfloxacin, and nitrofurantoin. We obtained 1654 E. coli samples from ambulatory patients with disease symptoms of the urinary tract from a Brazilian public hospital. While all antibiotics were effective in killing E. coli to a large degree, nitrofurantoin was the most effective, with fewer samples exhibiting antibiotic resistance. We assessed the costs of generic and brand name versions of each antibiotic. Nitrofurantoin, the most effective antibiotic, was the cheapest, followed by the fluoroquinolones (ciprofloxacin and norfloxacin, ampicillin + sulbactam and, lastly, cephalothin. Finally, assessment of antibiotic resistance to fluoroquinolones over the study period and extrapolation of the data led to the conclusion that these antibiotics could no longer be effective against E. coli-based urinary infections in approximately 20 years if their indiscriminate use in empirical treatment continues.

  9. Antibiotic Resistance of Bacteria Involved in Urinary Infections in Brazil: A Cross-Sectional and Retrospective Study

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    Rodrigues, Wellington Francisco; Miguel, Camila Botelho; Nogueira, Ana Paula Oliveira; Ueira-Vieira, Carlos; Paulino, Tony De Paiva; Soares, Siomar De Castro; De Resende, Elisabete Aparecida Mantovani Rodrigues; Lazo-Chica, Javier Emilio; Araújo, Marcelo Costa; Oliveira, Carlo José

    2016-01-01

    Empirical and prolonged antimicrobial treatment of urinary tract infections caused by Escherichia coli is associated with the emergence of bacterial resistance, and not all countries have strict policies against the indiscriminate use of drugs in order to prevent resistance. This cross-sectional and retrospective study (2010–2015) aimed to evaluate the sensitivity and resistance of patient-derived E. coli to different drugs broadly used to treat urinary infections in Brazil: ampicillin + sulbactam, cephalothin, ciprofloxacin, norfloxacin, and nitrofurantoin. We obtained 1654 E. coli samples from ambulatory patients with disease symptoms of the urinary tract from a Brazilian public hospital. While all antibiotics were effective in killing E. coli to a large degree, nitrofurantoin was the most effective, with fewer samples exhibiting antibiotic resistance. We assessed the costs of generic and brand name versions of each antibiotic. Nitrofurantoin, the most effective antibiotic, was the cheapest, followed by the fluoroquinolones (ciprofloxacin and norfloxacin), ampicillin + sulbactam and, lastly, cephalothin. Finally, assessment of antibiotic resistance to fluoroquinolones over the study period and extrapolation of the data led to the conclusion that these antibiotics could no longer be effective against E. coli-based urinary infections in approximately 20 years if their indiscriminate use in empirical treatment continues. PMID:27649224

  10. Oral mucosal lesions in Indians from Northeast Brazil: cross-sectional study of prevalence and risk indicators.

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    Cury, Patricia Ramos; Porto, Lia Pontes Arruda; dos Santos, Jean Nunes; Figueiredo e Ribeiro, Livia Silva; de Aquino Xavier, Flavia Caló; Figueiredo, Andreia Leal; Ramalho, Luciana Maria Pedreira

    2014-12-01

    The aim of this cross-sectional study was to evaluate the prevalence of oral mucosal lesions, and their risk indicators in adult Kiriri Indians from Northeast Brazil. Clinical oral examination was performed on a representative sample of 223 Indians (age ≥ 19 years). A systematic evaluation of lips, labial mucosa and sulcus, commissures, buccal mucosa and sulcus, gingiva and alveolar ridge, tongue, floor of the mouth, and soft and hard palate was performed. Bivariate analysis was conducted to assess associations between mucosal conditions and age, gender, income, educational level, diabetic status, and smoking status. Mucosal lesions were found in 50 participants (22.4%). The most prevalent lesions were fistulae (6.2%) and traumatic ulcers (4.48%). Oral mucosal was associated with higher age (≥ 35 years; odds ratio [OR] = 1.99, 95% confidence interval [CI]: 1.05-3.76, P = 0.03) and lower education level (<9 years; OR = 2.13, 95% CI: 0.96-4.71, P = 0.06). Mucosal conditions are prevalent in Kiriri Indians and the presence of mucosal lesions is associated with advanced age and lower education. A public health program aimed at preventing and treating mucosal lesions and targeted toward the high-risk group is vital to improve the oral health status of this population.

  11. Factors associated with adherence to antiretroviral therapy in HIV/AIDS patients: a cross-sectional study in Southern Brazil

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    C.A.T. Pinheiro

    2002-10-01

    Full Text Available A cross-sectional study was conducted on HIV-infected adults being treated with antiretroviral drugs at a reference service in Southern Brazil. Participants answered a sociodemographic questionnaire and were tested by scales assessing sociocognitive variables. Adherence to treatment was assessed by a self-report inventory developed for the study. Clinical information was obtained from the patients' records. Significance tests were conducted using univariate logistic regressions followed by multivariate logistic regression analysis. A total of 195 patients participated in the study and 56.9% of them reported > or = 95% adherence on the previous two days. In univariate analysis, the odds of adherence increased with self-efficacy (a person's conviction that he/she can successfully execute the behavior required to produce a certain desired outcome in taking medications as prescribed (OR = 3.50, 95% CI 1.90-6.55, and decreased with perception of negative affect and physical concerns (OR = 0.71, 95% CI 0.53-0.95. The odds were lower for taking antiretroviral medications >4 times a day (OR = 0.44, 95% CI 0.20-0.94 and higher for patients with 8 years of schooling (OR = 2.28, 95% CI 1.12-4.66. In the multivariate analysis, self-efficacy (OR = 3.33, 95% CI 1.69-6.56 and taking medication >4 times a day (OR = 0.34, 95% CI 0.14-0.80 were independently associated with adherence. Self-efficacy was the most important predictor of adherence, followed by number of times antiretroviral medication was taken per day. Among sociodemographic and clinical variables, only the number of years of schooling was associated with adherence. Motivational interventions based on self-efficacy may be useful for increasing treatment adherence.

  12. Hemoglobinopathies in newborns in the southern region of the Triângulo Mineiro, Brazil. Cross-sectional study

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    Aline Menezes Carlos

    Full Text Available ABSTRACT CONTEXT AND OBJECTIVE: Hemoglobinopathies are among the commonest and most widespread genetic disorders worldwide. Their prevalence varies according to ethnic composition and/or geographical region. The aim of this study was to investigate the presence of hemoglobinopathies and their association with ethnicity among 1,004 newborns, to confirm the guideline of the Brazilian National Neonatal Screening Program. DESIGN AND SETTING: Cross-sectional study conducted in a public referral hospital in the Triângulo Mineiro region, Minas Gerais, Brazil. METHODS: Qualitative assessment of hemoglobin was performed through electrophoresis on cellulose acetate: at alkaline pH to identify the hemoglobin (Hb profile and at acid pH to differentiate Hb S from Hb D and Hb C from Hb E and others that migrate to similar positions at alkaline pH. Neutral pH was used to detect Hb Bart's identified in alpha thalassemia (α-thal. The elution method after electrophoresis was used to quantitatively assess hemoglobins. RESULTS: There was predominance of α-thal, with 105 cases (10.46%, followed by Hb S with 61 cases (6.08%, comprising 46 Hb AS, 2 Hb SS and 13 Hb S/α-thal, 9 cases (0.9% of Hb AC and 6 cases (0.6% suggestive of beta thalassemia (β-thal. The frequency of hemoglobinopathies was significantly higher among Afro-descendants. CONCLUSIONS: These findings corroborated of the National Neonatal Screening Program for diagnosing sickle cell disease and Hb C, Hb D, Hb E and β-thal hemoglobinopathies.

  13. Physical violence against patients with mental disorders in Brazil: sex differences in a cross-sectional study

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    Helian Nunes de Oliveira

    2013-01-01

    Full Text Available OBJECTIVES: Patients with mental illness are more exposed to violence than the general population. This study assessed factors associated with lifetime physical violence against these patients stratified by sex in Brazil. METHODS: This is a National cross-sectional multicenter study with a representative sample of 2,475 patients randomly selected from 26 public mental health services. Logistic regression was used to evaluate factors associated with physical violence and crude (OR and adjusted odds ratios (aOR with 95% confidence interval were estimated. Statistical level considered was 0.05. RESULTS: The prevalence of lifetime physical violence against mental patients was similar for women (57.6% and men (57.8%. Physical violence against women was independently associated with: previous psychiatric hospitalizations (aOR = 2.09, lifetime STD (aOR = 1.75, lifetime alcohol consumption (aOR = 1.59, age of sexual debut (< 16 y.o. (aOR = 1.40, lifetime sex under alcohol/drugs use (aOR = 2.08, having received/offered money for sex (aOR = 1.73 and lifetime incarceration (aOR = 1.69. Among men, associated factors were: age (18-40 y.o. (aOR = 1.90, history of homelessness (aOR = 1.71, previous psychiatric hospitalization (aOR = 1.39, lifetime STD (aOR = 1.52, lifetime alcohol consumption (aOR = 1.41, lifetime use of marijuana or cocaine (aOR = 1.54, having received/offered money for sex (aOR = 1.47, lifetime history of incarceration (aOR = 2.07. DISCUSSION: The prevalence of physical violence in this population was high for both sexes. Although there were similar factors independently associated with physical violence among men and women, there are important differences, such as age of sexual debut and lifetime sex under alcohol/drugs use for women, but not for men, while younger age, history of homelessness, and lifetime use of marijuana or cocaine were associated factors for men only. Screening for history of violence upon admission and early

  14. The Association between Antidepressant Medications and Coronary Heart Disease in Brazil: A Cross-sectional Analysis on the Brazilian Longitudinal Study of Adult Health (ELSA-Brazil

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    Andrew eKemp

    2015-01-01

    Full Text Available Background: Recent studies have highlighted associations between use of antidepressant medications and coronary heart disease (CHD. Tricyclic antidepressants are not recommended in patients with CHD as they may increase morbidity and mortality. However, this class of antidepressants are freely prescribed in public health pharmacies, while access to other classes of antidepressants is restricted in Brazil. Here we examine the associations between antidepressant use and prevalent CHD in a large cohort from Brazil. Methods: Participants included 14,994 civil servants aged 35 to 74 from the baseline assessment of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil. CHD (n=710 included stable angina, myocardial infarction and coronary revascularization. Univariate (unadjusted and multivariate (adjusted logistic regression analyses were conducted to estimate odds ratios and confidence intervals. Results: After full adjustment for covariates, tricyclic antidepressants (TCA use (n=156 was associated with a 2-fold increase in prevalent CHD, relative to non-use (n=14,076. Additional sensitivity analysis revealed a three-fold association for myocardial infarction (OR: 2.962, 95% CI: 1.413-6.210 and coronary revascularization (OR: 2.915, 95% CI: 1.275-6.662. There were no significant associations between antidepressant use and stable angina pectoris. Conclusions: Findings highlight a strong association between TCA use and prevalent CHD. While the cross-sectional design is an important limitation of the present study, findings have important implications for the treatment of cardiac patients in Brazil.

  15. The prevalence and correlates of behavioral risk factors for cardiovascular health among Southern Brazil adolescents: a cross-sectional study

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    Barbosa Filho Valter

    2012-08-01

    Full Text Available Abstract Background The adoption of health-related behaviors is an important part of adolescence. This study examined the prevalence and correlates of the isolated and simultaneous presence of behavioral risk factors for cardiovascular health (BRFCH among adolescents in Curitiba, Southern Brazil. Methods A cross-sectional study was performed with 1,628 adolescents (aged 11-17.9 years, 52.5% males that were randomly selected from 44 public schools. Self-report instruments were used to assess the variables. Six BRFCH were analyzed: insufficiently active, excessive TV watching, current alcohol and tobacco use, daily soft drinks consumption and inadequate fruit and vegetable consumption. Sociodemographic and behavioral variables were studied as possible correlates of the presence of BRFCH. Results The BRFCH with the highest prevalence were insufficiently active (50.5%, 95% confidence interval [95% CI]: 48.0-52.9 and daily soft drinks consumption (47.6%, 95% CI: 45.1-50.0. Approximately 30% of the adolescents presented three or more BRFCH simultaneously. Girls, adolescents who did not participate in organized physical activity, and who used computer/video games daily were the main high-risk subgroups for insufficiently active. Boys and those who used computer/video games daily were the high-risk subgroups for daily soft drinks consumption. For excessive TV watching, we identified to be at risk those who were from a high economic class, unemployed, and who used computer/video games daily. For current alcohol use, we identified older adolescents, who were from a high economic class and who worked to be at risk. Older adolescents, who worked and who spent little active time during a physical education class were the high-risk subgroups for current tobacco use. For inadequate fruit and vegetable consumption, we identified those who did not participate in organized physical activity to be at risk. Older adolescents, who were from a high economic class

  16. Medical students’ personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study

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    Watanabe Tatiane

    2012-07-01

    Full Text Available Abstract Background The increase in overall rates of cesarean sections (CS in Brazil causes concern and it appears that multiple factors are involved in this fact. In 2009, undergraduate students in the first and final years of medical school at the University of Santa Catarina answered questionnaires regarding their choice of mode of delivery. The aim of the study was to evaluate whether the education process affects decision-making regarding the waay of childbirth preferred by medical students. Methods A cross-sectional, quantitative study was conducted based on data obtained from questionnaires applied to medical students. The questions addressed four different scenarios in childbirth, as follows: under an uneventful pregnancy; the mode of delivery for a pregnant woman under their care; the best choice as a healthcare manager and lastly, choosing the birth of their own child. For each circumstance, there was an open question to explain their choice. Results A total of 189 students answered the questionnaires. For any uneventful pregnancy and for a pregnant woman under their care, 8.46% of the students would opt for CS. As a healthcare manager, only 2.64% of the students would recommend CS. For these three scenarios, the answers of the students in the first year did not differ from those given by students in the sixth year. In the case of the student’s own or a partner’s pregnancy, 41.4% of those in the sixth year and 16.8% of those in the first year would choose a CS. A positive association was found between being a sixth year student and a personal preference for CS according to logistic regression (OR = 2.91; 95%CI: 1.03–8.30. Pain associated with vaginal delivery was usually the reason for choosing a CS. Conclusions A higher number of sixth year students preferred a CS for their own pregnancy (or their partner’s compared to first year students. Pain associated with vaginal delivery was the most common reason given for haven chosen

  17. Prevalence and risk factors of Hepatitis C virus infection in Brazil, 2005 through 2009: a cross-sectional study

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    Pereira Leila MMB

    2013-02-01

    Full Text Available Abstract Background Hepatitis C chronic liver disease is a major cause of liver transplant in developed countries. This article reports the first nationwide population-based survey conducted to estimate the seroprevalence of HCV antibodies and associated risk factors in the urban population of Brazil. Methods The cross sectional study was conducted in all Brazilian macro-regions from 2005 to 2009, as a stratified multistage cluster sample of 19,503 inhabitants aged between 10 and 69 years, representing individuals living in all 26 State capitals and the Federal District. Hepatitis C antibodies were detected by a third-generation enzyme immunoassay. Seropositive individuals were retested by Polymerase Chain Reaction and genotyped. Adjusted prevalence was estimated by macro-regions. Potential risk factors associated with HCV infection were assessed by calculating the crude and adjusted odds ratios, 95% confidence intervals (95% CI and p values. Population attributable risk was estimated for multiple factors using a case–control approach. Results The overall weighted prevalence of hepatitis C antibodies was 1.38% (95% CI: 1.12%–1.64%. Prevalence of infection increased in older groups but was similar for both sexes. The multivariate model showed the following to be predictors of HCV infection: age, injected drug use (OR = 6.65, sniffed drug use (OR = 2.59, hospitalization (OR = 1.90, groups socially deprived by the lack of sewage disposal (OR = 2.53, and injection with glass syringe (OR = 1.52, with a borderline p value. The genotypes 1 (subtypes 1a, 1b, 2b and 3a were identified. The estimated population attributable risk for the ensemble of risk factors was 40%. Approximately 1.3 million individuals would be expected to be anti-HCV-positive in the country. Conclusions The large estimated absolute numbers of infected individuals reveals the burden of the disease in the near future, giving rise to costs for the health care

  18. Knowledge among physical education professionals about poliomyelitis and post-poliomyelitis syndrome: a cross-sectional study in Brazil

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    Sousa BS

    2013-08-01

    Full Text Available Claudio Andre Barbosa de Lira,1 Taíza Márcia de Almeida Alves,1 Luiz Fernando Peixinho-Pena,2 Bolivar Saldanha Sousa,3,4 Marcos Gonçalves de Santana,1 Sandra Aparecida Benite-Ribeiro,1 Marilia dos Santos Andrade,2 Rodrigo Luiz Vancini21Setor de Fisiologia Humana e do Exercício, Universidade Federal de Goiás, Câmpus Jataí, Jataí, 2Departamento de Fisiologia, Universidade Federal de São Paulo, São Paulo, Brazil; 3Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brazil; 4Instituto Israelita de Ensino e Pesquisa Albert Einstein, São Paulo, BrazilBackground: Post-poliomyelitis syndrome is a clinical condition that can affect poliomyelitis survivors with the onset of new symptoms several years after the acute disease. These symptoms include new muscular weakness, fatigue, pain, onset or aggravation of muscle atrophy, muscle cramps, onset or aggravation of pre-existing difficulties in accomplishing daily life activities, cold intolerance, sleep disorders, dysphonia or dysphagia, and respiratory deficiency. The treatment of post-poliomyelitis syndrome requires a multiprofessional health team because the rehabilitation procedures include lifestyle changes, physiotherapy, avoidance of secondary complications, and physical exercise. As physical exercise is prescribed by physical education professionals, the assessment of knowledge about post-poliomyelitis syndrome among these professionals is very relevant. The aim of this study was to evaluate poliomyelitis and post-poliomyelitis syndrome knowledge among physical education professionals in Brazil.Methods: We invited participants with an academic degree in physical education (n = 217 to participate in this study. A self-administered survey (30 questions was designed to probe knowledge about poliomyelitis and post-poliomyelitis syndrome. From the survey, we created a questionnaire to evaluate the performance of the professionals. The questionnaire was composed of 20

  19. Physicians', nurses' and community health workers' knowledge about physical activity in Brazil: A cross-sectional study

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    Laura Burdick

    2015-01-01

    Conclusions: Training health professionals in how to convey all relevant information about physical activity to their patients is critical for health promotion within the primary care system in Brazil.

  20. Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil.

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    Garcia-Subirats, Irene; Vargas, Ingrid; Mogollón-Pérez, Amparo Susana; De Paepe, Pierre; da Silva, Maria Rejane Ferreira; Unger, Jean Pierre; Vázquez, María Luisa

    2014-04-01

    There are few comprehensive studies available on barriers encountered from the initial seeking of healthcare through to the resolution of the health problem; in other words, on access in its broad domain. For Colombia and Brazil, countries with different healthcare systems but common stated principles, there have been no such analyses to date. This paper compares factors that influence access in its broad domain in two municipalities of each country, by means of a cross-sectional study based on a survey of a multistage probability sample of people who had had at least one health problem within the last three months (2163 in Colombia and 2155 in Brazil). The results reveal important barriers to healthcare access in both samples, with notable differences between and within countries, once differences in sociodemographic characteristics and health needs are accounted for. In the Colombian study areas, the greatest barriers were encountered in initial access to healthcare and in resolving the problem, and similarly when entering the health service in the Brazilian study areas. Differences can also be detected in the use of services: in Colombia greater geographical and economic barriers and the need for authorization from insurers are more relevant, whereas in Brazil, it is the limited availability of health centres, doctors and drugs that leads to longer waiting times. There are also differences according to enrolment status and insurance scheme in Colombia, and between areas in Brazil. The barriers appear to be related to the Colombian system's segmented, non-universal nature, and to the involvement of insurance companies, and to chronic underfunding of the public system in Brazil. Further research is required, but the results obtained reveal critical points to be tackled by health policies in both countries.

  1. The association of intrafamilial violence against children with symptoms of atopic and non-atopic asthma: A cross-sectional study in Salvador, Brazil.

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    Bonfim, Camila Barreto; dos Santos, Darci Neves; Barreto, Maurício Lima

    2015-12-01

    This study aims to describe the types of intrafamilial violence perpetrated against children according to living conditions, family factors, and child characteristics, and to identify the association between types of intrafamilial violence and asthma symptoms in atopic and non-atopic children. A cross-sectional study was carried out with 1,370 caregivers as part of the Social Changes, Asthma and Allergy in Latin America (SCAALA) study, conducted in 2006 in Brazil. The study population was selected by random sampling. The main outcome measures were atopic and non-atopic asthma. We investigate the association between intrafamilial violence and asthma symptoms in atopic and non-atopic children. A backward multivariate logistic polytomous regression was performed to verify the main association. Nonviolent discipline (NVD) and maltreatment nonviolent discipline (MNVD) were positively associated with non-atopic asthma symptoms (NVD: odds ratio (OR)=1.95/95% confidence interval (CI)=1.17-3.25; MNVD: OR=1.95/95% CI=1.19-3.20). However, for the most severe intrafamilial violence, this association was not found after control of potential confounders. This study demonstrates the effect of types of intrafamilial violence on non-atopic asthma. Intrafamilial violence against children represents one more component in the determination of non-atopic asthma in Latin America.

  2. DMFT index and oral mucosal lesions associated with HIV infection: cross-sectional study in Porto Velho, Amazonian region - Brazil

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    Rodrigo Queiroz Aleixo

    2010-10-01

    Full Text Available We evaluated the DMFT (decayed, missing and filled teeth index and the prevalence of candidiasis, linear gingival erythema, oral hairy leukoplakia, herpes simplex, aphthous ulcers, Kaposi's sarcoma and lymphoma, as well as the association with TCD4 count, viral load (VL and antiretroviral therapy (ART in 140 HIV-infected adult individuals. A standardized examination to determine the DMFT index and the presence of oral lesions was conducted. Demographic data, TCD4 count and use of ART were obtained from medical records. A high number of decayed teeth detected among patients undergoing ART resulted in a mean DMFT of 16.9 teeth. It was observed that 24.2% of the individuals had at least one oral lesion. Candidiasis was the most frequent lesion and was associated with the TCD4 count. Oral hairy leukoplakia was associated with an increased VL. Regular use of ART was inversely associated with the occurrence of lesions. Overall, the studied population showed low prevalence of oral lesions and high DMFT index. The use of ART seems to reduce the occurrence of these lesions. Higher TCD4 count and a lower VL were associated with an improved oral health status in HIV + individuals

  3. Tobacco and alcohol use, sexual behavior and common mental disorders among military students at the Police Academy, São Paulo, Brazil. A cross-sectional study

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    Arlene de Maria Perez

    Full Text Available CONTEXT AND OBJECTIVE: The lifestyle of military personnel has been little studied in Brazil. This study evaluated the frequencies of tobacco and alcohol use, sexual behavior and mental health among military students.DESIGN AND SETTING: Cross-sectional study at the Police Academy, in São Paulo.METHODS: Students answered a questionnaire about tobacco use, alcohol consumption, sexual behavior and common mental disorders (CMDs. To analyze associations among the frequencies of smoking and alcohol use, sexually transmitted diseases (STDs and CMDs during the undergraduate years, we built a multinomial logistic regression model adjusted for age and sex.RESULTS: All 473 students were invited to participate and 430 (90.9% agreed (10.5% were women. Most were white (76.6%, aged < 30 years, from the upper middle class (78.1%. The frequency of smoking was 6.5%, alcohol consumption 69.3%, STDs 14% and CMDs 15.6%. The use of condoms was low. Fourth-year students presented a lower odds ratio (OR for STDs than the first-year students: 0.44 (95% confidence interval: 0.22-0.90. Third-year students presented a lower OR for CMDs than the first-year students.CONCLUSION: The frequencies of smoking and CMDs were low, while the frequency of alcohol consumption was similar to that of the Brazilian population. The use of condoms was low, in comparison with previous studies with similar samples. The results suggest that there was a certain degree of protection against CMDs and STDs during the undergraduate years.

  4. Who are the children and adolescent patients of a national referral service of eating disorders in Brazil?: a cross-sectional study of a clinical sample

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    Vanessa Dentzien Pinzon

    2013-01-01

    Full Text Available Objectives: To investigate the sociodemographic and clinical profile of patients receiving treatment at a specialized service for children and adolescents with eating disorders (ED in São Paulo, Brazil, and to compare data with the relevant literature. Methods: This cross-sectional study assessed male and female patients with ED up to 18 years of age. All data were collected upon admission. Results: A total of 100 subjects were assessed. Mean age was 15.41±0.18 years, and mean age at ED onset was 13.5±0.19 years. Mean disease duration was 21.06 ±1.67 months. Of the total sample, 82% of the patients were female, 84% were Caucasian, 64% came from A and B economic tiers. Moreover, in 60% ED started at 14 years of age or less, and 74% had psychiatric comorbidities. Anorexia nervosa was the most prevalent diagnosis (43%. Hospitalized patients had lower body mass index, longer ED duration, and more severe scores on the Children's Global Assessment Scale than outpatients (p < 0.05. Conclusions: Our young Brazilian patients with ED present epidemiological and symptomatic characteristics very similar to those found in the scientific literature, including a high prevalence of psychiatric comorbidities. The higher frequency of full syndrome ED, the predominance of cases with an early onset, the delay in beginning specialized treatment, and the more severe state of inpatients provide grounds for concern because these factors differ from what has been reported in reference studies and indicate greater ED severity.

  5. Frequency of nutritional disorders and their risk factors among children attending 13 nurseries in São Paulo, Brazil. A cross-sectional study

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    Tulio Konstantyner

    Full Text Available ABSTRACTCONTEXT AND OBJECTIVE: Nutritional disorders are associated with health problems earlier in life. The objective here was to estimate the frequency of nutritional disorders and their risk factors among children. DESIGN AND SETTING: Cross-sectional study in nurseries at 13 day-care centers in São Paulo, Brazil.METHODS: The mothers of 482 children were interviewed, with anthropometry on these children. Children whose anthropometric indices for weight and height were greater than two standard deviations were considered to have nutritional disorders.RESULTS: Children in families with lower per capita income (odds ratio [OR]: 2.25; 95% confidence interval, CI: 1.08-4.67 and who presented neonatal risk (OR 8.08; 95% CI: 2.29-28.74, had incomplete vaccinations (OR 3.44; 95% CI: 1.15-10.31 or were male (OR 3.73; 95% CI: 1.63-8.56 were more likely to be malnourished. Children in families with lower per capita income were also less likely to be overnourished (OR 0.40; 95% CI: 0.19-0.88. Children who were exclusively breastfed for less than two months (OR 2.95; 95% CI: 1.35-6.44 or who were male (OR 2.18; 95% CI: 1.02-4.65 were also at greater risk of being overnourished. Children who presented neonatal risk (OR 3.41; 95% CI: 1.04-11.23, had incomplete vaccinations (OR 3.18; 95% CI: 1.307.76, or were male (OR 2.76; 95% CI: 1.56-4.90 were more likely to have a nutritional disorder.CONCLUSIONS: Nutritional disorders remain present in children attending nurseries in São Paulo. Actions should focus on boys, children who were exclusively breastfed for less than two months and those without up-to-date vaccinations.

  6. Vitamin D deficiency in girls from South Brazil: a cross-sectional study on prevalence and association with vitamin D receptor gene variants

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    Santos Betânia R

    2012-06-01

    Full Text Available Abstract Background Vitamin D deficiency has been associated with a multitude of disorders including diabetes, defective insulin secretion as well as rickets and poor bone health. Vitamin D is also a concern during childhood and adolescence and has been reported in girls from South Brazil. We determined the prevalence of vitamin D deficiency in girls from South Brazil and investigated whether the genotypic distribution of the BsmI, ApaI and TaqI polymorphisms of the VDR gene and their haplotypes were associated with vitamin D levels. Methods Cross-sectional study including 234 apparently healthy girls aged 7 to 18 years. Height and weight were measured for calculation of body mass index (BMI percentiles for age. Plasma levels of 25-hydroxyvitamin D [25(OHD] were assessed. Participants were genotyped for ApaI (rs7975232, TaqI (rs731236, and BsmI (rs1544410 SNPs. Results The median and interquartile range (25-75% of BMI percentile was 62.0 (33.3 – 84.9. The frequency of overweight/obesity was 24.9%. Circulating levels of 25(OHD (≥ 30 ng/mL were adequate in 9.4%; insufficient in 54.3% (20–29 ng/mL; and deficient in 36.3% (vs. GA + AA, two-tailed Student’s t-test p vs. GT + TT, two-tailed Student’s t-test p = 0.031 and TaqI (TT vs. TC + CC, two-tailed Student’s t-test p = 0.005 SNPs and the GGT haplotype (two-tailed Student’s t-test p = 0.036 were significantly associated with lower 25(OHD levels. Conclusions 25-hydroxyvitamin D deficiency and insufficiency were highly prevalent in this sample. The BsmI, ApaI and TaqI wild variants of the VDR gene, as well as the GGT haplotype, were associated with lower vitamin D levels, suggesting that VDR gene polymorphisms could be linked to higher susceptibility to vitamin D deficiency in a sub-population of children and adolescents.

  7. [Prevalence and factors associated with violence suffered by incarcerated women for drug trafficking in the state of Pernambuco, Brazil: a cross-sectional study].

    Science.gov (United States)

    Ferreira, Valquíria Pereira; da Silva, Maria Arleide; Noronha Neto, Carlos; Falbo Neto, Gilliatt Hanois; Chaves, Cynthia Vasconcelos; Bello, Rodrigo Pereira

    2014-07-01

    The scope of this study was to estimate the prevalence and factors associated with the violence suffered by women accused of drug trafficking in the 24 months prior to incarceration in the Women's Penal Colony in the State of Pernambuco. A cross-sectional study including 290 women aged 18 and above, with up to twelve months imprisonment, was performed for the data collection period. A questionnaire was applied to research the socioeconomic and demographic variables and the characteristics of violence and drug trafficking. All of the participants signed a consent form. The association between variables and intensity of exposure and response were determined by the chi-square test and the values (p white, 85.8% unmarried with children, 83.3% had low education and 72.6% had income below the minimum wage. Furthermore, 56.9% were users of illicit drugs and 67.5% participated by performing some role in drug trafficking. A high prevalence of some form of violence suffered were observed in the population studied and the partner was the most frequent perpetrator (44.1%), calling for the authorities to pay greater attention in the actions of prevention of such violence.

  8. The relationship between genotype, psychiatric symptoms and quality of life in adult patients with sickle cell disease in São Paulo, Brazil: a cross-sectional study

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    Érika Bergamini Mastandréa

    Full Text Available CONTEXT AND OBJECTIVE: Health-related quality of life (HRQoL may be worsened in sickle cell patients due to the presence of psychiatric disorders. The aims of this study were to describe the psychiatric symptoms in Brazilian sickle cell patients and to evaluate the relationship of these symptoms to the genotype of the disease and the subject's HRQoL. DESIGN AND SETTING: Cross-sectional study conducted at the hematology outpatient clinic, Hospital São Paulo. METHODS: Adult patients with sickle cell disease completed the Medical Outcome Study - Short Form 36 and the Patients' Health Questionnaire. Clinical data were gathered from their medical files. Linear regression models were developed to study the dependency of HRQoL domains on the genotype controlling for psychiatric symptoms. RESULTS: In the study period, 110 patients were evaluated. The most frequent psychiatric symptom was depression (30%, followed by anxiety (12.7% and alcohol abuse (9.1%. Patients with the more severe genotype (SS and Sβthal0 showed lower scores for the "general health" and "role-physical" HRQoL domains, without interference from psychiatric symptoms. In the "role-physical" domain, the more severe genotype operated as a protective factor for HRQoL (β = 0.255; P = 0.007. CONCLUSION: The more severe genotypes worsened HRQoL in two domains of physical health (general health and role-physical, but they did not have any influence on mental health, thus suggesting that physicians should be more attentive to aspects of HRQoL relating to the functionality of sickle cell disease patients, so as to be aware of the limitations that these patient live with.

  9. Methodology Series Module 3: Cross-sectional Studies.

    Science.gov (United States)

    Setia, Maninder Singh

    2016-01-01

    Cross-sectional study design is a type of observational study design. In a cross-sectional study, the investigator measures the outcome and the exposures in the study participants at the same time. Unlike in case-control studies (participants selected based on the outcome status) or cohort studies (participants selected based on the exposure status), the participants in a cross-sectional study are just selected based on the inclusion and exclusion criteria set for the study. Once the participants have been selected for the study, the investigator follows the study to assess the exposure and the outcomes. Cross-sectional designs are used for population-based surveys and to assess the prevalence of diseases in clinic-based samples. These studies can usually be conducted relatively faster and are inexpensive. They may be conducted either before planning a cohort study or a baseline in a cohort study. These types of designs will give us information about the prevalence of outcomes or exposures; this information will be useful for designing the cohort study. However, since this is a 1-time measurement of exposure and outcome, it is difficult to derive causal relationships from cross-sectional analysis. We can estimate the prevalence of disease in cross-sectional studies. Furthermore, we will also be able to estimate the odds ratios to study the association between exposure and the outcomes in this design.

  10. Theoretical Studies on Photoionization Cross Sections of Solid Gold

    Institute of Scientific and Technical Information of China (English)

    MA Xiao-Guang; SUN Wei-Guo; CHENG Yah-Song

    2005-01-01

    Accurate expression for photoabsorption (photoionization) cross sections of high density system proposed recently is used to study the photoionization of solid gold. The results show that the present theoretical photoionization cross sections have good agreement both in structure and in magnitude with the experimental results of gold crystal.The studies also indicate that both the real part ε'and the imaginary part ε" of the complex dielectric constant ε,and the dielectric influence function of a nonideal system have rich structures in low energy side with a range about 50 eV, and suggest that the influence of particle interactions of surrounding particles with the photoionized particle on the photoionization cross sections can be easily investigated using the dielectric influence function. The electron overlap effects are suggested to be implemented in the future studies to improve the accuracy of theoretical photoionization cross sections of a solid system.

  11. SCHISTOSOMIASIS MANSONI IN THE "BAIXADA OCIDENTAL MARANHENSE", STATE OF MARANHÃO, BRAZIL: CROSS-SECTIONAL STUDIES PERFORMED IN 1987 AND 1993

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    Raimundo Nonato Martins CUTRIM

    1998-05-01

    Full Text Available A cross-sectional study on the prevalence of schistosomiasis mansoni in three sites of the "Baixada Ocidental Maranhense" was carried out in 1993 in: Alegre (in the municipality of São Bento, Aliança (in Cururupu and Coroatá II (in the municipality of São João Batista. Results were compared to those of another study performed at the same sites and in similar conditions, in 1987. The entire population of the three sites, with few exceptions, was submitted to fecal tests using the Kato-Katz method and immediate intradermal tests for schistosomiasis in both studies. Subjects with positive results in one of these tests were clinically evaluated by a physical examination. In 1993, the total of 827 subjects were submitted to fecal examination and 826 to intradermal test. Schistosoma mansoni eggs were found in the feces of 154 (18.6% subjects, while 478 (57.9% subjects presented a positive intradermal test. Stool examination was carried out in 367 subjects in Alegre with a positivity rate of 14.9%; the intradermal test, performed in 366 subjects, was positive in 47.5% of the cases. In Aliança, 277 subjects had their feces examined and were submitted to an intradermal test, with a positivity rate of 34.4% and 70.7%, respectively. Finally in Coroatá II, 183 inhabitants submitted to fecal and intradermal tests had positivity rates of 2.2% and 59.0%, respectively. When the present data were compared to those obtained in the survey performed in 1987, a significant decrease in the prevalence of infection by S. mansoni was observed in Alegre and Coroatá II, and a prevalence increase in Aliança.Esquistossomose mansoni na Baixada Ocidental Maranhense, Estado do Maranhão, Brasil: estudos transversais realizados em 1987 e 1993 Realizou-se, em 1993, estudo transversal acerca da ocorrência de esquistossomose mansoni em três localidades da Baixada Ocidental Maranhense: Alegre (município de São Bento, Aliança (município de Cururupu e Coroatá II

  12. Assessment of radioactivity level in granite stones sold to ornamental and building purposes in Brazilian Amazon region (Belem, PA, Brazil): a cross sectional study

    Energy Technology Data Exchange (ETDEWEB)

    Queiroz, Y.M.; Santos, R.J.C.; Teixeira, C.E.C., E-mail: cecteixeira@pq.cnpq.br [Universidade da Amazonia (UNAMA), Belem, PA (Brazil). Centro de Ciencias Biologicas e da Saude. Lab. de Radiologia

    2015-07-01

    The aim of this work was evaluate the level of radioactivity in granite sold in the region of Belem (Para, Brazil) using a Geiger-Mueller detector. The results showed that only 5 from 57 samples of 35 types of granite evaluated had count rates above that measured in the background. However, the counting statistics suggests that the measured radiation values in these 5 samples are not due random fluctuations inherent in such measures. (author)

  13. Vaccination Coverage and Compliance with Three Recommended Schedules of 10-Valent Pneumococcal Conjugate Vaccine during the First Year of Its Introduction in Brazil: A Cross-Sectional Study.

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    Fabricia Oliveira Saraiva

    Full Text Available Pneumococcal 10-valent conjugate vaccine (PCV10 was introduced to Brazil's National Immunization Program (NIP in 2010. During the first year of vaccine introduction three schedules were used to deal with age at initiation of PCV for catch-up purposes: 3 primary doses + 1 booster (for children aged ≤6 months, a catch-up schedule of 2 doses + 1 booster (7-11 months, and a catch-up schedule of a single dose (12-15 months. The purpose of this study was to assess the magnitude and associated risk factors for under-vaccination or lack of on time vaccination six to eight months after PCV10 introduction. A household survey was conducted in the municipality of Goiania with 1,237 children, who were retroactively classified into one of three age groups, as a factor of the child's age relatively to 30 days after PCV10 introduction. Socioeconomic characteristics and vaccination dates were obtained during home interviews. Vaccination coverage was defined as the percentage of children who completed the recommended number of doses. Compliance with recommended schedules was defined as the percentage of children who received all valid doses at the NIP recommended time interval. Adjusted prevalence ratios (PR of variables independently associated with coverage and compliance were estimated by log binomial regression. Coverage of DTP-Hib was used for comparison purposes. Overall, vaccination coverage was 54.6% (95% CI 52.1-57.7%, lower than DTP-Hib coverage (93.0%; 95% CI 91.5-94.3%. Compliance with recommended schedules was 16.8% (95% CI: 14.7-18.6%. Children 7-11 months old had lower coverage (40.7% and compliance (6.3% compared to children aged 12-15 months (coverage: 88.8%; compliance: 35.6% and ≤6 months old (coverage: 54%; compliance: 18.8%. Having private health insurance was associated with higher PCV10 coverage (PR=1.25; 95% CI: 1.06-1.47, p=0.007, and compliance (PR=1.09; 95% CI: 1.02-1.16, p=0.015. Although PCV10 coverage rapidly increased shortly

  14. Cross-Sectional Study of Hepatitis A Virus Infection in the Pantanal Population before Vaccine Implementation in Brazil: Usage of Non-Invasive Specimen Collection

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    Renata Santos Tourinho

    2015-06-01

    Full Text Available Population-based prevalence studies are essential tools for screening of hepatitis A and provide important data on susceptible groups. However, surveillance in isolated communities is difficult because of the limited access to these areas and the need for blood sample collection. This study aimed to determine the anti-HAV prevalence using oral fluid samples to provide an alternative tool for epidemiological studies that might be useful for vaccination-related decisions. The study population was composed of 224 volunteers from South Pantanal, aged 3 to 86 years old. This study was performed using oral fluids, previously standardized for anti-HAV antibody detection, which were collected using a ChemBio device. Eluates were tested using modified commercial EIA to detect anti-HAV antibodies. The overall prevalence was 79.1%, corresponding to 178 reactive EIA tests out of 224 samples. The age stratified data revealed a prevalence of 47.8% between 0–10 years, 84% in 11–20 years and 91.9% in subjects older than 21 years. Results indicate that hepatitis A prevalence was higher in adolescents and adults, corroborating the literature reports. Thus, oral fluid samples could replace serum in HAV epidemiological studies in isolated communities as they are efficient at detecting anti-HAV antibodies.

  15. Cross-Sectional Study of Hepatitis A Virus Infection in the Pantanal Population before Vaccine Implementation in Brazil: Usage of Non-Invasive Specimen Collection.

    Science.gov (United States)

    Tourinho, Renata Santos; de Almeida, Adilson José; Villar, Livia Melo; Murat, Paula Guerra; Capelin, Gina Jonasson Mousquer; Castro, Ana Rita Coimbra Motta; de Paula, Vanessa Salete

    2015-06-30

    Population-based prevalence studies are essential tools for screening of hepatitis A and provide important data on susceptible groups. However, surveillance in isolated communities is difficult because of the limited access to these areas and the need for blood sample collection. This study aimed to determine the anti-HAV prevalence using oral fluid samples to provide an alternative tool for epidemiological studies that might be useful for vaccination-related decisions. The study population was composed of 224 volunteers from South Pantanal, aged 3 to 86 years old. This study was performed using oral fluids, previously standardized for anti-HAV antibody detection, which were collected using a ChemBio device. Eluates were tested using modified commercial EIA to detect anti-HAV antibodies. The overall prevalence was 79.1%, corresponding to 178 reactive EIA tests out of 224 samples. The age stratified data revealed a prevalence of 47.8% between 0-10 years, 84% in 11-20 years and 91.9% in subjects older than 21 years. Results indicate that hepatitis A prevalence was higher in adolescents and adults, corroborating the literature reports. Thus, oral fluid samples could replace serum in HAV epidemiological studies in isolated communities as they are efficient at detecting anti-HAV antibodies.

  16. HIV Infection Is Not Associated with Carotid Intima-Media Thickness in Brazil: A Cross-Sectional Analysis from the INI/ELSA-Brasil Study

    Science.gov (United States)

    Grinsztejn, Beatriz; da Fonseca, Maria de Jesus M.; Griep, Rosane Härter; Lotufo, Paulo; Bensenor, Isabela; Mill, José G.; Moreira, Rodrigo de C.; Moreira, Ronaldo I.; Friedman, Ruth K.; Santini-Oliveira, Marilia; Cardoso, Sandra W.; Veloso, Valdiléa G.; Chor, Dóra

    2016-01-01

    Background Carotid intima-media thickness (cIMT) has been used as an early marker of atherosclerotic disease in the general population. Recently its role among HIV-infected patients has been questioned. To date, no Brazilian study has compared cIMT in respect to HIV status. Methods We compared data from 535 patients actively followed in a prospective cohort in Rio de Janeiro (HIV group); 88 HIV-negative individuals who were nominated by patients (friend controls–FCs); and 10,943 participants of the ELSA-Brasil study. Linear regression models were used to study associations of the 3 groups and several covariables with cIMT. Propensity scores weighting (PSW) were also employed to balance data. Results Median thickness in mm (IQR) were 0.54 (0.49,0.62); 0.58 (0.52,0.68); and 0.57 (0.49,0.70), HIV, FCs and ELSA-Brasil groups, respectively (p-value<0.001). The best linear model chosen did not include the group variables, after adjusting for all the variables chosen, showing no difference of cIMT across groups. Similar results were obtained with PSW. Several traditional CVD risk factors were also significantly associated with cIMT: female gender, higher education and higher HDL were negatively associated while risk factors were older age, current/former smoker, AMI/stroke family history, CVD history, hypertension, DM, higher BMI and total cholesterol. Conclusions We show for the first time in a middle-income setting that cIMT, is not different in HIV-infected patients in Rio de Janeiro compared with 2 different groups of non-HIV-infected individuals. Traditional CVD risk factors are associated with this outcome. Our results point out that high standards of care and prevention for CVD risk factors should always be sought both in the HIV-infected and non-infected populations to prevent CVD-related events. PMID:27391355

  17. Mercury exposure, serum antinuclear/antinucleolar antibodies, and serum cytokine levels in mining populations in Amazonian Brazil: a cross-sectional study.

    Science.gov (United States)

    Gardner, Renee M; Nyland, Jennifer F; Silva, Ines A; Ventura, Ana Maria; de Souza, Jose Maria; Silbergeld, Ellen K

    2010-05-01

    Mercury is an immunotoxic substance that has been shown to induce autoimmune disease in rodent models, characterized by lymphoproliferation, overproduction of immunoglobulin (IgG and IgE), and high circulating levels of auto-antibodies directed at antigens located in the nucleus (antinuclear auto-antibodies, or ANA) or the nucleolus (antinucleolar auto-antibodies, or ANoA). We have reported elevated levels of ANA and ANoA in human populations exposed to mercury in artisanal gold mining, though other confounding variables that may also modulate ANA/ANoA levels were not well controlled. The goal of this study is to specifically test whether occupational and environmental conditions (other than mercury exposure) that are associated with artisanal gold mining affect the prevalence of markers of autoimmune dysfunction. We measured ANA, ANoA, and cytokine concentrations in serum and compared results from mercury-exposed artisanal gold miners to those from diamond and emerald miners working under similar conditions and with similar socio-economic status and risks of infectious disease. Mercury-exposed gold miners had higher prevalence of detectable ANA and ANoA and higher titers of ANA and ANoA as compared to diamond and emerald miners with no occupational mercury exposure. Also, mercury-exposed gold miners with detectable ANA or ANoA in serum had significantly higher concentrations of pro-inflammatory cytokines IL-1beta, TNF-alpha, and IFN-gamma in serum as compared to the diamond and emerald miners. This study provides further evidence that mercury exposure may lead to autoimmune dysfunction and systemic inflammation in affected populations.

  18. Cross-sectional study on the weight and length of infants in the interior of the State of São Paulo, Brazil: associations with sociodemographic variables and breastfeeding

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    Julia Laura Delbue Bernardi

    Full Text Available CONTEXT AND OBJECTIVE: Increasing obesity is starting to occur among Brazilians. The aim of this study was to investigate the weight and length of children under two years of age in relation to sociodemographic variables and according to whether they were breastfed. DESIGN AND SETTING: Cross-sectional randomized study conducted in 2004-2005, based on the declaration of live births (SINASC in Campinas, Brazil. METHODS: 2,857 mothers of newborns were interviewed and answered a questionnaire seeking socioeconomic and breastfeeding information. The newborns' weights and lengths were measured at the end of the interviews and the body mass index was calculated. Percentiles ( 85 and Z-scores ( +1 were used for classification based on the new growth charts recommended by WHO (2006. The log-rank test, multiple linear regression and binomial test (Z were used. The statistical significance level used was 5%. RESULTS: The predominant social level was class C. The median for exclusive breastfeeding was 90 days; 61.25% of the children were between P15 and P85 for body mass index and 61.12% for length, respectively. Children whose mothers studied for nine to eleven years and children whose mothers were unemployed presented lower weight. Children whose mothers worked in health-related professions presented lower length when correlated with breastfeeding. CONCLUSION: The breastfeeding, maternal schooling and maternal occupation levels had an influence on nutrition status and indicated that obesity is occurring in early childhood among the infants living in the municipality.

  19. Factors Associated With Scoliosis in Schoolchildren: a Cross-Sectional Population-Based Study

    OpenAIRE

    Baroni, Marina Pegoraro; Sanchis, Geronimo José Bouzas; de Assis, Sanderson José Costa; dos Santos, Rafael Gomes; Pereira, Silvana Alves; Sousa, Klayton Galante; Lopes,Johnnatas Mikael

    2015-01-01

    Background The present study aimed to investigate the prevalence of scoliosis and to analyze the factors associated with scoliosis in schoolchildren aged between 7 and 17 years. Methods This is a cross-sectional and quantitative study with stratified random selection of public school students in the city of Santa Cruz, Brazil. The presence of scoliosis was examined, as well as the flexibility of the posterior muscle chain, socioeconomic characteristics, anthropometry, lifestyle habits, sexual...

  20. Underlying Factors Associated with Anemia in Amazonian Children: A Population-Based, Cross-Sectional Study

    OpenAIRE

    Cardoso, Marly A.; Scopel,Kézia K.G.; Muniz, Pascoal T.; Eduardo Villamor; Marcelo U. Ferreira

    2012-01-01

    Background: Although iron deficiency is considered to be the main cause of anemia in children worldwide, other contributors to childhood anemia remain little studied in developing countries. We estimated the relative contributions of different factors to anemia in a population-based, cross-sectional survey. Methodology: We obtained venous blood samples from 1111 children aged 6 months to 10 years living in the frontier town of Acrelandia, northwest Brazil, to estimate the prevalence of anemia...

  1. A Theoretical Study of Photoabsorption Cross Sections of Na2+

    Institute of Scientific and Technical Information of China (English)

    ZHANG Wei-Hua; GAO Xiang; HAN Xiao-Ying; LI Jia-Ming

    2007-01-01

    @@ In the framework of quantum defect theory, we calculate photoabsorption cross sections of Na2+. Based on our calculations, there is an absorption window in the photoabsorption cross sections of Na2+, and more than one bump above the absorption window. The calculated photoabsorption cross sections provide an explanation for the abnormal bump in the experimental measurements of Hudson, which is a long-standing experimental puzzle.

  2. Studies of 54,56Fe Neutron Scattering Cross Sections

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    Hicks S. F.

    2015-01-01

    Full Text Available Elastic and inelastic neutron scattering differential cross sections and γ-ray production cross sections have been measured on 54,56Fe at several incident energies in the fast neutron region between 1.5 and 4.7 MeV. All measurements were completed at the University of Kentucky Accelerator Laboratory (UKAL using a 7-MV Model CN Van de Graaff accelerator, along with the neutron production and neutron and γ-ray detection systems located there. The facilities at UKAL allow the investigation of both elastic and inelastic scattering with nearly mono-energetic incident neutrons. Time-of-flight techniques were used to detect the scattered neutrons for the differential cross section measurements. The measured cross sections are important for fission reactor applications and also for testing global model calculations such as those found at ENDF, since describing both the elastic and inelastic scattering is important for determining the direct and compound components of the scattering mechanism. The γ-ray production cross sections are used to determine cross sections to unresolved levels in the neutron scattering experiments. Results from our measurements and comparisons to model calculations are presented.

  3. Grit and Work Engagement: A Cross-Sectional Study.

    Science.gov (United States)

    Suzuki, Yuhei; Tamesue, Dai; Asahi, Kentaro; Ishikawa, Yoshiki

    2015-01-01

    Grit, defined as perseverance of effort and consistency of interest, has attracted attention as a predictor of success in various fields beyond IQ and the Big Five personality dimension of Conscientiousness. The purpose of the current study was to examine previously uninvestigated questions regarding grit using a cross-sectional design among a large number of working adults in Japan. First, we tested geographical generalizability of associations between grit and orientations towards happiness by comparing previous studies in the U.S. and the current study in Japan. It was confirmed that orientation towards meaning rather than orientation towards engagement had a stronger positive correlation with grit in our sample of Japanese people. This result is inconsistent with previous studies in the U.S. Furthermore, the Big Five dimension of Openness to Experience was newly confirmed as having a positive association with grit. Second, we examined the association between grit and work engagement, which is considered as an outcome indicator for work performance. In this analysis, grit was a strong predictor for work performance as well as academic performance.

  4. Use of Computer among Medical Students: A Cross Sectional Study

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    Siddharth Kumar

    2013-05-01

    Full Text Available Background: Computer is a part of our daily life. In Medical Science it has become an essential product in every hospital. Starting from open heart surgeries to X rays to various clinical tests all are carried out by the help of computer. They communicate with each other by email, live chatting and they also use to take full advantage of technology. They also use the computer and internet nearly as much for social communication as they do for their educational purposes.Methods: This cross-sectional study was conducted from January to August 2010 at NMC, Birgunj, Nepal. The subjects of this survey were Undergraduate medical students.Results: Most of the students were in the age group of 21- 23yrs and 19 – 20 yrs. Males were more in number (62% compared with females. Among Ist yr students computer as a Source of information got priority but in IInd year students Source of information Preparing notes and reading Research articles were more important. Amusement and Preparing notes and reading Research articles were important factor for IIIrd & IVth Year students.Conclusion: The use of the laptop and personal computers along with internet connectivity is increasing. This is becoming a part of medical education in different parts of the globe. In this study on medical students we observed an association between the year of study and the purpose of computer and internet use. Computer assisted teaching learning activities should be encouraged for the improvement of medical science for the new generations.

  5. Employee Engagement within the NHS: A Cross-Sectional Study

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    Yadava Bapurao Jeve

    2015-02-01

    Full Text Available Background Employee engagement is the emotional commitment of the employee towards the organisation. We aimed to analyse baseline work engagement using Utrecht Work Engagement Scale (UWES at a teaching hospital. Methods We have conducted a cross-sectional study within the National Health Service (NHS Teaching Hospital in the UK. All participants were working age population from both genders directly employed by the hospital. UWES has three constituting dimensions of work engagement as vigor, dedication, and absorption. We conducted the study using UWES-9 tool. Outcome measures were mean score for each dimension of work engagement (vigor, dedication, absorption and total score compared with control score from test manual. Results We found that the score for vigor and dedication is significantly lower than comparison group (P< 0.0001 for both. The score for absorption was significantly higher than comparison group (P< 0.0001. However, total score is not significantly different. Conclusion The study shows that work engagement level is below average within the NHS employees. Vigor and dedication are significantly lower, these are characterised by energy, mental resilience, the willingness to invest one’s effort, and persistence as well as a sense of significance, enthusiasm, inspiration, pride, and challenge. The NHS employees are immersed in work. Urgent need to explore strategies to improve work engagement as it is vital for improving productivity, safety and patient experience.

  6. Depression among Ethiopian Adults: Cross-Sectional Study

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    Getasew Legas Molla

    2016-01-01

    Full Text Available Background. Depression is one of the most common mental disorders worldwide and is the second leading cause of disability and major contributor to suicide. Methods. Community based cross-sectional study was conducted among 779 adults residing in Northwest Ethiopia. Multistage cluster sampling technique was used to select study participants. Depression was measured by Patient Health Questionnaire (PHQ-9. Bivariate as well as multivariate logistic regressions were used to identify associated factors. p value of < 0.05 was considered statistically significant. Result. The prevalence of depression was 17.5%, where 10.7% of patients were with mild depression, 4.2% were with moderate depression, 1.9% were with moderately severe depression, and 0.6% had severe depression. Being female, age of 55 years and above, poor social support, having a comorbidity medical illness, current tobacco smoking, and living alone were significantly associated with depression. Conclusion and Recommendation. The prevalence of depression in Ethiopia is as common as the other lower and middle income countries. Female gender, being currently not married, poor social support, low wealth index, tobacco smoking, older age, having comorbid illness, and living alone were significantly associated with depression. So, depression is a significant public health problem that requires a great emphasis and some factors like smoking habit are modifiable.

  7. Morbidity patterns among rice mill workers: A cross sectional study

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    Prakash Seema

    2010-01-01

    Full Text Available Background: India, a land of agriculture, has formed the scaffolding for many agro-based industries. Morbidity is more common among these industrial workers; hence, this study was conducted. Objectives: To study the morbidity pattern among the rice mill workers and the relationship between duration (years of working and their morbid status. Study Design: A cross-sectional study. Materials and Methods: A pre-structured questionnaire was used to record the necessary information such as clinical history, sociodemographic profile, findings of clinical examination and performance of peak expiratory flow rate (PEFR. The study was conducted in three rice mills in an urban area under Urban Health Training Centre (UHTC, Department of Community Medicine, SSMC, Tumkur. A total of 75 workers were recruited for the study. The study was conducted in the month of October. Statistical analysis was done using Chi-square test. Results: Among these 75 workers, 42.66% had respiratory morbidity; among them, 10.66% had PEFR less than 200L/min. 26.66% had low backache and knee joint pain and 20% had generalized / musculo skeleton pain. 6.6% suffered from allergic conjunctivitis and 4% had skin allergy. Conclusion: High Prevalence of respiratory morbidity (42.66% and 8 (10.66% workers with decreased PEFR were found. It also showed that there was statistically significant relationship between duration (years of working and respiratory morbid condition. This condition can be prevented by good health education and appropriate usage of safety devices, and further studies are recommended.

  8. Women and tobacco: A cross sectional study from North India

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    S Kathirvel

    2014-01-01

    Full Text Available Background: Tobacco is a leading risk factor for different types of diseases globally. Tobacco smoking by women is culturally unacceptable in India, but still women smoke tobacco at various times of their life. Aims: The aim was to estimate the prevalence and pattern of tobacco use among women and to study the associated sociodemographic factors. Settings And Design: This cross-sectional study was conducted among women aged 30 years or over in an urban resettlement colony for the migrant population at Chandigarh, India. Methodology: The study included women used tobacco products on one or more days within the past 30 days. Through systematic random sampling, 262 women were studied. As a part of the study 144 bidi smoking women were interviewed using detailed semi-structured questionnaire. Statistical Analysis: Descriptive statistics and hypothesis testing with Chi-squared test and logistic regression were done using SPSS 16.0 version. Results: Overall, the prevalence of tobacco use was 29.4% and that of bidi, zarda and hookah were 19.8%, 8.8%, and 2.7%, respectively. Around 6.2% women used tobacco during pregnancy. Teenage was the most common age of initiation of bidi smoking. Logistic regression analysis showed that the prevalence of tobacco use was high among Hindu unemployed women with no formal education belonged to scheduled caste, and those having grandchildren. Conclusions: This study highlighted high rates of tobacco use and explored both individual and family factors related to tobacco use among women. Affordable, culturally acceptable, sustainable and gender-sensitive individual and community-specific interventions will reduce the prevalence and effects of tobacco use.

  9. Optimizing muscle power after stroke: a cross-sectional study

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    Stavric Verna A

    2012-09-01

    Full Text Available Abstract Background Stroke remains a leading cause of disability worldwide and results in muscle performance deficits and limitations in activity performance. Rehabilitation aims to address muscle dysfunction in an effort to improve activity and participation. While muscle strength has an impact on activity performance, muscle power has recently been acknowledged as contributing significantly to activity performance in this population. Therefore, rehabilitation efforts should include training of muscle power. However, little is known about what training parameters, or load, optimize muscle power performance in people with stroke. The purpose of this study was to investigate lower limb muscle power performance at differing loads in people with and without stroke. Methods A cross-sectional study design investigated muscle power performance in 58 hemiplegic and age matched control participants. Lower limb muscle power was measured using a modified leg press machine at 30, 50 and 70% of one repetition maximum (1-RM strength. Results There were significant differences in peak power between involved and uninvolved limbs of stroke participants and between uninvolved and control limbs. Peak power was greatest when pushing against a load of 30% of 1RM for involved, uninvolved and control limbs. Involved limb peak power irrespective of load (Mean:220 ± SD:134 W was significantly lower (p  Conclusions Significant power deficits were seen in both the involved and uninvolved limbs after stroke. Maximal muscle power was produced when pushing against lighter loads. Further intervention studies are needed to determine whether training of both limbs at lighter loads (and higher velocities are preferable to improve both power and activity performance after stroke.

  10. Cardiovascular Complications of Acute Amphetamine Abuse; Cross-sectional study

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    Elham Bazmi

    2017-03-01

    Full Text Available Objectives: This study aimed to evaluate cardiovascular complications among patients who abuse amphetamines. Methods: This cross-sectional study took place between April 2014 and April 2015 among 3,870 patients referred to the Toxicology Emergency Department of Baharlou Hospital, Tehran University of Medical Sciences, Tehran, Iran. Those with clinical signs of drug abuse and positive urine screening tests were included in the study, while cases of chronic abuse were excluded. Cardiac complications were evaluated via electrocardiography (ECG and transthoracic echocardiography. Results: A total of 230 patients (5.9% had a history of acute amphetamine abuse and positive urine tests. Of these, 32 patients (13.9% were <20 years old and 196 (85.2% were male. In total, 119 (51.7% used amphetamine and methamphetamine compounds while 111 (48.3% used amphetamines with morphine or benzodiazepines. The most common ECG finding was sinus tachycardia (43.0%, followed by sinus tachycardia plus a prolonged QT interval (34.3%. Mean creatine kinase-MB and troponin I levels were 35.9 ± 4.3 U/mL and 0.6 ± 0.2 ng/mL, respectively. A total of 60 patients (26.1% were admitted to the Intensive Care Unit. The majority (83.3% of these patients had normal echocardiography results. The mean aortic root diameter (ARD was 27.2 ± 2.8 mm. Abnormalities related to the ARD were found in 10 patients (16.7%, three of whom subsequently died. Conclusion: According to these findings, cardiac complications were common among Iranian patients who abuse amphetamines, although the majority of patients had normal echocardiography and ECG findings.

  11. The physics of neutrino cross sections: theoretical studies

    CERN Document Server

    Alvarez-Ruso, Luis

    2016-01-01

    The present status of neutrino cross section physics is reviewed focusing on the recent theoretical developments in quasielastic scattering, multi-nucleon contributions to the inclusive scattering and pion production on nucleons and nuclei. A good understanding of these processes is crucial to meet the precision needs of neutrino oscillation experiments. Some of the challenges that arise in the consistent description of MiniBooNE and MINERvA recent data are discussed.

  12. Lifestyle factors and multimorbidity: a cross sectional study

    OpenAIRE

    2014-01-01

    Background Lifestyle factors have been associated mostly with individual chronic diseases. We investigated the relationship between lifestyle factors (individual and combined) and the co-occurrence of multiple chronic diseases. Methods Cross-sectional analysis of results from the Program of Research on the Evolution of a Cohort Investigating Health System Effects (PRECISE) in Quebec, Canada. Subjects aged 45 years and older. A randomly-selected cohort in the general population recruited by te...

  13. Radar cross-sectional study using noise radar

    Science.gov (United States)

    Freundorfer, A. P.; Siddiqui, J. Y.; Antar, Y. M. M.

    2015-05-01

    A noise radar system is proposed with capabilities to measure and acquire the radar cross-section (RCS) of targets. The proposed system can cover a noise bandwidth of near DC to 50 GHz. The noise radar RCS measurements were conducted for selective targets like spheres and carpenter squares with and without dielectric bodies for a noise band of 400MHz-5000MHz. The bandwidth of operation was limited by the multiplier and the antennae used.

  14. PHOSPHATE METABOLISM IN KIDNEY DONORS: A CROSS-SECTIONAL STUDY

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    Jayakumar Edathedathe

    2016-05-01

    Full Text Available AIM To study the changes in phosphate metabolism in kidney donors, to study the correlation of albuminuria, fractional excretion of phosphorus [FE Pi] and estimated glomerular filtration rate [eGFR] with fibroblast growth factor 23 [FGF 23] in kidney donors, to study the early tubule interstitial injury in the remnant kidney of donors by measuring urine transforming growth factor beta [TGF beta] levels. MATERIALS AND METHODS A cross-sectional study in which kidney donors with 1 year or more after donation were included. 69 kidney donors with a mean duration of 5.86 years after kidney donation were studied. Serum phosphate level, fractional excretion of phosphorus [FE Pi] and serum levels of parathyroid hormone were measured. Plasma levels of FGF 23 were measured by a second generation enzyme linked immune sorbent assay [ELISA]. Renal function was assessed by estimated glomerular filtration rate [eGFR] and degree of albuminuria. Urine levels of transforming growth factor beta [TGF beta] were measured by ELISA. A hypothesis that in kidney donors with reduced nephron number, the single nephron excretion of phosphorus will be increased to maintain normal phosphorus homeostasis and that this increase in single nephron phosphorus excretion may be mediated by FGF 23 was proposed. Testing of this hypothesis was done by studying the correlation between parameters of phosphorus metabolism, FGF 23 and the renal function of the donors. RESULTS The mean eGFR was 70.36 mL/min/1.73 m2 . 52.2% of donors had moderate increase in albuminuria [microalbuminuria], Serum phosphorus, fractional excretion of phosphorus and serum PTH levels were in the normal range. FGF 23 levels were in the normal reference range and showed no correlation with FE pi, eGFR or albuminuria, Urine TGF-beta levels were undetectable in all the donors. DISCUSSION Normal phosphorus homeostasis is maintained in kidney donors. There was no correlation between FE pi and FGF 23 levels. Kidney

  15. Neutron halo in 14B studied via reaction cross sections

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    Fukuda M.

    2014-03-01

    Full Text Available Reaction cross sections (σR for the neutron-rich nucleus 14B on Be, C, and Al targets have been measured at several energies in the intermediate energy range of 45–120 MeV/nucleon. The present experimental σR show a significant enhancement relative to the systematics of stable nuclei. The nucleon density distribution was deduced through the fitting procedure with the modified Glauber calculation. The necessity of a long tail in the density distribution was found, which is consistent with the valence neutron in 2s1/2 orbital with the small empirical one-neutron separation energy in 14B.

  16. [Pathogenesis of temporomandibular joint dysfunction. I. Cross sectional study].

    Science.gov (United States)

    Vágó, P

    1989-07-01

    The forming of the pathography is explained from several view points by the publications dealing with the aetiology of the mandible joint disfunction. One viewpoint emphasizes the role of teeth factors, another one stresses the significance of the mandible joint disfunction were examined in the course of statistical analyses, causality. For the epidemiologic examination of the mandible joint disfunction a questionary was worked out which was filled in by the examined persons, this followed by a clinical examination in which factors seemingly important concerning the development of the disease were examined. In knowledge of the statistical methods employed in the foregoing researches it was tried to elaborate the cross-sectional examination results in a modern way.

  17. Prevalence and clinical features of celiac disease in patients with autoimmune thyroiditis: cross-sectional study

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    Aline Ventura

    Full Text Available CONTEXT AND OBJECTIVE: Celiac disease is an autoimmune disorder with an average prevalence of 1% in Europe and the United States. Because of strong European ancestry in southern Brazil, this study aimed to evaluate the seroprevalence of celiac disease among autoimmune thyroiditis patients.DESIGN AND SETTING: Cross-sectional study in a public university hospital.METHODS: This cross-sectional prevalence study included autoimmune thyroiditis patients who were tested for anti-endomysial and anti-transglutaminase antibodies between August 2010 and July 2011.RESULTS: Fifty-three patients with autoimmune thyroiditis were included; 92.5% were women, with mean age of 49.0 ± 13.5 years. Five patients (9.3% were serologically positive for celiac disease: three of them (5.6% were reactive for anti-endomysial antibodies and two (3.7% for anti-transglutaminase. None of them exhibited anemia and one presented diarrhea. Endoscopy was performed on two patients: one with normal histology and the other with lymphocytic infiltrate and villous atrophy.CONCLUSION: The prevalence of celiac disease among patients with autoimmune thyroid disease was 9.3%; one patient complained of diarrhea and none presented anemia. Among at-risk populations, like autoimmune thyroiditis patients, the presence of diarrhea or anemia should not be used as a criterion for indicating celiac disease investigation. This must be done for all autoimmune thyroiditis patients because of its high prevalence.

  18. Smoking and body fatness measurements : A cross-sectional analysis in the EPIC-PANACEA study

    NARCIS (Netherlands)

    Travier, Noemie; Agudo, Antonio; May, Anne M.; Gonzalez, Carlos; Luan, Jian'an; Besson, Herve; Wareham, Nick J.; Slimani, Nadia; Rinaldi, Sabina; Clavel-Chapelon, Francoise; Boutron-Ruault, Marie-Christine; Palli, Domenico; Agnoli, Claudia; Mattiello, Amalia; Tumino, Rosario; Vineis, Paolo; Rodriguez, Laudina; Sanchez, Maria-Jose; Dorronsoro, Miren; Barricarte, Aurelio; Tormo, Maria-Jose; Norat, Teresa; Mouw, Traci; Key, Tim J.; Spencer, Elizabeth A.; Bueno-de-Mesquita, H. Bas; Vrieling, Alina; Orfanos, Philippos; Naska, Ada; Trichopoulou, Antonia; Rohrmann, Sabina; Kaaks, Rudolf; Bergmann, Manuela M.; Boeing, Heiner; Hallmans, Goran; Johansson, Ingegerd; Manjer, Jonas; Lindkvist, Bjorn; Jakobsen, Mariane Uhre; Overvad, Kim; Tjonneland, Anne; Halkjaer, Jytte; Lund, Eiliv; Braaten, Toni; Odysseos, Andreani; Riboli, Elio; Peeters, Petra H.

    2009-01-01

    Objective. The present study investigates the cross-sectional relationship between tobacco smoking and body fatness. Methods. This cross-sectional study consisted of 469,543 men and women who participated in the European Prospective Investigation into Cancer and Nutrition (EPIC) study between 1992 a

  19. Fluid intake in Mexican adults: a cross-sectional study

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    Homero Martinez

    2014-05-01

    Full Text Available Introduction: An adequate hydration is critical for a series of body functions, including proper regulation of core body temperature, elimination of waste metabolites by the kidney and maintenance of normal physical and cognitive functions. Some institutions have set recommendations for adequate intake of water, but these recommendations vary widely. Objective: To estimate the usual daily consumption of fluids (water and all other beverages by a selective sample of Mexican population. Methods: Cross-sectional sample of 1,492 male and female adults between 18-65 years of age, drawn from 16 cities throughout Mexico. Self-reported fluid intake data collected over a 7-day consecutive period, recording intake of water, milk and derivatives, hot beverages, sugar sweetened beverages (SSB, alcoholic beverages and others. Results: We found that 87.5% of adult males and 65.4% of adult females reported drinking below their recommended daily fluid intake (3 L for males and 2 L for females, and in 80% of the population SSB, not including hot beverages or milk and derivatives, accounted for a larger amount and proportion of fluid intake than plain water. Sixty-five percent of adult males and 66% of adult females consumed more than 10% of their estimated daily caloric intake from fluids. Fluid intake did not differ significantly by gender, but showed a declining trend with age. Conclusion: Our findings may have important implications for policy recommendations, as part of comprehensive strategies to promote the adoption of healthy life styles, in this case, promoting consumption of plain water while discouraging excessive consumption of caloric beverages.

  20. Knowledge about epilepsy among health professionals: a cross-sectional survey in São Paulo, Brazil

    Science.gov (United States)

    Benedito-Silva, Ana Amélia; Sousa, Bolivar Saldanha; Gomes da Silva, Sergio; Souza-Vancini, Maria Iones; Vancini-Campanharo, Cássia Regina; Cabral, Francisco Romero; de Lima, Cristiano; Barbosa de Lira, Claudio Andre

    2012-01-01

    Objective To evaluate the epilepsy knowledge among health professionals in São Paulo, Brazil. Design This is a cross-sectional study. Participants Professionals with academic degrees in physical education (n=134), nutrition (n=116), medicine (n=100), psychology (n=53), nursing (n=122) and physiotherapy (n=99) who lived in São Paulo City, Brazil. Primary and secondary outcome measures Knowledge of health professionals about epilepsy. Methods Professionals with academic degrees in physical education (n=134), nutrition (n=116), medicine (n=100), psychology (n=53), nursing (n=122) and physiotherapy (n=99) who lived in São Paulo City, Brazil, were invited to participate in the study. The subjects (n=624) answered a questionnaire composed of 25 simple closed-ended questions from three areas: personal, educational and knowledge. Results Out of all subjects, 88.5% (n=552) had a postgraduate education, while 11.5% (n=72) had only an undergraduate degree. The authors found that physical educators, nutritionists and physiotherapists received lower scores on their epilepsy knowledge than other health professionals. Conclusions Health professionals are considered better-educated group inside the society, especially with regards to healthcare issues. Thus, it is important they also have an accurate and correct knowledge about epilepsy. The findings of the present study indicate an imperative improvement in education about epilepsy, as well as an inclusion of formal programmes for epilepsy education especially for non-medical professionals. An improvement in epilepsy education might contribute to an improvement in epilepsy care and management. PMID:22517981

  1. Ionization and capture in water: a multi-differential cross sections study

    Science.gov (United States)

    Champion, Christophe; Galassi, Mariel E.; Weck, Philippe F.; Fojón, Omar; Hanssen, Jocelyn; Rivarola, Roberto D.

    2012-11-01

    Two quantum mechanical models (CB1 and CDW-EIS) are here presented to provide accurate multiple differential and total cross sections for describing the two most important ionizing processes, namely, ionization and capture induced by heavy charged particles in water. A detailed study of the influence of the target description on the cross section calculations is also provided.

  2. Vitamin B12 in metformin-treated diabetic patients: a cross-sectional study in Brazil Vitamina B12 em pacientes diabéticos usando metformina: um corte transversal no Brasil

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    Monique Nervo

    2011-02-01

    Full Text Available OBJECTIVE: The objective of this study was to evaluate the presence of vitamin B12 deficiency and the factors associated with serum vitamin B12 levels in a sample of metformin-treated Brazilian diabetic patients. METHOD: Cross-sectional study. RESULTS: 144 patients were included. Serum vitamin B12 levels were low (OBJETIVO: O objetivo deste estudo foi avaliar a prevalência de deficiência de vitamina B12 em pacientes diabéticos brasileiros tratados com metformina e os fatores associados aos níveis séricos de vitamina B12. MÉTODO: Corte transversal. RESULTADOS: 144 pacientes foram incluídos. Os níveis séricos de vitamina B12 foram baixos (< 125 pmol/L em 10 pacientes (6,9% e possivelmente baixos (125 - 250pmol/L em 53 pacientes (36,8%. Os níveis séricos de vitamina B12 foram associados negativamente à idade (B = -3,17; β = -0,171; p = 0,037 e à duração do uso de metformina (B = -33,36; β= -0,161; p = 0,048 e positivamente com a ingestão estimada de vitamina B12 (B = 67,96; β = 0,249; p = 0,002. CONCLUSÃO: Estes resultados sugerem alta prevalência de deficiência de vitamina B12 em pacientes diabéticos tratados com metformina. Pacientes mais velhos, em uso de metformina há muito tempo e com ingestão baixa de vitamina B12 estão provavelmente mais predispostos a essa deficiência.

  3. Prevalence and Phenotypic Expression of Mutations in the MYH7, MYBPC3 and TNNT2 Genes in Families with Hypertrophic Cardiomyopathy in the South of Brazil: A Cross-Sectional Study

    Science.gov (United States)

    Mattos, Beatriz Piva e; Scolari, Fernando Luís; Torres, Marco Antonio Rodrigues; Simon, Laura; de Freitas, Valéria Centeno; Giugliani, Roberto; Matte, Úrsula

    2016-01-01

    Background: Mutations in sarcomeric genes are found in 60-70% of individuals with familial forms of hypertrophic cardiomyopathy (HCM). However, this estimate refers to northern hemisphere populations. The molecular-genetic profile of HCM has been subject of few investigations in Brazil, particularly in the south of the country. Objective: To investigate mutations in the sarcomeric genes MYH7, MYBPC3 and TNNT2 in a cohort of HCM patients living in the extreme south of Brazil, and to evaluate genotype-phenotype associations. Methods: Direct DNA sequencing of all encoding regions of three sarcomeric genes was conducted in 43 consecutive individuals of ten unrelated families. Results: Mutations for CMH have been found in 25 (58%) patients of seven (70%) of the ten study families. Fourteen (56%) individuals were phenotype-positive. All mutations were missense, four (66%) in MYH7 and two (33%) in MYBPC3. We have not found mutations in the TNNT2 gene. Mutations in MYH7 were identified in 20 (47%) patients of six (60%) families. Two of them had not been previously described. Mutations in MYBPC3 were found in seven (16%) members of two (20%) families. Two (5%) patients showed double heterozygosis for both genes. The mutations affected different domains of encoded proteins and led to variable phenotypic expression. A family history of HCM was identified in all genotype-positive individuals. Conclusions: In this first genetic-molecular analysis carried out in the south of Brazil, we found mutations in the sarcomeric genes MYH7 and MYBPC3 in 58% of individuals. MYH7-related disease was identified in the majority of cases with mutation. PMID:27737317

  4. Hepatitis B virus genotypes and mutations in the basal core promoter and pre-core/core in chronically infected patients in southern Brazil: a cross-sectional study of HBV genotypes and mutations in chronic carriers

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    Flávia Miryan Martins Almeida de Mello

    2014-12-01

    Full Text Available Introduction In Brazil, little data exist regarding the distribution of genotypes in relation to basal core promoter (BCP and precore/core mutations among chronic hepatitis B virus (HBV carriers from different regions of the country. The aim of this study was to identify HBV genotypes and the frequency of mutations at the BCP and precore/core region among the prevalent genotypes in chronic carriers from southern Brazil. Methods Nested-polymerase chain reaction (nested-PCR products amplified from the S-polymerase gene, BCP and precore/core region from 54 samples were sequenced and analyzed. Results Phylogenetic analysis of the S-polymerase gene sequences showed that 66.7% (36/54 of the patients were infected with genotype D (D1, D2, D3, 25.9% (14/54 with genotype A (A1, A2, 5.6% (3/54 with subgenotype C2, and 2% (1/54 with genotype E. A comparison of virological characteristics showed significant differences between genotypes A, C and D. The comparison between HBeAg status and the G1896A stop codon mutation in patients with genotype D revealed a relationship between HBV G1896A precore mutants and genotype D and hepatitis B e antigen (HBeAg seroconversion. Genotype D had a higher prevalence of the G1896A mutation and the presence of a thymine at position 1858. Genotype A was associated with a higher prevalence of the G1862T mutation and the presence of a cytosine at position 1858. Conclusions HBV genotype D (D3 is predominant in HBV chronic carriers from southern Brazil. The presence of mutations in the BCP and precore/core region was correlated with the HBV genotype and HBeAg negative status.

  5. Theoretical studies on the photoionization cross-sections of solid silver

    Institute of Scientific and Technical Information of China (English)

    Ma Xiao-Guang; Sun Wei-Guo

    2005-01-01

    An alternative expression for photoionization cross-section of atoms or molecules and a dielectric influence function (DIF) in a high-density system proposed recently are used to study the photoionization cross-sections of solid silver. It is suggested that a density turning point (DTP) of a photoionized system may be viewed as the critical point where the photoionization properties of atoms in a real system may have a notable change. The results show that the present theoretical photoionization cross-sections are in good agreement with the experimental results of a silver crystal both in structure and in magnitude.

  6. sponsorship ban in Lebanon: a baseline cross-sectional study

    Directory of Open Access Journals (Sweden)

    Monique Chaaya

    2016-05-01

    This study provided information about compliance to the smoking ban in Beirut. The advertising sector's compliance would hopefully decrease the tobacco industry’s influence on the public. Further studies aiming at understanding the underlying factors behind the lack of compliance to the indoor smoking ban and finding effective solutions in a politically unstable country with weak rule of law like Lebanon are crucial and can serve as an example for similar developing countries.

  7. INJURIES IN DISC GOLF - A DESCRIPTIVE CROSS-SECTIONAL STUDY

    DEFF Research Database (Denmark)

    Rahbek, Martin Amadeus; Nielsen, Rasmus Oestergaard

    2016-01-01

    BACKGROUND: Disc golf is rapidly increasing in popularity and more than two million people are estimated to regularly participate in disc golf activities. Despite this popularity, the epidemiology of injuries in disc golf remains under reported. PURPOSE: The purpose of the present study was to in...

  8. Treatment of 5413 hypertensive patients: a cross-sectional study

    DEFF Research Database (Denmark)

    Paulsen, M S; Sondergaard, J; Reuther, L;

    2011-01-01

    Most hypertensive patients are managed in primary care in Denmark, but previous studies have shown that only 21-43% of hypertensive patients achieve optimal blood pressure (BP) control. Antihypertensive drug treatment, risk factors and cardiovascular disease (CVD) are some of the important factors...... to consider when optimizing the individual treatment strategy in hypertensive patients....

  9. A study of the fusion and elastic cross section

    Science.gov (United States)

    Cárdenas, W. H. Z.

    2010-08-01

    This work is complementary to that of Canto et al. [1], improving the approximations made to obtain the local Polarization Potential (PP). We study the Trivially Equivalent Local Polarization Potential (TELPP) obtained directly from the two Coupled Channel Equations (CCE), with the help of Feshbach formalism. The inelastic channel has been associated with a nuclear monopole resonant state of 6He at the breakup threshold, EB = 0.973 MeV.

  10. A CROSS-SECTIONAL STUDY OF RETROPHARYNGEAL ABSCESS

    Directory of Open Access Journals (Sweden)

    Mitta

    2016-06-01

    Full Text Available For many ENT-clinicians, it is very difficult to diagnose the stage of infection and options available for treating retropharyngeal space abscesses (RPSAs with very limited literature available to focus on the treatment options in limited resource setup. The main cutting edge of the study aims to correlate post-surgical complications of RPSAs and also to know the age related incidence. MATERIALS AND METHODS A prospective and retrospective study was undertaken in the Department of ENT, Narayana Medical College & General Hospital, Nellore, Andhra Pradesh during the period of 2011-15. The incumbent laboratory parameters like throat swab culture was done for all the suspected patients along with Complete blood counts (CBC & X-ray neck. RESULTS A total sixty suspected paediatric patients were prospectively and retrospectively studied for the period of four years, out of which males 35 and females were 25 respectively. The mean age of the patient was 8.96±1.25 years (IQR 4-14 years median age was 10 years. Radiological examination and Computed tomography (CT scan was done for greater accuracy. Blocked airway is most common postsurgical intervention and it was found to be statistically significant (p<0.00 with respect to lower age group of the population. CONCLUSION The present study concludes that proper positioning and avoidance of unnecessary manipulation is essential for preventing the postoperative complications of RPSAs. The spread of infection to the spine can lead to replicate the osteomyelitis and vertebral erosion, which in turn results in subluxation and subsequent spinal cord injury, rupture of the abscess with inhalation of contents can lead to aspiration pneumonia (or rarely asphyxiation and spread of infection to mediastinum can lead to mediastinitis. More research could be intervened to prevent the infections at poor resource setup.

  11. Neurological symptoms among dental assistants: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Hollund BE

    2008-05-01

    Full Text Available Abstract Background Dental assistants help the dentist in preparing material for filling teeth. Amalgam was the filling material mostly commonly used in Norway before 1980, and declined to about 5% of all fillings in 2005. Amalgam is usually an alloy of silver, copper, tin and mercury. Copper amalgam, giving particularly high exposure to mercury was used in Norway until 1994. Metallic mercury is neurotoxic. Few studies of the health of dental assistants exist, despite their exposure to mercury. There are questions about the existence of possible chronic neurological symptoms today within this working group, due to this exposure. The aim of this study was to compare the occurrence of neurological symptoms among dental assistants likely to be exposed to mercury from work with dental filling material, compared to similar health personnel with no such exposure. Methods All dental assistants still at work and born before 1970 registered in the archives of a trade union in Hordaland county of Norway were invited to participate (response rate 68%, n = 41, as well as a similar number of randomly selected assistant nurses (response rate 87%, n = 64 in the same age group. The participants completed a self-administered, mailed questionnaire, with questions about demographic variables, life-style factors, musculoskeletal, neurological and psychosomatic symptoms (Euroquest. Results The dental assistants reported significant higher occurrence of neurological symptoms; psychosomatic symptoms, problems with memory, concentration, fatigue and sleep disturbance, but not for mood. This was found by analyses of variance, adjusting for age, education, alcohol consumption, smoking and personality traits. For each specific neurological symptom, adjusted logistic regression analyses were performed, showing that these symptoms were mainly from arms, hands, legs and balance organs. Conclusion There is a possibility that the higher occurrence of neurological symptoms

  12. Quick assessment of hopelessness: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Cheung Yin

    2006-03-01

    Full Text Available Abstract Background Lengthy questionnaires reduce data quality and impose a burden on respondents. Previous researchers proposed that a single item ("My future seems dark to me" and a 4-item component of the Beck's Hopelessness Scale (BHS can summarise most of the information the BHS provides. There is no clear indication of what BHS cutoff values are useful in identifying people with suicide tendency. Methods In a population-based study of Chinese people aged between 15 and 59 in Hong Kong, the Chinese version of the BHS and the Centre for Epidemiologic Studies – Depression scale were administered by trained interviewers and suicidal ideation and suicidal attempts were self-reported. Receiver operating characteristics curve analysis and regression analysis were used to compare the performance of the BHS and its components in identifying people with suicidality and depression. Smoothed level of suicidal tendency was assessed in relation to scores on the BHS and its component to identify thresholds. Results It is found that the 4-item component and, to a lesser extent, the single item of the BHS perform in ways similar to the BHS. There are non-linear relationship between suicidality and scores on the BHS and the 4-item component; cutoff values identified accordingly have sensitivity and specificity of about 65%. Conclusion The 4-item component is a useful alternative to the BHS. Shortening of psycho-social measurement scales should be considered in order to reduce burden on patients or respondents and to improve response rate.

  13. Epilepsy and tobacco smoking: a cross-sectional study.

    Science.gov (United States)

    Torriani, Omar; Vuilleumier, Frédéric; Perneger, Thomas; Despland, Paul-Andre; Maeder, Malin; Héritier-Barras, Anne-Chantal; Vulliemoz, Serge; Seeck, Margitta; Rossetti, Andrea O; Picard, Fabienne

    2016-10-01

    There is little data concerning the prevalence of smoking in the population of people with epilepsy. The present study addresses this aspect in a sample of 429 unselected adults with epilepsy living in French-speaking Switzerland. The criterion of at least one cigarette per day for the past 6 months was used to define the status of "current" smoker. The questionnaires included questions about the type of epilepsy and tobacco consumption and were prospectively filled by attending neurologists in the presence of their patient, ensuring a reliable diagnosis of epilepsy. Data were compared with those of the "Tabakmonitoring" data collection, which gives annually detailed information about tobacco use habits in the Switzerland's population according to the different linguistic regions. Among patients suffering from epilepsy, the prevalence of current smoking was 32.1 % (28.8 % among women and 35 % among men), while the prevalence of smoking was 19.0 % in the general population in French-speaking Switzerland in the same period [OR 2.0, confidence interval (CI) 1.6-2.5, p < 0.001]. The subgroup of patients with epilepsy suffering from idiopathic (genetic) generalized epilepsy had the highest prevalence of smoking: 44.3 versus 27.8 % in the other types of epilepsy-p = 0.03. Epilepsy appears significantly correlated to smoking. The possible causal relationship, such as common genetic susceptibility to epilepsy and to nicotine addiction, indirect comorbidity through stress or depression associated with epilepsy, beneficial effect of nicotine on epilepsy, still remains unclear and deserves further studies.

  14. Self-stigma and schizophrenia: a cross-sectional study

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    Vrbova K

    2016-11-01

    Full Text Available Kristyna Vrbova,1 Jan Prasko,1 Michaela Holubova,1,2 Dana Kamaradova,1 Marie Ociskova,1 Marketa Marackova,1 Klara Latalova,1 Ales Grambal,1 Milos Slepecky,3 Marta Zatkova3 1Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University in Olomouc, University Hospital Olomouc, Olomouc, 2Department of Psychiatry, Hospital Liberec, Liberec, Czech Republic; 3Department of Psychology Sciences, Faculty of Social Science and Health Care, Constantine the Philosopher University, Nitra, Slovak Republic Objective: The aim of this study was to investigate the degree of self-stigma in schizophrenia and its association with clinical and demographic factors. Patients and methods: A total of 197 outpatients (54.3% females diagnosed with schizophrenia spectrum disorders (schizophrenia, schizoaffective disorder, delusional disorder according to International Classification of Diseases – tenth edition participated in the study. The mean age of the patients was 40.10±11.49 years. All individuals completed the Internalized Stigma of Mental Illness (ISMI scale and a demographic questionnaire. The disorder severity was assessed by both a psychiatrist (the objective version of Clinical Global Impression – severity scale [objCGI-S] and the patients (the subjective version of Clinical Global Impression – severity scale [subjCGI-S]. Treatment with antipsychotics stabilized the patients. Results: The overall level of self-stigma measured by the total score of the ISMI was 63.32±13.59. The total score of the ISMI positively correlated with the severity of the disorder measured by the objCGI-S and subjCGI-S. In addition, self-stigma positively correlated with the treatment duration and the number of psychiatric hospitalizations. The backward stepwise regression was applied to identify the most significant factors connected to self-stigma. The regression analysis identified the following regressors as the most relevant to self-stigma: the number of

  15. Risky Behaviors of University Students: A Cross-Sectional Study

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    Sarp Uner

    2012-04-01

    Full Text Available Objective: This study aimed to identify certain risky behavior patterns (unsafe sex, tobacco and drug use, and binge drinking and the factors affecting these behaviors among first- and third-year students in a university. Method: The study included a total of 8407 students enrolled as first- (4392 and third- (4015 year students. A self-administered questionnaire was used for data collection. In data analysis, respecting sampling weights, models were formed by logistic regression method to determine factors that affect the risky behaviors. Results: 731 male–1114 female students from the first year and 560 male–1096 female students from the third year were interviewed. Male students were found to be engaged in risky behaviors more frequently than females. Logistic models of the study indicated that gender, place of residence, relationship with parents, and socialization with friends have profound effects on risky behaviors. Conclusion: After leaving home, young people develop their own lifestyles, and this study demonstrates that lifestyle is the main effective factor for risky behaviors in this group. Universities need to assume more responsibility to guide students’ lives and to provide the facilities and opportunities that encourage and facilitate their adoption of a healthy lifestyle.   Key Words: University students, risky behaviours Bir Üniversitede Öğrencilerin Riskli Davranışları: Kesitsel Bir Çalışma Amaç: Bu çalışmanın amacı, bir üniversitenin birinci ve üçüncü sınıf öğrencileri arasında bazı riskli davranış modellerini (güvensiz seks, tütün ve uyuşturucu kullanımı ve aşırı alkol ve bu davranışları etkileyen faktörleri saptamaktır. Yöntem: Araştırmanın evrenini birinci (4392 ve üçüncü (4015 sınıflarda kayıtlı 8407 öğrenci oluşturmaktadır. Veri öğrencilerin gözlem altında doldurdukları anket aracılığı ile toplanmıştır. Riskli davranışları etkileyen fakt

  16. CROSS SECTIONAL STUDY OF NUTRITIONAL STATUS IN OLDER HAN WOMEN.

    Science.gov (United States)

    Jun, Tao; Yuan, Zhong

    2016-01-01

    Abstract. Malnutrition is one of the most prevalent problems in older people, but there is little information about the nutritional status of the older women in China. Therefore, this study was conducted to investigate the nutritional status and clinically correlated factors for malnutrition in older Han women in China. In total, 2,556 hospital- and community-based Han women aged 60 years or older were recruited between May 2007 and December 2014. All women completed comprehensive geriatric assessment, and the Mini Nutritional Assessment Short Form (MNA-SF) was used to assess the nutritional status. The clinically corre- lated factors for malnutrition were also analyzed, including social factors, health status, and dietary behavior. The average age of these women was 75.9 ± 9.4 years, and 63.8% women lived in urban areas. Of the total respondents, 344 and 716 women were classified as malnutrition and at risk of malnutrition, respectively. Five factors were independently and positively correlated with poor nutrition, including chronic obstructive pulmonary disease (COPD), gastrointestinal disease, depression, cognitive impairment, and comorbidity (≥ 2). Three factors were independently and negatively correlated with poor nutrition, including economic status, meat intake, and fish intake. The older Han women with these five health problems should be given more attention with regards to their nutritional status. Improving economic status, eating more meat and fish were recommended for preventing poor nutrition in older women.

  17. A cross-sectional study to estimate the frequency of anti-bovine viral diarrhea virus-1 antibodies in domestic pigs of Mossoró region in the state of Rio Grande do Norte, Brazil

    Directory of Open Access Journals (Sweden)

    Igor Renan Honorato Gatto

    2016-01-01

    Full Text Available ABSTRACT: This study investigated the occurrence of antibodies for BVDV-1 in swine herds located in the region of Mossoró city of the state of Rio Grande do Norte, Brazil. A sample size of 412 animals was estimated assuming unknown prevalence (set at 50%. Virus neutralization assay was used to the detect the presence of antibodies for BVDV-1 and the results found were analysed using multivariable logistic regression model. The obtained prevalence was 4% at animal level and 45% at the animal and herd level. The titers were highly variable between animals and within farms. The multivariable logistic regression analysis showed an association between being housed outside and exposure to BVDV-1 (OR=0.24, 95% CI:0.06, 0.96, P=0.04. Highly correlated data and low prevalence of antibodies at the animal level resulted in insufficient power to detect significant differences with other selected risk factors. In conclusion, the prevalence is within the range reported for other countries.

  18. Advanced Neutron Source Cross Section Libraries (ANSL-V): ENDF/B-V based multigroup cross-section libraries for advanced neutron source (ANS) reactor studies

    Energy Technology Data Exchange (ETDEWEB)

    Ford, W.E. III; Arwood, J.W.; Greene, N.M.; Moses, D.L.; Petrie, L.M.; Primm, R.T. III; Slater, C.O.; Westfall, R.M.; Wright, R.Q.

    1990-09-01

    Pseudo-problem-independent, multigroup cross-section libraries were generated to support Advanced Neutron Source (ANS) Reactor design studies. The ANS is a proposed reactor which would be fueled with highly enriched uranium and cooled with heavy water. The libraries, designated ANSL-V (Advanced Neutron Source Cross Section Libraries based on ENDF/B-V), are data bases in AMPX master format for subsequent generation of problem-dependent cross-sections for use with codes such as KENO, ANISN, XSDRNPM, VENTURE, DOT, DORT, TORT, and MORSE. Included in ANSL-V are 99-group and 39-group neutron, 39-neutron-group 44-gamma-ray-group secondary gamma-ray production (SGRP), 44-group gamma-ray interaction (GRI), and coupled, 39-neutron group 44-gamma-ray group (CNG) cross-section libraries. The neutron and SGRP libraries were generated primarily from ENDF/B-V data; the GRI library was generated from DLC-99/HUGO data, which is recognized as the ENDF/B-V photon interaction data. Modules from the AMPX and NJOY systems were used to process the multigroup data. Validity of selected data from the fine- and broad-group neutron libraries was satisfactorily tested in performance parameter calculations.

  19. Observational research methods—Cohort studies, cross sectional studies, and case–control studies

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    C.J. Mann

    2012-03-01

    Cohort studies are used to study incidence, causes, and prognosis. Because they measure events in chronological order they can be used to distinguish between cause and effect. Cross sectional studies are used to determine prevalence. They are relatively quick and easy but do not permit distinction between cause and effect. Case controlled studies compare groups retrospectively. They seek to identify possible predictors of outcome and are useful for studying rare diseases or outcomes. They are often used to generate hypotheses that can then be studied via prospective cohort or other studies.

  20. Prevalence of overweight preschool children in public day care centers: a cross-sectional study

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    Viviane Gabriela Nascimento

    Full Text Available CONTEXT AND OBJECTIVE: Brazil is undergoing a period of epidemiological transition associated with demographic and nutritional changes. The prevalence of obesity is also increasing in children and is causing numerous health problems that are becoming public health issues. The aim here was to evaluate the prevalence of overweight among children of two and three years of age. DESIGN AND SETTING: Cross-sectional study in municipal day care centers in Taubaté, state of São Paulo, Brazil. METHODS: Weight and height measurements were made on 447 preschool children forming a probabilistic randomized sample. Their body mass index (BMI was calculated. Their nutritional status was classified using the World Health Organization reference cutoff points (2006. Their mean weight, height and BMI were compared according to their age and sex. RESULTS: The mean values for the final sample (n = 447 were as follows: mean age: 38.6 months (± 3.5 and Z scores for: weight/height (W/H: 0.50 (± 1.22; height/age: -0.03 (± 1.07; weight/age (W/A: 0.51 (± 1.23; and BMI: 0.51(± 1.23. The prevalence of overweight children (BMI > 1 z was 28.86%, while the prevalence of underweight children (BMI < -2 z was 0.89%. There were no differences in mean BMI among the two and three-year age groups (P = 0.66. CONCLUSION: A high prevalence of overweight was observed in the sample of two and three-year-old children, with practically no malnutrition, thus showing that a significant nutritional transition may already be occurring, even in medium-sized cities of developing countries.

  1. How to Use Benchmark and Cross-section Studies to Improve Data Libraries and Models

    Science.gov (United States)

    Wagner, V.; Suchopár, M.; Vrzalová, J.; Chudoba, P.; Svoboda, O.; Tichý, P.; Krása, A.; Majerle, M.; Kugler, A.; Adam, J.; Baldin, A.; Furman, W.; Kadykov, M.; Solnyshkin, A.; Tsoupko-Sitnikov, S.; Tyutyunikov, S.; Vladimirovna, N.; Závorka, L.

    2016-06-01

    Improvements of the Monte Carlo transport codes and cross-section libraries are very important steps towards usage of the accelerator-driven transmutation systems. We have conducted a lot of benchmark experiments with different set-ups consisting of lead, natural uranium and moderator irradiated by relativistic protons and deuterons within framework of the collaboration “Energy and Transmutation of Radioactive Waste”. Unfortunately, the knowledge of the total or partial cross-sections of important reactions is insufficient. Due to this reason we have started extensive studies of different reaction cross-sections. We measure cross-sections of important neutron reactions by means of the quasi-monoenergetic neutron sources based on the cyclotrons at Nuclear Physics Institute in Řež and at The Svedberg Laboratory in Uppsala. Measurements of partial cross-sections of relativistic deuteron reactions were the second direction of our studies. The new results obtained during last years will be shown. Possible use of these data for improvement of libraries, models and benchmark studies will be discussed.

  2. Cross-section studies of relativistic deuteron reactions obtained by activation method

    CERN Document Server

    Wagner, V; Svoboda, O; Vrzalová, J; Majerle, M; Krása, A; Chudoba, P; Honusek, M; Kugler, A; Adam, J; Baldin, A; Furman, W; Kadykov, M; Khushvaktov, J; Sol-nyskhin, A; Tsoupko-Sitnikov, V; Závorka, L; Tyutyunnikov, S; Vladimirova, N

    2014-01-01

    The cross-sections of relativistic deuteron reactions on natural copper were studied in detail by means of activation method. The copper foils were irradiated during experiments with the big Quinta uranium target at Joint Institute for Nuclear Research (JINR) in Dubna, Russia. The deuteron beams with energies ranging from 1 GeV up to 8 GeV were produced by JINR Nuclotron. Residual nuclides were identified by the gamma spectrometry. Lack of such experimental cross-section values prevents the usage of copper foils from beam integral monitoring.

  3. Respiratory Symptoms and Lung Function among Danish Construction Workers. A Cross-Sectional Study

    DEFF Research Database (Denmark)

    Hanskov, Dorte Jessing Agerby; Brauer, Charlotte; Breinegaard, Nina;

    2015-01-01

    Objective:This study investigated whether Danish construction workers had an increased prevalence of chronic obstructive pulmonary disease (COPD) or affected lung function and if the prevalence differed between types of jobs within construction. Methods:A cross-sectional study of 899 Danish male ...

  4. Quality of Life of Elderly Patients With Antipsychotic-Induced Parkinsonism : A Cross-Sectional Study

    NARCIS (Netherlands)

    Schouten, Henrike J.; Knol, Wilma; Egberts, Toine C. G.; Schobben, Alfred F. A. M.; Jansen, Paul A. F.; van Marum, Rob J.

    2012-01-01

    Objectives: Antipsychotic-induced parkinsonism (AIP) is one of the most common adverse effects of haloperidol. The purpose of this study was to investigate the association between AIP and quality of life of elderly patients treated with haloperidol. Design: Cross-sectional study design. Setting: Ele

  5. Osteoporosis Knowledge and Attitudes: A Cross-Sectional Study among College-Age Students

    Science.gov (United States)

    Ford, M. Allison; Bass, Martha A.; Keathley, Roseanne

    2007-01-01

    Objective: The authors' purpose in this study was to investigate the influence of knowledge of osteoporosis, attitudes regarding osteoporosis, and knowledge of dietary calcium on dairy product intake in both male and female college-age students. Participants: The authors conducted this cross-sectional study on 911 men and women enrolled in 2…

  6. Correlates of unsupervised bathing of infants: A cross-sectional study

    NARCIS (Netherlands)

    M.E.J. van Scholing-van Beelen (Mirjam); E.F. van Beeck (Ed); P. den Hertog (Paul); T.M.J. Beirens (Tinneke); H. Raat (Hein)

    2013-01-01

    textabstractDrowning represents the third leading cause of fatal unintentional injury in infants (0-1 years). The aim of this study is to investigate correlates of unsupervised bathing. This cross-sectional study included 1,410 parents with an infant. Parents completed a questionnaire regarding supe

  7. Natriuria and calciuria levels in preeclampsia: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Rose Gasnier

    Full Text Available CONTEXT AND OBJECTIVE Sodium excretion abnormalities in preeclampsia have been studied in relation to several factors. The objective of this study was to compare natriuria (mEq/24 h and calciuria levels (mg/24 h in preeclamptic patients. DESIGN AND SETTING An analytical cross-sectional study with a control group was conducted in the obstetric center and the high-risk pregnancy outpatient clinic at a university hospital in southern Brazil, and in a primary healthcare unit in the same city, including pregnant women with mild preeclampsia, severe preeclampsia or chronic hypertension, and women with normal pregnancies (14 patients in each group. METHOD Natriuria was measured using an ion-selective electrode in an automated clinical chemistry analyzer (Hitache 917, Roche. All the patients collected 24-hour urine, at home or at the hospital, for analysis of proteins, creatinine, calcium, sodium and uric acid. Quantitative variables with asymmetrical distribution were described using the median, minimum and maximum, and were compared using the Kruskal-Wallis test. The results were logarithmically transformed, with one-way analysis of variance (ANOVA by ranks and then the post-hoc Tukey test, and were analyzed by means of the Spearman correlation and receiver operating characteristic (ROC curve. The significance level used was 0.05. RESULTS There were significant differences between the groups in comparing severe preeclampsia with chronic hypertension and severe preeclampsia with controls (P < 0.0001 for both measurements. CONCLUSION Natriuria levels may be lower in preeclampsia when associated with calciuria. Natriuria assessment is an additional test for differential diagnosis of hypertensive diseases in pregnancy, but is a poor predictor when used alone.

  8. Latin American immigrants have limited access to health insurance in Japan: a cross sectional study

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    Suguimoto S Pilar

    2012-03-01

    Full Text Available Abstract Background Japan provides universal health insurance to all legal residents. Prior research has suggested that immigrants to Japan disproportionately lack health insurance coverage, but no prior study has used rigorous methodology to examine this issue among Latin American immigrants in Japan. The aim of our study, therefore, was to assess the pattern of health insurance coverage and predictors of uninsurance among documented Latin American immigrants in Japan. Methods We used a cross sectional, mixed method approach using a probability proportional to estimated size sampling procedure. Of 1052 eligible Latin American residents mapped through extensive fieldwork in selected clusters, 400 immigrant residents living in Nagahama City, Japan were randomly selected for our study. Data were collected through face-to-face interviews using a structured questionnaire developed from qualitative interviews. Results Our response rate was 70.5% (n = 282. Respondents were mainly from Brazil (69.9%, under 40 years of age (64.5% and had lived in Japan for 9.45 years (SE 0.44; median, 8.00. We found a high prevalence of uninsurance (19.8% among our sample compared with the estimated national average of 1.3% in the general population. Among the insured full time workers (n = 209, 55.5% were not covered by the Employee's Health Insurance. Many immigrants cited financial trade-offs as the main reasons for uninsurance. Lacking of knowledge that health insurance is mandatory in Japan, not having a chronic disease, and having one or no children were strong predictors of uninsurance. Conclusions Lack of health insurance for immigrants in Japan is a serious concern for this population as well as for the Japanese health care system. Appropriate measures should be taken to facilitate access to health insurance for this vulnerable population.

  9. Bacterial vaginosis in pregnant adolescents: proinflammatory cytokine and bacterial sialidase profile. Cross-sectional study

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    Carolina Sanitá Tafner Ferreira

    Full Text Available ABSTRACT CONTEXT AND OBJECTIVE: Bacterial vaginosis occurs frequently in pregnancy and increases susceptibility to sexually transmitted infections (STI. Considering that adolescents are disproportionally affected by STI, the aim of this study was to evaluate the cervicovaginal levels of interleukin (IL-1 beta, IL-6, IL-8 and bacterial sialidase in pregnant adolescents with bacterial vaginosis. DESIGN AND SETTING: Cross-sectional study at mother and child referral units in Belém, Pará, Brazil. METHODS: Vaginal samples from 168 pregnant adolescents enrolled were tested for trichomoniasis and candidiasis. Their vaginal microbiota was classified according to the Nugent criteria (1991 as normal, intermediate or bacterial vaginosis. Cervical infection due to Chlamydia trachomatisand Neisseria gonorrhoeae was also assessed. Cytokine and sialidase levels were measured, respectively, using enzyme-linked immunosorbent assays and MUAN conversion in cervicovaginal lavages. Forty-eight adolescents (28.6% were excluded because they tested positive for some of the infections investigated. The remaining 120 adolescents were grouped according to vaginal flora type: normal (n = 68 or bacterial vaginosis (n = 52. Their cytokine and sialidase levels were compared between the groups using the Mann-Whitney test (P < 0.05. RESULTS: The pregnant adolescents with bacterial vaginosis had higher levels of IL-1 beta, IL-6 and IL-8 (P < 0.05. Sialidase was solely detected in 35 adolescents (67.2% with bacterial vaginosis. CONCLUSIONS: Not only IL-1 beta and sialidase levels, but also IL-6 and IL-8 levels are higher in pregnant adolescents with bacterial vaginosis, thus indicating that this condition elicits a more pronounced inflammatory response in this population, which potentially increases vulnerability to STI acquisition.

  10. Awareness about Autism among School Teachers in Oman: A Cross-Sectional Study

    Science.gov (United States)

    Al-Sharbati, Marwan M.; Al-Farsi, Yahya M.; Ouhtit, Allal; Waly, Mostafa I.; Al-Shafaee, Mohamed; Al-Farsi, Omar; Al-Khaduri, Maha; Al-Said, Mona F.; Al-Adawi, Samir

    2015-01-01

    Children with special needs such as those with autism spectrum disorder have been recorded as ostracized and stigmatized in many parts of the world. Little is known about whether such negative views are present among mainstream teachers in Oman. A cross-sectional study was conducted to evaluate school teachers' awareness about autism spectrum…

  11. Students' Needs, Teachers' Support, and Motivation for Doing Homework: A Cross-Sectional Study

    Science.gov (United States)

    Katz, Idit; Kaplan, Avi; Gueta, Gila

    2010-01-01

    Self-determination theory provided the theoretical framework for a cross-sectional investigation of elementary and junior high school students' autonomous motivation for homework. More specifically, the study focused on the role of teachers' support of students' psychological needs in students' motivation for homework in the two school systems.…

  12. Positive Life Experiences: A Qualitative, Cross-Sectional, Longitudinal Study of Gifted Graduates

    Science.gov (United States)

    Peterson, Jean Sunde; Canady, Kate; Duncan, Nancy

    2012-01-01

    At the culmination of an 11-year qualitative, cross-sectional study of life events, 48 high-ability high school graduates fitting common stereotypes associated with giftedness completed an open-ended questionnaire, part of which focused on positive life experiences and sources of support. Findings included that intense investment in academics,…

  13. Description of alpha-nucleus interaction cross sections for cosmic ray shielding studies

    Science.gov (United States)

    Cucinotta, Francis A.; Townsend, Lawrence W.; Wilson, John W.

    1993-01-01

    Nuclear interactions of high-energy alpha particles with target nuclei important for cosmic ray studies are discussed. Models for elastic, quasi-elastic, and breakup reactions are presented and compared with experimental data. Energy-dependent interaction cross sections and secondary spectra are presented based on theoretical models and the limited experimental data base.

  14. Anti-asthmatic drugs dosage forms in children : a cross-sectional study

    NARCIS (Netherlands)

    Schirm, E; Tobi, H; Gebben, H; de Jong-van den Berg, LTW

    2002-01-01

    Objective: To describe the choice of drugs as well as the dosage forms of anti-asthmatic drugs in children with regard to different age groups. Methods: Cross-sectional study based on computerized pharmacy dispensing records of 1999 for children aged 0-16 years in the north of the Netherlands. All c

  15. A Cross-Sectional Study of Prosodic Sensitivity and Reading Difficulties

    Science.gov (United States)

    Holliman, Andrew J.; Wood, Clare; Sheehy, Kieron

    2012-01-01

    In this cross-sectional study, we explore the relationship between prosodic sensitivity (suprasegmental phonology) and phonological awareness (segmental phonology) and investigate whether a group of poor readers display significant suprasegmental phonological deficits in comparison to chronological age-matched controls and younger, reading…

  16. LIPID PROFILE OF CIRRHOTIC PATIENTS AND ITS ASSOCIATION WITH PROGNOSTIC SCORES: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Lílian BASSANI

    2015-09-01

    Full Text Available BackgroundIn cirrhosis the production of cholesterol and lipoproteins is altered.ObjectiveEvaluate the lipid profile by measuring total cholesterol, very low-density lipoprotein, low-density lipoprotein, high-density lipoprotein and triglyceride levels in patients with cirrhosis caused by alcoholism and/or hepatitis C virus infection and determine its association with Child-Pugh and MELD scores.MethodsCross-sectional retrospective study of patients treated at the outpatient clinic in Porto Alegre, Brazil, from 2006 to 2010.ResultsIn total, 314 records were reviewed, and 153 (48.7% met the inclusion criteria, of which 82 (53.6% had cirrhosis that was due to hepatitis C virus infection, 50 (32.7% were due to alcoholism, and 21 (13.7% were due to alcoholism and hepatitis C virus infection. The total cholesterol levels diminished with a Child-Pugh progression (P20 was associated with lower total cholesterol levels (<100mg/dL; P<0.001, very low-density lipoprotein (<16 mg/dL; P=0.006, and low-density lipoprotein (<70 mg/dL; P=0.003. Inverse and statistically significant correlations were observed between Child-Pugh and all the lipid fractions analyzed (P<0.001. The increase in MELD was inversely correlated with reduced levels intotal cholesterol (P<0.001, high-density lipoprotein (P<0.001, low-density lipoprotein (P<0.001, very low-density lipoprotein (P=0.030 and triglyceride (P=0.003.ConclusionA reduction in the lipid profile in patients with cirrhosis due to hepatitis C virus infection and/or alcoholism was significantly associated with the Child-Pugh and MELD prognostic markers. These results suggest that the lipid profile may be used as a tool to assist in evaluating liver disease.

  17. Cross sectional study of mode of delivery and maternal and perinatal outcomes in mainland China

    Science.gov (United States)

    Vitonis, Allison; Zou, Liying; Ruan, Yan; Wang, Xin; Zhang, Weiyuan

    2017-01-01

    Background Cesarean delivery (CD) rates have risen globally with nearly 50% of the non-indicated CDs worldwide in China and Brazil. In China’s One Child Policy era (1979–2015) most deliveries were women having their only child. Family size is a major determinant of the safety of medically non-indicated CD or CD on maternal request. The goal of this study is to document CD rates, indications, and analyze the relative safety of non-indicated CD compared to SVD and intrapartum CD. Methods Univariate and multivariate logistic regression analyses of the association between mode of delivery and short-term maternal and perinatal outcomes were performed on a cross-section of all deliveries at 39 hospitals in 14 provinces of China in 2011, presented as adjusted odds ratio (aOR), 99% confidence intervals (CI). Findings Among 108,847 deliveries, 59,415 were CD (54.6%) with 20.8% of deliveries or 38.2% of all cesareans were non-indicated CD. Compared to SVD, antepartum non-indicated CD was associated with a decreased likelihood of post-partum hemorrhage (PPH) (aOR = 0.80, CI = 0.69–0.92) and was not associated with maternal death or combined severe outcomes (maternal death, transfusion, or hysterectomy). Intrapartum indicated CD was associated with an increased risk of PPH (aOR = 1.68, CI = 1.50–1.89) compared to SVD. Compared to SVD, antepartum non-indicated CD was associated with lower likelihood of neonatal death (aOR = 0.14, CI = 0.06–0.34), neonatal ICU admission (aOR = 0.50, CI = 0.36–0.69), 5-minute ApgarSVD. Now that all Chinese women can have a second child the safety profile may change. PMID:28182668

  18. Underlying factors associated with anemia in Amazonian children: a population-based, cross-sectional study.

    Directory of Open Access Journals (Sweden)

    Marly A Cardoso

    Full Text Available BACKGROUND: Although iron deficiency is considered to be the main cause of anemia in children worldwide, other contributors to childhood anemia remain little studied in developing countries. We estimated the relative contributions of different factors to anemia in a population-based, cross-sectional survey. METHODOLOGY: We obtained venous blood samples from 1111 children aged 6 months to 10 years living in the frontier town of Acrelândia, northwest Brazil, to estimate the prevalence of anemia and iron deficiency by measuring hemoglobin, erythrocyte indices, ferritin, soluble transferrin receptor, and C-reactive protein concentrations. Children were simultaneously screened for vitamin A, vitamin B(12, and folate deficiencies; intestinal parasite infections; glucose-6-phosphate dehydrogenase deficiency; and sickle cell trait carriage. Multiple Poisson regression and adjusted prevalence ratios (aPR were used to describe associations between anemia and the independent variables. PRINCIPAL FINDINGS: The prevalence of anemia, iron deficiency, and iron-deficiency anemia were 13.6%, 45.4%, and 10.3%, respectively. Children whose families were in the highest income quartile, compared with the lowest, had a lower risk of anemia (aPR, 0.60; 95%CI, 0.37-0.98. Child age (2 pregnancies, 2.01; 1.40-2.87 were positively associated with anemia. Other associated correlates were iron deficiency (2.1; 1.4-3.0, vitamin B(12 (1.4; 1.0-2.2, and folate (2.0; 1.3-3.1 deficiencies, and C-reactive protein concentrations (>5 mg/L, 1.5; 1.1-2.2. CONCLUSIONS: Addressing morbidities and multiple nutritional deficiencies in children and mothers and improving the purchasing power of poorer families are potentially important interventions to reduce the burden of anemia.

  19. Hatha yoga and vascular function: results from cross-sectional and interventional studies.

    Science.gov (United States)

    Hunter, Stacy D; Tarumi, Takashi; Dhindsa, Mandeep S; Nualnim, Nantinee; Tanaka, Hirofumi

    2013-07-01

    The aim of this study was to determine the effect of hatha yoga on arterial elasticity and endothelial function. First, a cross-sectional study was performed to determine whether yoga practitioners would demonstrate greater arterial compliance and endothelium-dependent vasodilation than their sedentary peers. Second, an intervention study involving 13 sedentary middle-aged and older adults (51 ± 7 years) was performed to determine whether 12 weeks of hatha yoga would elicit increases in arterial compliance and endothelial function. In the cross-sectional study involving a total of 34 subjects, there were no group differences in body fatness, blood lipid and lipoprotein concentrations, carotid artery compliance or brachial artery flow-mediated dilation (FMD). Hemoglobin A1c was lower in yoga practitioners than in sedentary adults (P hatha yoga is not associated with improvements in vascular functions.

  20. Evaluation of anxiety, depression and suicidal intent in undergraduate dental students: A cross-sectional study

    OpenAIRE

    Manish Bathla; Manpreet Singh; Paramanand Kulhara; Shalu Chandna; Jitender Aneja

    2015-01-01

    Background: There is an increasing amount of stress in undergraduate dental students leading to anxiety, depression, and suicidal attempts/suicide. Aims: This study aims to evaluate anxiety, depression and suicidal intent in undergraduate dental students and to find out the various areas of stress. Materials and Methods: A cross-sectional study was conducted using a semi-structured questionnaire (to assess academic and nonacademic areas of stress) and three scales-Hamilton scale for anxiety (...

  1. Association between maternal education and malocclusion in Mongolian adolescents: a cross-sectional study

    OpenAIRE

    Tumurkhuu, Tsasan; Fujiwara, Takeo; Komazaki, Yuko; Kawaguchi, Yoko; Tanaka, Toshihiro; Inazawa, Johji; Ganburged, Ganjargal; Bazar, Amarsaikhan; Ogawa, Takuya; Moriyama, Keiji

    2016-01-01

    Objective Malocclusion is a highly prevalent condition, affecting 20–60% of adolescents worldwide. Although its treatment is often expensive and unaffordable for disadvantaged individuals, few studies have examined the relationship between malocclusion and socioeconomic status. We investigated the prevalence of malocclusion among Mongolian adolescents and its association with maternal education in a community-based sample in Mongolia. Design Cross-sectional study. Settings 2 large secondary s...

  2. Intrauterine Devices and Reproductive Tract Infections: A Cross-sectional Study in Urban Slum

    OpenAIRE

    2015-01-01

    "Introduction: The concern that intrauterine devices (IUDs) might cause or facilitate reproductive tract infection has limited its use. Objectives: The study aims to explore the relationship between reproductive tract infections & IUD use. Materials and Methods: A hospital based cross sectional study conducted in STI/RTI Clinic located in urban slums of Mumbai, involving total 169 married females of reproductive age group who presented with symptoms of RTI and using atleast o...

  3. Adolescent Scoliosis Screening in Nara City Schools: A 23-Year Retrospective Cross-Sectional Study

    OpenAIRE

    Yamamoto, Satoshi; Shigematsu, Hideki; Kadono, Fumihiko; Tanaka, Yukihiro; Tatematsu, Masataka; Okuda, Akinori; Iwata, Eiichiro; Koizumi, Munehisa; Tanaka, Yasuhito

    2015-01-01

    Study Design Retrospective cross-sectional study. Purpose To determine the prevalence of idiopathic scoliosis, define the distribution of the curve magnitude, evaluate the accuracy of Moiré topography as a screening tool, and investigate the cost-effectiveness of our screening system. Overview of Literature Early detection of idiopathic scoliosis provides the opportunity for conservative treatment before the deformity is noticeable. We believe that scoliosis screening in schools is useful for...

  4. Obese Chinese Primary-School Students and Low Self-Esteem: A Cross-Sectional Study

    OpenAIRE

    Zhang Xue-Yan; Li Dong-Mei; Xu Dan-Dan; Zhou Le-Shan

    2016-01-01

    Objectives The aim of this study was to examine several factors related to low self-esteem among obese Chinese primary-school students. Methods A cross-sectional study was conducted between June 2009 and June 2010. A total of 1,410 primary-school students (China grades 4 - 6) in Changsha city were divided into normal weight (n = 1,084), overweight (n = 211), and obese groups (n = 115) according to world health organization (WHO) g...

  5. Predictors of sexual risk behaviour among adolescents from welfare institutions in Malaysia: a cross sectional study

    OpenAIRE

    Farid, Nik Daliana Nik; Rus, Sulaiman Che'; Dahlui, Maznah; Al-Sadat, Nabilla; Aziz, Norlaili Abdul

    2014-01-01

    Background In welfare institutions, it is essential to address the health-related needs of adolescent populations who often engage in sexual activities. This study examines the association between individual and interpersonal factors concerning sexual risk behaviour (SRB) among adolescents in welfare institutions in Malaysia. Methods Data were derived from a cross-sectional study of 1082 adolescents in 22 welfare institutions located across Peninsular Malaysia in 2009. Using supervised self-a...

  6. Relationship between daily isoflavone intake and sleep in Japanese adults: a cross-sectional study

    OpenAIRE

    Cui, Yufei; Niu, Kaijun; Huang, Cong; Momma, Haruki; Guan, Lei; Kobayashi, Yoritoshi; Guo, Hui; Chujo, Masahiko; Otomo, Atsushi; Nagatomi, Ryoichi

    2015-01-01

    Background Isoflavones comprise a class of phytoestrogens that resemble human estrogen in chemical structure, and have weak estrogenic effects. Because estrogen modulates sleep duration and quality, we hypothesized that isoflavones would have a beneficial effect on sleep status in a way similar to estrogen. We conducted a cross-sectional study to investigate the relationship between daily isoflavone intake and sleep status in Japanese subjects. Methods Our study included 1076 Japanese adults ...

  7. Asthma and Wheeze Prevalence among Nursing Professionals in Western Japan: A Cross-Sectional Study

    OpenAIRE

    Jun Kurai; Masanari Watanabe; Hiroyuki Sano; Saeko Torai; Hirokazu Yanase; Tomoaki Funakoshi; Atsuko Fukada; Sachiko Hayakawa; Eiji Shimizu; Hiroya Kitano

    2015-01-01

    Although adult asthma is attributable to occupational factors, few reports are available on asthma prevalence among health care workers in Japan. The objective of this study was to estimate the prevalence of asthma and wheeze among Japanese nursing professionals. A cross-sectional study was conducted by postal survey using a translated version of the European Community Respiratory Health Survey questionnaire from April to June 2013. The analysis included 4634 nursing professionals (257 men an...

  8. Alcohol consumption among students - a cross-sectional study at three largest universities in Serbia

    OpenAIRE

    Višnjić Aleksandar; Jović Slađana; Grbeša Grozdanko

    2015-01-01

    Introduction. The prevalence of unhealthy alcohol use among university students is increasing in many countries. Objective. The aim of the study was to investigate alcohol consumption and alcohol-related knowledge, attitudes and risky behaviors among Serbian university students. Methods. The cross-sectional study was carried out at the three state universities from January to June in the academic year 2009/2010 and included 2,285 students of both genders. T...

  9. Adolescent Scoliosis Screening in Nara City Schools: A 23-Year Retrospective Cross-Sectional Study.

    OpenAIRE

    YAMAMOTO, Satoshi; Shigematsu, Hideki; Kadono, Fumihiko; Tanaka, Yukihiro; Tatematsu, Masataka; Okuda, Akinori; Iwata, Eiichiro; Koizumi, Munehisa; Tanaka, Yasuhito

    2015-01-01

    STUDY DESIGN: Retrospective cross-sectional study. PURPOSE: To determine the prevalence of idiopathic scoliosis, define the distribution of the curve magnitude, evaluate the accuracy of Moiré topography as a screening tool, and investigate the cost-effectiveness of our screening system. OVERVIEW OF LITERATURE: Early detection of idiopathic scoliosis provides the opportunity for conservative treatment before the deformity is noticeable. We believe that scoliosis screening in schools is useful ...

  10. Health literacy among refugees in Sweden : a cross-sectional study

    OpenAIRE

    Wångdahl, Josefin; Lytsy, Per; Mårtensson, Lena; Westerling, Ragnar

    2014-01-01

    Background Refugees have poorer health compared to indigenous populations, which may be explained by lower health literacy, i.e. not being able to access, understand, appraise or apply health information. This study aims to determine levels of functional and comprehensive health literacy, and factors associated with inadequate health literacy, in refugees coming to Sweden. Method A cross-sectional study was performed among 455 adult refugees speaking Arabic, Dari, Somali or English. Participa...

  11. Histopathology of lupus nephritis: A single-center, cross-sectional study from Karnataka, India

    Directory of Open Access Journals (Sweden)

    Vineeta Shobha

    2014-07-01

    Full Text Available A cross-sectional study of SLE patients over a period of two years is reported. Renal biopsy of 32 selected patients revealed histopathological abnormalities and deposits of immune complexes, and were classified according to the WHO classification of LN (lupus nephritis. The clinical and laboratory parameters assessed were also in line with this classification, indicating the adequacy of these parameters for routine follow-up, and the biopsy was reserved for advanced cases of LN.

  12. Breast cancer risk perceptions of Turkish women attending primary care: a cross-sectional study

    OpenAIRE

    Kartal, Mehtap; Ozcakar, Nilgun; Hatipoglu, Sehnaz; Tan, Makbule Neslisah; Guldal, Azize Dilek

    2014-01-01

    Background As the risks and benefits of early detection and primary prevention strategies for breast cancer are beginning to be quantified, the risk perception of women has become increasingly important as may affect their screening behaviors. This study evaluated the women’s breast cancer risk perception and their accuracy, and determined the factors that can affect their risk perception accuracy. Methods Data was collected in a cross-sectional survey design. Questionnaire, including breast ...

  13. Association between abdominal obesity and periodontal disease. Cross-sectional study.

    OpenAIRE

    Israel Juarez; María Hernández; Claudia Letelier; Diego Halabí; Camila Araneda

    2015-01-01

    ABSTRACT Introduction: The aim is to determine the association between abdominal obesity and periodontal disease by a multivariate analysis. Material and methods: A cross-sectional observational study was carried out. From March to April 2014, patients admitted to Dental Sciences Building, at Universidad Austral de Chile, were subjected to a clinical periodontal examination. Periodontitis was defined by a probing pocket depth equal to or greater than 4 mm. in at least one site ...

  14. An analytical cross-sectional study of peer pressure on adolescents

    OpenAIRE

    Anisha Khan; Manisha Jain; Chhaya Budhwani

    2015-01-01

    Background: Friendships constitute an integral part of adolescent growth and development. As the teens explore their identity towards functional independence, teen peer relationship acquires an important role. Contrary to prevailing beliefs, peer pressure can have both a positive and negative impact on youths. Methods: A school based cross sectional study carried out on adolescents falling between the age group of 11 to 19 years using a pre-designed written questionnaire. The data obtained...

  15. Infrared cross-sections and integrated band intensities of propylene: Temperature-dependent studies

    Science.gov (United States)

    Es-sebbar, Et-touhami; Alrefae, Majed; Farooq, Aamir

    2014-01-01

    Propylene, a by-product of biomass burning, thermal cracking of hydrocarbons and incomplete combustion of fossil fuels, is a ubiquitous molecule found in the environment and atmosphere. Accurate infrared (IR) cross-sections and integrated band intensities of propylene are essential for quantitative measurements and atmospheric modeling. We measured absolute IR cross-sections of propylene using Fourier Transform Infrared (FTIR) Spectroscopy over the wavenumber range of 400-6500 cm-1 and at gas temperatures between 296 and 460 K. We recorded these spectra at spectral resolutions ranging from 0.08 to 0.5 cm-1 and measured the integrated band intensities for a number of vibrational bands in certain spectral regions. We then compared the integrated band intensities measured at room temperature with values derived from the National Institute of Standards and Technology (NIST) and the Pacific Northwest National Laboratory (PNNL) databases. Our results agreed well with the results reported in the two databases with a maximum deviation of about 4%. The peak cross-sections for the primary bands decreased by about 20-54% when the temperature increased from 296 to 460 K. Moreover, we determined the integrated band intensities as a function of temperature for certain features in various spectral regions; we found no significant temperature dependence over the range of temperatures considered here. We also studied the effect of temperature on absorption cross-section using a Difference Frequency Generation (DFG) laser system. We compared the DFG results with those obtained from the FTIR study at certain wavenumbers over the 2850-2975 cm-1 range and found a reasonable agreement with less than 10% discrepancy.

  16. Infrared cross-sections and integrated band intensities of propylene: Temperature-dependent studies

    KAUST Repository

    Es-sebbar, Et-touhami

    2014-01-01

    Propylene, a by-product of biomass burning, thermal cracking of hydrocarbons and incomplete combustion of fossil fuels, is a ubiquitous molecule found in the environment and atmosphere. Accurate infrared (IR) cross-sections and integrated band intensities of propylene are essential for quantitative measurements and atmospheric modeling. We measured absolute IR cross-sections of propylene using Fourier Transform Infrared (FTIR) Spectroscopy over the wavenumber range of 400-6500cm-1 and at gas temperatures between 296 and 460K. We recorded these spectra at spectral resolutions ranging from 0.08 to 0.5cm-1 and measured the integrated band intensities for a number of vibrational bands in certain spectral regions. We then compared the integrated band intensities measured at room temperature with values derived from the National Institute of Standards and Technology (NIST) and the Pacific Northwest National Laboratory (PNNL) databases. Our results agreed well with the results reported in the two databases with a maximum deviation of about 4%. The peak cross-sections for the primary bands decreased by about 20-54% when the temperature increased from 296 to 460K. Moreover, we determined the integrated band intensities as a function of temperature for certain features in various spectral regions; we found no significant temperature dependence over the range of temperatures considered here. We also studied the effect of temperature on absorption cross-section using a Difference Frequency Generation (DFG) laser system. We compared the DFG results with those obtained from the FTIR study at certain wavenumbers over the 2850-2975cm-1 range and found a reasonable agreement with less than 10% discrepancy. © 2013 Elsevier Ltd.

  17. Systematics Study on Thermal Capture Radiation Cross Section for Fission Nuclides

    Institute of Scientific and Technical Information of China (English)

    TAO; Xi; WU; Hai-cheng; WANG; Ji-min

    2012-01-01

    <正>The research of the neutron capture radiation cross section is surveyed. The systematics of capture radiation cross section contains single energy cross section systematics, excitation function, and spectra systematics. This work gathers the experimental cross sections of actinide nuclei at the thermal energy, and evaluated data. 382 nuclei of ENDF/BⅦ.0, 398 nuclei of JENDL-4.0, 232 nuclei of CENDL-3.1, and the evaluation data of BNL are surveyed. Based on the evaluation, a set of capture cross sections for actinide nuclei at thermal energy is recommended.

  18. Perceptions about penis size among supposedly healthy 40 to 60-year-old Brazilian men: a cross-sectional pilot study

    OpenAIRE

    Margareth de Mello Ferreira dos Reis; Sidney Glina; Carmita Helena Najjar Abdo

    2015-01-01

    CONTEXT AND OBJECTIVE: Many men seek medical treatments complaining that their penises are too small (short) when in fact they are not (they are not cases of micropenis). The objective of the present study was to evaluate men's satisfaction with their own bodies and sex life and the prevalence of erectile dysfunction, among men who were not seeking medical or psychological advice. DESIGN AND SETTING: Cross-sectional study in a private, philanthropic hospital in São Paulo, Brazil. METHODS: In ...

  19. Association between breast-feeding practices and sucking habits: A cross-sectional study of children in their first year of life

    OpenAIRE

    Moimaz Suzely A; Zina Livia; Saliba Nemre; Saliba Orlando

    2008-01-01

    In addition to providing nutrition and immunological protection, breast-feeding has positive effects on the development of the infant′s oral cavity. The aim of the present study is to assess breast-feeding patterns and to analyze the influence of breast-feeding practices and maternal sociodemographic variables on the prevalence of non-nutritive sucking habits in a sample of Brazilian infants. This cross-sectional study was carried out in Southern Brazil. A random sample of 100 mothers ...

  20. Association between salivary pH and metabolic syndrome in women: a cross-sectional study

    OpenAIRE

    Tremblay Monique; Brisson Diane; Gaudet Daniel

    2012-01-01

    Abstract Background The salivary flow rate is an important determinant of salivary pH. It is influenced by several metabolic syndrome (MetS) components as well as the menopausal status. The cluster of cardiometabolic risk factors that characterizes the MetS could be exacerbated following menopause. The objective of this study was therefore to document the association between salivary pH and MetS expression in women according to the menopausal status. Methods In this cross-sectional study, uns...

  1. Assessment of Knowledge and Practices towards Swine flu: A cross-sectional study among rural housewives

    OpenAIRE

    Rashmi Kumari; Rajiv Kumar Gupta; Bhavna Langer; Aruna Verma

    2016-01-01

    Background: Swine flu is an emerging public health problem in various countries including India and was declared a “Phase 6 Pandemic” by WHO in 2009. India ranks as 3rd most affected country for cases and deaths of swine flu globally.Objectives: To assess the level of knowledge and practices regarding Swine flu among rural housewives of Jammu and to find out the association between the two.Methods: A cross-sectional study was conducted during the month of April 2015 using a pre-tested and sem...

  2. Parametric Study of the Absorption Cross-Section for a Moderately Conducting Thin Cylinder.

    Science.gov (United States)

    Gurton, Kristan Peter

    A system has been developed to measure the absorption cross section of a single carbon fiber at 35 GHz as a function of length, orientation, and diameter. Typical lengths considered ranged from 1 to 20 mm, and diameters ranged from 3 to 8 um. The results were compared with the modified integral equation calculations of Waterman and Pedersen that describe the scattering and absorption behavior for a wire of finite length and conductivity. Good agreement was found for all lengths, orientations, and diameters studied.

  3. Parametric study of the absorption cross section for a moderately conducting thin cylinder

    Science.gov (United States)

    Gurton, Kristan P.; Bruce, Charles W.

    1995-05-01

    A system has been developed to measure the absorption cross section for a single carbon fiber at 35 GHz as a function of length, orientation, and diameter. Typical lengths of the fibers considered ranged from 1 to 20 mm, and diameters ranged from 3 to 8 mu m. The results were compared with the modified integral equation calculations of Waterman and Pedersen that describe the scattering and absorption behavior for a wire of finite length and conductivity. Good agreement was found for all lengths, orientations, and diameters studied.

  4. Feeding practices in infants: ritual factors dominating mother's education - a cross sectional study

    OpenAIRE

    Dinesh Kumar; Indra Kumar Sharma; Mukesh Vir Singh; Durgesh Kumar; Krishan Mohan Shukla; Dinesh Kumar Singh

    2014-01-01

    Background: The objective was to know the impact of mother education on feeding practices of infants. Methods: Observational analytic cross sectional study. We used Semi-structured, pre-tested questionnaire to interview 355 mothers of infants, aged one and half to 12 months, who came in OPD of Department of Paediatrics UPRIMS and R, Saifai for immunization or some problem. Results: Total 267 (75.2 %) out of 355 women had initiated breast feeding within 24 hours of birth. 172 (48.5%) mot...

  5. (n,xn γ reaction cross section measurements for (n,xn reaction studies

    Directory of Open Access Journals (Sweden)

    Rouki Chariklia

    2013-03-01

    Full Text Available In the context of improvement of nuclear data bases for future nuclear reactor researches, we study (n,xn reactions experimentally with the help of the (n,xn γ technique. The experiments are performed at the GELINA facility which delivers a pulsed, white neutron beam. Several measurement campaigns have been performed on 235U, 232Th, 182,183,184,186W and 238U isotopes. A compilation of all these experimental cross sections (mostly still preliminary compared to theoretical predictions will be discussed.

  6. Weaknesses in the reporting of cross-sectional studies according to the STROBE statement

    Science.gov (United States)

    Malaga, German; Miranda, Jaime

    2015-01-01

    Introduction: The inadequate reporting of cross-sectional studies, as in the case of the prevalence of metabolic syndrome, could cause problems in the synthesis of new evidence and lead to errors in the formulation of public policies. Objective: To evaluate the reporting quality of the articles regarding metabolic syndrome prevalence in Peruvian adults using the STROBE recommendations. Methods: We conducted a thorough literature search with the terms "Metabolic Syndrome", "Sindrome Metabolico" and "Peru" in MEDLINE/PubMed, LILACS, SciELO, LIPECS and BVS-Peru until December 2014. We selected those who were population-based observational studies with randomized sampling that reported prevalence of metabolic syndrome in adults aged 18 or more of both sexes. Information was analysed through the STROBE score per item and recommendation. Results: Seventeen articles were included in this study. All articles met the recommendations related to the report of the study's rationale, design, and provision of summary measures. The recommendations with the lowest scores were those related to the sensitivity analysis (8%, n= 1/17), participant flowchart (18%, n= 3/17), missing data analysis (24%, n= 4/17), and number of participants in each study phase (24%, n= 4/17). Conclusion: Cross-sectional studies regarding the prevalence of metabolic syndrome in peruvian adults have an inadequate reporting on the methods and results sections. We identified a clear need to improve the quality of such studies. PMID:26848197

  7. Metabolic syndrome in alcohol-dependent men: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Jitender Aneja

    2013-01-01

    Full Text Available Background: In the context to mental illness metabolic syndrome (MS has gained significant attention in the last decade. The present research aimed to study the prevalence of MS and its correlates among the alcohol-dependent men at a deaddiction center in Northern India. Materials and Methods: A cross-sectional analysis was done for consecutive male subjects who met the diagnosis of alcohol-dependence syndrome currently using alcohol according to the International Clinical Diagnostic criteria- tenth revision mental and behavioral disorder- Clinical description and diagnostic guidelines criteria (ICD-10. The subjects were evaluated for alcohol consumption and the components of MS as per the International Diabetic Federation (IDF and National Cholesterol Education Program Adult Treatment Panel-III (NCEP ATP-III. Results: A total of 200 male subjects were studied: 100 subjects meeting ICD-10 criteria for alcohol dependence currently using alcohol; 50 each of genetically related controls and nongenetically related healthy controls. As per the IDF (with ethnicity specific modifications for waist circumference and NCEP ATP- III definitions, respectively, MS was found to be less prevalent in alcohol-dependent subjects (27% and 18% in comparison the healthy controls (30% and 20%. Conclusion: Findings of the study suggest that irrespective of the amount the current alcohol intake is associated with a lower prevalence of MS and a favorable effect on serum high density lipoproteins and waist circumference. However, the cross-sectional nature of our study does not allow any definitive causal inference.

  8. The association between intrauterine inflammation and spontaneous vaginal delivery at term: a cross-sectional study.

    Directory of Open Access Journals (Sweden)

    Michiel L Houben

    Full Text Available BACKGROUND: Different factors contribute to the onset of labor at term. In animal models onset of labor is characterized by an inflammatory response. The role of intrauterine inflammation, although implicated in preterm birth, is not yet established in human term labor. We hypothesized that intrauterine inflammation at term is associated with spontaneous onset of labor. METHODS/RESULTS: In two large urban hospitals in the Netherlands, a cross-sectional study of spontaneous onset term vaginal deliveries and elective caesarean sections (CS, without signs of labor, was carried out. Placentas and amniotic fluid samples were collected during labor and/or at delivery. Histological signs of placenta inflammation were determined. Amniotic fluid proinflammatory cytokine concentrations were measured using ELISA. A total of 375 women were included. In term vaginal deliveries, more signs of intrauterine inflammation were found than in elective CS: the prevalence of chorioamnionitis was higher (18 vs 4%, p = 0.02 and amniotic fluid concentration of IL-6 was higher (3.1 vs 0.37 ng/mL, p<0.001. Similar results were obtained for IL-8 (10.93 vs 0.96 ng/mL, p<0.001 and percentage of detectable TNF-alpha (50 vs 4%, p<0.001. CONCLUSIONS: This large cross-sectional study shows that spontaneous term delivery is characterized by histopathological signs of placenta inflammation and increased amniotic fluid proinflammatory cytokines.

  9. Study of Profile, Knowledge and Problems of Anganwadi Workers in ICDS Blocks: A Cross Sectional Study

    Directory of Open Access Journals (Sweden)

    Sandip B. Patil

    2013-08-01

    Full Text Available Objectives: To study the profile of Anganwadi Workers (AWWs. To assess knowledge of AWWs & problems faced by them while working. Study Design: Cross sectional study. Methods: Anganwadi centres were selected by stratified sampling technique. From each block 10% AWWs were enrolled into study. The functioning of AWWs was assessed by interviewing Anganwadi workers for their literacy status, years of experience, their knowledge about the services rendered by them and problems faced by them. Result: Most of AWWs were from the age group of between 41-50 years; more than half of them were matriculate and 34(69.38% workers had an experience of more than 10 years. Majority (81.63 % of AWWs had a knowledge assessment score of above 50%. They had best knowledge about nutrition and health education (70%. Of the workers 87.7% complained of inadequate honorarium, 28.5% complained of lack of help from community and other problems reported were infrastructure related supply, excessive work overload and record maintenance. Conclusions: Majority of AWWs were beyond 40 years of age, matriculate, experienced, having more than 50% of knowledge related to their job. Complaints mentioned by them were chiefly honorarium related and excessive workload.

  10. Solar Corona Loop Studies with AIA: I. Cross-Sectional Temperature Structure

    CERN Document Server

    Aschwanden, Markus J

    2011-01-01

    We present a first systematic study on the cross-sectional temperature structure of coronal loops using the six coronal temperature filters of the Atmospheric Imaging Assembly (AIA) instrument on the Solar Dynamics Observatory (SDO). We analyze a sample of 100 loop snapshots measured at 10 different locations and 10 different times in active region NOAA 11089 on 2010 July 24, 21:00-22:00 UT. The cross-sectional flux profiles are measured and a cospatial background is subtracted in 6 filters in a temperature range of $T \\approx 0.5-16$ MK, and 4 different parameterizations of differential emission measure (DEM) distributions are fitted. We find that the reconstructed DEMs consist predominantly of narrowband peak temperature components with a thermal width of $\\sigma_{log(T)} \\le 0.11\\pm0.02$, close to the temperature resolution limit of the instrument, consistent with earlier triple-filter analysis from TRACE by Aschwanden and Nightingale (2005) and from EIS/Hinode by Warren et al. (2008) or Tripathi et al. (2...

  11. Social inequality in breakfast, lunch and evening meal frequency among adolescents: a cross-sectional study

    DEFF Research Database (Denmark)

    Meilstrup, Charlotte; Pagh Pedersen, Trine; Holstein, Bjørn Evald

    Abstract Purpose: Regular meal habits facilitate healthy dietary habits and especially low breakfast frequency shows associations with risk of overweight among adolescents. Studies on social inequality in meal frequencies among children and adolescents are limited, and especially studies of lunch...... inequalities in adolescent meal frequencies. Adolescents from lower socioeconomic position are more likely to have low breakfast, lunch and evening meal frequencies. It is essential to consider socioeconomic position when promoting regular meal habits among adolescents....... and evening meals are lacking. The present study aims to investigate the association between socioeconomic position and breakfast, lunch and evening meal frequencies among adolescents. Methods: Data are from the Danish contribution to the International cross-sectional questionnaire study Health Behavior...

  12. Adiponectin and peak bone mass in men: a cross-sectional, population-based study

    DEFF Research Database (Denmark)

    Frost, M; Abrahamsen, B; Nielsen, T L

    2010-01-01

    Adiponectin, a protein classically known to be secreted by adipocytes, is also secreted by bone-forming cells. Results of previous studies have been contradictory as to whether serum adiponectin and bone mineral density (BMD) are associated. The aim of this study was to investigate a possible...... association between serum adiponectin and BMD in young, healthy men at a time of peak bone mass. BMD in the femoral neck, total hip, and lumbar spine were measured in this population-based cross-sectional study of 700 men aged 20-29 years participating in the Odense Androgen Study. Magnetic resonance imaging...... was inversely associated with total hip BMD in men at the time of peak bone mass, but this association may be explained by factors related to muscle size and function. The observed association between adiponectin and femoral bone marrow size was retained even after adjustment for potential covariates....

  13. Musculoskeletal Injury in Professional Dancers: Prevalence and Associated Factors: An International Cross-Sectional Study

    DEFF Research Database (Denmark)

    Jacobs, Craig L; Cassidy, J. David; Côté, Pierre;

    2016-01-01

    OBJECTIVE: The purpose of the study was to determine the prevalence and factors associated with injury in professional ballet and modern dancers, and assess if dancers are reporting their injuries and explore reasons for not reporting injuries. DESIGN: Cross-sectional study. SETTING: Participants...... specific characteristics included number of years in present dance company, number of years dancing professionally, number of years dancing total, and rank in the company. MAIN OUTCOME MEASURES: Self-reported injury and Self-Estimated Functional Inability because of Pain. RESULTS: A total of 260 dancers...... participated in the study with an overall response rate of 81%. The point prevalence of self-reported injury in professional ballet and modern dancers was 54.8% (95% CI, 47.7-62.1) and 46.3% (95% CI, 35.5-57.1), respectively. Number of years dancing professionally (OR = 4.4, 95% CI, 1.6-12.3) and rank (OR = 2...

  14. Neck pain and postural balance among workers with high postural demands - a cross-sectional study

    DEFF Research Database (Denmark)

    Jørgensen, Marie B.; Skotte, Jørgen H.; Holtermann, Andreas

    2011-01-01

    Neck pain is related to impaired postural balance among patients and is highly prevalent among workers with high postural demands, for example, cleaners. We therefore hypothesised, that cleaners with neck pain suffer from postural dysfunction. This cross-sectional study tested if cleaners with neck...... pain have an impaired postural balance compared with cleaners without neck pain. Postural balance of 194 cleaners with (n = 85) and without (N = 109) neck pain was studied using three different tests. Success or failure to maintain the standing position for 30 s in unilateral stance was recorded...... in the Romberg position with eyes closed, but not with eyes open. Postural balance is impaired among cleaners with neck pain and the current study suggests a particular role of the slow component of postural sway. Furthermore, the unilateral stance test is a simple test to illustrate functional impairment among...

  15. Does habitual physical activity prevent insomnia? A cross-sectional and longitudinal study of elderly Japanese.

    Science.gov (United States)

    Inoue, Sachiko; Yorifuji, Takashi; Sugiyama, Masumi; Ohta, Toshiki; Ishikawa-Takata, Kazuko; Doi, Hiroyuki

    2013-04-01

    Few epidemiological studies have examined the potential protective effects of physical activity on insomnia. The authors thus evaluated the association between physical activity and insomnia in a large population-based study in Shizuoka, Japan. Individual data were obtained from participants in an ongoing cohort study. A total of 14,001 older residents who completed questionnaires were followed for 3 yr. Of these, 10,211 and 3,697 participants were eligible for the cross-sectional and longitudinal analyses, respectively. The authors obtained information about the frequency of physical activity and insomnia. Then, the adjusted odds ratios and 95% confidence intervals between physical activity and insomnia were estimated. Habitual physical activity was related to lower prevalence of insomnia. Frequent physical activity also reduced the incidence of insomnia, especially difficulty maintaining sleep. For elderly people with sufficient mobility and no preexisting disease, high-frequency physical activity (e.g., 5 or more days/wk) may help reduce insomnia.

  16. Feeding Practices among Infants in a Rural Community in Bangladesh: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Rajat Das Gupta

    2015-10-01

    Full Text Available Background: Proper feeding practices during infancy are necessary for the growth and development of infants and to prevent malnutrition. This study was conducted to describe the feeding practice among infants in a rural area in Bangladesh. Methods: A cross-sectional study was conducted between February and June 2013. Data was collected through face-to-face interviews of 212 mothers using a pretested questionnaire. Results: Exclusive breast feeding and complementary feeding rates were 40.6% and 97.3%, respectively. One third of the mothers practiced prelactal feeding, and honey was the most common item. Maternal illness (72.7% was the most common reason for not giving breast milk. Infant formula was used as an alternative food in majority of the cases (72.7%. Conclusion: Percentage of exclusive breast feeding was not satisfactory. Encouragement of female education is recommended to improve feeding practices and infant care.

  17. Nursing burnout: cross-sectional study at a large Army hospital.

    Science.gov (United States)

    Lang, Gary Morris; Pfister, Elizabeth A; Siemens, Michelle J

    2010-06-01

    The purpose of this study was to examine the levels of burnout among U.S. Army and civilian nursing personnel assigned to a large military treatment facility. Using a cross-sectional design, a convenience sample of eligible participants (n = 364) completed the Maslach Burnout Inventory. T-test and ordinal logistic regression were used to analyze data. Findings suggest that both groups were experiencing a moderate level of burnout. However, civilian nursing personnel demonstrated statistical lower levels of emotional exhaustion and depersonalization. Findings suggest that nursing personnel who worked the day shift, no more than 8 hours a day and had fewer patient care contacts with military personnel injured in Iraq or Afghanistan reported lower levels of emotional exhaustion and depersonalization. This study provides ideas for policy changes at medical treatment facilities that are experiencing similar challenges.

  18. Cross section measurements for γ-process studies using a LEPS detector

    Science.gov (United States)

    Szücs, T.; Kiss, GG; Rauscher, T.; Török, Zs; Halász, Z.; Fülöp, Zs; Gyürky, Gy; Somorjai, E.

    2016-01-01

    In this paper we present the ongoing experiments at ATOMKI related to our systematic γ-process studies. These studies are intended to enlarge the limited experimental database from α-induced reactions on nuclei in the heavier mass range of the γ -process. In all presented cases the activation method was used. The details of the cross section measurements and preliminary results on115In(α,n)118mSb, 115In(α,γ)119Sb 162Er(α,n)165Yb, 162Er(α,γ)166Yb, 164Er(α,n)167Yb, 166Er(α,n)169Yb 191Ir(α,n)194Au, 191Ir(α,γ)195Au, 193Ir(α,n)196mAu, 193Ir(α,n)196Au reactions are presented.

  19. Danish emergency nurses' attitudes towards self-harm - a cross-sectional study

    DEFF Research Database (Denmark)

    Perbøll, Penille Wimmer; Hammer, N. M.; Østergaard, Birte;

    2015-01-01

    on self-harm, and this education seems to produce more positive attitudes and a greater self-efficacy in relation to managing the patient group. CONCLUSION: Nurses working in the ED generally hold positive attitudes toward patients with acetaminophen poisoning. It is suggested that education on self......AIM: The aim of this study was to examine Danish emergency nurses' attitudes toward people hospitalized after an acetaminophen poisoning. Furthermore, the study examined the relationship between attitudes and factors such as age, gender, and education on self-harm. METHODS: A cross-sectional design...... was applied. Nurses from seven emergency departments (EDs) in a region in Denmark were asked to complete the Danish version of Attitudes towards Deliberate Self-Harm Questionnaire (ADSHQ). RESULTS: Of the 254 eligible nurses working in the ED, 122 returned the questionnaires, leaving the response rate at 48...

  20. Folate and MMA predict cognitive impairment in elderly stroke survivors: A cross sectional study.

    Science.gov (United States)

    Pascoe, Michaela C; Linden, Thomas

    2016-09-30

    Elderly stroke survivors are at risk of malnutrition and long-term cognitive impairment. Vitamin B-related metabolites, folate and methylmalonic acid, have been implicated in cognitive function. We conducted a study exploring the relationship between blood folate, methylmalonic acid and post-stroke cognitive impairment. This is a cross sectional study of elderly Swedish patients (n=149) 20 months post-stroke, assessed using the Mini Mental State Examination, serum blood levels of methylmalonic acid and red blood cell levels of folate. Linear modeling indicated that low levels of blood folate and elevated methylmalonic acid significantly contributed to cognitive impairment in stroke survivors. Half of the stroke survivors were shown to have folate deficiency at 20 months after stroke. Folate deficiency is common long term after stroke and both low folate and elevated methylmalonic acid appear to be associated with long term cognitive impairment, in elderly Swedish stroke survivors.

  1. Life style and nutritional status in university students: a descriptive, cross-sectional study

    Directory of Open Access Journals (Sweden)

    Diana Córdoba Adaya

    2013-12-01

    Full Text Available Introduction. Lifestyle is the set of behaviors that an individual practices consciously and voluntarily in the course of his or her life. The assessment of nutritional status by anthropometry can lead to the adoption of preventive measures for health. This is especially important in young people, as many authors have noted that the university population is particularly vulnerable for risky customs and habits. Aim. The purpose of this study is to assess and relate lifestyle with nutritional status of university students. Design. Observational descriptive, cross-sectional. Nutritional status was evaluated and the FANTASTIC questionnaire was applied. Results. 88.1% of students have a healthy lifestyle and 65% were classified as normal according to body mass index. Conclusion. The study found that there is a relationship between lifestyle and nutritional status. On the other hand risk behaviors were identified in the dimensions of nutrition, tobacco smoking, sleep and stress.

  2. Knowledge of the abortion legislation among South African women: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Myer Landon

    2006-08-01

    Full Text Available Abstract Background In order to ensure that legalized abortion in South Africa improves reproductive health, women must know that abortion is a legal option in the case of unwanted pregnancy. This study investigated knowledge of abortion legislation eight years after the introduction of legal abortion services in one province of South Africa. Methods In 2004/2005, we conducted a cross-sectional study among 831 sexually-active women attending 26 public health clinics in one urban and one rural health region of the Western Cape Province. Results Thirty-two percent of women did not know that abortion is currently legal. Among those who knew of legal abortion, few had knowledge of the time restrictions involved. Conclusion In South Africa there is an unmet need among women for information on abortion. Strategies should be developed to address this gap so that women are fully informed of their rights to a safe and legal termination of pregnancy.

  3. Prevalence of comorbidities in rheumatoid arthritis and evaluation of their monitoring: results of an international, cross-sectional study (COMORA)

    NARCIS (Netherlands)

    Dougados, Maxime; Soubrier, Martin; Antunez, Anna; Balint, Peter; Balsa, Alejandro; Buch, Maya H.; Casado, Gustavo; Detert, Jacqueline; El-zorkany, Bassel; Emery, Paul; Hajjaj-Hassouni, Najia; Harigai, Masayoshi; Luo, Shue-Fen; Kurucz, Reka; Maciel, Gabriel; Mola, Emilio Martin; Montecucco, Carlo Maurizio; McInnes, Iain; Radner, Helga; Smolen, Josef S.; Song, Yeong-Wook; Vonkeman, Harald Erwin; Winthrop, Kevin; Kay, Jonathan

    2014-01-01

    Background Patients with rheumatoid arthritis (RA) are at increased risk of developing comorbid conditions. Objectives To evaluate the prevalence of comorbidities and compare their management in RA patients from different countries worldwide. Methods Study design: international, cross-sectional.

  4. An Epidemiologic Study of Pediatric Poisoning; a Six-month Cross-sectional Study

    Directory of Open Access Journals (Sweden)

    Mohammad Manouchehrifar

    2014-09-01

    Full Text Available Introduction: Intentional and unintentional poisoning are among the most common reasons for referrals to emergency department (ED. Therefore, the present study was designed to evaluate epidemiologic features and effective risk factors of intentional and unintentional poisoning in children. Methods: This prospective cross-sectional study was carried out in ED of Loghman Hakim Hospital, greatest referral poison center of Iran, Tehran during March to August 2014. Demographic data, medical history, history of psychiatric disease in child, the cause of poisoning, parents’ educational level, household monthly income, location of residence, history of addiction or divorce in family, and the poisoning intentionality were gathered. Data were analyzed using SPSS 18 and appropriate statistical tests based on the purpose of study. Results: 414 participants with the mean age of 4.2 ± 3.43 years were included (57.5% male. Children in the 0-4 year(s age range had the most frequency with 281 (67.9% cases. 29 (7% cases were intentional (62% female, 76% in the 10-14 years old group. Methadone with 123 (29.7% cases was the most frequent toxic agent in general and in unintentional cases. 10-14 years of age (p = 0.001, and the history of psychiatric disease in children (p <0.001, had a direct correlation with probability of intentional poisoning. While, history of addiction in the family showed an indirect correlation with this probability (p = 0.045. Conclusion: Based on the results of this study, most cases of poisoning in the children were unintentional methadone intoxication in boys in the 0-4 age range with a history of a psychiatric disease, and those who had a history of addiction in the family. In addition, the most powerful risk factor for the children’s intentional poisoning was their history of psychiatric disease. The history of addiction in the child’s family had indirect correlation with intentional intoxications.

  5. Literacy and health outcomes: a cross-sectional study in 1002 adults with diabetes

    Directory of Open Access Journals (Sweden)

    MacLean Charles D

    2006-08-01

    Full Text Available Abstract Background Inconsistent findings reported in the literature contribute to the lack of complete understanding of the association of literacy with health outcomes. We evaluated the association between literacy, physiologic control and diabetes complications among adults with diabetes. Methods A cross-sectional study of 1,002 English speaking adults with diabetes, randomly selected from the Vermont Diabetes Information System, a cluster-randomized trial of a diabetes decision support system in a region-wide sample of primary care practices was conducted between July 2003 and March 2005. Literacy was assessed by the Short-Test of Functional Health Literacy in Adults. Outcome measures included glycated hemoglobin, low density lipoprotein, blood pressure and self-reported complications. Results After adjusting for sociodemographic characteristics, duration of diabetes, diabetes education, depression, alcohol use, and medication use we did not find a significant association between literacy and glycemic control (beta coefficent,+ 0.001; 95% confidence interval [CI], -0.01 to +0.01; P = .88, systolic blood pressure (beta coefficent, +0.08; 95% CI, -0.10 to +0.26; P = .39, diastolic blood pressure (beta coefficent, -0.03; 95% CI, -0.12 to +0.07, P = .59, or low density lipoprotein (beta coefficent, +0.04; 95% CI, -0.27 to +0.36, P = .77. We found no association between literacy and report of diabetes complications. Conclusion These findings suggest that literacy, as measured by the S-TOFHLA, is not associated with glycated hemoglobin, blood pressure, lipid levels or self-reported diabetes complications in a cross-sectional study of older adults with diabetes under relatively good glycemic control. Additional studies to examine the optimal measurement of health literacy and its relationship to health outcomes over time are needed.

  6. Polysomnographic Findings and Clinical Correlates in Huntington Disease: A Cross-Sectional Cohort Study

    Science.gov (United States)

    Piano, Carla; Losurdo, Anna; Della Marca, Giacomo; Solito, Marcella; Calandra-Buonaura, Giovanna; Provini, Federica; Bentivoglio, Anna Rita; Cortelli, Pietro

    2015-01-01

    Study Objectives: To evaluate the sleep pattern and the motor activity during sleep in a cohort of patients affected by Huntington disease (HD). Design: Cross-sectional cohort study. Setting: Sleep laboratory. Patients: Thirty HD patients, 16 women and 14 men (mean age 57.3 ± 12.2 y); 30 matched healthy controls (mean age 56.5 ± 11.8 y). Interventions: Subjective sleep evaluation: Epworth Sleepiness Scale (ESS); Berlin's Questionnaire, interview for restless legs syndrome (RLS), questionnaire for REM sleep behavior disorder (RBD). Clinical evaluation: disease duration, clinical severity (unified Huntington disease motor rating scale [UHDMRS]), genetic tests. Laboratory-based full-night attended video-polysomnography (V-PSG). Measurements and Results: The duration of the disease was 9.4 ± 4.4 y, UHMDRS score was 55.5 ± 23.4, CAG repeats were 44.3 ± 4.1. Body mass index was 21.9 ± 4.0 kg/m2. No patients or caregivers reported poor sleep quality. Two patients reported symptoms of RLS. Eight patients had an ESS score ≥ 9. Eight patients had high risk of obstructive sleep apnea. At the RBD questionnaire, two patients had a pathological score. HD patients, compared to controls, showed shorter sleep, reduced sleep efficiency index, and increased arousals and awakenings. Four patients presented with sleep disordered breathing (SDB). Periodic limb movements (PLMs) during wake and sleep were observed in all patients. No episode of RBD was observed in the V-PSG recordings, and no patients showed rapid eye movement (REM) sleep without atonia. The disease duration correlated with ESS score (P Marca G, Solito M, Calandra-Buonaura G, Provini F, Bentivoglio AR, Cortelli P. Polysomnographic findings and clinical correlates in Huntington disease: a cross-sectional cohort study. SLEEP 2015;38(9):1489–1495. PMID:25845698

  7. Drug dispensing practices at pharmacies in Bengaluru: A cross-sectional study

    Science.gov (United States)

    Soumya, R.; Devarashetty, Vijayalakshmi; Jayanthi, C. R.; Sushma, M.

    2016-01-01

    Objectives: Pharmacists are one of the crucial focal points for health care in the community. They have tremendous outreach to the public as pharmacies are often the first-port-of-call. With the increase of ready-to-use drugs, the main health-related activity of a pharmacist today is to assure the quality of dispensing, a key element to promote rational medicine use. Materials and Methods: A cross-sectional study of 200 pharmacies, 100 each in various residential (R) and commercial (C) areas of Bengaluru, was conducted using a prevalidated questionnaire administered to the chief pharmacist or the person-in-charge by the investigators. Results: Dispensing without prescription at pharmacies was 45% of the total dispensing encounters and significantly higher (χ2 = 15.2, P educational campaigns are a prerequisite to improve dispenser's knowledge and dispensing practices.

  8. Marked differences in GPs' diagnosis of pneumonia between Denmark and Spain: a cross-sectional study

    DEFF Research Database (Denmark)

    Christensen, S.F.; Jørgensen, L.C.; Cordoba Currea, Gloria Cristina

    2013-01-01

    BACKGROUND: In patients with lower respiratory tract infections (LRTIs) it is a challenge to identify who should be treated with antibiotics. According to international guidelines, antibiotics should be prescribed to patients with suspected pneumonia while acute bronchitis is considered a viral...... infection and should, generally, not be treated with antibiotics. Overdiagnosis of pneumonia in patients with LRTIs may lead to antibiotic overprescribing. AIMS: To investigate the prevalence of presumed pneumonia in patients with LRTI in two countries with different antibiotic prescribing rates (Denmark...... and Spain) and to compare which symptoms and clinical tests are of most importance for the GP when choosing a diagnosis of pneumonia rather than acute bronchitis. METHODS: A cross-sectional study including GPs from Denmark and Spain was conducted as part of the EU-funded project HAPPY AUDIT. A total of 2...

  9. A Population- and Hospital-based Cross-sectional Study of Renal Function in Hidradenitis Suppurativa

    DEFF Research Database (Denmark)

    Miller, Iben M; Carlson, Nicholas; Mogensen, Ulla Brasch;

    2016-01-01

    similar basement membrane defects might occur in renal tissue. Our objective was to investigate a possible association between HS and renal dysfunction. We performed a hospital and population-based cross-sectional study using estimated Glomerular-Filtration-Rate (eGFR) to assess renal function. Thirty......-two hospital individuals with HS, 430 population individuals with HS, and 20, 780 population individuals without HS were identified. The age-sex-smoking-BMI-hypertension-diabetes adjusted analysis revealed a statistically significant higher eGFR for the hospital group with HS and a mean difference in eGFR of 6.......81 (1.27-12.35) ml/min/1.73 m between the hospital group with HS and the population group without HS. The observed higher eGFR in the hospital group with HS indicates a possible association of HS and renal dysfunction....

  10. Multicollinearity may lead to artificial interaction: an example from a cross sectional study of biomarkers.

    Science.gov (United States)

    Sithisarankul, P; Weaver, V M; Diener-West, M; Strickland, P T

    1997-06-01

    Collinearity is the situation which arises in multiple regression when some or all of the explanatory variables are so highly correlated with one another that it becomes very difficult, if not impossible, to disentangle their influences and obtain a reasonably precise estimate of their effects. Suppressor variable is one of the extreme situations of collinearity that one variable can substantially increase the multiple correlation when combined with a variable that is only modestly correlated with the response variable. In this study, we describe the process by which we disentangled and discovered multicollinearity and its consequences, namely artificial interaction, using the data from cross-sectional quantification of several biomarkers. We showed how the collinearity between one biomarker (blood lead level) and another (urinary trans, trans-muconic acid) and their interaction (blood lead level* urinary trans, trans-muconic acid) can lead to the observed artificial interaction on the third biomarker (urinary 5-aminolevulinic acid).

  11. Studying the capture cross sections of structural elements by measuring neutron balance in multiplying media

    Energy Technology Data Exchange (ETDEWEB)

    Golubev, V.N.; Dulin, V.A.; Kazanskij, Yu.A.

    1986-10-01

    To refine neutron capture cross sections for structural elements used in fast power reactors the neutron balance in multiplying media with neutron multiplication factor K/sub infinity/=1 has been studied at KBR and ERMINE critical assemblies. Reactivity of multiplying cells consisting of uranium and structural elements is measured as well as reactivity coefficients of individual structural materials. Corresponding calculations are performed using the versions of group constants applied in designing the fast reactors in the USSR and France. The CARNAVAL 4 constant version predicts well a fraction of neutron absorptions in steel and nickel for the spectra typical for a power reactor (ERMINE assembly). For softer spectra (KBR assembly) the agreement with experiment is better when the BNAB-78 constant version is used.

  12. [Vibration, back pain and physical exercise in high-risk professionals: a cross-sectional study].

    Science.gov (United States)

    Valenti, M; Prosperini, V; Falzano, P; Hendel, M; Raimondi, P

    2004-01-01

    Repeated loads and vibration stress in professional settings are relevant risk factors for back pain. Aim of this cross-sectional study was to estimate: a) the prevalence of back pain in two high-risk professional samples (helicopter pilots and bus drivers); b) the association between physical/sports exercise and back pain subjective perception across age. Prevalence of back pain is 94% in helicopter pilots and 74% in bus drivers; prevalence of back pain significantly increases with age. The positive effect of regular physical/sports exercise on subjective back pain significantly decreases with age. Physical or sports exercise adapted to structural characteristic of patients can result effective in diminishing personal impairment in subjects at professional risk.

  13. Thymus is enlarged in children with current atopic dermatitis. A cross-sectional study

    DEFF Research Database (Denmark)

    Olesen, Anne Braae; Andersen, G.; Jeppesen, D.L.;

    2005-01-01

    Atopic dermatitis is a common skin disorder of unknown aetiology with peak incidence in early childhood. The disease is associated with peripheral T-cell accumulation in the skin. The thymus is a key organ of the cellular immune response early in life. We hypothesized that atopic dermatitis...... is associated with an unbalanced establishment of the peripheral T-lymphocyte system. This cross-sectional study was performed to compare thymus sizes in patients with atopic dermatitis and healthy controls. Thirty-seven children with current atopic dermatitis were enrolled and compared with 29 healthy controls....... An interview and medical examination were performed by one doctor, an ultrasound scan was performed within 3 days of the examination, and the thymus index, a marker of thymus size, was measured. The thymus index was on average 32% higher (95% CI 3%-67%) in children with active atopic dermatitis compared...

  14. Job demands, job resources, and job performance in japanese workers: a cross-sectional study.

    Science.gov (United States)

    Nakagawa, Yuko; Inoue, Akiomi; Kawakami, Norito; Tsuno, Kanami; Tomioka, Kimiko; Nakanishi, Mayuko; Mafune, Kosuke; Hiro, Hisanori

    2014-01-01

    This study investigated the cross-sectional association of job demands (i.e., psychological demands) and job resources (i.e., decision latitude, supervisor support, co-worker support, and extrinsic reward) with job performance. A total of 1,198 workers (458 males and 740 females) from a manufacturing company in Japan completed a self-administered questionnaire that included the Job Content Questionnaire, Effort-Reward Imbalance Questionnaire, World Health Organization Health and Work Performance Questionnaire, and demographic survey. Hierarchical multiple regression analyses were conducted. After adjusting for demographic characteristics, decision latitude (β=0.107, p=0.001) and extrinsic reward (β=0.158, pextrinsic reward enhance job performance among Japanese employees.

  15. Bullying and symptoms among school-aged children: international comparative cross sectional study in 28 countries

    DEFF Research Database (Denmark)

    Due, Pernille; Holstein, Bjørn E; Lynch, John

    2005-01-01

    BACKGROUND: There have been no large-scale international comparisons on bullying and health among adolescents. This study examined the association between bullying and physical and psychological symptoms among adolescents in 28 countries. METHODS: This international cross-sectional survey included...... 123,227 students 11, 13 and 15 years of age from a nationally representative sample of schools in 28 countries in Europe and North America in 1997-98.The main outcome measures were physical and psychological symptoms. RESULTS: The proportion of students being bullied varied enormously across countries....... The lowest prevalence was observed among girls in Sweden (6.3%, 95% CI: 5.2-7.4), the highest among boys in Lithuania (41.4%, 95% CI 39.4-43.5). The risk of high symptom load increased with increasing exposure to bullying in all countries. In pooled analyses, with sex stratified multilevel logistic models...

  16. Central obesity and albuminuria: both cross-sectional and longitudinal studies in Chinese.

    Directory of Open Access Journals (Sweden)

    Wen-Yuan Lin

    Full Text Available BACKGROUND: Albuminuria is recognized as a marker of vascular dysfunction. Central obesity increases the risk of cardiovascular disease. Little is known about the association between albuminuria and central obesity in Chinese. We aimed to assess the association between central obesity and prevalence and incidence of albuminuria in a middle-aged population-based cohort study. METHODS: This is a cross-sectional and longitudinal cohort study. A total of 2350 subjects aged ≥ 40 years were recruited in 2004 in Taiwan for cross-sectional analysis. Longitudinal analysis included 1432 baseline normoalbuminuria subjects with a mean 2.8 years follow-up, 67 of whom exhibited incident albuminuria. Albuminuria was defined as urinary albumin-to-creatinine ratio ≥ 30 mg/g creatinine. Multiple logistic regression analyses were used to evaluate the relationship between central obesity and prevalence and incidence of albuminuria after adjustment for age, gender, body mass index, blood pressure, renal function, glucose, high sensitivity c-reactive protein, smoking, betel nut chewing, alcohol drinking, and physical activity. RESULTS: At baseline, albuminuria is significantly associated with central obesity. The adjusted odds ratio of having albuminuria among subjects with central obesity was 1.73(95% confidence interval (CI: 1.04-2.85, compared to the subjects without central obesity. In multivariable models, participants with central obesity at baseline had a 112% increase in risk of incident albuminuria (adjusted incidence rate ratio (95% CI: 2.12(1.01-4.44 compared with participants with non-central obesity. CONCLUSIONS: Abdominal adiposity was independently associated with increased prevalence and incidence of albuminuria in Chinese. The mechanisms linking adiposity and albuminuria need to be addressed.

  17. Cross-Sectional Investigation of HEMS Activities in Europe: A Feasibility Study

    Directory of Open Access Journals (Sweden)

    Stefano Di Bartolomeo

    2014-01-01

    Full Text Available Objectives. To gather information on helicopter emergency medical services (HEMSs activities across Europe. Methods. Cross-sectional data-collection on daily (15 November 2013 activities of a sample of European HEMSs. A web-based questionnaire with both open and closed questions was used, developed by experts of the European Prehospital Research Alliance (EUPHOREA. Results. We invited 143 bases from 11 countries; 85 (60% reported base characteristics only and 73 (51% sample-day data too. The variety of base characteristics was enormous; that is, the target population ranged from 94.000 to 4.500.000. Of 158 requested primary missions, 62 (0.82 per base resulted in landing. Cardiac aetiology (36% and trauma (36% prevailed, mostly of life-threatening severity (43%, 0.64 per mission. Had HEMS been not dispatched, patients would have been attended by another physician in 67% of cases, by paramedics in 24%, and by nurses in 9%. On-board physicians estimated to have caused a major decrease of death risk in 47% of missions, possible decrease in 22%, minor benefit in 17%, no benefit in 11%, and damage in 3%. Earlier treatment and faster transport to hospital were the main reasons for benefit. The most frequent therapeutic procedure was drug administration (78% of missions; endotracheal intubation occurred in 25% of missions and was an option hardly offered by ground crews. Conclusions. The study proved feasible, establishing an embryonic network of European HEMS. The participation rate was low and limits the generalizability of the results. Fortunately, because of its cross-sectional characteristics and the handy availability of the web platform, the study is easily repeatable with an enhanced network.

  18. Correlation of pontic design and partial edentulous areas: A one year cross sectional study

    Directory of Open Access Journals (Sweden)

    Nikzad S.

    2008-12-01

    Full Text Available "nBackground and Aim: By definition, pontic is an artificial replacement of missing tooth (teeth which is essentially used to establish function and esthetics. In order to this fact that, pontic(s is not completely the same as tooth (teeth to be replaced, it may not be concern as a simple type of restoration to achieve the best result, it must be design from the esthetically and hygienically point of view as well as comfort, demand and tissue health of patient. The main purpose of this study is to investigate the pontic designs and their relationship to edentulous partial aras. "nMaterials and Methods: 73 pontics in 57 patients have been included in this cross-sectional study. These patients were under treatment in the department of prosthodontics. A primary cast was achieved from each patient and then the cross-sectional contour of edentulous ridge was depicted. For each patient the type of pontic design was derived from textbook standards and then compared with the design of actual verified Prosthesis at delivery. The shape of tissue surface of each denture was determined by a low viscous impression material. The result of each comparison was recorded in a chart data set. "nResults: The most common pontic design was Modified ridge lap with frequency of 93.2%. The type of ridge was %45.2 normal, %19.2 class I, %8.2 class II and %27.4 class III, respectively. %72.6 of pontics tested have inappropriate design in tissue surface. "nConclusion: It seems that in a high percentage of cases the tissue surface contour of prescribed pontics in department of prosthodontics was incorrect and more attention must be paid to the education of students and technicians.

  19. Study of the cross section determination with the PRISMA spectrometer: The 40Ar + 208Pb case

    Science.gov (United States)

    Mijatović, T.; Szilner, S.; Corradi, L.; Montanari, D.; Pollarolo, G.; Fioretto, E.; Gadea, A.; Goasduff, A.; Jelavić Malenica, D.; Mărginean, N.; Montagnoli, G.; Scarlassara, F.; Soić, N.; Stefanini, A. M.; Ur, C. A.; Valiente-Dobón, J. J.

    2016-04-01

    The PRISMA spectrometer's response function was successfully applied to match three angular and magnetic settings over a wide angular range for measurements of quasi-elastic reactions in 40Ar + 208Pb . The absolute scale of cross sections has been obtained by using the Rutherford cross section at the forward angles and the information from the energy distributions measured with the spectrometer without and with coincidences with the CLARA γ-array. The semi-classical model GRAZING has been used to test the unfolding procedure and for comparison with the corrected cross sections.

  20. Início da vida sexual na adolescência e relações de gênero: um estudo transversal em São Paulo, Brasil, 2002 Sexual debut in adolescence and gender relations: a cross-sectional study in São Paulo, Brazil, 2002

    Directory of Open Access Journals (Sweden)

    Ana Luiza Vilela Borges

    2005-04-01

    Full Text Available Trata-se de estudo transversal com o objetivo de identificar os diferenciais de gênero presentes no início da vida sexual de adolescentes. Foram entrevistados 406 adolescentes de 15 a 19 anos de idade inscritos em uma unidade de saúde da família da zona leste do Município de São Paulo, Brasil, entre maio e dezembro de 2002. Quase a metade dos adolescentes já havia iniciado sua vida sexual, em média aos 15 anos de idade, fossem homens ou mulheres. O início da vida sexual ocorreu, em grande parte, de forma não planejada (72,7% e dentro de casa (86,1%. O uso de um método contraceptivo na primeira relação sexual foi similar entre homens e mulheres (61,0%, entretanto, foi observado um aumento maior na proporção de uso de algum anticonceptivo entre os homens na última relação sexual. Pelo fato de terem iniciado sua vida sexual em relacionamentos estáveis com vínculos afetivo-amorosos, as mulheres mostraram-se mais vulneráveis às DST/AIDS, pois substituíram o preservativo masculino por outros métodos na última relação sexual, enquanto os homens permaneceram utilizando largamente o condom, provavelmente por estarem inseridos em relacionamentos não estáveis.This cross-sectional study aimed to assess gender differences in adolescents in relation to onset of sexual activity. A total of 406 15-19-year-old adolescents from a family health unit in the city of São Paulo, Brazil, were interviewed from May to December 2002. Nearly half had already had their first sexual intercourse, at a mean age of 15, independently of gender. Sexual debut was usually unplanned (72.7% and inside the home (86.1%. An equal proportion (61.0% of males and females used some contraceptive method in their first sexual intercourse; however, more males had used a contraceptive method in their most recent intercourse. Having initiated their sexual activity in stable, affective relationships, females proved to be more vulnerable to STD/ AIDS, since they

  1. The influence of latent toxoplasmosis on women's reproductive function: four cross-sectional studies.

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    Kankova, Sarka; Flegr, Jaroslav; Calda, Pavel

    2015-07-28

    Several studies have investigated the association between infection with Toxoplasma gondii (Nicolle et Manceaux, 1908), pregnancy and fertility, but the results of studies focused on the fertility are rather ambiguous. Here we report results of four new cross-sectional studies. The studies were performed in the General University Hospital, Prague (study A with n = 1 165, and study C with n = 317), in private clinics of the Centre of Reproductive Medicine, Prague (study B with n = 1 016), and in a population of Czech and Slovak volunteers from the Facebook page 'Guinea Pigs' willing to participate in various basic science studies (study D with n = 524). In studies A and B, the clinical records were used to assess the fertility problems, whereas in studies C and D, the women were asked to rate their fertility problems using a six-point scale. Pregnant T. gondii-infected women were older than T. gondii-free women (study A: 33.1 vs 31.2, P associated burden than more severe but far rarer congenital toxoplasmosis.

  2. ENLIST 1: An International Multi-centre Cross-sectional Study of the Clinical Features of Erythema Nodosum Leprosum.

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    Stephen L Walker

    Full Text Available Erythema nodosum leprosum (ENL is a severe multisystem immune mediated complication of borderline lepromatous leprosy and lepromatous leprosy. ENL is associated with skin lesions, neuritis, arthritis, dactylitis, eye inflammation, osteitis, orchitis, lymphadenitis and nephritis. The treatment of ENL requires immunosuppression, which is often required for prolonged periods of time and may lead to serious adverse effects. ENL and its treatment is associated with increased mortality and economic hardship. Improved, evidence-based treatments for ENL are needed; however, defining the severity of ENL and outcome measures for treatment studies is difficult because of the multiple organ systems involved. A cross-sectional study was performed, by the members of the Erythema Nodosum Leprosum International STudy (ENLIST Group, of patients with ENL attending seven leprosy referral centres in Brazil, Ethiopia, India, Nepal, the Philippines and the United Kingdom. We systematically documented the clinical features and type of ENL, its severity and the drugs used to treat it. Patients with chronic ENL were more likely to be assessed as having severe ENL. Pain, the most frequent symptom, assessed using a semi-quantitative scale was significantly worse in individuals with "severe" ENL. Our findings will determine the items to be included in a severity scale of ENL which we are developing and validating. The study also provides data on the clinical features of ENL, which can be incorporated into a definition of ENL and used for outcome measures in treatment studies.

  3. A cross-sectional study on person-centred communication in the care of older people: the COMHOME study protocol

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    Hafskjold, L.; Sundler, A.J.; Holmstrom, I.K.; Sundling, V.; Dulmen, S. van; Eide, H.

    2015-01-01

    INTRODUCTION: This paper presents an international cross-sectional study on person-centred communication with older people receiving healthcare (COMHOME). Person-centred care relies on effective communication, but few studies have explored this with a specific focus on older people. The main aim of

  4. A cross-sectional study on person-centred communication in the care of older people: the COMHOME study protocol.

    NARCIS (Netherlands)

    Hafskjold, L.; Sundler, A.J.; Holmström, I.K.; Sundling, V.; Dulmen, S. van; Eide, H.

    2015-01-01

    Introduction: This paper presents an international cross-sectional study on person-centred communication with older people receiving healthcare (COMHOME). Person-centred care relies on effective communication, but few studies have explored this with a specific focus on older people. The main aim of

  5. Epidemiology and Reporting Characteristics of Systematic Reviews of Biomedical Research: A Cross-Sectional Study.

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    Matthew J Page

    2016-05-01

    Full Text Available Systematic reviews (SRs can help decision makers interpret the deluge of published biomedical literature. However, a SR may be of limited use if the methods used to conduct the SR are flawed, and reporting of the SR is incomplete. To our knowledge, since 2004 there has been no cross-sectional study of the prevalence, focus, and completeness of reporting of SRs across different specialties. Therefore, the aim of our study was to investigate the epidemiological and reporting characteristics of a more recent cross-section of SRs.We searched MEDLINE to identify potentially eligible SRs indexed during the month of February 2014. Citations were screened using prespecified eligibility criteria. Epidemiological and reporting characteristics of a random sample of 300 SRs were extracted by one reviewer, with a 10% sample extracted in duplicate. We compared characteristics of Cochrane versus non-Cochrane reviews, and the 2014 sample of SRs versus a 2004 sample of SRs. We identified 682 SRs, suggesting that more than 8,000 SRs are being indexed in MEDLINE annually, corresponding to a 3-fold increase over the last decade. The majority of SRs addressed a therapeutic question and were conducted by authors based in China, the UK, or the US; they included a median of 15 studies involving 2,072 participants. Meta-analysis was performed in 63% of SRs, mostly using standard pairwise methods. Study risk of bias/quality assessment was performed in 70% of SRs but was rarely incorporated into the analysis (16%. Few SRs (7% searched sources of unpublished data, and the risk of publication bias was considered in less than half of SRs. Reporting quality was highly variable; at least a third of SRs did not report use of a SR protocol, eligibility criteria relating to publication status, years of coverage of the search, a full Boolean search logic for at least one database, methods for data extraction, methods for study risk of bias assessment, a primary outcome, an

  6. Prevalence of metabolic syndrome in patients with psoriasis: a hospital-based cross-sectional study*

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    Milčić, Danijela; Janković, Slavenka; Vesić, Sonja; Milinković, Mirjana; Marinković, Jelena; Ćirković, Andja; Janković, Janko

    2017-01-01

    BACKGROUND Emerging epidemiological evidence suggests independent associations between psoriasis and metabolic syndrome. Objectives: The aim of the study was to examine the prevalence of metabolic syndrome and its components in patients with psoriasis, and to assess which factors may predict metabolic syndrome in these patients. METHODS A hospital-based, cross-sectional study with 244 psoriatic patients and 163 control subjects with skin diseases other than psoriasis was conducted at the Clinic of Dermatovenerology, Clinical Center of Serbia, Belgrade, from October 2011 to October 2012. Metabolic syndrome was defined using the revised National Cholesterol Education Program Adult Treatment Panel III. Severity of psoriasis was measured by Psoriasis Area and Severity Index and Body Surface Area. RESULTS The adjusted odds ratios (ORs) and 95% confidence intervals (CI) for psoriasis patients vs. non-psoriasis patients were 2.66 (95% CI, 1.58-4.42) for metabolic syndrome, 3.81 (95% CI, 2.30-6.31) for hypertension, 2.29 (95% CI, 1.39-3.78) for central obesity, 1.92 (95% CI, 1.08-3.41) for hyperglycemia, 1.87 (95% CI 1.18-2.96) for low high-density lipoprotein cholesterol level, and 1.42 (95% CI, 0.87-1.04) for hypertrigliceridemia. We failed to find any statistically significant association between the metabolic syndrome and clinical severity of psoriasis. Later onset and longer duration of psoriasis were predicting factors for metabolic syndrome in our patients. Study limitations: The cross-sectional design of the study does not allow us to draw directional causal inferences concerning the association between psoriasis and metabolic syndrome. Factors such as diet, alcohol consumption or mental health, which have not been evaluated in this study, may be confounders in this relation. CONCLUSION A higher prevalence of metabolic syndrome and its components in patients with psoriasis than in controls, regardless of disease severity, emphasizes the need for early treatment and

  7. Erectile dysfunction in methadone maintenance patients: a cross sectional study in northern iran.

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    Seyed Hamzeh Hosseini

    2013-12-01

    Full Text Available Erectile dysfunction affects quality of life and is a common dysfunction in drug abusers. The aim of this study was to evaluate the frequency of erectile dysfunction in drug abusers on methadone maintenance therapy to reduce this drug side effect in the future studies.This cross-sectional study was conducted with two hundred addicted individuals on methadone maintenance therapy. Erectile dysfunction was surveyed using the International Index of Erectile Function (IIEF. Finally, all data were collected and analyzed by descriptive statistics such as measures of variability and central tendency and Chi-squared (χ(2 test using SPSS Version18.0 software.The amount of the total frequency of erectile dysfunction was pointed 30 or less among the two hundred patients and included the moderate and severe cases. In this study, the number of patients with erectile dysfunction was fifty three (26.5%.The frequency of erectile dysfunction in our study was approximately 1.5 times of prevalence of the public (16.1%. In this study, all the factors related to sexual function such as erectile function, libido, orgasm, and sexual pleasure showed a decline among drug abusers.

  8. Sexual dysfunction among females receiving psychotropic medication: A hospital-based cross-sectional study

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    Veda N Shetageri

    2016-01-01

    Full Text Available Background: Sexual dysfunction (SD is a known adverse effect of psychotropic medications. Even though sexual difficulties are common among women; very few studies have been carried out in India. Objective: To study the prevalence and nature of SD among females receiving psychotropic medications and to compare the SD among female patients receiving antipsychotics and antidepressants. Materials and Methods: Female investigator conducted a hospital-based cross-sectional study on female patients visiting the psychiatry outpatient department. Patients meeting inclusion criteria were assessed for SD disorder as per Diagnostic and Statistical Manual of Mental Disorders 4th Edition Text Revision. SD severity was measured using Female Sexual Function Index (FSFI scale. Results: The prevalence of SD in this study was 68.32%. There was more than one SD in 48 (47.52%. FSFI score was significantly low in patients with SD as compared to patients not having SD (P = 0.001. SD was more common in patients who were on combination of antidepressants and benzodiazepines than antidepressant alone or antipsychotic alone. Conclusion: SD was prevalent in more than 50% of female patients on psychotropic drugs. Number of patients on individual psychotropic drugs was so small that a definite conclusion could not be drawn. Study emphasizes the need to carry out similar study on larger number of patients to get better insight into this problem.

  9. Evaluation of Cardiac Function in Patients with Liver Cirrhosis: A Hospital Based Cross-Sectional Study

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    Kamal Naik

    2014-09-01

    Methodology: This was ahospital based cross-sectional study, carried out under the department of medicine, SMIMER, Surat. All patients were informed about the study and their verbal consent was obtained. Patients fulfilling the inclusion criteria (n=50 were taken into study and all patients were studied for the clinical profile, laboratory investigation, imaging study like chest X-ray and Ultrasonography abdomen and 2D echocardiography. All patients were hospitalized and blood pressure and heart rate were measured. Result: History of alcohol consumption was found in 36(72% of the patients. Most common symptoms were ascitis, jaundice and malena. Mean total count was 7144(+/-1568. Mean blood urea level was 38.4(+/-19.78 while mean serum creatinin was 1.0(+/-0.72. Mean albumin level was 2.9 (+/-0.81. Mean serum billirubin total, direct and indirect was 6.1(+/-8.08, 4.35(+/-5.98, 1.8(+/-2.19 respectively. Diastolic dysfunction was present in about 66% (33 out of 50 of patients. Conclusion: The patients of cirrhosis develop cirrhotic cardiomyopathy and this cirrhotic cardiomyopathy was not related to the etiology of liver cirrhosis. [Natl J Med Res 2014; 4(3.000: 208-211

  10. ROLE OF PATCH TEST IN CONTACT DERMATITIS: A CROSS-SECTIONAL STUDY: JAIPUR

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    Shifa

    2014-09-01

    Full Text Available Contact dermatitis is an inflammatory response of the skin to an exogenous substance (irritant and/or allergen. It can be classified as follows: Irritant contact dermatitis, Allergic contact dermatitis, Photo contact, phototoxic dermatitis, Immediate contact reactions, Non-eczematous reactions Only the superficial regions of the skin are affected in contact dermatitis. Inflammation of the affected tissue is present in the epidermis and the outer dermis. 1 Unlike contact urticaria, in which a rash appears within minutes of exposure and fades away within minutes to hours, contact dermatitis takes days to appear. In our study we have shown the list of most common allergens found positive in our patients. STUDY DESIGN: It was a cross sectional study. METHOD: Study was conducted in mahatma Gandhi hospital Jaipur over a period of 4 months of duration. Patients suspected to have contact dermatitis were subjected to patch testing. Based on the history clinical signs and symptoms. Total 42 patients were short listed in 4 months of duration. RESULT: Our study showed that the most common allergen showing patch test positivity in both males and females were nickel sulphate, cophony, and cobalt sulphate. Patients showed significant improvement in their dermatitis after avoidance of the offending agent. CONCLUSION: Patch test is the method of choice and the “gold standard” in the detection of contact allergy and allergic contact dermatitis

  11. Prevalence of risk factors for stuttering among boys: analytical cross-sectional study

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    Cristiane Moço Canhetti Oliveira

    Full Text Available CONTEXT AND OBJECTIVE:There have been few studies on the risk factors for subgroups of stuttering. The aim of this study was to characterize the risk factors for developmental familial stuttering among boys who stutter and who do not stutter, such as disfluency types, associated quality and communication factors, emotional and physical stress, familial attitudes and personal reactions.DESIGN AND SETTING:Analytical cross-sectional study with a control group, performed at the Fluency Studies Laboratory of the Department of Speech and Hearing Disorders of a public university.METHODS: The parents of 40 age-matched stuttering and non-stuttering boys took part in this study. The participants were divided into two groups: stuttering children (SC and non-stuttering children (NSC, with ages between 6 years 0 months and 11 years 11 months. Initially, all of the participants underwent a fluency assessment and then data were gathered using the Protocol for the Risk of Developmental Stuttering.RESULTS:There were no differences in the physical stress distribution factors and personal reactions between the groups. Inappropriate familial attitudes were presented by 95% of the SC and 30% of the NSC. Four risk factors analyzed were not shown by the NSC, namely stuttering-like disfluency, quality factors, physical stress and emotional stresses.CONCLUSIONS:The findings suggest that the presence of stuttering-like disfluency, associated quality and communication factors, emotional stress and inappropriate family attitudes are important risk factors for familial developmental stuttering among boys.

  12. A cross sectional study on health status of infants in rural areas of Kamrup, Assam

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    Madhur Borah

    2015-03-01

    Full Text Available Introduction:  Infancy is the period of growth and development of a child. Inadequate care, malnutrition and infections in this crucial period lead to high neonatal and infant deaths and also high prevalence of morbidities. But data on childhood and infant mortality and morbidities are still not adequate in North Eastern part of India, so this cross sectional study was initiated. Objectives: To assess the nutritional status and morbidity profile of infants and to study the associated socio-economic factors. Material and methods: Total 450 singleton infants under 1 year of age in 30 cluster villages were selected for the study. Data collected about socioeconomic condition of the family, infants’ nutrition and morbidity status and anthropometric measurements were done. Results: Out of 450 infants 24% were found to be underweight while 13.3% were stunted and 7.1% were wasted. Female infants were found to be more malnourished. A statistically significant association was found between gender and nutritional status. ARI (20% and Diarrhoea (14% were the most common morbidities among the study population and 6 to 8 months age group was the most vulnerable for these common morbidities. Conclusion: the study revealed that high percentages of the infants were suffering from malnutrition with female predominance and respiratory diseases, diarrhoea and malnutrition were the major causes of morbidity during the first year of life.

  13. Work stress related lipid disorders and arterial hypertension in professional drivers: A cross-sectional study

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    Đinđić Nataša

    2013-01-01

    Full Text Available Background/Aim. Occupational stress is a term used to define ongoing stress that is related to the workplace. The study was conducted to determine association of occupational stress index (OSI and its aspects with arterial hypertension and lipid disorders using data from a cross-sectional survey of male professional drivers. Methods. The cross-sectional study was performed in 439 professional drivers divided into groups (city- and intercity bus drivers, truck and taxi drivers. The OSI and OSI aspects (high demands, strictness, underload, extrinsic time pressure, noxious exposure, avoidance and conflict were calculated using the standardized questionnaire. Determination of serum lipids, blood pressure (BP and cardiovascular risk factors were done. Results. A significant difference in prevalence of diagnosed hypertension and dyslipidemia was found along with a difference in total OSI and OSI aspects among examined subgroups of drivers. A total OSI was highest in city, high in intercity bus drivers, and the lowest one in truck and taxi drivers (82.79 ± 3.5, 81.28 ± 3.7, 73.75 ± 3.5, 71.61 ± 4.4, respectively; p < 0.01. Similar pattern showed triglycerides (TG, total cholesterol (TC and LDL cholesterol and BP, while HDL-cholesterol showed reverse order (p < 0.01. Logistic regression analyses with multiple OSI aspects adjusted for age and years of exposure showed associations of total OSI with arterial hypertension [OR 5.5; 95% CI (2.24-7.95] and dyslipidemia [OR 1.43 95% CI (1.09-2.80]. Underload was the most important OSI aspect associated with the arterial hypertension [OR 1.18; 95% CI (1.04-2.58] and elevated LDL cholesterol [1.26; 95 CI (1.19-2.1]. A total OSI had a significant association with elevated LDL cholesterol [2.64; 95% CI (1.19- 7.7], triglycerides [OR 3.27; 95% CI (1.20-5.1] and low HDL cholesterol [OR 3.29; 95% CI (1.8-5.8] (p < 0.01. Conclusion. The study provides the evidence for the significant association of total OSI and

  14. A Cross-Sectional Study of Household Biomass Fuel Use among a Periurban Population in Malawi

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    Piddock, Katy C.; Gordon, Stephen B.; Ngwira, Andrew; Msukwa, Malango; Nadeau, Gilbert; Davis, Kourtney J.; Nyirenda, Moffat J.; Mortimer, Kevin

    2016-01-01

    Rationale The Global Burden of Disease Study suggests almost 3.5 million people die as a consequence of household air pollution every year. Respiratory diseases including chronic obstructive pulmonary disease and pneumonia in children are strongly associated with exposure to household air pollution. Smoke from burning biomass fuels for cooking, heating, and lighting is the main contributor to high household air pollution levels in low-income countries like Malawi. A greater understanding of biomass fuel use in Malawi should enable us to address household air pollution–associated communicable and noncommunicable diseases more effectively. Objectives To conduct a cross-sectional analysis of biomass fuel use and population demographics among adults in Blantyre, Malawi. Methods We used global positioning system–enabled personal digital assistants to collect data on location, age, sex, marital status, education, occupation, and fuel use. We describe these data and explore associations between demographics and reported fuel type. Measurements and Main Results A total of 16,079 adults participated (nine households refused); median age was 30 years, there was a similar distribution of men and women, 60% were married, and 62% received secondary school education. The most commonly reported occupation for men and women was “salaried employment” (40.7%) and “petty trader and marketing” (23.5%), respectively. Charcoal (81.5% of households), wood (36.5%), and electricity (29.1%) were the main fuels used at home. Only 3.9% of households used electricity exclusively. Lower educational and occupational attainment was associated with greater use of wood. Conclusions This large cross-sectional study has identified extensive use of biomass fuels in a typical sub-Saharan Africa periurban population in which women and people of lower socioeconomic status are disproportionately affected. Biomass fuel use is likely to be a major driver of existing communicable respiratory

  15. Social support network, mental health and quality of life: a cross-sectional study in primary care

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    Flávia Batista Portugal

    Full Text Available The objective of this study was to identify the association between emotional distress and social support networks with quality of life in primary care patients. This was a cross-sectional study involving 1,466 patients in the cities of São Paulo and Rio de Janeiro, Brazil, in 2009/2010. The General Health Questionnaire, the Hospital Anxiety and Depression Scale and the brief version of the World Health Organization Quality of Life Instrument were used. The Social Support Network Index classified patients with the highest and lowest index as socially integrated or isolated. A bivariate analysis and four multiple linear regressions were conducted for each quality of life outcome. The means scores for the physical, psychological, social relations, and environment domains were, respectively, 64.7; 64.2; 68.5 and 49.1. In the multivariate analysis, the psychological domain was negatively associated with isolation, whereas the social relations and environment domains were positively associated with integration. Integration and isolation proved to be important factors for those in emotional distress as they minimize or maximize negative effects on quality of life.

  16. Dental Fear Survey: A Cross-Sectional Study Evaluating the Psychometric Properties of the Brazilian Portuguese Version

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    Maurício Antônio Oliveira

    2014-01-01

    Full Text Available Objective. The aim of this study was to evaluate the psychometric properties of the Brazilian version of the Dental Fear Survey (DFS, previously translated to the Brazilian Portuguese language and validated. Methods. A cross-sectional study with 1,256 undergraduates from the city of Belo Horizonte, Brazil, was carried out. The DFS and a questionnaire about previous dental experiences were self-administered. Data analysis involved descriptive statistics, principal components analysis (PCA, confirmatory factor analysis (CFA, internal consistency and test-retest reliability, and construct, discriminant, and convergent validity. Results. PCA identified a three-factor structure. CFA confirmed the multidimensionality of the Brazilian version of the DFS. A modified model of the Brazilian version of the DFS fits better than the hypothesized model. The Cronbach’s alpha coefficient for the total DFS scale was 0.95. Conclusion. The DFS demonstrated acceptable construct validity, convergent validity, and discriminant validity. These results supported the reliability and validity of the DFS among Brazilian undergraduates.

  17. Associations between dietary patterns and self-reported hypertension among Brazilian adults: a cross-sectional population-based study.

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    Selem, Soraya Sant'Ana de Castro; Castro, Michelle Alessandra de; César, Chester Luiz Galvão; Marchioni, Dirce Maria Lobo; Fisberg, Regina Mara

    2014-08-01

    Hypertension is a prevalent cardiovascular disease, the important modifiable risk factor of which is diet. The aim of this study was to derive dietary patterns and to test associations with self-reported hypertension and other characteristics, namely demographic, socioeconomic, and lifestyle factors. Data were obtained from the population-based cross-sectional study titled Health Survey of the City of São Paulo, with a random sample of residents of the city of São Paulo, Brazil, aged older than 20 years of both sexes (n=1,102). In 2008, a structured questionnaire with information about socioeconomic, anthropometric, lifestyle, and dietary factors was applied. Dietary intake was estimated by two 24-hour dietary recalls, adjusted by Multiple Source Method. Dietary patterns were obtained through exploratory principal component factor analysis. Poisson regression was used to assess relationships. Three dietary patterns were identified: prudent (fruits, vegetables, whole-grain bread, white cheeses, juices, reduced-fat milk/nonfat milk), traditional (rice, beans, bread/toast/crackers, butter/margarine, whole milk, coffee/teas, sugar), and modern (sodas, pastries/sandwiches/pizzas, yellow cheeses, pastas, sauces, alcoholic beverages, sweets, processed meats). Hypertension and demographic, socioeconomic, and lifestyle factors, as well as the presence of health insurance, were associated with adherence to one or more identified dietary patterns. These results suggest the existence of a target audience for planning and executing public policies of food and nutrition to prevent and control hypertension.

  18. A cross-sectional study on thyroid status in North Indian elderly outpatients with dementia

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    Rachna Agarwal

    2013-01-01

    Full Text Available Background: Several population based studies have demonstrated an association between hypo-or hyperthyroidism and dementia in last two decades. As a consequence, thyroid stimulating hormone has become part of the screening laboratory test for dementia. Aim: The aim of the present study was to evaluate the association between thyroid function and Alzheimer′s disease (AD and vascular dementia (VaD and to determine the risk of AD and VaD in clinically euthyroid patients. Materials and Methods: A cross-sectional hospital based study was carried out in subjects diagnosed with AD/VaD and were assessed for thyroid status as routine screening test. Results: Free T3, free T4 and TSH were studied in 114 AD patients (mean age: 65 years, 35 VaD patients (mean age: 62 years and 105 control subjects (mean age: 62 years. In AD group, TSH levels were significantly lower than controls (P = 0.00 and for each unit increase in TSH level, the odds of having dementia decreased by 37.1%. No such relation was seen in VaD. Conclusion: The results suggest a consistent association of subclinical hyperthyroidism and AD.

  19. Brain regions involved in swallowing: Evidence from stroke patients in a cross-sectional study

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    Shiva Ebrahimian Dehaghani

    2016-01-01

    Full Text Available Background: Limited data available about the mechanisms of dysphagia and areas involving swallow after brain damage; accordingly it is hard to predict which cases are more likely to develop swallowing dysfunction based on the neuroimaging. The aim of this study was to investigate the relationship between brain lesions and dysphagia in a sample of acute conscious stroke patients.Materials and Methods: In a cross-sectional study, 113 acute conscious stroke patients (69 male mean [standard deviation (SD] age 64.37 [15.1], participated in this study. Two neurologists and one radiologist localized brain lesions according to neuroimaging of the patients. Swallowing functions were assessed clinically by an expert speech pathologist with the Mann Assessment of Swallowing Ability (MASA. The association of brain region and swallowing problem was statistically evaluated using Chi-square test. Results: Mean (SD MASA score for the dysphagic patients was 139.61 (29.77. Swallowing problem was significantly more prevalent in the right primary sensory (P = 0.03, right insula (P = 0.005, and right internal capsule (P = 0.05. Conclusion: It may be concluded from these findings that the right hemisphere lesions associated with occurring dysphagia. Further studies using more advanced diagnostic tools on big samples particularly in a perspective structure are needed.

  20. The factors associated to psychosocial stress among general practitioners in Lithuania. Cross-sectional study

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    Vanagas Giedrius

    2005-06-01

    Full Text Available Abstract Background There are number of studies showing that general practice is one of the most stressful workplace among health care workers. Since Baltic States regained independence in 1990, the reform of the health care system took place in which new role and more responsibilities were allocated to general practitioners' in Lithuania. This study aimed to explore the psychosocial stress level among Lithuanian general practitioner's and examine the relationship between psychosocial stress and work characteristics. Methods The cross-sectional study of 300 Lithuanian General practitioners. Psychosocial stress was investigated with a questionnaire based on the Reeder scale. Job demands were investigated with the R. Karasek scale. The analysis included descriptive statistics; interrelationship analysis between characteristics and multivariate logistic regression to estimate odds ratios for each of the independent variables in the model. Results Response rate 66% (N = 197. Our study highlighted highest prevalence of psychosocial stress among widowed, single and female general practitioners. Lowest prevalence of psychosocial stress was among males and older age general practitioners. Psychosocial stress occurs when job demands are high and job decision latitude is low (χ2 = 18,9; p Conclusion One half of respondents suffering from work related psychosocial stress. High psychological workload demands combined with low decision latitude has the greatest impact to stress caseness among GP's. High job demands, high patient load and young age of GP's can be assigned as significant predictors of psychosocial stress among GP's.

  1. Associations between Dietary Patterns and Impaired Fasting Glucose in Chinese Men: A Cross-Sectional Study

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    Meilin Zhang

    2015-09-01

    Full Text Available Few studies have examined the association between Asian dietary pattern and prediabetes, in particular, the Chinese diet. We conducted a cross-sectional study to identify dietary patterns associated with impaired fasting glucose (IFG which considered a state of prediabetes in Chinese men. The study included 1495 Chinese men aged 20 to 75 years. Information about diet was obtained using an 81-item food frequency questionnaire (FFQ, and 21 predefined food groups were considered in a factor analysis. Three dietary patterns were generated by factor analysis: (1 a vegetables-fruits pattern; (2 an animal offal-dessert pattern; and (3 a white rice-red meat pattern. The multivariate-adjusted odds ratio (OR of IFG for the highest tertile of the animal offal-dessert pattern in comparison with the lowest tertile was 3.15 (95% confidence intervals (CI: 1.87–5.30. The vegetables-fruits dietary pattern was negatively associated with the risk of IFG, but a significant association was observed only in the third tertile. There was no significant association between IFG and the white rice-red meat pattern. Our findings indicated that the vegetables-fruits dietary pattern was inversely associated with IFG, whereas the animal offal-dessert pattern was associated with an increased risk of IFG in Chinese men. Further prospective studies are needed to elucidate the diet-prediabetes relationships.

  2. Prevalence of palatal rugae shapes in Karnataka and Kerala population: A cross-sectional study

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    Savita, J. K.; Yathindra Kumar, B. N.; Satish, G.; Divya, K. T.; Ranjitha, J.; Pujari, Ravi Kumar

    2016-01-01

    Aims and Objectives: This study was conducted to assess the incidence and prevalence of palatal rugae shapes in the male and female populations of Karnataka and Kerala. Materials and Methods: This study consisted of 100 plaster models of each group, which were equally distributed between both the genders, with an age range of 17–23 years. The rugae patterns were recorded by using Thomas and Kotze classification. Correlation between the rugae shape and population as well as the rugae shape and gender were analyzed using chi-square analysis and discriminant function analysis using the Statistical Package for the Social Sciences Version 22 (IBM Corp). Results: Curved, straight, and wavy rugae patterns were the most common in both Kerala and Karnataka sample populations. Chi-square analysis showed significant differences between the populations for the curved pattern; discriminant function analysis showed significant differences between the populations for the curved and straight patterns. Significant gender differences were found in the curved pattern for Karnataka population and in unification patterns for both populations by Chi-square/Fischer exact test. Conclusions: The curved and straight rugae patterns were significantly more frequent in the Kerala population compared to the Karnataka population. Because of the limited sample size of this study, further cross-sectional studies are suggested. PMID:27382539

  3. Knowledge, attitudes and misconceptions of primary care physicians regarding fever in children: a cross sectional study

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    Demir Figen

    2012-09-01

    Full Text Available Abstract Background Fever is an extremely common sign in paediatric patients and the most common cause for a child to be taken to the doctor. The literature indicates that physicians and parents have too many misconceptions and conflicting results about fever management. In this study we aim to identify knowledge, attitudes and misconceptions of primary care physicians regarding fever in children. Methods This cross-sectional study was conducted in April-May 2010 involving primary care physicians (n=80. The physicians were surveyed using a self-administered questionnaire. Descriptive statistics were used. Results In our study only 10% of the physicians knew that a body temperature of above 37.2°C according to an auxiliary measurement is defined as fever. Only 26.2% of the physicians took into consideration signs and symptoms other than fever to prescribe antipyretics. 85% of the physicians prescribed antipyretics to control fever or prevent complications of fever especially febrile seizures. Most of the physicians (76.3% in this study reported that the height of fever may be used as an indicator for severe bacterial infection. A great majority of physicians (91.3% stated that they advised parents to alternate the use of ibuprofen and paracetamol. Conclusions There were misconceptions about the management and complications of fever. There is a perceived need to improve the recognition, assessment, and management of fever with regards to underlying illnesses in children.

  4. Cosmetics Utilization Practice in Jigjiga Town, Eastern Ethiopia: A Community Based Cross-Sectional Study

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    Arebu I. Bilal

    2016-12-01

    Full Text Available The trend of cosmetics utilization has increased globally; however, the exact amount of usage is not researched well. Lack of population awareness on proper use of cosmetics, particularly in developing countries, causes a prominent health challenge. Therefore, this study was conducted to assess the cosmetics utilization practices in Jigjiga town, Eastern Ethiopia. A community based cross-sectional study, using a semi-structured questionnaire, was used to assess factors associated with cosmetics use. Of the 559 participants, 93% used at least one type of cosmetics in the two weeks prior to the survey. The most commonly used products were body creams and lotions (68%, shampoos and conditioners (35%, and deodorants and perfumes (29%. Being single, female, and in the age group of 18–20 years increased the odds of cosmetics utilization. However, being in primary school and being self-employed showed a less likely use of cosmetics. Two hundred forty-seven (44% of the interviewed household members reported that they use traditional herbal cosmetics. A higher likelihood of traditional herbal cosmetics use was observed in the age group of 18–20 years. This study indicated that the community in Jigjiga town use different types of cosmetics. Education, occupation, marital status, age, and gender were all important factors that determined the use of cosmetics in the study area.

  5. Sedative Drug Use among King Saud University Medical Students: A Cross-Sectional Sampling Study

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    Ahmed A. Al-Sayed

    2014-01-01

    Full Text Available Introduction. Medical students experience significant psychological stress and are therefore at higher risk of using sedatives. There are currently no studies describing the prevalence of sedative drug use among medical students in Saudi Arabia. The aim of this study was to evaluate the prevalence and factors associated with sedative drug use among medical students in Saudi Arabia. Materials and Methods. A cross-sectional convenience sampling study gathered data by anonymous questionnaire from students enrolled at the King Saud University College of Medicine in 2011. The questionnaires collected data regarding social and demographic variables, sleep patterns, and the use of stimulant and sedative drugs since enrollment. Sedatives were defined as any pharmaceutical preparations that induce sleep. Results and Discussion. Of the 729 students who returned questionnaires, 17.0% reported sedative drug use at some time since enrollment. Higher academic year, lower grade point average, regular exercise, fewer hours of sleep per day, poorer quality of sleep, and the presence of sleeping disorders were found to be significantly associated with sedative drug use. Conclusions. Further study is required to increase our understanding of sedative drug use patterns in this relatively high-risk group, as such understanding will help in the development of early intervention programs.

  6. NUTRITIONAL IMPORTANCE DURING MENOPAUSE: A CROSS SECTIONAL STUDY IN URBAN AREA OF DISTRICT VARANASI

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    Pooja Verma

    2015-01-01

    Full Text Available Introduction: - Menopause is a universal reproductive phenomenon. All the nutrients plays important role at the time of menopause and in prevention of diseases. Deficiency of vitamin D is one of the major contributory factors responsible for lower bone mineral density (BMD in menopausal women. Iron deficiency anemia is common among menopausal women. The present study was conducted to assess the views on importance of nutrition & intake of various food items during menopause.Methods: - Community based   cross sectional study. A total of 100 women aged 45-55 years in post-menopausal phase were selected from urban areas of district Varanasi during 2012-13. Data were collected by pretested questionnaire cum interview method.Results: - In the present study half of respondent belonged to 40-45 years age group. When they were asked about importance of nutrition during menopause 70% respondent said that they paid attention on their diet during menopause. 79% women preferred food being cooked in their kitchen. 69% women took milk in their regular diet. 95% women’s took fruits and vegetables in their diet. Only 76% have knowledge of added requirement of iron & calcium but only 59% women had iron and calcium reach foods in their regular diet.Conclusion: - In the present study about three fourth respondents knew about nutritional importance during menopause.

  7. Prevalence of Sonographic Fatty Liver in Overweight and Obese Children A Cross Sectional Study in Isfahan

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    R Kelishadi

    2009-10-01

    Full Text Available Introduction: Children’s obesity is strong predictor of obesity in adulthood, which increases the incidence of related diseases such as metabolic syndrome. Fatty liver is an abnormality related to metabolic syndrome with higher prevalence in obese children according to some previous studies. This study investigates the presence of Sonographic Fatty Liver (SFL in Iranian obese children in comparison with normal and overweight children. Methods: This was a cross-sectional study on 962 randomly selected children between the ages of 6 to 18 years. The subjects were divided into three groups of normal, overweight and obese based on body mass index (BMI. A questionnaire including demographic and anthropometrical characteristics was filled for each case. To detect the presence of SFL, all the subjects underwent assessment with ultrasonography by a radiologist who was not aware of their BMI. The incidence of SFL was determined on the basis of ultrasonographic diagnosis criteria. Results: The prevalence of SFL in obese children was 54.4% that was significantly higher than overweight (10.5% and normal children (1%. There was no significant difference in prevalence of SFL between sexes. Conclusion: The high rate of detected SFL in obese children in this study suggests that Iranian obese children are at risk of metabolic syndrome. It is therefore necessary to develop some plan to control obesity and its late complications.

  8. Internet use, Facebook intrusion, and depression: Results of a cross-sectional study.

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    Błachnio, A; Przepiórka, A; Pantic, I

    2015-09-01

    Facebook has become a very popular social networking platform today, particularly among adolescents and young adults, profoundly changing the way they communicate and interact. However, some reports have indicated that excessive Facebook use might have detrimental effects on mental health and be associated with certain psychological problems. Because previous findings on the relationship between Facebook addiction and depression were not unambiguous, further investigation was required. The main objective of our study was to examine the potential associations between Internet use, depression, and Facebook intrusion. A total of 672 Facebook users took part in the cross-sectional study. The Facebook Intrusion Questionnaire and the Center for Epidemiologic Studies Depression Scale were used. For collecting the data, the snowball sampling procedure was used. We showed that depression can be a predictor of Facebook intrusion. Our results provides additional evidence that daily Internet use time in minutes, gender, and age are also predictors of Facebook intrusion: that Facebook intrusion can be predicted by being male, young age, and an extensive number of minutes spent online. On the basis of this study, it is possible to conclude that there are certain demographic - variables, such as age, gender, or time spent online - that may help in outlining the profile of a user who may be in danger of becoming addicted to Facebook. This piece of knowledge may serve for prevention purposes.

  9. Associations between Dietary Patterns and Impaired Fasting Glucose in Chinese Men: A Cross-Sectional Study.

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    Zhang, Meilin; Zhu, Yufeng; Li, Ping; Chang, Hong; Wang, Xuan; Liu, Weiqiao; Zhang, Yuwen; Huang, Guowei

    2015-09-21

    Few studies have examined the association between Asian dietary pattern and prediabetes, in particular, the Chinese diet. We conducted a cross-sectional study to identify dietary patterns associated with impaired fasting glucose (IFG) which considered a state of prediabetes in Chinese men. The study included 1495 Chinese men aged 20 to 75 years. Information about diet was obtained using an 81-item food frequency questionnaire (FFQ), and 21 predefined food groups were considered in a factor analysis. Three dietary patterns were generated by factor analysis: (1) a vegetables-fruits pattern; (2) an animal offal-dessert pattern; and (3) a white rice-red meat pattern. The multivariate-adjusted odds ratio (OR) of IFG for the highest tertile of the animal offal-dessert pattern in comparison with the lowest tertile was 3.15 (95% confidence intervals (CI): 1.87-5.30). The vegetables-fruits dietary pattern was negatively associated with the risk of IFG, but a significant association was observed only in the third tertile. There was no significant association between IFG and the white rice-red meat pattern. Our findings indicated that the vegetables-fruits dietary pattern was inversely associated with IFG, whereas the animal offal-dessert pattern was associated with an increased risk of IFG in Chinese men. Further prospective studies are needed to elucidate the diet-prediabetes relationships.

  10. Morbidity Profile of Stone Crusher Workers with Special Reference to Respiratory Morbidity: A Cross Sectional Study

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    Narkhede Vinod, Likhar Swarna, Mishra Mahesh K

    2012-09-01

    Full Text Available Background: The occupational environment at the stone crushing sites poses a potential health hazard to the workers. Exposure to heavy dust concentration from stone crushers, may produce several diseases. Methods: The present study was aimed to assess the morbidity profile of workers working in stone crusher industry. A cross-sectional study was carried out among the workers of the stone crushers located in Ratua at a distance of 23 km to the north of Bhopal city. The total workers working in the crusher are 287.Using interview technique as a tool for data collection demographic and occupational details of the subjects were recorded on the predesigned proforma which included questions regarding age, sex, educational status, socio-economic status, duration of employment and symptoms. The Peak Expiratory Flow Rate (PEFR of the subject was measured using Peak flow meter/spirometer. Results: It was observed that in study population 62.72% were suffering from musculoskeletal problems followed by 31.36% subjects were having generalized weakness.29.96% subjects had breathing problem. Respiratory problems were higher among the subjects having duration of occupation more than 5 years than the subjects having duration of occupation less than 5 years (p<0.003. Conclusion: The present study concluded that the workers in the stone crushing industry are exposed to stone dust which leads to various morbidities especially musculoskeletal problems and respiratory problems. The respiratory problems are significantly associated with duration of exposure and decreased PEFR.

  11. Spinal pain and nutrition in adolescents - an exploratory cross-sectional study

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    Oddy Wendy H

    2010-06-01

    Full Text Available Abstract Background Spinal pain is an important health issue for adolescents resulting in functional limitations for many and increasing the risk of spinal pain in adulthood. Whilst human and animal studies suggest nutrition could influence spinal pain, this has not been investigated in adolescents. The objective of this exploratory cross sectional study was to evaluate associations between diet and adolescent spinal pain. Methods This study surveyed the spinal pain (neck and back and nutrition (specific nutrients, broad food groups, diet quality and dietary pattern of 1424 male and female adolescents at 14 years of age, in Western Australia. Results Back or neck pain were experienced by around half of the adolescents, with females more likely to experience spinal pain. Nutrition differed between sexes and deviated from optimal intakes. Vitamin B12, eggs, cereals and meat consumption were related to spinal pain in sex specific multivariate analyses including primary carer education level and adolescent waist girth and smoking. Conclusions The findings of this study suggest that certain aspects of diet may have an association with spinal pain in adolescence.

  12. Correlates of Anaemia and Worm Infestation among Rural Pregnant Women: A Cross Sectional Study from Bengal

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    Sinjita Dutta, Sita Chatterjee, Debasish Sinha, Bobby Pal, Mausumi Basu, Aparajita Dasgupta

    2013-01-01

    Objectives: To find out the preva-lence of worm infestation and anaemia among pregnant women along with their socio-demographic characteristics, dietary habits and state of personal hygiene and elicit the association, if any, with anemia and worm infestation Materials and methods: A cross-sectional study was carried out among pregnant mothers attending the antenatal clinic at Nasibpur Union Health Center. All antenatal mothers who came for antenatal checkup for the first time to the health centre on two prefixed days of the week during the study period were interviewed. The reports of their stool and haemoglobin examination were followed up. Results: 82% of the pregnant women were suffering from anemia.25% of the study population had worm infestation. Age at marriage, green leafy vegetable, fruit and flesh food intake of at least 4 days a week, use of lemon with food most of the time, avoiding the practice of eating last in the family, handwashing with soap and water before eating and use of footwear outside the house were statically significant with hemoglobin concentration. Only religion and handwashing practice with soap and water before eating had statistically significant association with worm infestation. Conclusion: The study showed that certain protective factors like diet and personal hygiene if addressed at the time of antenatal checkup can reduce the number of cases of anemia significantly.

  13. Noise Exposure and Hearing Capabilities of Quarry Workers in Ghana: A Cross-Sectional Study

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    Charles Kwame R. Gyamfi

    2016-01-01

    Full Text Available Introduction. Although quarry operations have high economic significance, the effects they cause to the workers in terms of excessive noise production cannot be overlooked. This cross-sectional study assessed the extent of noise exposure and its influence on hearing capabilities among quarry workers in Ashanti region. Methods. The study involved 400 workers randomly selected from five quarries in Ashanti region from April to June 2012. Data was collected using structured questionnaires, physical examination, and audiological assessments. A logistic regression model was fitted to assess independent predictors of hearing loss. Results. All the machines used at the various quarries produced noise that exceeded the minimum threshold with levels ranging from 85.5 dBA to 102.7 dBA. 176 (44% of study respondents had hearing threshold higher than 25 dBA. 18% and 2% of these were moderately (41–55 dBA and severely (71–90 dBA impaired, respectively. Age, duration of work, and use of earplugs independently predicted the development of hearing loss. Use of earplugs showed a protective effect on the development of hearing loss (OR = 0.45; 95% CI = 0.25, 0.84. Conclusion. This study provides empirical evidence on the extent of damage caused to quarry workers as a result of excessive noise exposure. This will support the institution of appropriate protective measures to minimize this threat.

  14. Integration of Medical Education in Medical Services: A Cross Sectional Study

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    Razavi Seyed Mansour

    2009-10-01

    Full Text Available Ministry of health and Medical Education (MOH&ME with the goals of attaining the comprehensive self sufficiency in medical fields and accountability of universities to public health needs were established in Iran in 1985. After that, ministry moved one step towards the integration of medical education into the health services in 1994. A dilemma about returning the system into the prior situation was increased in 2002, during which the parliament tried to change the situation toward disintegration. We have studied the attitudes of key academic persons regarding the segregation of medical universities (MOH&ME establishment and "Integration" of medical education into the health delivery system. A descriptive, cross sectional and correlation study was conducted on 556 universities staffs in 11 universities throughout the country. We applied a questionnaire with 28 questions on 5 axes. The analytical test used in this study was Pearson chi-square. The most understudied staffs, agreed with Integration philosophy. They believed that, although it seems the quality of medical education has declined, but some effective factors such as increasing admitted students, irregular increasing of universities and self controlling of educational hospitals, deficit of educational budget and other reasons were the main effective causes in this declining of quality, and most of them believed that the reintegration of MOH&ME into the ministry of sciences organization will not benefit for the country. This study has presented some reasons of proposed declining the quality of medical education and some suggestions for development of present system.

  15. Association of Aggression with Socio-Demographic Characteristics A Cross Sectional Study among Rural Adolescents

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    Pratyay Pratim Datta

    2012-08-01

    Full Text Available Introduction: Adolescence is a period of immense physical, mental and social changes. Aggression is very common feature in this period in the present day world. But very limited studies have been conducted regarding aggression among adolescents in rural India. The present study was conducted to find out different socio-demographic characteristics associated with aggression among adolescents. Materials and methods: The community based cross sectional study was conducted in Ramnagar, Jalapara and Rasulpur villages of Singur block of Hooghly district of West Bengal in Eastern India. The study included adolescents aged between 15 and 19 years of age. To assess aggression, Direct and Indirect Aggression Scale (DIAS was used. Collected data was compiled, tabulated and analyzed using SPSS version 16.0. Results: A high proportion of adolescents scored very high in DIAS scale. Total aggression score was significantly higher among older adolescents (18-19 years of age, among males, among adolescents belonging to lower income groups and whose mothers were working. Physical aggression score was significantly higher in younger adolescents, but other types of aggression were found to be significantly higher among older group. [Natl J of Med Res 2012; 2(4.000: 442-447

  16. Study on target spallation reaction cross sections induced by high energy neutrons and heavy ions

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    Nakamura, Takashi [Tohoku Univ., Sendai (Japan). Cyclotron and Radioisotope Center

    1996-03-01

    The target spallation reaction cross sections of neutrons and heavy ions which have not been observed are determined in this paper. The object of this work is to make clear the differences between the spallation reaction cross section of neutron and that of proton by comparing the obtained value of neutron with the known value of proton. To this end, the quasi monochromatic neutron field of 20{approx}50 MeV was developed in 4 cyclotrons, INS, CYRIC, TIARA and RIKEN. The nuclear spallation reaction cross sections of C, Al and Bi were measured in the above field and the distribution of nuclear spallation reaction products in Cu determined by C ion beam of HIMAC. {sup 12}C(n,2n){sup 11}C reaction cross section shows the maximum value of about 20 mb at near 40{approx}50 MeV and then the value gradually decreased to 10 mb. The cross sections of {sup 209}Bi(n,Xn) are shown. The distribution of {sup 61}Cu is lower at the entrance and higher in the depth. (S.Y.)

  17. Serum selenium concentration is associated with metabolic factors in the elderly: a cross-sectional study

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    Huang Hui-Ying

    2010-05-01

    Full Text Available Abstract Background Selenium is an essential micronutrient known for its antioxidant function. However, the association of serum selenium with lipid profiles and fasting glucose are inconsistent in populations with average intake of selenium. Furthermore, there were few studies conducted specifically for the elderly. This study examined the relationship of serum selenium concentration with serum lipids and fasting glucose in the Taiwanese elderly population. Methods This was a cross-sectional study of 200 males and females aged 65-85 years (mean 71.5 ± 4.6 years from Taipei, Taiwan. Serum selenium was measured by inductively coupled plasma-mass spectrometer. The association between serum selenium and metabolic factors was examined using a multivariate linear regression analysis after controlling several confounders. Results The mean serum selenium concentration was 1.14 μmol/L, without significant difference between sexes. Total cholesterol, triglycerides, and LDL cholesterol increased significantly with serum selenium concentration (P P P P Conclusions Total cholesterol, triglycerides, and LDL cholesterol, and fasting serum glucose concentrations increased significantly with serum selenium concentration in the Taiwanese elderly. The underlying mechanism warrants further research.

  18. Knowledge, perceptions and use of generic drugs: a cross sectional study

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    de Lira, Claudio Andre Barbosa; Oliveira, Jéssica Nathalia Soares; Andrade, Marília dos Santos; Vancini-Campanharo, Cássia Regina; Vancini, Rodrigo Luiz

    2014-01-01

    Objective To assess the level of knowledge, perceptions and usage profile for generic drugs among laypersons. Methods A cross-sectional study was conducted with 278 volunteers (180 women and 98 men, aged 37.1±15.8 years). A questionnaire was drawn up with questions on their use, perceptions and knowledge of generic drugs. Results Most respondents (99.6%) knew that generic drugs exist, but only 48.6% were able to define them correctly, while 78.8% of the respondents had some information about generics. This information was obtained mainly through television (49.3%). In terms of generic drug characteristics, 79.1% stated that they were confident about their efficacy, 74.8% believed that generic drugs have the same effect as branded medications, 88.8% said that generics were priced lower than branded medications, and 80.2% stated that they bought generic drugs because of price. With regard to drugs prescribed by medical practitioners, 17.6% of the participants said that their doctors never prescribed generics and only 7.5% confirmed that their doctors always prescribed generics. Conclusion For the lay public, the sample in this study has sufficient knowledge of generic drugs in terms of definition, efficacy and cost. Consequently, the volunteers interviewed are very likely to use generics. Furthermore, the results of this study indicate that programs should be implemented in order to boost generic drug prescriptions by medical practitioners. PMID:25295444

  19. Postural Sway Parameters and Gait Symmetry in Preschool Children: Cross-sectional study

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    Fabiane E de Sá

    Full Text Available Abstract The most important function of posture is to ensure the maintenance of control during the start and the continuation of human movement, moreover, posture serves as a reference for the production of precise movements. The aim of this study was to relate the postural sway parameters and gait symmetry in preschool children.This study is a cross-sectional study, conducted in 49 children with a mean age of 4.65 ± 0.44 years. Initially, height and body mass of children were measured using anthropometric scales. Next, an electronic baropodometer was used to evaluate the distribution of dynamic plantar pressure (gait and stabilometry (balance.A Student t test or Mann-Whitney test for comparing two groups was used. To correlate variables, a Pearson's correlation or Spearman's correlation coefficient was used. The stabilometric parameters showed no significant difference between an eyes open test and eyes closed test in preschool child. We found a moderate relationship between axis inclination and cadence symmetry (R=0.40;p=0.007. Postural sway parameters have relationship cadence symmetry of the gait in preschool children.

  20. Intrauterine growth standards: a cross-sectional study in a population of Nigerian newborns

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    Olugbenga A. Mokuolu

    2012-09-01

    Full Text Available The aim of the study was to define an intrauterine growth curve for a population of Nigerian newborn babies. A cross-sectional observational study design was adopted. Weight, length and head circumference were all measured in consecutive singleton deliveries at the University of Ilorin Teaching Hospital over a 3-year period. Gestational age (GA of the babies was estimated from the last menstrual period or first trimester ultrasound. The estimates obtained were clinically validated using the Ballard score. Mean birth weights and percentiles of the weight, length and head circumferences for the respective GA were estimated using the SPSS 15 software package. A total of 5273 babies were recruited for the study with GA ranging from 25-44 weeks. Comparison of the mean birth weights of the various GA with the data from Denver, Colorado, showed that Nigerian babes tended to weigh less at the early GA, although these differences were not statistically significant. Between 26-36 weeks, the average weights of both sexes were similar; however, beyond this time point there was a consistent increase in the average weight of the males over the female babies. Growth curves for Nigerian newborn babies were generated and showed that the mean birth weight of Nigerian preterm babies was lighter than that of babies in Colorado. The impact of these differences on the classification of newborns will require further evaluation.

  1. Malaria prevalence in north-eastern Nigeria:A cross-sectional study

    Institute of Scientific and Technical Information of China (English)

    Houben CH; Fleischmann H; Gckel M

    2013-01-01

    Objective:To assess the prevalence of malaria parasitemia in north-eastNigeria and to evaluate the measures for the prevention of malaria.Methods:A village in north-eastern Nigeria was selected for the cross sectional study at the height of the rainy season inOctober 2011.A total of550 inhabitants of a hamlet were recruited for this study.After obtaining the consent individuals received a structured interview and were tested for malaria parasites in their blood films.Recruits testing positive for malaria were given a course of artemesinin-based combination therapy(ACT).Results:A total of497 inhabitants representing approximately90 percent of the population participated: a quarter of the study group carried malaria parasites-exclusivelyPlasmodium falciparum(P. falciparum)-representing aP. falciparum parasite rate (PfPR) of24.5%.Besides,53/138 in the age group of2 to <10 years old children tested positive for P. falciparum representing aPfPR2-10 value of38.4%.Malaria control measures were used in just under a third(157/497) of this cohort.Despite these measures28/157(17.8%) still tested positive for P. falciparum.Conclusions:The malaria burden is overestimated for this region in north-east Nigeria.The findings support an intermediate pattern of malaria endemicity.The30% bed nets coverage for malaria control is well below theWHO estimates for2011.

  2. A cross-sectional study of physical spousal violence against women in Goa

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    Umesh Kamat

    2010-07-01

    Full Text Available Spousal violence against women is very common, yet reliable data concerning its magnitude is lacking. Objectives: To study the prevalence of physical spousal violence and the help-seeking behavior of its victims with respect to certain socio demographic variables, in the three months preceding the survey. Material & Methods: A cross-sectional study consisting of face to face interview of 379 married women, during September to December 2008 was undertaken in Tiswadi Taluka of Goa, India. Results: Spousal violence was reported by 26.6% of the respondents. Factors predisposing the women to victimization included early years of marriage, poor educational status for men and women, working women (OR=3.3; 2.1,5.5, and alcohol consumption by the husband (OR=7; 4.2,11.8. Women with higher monthly income compared to their husbands seemed to be protected (OR=0.28;0.16,0.48. Majority of the victimised women preferred to be silent sufferers. The help seeking behaviour was not proportionate to the severity or the duration of violence but seemed to be influenced by variables like women’s employment, education and income. Conclusion: The study emphasises the role of social factors in perpetuating domestic violence by intimate partner. Change in the social attitude that permits and legitimizes such acts through awareness is the only long lasting panacea.

  3. A Cross Sectional Study on Assessment of Falls in Community Dwelling Elderly of Assam

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    Agarwalla R

    2016-05-01

    Full Text Available "Context: The five giants of geriatric that has been identified are immobility, instability (falls, incontinence, intellectual impairment and iatrogenic. Among these, falls are found to be a major problem in the elderly, causing injuries, dependence, psychological difficulties, and social isolation. Aims: The present study was done to assess the prevalence of falls in elderly and the factors associated with it. Settings and Design: This cross sectional study was done from August 2013 to December 2013 in Boko- Bongaon Block, Kamrup District, Assam. Methodology: A total of 360 elderly meeting the inclusion criteria were included in the study. A total of 30 clusters were selected and 12 elderly were selected from each cluster. Statistical analysis: Data was analyzed using SPSS version 20. Results: Out of 360 elderly, 41.9% had at least 1 fall in the past one year. Among them 14.7% had more than 2 falls in the past one year. On analyzing the association of various factors with falls as dependent variable, older age group, unsatisfactory housing condition, dependent IADL, depression, presence of a co morbid condition and malnutrition were found to have significant association. Conclusion: The present findings reveal that falls is not an uncommon problem in the elderly. " [Natl J Community Med 2016; 7(5.000: 368-371

  4. A cross-sectional study on aetiology of diarrhoeal disease, India

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    S Purwar

    2016-01-01

    Full Text Available Background: Global, regional and national estimates clearly place diarrhoeal diseases as a major, albeit to an extant neglected public health problem. Deaths of children aged <5 years owing to diarrhoea was estimated to be 1.87 million at the global level (uncertainty range from 1.56 to 2.19 million, which is approximately 19% of total child deaths. Objectives: The present report is a cross-sectional study undertaken to estimate the role of various aetiological agents causing diarrhoea in North Karnataka and adjoining areas of Maharashtra and Goa. Methods: Three hundred stool samples were collected from patients seeking health care at KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum; and processed for detection of various bacterial, viral and parasitic agents. Results: Bacterial pathogens attributed to 65.7% of diarrhoea cases, followed by viral infection (22%, parasitic infection (16.3% and infection by Candida spp. (5.6%. The study identified Escherichia coli in general and Enteropathogenic E. coli in particular, and Group A Rotavirus to be the most frequently isolated pathogens among diarrhoea patients. Conclusion: The data generated from the current study will help the health officials for better interventional and treatment strategies for diarrhoeal diseases.

  5. GERIATRIC DEPRESSION AMONG RURAL AND URBAN SLUM COMMUNITY IN CHENNAI – A CROSS SECTIONAL STUDY

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    Balaji

    2013-02-01

    Full Text Available BACKGROUND: Depression is the most common psychiatric disorder a mong the elderly which can manifest as major or minor depression. The commu nity-based studies have revealed that the prevalence of depression in geriatric population i n India varies between 13% and 25%. In spite of quantum of this problem there are very few s tudies from India investigating geriatric depression and its associated risk factors. This stu dy aimed to establish the prevalence, socio- demographic correlates and factors associated with g eriatric depression in urban slum and rural communities in Chennai. METHODS: This study was done as a cross sectional study in the urban and rural field practice areas of ACS Medical College and Hospital among 60 years and above age group by house to house survey method usin g Geriatric Depression Scale during July and August 2011.All the houses in the urban and rur al field practice areas were surveyed and those who fulfilled the eligibility criteria were i nterviewed after getting informed consent. The results were expressed in percentages and chi-square test was done to find out the association

  6. Association between Allergic Rhinitis and Asthma Control in Peruvian School Children: A Cross-Sectional Study

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    Justo Padilla

    2013-01-01

    Full Text Available Background. Asthma and allergic rhinitis are highly prevalent conditions that cause major illness worldwide. This study aimed to assess the association between allergic rhinitis and asthma control in Peruvian school children. Methods. A cross-sectional study was conducted among 256 children with asthma recruited in 5 schools from Lima and Callao cities. The outcome was asthma control assessed by the asthma control test. A score test for trend of odds was used to evaluate the association between allergic rhinitis severity and the prevalence of inadequate asthma control. A generalized linear regression model was used to estimate the adjusted prevalence ratios of inadequate asthma control. Results. Allergic rhinitis was present in 66.4% of the population with asthma. The trend analysis showed a positive association between allergic rhinitis and the probability of inadequate asthma control (. It was associated with an increased prevalence of inadequate asthma control, with adjusted prevalence ratios of 1.53 (95% confidence interval: 1.19−1.98. Conclusion. This study indicates that allergic rhinitis is associated with an inadequate level of asthma control, giving support to the recommendation of evaluating rhinitis to improve asthma control in children.

  7. PSYCHIATRIC MORBIDITY PATTERN OF THE FIRST-DEGREE RELATIVES OF SCHIZOPHRENICS: CROSS-SECTIONAL STUDY

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    Alexander Gnana Durai

    2015-11-01

    Full Text Available : CONTEXT: Family, Twin and Adoption studies show the inheritance patterns of schizophrenia. The findings from these studies provide support to the claim that familial clustering of schizophrenia is a combined expression of genetic and environmental factors. AIMS: Following the line of previous research, this study attempts to find out any difference in the psychiatric morbidity pattern among the first-degree relatives of familial and sporadic schizophrenics. SETTINGS AND DESIGN: We conducted a cross-sectional survey among a convenience sample of 100 first-degree relatives (age between 18 to 55 years of familial (n=22 and sporadic (n=29 schizophrenics from psychiatric outpatient clinic, of a Government Hospital, India. The schizophrenics satisfied the DSM-IV criteria and all the first degree relatives interviewed never had any psychiatric consultation before or were abusing alcohol or other substances or having any organic pathology. METHODS AND MATERIAL: Informed consent from the patients and relatives was obtained. Survey questionnaires were administered and no personal identifying information was collected. Middle Sex Hospital Questionnaire (MHQ, Eysenck's Personality Questionnaire (EPQ, Multi-Phasic Personality Questionnaire (MPQ and Screening Test for Co-Morbid Personality Disorders (STCPD were administered to the participants.

  8. Association between Social Relationship and Glycemic Control among Older Japanese: JAGES Cross-Sectional Study

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    Kawachi, Ichiro; Kondo, Katsunori; Kondo, Naoki; Nagamine, Yuiko; Tani, Yukako; Shirai, Kokoro; Tazuma, Susumu

    2017-01-01

    Aim The present study examined whether social support, informal socializing and social participation are associated with glycemic control in older people. Methods Data for this population-based cross-sectional study was obtained from the Japan Gerontological Evaluation Study (JAGES) 2010 linked to the annual health check-up data in Japan. We analyzed 9,554 individuals aged ≥65 years without the certification of needed long-term care. Multivariate logistic regression models were used to assess the effect of social support, informal socializing and social participations on glycemic control. The outcome measure was HbA1c ≥8.4%. Results 1.3% of the participants had a level of HbA1c over 8.4%. Better glycemic control was significantly associated with meeting with friends one to four times per month (odds ratio [OR] 0.51, 95% confidence interval [CI]0.30–0.89, compared to meeting with friends a few times per year or less) and participation in sports groups (OR 0.50, 95% CI 0.26–0.97) even after adjusting for other variables. Meeting with friends more than twice per week, receiving social support, and being married were not associated with better control of diabetes. Conclusions Meeting with friends occasionally is associated with better glycemic control among older people. PMID:28060887

  9. Prevalence of unrecognized dyslipidaemia in Dubai and Northern Emirates: a cross-sectional hospital based study.

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    Vela, Barbara Karin; Alhessi, Alaaeldin Y; Popović, Marko; Al-Shaqra, Maryam A

    2008-12-01

    The aim of this study is to determine the prevalence of unrecognized dyslipidaemia and a specific correlation between lipid values and age, gender or ethnic origin in the study population. This retrospective cross-sectional study included 311 subjects who had their lipid profiles checked for the first time in a private hospital in Dubai in a six month - period. The analysis shows an increased prevalence of Low Density Lipoprotein (LDL) hypercholesterolemia with relatively higher Low Density Lipoprotein Cholesterol (LDL-c) values in male subjects (p < 0.016) as well as with the Middle East ethnic origin group (p < 0.025), while desirable High Density Lipoprotein (HDL-c) was found among female subjects (p = 0). The discordance between the percentages of elevated LDL-c and Total cholesterol (T-c) signifies the role of the LDL-c/non-HDL-c as the main surrogate for dyslipidaemia as a risk for atherosclerosis, and as a primary target of therapy.

  10. Intrauterine Devices and Reproductive Tract Infections: A Cross-sectional Study in Urban Slum

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    Poonam P Shingade, Naveen C Khargekar

    2015-01-01

    Full Text Available "Introduction: The concern that intrauterine devices (IUDs might cause or facilitate reproductive tract infection has limited its use. Objectives: The study aims to explore the relationship between reproductive tract infections & IUD use. Materials and Methods: A hospital based cross sectional study conducted in STI/RTI Clinic located in urban slums of Mumbai, involving total 169 married females of reproductive age group who presented with symptoms of RTI and using atleast one type of contraceptive method, who attended OPD from January to March 2012. Tool for interview was the questionnaire about sociodemographic profile, contraceptive practices, and symptoms of the participants. Disease specific laboratory methods were used to confirm diagnosis of RTI. Results: 47(27.81% females were using IUD as contraceptive method in this study. Proportion of the symptoms was more among IUD users than non IUD users. 33(70.2% had suffered from STI / RTI who were using IUDs as compared to 63 (51.6% non-IUD users showing statistically significant association. Conclusion: There is a statistically significant association between use of IUD and RTI. "

  11. Standardizing admission and discharge processes to improve patient flow: A cross sectional study

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    Ortiga Berta

    2012-06-01

    Full Text Available Abstract Background The aim of this study was to evaluate how hospital capacity was managed focusing on standardizing the admission and discharge processes. Methods This study was set in a 900-bed university affiliated hospital of the National Health Service, near Barcelona (Spain. This is a cross-sectional study of a set of interventions which were gradually implemented between April and December 2008. Mainly, they were focused on standardizing the admission and discharge processes to improve patient flow. Primary administrative data was obtained from the 2007 and 2009 Hospital Database. Main outcome measures were median length of stay, percentage of planned discharges, number of surgery cancellations and median number of delayed emergency admissions at 8:00 am. For statistical bivariate analysis, we used a Chi-squared for linear trend for qualitative variables and a Wilcoxon signed ranks test and a Mann–Whitney test for non-normal continuous variables. Results The median patients’ global length of stay was 8.56 days in 2007 and 7.93 days in 2009 (p  Conclusions In conclusion, standardization of admission and discharge processes are largely in our control. There is a significant opportunity to create important benefits for increasing bed capacity and hospital throughput.

  12. Determinants of maternal and umbilical blood lead levels: a cross-sectional study, Mosul, Iraq

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    Al-Jomard Raghad A

    2009-03-01

    Full Text Available Abstract Background The populations who are most sensitive to lead exposure from various sources are pregnant women and their newborns. Aiming to explore the presence of correlation between maternal and cord blood lead levels and to identify potential predictors that may influence both levels, the present study has been conducted. Methods A cross-sectional study was conducted covering 350 full terms maternal-newborns pairs from Mosul maternity hospitals. Data were obtained directly from women just before delivery by the use of a detailed questionnaire form. Maternal and umbilical blood lead levels were estimated using LEADCARE® Blood Lead Testing System and Kits. Results A positive significant correlation was found between maternal and cord blood lead values (r = 0.856, p = 0.001. By backward stepwise logistic regression analysis the followings emerged as significant potential predictors of high maternal blood lead: low parity, smoking and Hb level Conclusion Study results have provided baseline data needed to be transformed to decision makers to implement measures to eliminate lead from the environment and protect future generation from its deleterious effects.

  13. Salivary cotinine concentrations in daily smokers in Barcelona, Spain: a cross-sectional study

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    Pascual José A

    2009-09-01

    Full Text Available Abstract Background Characterizing and comparing the determinant of cotinine concentrations in different populations should facilitate a better understanding of smoking patterns and addiction. This study describes and characterizes determinants of salivary cotinine concentration in a sample of Spanish adult daily smoker men and women. Methods A cross-sectional study was carried out between March 2004 and December 2005 in a representative sample of 1245 people from the general population of Barcelona, Spain. A standard questionnaire was used to gather information on active tobacco smoking and passive exposure, and a saliva specimen was obtained to determine salivary cotinine concentration. Two hundred and eleven adult smokers (>16 years old with complete data were included in the analysis. Determinants of cotinine concentrations were assessed using linear regression models. Results Salivary cotinine concentration was associated with the reported number of cigarettes smoked in the previous 24 hours (R2 = 0.339; p R2 = 0.386; p Conclusion This study shows that salivary cotinine concentration is significantly associated with the number of cigarettes smoked and sex, but not with other smoking-related variables.

  14. Factors Affecting Happiness: A Cross-Sectional Study in the Iranian Youth

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    Mehrdadi, Amir; Sadeghian, Shahnaz; Direkvand-Moghadam, Ashraf

    2016-01-01

    Introduction Happiness is one of the most important concepts in the mental health that has an impact on different aspects of young people. Aim The present study was conducted to identify the factors influencing on happiness among young persons in Liam, Iran during 2014. Materials and Methods A cross-sectional study was conducted among young population 15-29-year-old. Multistage cluster random sampling method was used to select the participants. Data were collected using two demographic and Oxford Happiness Inventory. SPSS software Package 14 was used to analyse the data. Results A total of 500 young people, including 272 men and 228 women were enrolled. The Mean ± SD of the participants’ age was 20 ± 2.18 years. There was a significant relationship between the happiness score and location in urban and rural, employment status and physical activity. There was not a significant relationship between gender, marital status and education level with happiness score among participants. Conclusion The age groups, type of occupation, physical activity and place of residence were factors associated with happiness in young persons. However, there was not significant relationship between gender, marital status and education level with a happiness score among study participants. PMID:27437333

  15. Italian Multicenter Cross-Sectional Study (AISAG) on light smoking and allergic diseases in adults.

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    Lombardi, C; Passalacqua, G

    2016-03-01

    Allergic rhinitis, allergic dermatitis, and food allergy are extremely common diseases and are frequently associated to each other and to asthma. Smoking is a potential risk factor for these conditions, but so far, results from individual studies have been conflicting. On the basis of these contradictory data in the literature we have carried out a multicenter cross-sectional study to evaluate the relationship between some allergic conditions and exposure or not to active light smoking. The study was carried out between May 2013 and November 2013 in 22 different Italian hospitals. Patients with respiratory and/or food allergy, and aged 18 years and over, visited at Allergy Outpatient Clinics, were invited to participate. A total of 1586 allergic patients (21.6% smokers) with a mean age of 39.2 years (standard deviation, SD = 15.1) were included. We demonstrated that the prevalence of tobacco smoking was higher in patients with food allergy and in asthmatic patients in stage III-IV. But no other statistical differences were found at univariate analysis. The sensitization patterns of non-smokers and smokers were similar. Furthermore, tobacco smoking was associated with higher risk of food allergy and lower risk of asthma. Moreover, tobacco smoking was an independent risk factor for persistent respect to intermittent rhinitis, and for asthma GINA stage III-IV with respect to stage I-II.

  16. Chronic obstructive pulmonary disease and cardiac comorbidities: A cross-sectional study

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    Mohit Kaushal

    2016-01-01

    Full Text Available Introduction: Chronic obstructive pulmonary disease (COPD is a global health issue with cigarette smoking being an important risk factor. COPD affects pulmonary blood vessels, right ventricle, as well as left ventricle leading to the development of pulmonary hypertension (PH, cor-pulmonale (COR-P, right and left ventricular dysfunction. Echocardiography provides a rapid, noninvasive, portable, and accurate method to evaluate cardiac functions. Early diagnoses and intervention for cardiac comorbidities would reduce mortalities. Materials and Methods: A cross-sectional study. Total 50 patients of moderate to severe COPD according to GOLD guidelines were taken from Department of Respiratory Medicine, Smt. B. K. Shah Medical Institute and Research Centre, Vadodara. All patients underwent investigations such as chest X-ray PA view, ECG, and spirometry followed by two-dimensional echocardiography. Results: We investigated 49 males and 1 female patients ranging from 35 to 80 years of age. Twenty-nine individuals were of moderate COPD and twenty-one of severe COPD. Of these cases 29 had left ventricular diastolic dysfunction (LVDD changes, 24 were diagnosed with PH and 16 had changes of COR-P. The study showed the linear relation between the severity of LVDD, PH, and COR-P with the severity of COPD. Conclusion: Our study put emphasis on early cardiac screening of all COPD patients which will be helpful in the assessment of the prognosis and will further assist in identifying the individuals likely to suffer increase morbidity and mortality.

  17. Health related quality of life in older Mexican Americans with diabetes: A cross-sectional study

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    Al Snih Soham

    2007-07-01

    Full Text Available Abstract Background The older Hispanic population of the U.S. is growing at a tremendous rate. While ethnic-related risk and complications of diabetes are widely-acknowledged for older Hispanics, less is known about how health related quality of life is affected in this population. Methods Cross-sectional study assessing differences in health related quality of life between older Mexican Americans with and without diabetes. Participants (n = 619 from the Hispanic Established Population for the Epidemiological Study of the Elderly were interviewed in their homes. The primary measure was the Medical Outcomes Study Short Form (SF-36. Results The sample was 59.6% female with a mean age of 78.3 (SD = 5.2 years. 31.2% (n = 193 of the participants were identified with diabetes. Individuals with diabetes had significantly (F = 19.35, p Conclusion Diabetes was associated with lower health related quality of life in older Mexican Americans. The physical components of health related quality of life uniformly differentiated those with diabetes from those without, whereas mental component scores were equivocal.

  18. Associations between green space and health in English cities: an ecological, cross-sectional study.

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    Honor Bixby

    Full Text Available Green space has been identified as a modifiable feature of the urban environment and associations with physiological and psychological health have been reported at the local level. This study aims to assess whether these associations between health and green space are transferable to a larger scale, with English cities as the unit of analysis. We used an ecological, cross-sectional study design. We classified satellite-based land cover data to quantify green space coverage for the 50 largest cities in England. We assessed associations between city green space coverage with risk of death from all causes, cardiovascular disease, lung cancer and suicide between 2002 and 2009 using Poisson regression with random effect. After adjustment for age, income deprivation and air pollution, we found that at the city level the risk of death from all causes and a priori selected causes, for men and women, did not significantly differ between the greenest and least green cities. These findings suggest that the local health effects of urban green space observed at the neighbourhood level in some studies do not transfer to the city level. Further work is needed to establish how urban residents interact with local green space, in order to ascertain the most relevant measures of green space.

  19. A cross-sectional study on tobacco use and dependence among women: Does menthol matter?

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    Rosenbloom Judith

    2012-11-01

    Full Text Available Abstract Background The question of whether mentholation of cigarettes enhances tobacco dependence has generated conflicting findings. Potential mediating factors in a putative relationship between menthol use and tobacco dependence may include race and gender. While an association between menthol use and dependence is mixed, research on the role of race solely among women smokers is scarce. This study examined whether women menthol smokers have higher tobacco use and dependence than non-menthol smokers. Further, the study investigated differences between White and African American smokers. Methods A cross-sectional study was conducted among 928 women seeking tobacco dependence treatment in Boston, Massachusetts. Measures obtained included preferred brand and menthol content, dependence markers (cigarettes per day (CPD; time to first cigarette in the morning; number of and longest previous quit attempts and smoking history (age of initiation; years smoking; menthol or non-menthol cigarette preference. Analysis of variance (ANOVA was used to detect interactions between menthol preference by race for continuous variables, and Pearson’s chi-squared test was used for analyses with dichotomous variables. Results A greater proportion of menthol smokers smoked their first cigarette within five minutes of waking (p Conclusions Women menthol smokers showed signs of greater tobacco dependence than non-menthol smokers. African Americans smoked fewer CPD but nevertheless had evidence of greater dependence.

  20. Health care utilization and symptom severity in Ghanaian children--a cross-sectional study.

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    Ralf Krumkamp

    Full Text Available The aim of this study was to identify factors influencing health care utilization behavior for children with mild or severe disease symptoms in rural Ghana. Between March and September 2008 a cross-sectional health care utilization survey was conducted and 8,715 caregivers were interviewed regarding their intended behavior in case their children had mild or severe fever or diarrhea. To show associations between hospital attendance and further independent factors (e.g. travel distance or socio-economic status prevalence ratios were calculated for the four disease symptoms. A Poisson regression model was used to control for potential confounding. Frequency of hospital attendance decreased constantly with increasing distance to the health facility. Being enrolled in the national health insurance scheme increased the intention to attend a hospital. The effect of the other factors diminished in the Poisson regression if modeled together with travel distance. The observed associations weakened with increasing severity of symptoms, which indicates that barriers to visit a hospital are less important if children experience a more serious illness. As shown in other studies, travel distance to a health care provider had the strongest effect on health care utilization. Studies to identify local barriers to access health care services are important to inform health policy making as they identify deprived populations with low access to health services and to early treatment.

  1. Flatfoot and obesity in school-age children: a cross-sectional study.

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    Sadeghi-Demneh, E; Azadinia, F; Jafarian, F; Shamsi, F; Melvin, J M A; Jafarpishe, M; Rezaeian, Z

    2016-02-01

    Childhood obesity exerts abnormally high stresses on developing foot structures which can lead to structural deformity of the foot. Screening for foot problems in children with overweight helps detect interior risks restricting normal lifestyle in these individuals. The purpose of this study was to investigate the effects of excess weight on the structure and function of the developing foot in students aged 7-14 years. A total of 667 participants were recruited for this cross-sectional study via a multi-level cluster sampling method (randomization was used within each cluster). All subjects (340 boys and 327 girls) attended primary and secondary schools in Isfahan City, Iran. The children's feet were evaluated using clinical assessments and footprint-based measures whilst fully weight bearing. Significant differences were observed in the frequency of flatfoot between normal weight, overweight and obese groups (P Children with higher weight also had a more pronated heel, less dorsiflexion range and higher reported pain within physical activity. This study indicated that childhood obesity is associated with structural foot and ankle deformities and activity-related foot pain.

  2. Are nurse presenteeism and patient safety culture associated: a cross-sectional study.

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    Brborović, Hana; Brborović, Ognjen; Brumen, Vlatka; Pavleković, Gordana; Mustajbegović, Jadranka

    2014-06-01

    Working as a nurse involves great dedication and sacrifice: working night shifts, working overtime, and coming to work sick. The last is also known as presenteeism. Research has shown that poor nurse performance can affect both caregiver's and patient's safety. The aim of this cross-sectional study was to investigate whether nurse presenteeism affected patient safety culture and to look deeper into the characteristics of nurse presenteeism and patient safety culture in Croatia. The study was conducted in one general hospital in Croatia over April and May 2012 and specifically targeted medical nurses as one of the largest groups of healthcare professionals. They were asked to fill two questionnaires: the six-item Stanford Presenteeism Scale (SPS-6) and the Hospital Survey on Patient Safety Culture (HSOPSC). We found no association between presenteeism and patient safety culture. Overall positive perception of safety was our sample's strength, but other dimensions were positively rated by less than 65 % of participants. The lowest positive response concerned "nonpunitive response to error", which is consistent with previous studies. Presenteeist nurses did not differ in their characteristics from nurses without presenteeism (gender, age, years of experience, working hours, contact with patients and patient safety grades). Our future research will have to include a broader healthcare population for us to be able to identify weak spots and suggest improvements toward high-quality and cost-effective health care.

  3. Occupational pesticide intoxications among farmers in Bolivia: a cross-sectional study

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    Huici Omar

    2006-04-01

    Full Text Available Abstract Background Pesticide use and its consequences are of concern in Bolivia due to an intensive and increasing use. Methods To assess the magnitude and reasons for occupational pesticide intoxication, a cross-sectional study with interviews and blood-tests was performed among 201 volunteer farmers from 48 villages in the temperate and subtropical valleys in the eastern part of the Andes Mountains in Bolivia. Of these 171 male farmers using pesticides in their agricultural production were used in the statistical analysis, including linear- and logistic regression analysis. Results This study documented a frequent use of the most toxic pesticides among farmers who have had almost no instructions in how to use pesticides and protect themselves against the dangers of intoxication, reflected in the hazardous practices used when handling pesticides. Symptoms of intoxications were common in connection with spraying operations. The risk of experiencing symptoms and the serum cholinesterase activity were influenced by whether or not organophosphates were used and the number of times sprayed. The experience of symptoms was moreover influenced by the hygienic and personal protective measures taken during spraying operations while this had no influence on the serum cholinesterase level. Conclusion The study showed that occupational pesticide intoxications were common among farmers and did depend on multiple factors. Pesticide use is probably one of the largest toxicological problems in Bolivia, and a coordinated action by authorities, society and international bodies is needed to limit the number of intoxications and the environmental pollution.

  4. Internet addictive behavior in adolescence: a cross-sectional study in seven European countries.

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    Tsitsika, Artemis; Janikian, Mari; Schoenmakers, Tim M; Tzavela, Eleni C; Olafsson, Kjartan; Wójcik, Szymon; Macarie, George Florian; Tzavara, Chara; Richardson, Clive

    2014-08-01

    A cross-sectional school-based survey study (N=13,284; 53% females; mean age 15.8±0.7) of 14-17-year-old adolescents was conducted in seven European countries (Greece, Spain, Poland, Germany, Romania, the Netherlands, and Iceland). The aim of the study was to investigate the prevalence of Internet addictive behavior (IAB) and related psychosocial characteristics among adolescents in the participating countries. In the study, we distinguish two problematic groups: adolescents with IAB, characterized by a loss of control over their Internet use, and adolescents "at risk for IAB," showing fewer or weaker symptoms of IAB. The two groups combined form a group of adolescents with dysfunctional Internet behavior (DIB). About 1% of adolescents exhibited IAB and an additional 12.7% were at risk for IAB; thus, in total, 13.9% displayed DIB. The prevalence of DIB was significantly higher among boys than among girls (15.2% vs. 12.7%, pInternet, and greater use of social networking sites and gaming sites. Multiple linear regression analysis showed that externalizing (i.e., behavioral) and internalizing (i.e., emotional) problems were associated with the presence of DIB.

  5. Personality Traits Are Associated with Research Misbehavior in Dutch Scientists: A Cross-Sectional Study

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    Tijdink, Joeri K.; Bouter, Lex M.; Veldkamp, Coosje L. S.; van de Ven, Peter M.; Wicherts, Jelte M.; Smulders, Yvo M.

    2016-01-01

    Background Personality influences decision making and ethical considerations. Its influence on the occurrence of research misbehavior has never been studied. This study aims to determine the association between personality traits and self-reported questionable research practices and research misconduct. We hypothesized that narcissistic, Machiavellianistic and psychopathic traits as well as self-esteem are associated with research misbehavior. Methods Included in this cross-sectional study design were 535 Dutch biomedical scientists (response rate 65%) from all hierarchical layers of 4 university medical centers in the Netherlands. We used validated personality questionnaires such as the Dark Triad (narcissism, psychopathy, and Machiavellianism), Rosenberg's Self-Esteem Scale, the Publication Pressure Questionnaire (PPQ), and also demographic and job-specific characteristics to investigate the association of personality traits with a composite research misbehavior severity score. Findings Machiavellianism was positively associated (beta 1.28, CI 1.06–1.53) with self-reported research misbehavior, while narcissism, psychopathy and self-esteem were not. Exploratory analysis revealed that narcissism and research misconduct were more severe among persons in higher academic ranks (i.e., professors) (pself-esteem scores and publication pressure were lower (pNarcissism and research misbehaviour were more prevalent among biomedical scientists in higher academic positions. These results suggest that personality has an impact on research behavior and should be taken into account in fostering responsible conduct of research. PMID:27684371

  6. Is the physician's behavior in dyslipidemia diagnosis in accordance with guidelines? Cross-sectional ESCARVAL study.

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    Antonio Palazón-Bru

    Full Text Available Clinical inertia has been defined as mistakes by the physician in starting or intensifying treatment when indicated. Inertia, therefore, can affect other stages in the healthcare process, like diagnosis. The diagnosis of dyslipidemia requires ≥2 high lipid values, but inappropriate behavior in the diagnosis of dyslipidemia has only previously been analyzed using just total cholesterol (TC.To determine clinical inertia in the dyslipidemia diagnosis using both TC and high-density lipoprotein cholesterol (HDL-c and its associated factors.Cross-sectional.All health center visits in the second half of 2010 in the Valencian Community (Spain.11,386 nondyslipidemic individuals aged ≥20 years with ≥2 lipid determinations.Gender, atrial fibrillation, hypertension, diabetes, cardiovascular disease, age, and ESCARVAL training course. Lipid groups: normal (TC<5.17 mmol/L and normal HDL-c [≥1.03 mmol/L in men and ≥1.29 mmol/L in women], TC inertia (TC≥5.17 mmol/L and normal HDL-c, HDL-c inertia (TC<5.17 mmol/L and low HDL-c, and combined inertia (TC≥5.17 mmol/L and low HDL-c.TC inertia: 38.0% (95% CI: 37.2-38.9%; HDL-c inertia: 17.7% (95% CI: 17.0-18.4%; and combined inertia: 9.6% (95% CI: 9.1-10.2%. The profile associated with TC inertia was: female, no cardiovascular risk factors, no cardiovascular disease, middle or advanced age; for HDL-c inertia: female, cardiovascular risk factors and cardiovascular disease; and for combined inertia: female, hypertension and middle age.Cross-sectional study, under-reporting, no analysis of some cardiovascular risk factors or other lipid parameters.A more proactive attitude should be adopted, focusing on the full diagnosis of dyslipidemia in clinical practice. Special emphasis should be placed on patients with low HDL-c levels and an increased cardiovascular risk.

  7. Salivary cortisol and frailty syndrome in elderly residents of long-stay institutions: a cross-sectional study.

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    Holanda, Cristina Marques de Almeida; Guerra, Ricardo Oliveira; Nóbrega, Patrícia Vidal de Negreiros; Costa, Herman Ferreira; Piuvezam, Marcia Regina; Maciel, Álvaro Campos Cavalcanti

    2012-01-01

    Analyze the relationship between frailty and cortisol in elderly residents of long-stay institutions. A cross-sectional study was conducted in the city of João Pessoa-PB-Brazil, on a sample of residents of long-stay institutions. Data were collected on frailty phenotype (weight loss, fatigue, slowness, weakness and low physical activity) and salivary cortisol (first measurement between 6 and 7a.m.; second measurement between 11 and 12a.m.; third measurement between 4 and 5p.m.). Statistical analysis applied Pearson's correlation test, Chi-square test, ANOVA and linear regression. The sample was composed of 69 elderly subjects, 37.7% men and 62.3% women, with a mean age of 77.5 (±7.8) years. The percentage of frail elderly was 45.8%. Frail aged subjects achieved higher cortisol values on the third measurement (p=0.04) and frailty load was significantly associated to the first measurement (r=0.25, p=0.04). Simple linear regression analysis showed a rate of determination (R(2)=0.05) between frailty load and the first cortisol measurement. Greater cortisol values in the morning and before bed among frail aged individuals suggest a positive correlation may exist between cortisol levels and frailty in elderly residents of long-stay institutions.

  8. Smart phone usage and addiction among dental students in Saudi Arabia: a cross sectional study.

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    Venkatesh, Elluru; Jemal, Mohammad Yousef Al; Samani, Abdullah Saleh Al

    2017-04-06

    Purpose The main aim of this research is to explore measures of smart phone usage, smart phone addiction, and their associations with demographic and health behavior-related variables among dental students in Saudi Arabia. Methods A Cross sectional study involving sample of 205 dental students from Qaseem Private College were surveyed for smart phone use and addiction using the short version of the Smartphone Addiction Scale for Adolescents (SAS-SV). Results Smart phone addiction was seen in 136 (71.9%) of the 189 students. The findings from our study revealed that high stress levels, low physical activity, higher body mass index (BMI), longer duration of smart phone usage, higher frequency of usage, shorter time period until first smart phone use in the morning and social networking sites (SNS) were associated significantly with the smart phone addiction. Conclusion The current research gives the information about the extent of smart phone over usage and addiction among the dental students in Saudi Arabia with indication of the predictors of addiction and the need for further research in the area with comprehensible interpretation to spread the awareness of the smart phone addiction.

  9. Vaccination Coverage for Infants: Cross-Sectional Studies in Two Regions of Belgium

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    Emmanuelle Robert

    2014-01-01

    Full Text Available Methods and Objectives. To estimate infant vaccination coverage in the French-speaking region of Belgium (Wallonia and in the Brussels-Capital Region, two cross-sectional studies were performed in 2012. A face-to-face questionnaire was administered by trained investigators. The objective was to evaluate infant vaccination coverage retrospectively in 18- to 24-month-old children. These studies offered the opportunity to assess some factors influencing vaccine uptake in infants. Results and Discussion. Approximately 99% of the children had received the first dose of IPV-DTaP, 90% the fourth dose, 94% the MMR vaccine, 97% the first dose of pneumococcal vaccine, and 90% the third dose. In both regions, when fitting a logistic model, the most associated factor was attendance at maternal and child clinics (MCH. No association was observed between vaccination coverage and the mother’s level of education. For the last immunization session, where the mother was a Belgian native and when she worked more hours, child was better immunized, but only in Brussels. Conclusion. Coverage for the fourth dose of hexavalent vaccine (DTaP-IPV-HBV/Hib needs to be increased. Indeed, additional effort is needed to increase HIB and pertussis coverage rates because the herd immunity threshold for these two diseases has not been reached.

  10. Nutritional Status and Intestinal Parasite in School Age Children: A Comparative Cross-Sectional Study.

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    Feleke, Berhanu Elfu

    2016-01-01

    Background. The objectives of this study were to determine the burden of underweight and intestinal parasitic infection in the urban and rural elementary school children. Methods. A comparative cross-sectional study design was conducted. Binary logistic regression was used to identify the determinants of malnutrition or intestinal parasites. Two independent samples' t-test was used to identify the effect of malnutrition on school performance or hemoglobin level. Results. A total of 2372 students were included. Quarters (24.8%) of school children were underweight. Underweight was associated with sex [adjusted odds ratio (AOR) 0.61; 95% CI = 0.47-0.78], age [AOR = 0.21; 95% CI = 0.16-0.28], intestinal parasitic infection [AOR 2.67; 95% CI = 2-3.55], and family size [AOR 23; 95% CI = 17.67-30.02]. The prevalence of intestinal parasite among school children was 61.7% [95% CI = 60%-64%]. Shoe wearing practice [AOR 0.71; 95% CI = 0.58-0.87], personal hygiene [AOR 0.8; 95% CI = 0.65-0.99], availability of latrine [AOR 0.34; 95% CI = 0.27-0.44], age [AOR 0.58; 95% CI = 0.48-0.7], habit of eating raw vegetables [AOR 3.71; 95% CI = 3.01-4.46], and family size [AOR 1.96; 95% CI = 1.57-2.45] were the predictors of intestinal parasitic infection.

  11. Depression, Anxiety and Symptoms of Stress among Hong Kong Nurses: A Cross-sectional Study

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    Teris Cheung

    2015-09-01

    Full Text Available Recent epidemiological data suggests 13.3% of Hong Kong residents suffered from Common Mental Disorders, most frequently mixed anxiety and depressive disorder. This study examines the weighted prevalence and associated risk factors of depression, anxiety and stress among Hong Kong nurses. A total of 850 nurses were invited to participate in this cross-sectional study. Participants completed the Depression, Anxiety and Stress Scale 21 and multiple logistic regression was used to determine significant relationships between variables. Chronic past-year illness and poor self-perceived mental health were significant correlates of past-week depression, anxiety and stress. It confirmed further positive correlations between depression and divorce, widowhood and separation, job dissatisfaction, disturbance with colleagues, low physical activity levels and sleep problems. Marital status; general medicine; sleep problems, and a lack of leisure significantly correlated with anxiety. Stress was significantly associated with younger age, clinical inexperience, past-year disturbance with colleagues, low physical activity, no leisure and drinking alcohol. Nurses were more depressed, anxious and stressed than the local general population, with over one-third of our respondents classified as subject to these disorders.

  12. Substance Use and Associated Factors among University Students in Ethiopia: A Cross-Sectional Study

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    Gezahegn Tesfaye

    2014-01-01

    Full Text Available Studies indicate that substance use among Ethiopian adolescents is considerably rising; in particular college and university students are the most at risk of substance use. The aim of the study was to assess substance use and associated factors among university students. A cross-sectional survey was carried out among 1040 Haramaya University students using self-administered structured questionnaire. Multistage sampling technique was used to select students. Descriptive statistics, bivariate, and multivariate analysis were done. About two-thirds (62.4% of the participants used at least one substance. The most commonly used substance was alcohol (50.2%. Being male had strong association with substance use (AOR (95% CI, 3.11 (2.20, 4.40. The odds of substance use behaviour is higher among third year students (AOR (95% CI, 1.48 (1.01, 2.16. Being a follower of Muslim (AOR (95% CI, 0.62 (0.44, 0.87 and Protestant (AOR (95% CI, 0.25 (0.17, 0.36 religions was shown to be protective of substance use. Married (AOR (95% CI, 1.92 (1.12, 3.30 and depressed (AOR (95% CI, 3.30 (2.31, 4.72 students were more likely to use substances than others. The magnitude of substance use was high. This demands special attention, emergency preventive measures, and targeted information, education and communication activity.

  13. Substance Use and Associated Factors among University Students in Ethiopia: A Cross-Sectional Study.

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    Tesfaye, Gezahegn; Derese, Andualem; Hambisa, Mitiku Teshome

    2014-01-01

    Studies indicate that substance use among Ethiopian adolescents is considerably rising; in particular college and university students are the most at risk of substance use. The aim of the study was to assess substance use and associated factors among university students. A cross-sectional survey was carried out among 1040 Haramaya University students using self-administered structured questionnaire. Multistage sampling technique was used to select students. Descriptive statistics, bivariate, and multivariate analysis were done. About two-thirds (62.4%) of the participants used at least one substance. The most commonly used substance was alcohol (50.2%). Being male had strong association with substance use (AOR (95% CI), 3.11 (2.20, 4.40)). The odds of substance use behaviour is higher among third year students (AOR (95% CI), 1.48 (1.01, 2.16)). Being a follower of Muslim (AOR (95% CI), 0.62 (0.44, 0.87)) and Protestant (AOR (95% CI), 0.25 (0.17, 0.36)) religions was shown to be protective of substance use. Married (AOR (95% CI), 1.92 (1.12, 3.30)) and depressed (AOR (95% CI), 3.30 (2.31, 4.72)) students were more likely to use substances than others. The magnitude of substance use was high. This demands special attention, emergency preventive measures, and targeted information, education and communication activity.

  14. Understanding Youth Violence in Kumasi: Does Community Socialization Matter? A Cross-Sectional Study

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    Asamani Jonas Barnie

    2017-01-01

    Full Text Available Violence by young people is one of the most visible forms of social disorder in urban settlements. This study assesses the causes and consequences of youth violence in the Kumasi metropolis. The study design was a nonexperimental cross-sectional survey. A mixed method approach facilitated the random sampling of 71 young people in the Kumasi metropolis through a stratified procedure between December 2014 and November 2015. Ten (10 participants were purposively selected and enrolled in a focus group discussion. Descriptive statistics formed the basis for the analysis. This was supported with a matched discourse analysis of the emerging themes. More than half of the youth (39, 54.9% demonstrated history of ever engaging in violence in the past one year of whom 24 (61.5% were without formal education. The frequency of the violence perpetuation ranged from daily engagement (3, 4% to weekly engagement in violence (12, 17%. Principally, the categories of youth violence were manifested in noise making, rape, murder, stealing, drug addiction, obscene gestures, robbery, sexual abuse, and embarrassment. Peer pressure and street survival coping approaches emerged as the pivotal factors that induced youth violence. Addressing youth violence requires an integrative framework that incorporates youth perspectives, government, chiefs, and nongovernmental organizations in Ghana, and religious bodies.

  15. Reliability of INTERMED Spanish version and applicability in liver transplant patients: a cross-sectional study

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    Bellido MªLuisa

    2011-07-01

    Full Text Available Abstract Background Integrated delivery methods in healthcare systems have been proposed to confront the increasing complexity in general health care. INTERMED is an empirically derived, observer-rated instrument to measure case complexity. It was intended as a visualized, action-oriented decision-support tool for the early assessment of bio-psychosocial health risks and health needs. This study aims to document the reliability and applicability of the Spanish version of INTERMED in liver transplant patients. Methods Cross-sectional study of patients who had been included in the liver transplant waiting list. Two nurses interviewed the patients with INTERMED, and scored the instrument blind to each other. Kappa and w-kappa, Spearman, Kendall and intraclass correlation coefficients, and Cronbach's alfa were calculated. Results No patient refused the interview. Satisfactory coefficients were documented in most INTERMED items. Kappa was = 0.858 for the categorization of patients as "complex", and 21 of them (48.8% were classified in this category, and were considered to need integrated treatment. Conclusions The Spanish version of INTERMED is reliable. Its applicability in liver transplant patients adds to its generalizability.

  16. Age-related differences in emotion recognition ability: a cross-sectional study.

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    Mill, Aire; Allik, Jüri; Realo, Anu; Valk, Raivo

    2009-10-01

    Experimental studies indicate that recognition of emotions, particularly negative emotions, decreases with age. However, there is no consensus at which age the decrease in emotion recognition begins, how selective this is to negative emotions, and whether this applies to both facial and vocal expression. In the current cross-sectional study, 607 participants ranging in age from 18 to 84 years (mean age = 32.6 +/- 14.9 years) were asked to recognize emotions expressed either facially or vocally. In general, older participants were found to be less accurate at recognizing emotions, with the most distinctive age difference pertaining to a certain group of negative emotions. Both modalities revealed an age-related decline in the recognition of sadness and -- to a lesser degree -- anger, starting at about 30 years of age. Although age-related differences in the recognition of expression of emotion were not mediated by personality traits, 2 of the Big 5 traits, openness and conscientiousness, made an independent contribution to emotion-recognition performance. Implications of age-related differences in facial and vocal emotion expression and early onset of the selective decrease in emotion recognition are discussed in terms of previous findings and relevant theoretical models.

  17. SATISFACTION LEVEL OF MEDICAL EDUCATORS WORKING IN TEACHING INSTITUTIONS : A QUESTIONNAIRE BASED CROSS-SECTIONAL STUDY

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    Sudeshna Chatterjee

    2016-12-01

    Full Text Available In a resource-limited and high-burden disease setting, satisfied health professional is an asset in terms of maximized productivity, efficiency and quality health care. Job Satisfaction Index is a validated measure to identify the components that influence those issues. A multi-faceted structured questionnaire study was conducted upon a cross-section of medical educators (n=160 serving two tertiary care teaching institutions under different management set-up. Multiple demographic features were independent variables whereas three (3 critical areas of satisfaction index (SI were outcome variables. All participants were interviewed using 15 item Likert response-based, modified job satisfaction scale. It was observed that total SI scores among doctors representing the private group remained marginally higher (P<0.05 while compared to the other group. The comparative analysis of SI scores in critical areas like availability of academic supports and job security remained higher among the private doctors than that of the government ones though not significant. However the private doctors remained marginally satisfied in terms of working environment. The study outcome necessitates appropriate intervention measures at the organizational levels.

  18. Use of venous thromboprophylaxis and adherence to guideline recommendations: a cross-sectional study

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    Miralda Gaietà

    2004-04-01

    Full Text Available Abstract Background Consensus Conferences and Guidelines for deep vein thrombosis prophylaxis have been published, which recommend the use of prophylactic heparins in patients with risk of venous thromboembolism (VTE. The aim of this study was the assessment of the prophylaxis of VTE and the adherence to accepted guideline recommendations throughout the hospital. Methods A cross-sectional study was carried out in a teaching hospital after guidelines were implemented. Patients' risk factors of deep vein thrombosis, risk categories of patients, and prophylaxis used in different wards were recorded. Appropriate adherence to the guidelines was analysed. Results Of 397 patients, prophylaxis was used in 231 patients (58%, and low-molecular-weight heparins (LMWH were used in 224 of them (97%. Patients with prophylaxis had a higher mean number of risk factors (SD than those without prophylaxis [3.1 (1.4 vs 1.9 (1.4; p Conclusion Prophylaxis of VTE is generally used in risk patients, but appropriate adherence to guidelines is less frequent and variable among different wards. Continuing medical education, discussion and dissemination of guidelines, and regular clinical audit are necessary to improve prophylaxis of VTE in clinical practice.

  19. Quality of life in the Iranian Blind War Survivors in 2007: a cross-sectional study

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    Amini Reza

    2010-08-01

    Full Text Available Abstract Background Quality of Life measurements are necessary tools for effectively evaluating health services. In the population of patients afflicted with war-related blindness in Iran, such measurements have yet to be documented and utilized. "The design and implementation of this study involved the determination of a baseline score for QOL in a population of Iranian blinded in the Iraq-Iran war in order to facilitate the design of interventions intended to improve the population's QOL." Methods This was a cross-sectional study of a representative population of 250 war victims blind in both eyes at a 14-day recreational conference. Results Participants had a mean age of 43.20(SD8.34 and their composition was 96.5% male and 3.5% female with a mean SF-36 QOL score of 59.20(SD22.80. An increasing level of education among the participants correlated with a higher QOL score (p = 0.006. The QOL also has a significant correlation to number of injuries (p Conclusions As blind war survivors' age, they will present with a greater set of burdens despite their relatively better QOL in the physical component scale when compared with lower limb amputees. Risk factors of cardiovascular attack such as high blood pressure and hypercholesterolemia were present and need future interventions. Key words Quality of life, blindness, SF36, health

  20. Do autistic children have higher levels of caries? A cross-sectional study in Turkish children

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    Namal Necmi

    2007-06-01

    Full Text Available The aim of this study is to assess whether the dental caries experience is higher in children with an autistic disorder (AD than in normal children. Three schools for autistic children and three standard elementary schools in Istanbul, Turkey, were included in a cross-sectional study. Subjects were orally examined. Socio-demographic information and data about their oral care habits were obtained from their parents from records. Sixty-two children with AD and 301 children without AD were examined. Their ages varied between 6 and 12 years. Children with AD compared to those without AD had lower experience of caries. Logistic regression analysis of DMFT showed that the dental status was positively affected in younger children (OR = 15.57; 95% CI 7.62, 31.80, children from families with high income (OR = 5.42; 95% CI 2.31, 12.75, children brushing teeth regularly (OR = 2.01, 95% CI 1.10, 3.68, children consuming less sugar (OR = 5.01; 95% CI 2.57, 9.76 and in those with AD (OR=3.99; 95% CI 1.56, 10.19. Children with AD had better caries status than children without AD at younger ages.

  1. MALOCCLUSIONS AND QUALITY OF LIFE. Cross-sectional and longitudinal studies in children.

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    Dimberg, Lillemor

    2015-01-01

    There are few longitudinal studies of the prevalence of malocclusions and possible self-correction of malocclusions during the development of the dentition. Early intervention might be unnecessary if self-correction of the malocclusion occurs during the transition from the primary to the permanent dentition. Most studies are cross-sectional and in those of longitudinal design, the results are inconsistent and difficult to interpret. Malocclusions may or may not influence the quality of life in children and adolescents. Thus, evaluations of the influence of different malocclusions on quality of life will certainly underpin a broader understanding and knowledge about how malocclusions affect the daily life of young patients. This information may also be important when it comes to assessing the most appropriate time for starting orthodontic treatment, not only from a professional point of view, but also, most importantly, from the patients' perspective. The overall aim of this thesis was therefore to evaluate the prevalence of malocclusions, and to document changes occurring during the development of the dentition, from the primary dentition stage at age 3, through the mixed dentition at age 7, to the early permanent dentition at age 11.5 years. Further aims were to review the current state of knowledge about the impact of malocclusions on oral health related quality of life (OHRQoL) and to investigate how malocclusions affect the quality of life in a cohort of children, aged 11.5 years, whose dental care is provided by the Swedish Public Dental Service.

  2. The emotional intelligence of pediatric residents – a descriptive cross-sectional study

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    McLeod, Scott A.; Sonnenberg, Lyn K.

    2017-01-01

    Background Emotional Intelligence (EI) is a type of social intelligence. Excellent scores are achieved by displaying high levels of empathy in interpersonal relationships, strong skills in managing stressful situations as well as other personal competencies. Many of the social competencies that EI describes may have a direct impact on patient care. The objective of this study was to describe EI of pediatric residents and to identify if there are EI skills that should be selected for targeted intervention. Methods This was a cross-sectional study administering the EQ-i 2.0© psychometric instrument to pediatric residents at the University of Alberta. Results Thirty-five residents completed the EQ-i 2.0© (100% response rate). Their overall EI score was not significantly different than a normative group of college-educated professionals. Residents had relative strengths in the subcategories of Emotional expression, Interpersonal Relationships, Empathy, and Impulse Control (all p<0.05). Areas of relative weakness were in the subcategories of Stress Tolerance, Assertiveness, Independence, and Problem Solving (all p<0.05). Conclusion The EI of pediatric residents is consistent with that of other professionals. Educational interventions may be useful in the areas of weakness to enhance the physician-patient relationship. PMID:28344715

  3. Psychiatric comorbidity in diabetes type 1: a cross-sectional observational study

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    Ana Claudia C. de Ornelas Maia

    2014-02-01

    Full Text Available Objective This study aims to investigate the prevalence of psychiatric disorders, i.e., the presence of signs and symptoms of anxiety and depression in type 1 diabetic patients, as well as to investigate the prevalence of psychiatric disorders in insulin dependent patients. Methods A cross-sectional observational study of 110 diabetic outpatients (mean = 58.3, SD = 14.5; 50 male and 60 female was conducted in a public health clinic with patients diagnosed with diabetes mellitus who were under the medical supervision of an endocrinologist. The patients were evaluated through the Mini International Neuropsychiatric Interview and the Hospital Anxiety and Depression Scale(HADS. Results With respect to anxiety symptoms, we found a prevalence of 60% (n = 66 among patients, while in depression symptoms we found a prevalence of 53.6% (n = 59 concerning the 110 patients evaluated. More specifically, we found 28.2% (n = 31 of patients without depression or anxiety, 13.6% (n = 15 of patients with depression, 16.4% (n = 18 of patients with anxiety and 41.8% (n = 46 of patients with depression combined with anxiety. The most remarkable data were generalized anxiety disorder (22.7%, dysthymia (18.2%, panic disorder (8.2% and social phobia (5.5%. Conclusion The need for accurate assessments about the presence of symptoms related to psychopathology in patients with type 1 diabetes is evident.

  4. Patients’ Dignity and Its Relationship with Contextual Variables: A Cross-Sectional Study

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    Mohammad Zirak

    2017-03-01

    Full Text Available Introduction: Dignity is considered as fundamental human needs and recognized as one of the central concepts in nursing science. The aim of this study was to assess the extent to which patients’ dignity is respected and to evalutae its relationship with contextual variables. Methods: This cross-sectional study was conducted on 256 hospitalized patients in the two teaching hospitals affiliated to Zanjan University of medical sciences, Iran. Data were collected by a questionnaire consist of two sections: (a demographic characteristics, and (b patient dignity including 32 questions. Data were analyzed by SPSS (ver.13 software using independent t-test, ANOVA and Pearson correlation. Results: The result showed that the mean (standard deviation of total score of patient’s dignity was 108.17 (25.28. According to the result, the majority of the respondents (76.2% were not aware of patient’s rights. There was a significant difference in mean scores of total dignity between single and married persons, living in city or village, and hospitalization in Moosavi and Valiasr hospital. Conclusion: Health care systems should take the provision of the patients' dignity into account through using a comprehensive educational program for informing of patient, family members, and health professionals about patients’ dignity.

  5. Low back pain in adolescent and associated factors: A cross sectional study with schoolchildren

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    Mônica R. O. G. C. M. Silva

    2014-10-01

    Full Text Available Objective: To determine the prevalence of low back pain nonspecific and associated factors in schoolchildren. Method: This cross-sectional study investigated 343 adolescents, aged between 12 and 15 years, of both sexes of public schools. The questionnaire included questions regarding sociodemographic characteristics, type of school transportation, body mass index and low back pain. The outcome was defined as discomfort localized below the costal margin and above the inferior gluteal folds in the last 12 months. Results : The prevalence of low back pain in the last year was 57% (n=195 among participants, with no significant difference between the sexes (OR 1.13, 95% CI 0.93 to 1.37. Advancing age and body mass index were associated with the presence of low back pain in the bivariate analysis. The remaining seated at school in usual days was considered one of the main activities that trigger symptoms that lasted up to seven days for the majority (80% of adolescents. Conclusions: The high prevalence of low back pain presented, indicating that it is a common condition among these adolescents. There was no difference between the sexes, but had influence of age and body mass index. Our results point to the need for the development epidemiological studies of low back pain among children and adolescents.

  6. Reporting of embryo transfer methods in IVF research: a cross-sectional study.

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    Gambadauro, Pietro; Navaratnarajah, Ramesan

    2015-02-01

    The reporting of embryo transfer methods in IVF research was assessed through a cross-sectional analysis of randomized controlled trials (RCTs) published between 2010 and 2011. A systematic search identified 325 abstracts; 122 RCTs were included in the study. Embryo transfer methods were described in 42 out of 122 articles (34%). Catheters (32/42 [76%]) or ultrasound guidance (31/42 [74%]) were most frequently mentioned. Performer 'blinding' (12%) or technique standardization (7%) were seldom reported. The description of embryo transfer methods was significantly more common in trials published by journals with lower impact factor (less than 3, 39.6%; 3 or greater, 21.5%; P = 0.037). Embryo transfer methods were reported more often in trials with pregnancy as the main end-point (33% versus 16%) or with positive outcomes (37.8% versus 25.0%), albeit not significantly. Multivariate logistic regression confirmed that RCTs published in higher impact factor journals are less likely to describe embryo transfer methods (OR 0.371; 95% CI 0.143 to 0.964). Registered trials, trials conducted in an academic setting, multi-centric studies or full-length articles were not positively associated with embryo transfer methods reporting rate. Recent reports of randomized IVF trials rarely describe embryo transfer methods. The under-reporting of research methods might compromise reproducibility and suitability for meta-analysis.

  7. Effect of banana on blood pressure of hypertensive individuals: a cross sectional study from Pokhara, Nepal

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    Gnanakshi. Dayanand

    2015-06-01

    Full Text Available Background Hypertension or high blood pressure is a critical condition which can strain the heart, injure blood vessels, leads to augment the risk of heart attack, stroke, kidney problems, and if untreated may cause death. Several herbal approaches have been made to treat hypertensive individuals. Banana is a well known tropical fruit with little known anti hypertensive properties. The objective of this research was to investigate changes in blood pressure after consuming banana among the hypertensive individuals. Methods A cross-sectional study design was used to conduct this research. Data was collected by questionnaire and personal interviewing. Two ripened bananas (Musa acuminata were provided to each subject for 20 days. Blood pressures of the participants were taken before and after the experimentation. Results Most of the subjects were in the age group >60 years followed by 30-40 years and 51-60 years. 57.1% of the respondents were female. Noticeable changes observed in the pre and post experimentation results. Systolic and diastolic blood pressure was significantly decreased after banana consumption. Conclusion Results of this research strongly supports that banana contains phytochemicals, thus its intake significantly reduces blood pressure among hypertensive individuals. However, more clinical studies in human are still required that may provide evidence of efficacy.

  8. Alcohol consumption among students - a cross-sectional study at three largest universities in Serbia

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    Višnjić Aleksandar

    2015-01-01

    Full Text Available Introduction. The prevalence of unhealthy alcohol use among university students is increasing in many countries. Objective. The aim of the study was to investigate alcohol consumption and alcohol-related knowledge, attitudes and risky behaviors among Serbian university students. Methods. The cross-sectional study was carried out at the three state universities from January to June in the academic year 2009/2010 and included 2,285 students of both genders. The students filled out a questionnaire consisting of 70 questions with respect to demographic and socioeconomic characteristics, their lifestyle habits, styles and attitudes, health assessment, as well as exposure to different risk factors. Results. It was found that 77.7% of students drank alcohol occasionally, 4.6% of them consumed it on a daily basis. Friedman’s test (p<0.001 showed that students prefer drinking beer to all other alcoholic beverages. Students in Belgrade and students of Technical faculties are undisputed champions when it comes to how often they drink six or more drinks on a single occasion. Older students in Serbia drink more and get drunk more frequently. Conclusion. A high percentage of Serbian students consume alcohol, and even though they have their first drink at an early age, they generally drink less than students in many other countries.

  9. Thyroid Diseases in Omani Type 2 Diabetics: A Retrospective Cross-Sectional Study

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    Sanaa Al-Sumry

    2015-01-01

    Full Text Available Background. Diabetes mellitus and thyroid diseases are common endocrine disorders in the general population and found to exist simultaneously. This study aimed to establish the prevalence of thyroid dysfunction among Omani type 2 diabetics and its association with glycemic control. Methodology. A retrospective cross-sectional randomized primary and secondary care based study of 285 Omani type 2 diabetics, ≥ 30 years of age with known thyroid function. The following parameters were examined: age, sex, duration of diabetes, duration of thyroid disease, thyroid morphology, thyroid function, thyroid antibodies, and the mean glycated hemoglobin (mean HbA1C. The prevalence of thyroid dysfunction was compared to an independent control group of randomly selected healthy individuals with known thyroid function. Results. Thyroid dysfunction was found in 12.6% of the diabetic patients compared to 4.9% in the control group. The prevalence was higher among the diabetic females (86% compared to diabetic males (14%. The commonest thyroid dysfunction among diabetics was overt hypothyroidism (4.6%. Subclinical hypothyroidism was the commonest thyroid dysfunction seen in less controlled diabetics at a mean HbA1c of 7.8 (± 0.7. Conclusion. Screening for thyroid dysfunction in patients with type 2 diabetes mellitus should be routinely performed considering the higher prevalence of thyroid diseases in this group compared to the general population.

  10. Noise Annoyance in Urban Children: A Cross-Sectional Population-Based Study

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    Grelat, Natacha; Houot, Hélène; Pujol, Sophie; Levain, Jean-Pierre; Defrance, Jérôme; Mariet, Anne-Sophie; Mauny, Frédéric

    2016-01-01

    Acoustical and non-acoustical factors influencing noise annoyance in adults have been well-documented in recent years; however, similar knowledge is lacking in children. The aim of this study was to quantify the annoyance caused by chronic ambient noise at home in children and to assess the relationship between these children′s noise annoyance level and individual and contextual factors in the surrounding urban area. A cross sectional population-based study was conducted including 517 children attending primary school in a European city. Noise annoyance was measured using a self-report questionnaire adapted for children. Six noise exposure level indicators were built at different locations at increasing distances from the child′s bedroom window using a validated strategic noise map. Multilevel logistic models were constructed to investigate factors associated with noise annoyance in children. Noise indicators in front of the child′s bedroom (p ≤ 0.01), family residential satisfaction (p ≤ 0.03) and socioeconomic characteristics of the individuals and their neighbourhood (p ≤ 0.05) remained associated with child annoyance. These findings illustrate the complex relationships between our environment, how we may perceive it, social factors and health. Better understanding of these relationships will undoubtedly allow us to more effectively quantify the actual effect of noise on human health. PMID:27801858

  11. Schizophrenia and periodontal disease: An oro-neural connection? A cross-sectional epidemiological study

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    Shreya Shetty

    2014-01-01

    Full Text Available Background: Schizophrenia is a psychosis characterized by delusions and hallucinations occurring in clear consciousness. Studies have shown that the cytokines may modulate dopaminergic metabolism and schizophrenic symptomatology in schizophrenia. Cytokine involvement in periodontal disease is also well documented. To date, however, there has been relatively little research assessing periodontal status of patients with schizophrenia. The present study was therefore mainly intended to understand the exact link, if any, between periodontal disease and schizophrenia. Materials and Methods: A total of 250 schizophrenic patients (140 males and 110 females, between 25 and 55 years of age, were selected from the out patient department of National Institute of Mental Health and Neural Sciences, Bangalore and their periodontal status was assessed as part of this cross-sectional epidemiological survey. Results: ANOVA showed that there was increased evidence of poor periodontal condition, as evidenced by gingival index and plaque index in patients who had been schizophrenic for a longer duration of time (P < 0.001. So also, higher probing pocket depths were found in schizophrenics suffering from a longer period of time than others (P < 0.001. Conclusions: Although oral neglect might be a cause of poor periodontal health in schizophrenics, the possible link between periodontal diseases giving rise to schizophrenia cannot be overlooked due to the presence of cytokine activity which is present both in schizophrenia and periodontal disease.

  12. Young Children's Ritualistic Compulsive-Like Behavior and Executive Function: A Cross Sectional Study.

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    Zohar, Ada H; Dahan, Dana

    2016-02-01

    The goal of this study was to test whether the development of executive function in young children could add to the explained variance in child ritualistic behavior beyond child and maternal traits previously found to have explanatory power. Routinized, ritualistic behavior is common and normative in young children between the ages of 2 and 5, after which it subsides. In this cross-sectional study, maternal reports on 1345 children between the ages of 2 and 6 included child variables such as temperament, fears, and behavioral problems. Mother's characteristics included perfectionism, her attachment style, and trait anxiety. The sample included ultra-orthodox families, an understudied minority, and thus it was possible to compare their ritualistic behavior with that of children from other rearing environments. Ultraorthodox children had more ritualistic behavior than age-matched children. This finding offers support for an environmental influence on level of ritualistic behavior in children. For the entire sample, we found that young children's ritualistic behavior was associated with shy and emotional temperament, fears, pervasive developmental behavioral problems, and that executive function delays in shifting and emotion regulation had an additional contribution. Ritualistic child behavior was only weakly related to maternal variables. The results were consistent with a maturational process for the trajectory of ritualistic behavior, rather than with an environmentally induced behavior. The development of executive function may be the process mediating the decline of ritualistic behavior over development.

  13. Internalized stigma among patients with schizophrenia in Ethiopia: a cross-sectional facility-based study

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    Assefa Dereje

    2012-12-01

    Full Text Available Abstract Background Despite the potential impact on treatment adherence and recovery, there is a dearth of data on the extent and correlates of internalized stigma in patients with schizophrenia in low income countries. We conducted a study to determine the extent, domains and correlates of internalized stigma amongst outpatients with schizophrenia in Ethiopia. Methods The study was a cross-sectional facility-based survey conducted at a specialist psychiatric hospital in Addis Ababa, Ethiopia. Consecutive consenting individuals with a diagnosis of schizophrenia were recruited and assessed using an Amharic version of the Internalized Stigma of Mental Illness (ISMI scale. Results Data were collected from 212 individuals, who were mostly single (71.2%, unemployed (70.3% and male (65.1%. Nearly all participants (97.4% expressed agreement to at least one stigma item contained in the ISMI; 46.7% had a moderate to high mean stigma score. Rural residence (OR = 5.67; 95% CI = 2.30, 13.00; p  Conclusion Internalized stigma is a major problem among persons with schizophrenia in this outpatient setting in Ethiopia. Internalized stigma has the potential to substantially affect adherence to medication and is likely to affect the recovery process.

  14. Are Nutritional Care Adequate for Elderly Hospitalized Patients? A Cross-Sectional Study

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    Helene Kjøllesdal Eide

    2016-12-01

    Full Text Available This article assesses nutritional care in identifying and treating nutritional risk in elderly hospitalized patients. A cross-sectional study was conducted at a large Norwegian University hospital in the period 2011 to 2013. Data on nutritional risk and care for elderly patients (≥70 years without dementia were collected at 20 wards by 173 second-year nursing students in acute-care clinical studies. A stratified sampling technique was utilized to improve the representativeness of the sample. In total, 508 patients (48.8% women with a mean age of 79.6 years participated. The internationally and nationally recommended nutritional care was not implemented at the hospital, suggesting that nutritional care for elderly hospitalized patients was not adequate. This implies that the majority of the elderly patients nutritionally at risk are neither identified nor treated according to their needs. The article highlights the importance of having systematic nutritional care practices to make it possible for the hospital ward staff to routinely identify nutritional risk and initiate appropriate nutritional treatment measures.

  15. Nativity and Serum Concentrations of Antioxidants in Mexican American Children: A Cross-Sectional Study

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    Kamal Eldeirawi

    2014-04-01

    Full Text Available There is limited research on the effect of immigration on biological markers of nutrition among children of Mexican origin in the United States. The purpose of this cross-sectional study was to examine data from the Third National Health and Nutrition Examination Survey (NHANES III (1988–1994, on a national and representative sample of 1559 Mexican American children, 4–16 years of age, and assess the associations of country of birth with serum concentrations of carotenoids, vitamin A, and vitamin E. In multiple regression analyses, Mexico-born Mexican American children had significantly higher serum concentrations of α-carotene, β-carotene, β-cryptoxanthin, lutein/zeaxanthin, vitamin A, and vitamin E than their counterparts who were born in the United States after adjustment for age, sex, poverty income ratio, level of education of family reference person, body mass index, total serum cholesterol, serum cotinine, total energy intake, and vitamin/mineral consumption. Our findings confirm evidence for a negative effect of immigration/acculturation on dietary quality in this population. These findings also suggest that immigrant Mexican families should be encouraged to maintain their consumption of fruits and vegetables. Prospective studies are needed to further assess the effects of immigration/acculturation on diet and other health outcomes in children of Mexican origin and immigrants.

  16. Prevalence of Iron deficiency anemia in children with liver cirrhosis: A cross-sectional study

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    Zareifar, Soheila; Dehghani, Seyed Mohsen; Rahanjam, Najmeh; Farahmand Far, Mohammad Reza

    2015-01-01

    Background: Among the many complications reported for cirrhosis, iron deficiency anemia (IDA) has attracted much attention. This type of anemia, in contrast to other types of anemia, is easy to treat prophylactically, but if left untreated can lead to a poor quality of life. The aim of this study was to estimate the hemoglobin and serum iron levels among patients with liver cirrhosis for the early diagnosis of IDA and to avoid unnecessary testing and iron supplementation. Subjects and Methods: In this cross-sectional study, 88 children diagnosed with cirrhosis were included, and the values of hemoglobin, serum iron levels and relationship between serum iron (SI), total iron-binding capacity (TIBC), prothrombine time (PT), international normalization ratio (INR), total and direct bilirubin and hepatic enzymes were estimated using paired t test, Mann-Whitney, Chi-square and Kruskal-Wallis tests. Results: Forty-six (52.3%) of 88 children were girls and 42 (47.7%) were boys. Forty-eight (54.5%) patients had anemia and 8 (9%) had iron deficiency anemia (5 boys, 5.6%, and 3 girls, 3.4%). No relationships were observed between iron deficiency anemia and the patient’s age or gender, whereas there was a relationship between iron deficiency and severity and duration of the disease, although the correlation was not statistically significant. Conclusion: The high frequency of iron deficiency anemia in children with cirrhosis (9%) suggests that timely screening should be used for early diagnosis and treatment. PMID:26261697

  17. Attitudes of Australian chiropractic students toward whole body donation: a cross-sectional study.

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    Alexander, Michelle; Marten, Mathew; Stewart, Ella; Serafin, Stanley; Štrkalj, Goran

    2014-01-01

    Cadavers play an important role in anatomy education. In Australia, bodies for anatomy education are acquired only through donations. To gain insight into educational dynamics in an anatomy laboratory as well as to facilitate body donation programs and thanksgiving ceremonies, it is important to understand students' attitudes toward body donation. In this cross-sectional study, the attitudes of Macquarie University's first, second, and fifth year chiropractic students toward body donation were investigated. Macquarie University chiropractic students have a four semester long anatomy program, which includes cadaver-based instruction on prosected specimens. A questionnaire was used to record respondents' demographics and attitudes toward body donation: personal, by a relative, and by a stranger. It was found that ethnicity and religion affect attitudes toward body donation, with Australian students being more willing to donate a stranger's body and atheists and agnostics being more willing to donate in general. Furthermore, willingness to donate one's own or a family member's body decreases as year of study increases, suggesting a possible negative impact of exposure to cadavers in the anatomy laboratory. This was only true, however, after controlling for age. Thus, the impact of viewing and handling prosected specimens, which is the norm in anatomy classes in Australia, may not be as strong as dissecting cadavers. It is suggested that anatomists and educators prepare students for cadaver-based instruction as well as exhibit sensitivity to cultural differences in how students approach working with cadavers, when informing different communities about body donation programs and in devising thanksgiving ceremonies.

  18. A cross-sectional study to assess the effect of dental fluorosis on periodontal status

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    Amandeep Chopra

    2016-01-01

    Full Text Available Introduction: The effect of fluoride in the reduction of dental caries is well established, its effect on periodontal tissues is enigmatic. Aim: The aim of this study is to investigate the association between dental fluorosis and the periodontal status. Materials and Methods: A cross-sectional study was conducted on a sample of 600 subjects suffering from fluorosis. Variables such as age, gender, and smoking, which could act as covariates for the periodontal disease were recorded. The oral examination included assessment of oral hygiene index-simplified (OHI-S, community periodontal index and treatment need, and assessment of dental fluorosis by Jackson's fluorosis index. Results: Periodontitis was more common in females than in males. As the age advances, the rate of periodontal disease increases steadily. Periodontitis was significantly associated with poor oral hygiene and tobacco usage. As the degree of fluorosis increased, the severity of gingivitis reduced and periodontitis increased. Conclusion: There is a strong association between the degree of dental fluorosis and periodontal disease along with other factors such as age, gender, OHI-S, and tobacco usage.

  19. Stages of chronicity in fibromyalgia and pain catastrophising: a cross-sectional study

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    Roca Miquel

    2010-10-01

    Full Text Available Abstract Background Fibromyalgia (FM is a prevalent and disabling disorder characterised by widespread pain and other symptoms such as insomnia, fatigue and depression. Catastrophisation is considered to be a key clinical symptom in FM; however, few studies have investigated how contextual factors, such as catastrophisation, might contribute to the duration of the pain. The present research examined the relationship among pain, catastrophic thinking and FM impact, as a function of stage of chronicity. Methods In this cross-sectional study, the sample of 328 patients diagnosed with FM was divided into 3 groups based on level of chronicity: Group A (6 months to 2 years, N = 46; Group B (2-4 years, N = 59; and Group C (more than 4 years, N = 223. The three subscales of the Pain Catastrophising Scale (PCS, rumination, magnification, and helplessness, were used as predictors of dysfunction. The Fibromyalgia Impact Questionnaire and the McGill Pain Questionnaire were also administered. A hierarchical regression analysis was performed on the entire sample and, subsequently, for each group to determine the effect of the continuous process variables (castastrophising and pain on the stages of chronicity. Results Total score and PCS subscales were strongly associated with pain and impact in all the stages of chronicity in FM patients (r = 0.27-0.73, p Conclusion These findings provide preliminary evidence that stage of chronicity is an important moderator of psychological vulnerability for FM impact and should be taken into account by tailoring psychological interventions.

  20. SEXUAL DIMORPHISM OF CLAVICLE IN SOUTH INDIAN POPULATION: A CROSS SECTIONAL STUDY

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    Bindhu.S

    2015-09-01

    Full Text Available Introduction: Estimation of sex is the ground for an exact identification of unknown human skeletal elements. Methods for sex assessment are based on the existence of morphological features in the skeleton that manifest differently according to sex or statistical differences in skeletal measurements. Due to the specific pattern of ontogeny and age related changes of sterna articular surface during adulthood the clavicle is widely used in the estimation of sex at death and in living people. Objectives: To evolve an easily applied formula to enable the assessment of sex in unknown clavicles and to document the comparative differences between right and left clavicles by using metrical parameters. Materials and Methods: The cross sectional study was conducted in the department of Anatomy, Yenepoya Medical college, Mangalore. The present study was conducted in 50 adult dry clavicle.Maximum clavicular length, maximum breadth of sterna end ,maximum breadth of acromial end and acromial surface area were measured by digital caliper and osteometric board. Results: The maximum length of clavicle ( was statistically significant when compared with the clavicle of females. The other values like breadth of sternal end, breadth of acromial end and acromial surface area were greater in males when compared to females. Conclusion: Determination of sex the clavicle has a great medicolegal importance to the forensic people. And it also help the orthopedic implant manufactures and orthopedic surgeons to decide correct size and shape of plates and intramedullary nails for clavicular fractures in open reduction method.

  1. Workload, burnout, and medical mistakes among physicians in China: A cross-sectional study.

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    Wen, Jin; Cheng, Yongzhong; Hu, Xiuying; Yuan, Ping; Hao, Tianyou; Shi, Yingkang

    2016-02-01

    The purpose of this study is to determine the prevalence of burnout among different grade hospitals and to examine if a relation exists between burnout and medical mistakes. A multi-center cross-sectional survey was conducted. Physicians were interviewed in hospitals from 10 provinces in China. Burnout was measured using the Chinese version of the Maslach Burnout Inventory-General Survey. Overall, 1,537 physicians were included in this study. Of these, 76.9% reported some burnout symptoms or serious burnout symptoms and 54.8% reported committing medical mistakes during the last year. 39.6%, 50.0%, and 59.5% of the respondents in primary, secondary, and tertiary hospitals respectively reported having made mistakes over the course of the previous year. Multivariate analysis demonstrated that being female was protective against medical mistakes (OR = 0.72, 95% CI: 0.58-0.89), whereas physician-reported 60 or more work hours per week (OR = 1.65, 95% CI: 1.22-2.22), and physicians who reported serious burnout (OR = 2.28, 95% CI: 1.63-3.17) were independently associated with higher incidence of medical mistakes. In conclusion, Chinese physicians reported high workloads, high rates of burnout and high medical mistakes. Physicians in tertiary hospitals were especially overworked and suffered the most serious burnout. Longer work hours per week, and burnout were the independent risk factors for medical mistakes.

  2. Working and Environmental Factors on Job Burnout: A Cross-sectional Study Among Nurses

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    Galletta, Maura; Portoghese, Igor; Ciuffi, Marta; Sancassiani, Federica; Aloja, Ernesto D'; Campagna, Marcello

    2016-01-01

    Background: Burnout is a problem that impacts on the staff management costs and on the patient care quality. Objective: This work aimed to investigate some psychosocial factors related to burnout. Specifically, we explored the sample characteristics for moderate/high emotional exhaustion, cynicism and professional inefficacy, as well as the relationship between both working and environmental variables and burnout. Method: A cross-sectional study involving 307 nurses from one Italian hospital was carried out. A self-reported questionnaire was used to collect data. Data analysis was performed by using SPSS 19.0. Results: The results showed that there was a significant difference between nurses with low and moderate/high burnout in all the three components in almost all the examined organizational variables. In addition, we found that the aspects of working life had a significant impact on the three dimensions of burnout. Conclusions: The findings of this study not only can provide useful basis for future research in the field, but also can offer practical suggestions for improving nursing practice and promote effective workplace, thus reducing the risk burnout among nurses. PMID:27990173

  3. Medical Student Knowledge of Neglected Tropical Diseases in Peru: A Cross-Sectional Study.

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    Errea, Renato A; Vasquez-Rios, George; Machicado, Jorge D; Gallardo, Maria Susana; Cornejo, Marilhia; Urquiaga, Jorge F; Montoya, Diego; Zamudio, Rodrigo; Terashima, Angelica; Marcos, Luis A; Samalvides, Frine

    2015-11-01

    In developing countries, education to health-care professionals is a cornerstone in the battle against neglected tropical diseases (NTD). Studies evaluating the level of knowledge of medical students in clinical and socio-demographic aspects of NTD are lacking. Therefore, a cross-sectional study was conducted among students from a 7 year-curriculum medical school in Peru to assess their knowledge of NTD by using a pilot survey comprised by two blocks of 10 short questions. Block I consisted of socio-demographic and epidemiological questions whereas block II included clinical vignettes. Each correct answer had the value of 1 point. Out of 597 responders (response rate: 68.4%), 583 were considered to have valid surveys (male:female ratio: 1:1.01; mean age 21 years, SD ± 2.42). Total knowledge showed a raising trend through the 7-year curriculum. Clinical knowledge seemed to improve towards the end of medical school whereas socio-demographic and epidemiological concepts only showed progress the first 4 years of medical school, remaining static for the rest of the curricular years (p = 0.66). Higher mean scores in socio-demographic and epidemiological knowledge compared to clinical knowledge were seen in the first two years (pPeru where many people are affected by these preventable and treatable diseases.

  4. Cigarette smoking during pregnancy in two regions:cross-sectional study

    Institute of Scientific and Technical Information of China (English)

    Marcel Leppe; Josip Culig; Mirela Eric

    2012-01-01

    Objective:To assess the prevalence of cigarette smoking in pregnancy, and the rate of congenital malformations in children at in utero exposure.Methods:The trial was designed as a cross-sectional study to measure exposure of pregnant women to adverse influence of smoking and their health status.The study consists of two arms: one was conducted at fourZagreb maternity hospitals(Croatia) and the other at the same hospitals inNoviSad(Serbia).Results:Data analysis revealed the habit of cigarette smoking during pregnancy in829(11.9%) of6992(6099+893) women.Malformations were found in105(1.5%) fetuses and newborns.Major congenital malformations were present in4(0.6%), minor malformations in73(10.5%) and low birth weight in12(1.7%) newborns.In all these pregnant women smoked until becoming aware of pregnancy or during pregnancy.Tobacco smoking and congenital abnormalities that define the contingency table were not significantly related inZagreb(P=0.385), as well as inNoviSad(P=0.345). Conclusions:The proportion of pregnant women reporting cigarette smoking was quite similar in Zagreb andNoviSad.There is no statistically significant association between cigarette smoking and congenitalmalformations.

  5. Pesticide exposure, risk factors and health problems among cutflower farmers: a cross sectional study

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    Del Prado-Lu Jinky

    2007-09-01

    Full Text Available Abstract This was a cross-sectional study which aimed to determine associations between hematologic indices such as red blood cell cholinesterase (RBC and mean corpuscular volume (MCV, with illnesses related to pesticide exposure among cutflower farmers in La Trinidad, Benguet. One hundred two (102 randomly selected cutflower farmers underwent comprehensive, personal physical health and laboratory examinations and answered a questionnaire on work practices and illness. Majority were males (52% and most belonged to the 20–35 age group (45%. Majority of exposed farmers were symptomatic, with most common complaints being headache (48%, easy fatigability (46.1% and cough (40.2%. Analysis showed that RBC cholinesterase levels were positively associated with age (p = 0.02, and selling pesticide containers (p = 0.008. number of years of using pesticides (p = 0.022, use of contaminated cloth (p = 0.033, incorrect mixing of pesticides (p = 0.041, sex (p = 0.002 and illness due to pesticides (p = 0.005 were correlated with abnormal MCV. Significant associations were also found for hemoglobin, hematocrit, RBC, white blood cell (WBC and platelet count. Predictors of RBC cholinesterase were years of pesticide use (p = 0.037 and abnormalities on health (p = 0.029. The findings of the study can be used for information dissemination and pesticide reduction programs for the cutflower farmers.

  6. Mental health status and its predictors among call center employees: A cross-sectional study.

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    Oh, Hyunjin; Park, Heyeon; Boo, Sunjoo

    2017-03-15

    In this study, we assessed the mental health of Korean call center employees and investigated the potential predictors of their mental health status. A cross-sectional study using self-completing questionnaire was conducted for employees working for a credit card call center. A total of 306 call center employees completed the Depression Anxiety Stress Scale, the Emotion Labor Scale, and the Korean Occupational Stress Scale. The results showed that more than half of the participants reported high levels of depression, anxiety, and stress. A multiple regression analysis indicated that the total scores on the Depression Anxiety Stress Scale were predicted by perceived health, job satisfaction, job demands, organizational injustice, and emotional dissonance suggesting that, in the interest of improving the mental health of call center employees, their job demands and emotional dissonance should be reduced and the work environment be improved. Consideration should be given to providing routine assessments of mental health, including depression, anxiety, and stress, and the corresponding need for the development of an intervention program and other work-related policies that would protect employees from the risk of poor mental health outcomes.

  7. Occupational stress and mental health among correctional officers: a cross-sectional study.

    Science.gov (United States)

    Ghaddar, Ali; Mateo, Inmaculada; Sanchez, Pablo

    2008-01-01

    A harsh psychosocial environment in the workplace might cause adverse health events, but the association has not been well demonstrated in the penitentiary environment. This cross-sectional study was designed to explore the association between workplace psychosocial risks and the mental health of correctional officers in a Spanish penitentiary center. A self-administered questionnaire was distributed to correctional officers. A total of 164 responded anonymously (response rate 43%). The SF36 survey was used to measure mental health and ISTAS21 (Spanish version of Copenhagen Psychosocial Questionnaire) was used to measure exposure to workplace psychosocial conditions. Low scores were obtained for mental health, high scores were obtained for psychological demands, low self-esteem, and low control and influence and moderate scores for low social support, double exposure, and insecurity at work. A linear regression analysis was constructed to study the influence of workplace psychosocial conditions (independent variables) on mental health (dependent variable). The effect was adjusted for sex, age, seniority, and occupational group. Psychological demands (highest impact), low control and influence, and double exposure had significant inverse associations with mental health. The association between low social support, low self-esteem, and insecurity at work with mental health was insignificant. Psychosocial work conditions are a potential target for mental health promotion programs at work.

  8. Patients’ Dignity and Its Relationship with Contextual Variables: A Cross-Sectional Study

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    Zirak, Mohammad; Ghafourifard, Mansour; Aliafsari Mamaghani, Ebrahim

    2017-01-01

    Introduction: Dignity is considered as fundamental human needs and recognized as one of the central concepts in nursing science. The aim of this study was to assess the extent to which patients’ dignity is respected and to evalutae its relationship with contextual variables. Methods: This cross-sectional study was conducted on 256 hospitalized patients in the two teaching hospitals affiliated to Zanjan University of medical sciences, Iran. Data were collected by a questionnaire consist of two sections: (a) demographic characteristics, and (b) patient dignity including 32 questions. Data were analyzed by SPSS (ver.13) software using independent t-test, ANOVA and Pearson correlation. Results: The result showed that the mean (standard deviation) of total score of patient’s dignity was 108.17 (25.28). According to the result, the majority of the respondents (76.2%) were not aware of patient’s rights. There was a significant difference in mean scores of total dignity between single and married persons, living in city or village, and hospitalization in Moosavi and Valiasr hospital. Conclusion: Health care systems should take the provision of the patients' dignity into account through using a comprehensive educational program for informing of patient, family members, and health professionals about patients’ dignity. PMID:28299297

  9. A cross-sectional study of food group intake and C-reactive protein among children

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    Moore Lynn L

    2009-10-01

    Full Text Available Abstract Background C-reactive protein (CRP, a marker of sub-clinical inflammation, is a predictor of future cardiovascular diseases. Dietary habits affect serum CRP level however the relationship between consumption of individual food groups and CRP levels has not been established. Methods This study was designed to explore the relation between food intake and CRP levels in children using data from the cross-sectional 1999-2002 National Health and Nutrition Examination Surveys. CRP level was classified as low, average or high (3.0 mg/L, respectively. Adjusted mean daily intakes of dairy, grains, fruit, vegetables, and meat/other proteins in each CRP category were estimated using multivariate analysis of covariance modeling. The effect modification by age (5-11 years vs. 12-16 years, gender and race/ethnicity was explored. We examined whether total or central body fat (using BMI Z-scores and waist circumference explained any of the observed associations. Results A total of 4,010 children and adolescents had complete information on diet, CRP and all covariates of interest and were included in the analyses. Individuals with high CRP levels had significantly lower intake of grains (p Conclusion Children and adolescents with higher CRP levels had significantly lower intakes of grains and vegetables. The associations between selected childhood dietary patterns and CRP levels seem largely mediated through effects on body composition.

  10. Ice cream headache in students and family history of headache: a cross-sectional epidemiological study.

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    Zierz, Antonia Maria; Mehl, Theresa; Kraya, Torsten; Wienke, Andreas; Zierz, Stephan

    2016-06-01

    Headache attributed to ingestion of a cold stimulus (ICHD-3 beta 4.5.1) is also known as ice cream headache (ICH). This cross-sectional epidemiological study included 283 students (10-14-year-olds) attending a grammar school in Germany, their parents (n = 401), and 41 teachers. A self-administered questionnaire was used to analyze the prevalence and characteristics of ICH based on the ICHD classification. Additionally, the association between ICH and other headaches was investigated in students and parents. Prevalence of ICH in students was 62 % without gender difference. In adults, only 36 % of females and 22 % of males reported ICH. There was an increased risk for ICH in students when mother (OR 10.7) or father (OR 8.4) had ICH. Other headaches in parents had no influence on the prevalence of ICH in students. However, in the groups of students and parents itself there was a highly significant association between ICH and other headaches (students: OR 2.4, mothers: OR 2.9, fathers: OR 6.8). There was a decreased risk for ICH when parents and students had no headache at all (OR < 0.4). ICH in students clearly shows a familial disposition by both father and mother. There was also an association between ICH and other headaches within the student and adult groups. The absence of headache history seems to be a protective factor for ICH.

  11. Childhood caries in the state of Kentucky, USA: a cross-sectional study

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    Kandel Elizabeth A

    2012-09-01

    Full Text Available Abstract Background Untreated dental caries afflicts almost one third of school-aged children in the United States and many of them are from disadvantaged families. This cross-sectional study was undertaken to investigate the prevalence of untreated caries in north central Kentucky, USA and to examine the relationships between the available demographic variables and untreated childhood caries as reported on the forms from the Smile Kentucky! program. Methods During the fall of 2008, caries status was assessed during the visual oral screening examination component of “SmileKentucky!”– a model of the American Dental Association’s Give Kids A Smile program. Parents had completed brief surveys concerning 3,488 elementary school children aged 5 to 13 years who participated in the program. A secondary analysis was conducted using univariate, bivariate and multivariate statistical methods. Results Untreated caries was reported in 33% of children. Bivariate and logistic regression analyses found that the most significant risk factors for having untreated caries were living in the metropolitan Louisville, Kentucky area, not having had a dental visit in the previous 3 years and not having any form of dental insurance. Conclusions Untreated caries in elementary school children is prevalent in north-central Kentucky despite efforts to improve access to care. The results suggest that additional family and community preventive initiatives are needed to reduce the development of childhood caries in this area of the United States.

  12. Gestational Hypertension and Organophosphorus Pesticide Exposure: A Cross-Sectional Study

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    Caterina Ledda

    2015-01-01

    Full Text Available Hypertension is the most common medical problem encountered during pregnancy, complicating 2-3% of pregnancies. High blood pressure (BP with diastolic BP ≥ 90 mm Hg and/or systolic BP ≥ 140 mm Hg arising after week 22 of pregnancy and resolving after delivery is defined as gestational hypertension (GHY. The aim of this cross-sectional study was to investigate whether occupational and/or environmental exposure to organophosphorus (OP pesticide affects GHY. Women at approximately 22 weeks of gestation were recruited. OP pesticide exposure in the first trimester of pregnancy was classified into four categories: no exposure, indirect exposure, domestic exposure, and occupational exposure. Application of the exclusion criteria left 2203 participants (mean age 30.4 ± 11.6 years. Data analysis showed that in women with indirect OP pesticide exposure the incidence of GHY was slightly higher than that in the world population, whereas domestic exposure involved a 7% increase and occupational exposure a 12% increase. Analysis of the pesticides used by participants highlighted a possible role for malathion and diazinon (adjusted OR 1.09 and 1.14, resp.. Further investigation of exposed workers and the general population is clearly warranted given the broad diffusion of OP pesticides and their possible public health impact, maybe by including a wider range of health outcomes.

  13. Relative deprivation, poverty, and subjective health: JAGES cross-sectional study.

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    Saito, Masashige; Kondo, Katsunori; Kondo, Naoki; Abe, Aya; Ojima, Toshiyuki; Suzuki, Kayo

    2014-01-01

    To evaluate the association between relative deprivation (lacking daily necessities) and subjective health in older Japanese adults, we performed a cross-sectional analysis using data from the Japan Gerontological Evaluation Study (JAGES). The data were obtained from functionally independent residents aged ≥65 years from 24 municipalities in Japan (n = 24,742). Thirteen items in three dimensions were used to evaluate relative deprivation of material conditions. Approximately 28% of older Japanese people indicated that they lacked some daily necessities (non-monetary poverty). A two-level Poisson regression analysis revealed that relative deprivation was associated with poor self-rated health (PR = 1.3-1.5) and depressive symptoms (PR = 1.5-1.8) in both men and women, and these relationships were stronger than those observed in people living in relative poverty (monetary poverty). The interaction effect between relative deprivation and relative poverty was not associated with poor health. As a dimension of the social determinants of health, poverty should be evaluated from a multidimensional approach, capturing not only monetary conditions but also material-based, non-monetary conditions.

  14. Communicating Ebola through social media and electronic news media outlets: A cross-sectional study.

    Science.gov (United States)

    Househ, Mowafa

    2016-09-01

    Social media and electronic news media activity are an important source of information for the general public. Yet, there is a dearth of research exploring the use of Twitter and electronic news outlets during significant worldly events such as the recent Ebola Virus scare. The purpose of this article is to investigate the use of Twitter and electronic news media outlets in communicating Ebola Virus information. A cross-sectional survey of Twitter data and Google News Trend data from 30 September till 29 October, 2014 was conducted. Between 30 September and 29 October, there were approximately 26 million tweets (25,925,152) that contained the word Ebola. The highest number of correlated activity for Twitter and electronic news outlets occurred on 16 October 2014. Other important peaks in Twitter data occurred on 1 October, 6 October, 8 October, and 12 October, 2014. The main influencers of the Twitter feeds were news media outlets. The study reveals a relationship between electronic news media publishing and Twitter activity around significant events such as Ebola. Healthcare organizations should take advantage of the relationship between electronic news media and trending events on social media sites such as Twitter and should work on developing social media campaigns in co-operation with leading electronic news media outlets (e.g. CNN, Yahoo, Reuters) that can have an influence on social media activity.

  15. Cross-sectional study on AIDS knowledge and condom use in rural areas

    Institute of Scientific and Technical Information of China (English)

    Huang Na; Cheng Yi-min; Li Ying; Guo Xin; Wu Jun-qing; Ru Xiao-mei

    2005-01-01

    Objective: To understand AIDS knowledge and condom use in rural areas, and to analyze the influencing factors of condom use. Methods: This is a cross-sectional study using the cluster-sampling method. 4,800 subjects, randomly selected from six counties in China, were questioned using an anonymous survey. Results: 36% of the subjects knew that tooth extraction could transmit AIDS. 38.4% of the subjects knew that the use of public razors could transmit AIDS. 27.1% of the subjects had used a condom in the last year. The influencing factors of condom use were: sex (OR=1.325), age (OR=1.419), AIDS counseling (OR=2.181), educational level (OR=0.622), location of registered permanent residence (OR=0.732), AIDS knowledge score (OR=0.736), and resident of high AIDS prevalent province (OR=0.354). Conclusion: AIDS knowledge in rural areas is still lacking. The rate of condom use was very low. The main influencing factors of low condom use were being female, elderly, and no AIDS counseling. Higher educational level, registered permanent resident in town, high AIDS knowledge score, and resident of high AIDS prevalent provinces were the propitious factors for condom use.

  16. Sexual Maturation Pattern in Adolescent School Girls of Rural India: A Cross Sectional Study from Nagpur

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    Dr. Charuhas V Akre

    2013-09-01

    Full Text Available Background: Puberty is transformation of the child into an adult. It includes all the events of somatic and mental maturation. Secondary sex characters were also a part of this period. The objective was to assess the pattern of sexual maturation of adolescent school girls in rural India.Methods: This was a community based cross sectional study conducted among school children of Sevanand High school, Mahadula, Nagpur. 322 girls in the age group of 10-18 years were assessed for sexual maturation. The pubertal evaluation was made with reference to Tanner stages and grading was done as per Tanner’s scale. For statistical analysis, median and standard error along with 95% confidence interval (CI were calculated using Epi Info statistical package programme version 6.0 updated 2009. Statistical significance was assessed at a type I error rate of 0.05.Results: We found that pubertal changes appeared earlier in girls. The first to appear was breast development at a median age of 10.40 years. The last to appear was pubic hair development (PH5 at median age 16.87 years, the total time taken for complete sexual maturation being 6.38 years. Median age of menarche was found to be13.18 years.Conclusion: The pattern of sexual maturation in rural adolescent school children revealed that though puberty set in earlier in girls, but took longer time for complete maturation.

  17. Basic Competence of Intensive Care Unit Nurses: Cross-Sectional Survey Study

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    Riitta-Liisa Lakanmaa

    2015-01-01

    Full Text Available Critical care patients benefit from the attention of nursing personnel with a high competence level. The aim of the study was to describe and evaluate the self-assessed basic competence of intensive care unit nurses and related factors. A cross-sectional survey design was used. A basic competence scale (Intensive and Critical Care Nursing Competence Scale version 1, Likert scale 1–5, 1 = poor and 5 = excellent was employed among Finnish intensive care unit nurses (n=431. Intensive care unit nurses’ self-assessed basic competence was good (mean 4.19, SD 0.40. The attitude and value base of basic competence was excellent whereas experience base was the poorest compared to the knowledge base and skill base of intensive and critical care nursing. The strongest factor explaining nurses’ basic competence was their experience of autonomy in nursing care (F value 60.85, β 0.11, SE 0.01, and P≤0.0001. Clinical competence was self-rated as good. Nurses gave their highest competence self-ratings for ICU patient care according to the principles of nursing care. The ICU nurses also self-rated their professional competence as good. Collaboration was self-rated as the best competence. In basic and continuing education and professional self-development discussions it is meaningful to consider and find solutions for how to improve nurses’ experienced autonomy in nursing.

  18. Flat foot and associated factors among primary school children: A cross-sectional study

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    C.I. Ezema, MSc, MD

    2014-06-01

    Full Text Available Prevalence of flat foot and its associated personal characteristics among public primary school students was investigated. This cross-sectional study involved 474 public primary school students (253 females and 221 males between the ages of 6 and 10 years. Flat foot diagnosis was made using Staheli plantar index (PI, where values >1.15 were indicative of flat foot. The number of children diagnosed with flat foot was 106, yielding a prevalence rate of 22.4%. Flexible flat foot accounted for 93 (87.7% of the positive diagnoses, whereas bilateral flat foot was present in 97 (91.5% of the cases. There was a significant relationship between higher prevalence of pes planus and older age, with the 6-year-old group showing the highest prevalence. Boys were twice as likely to be diagnosed with flat foot as girls, and obese participants were three and a half times more likely to have flat foot compared with those of normal weight. In summary, about one in every five public primary school children aged 6–10 years would be diagnosed with flat foot anomaly, and obesity further increased the risk. Preregistration flat foot screening, and periodic observation for onset of symptoms of progression, should be made available for primary school children.

  19. Metabolic profile at first-time schizophrenia diagnosis: a population-based cross-sectional study

    Science.gov (United States)

    Horsdal, Henriette Thisted; Benros, Michael Eriksen; Köhler-Forsberg, Ole; Krogh, Jesper; Gasse, Christiane

    2017-01-01

    Objective Schizophrenia and/or antipsychotic drug use are associated with metabolic abnormalities; however, knowledge regarding metabolic status and physician’s monitoring of metabolic status at first schizophrenia diagnosis is sparse. We assessed the prevalence of monitoring for metabolic blood abnormalities and characterized the metabolic profiles in people with a first-time schizophrenia diagnosis. Methods This is a population-based cross-sectional study including all adults born in Denmark after January 1, 1955, with their first schizophrenia diagnosis between 2000 and 2012 in the Central Denmark Region. Information on metabolic parameters was obtained from a clinical laboratory information system. Associations were calculated using Wilcoxon rank-sum tests, chi-square tests, logistic regression, and Spearman’s correlation coefficients. Results A total of 2,452 people with a first-time schizophrenia diagnosis were identified, of whom 1,040 (42.4%) were monitored for metabolic abnormalities. Among those monitored, 58.4% had an abnormal lipid profile and 13.8% had an abnormal glucose profile. People who had previously filled prescription(s) for antipsychotic drugs were more likely to present an abnormal lipid measure (65.7% vs 46.8%, Pmanagement. PMID:28280344

  20. Dental Students' Learning Experiences and Preferences Regarding Orofacial Pain: A Cross-Sectional Study.

    Science.gov (United States)

    Teich, Sorin T; Alonso, Aurelio A; Lang, Lisa; Heima, Masahiro

    2015-10-01

    Pain is a global health problem, the effects of which range from diminished quality of life to pain management costs and loss of work and productivity. Pain in the head and neck region is defined as a separate entity: orofacial pain (OFP). However, some graduates from dental schools have reported feeling less competent in their ability to diagnose OFP than in other areas of dentistry. The aims of this study were to assess how students at one U.S. dental school had learned about OFP and to identify the teaching methods and venues they would like to see enhanced in the school's OFP curriculum. A cross-sectional four-question survey was administered to 140 dental students in their third and fourth years; the survey had a response rate of 53%. Most students reported having gained their OFP knowledge mainly in dental school, and 91.9% selected didactic courses as the main teaching method in which they had learned about this topic. Clinical education was the main teaching venue these students said they would like to see enhanced in order to gain more knowledge in most forms of OFP; this result aligned with their learning preferences in general. These findings may help dental schools design their OFP curricula to take account of students' preferences as well as practical limitations regarding availability of clinical experiences.

  1. Adherence to Medication among Older Israeli Arabs: a Cross-Sectional Study

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    Merav Ben-Natan

    2013-01-01

    Full Text Available Objective.  To identify the factors that affect adherence to medication among older persons aged 65 and older in the Arab sector using an extended Theory of Reasoned Action. Design, Sample: A Cross-sectional questionnaire survey was conducted among convenience sample of 200 older persons in Israel aged 65 and older from the Israeli Arab sector who use prescription drugs. Measurments: The questionnaire was prepared by the researchers based on the literature review and the extended research model. Results. Research findings indicate that 80.5% of respondents fully adhere to medication. Respondents believe that medication is important and must be adhered to and they attribute much significance to the effect of significant others (physician, children on medication adherence. Moreover, adherence was found to decline with the rise in number of medications. Adherence also rises with lower functioning of respondents, who consequently receive more assistance with daily activities.  Conclusion.  The present study supports the use of an extended psychosocial theory for identifying factors affecting the medication adherence of older Arabs. It is very important to assess older persons' adherence to medication. Reevaluation of the number of medications prescribed, sources of assistance, and guidance for proper administration of medications, should be considered.

  2. HIV testing and tolerance to gender based violence: a cross-sectional study in Zambia.

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    Sara Gari

    Full Text Available This paper explores the effect of social relations and gender-based conflicts on the uptake of HIV testing in the South and Central provinces of Zambia. We conducted a community-based cross-sectional study of 1716 randomly selected individuals. Associations were examined using mixed-effect multivariable logistic regression. A total of 264 men (64% and 268 women (56% had never tested for HIV. The strongest determinants for not being tested were disruptive couple relationships (OR = 2.48 95% CI = 1.00-6.19; tolerance to gender-based violence (OR = 2.10 95% CI = 1.05-4.32 and fear of social rejection (OR = 1.48 95% CI = 1.23-1.80. In the Zambian context, unequal power relationships within the couple and the community seem to play a pivotal role in the decision to test which until now have been largely underestimated. Policies, programs and interventions to rapidly increase HIV testing need to urgently address gender-power inequity in relationships and prevent gender-based violence to reduce the negative impact on the lives of couples and families.

  3. A pilot cross-sectional study of patients presenting with cellulitis to emergency departments.

    LENUS (Irish Health Repository)

    Quirke, M

    2014-11-01

    To characterise the Emergency Department (ED) prevalence of cellulitis, factors predicting oral antibiotic therapy and the utility of the Clinical Resource Efficiency Support Team (CREST) guideline in predicting patient management in the ED setting, a prospective, cross-sectional study of consecutive adult patients presenting to 3 Irish EDs was performed. The overall prevalence of cellulitis was 12 per 1,000 ED visits. Of 59 patients enrolled, 45.8% were discharged. Predictors of treatment with oral antibiotics were: CREST, Class 1 allocation (odds ratio (OR) 6.81, 95% Cl =1.5-30.1, p=0.012), patient self-referral (OR= 6.2, 95% Cl 1.9- 20.0, p=0.03) and symptom duration longer than 48 hours (OR 1.2, 95% Cl = 1.0-1.5,p=0.049). In conflict with guideline recommendation, 43% of patients in CREST Class 1 received IV therapy. Treatment with oral antibiotics was predicted by CREST Class 1 allocation, self-referral, symptom duration of more than 48 hours and absence of pre-EO antibiotic therapy.

  4. ASSESSMENT OF FREE REFERRAL SERVICES UNDER JSSK IN DISTRICT GANDERBAL, KASHMIR : A CROSS SECTIONAL STUDY

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    Rifat

    2015-07-01

    Full Text Available BACKGROUND: Several initiatives by Government of India under NRHM have been put forth for better facilities to the pregnant women & sick new born babies in government institutions under the schemes like JSY & JSSK, in which free transport services are being provided. AIMS & OBJECTIVES: To assess the utilization of free referral services under JSSK in Ganderbal D istrict of Kashmir ( J & K. METHODOLOGY: A cross sectional study was conducted for a period of one y ear in district Ganderbal, in which 50% of the Sub centers were selected. 10 recently delivered mothers were chosen randomly from each sub center & a sample size of 230 beneficiary were chosen, who had delivered in previous six months. Results : 51.7% of r ecently delivered women were provided free ambulance services from home to the facility, & 68% were provided free service from facility to the home. The money by cheque was provided to 2.8% of the women only, who had hired a vehicle. RECOMMENDATIONS: Better fund flow and gaps in knowledge need to be filled for proper utilization of the services by the beneficiaries

  5. Suicidal ideation among medical students of Pakistan: a cross-sectional study.

    Science.gov (United States)

    Osama, Muhammad; Islam, Mohammad Yousuful; Hussain, Syed Ather; Masroor, Syed Muhammad Zia; Burney, Muhammad Usman; Masood, Muhammad Atif; Menezes, Ritesh G; Rehman, Razaur

    2014-10-01

    Few studies have investigated suicidal ideation among medical students in the developing world. We found only one report on suicidal ideation among medical students in Pakistan published in the year 2005. The present cross-sectional survey on suicidal ideation conducted in July 2013 involved 331 medical students of Dow University of Health Sciences, Karachi, Pakistan. In the past one year, suicidal ideation was found in 118 (35.6%) students. Forty-six (13.9%) of all the students had made a plan in their life time to commit suicide while 16 (4.8%) of the 331 students tried to commit suicide at some point of time in their life. More females than males pondered suicide while first year medical students formed the majority of those with suicidal ideation. The single greatest risk factor predisposing to suicidal ideation was substance abuse. This was followed jointly by parental neglect and previous psychiatric disorder. Campaigns against substance abuse and counseling of vulnerable students will help in eradicating suicidal intent.

  6. Nomophobia: A Cross-sectional Study to Assess Mobile Phone Usage Among Dental Students

    Science.gov (United States)

    Patthi, Basavaraj; Singla, Ashish; Gupta, Ritu; Saha, Sabyasachi; Kumar, Jishnu Krishna; Malhi, Ravneet; Pandita, Venisha

    2017-01-01

    Introduction Mobile phones were originally seen as a gadget for communication but currently, the internet enabled mobile phones have become an integral part of our daily life. Their benefits are incomparable but at the same time, they have some negative effects too. Aim To assess the pattern of usage of mobile phones and its effects on the academic performance of students. Materials and Methods A descriptive cross-sectional study was conducted amongst 554 students of D. J. College of Dental Sciences and Research through a self-administered questionnaire to collect the data regarding the usage and associated anxiety with mobile phone. Results About 39.5% students agreed that they score low marks in professional exams if they spend more time on phone. The number of students who frequently checked their cell phone during their classes or while doing clinical work were 24.7% . A total of 24.12% of the students were found to be nomophobic and at risk of being nomophobes were 40.97%. A statistically significant difference was found among preclinical, clinical, interns and postgraduates regarding the usage and effect of mobile phone on them. Conclusion The pattern of usage of mobile phone among dental students showed alarming indication that students have been addicted to mobile phone which in turn affect their academic performance in a negative way. It would be useful to advise the students about the controlled as well as proper usage of mobile phone. PMID:28384977

  7. Surgical and medical second trimester abortion in South Africa: A cross-sectional study

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    Lince Naomi

    2011-09-01

    Full Text Available Abstract Background A high percentage of abortions performed in South Africa are in the second trimester. However, little research focuses on women's experiences seeking second trimester abortion or the efficacy and safety of these services. The objectives are to document clinical and acceptability outcomes of second trimester medical and surgical abortion as performed at public hospitals in the Western Cape Province. Methods We performed a cross-sectional study of women undergoing abortion at 12.1-20.9 weeks at five hospitals in Western Cape Province, South Africa in 2008. Two hundred and twenty women underwent D&E with misoprostol cervical priming, and 84 underwent induction with misoprostol alone. Information was obtained about the procedure and immediate complications, and women were interviewed after recovery. Results Median gestational age at abortion was earlier for D&E clients compared to induction (16.0 weeks vs. 18.1 weeks, p Conclusions As currently performed in South Africa, second trimester abortions by D&E were more effective than induction procedures, required shorter hospital stay, had fewer major immediate complications and were associated with shorter delays accessing care. Both services can be improved by implementing evidence-based protocols.

  8. Association between Glucocorticoid-Induced Osteoporosis and Myasthenia Gravis: A Cross-Sectional Study.

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    Shingo Konno

    Full Text Available To investigate the association between glucocorticoid-induced osteoporosis and myasthenia gravis (MG using a cross-sectional survey in Japan.We studied 363 patients with MG (female 68%; mean age, 57 ± 16 years who were followed at six Japanese centers between April and July 2012. We evaluated the clinical information of MG and fractures, bone markers, and radiological assessment. Quality of life was measured using an MG-specific battery, MG-QOL15.Glucocorticoids were administered in 283 (78% of 363 MG patients. Eighteen (6% of 283 MG patients treated with prednisolone had a history of osteoporotic fractures. The duration of glucocorticoid therapy, but not the dose of prednisolone, was associated with the osteoporotic fractures in MG patients. Bone mineral density was significantly decreased in the MG patients with fractures. The multivariate analyses showed that the total quantitative MG score was the only independent factor associated with osteoporotic fractures (OR = 1.30, 95% CI 1.02-1.67, p = 0.03. MG patients who had experienced fractures reported more severe difficulties in activities of daily living.Glucocorticoid-induced osteoporosis aggravates quality of life in patients with MG.

  9. Shape control of QDs studied by cross-sectional scanning tunneling microscopy

    Energy Technology Data Exchange (ETDEWEB)

    Keizer, J. G.; Bozkurt, M.; Bocquel, J.; Koenraad, P. M. [Eindhoven University of Technology, Eindhoven (Netherlands)

    2011-05-15

    In this cross-sectional scanning tunneling microscopy study we investigated various techniques to control the shape of self-assembled quantum dots (QDs) and wetting layers (WLs). The result shows that application of an indium flush during the growth of strained InGaAs/GaAs QD layers results in flattened QDs and a reduced WL. The height of the QDs and WLs could be controlled by varying the thickness of the first capping layer. Concerning the technique of antimony capping we show that the surfactant properties of Sb result in the preservation of the shape of strained InAs/InP QDs during overgrowth. This could be achieved by both a growth interrupt under Sb flux and capping with a thin GaAsSb layer prior to overgrowth of the uncapped QDs. The technique of droplet epitaxy was investigated by a structural analysis of strain free GaAs/AlGaAs QDs. We show that the QDs have a Gaussian shape, that the WL is less than 1 bilayer thick, and that minor intermixing of Al with the QDs takes place.

  10. Hypoxia and oxidative stress markers in pediatric patients undergoing hemodialysis: cross section study

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    Hamed Enas A

    2012-10-01

    Full Text Available Abstract Background Tissue injury due to hypoxia and/or free radicals is common in a variety of disease processes. This cross-sectional study aimed to investigate effect of chronic kidney diseases (CKD and hemodialysis (HD on hypoxia and oxidative stress biomarkers. Methods Forty pediatric patients with CKD on HD and 20 healthy children were recruited. Plasma hypoxia induced factor-1α (HIF-1α, vascular endothelial growth factor (VEGF were measured by specific ELISA kits while, total antioxidant capacity (TAC, total peroxide (TPX, pyruvate and lactate by enzymatic/chemical colorimetric methods. Oxidative stress index (OSI and lactate/pyruvate (L/P ratio were calculated. Results TAC was significantly lower while TPX, OSI and VEGF were higher in patients at before- and after-dialysis session than controls. Lactate and HIF-1α levels were significantly higher at before-dialysis session than controls. Before dialysis, TAC and L/P ratio were lower than after-dialysis. In before-dialysis session, VEGF correlated positively with pyruvate, HIF-1α and OSI correlated positively with TPX, but, negatively with TAC. In after-dialysis session, HIF-1α correlated negatively with TPX and OSI; while, OSI correlated positively with TPX. Conclusions CKD patients succumb considerable tissue hypoxia with oxidative stress. Hemodialysis ameliorated hypoxia but lowered antioxidants as evidenced by decreased levels of HIF-1α and TAC at before- compared to after-dialysis levels.

  11. Upper gastrointestinal symptoms in autoimmune gastritis: A cross-sectional study.

    Science.gov (United States)

    Carabotti, Marilia; Lahner, Edith; Esposito, Gianluca; Sacchi, Maria Carlotta; Severi, Carola; Annibale, Bruno

    2017-01-01

    Autoimmune gastritis is often suspected for its hematologic findings, and rarely the diagnosis is made for the presence of gastrointestinal symptoms. Aims of this cross-sectional study were to assess in a large cohort of patients affected by autoimmune gastritis the occurrence and the pattern of gastrointestinal symptoms and to evaluate whether symptomatic patients are characterized by specific clinical features.Gastrointestinal symptoms of 379 consecutive autoimmune gastritis patients were systematically assessed and classified following Rome III Criteria. Association between symptoms and anemia pattern, positivity to gastric autoantibodies, Helicobacter pylori infection, and concomitant autoimmune disease were evaluated.In total, 70.2% of patients were female, median age 55 years (range 17-83). Pernicious anemia (53.6%), iron deficiency anemia (34.8%), gastric autoantibodies (68.8%), and autoimmune disorders (41.7%) were present. However, 56.7% of patients complained of gastrointestinal symptoms, 69.8% of them had exclusively upper symptoms, 15.8% only lower and 14.4% concomitant upper and lower symptoms. Dyspepsia, subtype postprandial distress syndrome was the most represented, being present in 60.2% of symptomatic patients. Univariate and multivariate analyses showed that age symptoms, in particular dyspepsia. Dyspepsia is strictly related to younger age, no smoking, and absence of anemia.

  12. Theoretical Studies on Expressions of Condensed-Phase Photoionization Cross Section

    Institute of Scientific and Technical Information of China (English)

    MA Xiao-Guang; WANG Mei-Shan; WANG De-Hua; QU Zhao-Jun

    2006-01-01

    A set of general expressions for photoionization cross sections of atoms or molecules embedded in a medium and a dielectric influence function are derived based on Maxwell's equations and the Beer-Lambert's law in this work.The applications are performed for the photoionization process of solid gold both in the Clausius-Mossotti (virtual cavity) model and the Glauber-Lewenstein (real cavity) model firstly. The results show that the present theoretical expressions of photoionization cross section can be used to describe the photoionization process of atoms in condensed matter properly.

  13. Cross-sectional small intestinal surveillance of maintenance hemodialysis patients using video capsule endoscopy: SCHEMA study

    Science.gov (United States)

    Hosoe, Naoki; Matsukawa, Shigeaki; Kanno, Yoshihiko; Naganuma, Makoto; Imaeda, Hiroyuki; Ida, Yosuke; Tsuchiya, Yoshitsugu; Hibi, Toshifumi; Ogata, Haruhiko; Kanai, Takanori

    2016-01-01

    Background and study aims: Small intestinal pathology in hemodialysis (HD) patients has been studied in only a small number of retrospective case series. One method for noninvasively surveying small intestinal disorders is video capsule endoscopy (VCE). The primary aim of this study was to investigate the prevalence of small intestinal abnormalities among asymptomatic maintenance HD outpatients using VCE. The secondary aim was to assess the clinical impact of these abnormalities. Patients and methods: This study consisted of two phases. In phase I, a cross-sectional study, a cohort of patients who received maintenance HD three times weekly at an outpatient hemodialysis clinic were studied using VCE. Phase II was a prospective cohort study with follow up for 1 year after VCE. Results: Fifty-six patients were enrolled in this study, and two were excluded from analysis due to capsule retention in the stomach. The prevalence of small bowel abnormalities in HD patients was 64.8 % (35/54) (95 % confidential interval 52.1 % – 77.6 %). Of 54 patients, 21 (38.9 %) had mucosal lesions, 10 (18.5 %) had vascular lesions, and 4 (7.4 %) had both lesion types. During the 1-year follow-up period, events occurred in four patients. A small bowel-associated event was observed in one patient, who underwent laparoscopy-assisted small intestinal partial resection 3 months after diagnosis by VCE. All patients in whom events were seen had small bowel abnormalities; no events were observed in the VCE-negative group. Conclusions: Although asymptomatic maintenance HD patients had a high prevalence of small bowel abnormalities (64.8 %), they did not have a high incidence of small bowel-associated events during the 1-year follow-up. PMID:27227120

  14. A CROSS - SECTIONAL STUDY ON PREVALENCE OF OVERWEIGHT & OBESITY AMONG THE MEDICAL STUDENTS AT KANNUR, KERALA

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    Girish

    2014-02-01

    Full Text Available BACKGROUND : Obesity is one of the major non - communicable diseases in recent decades leading to huge morbidity, mortality & economic losses. Obesity is perhaps the most prevalent form of malnutrition. Overweight and obesity are the fifth leading risk of global deaths. MATERIAL & METHODS : Study Design : A Cross - sectional descriptive study done in a medical college. Study Duration : February 15th to March 20th 2013 . Study Participants : Out of 400 medical students, purposively derived & randomly selected 200 students who were willing to participate and available during study period were enrolled in the study. Representation from all phases/batches o f MBBS course was ensured. Data Collection : By self - administered pre - tested & validated questionnaire. Height, Weight & Waist circumference was measured using standard instruments & procedures. Statistical analysis was done by applying proportions/percenta ges. RESULTS : Out of 200 students enrolled in the study, 43.5% were males and 56.5% were females. The overall prevalence of obesity according to BMI classification was 2.5%. The prevalence of obesity in males was 1% and 1.5% in females. The prevalence of overweight was 9%.28 (14% students were having increased waist circumference, which was more in females (8.5% when compared to males (5.5%. 60% of obese individuals & 61.1% of overweight individuals are having habit of eating heavy meals either daily or alternative days.80% of obese individuals and 50% of overweight individuals never used to do exercise . CONCLUSIONS : There is need for increasing the awareness, bringing motivation & attitudinal change even in medical students to eat balanced diet & to inc orporate physical activity in them to prevent them from suffering from the harmful effects of overweight & obesity

  15. The Association between Meditation Practice and Job Performance: A Cross-Sectional Study.

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    Koichiro Shiba

    Full Text Available Many previous studies have shown that meditation practice has a positive impact on cognitive and non-cognitive functioning, which are related to job performance. Thus, the aims of this study were to (1 estimate the prevalence of meditation practice, (2 identify the characteristics of individuals who practice meditation, and (3 examine the association between meditation practice and job performance. Two population-based, cross-sectional surveys were conducted. In study 1, we examined the prevalence of meditation practice and the characteristics of the persons practicing meditation; in Study 2, we examined the association between meditation practice and job performance. The outcome variables included work engagement, subjective job performance, and job satisfaction. The Utrecht Work Engagement Scale was used to assess work engagement, the World Health Organization Health and Work Performance Questionnaire (HPQ was used to measure subjective job performance, and a scale developed by the Japanese government was used to assess job satisfaction. Hierarchical multiple regression analyses were used in Study 2. Demographic characteristics and behavioral risk factors were included as covariates in the analyses. The results of Study 1 indicated that 3.9% of persons surveyed (n = 30,665 practiced meditation; these individuals were younger and had a higher education, higher household income, higher stress level, and lower body mass index than those who did not practice meditation. The results of Study 2 (n = 1,470 indicated that meditation practice was significantly predictive of work engagement (β = 0.112, p < .001, subjective job performance (β = 0.116, p < .001, and job satisfaction (β = 0.079, p = .002, even after adjusting for covariates (β = 0.083, p < .001; β = 0.104, p < .001; β = 0.060, p = .015, respectively. The results indicate that meditation practice may positively influence job performance, including job satisfaction, subjective job

  16. The Association between Meditation Practice and Job Performance: A Cross-Sectional Study.

    Science.gov (United States)

    Shiba, Koichiro; Nishimoto, Masahiro; Sugimoto, Minami; Ishikawa, Yoshiki

    2015-01-01

    Many previous studies have shown that meditation practice has a positive impact on cognitive and non-cognitive functioning, which are related to job performance. Thus, the aims of this study were to (1) estimate the prevalence of meditation practice, (2) identify the characteristics of individuals who practice meditation, and (3) examine the association between meditation practice and job performance. Two population-based, cross-sectional surveys were conducted. In study 1, we examined the prevalence of meditation practice and the characteristics of the persons practicing meditation; in Study 2, we examined the association between meditation practice and job performance. The outcome variables included work engagement, subjective job performance, and job satisfaction. The Utrecht Work Engagement Scale was used to assess work engagement, the World Health Organization Health and Work Performance Questionnaire (HPQ) was used to measure subjective job performance, and a scale developed by the Japanese government was used to assess job satisfaction. Hierarchical multiple regression analyses were used in Study 2. Demographic characteristics and behavioral risk factors were included as covariates in the analyses. The results of Study 1 indicated that 3.9% of persons surveyed (n = 30,665) practiced meditation; these individuals were younger and had a higher education, higher household income, higher stress level, and lower body mass index than those who did not practice meditation. The results of Study 2 (n = 1,470) indicated that meditation practice was significantly predictive of work engagement (β = 0.112, p meditation practice may positively influence job performance, including job satisfaction, subjective job performance, and work engagement.

  17. Knowledge of pressure ulcer prevention: a cross-sectional and comparative study among nurses

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    Bours Gerrie JJW

    2007-03-01

    Full Text Available Abstract Background Pressure ulcers are a common, painful and costly condition. Results of a 1991 study into the knowledge among Dutch hospital nurses on the usefulness of measures to prevent pressure ulcers showed moderate knowledge. Results were confirmed by subsequent studies. In recent years, Dutch guidelines have been updated and the attention given to pressure ulcer care has been increased. This was expected to improve pressure ulcer care and to increase nurses' knowledge. The aims of the current study were to investigate (1 how much nurses employed in Dutch hospitals know about the usefulness of 28 preventive measures considered in the most recent national pressure ulcer guideline; (2 whether differences in knowledge exist between nurses working in hospitals that audit pressure ulcers and those employed in hospitals that do not; and (3 to study whether knowledge among Dutch hospital nurses regarding the usefulness of preventive measures had changed between 1991 and 2003. Methods A cross-sectional study design among nurses employed in Dutch hospitals in 2003 was used to investigate their knowledge and differences in knowledge between nurses employed in different types of institution. A comparative design was used to assess whether knowledge differed between this population and that of Dutch hospital nurses in 1991. The nurses' knowledge was assessed by a written questionnaire. Data of 522 respondents meeting the inclusion criteria were analyzed and compared with the results of the 351 nurses included in the 1991 study. Results Knowledge in 2003 was slightly better than that in 1991. The nurses were moderately aware of the usefulness of preventive measures. Nurses employed in organizations that monitored pressure ulcers did not display greater knowledge than those employed in organizations that did not do so. Conclusion Knowledge among Dutch hospital nurses about the usefulness of measures to prevent pressure ulcers seems to be moderate

  18. Correlation between systemic lupus erythematosus and malignancies: a cross-sectional population-based study.

    Science.gov (United States)

    Azrielant, Shir; Tiosano, Shmuel; Watad, Abdulla; Mahroum, Naim; Whitby, Aaron; Comaneshter, Doron; Cohen, Arnon D; Amital, Howard

    2017-01-14

    Autoimmune conditions reflect dysregulation of the immune system; this may be of clinical significance in the development of several malignancies. Previous studies show an association between systemic lupus erythematosus (SLE) and the development of malignancies; however, their investigations into the development of specific malignancies are inconsistent, and their external validity may be questionable. The main objective of this study is to investigate the association between the presence of SLE and various malignancies, in a large-scale population-based study. Data for this study was collected from Clalit Health Services, the largest state-mandated health service organization in Israel. All adult members diagnosed with SLE were included (n = 5018) and their age and sex-matched controls (n = 25,090), creating a cross-sectional population-based study. Medical records of all subjects were analyzed for documentation of malignancies. Logistic regression models were built separately for each malignant condition, controlling for age, gender, BMI, smoking, and socioeconomic status. Diagnosis of malignancy (of any type) was more prevalent in the SLE population (odds ratio [OR] 3.35, 95% confidence interval [CI] 3.02-3.72). SLE diagnosis was also found to be independently associated with higher proportions of non-Hodgkin lymphoma (OR 3.02, 95% CI 2.72-3.33), Hodgkin lymphoma (OR 2.43, 95% CI 1.88-2.99), multiple myeloma (OR 2.57, 95% CI 1.85-3.28), cervix uteri malignancies (OR 1.65, 95% CI 1.10-2.20), and genital organ malignancies (OR 2.32, 95% CI 1.42-3.22), after adjustment for confounding variables. The presence of an SLE diagnosis was found to be independently associated with higher proportions of malignancies, particularly hematologic malignancies. These findings should be considered while treating SLE patients, and possibly supplement their screening routine.

  19. Primary care screening for peripheral arterial disease: a cross-sectional observational study

    Science.gov (United States)

    Davies, Jane H; Richards, Jonathan; Conway, Kevin; Kenkre, Joyce E; Lewis, Jane EA; Mark Williams, E

    2017-01-01

    Background Early identification of peripheral arterial disease (PAD) and subsequent instigation of risk modification strategies could minimise disease progression and reduce overall risk of cardiovascular (CV) mortality. However, the feasibility and value of primary care PAD screening is uncertain. Aim This study (the PIPETTE study — Peripheral arterial disease In Primary carE: Targeted screening and subsequenT managEment) aimed to determine the value of a proposed primary care PAD screening strategy. Outcomes assessed were: prevalence of PAD and agreement of ankle– brachial index (ABI)-defined PAD (ABI ≤0.9) with QRISK®2-defined high CV risk (≥20). Design and setting A cross-sectional observational study was undertaken in a large general practice in Merthyr Tydfil, Wales. Method In total, 1101 individuals with ≥2 pre-identified CV risk factors but no known CV disease or diabetes were invited to participate. Participants underwent ABI measurement and QRISK2 assessment, and completed Edinburgh Claudication Questionnaires. Results A total of 368 people participated in the study (participation rate: 33%). Prevalence of PAD was 3% (n = 12). The number needed to screen (NNS) to detect one new case of PAD was 31. Refining the study population to those aged ≥50 years with a smoking history reduced the NNS to 14, while still identifying 100% of PAD cases. Of participants with PAD, 33% reported severe lifestyle-limiting symptoms of intermittent claudication that warranted subsequent endovascular intervention, yet had not previously presented to their GP. The QRISK2 score predicted high CV risk in 92% of participants with PAD. Conclusion The low PAD yield and the fact that QRISK2 was largely comparable to the ABI in predicting high CV risk suggests that routine PAD screening may be unwarranted. Instead, strategies to improve public awareness of PAD are needed. PMID:28126882

  20. Prevalence and relationship between major depressive disorder and lung cancer: a cross-sectional study

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    Maneeton B

    2014-05-01

    Full Text Available Benchalak Maneeton,1 Narong Maneeton,1 Jirayu Reungyos,1 Suthi Intaprasert,1 Samornsri Leelarphat,1 Sumitra Thongprasert21Department of Psychiatry, 2Department of Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandObjective: The aims of this study were to estimate the prevalence and examine the factors associated with major depressive disorder (MDD in lung cancer patients.Materials and methods: This cross-sectional study was carried out in the oncology clinic of the University Hospital, Chiang Mai University, Thailand. Patients with all stages of lung cancer were included in this study. Demographic data of eligible patients were gathered. The Mini-International Neuropsychiatric Interview, Thai version 5.0.0 was used to identify MDD. The Thai version of the Personal Health Questionnaire Depression Scale was used to assess depression severity.Results: A total of 146 lung cancer patients from the outpatient clinic from July to December 2012 were approached. The 104 patients were included and analyzed in this study. Based on the Mini-International Neuropsychiatric Interview, 14.4% of them were defined as having MDD. Multiple linear regression analysis revealed that Chalder Fatigue Scale, Functional Assessment of Cancer Therapy – Lung, and Pittsburgh Sleep Quality Index scores were significantly correlated with MDD in lung cancer patients.Conclusion: The results suggest that MDD is more prevalent in lung cancer patients. In addition, fatigue, poor quality of life, and sleep disturbance may increase associated MDD. Because of the small sample size, further studies should be conducted to confirm these results.Keywords: lung cancer, major depressive disorder, prevalence

  1. The seroepidemiology of Immunoglobulin G antibodies against pertussis toxin in China: a cross sectional study

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    Zhang Qi

    2012-06-01

    Full Text Available Abstract Background Pertussis is a reported vaccine-preventable respiratory disease in China. Because the routine laboratory methods for diagnosis are not in use, the reported cases are mainly in infants with classical paroxysmal cough and the true incidence related to pertussis is most likely under estimated. In China, however, few studies have attempted to address this issue. The purpose of this cross sectional study was to estimate the incidence rates using the method of sero-epidemiology of immunoglobulin (Ig G antibodies against pertussis toxin (PT among healthy populations in China. Methods Blood samples were obtained from 1313 healthy individuals aged 0 to 95 years in Guangdong province of China throughout September 2010. Serum IgG antibodies against PT were determined by commercial ELISA kits. Subjects with concentration of anti-PT IgG higher than 30 IU/mL were indicated to have recent Bordetella pertussis infection, if they have not received a booster dose of pertussis vaccine within one year. Results Of the 1313 study subjects, 117 (8.91% were found to have anti-PT antibodies higher than 30 IU/mL. The estimated incidence of recent infection was thus 9395 per 100,000 for individuals older than 7 years. Peaks of the estimated incidence rate of recent infection were found to be 11561 per 100,000 in age group of 41–50 years and 11428 per 100,000 in the group aged 13–19 years. Conclusions Our study indicated that B.pertussis infections are considerablely common, particularly in adolescents and adults in China. The study also stresses the importance of laboratory diagnosis for pertussis and employment of booster dose of pertussis vaccine in adolescents and adults in this country.

  2. Sleep quality and its psychological correlates among university students in Ethiopia: a cross-sectional study

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    Lemma Seblewngel

    2012-12-01

    Full Text Available Abstract Background Sleep is an important physiological process for humans. University students in most resource limited countries often report poor sleep quality due to changing social opportunities and increasing academic demands. However, sleep quality among university students has not been studied in Ethiopia. Thus, this study assessed sleep quality and its demographic and psychological correlates among university students. Methods A cross-sectional survey was conducted in two universities in Ethiopia. Multistage sampling procedures were used to enroll 2,817 students into the study. A self-administered structured questionnaire including the Pittsburgh Sleep Quality Index (PSQI, the Depression Anxiety Stress Scale-21, the Perceived Stress Scale (PSS and selected modules of the World Health Organization STEPS instrument was used for the study. This research included 2,551 students. Frequency, median, mean with standard deviation and 95% confidence interval were used to characterize sleep quality and other variables. Analysis of variance and binary logistic regression procedures were also used. Result The prevalence of poor sleep quality (total PSQI score > 5 was 55.8% (1,424. Female students (adjusted odds ratio (AOR 1.23; 95% CI: 1.00, 1.57, second year (AOR 2.91; 95% CI: 2.1, 4.02 and third year students (AOR 2.25; 95% CI 1.62, 3.12 had statistically significant higher odds of poor sleep quality. Perceived stress level and symptoms of depression and anxiety were strongly associated with sleep quality. Conclusion A substantial proportion of university students are affected by poor sleep quality. If our results are confirmed in prospective studies, health promotion and educational programs for students should emphasize the importance of sleep and mental health.

  3. Happiness Among College Students: A Cross-Sectional Web-Based Study Among Iranian Medical Students

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    Lesani

    2016-03-01

    Full Text Available Background During the recent decades, happiness and psychological wellbeing have been among the most attractive issues for researchers in the fields of social sciences and health. Medical and paramedical students in comparison with other college students are less happy due to work circumstance in hospital and special education. Objectives The aim of the present study was to evaluate happiness among college students of Qazvin University of Medical Sciences in terms of socio-demographic variables. Materials and Methods In this cross-sectional web-based study, all the students of Qazvin University of Medical Sciences in Iran who had course classes were invited to participate in the study and 541 students filled out the web-based questionnaire including questions for measuring happiness oxford happiness questionnaire (OHQ, health status, stress experience in the past six months, cigarette and hookah smoking, physical activity rapid assessment of physical activity (RAPA, as well as socio-economic and demographic information. Results The mean happiness score was 114.59 ± 18.31. Socio-economic status, physical activity, and experience of stress in the last 6 months were related to the happiness score (P = 0.009, P < 0.001, P < 0.001, respectively. However, gender, cigarette smoking, hookah smoking and body mass index were not significantly correlated with happiness. Conclusions The findings of the present study show that a happiness score among our sample study was slightly low and people with high happiness scores had a healthier lifestyle, i.e. more physical activity and less tobacco smoking. College students should be encouraged to do regular exercise as a way to increase the happiness level.

  4. Depression in the elderly: Does family system play a role? A cross-sectional study

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    Qidwai Waris

    2007-10-01

    Full Text Available Abstract Background The most common geriatric psychiatric disorder is depression. The role of family systems in depression among the elderly has not been studied extensively. It has been suggested that urbanization promotes nucleation of family systems and a decrease in care and support for the elderly. We conducted this study in Karachi, a large urban city of Pakistan, to determine the relationship between the type of family system and depression. We also determined the prevalence of depression in the elderly, as well as correlation of depression with other important socio-demographic variables. Methods A cross-sectional study was carried out in the premises of a tertiary care hospital in Karachi, Pakistan. Questionnaire based interviews were conducted among the elderly people visiting the hospital. Depression was assessed using the 15-item Geriatric Depression Scale. Results Four hundred subjects aged 65 and above were interviewed. The age of majority of the subjects ranged from 65 to 74 years. Seventy eight percent of the subjects were male. The prevalence of depression was found to be 19.8%. Multiple logistic regression analysis revealed that the following were significant (p independent predictors of depression: nuclear family system, female sex, being single or divorced/widowed, unemployment and having a low level of education. The elderly living in a nuclear family system were 4.3 times more likely to suffer from depression than those living in a joint family system (AOR = 4.3 [95% CI = 2.4–7.6]. Conclusion The present study found that residing in a nuclear family system is a strong independent predictor of depression in the elderly. The prevalence of depression in the elderly population in our study was moderately high and a cause of concern. The transition in family systems towards nucleation may have a major deleterious effect on the physical and mental health of the elderly.

  5. Help-seeking behaviors for female sexual dysfunction: a cross sectional study from Iran

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    Montazeri Ali

    2009-02-01

    Full Text Available Abstract Background Female sexual dysfunctions (FSD are prevalent multifactor problems that in general remain misdiagnosed in primary health care. This population-based study investigated help-seeking behaviors among women with FSD in Iran. Methods This was a cross sectional study carried out in Kohgilouyeh-Boyer-Ahmad province in Iran. Using quota sampling all sexually active women aged 15 and over registered in primary health care delivery centers were studied. Experience of sexual problems was assessed using an ad-hoc questionnaire (Female sexual dysfunction: help-seeking behaviors survey containing 14 items. Trained female nurses interviewed all participants after a verbal informed consent. Data were analyzed in a descriptive manner. Results In all 1540 women were studied. Of these, 786 (51% cases had experienced at least one of the FSD problems. Results showed that 35.8% of women with FSD had sought no professional help and the most reasons for not seeking help were identified as: 'time constraints' and believing that it 'did not occur to me' (39.1 and 28.5% respectively. Sixty one percent of women who sought help for FSD reported that 'doctor gave me a definite diagnosis' and 'a definite treatment plan was given' in 57% of cases. Conclusion The study findings indicated that FSD problems were prevalent and many women did not seek help for their problem. Finding 'time constraints' and believing that the problem 'did not occur to me' as the most cited reasons for not seeking help might facilitate to understand potential barriers that exist in recognition and treatment of the female sexual dysfunctions. Since FSD might have a negative impact on interpersonal relationships and women's quality of life, it seems that there is need to address the problem both at local and national primary health care services.

  6. Vitamin B12 deficiency and depression in elderly: cross-sectional study in Eastern Croatia

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    Maja Miškulin

    2014-12-01

    Full Text Available Introduction: Vitamin B12 deficiency occurs frequently among elderly patients and it has recently been connected with the occurrence of depressive symptoms in this population. The aim of this study was to determine the frequency of vitamin B12 deficiency among elderly patients from Eastern Croatia and to evaluate whether there is a connection between this deficiency and the occurrence of depressive symptoms among them.Methods: This cross-sectional study was conducted from April to June 2013, among 140 elderly patients from Vukovar-Srijem County (47.9%, 67/140 males and 52.1%, 73/140 females; mean age 71.0±6.7 years. The anonymous questionnaire was used to obtain demographic data, data regarding socio-economic status and personal history of diseases of study participants as well as data pertaining to the existence of depressive symptoms among them. The competitive immunoassay vitamin B12 kit was used to determine serum levels of vitamin B12.Results: Among all study participants there were 7.1% (10/140 of them with B12 deficiency and 70.0% (98/140 of them with the symptoms of depression. Depressive symptoms occurred in 100.0% (10/10 patients with the vitamin B12 deficiency and 67.7% (88/130 of patients without it.Conclusion: The study showed positive connection between the existence of depressive symptoms and vitamin B12 deficiency among elderly patients. This finding points to the need for frequent vitamin status evaluation in this age group and its consequent correction that could improve overall health of this population subgroup.

  7. Geohelminth Infections among Pregnant Women in Rural Western Kenya; a Cross-Sectional Study

    NARCIS (Netherlands)

    van Eijk, A.M.; Lindblade, K.A.; Odhiambo, F.; Peterson, E.; Rosen, D.H.; Karanja, D.; Ayisi, J.G.; Shi, Y.P.; Adazu, K.; Slutsker, L.

    2009-01-01

    Background: Geohelminth infections are common in rural western Kenya, but risk factors and effects among pregnant women are not clear. Methodology: During a community-based cross-sectional survey, pregnant women were interviewed and asked to provide a blood sample and a single fecal sample. Hemoglob

  8. Psychological Problems in Children with Cerebral Palsy: A Cross-Sectional European Study

    Science.gov (United States)

    Parkes, Jackie; White-Koning, Melanie; Dickinson, Heather O.; Thyen, Ute; Arnaud, Catherine; Beckung, Eva; Fauconnier, Jerome; Marcelli, Marco; McManus, Vicki; Michelsen, Susan I.; Parkinson, Kathryn; Colver, Allan

    2008-01-01

    Objectives: To describe psychological symptoms in 8-12-year-old children with cerebral palsy; to investigate predictors of these symptoms and their impact on the child and family. Design: A cross-sectional multi-centre survey. Participants: Eight hundred and eighteen children with cerebral palsy, aged 8-12 years, identified from population-based…

  9. Experimental study on the temperature dependence of ultraviolet absorption cross-sections of sulfur dioxide

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    The photoabsorption cross-sections of sulfur dioxide were measured in the spectral regions of 200-230 nm and 275 315 nm at 298-415 K,using a grating monochromator with a resolution of 0.2 nm.The discrete absorption cross-section is directly correlated with the number of quantum excited from the base state.The absorption cross-sections at the peaks of discrete bands decreased linearly with the increase of temperature,which corresponded to the decrease in the population of vibrational and rotational transitions from the base level to higher excitation levels.The absorption cross-section peaks decreased linearly when the temperature increased from 298 to 415 K,with relative drops of 74.0% and 75.8% at 200-230 nm and 275-315 nm,respectively.Another distinctive feature of sulfur dioxide absorption spectra in the above two spectral regions was the quasiperiodic structure of the absorption peaks,whose equal wavelength intervals were 1.53 nm and 1.95 nm,respectively.Red and blue shifts were not found at the absorption peak positions.

  10. Predictive Factors of Hospitalization and Dialysis Requirement in Alcohol Poisoning; a Cross-Sectional Study

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    Ali Tagizadieh

    2015-02-01

    Full Text Available Introduction: Alcohol abuse is one of the health problems that all societies have involved with. Although in Iran the percent of alcohol consuming due to social and cultural preventions is lesser that other countries, its outcome and predictive factors are not accessible. Thus, this study was designed with the aim of determining the consequences of alcohol consuming and finding its effective factors in Tabriz. Method: This cross-sectional study has been done through September 2013 to July 2014 in Sina Hospital, Tabriz, Iran. All individuals with alcohol poisoning referred to the emergency department were included in the study. Demographic and clinical factors of patients, laboratory tests, dialysis and hospitalization in hospital wards were evaluated. Finally, independent effective factors for dialysis and hospitalization were assessed by using multivariate logistic regression. Results: At the end, 81(91.4% male patients with the mean age of 27.9±10.4 years were entered to the study. Ten (12.3% patients needed dialysis and 34 (42.0% were hospitalized. Increasing the serum creatinine level (OR-1.6; 95% Cl: 1.004-2.4; p-0.048 and time interval between consumption until referring to the emergency (OR-1.1; 95% Cl: 1.03-1.15; p-0.004 were the independent predictive factors of dialysis. Also, predictive agents of hospitalization included smoking (OR-3.4; 95% Cl: 1.6-5.5; p-0.01 and need to do dialysis (OR-7.9; 95% Cl: 5.4-10.5; p<0.001. Conclusion: In the present project 12.3% of patients needed dialysis. Increasing the serum creatinine and time interval between alcohol consuming until referring to the emergency were the most important predictive factors. In addition, the probability of hospitalization for smoking and dialyzed poisoned persons in hospital wards was more than other patients.

  11. A cross-sectional study of disturbed eating attitudes and behaviours in medical students

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    Panchami

    2016-07-01

    Full Text Available Background: The final phase of medical school is characterized by many demands, requirements, and responsibilities, in addition to insecurities that typify the end of the program. Weight and shape concerns are also considered part of the core pathology of eating disorders. The purpose of this study is to investigate eating attitudes and to correlate disturbed eating habits with anxiety, self-esteem, body weight satisfaction and BMI in medical students. Methods: This is a cross-sectional observational study in a random sample of medical students aged between 17-21years including a total of 150 medical students. Information was be gathered from a structured questionnaire on eating attitudes and behaviours (eating attitude test -26, EAT-26, anxiety (Beck anxiety inventory, self-esteem (Rosenberg Self-Esteem Scale, fear of being overweight (body image and eating questionnaire for adults-16. Data was represented as mean+/-S.D. Chi-square test and Pearson's correlation was used to investigate the relation between different parameters. P value less than 0.05 was found to be significant. Results: In this study, 4.7% of medical students were found to have eating disorder and all were girls. On comparison of eating score with anxiety showed a positive correlation (p=0.001, positive correlation between EAT score and body image dissatisfaction (p=0.001, no significant relationship between self-esteem (p=0.73 and no significant relationship between EAT score and BMI (p=0.294. Conclusions: The prevalence of eating disorder symptoms in this study was calculated using the cut-off scores of the questionnaires, which indicate possible cases of eating disorders. A diagnostic interview is necessary to corroborate the self-report data and to obtain an accurate estimate of prevalence of full syndrome eating disorders. [Int J Res Med Sci 2016; 4(7.000: 2830-2833

  12. Identifying drivers of overall satisfaction in patients receiving HIV primary care: a cross-sectional study.

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    Bich N Dang

    Full Text Available OBJECTIVE: This study seeks to understand the drivers of overall patient satisfaction in a predominantly low-income, ethnic-minority population of HIV primary care patients. The study's primary aims were to determine 1 the component experiences which contribute to patients' evaluations of their overall satisfaction with care received, and 2 the relative contribution of each component experience in explaining patients' evaluation of overall satisfaction. METHODS: We conducted a cross-sectional study of 489 adult patients receiving HIV primary care at two clinics in Houston, Texas, from January 13-April 21, 2011. The participation rate among eligible patients was 94%. The survey included 15 questions about various components of the care experience, 4 questions about the provider experience and 3 questions about overall care. To ensure that the survey was appropriately tailored to our clinic population and the list of component experiences reflected all aspects of the care experience salient to patients, we conducted in-depth interviews with key providers and clinic staff and pre-tested the survey instrument with patients. RESULTS: Patients' evaluation of their provider correlated the strongest with their overall satisfaction (standardized β = 0.445, p<0.001 and accounted for almost half of the explained variance. Access and availability, like clinic hours and ease of calling the clinic, also correlated with overall satisfaction, but less strongly. Wait time and parking, despite receiving low patient ratings, did not correlate with overall satisfaction. CONCLUSIONS: The patient-provider relationship far exceeds other component experiences of care in its association with overall satisfaction. Our study suggests that interventions to improve overall patient satisfaction should focus on improving patients' evaluation of their provider.

  13. Assessment of self-awareness among rural adolescents: A cross-sectional study

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    Ram Bilas Jain

    2013-01-01

    Full Text Available Context: Adolescence is a period of biological, cognitive and social transition of such magnitude and rapidity that it is no surprise to find that it is associated with the onset or exacerbation of a number of health-related problems. It is the level of self-awareness among adolescents, which enables them to see where their thoughts and emotions take them. Aims: The aim of this study was to assess the extent of awareness regarding adolescent changes/problems among school going adolescents. Settings and Design: It was a cross-sectional study and was carried out in Block Beri, District, Jhajjar (Haryana. Materials and Methods: A sample of 320 adolescent students of 9 th -12 th classes (80 from each school were selected from four randomly chosen large Government senior secondary schools with strength of more than 250 students (two girls and two boys/co-ed senior secondary schools. Data were collected on predesigned, pre-tested and semi-structured schedules by conducting in-depth interviews of selected study adolescents by the investigator. Statistical Analysis Used: Percentages, proportions, Chi-square test, Chi-square test with Yate′s correction and t-test. Results: Out of 320, 212 (66.3% study adolescents were aware of at least one adolescent change(s whereas, when probed and further asked to enumerate the changes taking place in them, 272/320 (85% adolescents could narrate at least one such change. Out of those 272, 24 (8.82% (95% CI 6.0-12.79 adolescents either did not consider these changes as normal or they did not know whether the changes were normal or abnormal. Conclusions: Adolescents greatly lack correct information related to their bodies′ physiological, psychological and sexual changes. There is an urgent need for regular adolescent friendly information, education and communication activities covering different aspects of adolescent knowledge needs/problems.

  14. Computer related health problems among software professionals in Mumbai: A cross-sectional study

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    Saurabh R Shrivastava

    2012-01-01

    Full Text Available Context: Computers have become an epitome of modern life, being used in every aspect of life. This has also ushered in a new genre of occupation-related health problem. Aims: To estimate prevalence of health problems among software professionals. Settings and Design: Cross-sectional descriptive study of 4 months duration from January 2011 to April 2011 was conducted among software professionals working with a private firm. Materials and Methods: List of software professionals working with the firm was obtained and then all professionals satisfying the inclusion criteria were included as study subjects. Inclusion Criteria: working in current job since past 6 months and on computer for at least 4 h/day. The selected study participants were then interviewed face to face using a pre-tested semi-structured questionnaire after taking their informed consent. Statistical Analysis Used: SPSS version 17 using the chi-square test. Results: The prevalence of any type of computer-related morbidity in software professionals was 178 (89%. The proportion of visual, musculoskeletal, and stress was found to be 67%, 63%, and 44%, respectively. A statistically significant association was found between subjects with visual and musculoskeletal complaints using antiglare screen and soft keypads and those not using them respectively. Conclusions: Ocular discomfort, musculo-skeletal disorders and psycho-social problems form key category of health problems found among constant computer users. This study has also brought into focus factors contributing to the occurrence of these problems. Thus, the problem requires a multidisciplinary action and hence there is an immediate need for the concerned authorities to collaborate and enforce suitable preventive measures.

  15. The Status of Social Well-Being in Iranian Nurses: a Cross- Sectional Study

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    Naser Mozaffari

    2014-12-01

    Full Text Available Introduction: Social well-being is one of the important aspects of individual’s health. However, the social aspect of health, or social well-being, has not been attended to as equally as the other aspects. Social well-being is people’s perceptions and experiences in social circumstances as well as the degree of successful responses to social challenges. The aim of the study was to investigate the social well-being of a sample of Iranian nurses. Methods: This study was a cross- sectional conducted in 2013. The study population consisted of all 1200 staff nurses working in all hospitals located in Ardabil, Iran. We invited a random sample of 281 practicing nurses to respond to the 33-item Keyes’s Social Well-Being Questionnaire and the possible range of the total score is 33–165. Higher score reflect better SWB. The quantitative analysis of this study used the Statistical Package for Social Science SPSS version 13.0. Results: The results showed that Participants’ mean score of social well-being was 105.45 (15.87. Social well-being was significantly related to participants’ age, gender, work experience, satisfaction with working in hospital and with income, familiarity with nursing prior to entering it, official position, and type of employment. However, there was no significant relationship between nurses’ social well -being and their marital status, their parents and spouses’ educational status, as well as the type of hospital. Conclusion: Nurses’ social well-being deserves special attention. Effective well-being promotion strategies should be executed for promoting their social well-being particularly in areas of social integration and social acceptance. Moreover, nurses, particularly female nurses, need strong financial, emotional, informational, and social support for ensuring their social well-being.

  16. A cross sectional study of dermatoglyphics and dental caries in Bengalee children

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    Asok bijoy sengupta

    2013-01-01

    Full Text Available Context: Dermatoglyphic is the permanent imprint found in hands. Variations of dermatoglyphic patterns among the individuals have been noted. Aims: To find out the dermatoglyphic pattern variations in dental caries between study group and the control group. Settings and Design: A cross-sectional study was done on 300 Bengalee children of Kolkata between the age group of 4-14 years. Materials and Methods: The samples were divided into two groups; study group and control group. Dental caries were detected clinically using mouth mirror and probe in daylight. Ink was applied on palm and finger by pressure pad. Bilateral palm and finger prints were taken by placing the palm and fingers over glazed paper and applying pressure over palm. Finger and palm prints obtained were inspected by magnifying glass for the study of different dermatoglyphic parameters. Statistical analysis used: Analytical statistical method with the help of student′s t-test was used to determine mean values and gender differences in the findings using SPSS version 11.0. Results: The characteristic feature which shows significant increase in caries sample group were increased total finger ridge count (TRFC and absolute finger ridge count (AFRC on fingers, representing pattern size and types. ab count and tr count were significantly lower in male and female caries sample group compared with the control group. Conclusions: There was a significant difference between caries and control group in different patterns and number of "tri radii on fingers" in fingers, the percentage of patterns on all palmar areas, total number of triradii on palm and main line index. Perhaps more systematic larger samples consisting of different genetic population are necessary to verify the conclusion.

  17. Population preference values for treatment outcomes in chronic lymphocytic leukaemia: a cross-sectional utility study

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    Meiklejohn David

    2010-05-01

    Full Text Available Abstract Background Given that treatments for chronic lymphocytic leukaemia (CLL are palliative rather than curative, evaluating the patient-perceived impacts of therapy is critical. To date, no utility (preference studies from the general public or patient perspective have been conducted in CLL. The objective of this study was to measure preferences for health states associated with CLL treatment. Methods This was a cross-sectional study of 89 members of the general population in the UK (England and Scotland. Using standard gamble, each participant valued four health states describing response status, six describing treatment-related toxicities based on Common Toxicity Criteria, and two describing line of treatment. The health states incorporated standardized descriptions of treatment response (symptoms have "improved," "stabilized," or "gotten worse", swollen glands, impact on daily activities, fatigue, appetite, and night sweats. Utility estimates ranged from 0.0, reflecting dead, to 1.0, reflecting full health. Results Complete response (CR was the most preferred health state (mean utility, 0.91, followed by partial response (PR, 0.84; no change (NC, 0.78; and progressive disease (PD, 0.68. Among the toxicity states, grade I/II nausea and nausea/vomiting had the smallest utility decrements (both were -0.05, and grade III/IV pneumonia had the greatest decrement (-0.20. The utility decrements obtained for toxicity states can be subtracted from utilities for CR, PR, NC, and PD, as appropriate. The utilities for second- and third-line treatments, which are attempted when symptoms worsen, were 0.71 and 0.65, respectively. No significant differences in utilities were observed by age, sex, or knowledge/experience with leukaemia. Conclusions This study reports UK population utilities for a universal set of CLL health states that incorporate intended treatment response and unintended toxicities. These utilities can be applied in future cost

  18. The Cross Sectional Study of Anthropometric Parameters in Young Healthy Individuals having Parental History of Hypertension

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    Lalit Waghmare

    2012-01-01

    Full Text Available Backgound: The adverse association of cardiovascular risk factors in both children and adults with parental history of disease is well recognized. A family history of hypertension has been shown to be a risk factor for the subsequent development of disease. This study is aimed to compare any observed differences in the mean BPs, BMI, Hip waist ratio in children of hypertensive and normotensive parents. Methodology: A cross sectional study was conducted among the 100 students of faculty of medicine of a University. Blood pressure and anthropometric measurements were taken. Results: Among the 100 participants studied, 63% were male and the average age was 19.76 years (SD ±2.01 with a median of 20 years, varying from 18 to 24 years. The mean systolic blood pressure in males with history of hypertensive parents was 131.7 ± 13.5 as against 121.2 ± 10.1 in females with history of hypertensive parents. The difference was statistically significant (p<0.002. The mean diastolic blood pressure was also significantly higher in males with history of hypertensive parents than females with history of hypertensive parents (86.2 ± 11.3 in males versus 78.7 ± 10.3 in females. The BMI positive correlation with systolic blood pressure (SBP and diastolic blood pressure (DBP was found. Conclusion: The findings of the present study suggest the need of monitoring the BP of children of hypertensive parents. Health care providers, therefore have an important role to play in educating families and children about approaches that are useful in preventing hypertension.

  19. Cigarette smoking during pregnancy in two regions:cross-sectional study

    Institute of Scientific and Technical Information of China (English)

    Marcel Leppe; Josip Culig; Mirela Eric

    2012-01-01

    Objective:Smoking in pregnancy is associated with the risk of congenital malformations and functional disorders.The aim of the study was to assess the prevalence of cigarette smoking in pregnancy, and the rate of congenital malformations in children at in utero exposure.Methods:The trial was designed as a cross-sectional study to measure exposure of pregnant women to adverse influence of smoking and their health status.The study consists of two arms: one was conducted at fourZagreb maternity hospitals(Croatia) and the other at the same hospitals inNovi Sad(Serbia).Results:Data analysis revealed the habit of cigarette smoking during pregnancy in829(11.9%) of6992(6099+893) women.Malformations were found in105(1.5%) fetuses and newborns.Major congenital malformations were present in four(0.6%), minor malformations in73 (10.5%) andLBW in12(1.7%) newborns.In all these cases pregnant women smoked until becoming aware of pregnancy or during pregnancy.Tobacco smoking and congenital abnormalities that define the contingency table are not significantly related inZagreb(P=0.385), as well as in NoviSad(P=0.345).Conclusions:The rate of congenital malformations is higher in fetuses and newborns at in utero exposure to maternal cigarette smoking as well as to alcohol consumption and drug abuse than in the general population.The results of the present study did not identify the exact cause of these malformations because of fetal concurrent exposure to multiple teratogenic factors.

  20. CLINICAL PROFILE OF HEMOPHILIA PATIENTS: A CROSS SECTIONAL STUDY AT A TERTIARY CARE CENTER IN INDIA

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    Ram Sunder

    2015-12-01

    Full Text Available The study was designed to determine clinical profile of haemophilia patients in North India. In this cross-sectional study, we obtained family history and clinical profile of 54 diagnosed severe haemophilia patients attending Haemophilia Treatment Centre, Children Hospital LLR Hospital, Kanpur, India, for factor replacement therapy. We also obtained blood samples to investigate for hepatitis B, HIV. In study we observed that majority of the patients having their first presentation in their infancy (70.3% and median age of first presentation was 11 months of age. Though haemophilia is a genetic disorder, family history was negative in majority of patients; (70.3% subcutaneous tissue was most frequent site for initial bleeds, but as age advances joints become frequently involved and hemarthrosis was commonest complication affecting 79.6% patients. Most common involved joint was knee joint (53.7%. This hemarthrosis is the major cause of morbidity affecting quality of life of patients. Due to cost of treatment, many times we have to transfuse blood and blood products which may lead to Transfusion Transmitted Infection (TTI. In our study prevalence of TTI was 1.85% and 3.70% for HIV and Hep. B respectively. We also observed that there was time lag of >1 month in 16.5% cases between onset of symptom and definitive diagnosis, which shows lack of awareness among doctors in community. In view of this high morbidity and TTIs, we emphasize the free availability of factor concentrates and prophylactic treatment should be followed instead of palliative treatment.

  1. Evaluation of anxiety, depression and suicidal intent in undergraduate dental students: A cross-sectional study

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    Manish Bathla

    2015-01-01

    Full Text Available Background: There is an increasing amount of stress in undergraduate dental students leading to anxiety, depression, and suicidal attempts/suicide. Aims: This study aims to evaluate anxiety, depression and suicidal intent in undergraduate dental students and to find out the various areas of stress. Materials and Methods: A cross-sectional study was conducted using a semi-structured questionnaire (to assess academic and nonacademic areas of stress and three scales-Hamilton scale for anxiety (HAM-A; Hamilton depression rating scale (HDRS and Beck′s Suicide Intent Scale (BSI. Descriptive statistics; Pearson′s Chi-square test; Multiple ANOVA; Kruskal-Wallis test and Mann-Whitney test were used to analyze the data at the significant level of P ≤ 0.05. Results: In a total of 258 dental undergraduate students, academic areas of stress that were found to be statistically significant were long teaching hours (P = 0.002; high workload (P ≤ 0.001; frequency of tests (P ≤ 0.001 and competition/fear of failure (P = 0.009. Lack of interest in the profession was a statistically significant nonacademic area for stress (P ≤ 0.001. The students of first and final year reported higher anxiety (HAM-A 13.93 ± 6.908 and 16.44 ± 7.637 respectively and depression (HDRS 14.29 ± 6.302 and 14.22 ± 5.422; whereas suicidal intent was reported almost the same throughout the study sample (BSI 5.65 ± 5.465. Conclusion: An increasing level of anxiety, depression and suicidal intent due to various stressors in undergraduate dental students indicate a need to modify current education system and timely help to have psychological healthy dental professionals in future.

  2. Epidemiology of Animal Bites in Azarshahr town: A Cross-sectional Study of Key Determinants

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    Ali Jafari-Khounigh

    2015-08-01

    Full Text Available ​Background and objectives : Animal bites are among the most significant public health problems due to the risk of rabies. Because of high mortality rate and economic damages, rabies is of very importance. This study was conducted to investigate the epidemiology of animal bites in Azarshahr in 2010 and 2011. Material and Methods : In this cross-sectional and descriptive-analytical study, all cases of animal bites in 2010 and 2011 that were recorded in rabies treatment centers of Azarshahr were included in the study using census method according to the existing data recorded in animal bites registry. Data were analyzed using descriptive statistics and Chi-square test using SPSS software. Results : During 2010 and 2011, a total number of 630 animal bites cases occurred that 86.5% of the cases were male. In 51.7% of the cases, animal bites occurred in urban areas. The incidence rate of animal bites was calculated as 291.0 in 100000. The average age and the standard deviation of cases was 31.52±16.73. The main biting animal was domesticated dog (66.3% and most of the bites happened during summer (28.4%. The most injured body organ was hand (47.6%. The association between animal type and injured organ was statistically significant (P Conclusion : Due to the high costs of vaccination and immunoglobulin expenses, prevention strategies seem to be necessary. Since most of the bites were caused by domestic dogs, health education interventions with the aim of more controls on domestic animals could be a cost-effective approach.

  3. Laypersons' understanding of relative risk reductions: Randomised cross-sectional study

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    Kristiansen Ivar S

    2008-07-01

    Full Text Available Abstract Background Despite increasing recognition of the importance of involving patients in decisions on preventive healthcare interventions, little is known about how well patients understand and utilise information provided on the relative benefits from these interventions. The aim of this study was to explore whether lay people can discriminate between preventive interventions when effectiveness is presented in terms of relative risk reduction (RRR, and whether such discrimination is influenced by presentation of baseline risk. Methods The study was a randomised cross-sectional interview survey of a representative sample (n = 1,519 of lay people with mean age 59 (range 40–98 years in Denmark. In addition to demographic information, respondents were asked to consider a hypothetical drug treatment to prevent heart attack. Its effectiveness was randomly presented as RRR of 10, 20, 30, 40, 50 or 60 percent, and half of the respondents were presented with quantitative information on the baseline risk of heart attack. The respondents had also been asked whether they were diagnosed with hypercholesterolemia or had experienced a heart attack. Results In total, 873 (58% of the respondents consented to the hypothetical treatment. While 49% accepted the treatment when RRR = 10%, the acceptance rate was 58–60% for RRR>10. There was no significant difference in acceptance rates across respondents irrespective of whether they had been presented with quantitative information on baseline risk or not. Conclusion In this study, lay people's decisions about therapy were only slightly influenced by the magnitude of the effect when it was presented in terms of RRR. The results may indicate that lay people have difficulties in discriminating between levels of effectiveness when they are presented in terms of RRR.

  4. Seroepidemiology of Toxoplasma gondii in pregnant women in Aguascalientes City, Mexico: a cross-sectional study

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    Alvarado-Esquivel, Cosme; Terrones-Saldívar, María del Carmen; Hernández-Tinoco, Jesús; Muñoz-Terrones, María Daniela Enriqueta; Gallegos-González, Roberto Oswaldo; Sánchez-Anguiano, Luis Francisco; Reyes-Robles, Martha Elena; Jaramillo-Juárez, Fernando; Liesenfeld, Oliver; Estrada-Martínez, Sergio

    2016-01-01

    Objectives We determined the seroprevalence and correlates of Toxoplasma gondii infection in pregnant women in Aguascalientes City, Mexico. Design A cross-sectional survey. Setting Pregnant women were enrolled in the central Mexican city of Aguascalientes. Participants We studied 338 pregnant women who attended prenatal care in 3 public health centres. Primary and secondary outcome measures Women were examined for IgG/IgM antibodies to T. gondii by using commercially available enzyme immunoassays, and an avidity test. Multiple analyses were used to determine the association of T. gondii seropositivity with the characteristics of the pregnant women. Results Of the 338 pregnant women studied, 21 (6.2%) had IgG antibodies to T. gondii, and 1 (4.8%) of them was also positive for IgM antibodies to T. gondii. Avidity of IgG antibodies to T. gondii was high in the IgM-positive sample. Logistic regression analysis of sociodemographic, behavioural and housing variables showed that T. gondii seropositivity was associated with white ethnicity (OR=149.4; 95% CI 10.8 to 2054.1; p<0.01), not washing hands before eating (OR=6.41; 95% CI 1.73 to 23.6; p=0.005) and use of latrine (OR=37.6; 95% CI 4.63 to 306.31; p=0.001). Conclusions Results demonstrate that pregnant women in Aguascalientes City have a low seroprevalence of T. gondii infection. However, this low prevalence indicates that most pregnant women are at risk for a primary infection. Factors associated with T. gondii exposure found in this study, including food hygiene, may be useful to determine preventive measures against T. gondii infection and its sequelae. PMID:27371556

  5. Adequate weight gain in pregnancy: An analysis of its determinants in a cross-sectional study

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    Popa Alina Delia

    2014-01-01

    Full Text Available Introduction. Prenatal care is considered an important tool for promoting a healthy lifestyle, but has not been studied as a predictor for maternal weight gain during pregnancy, especially in Romania, where evidence about pregnancy and nutrition is scarce. Objective. This study has aimed to explore the relationship between pre-gestational body mass index (BMI, adequacy of prenatal care and weight gain during pregnancy. Methods. We carried a cross-sectional study on a sample of 400 pregnant women admitted at the “Cuza Voda” Obstetrics and Gynecology Hospital in Iasi. Information regarding demographic characteristics, number of prenatal visits, date of the initial hospital record, nutritional education during pregnancy were registered throughout a questionnaire filled out by means of a direct interview. The anthropometric indicators analyzed were the pre-gestational BMI and the pregnancy weight gain. Data on caloric intake were obtained using a food frequency questionnaire. Results. Weight gain within the limits of the Institute of Medicine recommendations was noticed at 44.35% of the women who declared that they received nutritional advice compared to 40.7% of those who did not receive advice regarding diet during pregnancy. Overweight (53.1% and obese women (66.7% had a larger weight gain than those with a normal pre-pregnancy BMI (29.8% (p<0.001. The variables that were identified with an effect on weight gain in this sample of pregnant women were: inadequate prenatal care, pre-gestational BMI and energy intake. Conclusion. Identifying the pre-gestational BMI and diet changes as predictors of weight gain underline the importance of an individualized prenatal care.

  6. Burnout syndrome and weekly workload of on-call physicians: cross-sectional study

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    Fabiano Timbó Barbosa

    Full Text Available CONTEXT AND OBJECTIVES: Burnout syndrome (BS is characterized by three dimensions: emotional exhaustion, depersonalization and reduced personal fulfillment. The objectives of this study were to evaluate a possible association between BS and weekly workload, and to describe the prevalence of BS and the sociodemographic and occupational profile of on-call physicians in Maceió. DESIGN AND SETTING: Cross-sectional study in intensive care units (ICU at public and private hospitals in Maceió. METHODS: A self-administered form was used to evaluate sociodemographic characteristics and BS through the Maslach Burnout Inventory (MBI among 67 on-call physicians at ICUs in Maceió. Pearson's R correlation test was used to compare workload and emotional exhaustion. For other dimensions, Spearman's S test was used (P < 0.05. Other variables were represented by simple frequencies. The 95% confidence interval was calculated for each variable. RESULTS: Among the physicians studied, 55.22% were female and the mean age was 43.9 ± 8.95 years. The mean weekly workload on call was 43.85 ± 24.49 hours. The frequency of high scores in at least one of the three dimensions of MBI was 70.14%. CONCLUSIONS: Despite the high prevalence of BS, especially among physicians who did not practice regular physical activity, our data did not indicate any significant correlation between weekly workload and any of the three dimensions of BS in this sample. The high prevalence of BS draws attention to the importance of investigating other possible causes, in order to prevent and adequately treat it.

  7. Municipal waste collectors and hepatitis B and C virus infection: a cross-sectional study.

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    Tsovili, Eva; Rachiotis, George; Symvoulakis, Emmanouil K; Thanasias, Efthimios; Giannisopoulou, Olganthi; Papagiannis, Dimitrios; Eleftheriou, Andreas; Hadjichristodoulou, Christos

    2014-12-01

    There is some evidence that municipal waste collectors are at risk of Hepatitis B virus infection (HBV). Published information on risk of Hepatitis C Virus (HCV) infection among waste collectors is scant. We aimed to investigate the prevalence and possible risk factors of HBV and HCV infections among waste collectors in a municipality of the broader region of Attica, Greece. A cross-sectional sero-prevalence study was conducted in a municipality of the broader region of Attica, Greece. Fifty waste collectors participated in the study (response rate: 95%). The group of municipal waste collectors was compared to a convenient sample of white collar employees not exposed to waste (No 83). Waste collectors recorded a significantly higher prevalence of hepatitis B virus infection (anti-HBc positivity) in comparison to the reference group (15% vs. 2.5%, respectively; p .001). Waste collectors who reported frequent exposure to needle-stick injuries had higher risk of HBV infection (RR 8.28; 95% CI 1.076-63.79; p 0.033). Only one municipal waste collector was anti-HCV positive. Our study corroborates previous results of an increased prevalence of Hepatitis B infection among municipal waste collectors. In addition we found that needle stick injuries were associated with the risk of HBV infection. By contrast, HCV infection does not seem to represent a significant occupational hazard among waste collectors. Vaccination against HBV among municipal solid waste collectors and promotion and use of safer methods for the collection of non-hospital medical waste could represent potential measures for the prevention of Hepatitis B Virus infection among municipal waste collectors.

  8. Impact of hand eczema severity on quality of life: a hospital based cross-sectional study

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    Bharat Bhushan Mahajan

    2016-01-01

    Full Text Available Introduction: Hands are important organs of expression, communication, and are necessary for household and work-related activity. Thus, hand eczema can deteriorate quality of life. This study aims to find impact of hand eczema severity on quality of life. Methods: A cross-sectional study was done in a tertiary care hospital in Punjab from January to July, 2014. A total of 69 hand eczema patients of either gender aged ≥16 years were enrolled after taking an informed consent. Disease severity was assessed by hand eczema severity index (HECSI score; and quality of life by dermatology life quality index (DLQI questionnaire. The data was evaluated using statistical tests like frequency, chi-square, oneway ANOVA, t-test etc. Results: Out of 69 patients, 63.8% were males and 36.2% females. The commonest age group affected was 21-40 years (55.1% cases. Aggravating factors were reported by 76.8% patients, the commonest trigger being summer season (47.8% followed by soaps and detergents (21.7%. The mean±S.D. for DLQI was 6.22±5.42 and for HECSI was 18.54±17.05. There was no statistically significant impact of age, occupation and duration of disease on DLQI or disease severity except gender (p-value being 0.028 for DLQI; 0.035 for HECSI. There was no significant correlation between HECSI score and DLQI. Conclusion: Majority of the patients with hand eczema had a significant impairment of their quality of life. There was a statistically significant impact of gender on hand eczema severity; although no correlation was found between DLQI and HECSI score in this study.

  9. Oral health of psychiatric patients: A cross-sectional comparision study

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    Viral R Shah

    2012-01-01

    Full Text Available Background: Mental illness is associated with physical health. Oral health affects people physically and psychologically and influences how they grow, enjoy life, look, speak, chew, taste food and socialize. Oral health may have lower priority in the context of mental illness and these diverse and changing client group experiences similar oral and dental problems. Objective: To assess oral health problems in psychiatric patients. Materials and Methods : This cross-sectional study included 133 patients attending the psychiatric outpatient department (OPD as the study group and 133 patients attending the general OPD of the same hospital as the control group. Both groups were examined for oral health status. Results: Mean age of the study group was 40.2 years, 66.17% were males, 66.17% were married and 83.67% belonged to middle or lower class. 39.8% of patients had mental illness for 1-5 years, 88% were self sufficient and 34.6% had healthy oral practices. These results are very much comparable with the control group. Mean decayed missed filled teeth (DMFT score (2.10 and mean oral hygiene index-simplex (OHI-S score (3.6 increased with age. Difference in DMFT score with age was not statistically significant (P>0.5 while it was highly significant for OHI-S score (P<0.0001. Periodontal condition worsened as age increased, suggested by community periodontal index. Only 26.7% of patients had healthy gingiva in the age group 20-50 years while it was zero for 50 years and above. This difference is statistically significant (P<0.001.

  10. Sale of anti-tuberculosis drugs through private pharmacies: a cross sectional study in Kerala, India.

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    Binoo Divakaran

    2011-03-01

    Full Text Available

    Background: Private health care providers are largely the first point of contact for Tuberculosis (TB patients, who either undergo treatment from private practitioners or buy medicines on their own from private pharmacies. Aims: This study assessed the availability, sale and magnitude of anti-tuberculosis drugs dispensing through private pharmacies.

    Methodology: The present cross sectional study was conducted among private pharmacies located along the national highway from Thalassery to Payyannur in the Kannur district of Kerala, India. A total of 38 private pharmacies located along the national highway were included.

    Results: The duration that anti–TB drugs had been on sale showed that 74.3% of pharmacies had started to sell these drugs only less than ten years ago. The majority (82.9% of the private pharmacies received up to 5 prescriptions for anti-TB drugs weekly. Out of the total of 35 pharmacies selling these drugs, 22 (62.9% reported an increase in their sales. Nearly 82% of those pharmacies that reported an increase in the sale of anti-TB drugs were selling these drugs for less than the past ten years.

    Conclusions: The current study shows that a large number of tuberculosis patients are still approaching private pharmacies for anti-tuberculosis drugs. This tendency has to be completely stopped and needs properly planned strategies to encourage private pharmacies to participate actively in the DOTS (Direct Observation Treatment Short course program of the Government, by providing them attractive alternative incentives

  11. Diet in subjects with irritable bowel syndrome: A cross-sectional study in the general population

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    Ligaarden Solveig C

    2012-06-01

    Full Text Available Abstract Background Patients with irritable bowel syndrome (IBS often relate symptoms to the intake of certain foods. This study assesses differences in diet in subjects with and without IBS. Methods The cross-sectional, population-based study was conducted in Norway in 2001. Out of 11078 invited subjects, 4621 completed a survey about abdominal complaints and intake of common food items. IBS and IBS subgroups were classified according to Rome II criteria. Results IBS was diagnosed in 388 subjects (8.4% and, of these, 26.5% had constipation-predominant IBS (C-IBS, 44.8% alternating IBS (A-IBS, and 28.6% diarrhoea-predominant IBS (D-IBS. Low intake of dairy products (portions/day (Odds Ratio 0.85 [CI 0.78 to 0.93], p = 0.001 and high intake of water (100 ml/day (1.08 [1.02 to 1.15], p = 0.002, tea (1.05 [1.01 to 1.10], p = 0.019 and carbonated beverages (1.07 [1.01 to 1.14], p = 0.023 were associated with IBS. A lower intake of dairy products and a higher intake of alcohol and carbonated beverages were associated with D-IBS and a higher intake of water and tea was associated with A-IBS. In subjects with IBS the severity of symptoms was associated with a higher intake of vegetables and potatoes in subjects with C-IBS, with a higher intake of vegetables in subjects with A-IBS, and with a higher intake of fruits and berries, carbonated beverages and alcohol in subjects with D-IBS. Conclusions In this study, the diet differed in subjects with and without IBS and between IBS subgroups and was associated with the severity of symptoms.

  12. Association between maternal education and malocclusion in Mongolian adolescents: a cross-sectional study

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    Tumurkhuu, Tsasan; Fujiwara, Takeo; Komazaki, Yuko; Kawaguchi, Yoko; Inazawa, Johji; Ganburged, Ganjargal; Bazar, Amarsaikhan; Ogawa, Takuya; Moriyama, Keiji

    2016-01-01

    Objective Malocclusion is a highly prevalent condition, affecting 20–60% of adolescents worldwide. Although its treatment is often expensive and unaffordable for disadvantaged individuals, few studies have examined the relationship between malocclusion and socioeconomic status. We investigated the prevalence of malocclusion among Mongolian adolescents and its association with maternal education in a community-based sample in Mongolia. Design Cross-sectional study. Settings 2 large secondary schools with different backgrounds in Ulaanbaatar, Mongolia. Participants Complete dental casts of 557 randomly recruited Mongolian schoolchildren aged 11–16 years were evaluated using the Dental Health Component of the Index of Orthodontic Treatment Need to dichotomise orthodontic treatment requirements. Exclusion criteria were the presence of orthodontic treatment history and absence of maternal educational status. Questionnaires were administered to caregivers to assess socioeconomic status. Poisson regression analysis was performed to examine the association between malocclusion and maternal educational status. Results The prevalence of malocclusion requiring orthodontic treatment among all adolescents was 35.2% (95% CI 31.2 to 39.2). In the unadjusted analysis, the prevalence ratio (PR) for malocclusion was higher (PR=1.46; 95% CI 0.96 to 2.20) among adolescents of mothers with a high educational background than among those of mothers with a low educational background. After adjusting for covariates, the PR remained significantly higher (PR=1.72; 95% CI 1.06 to 2.82) among adolescents of mothers with a high educational background. Other socioeconomic status variables, including family income and the educational level of the father, showed no association with malocclusion. Conclusions These findings suggest that malocclusion requiring orthodontic treatment in adolescents is more prevalent among children of mothers with high levels of education. Further studies are

  13. Comorbidity in patients with chronic obstructive pulmonary disease in family practice: a cross sectional study

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    García-Olmos Luis

    2013-01-01

    Full Text Available Abstract Background Chronic obstructive pulmonary disease (COPD is frequent and often coexists with other diseases. The aim of this study was to quantify the prevalence of COPD and related chronic comorbidity among patients aged over 40 years visiting family practices in an area of Madrid. Methods An observational, descriptive, cross-sectional study was conducted in a health area of the Madrid Autonomous Region (Comunidad Autónoma de Madrid. The practice population totalled 198,670 persons attended by 129 Family Physicians (FPs, and the study population was made up of persons over the age of 40 years drawn from this practice population. Patients were deemed to have COPD if this diagnosis appeared on their clinical histories. Prevalence of COPD; prevalence of a further 25 chronic diseases in patients with COPD; and standardised prevalence ratios, were calculated. Results Prevalence of COPD in family medicine was 3.2% (95% CI 3.0–3.3 overall, 5.3% among men and 1.4% among women; 90% of patients presented with comorbidity, with a mean of 4 ± 2.04 chronic diseases per patient, with the most prevalent related diseases being arterial hypertension (52%, disorders of lipid metabolism (34%, obesity (25%, diabetes (20% and arrhythmia (15%. After controlling for age and sex, the observed prevalence of the following ten chronic diseases was higher than expected: heart failure; chronic liver disease; asthma; generalised artherosclerosis; osteoporosis; ischaemic heart disease; thyroid disease; anxiety/depression; arrhythmia; and obesity. Conclusions Patients with COPD, who are frequent in family practice, have a complex profile and pose a clinical and organisational challenge to FPs.

  14. Child feces disposal practices in rural Orissa: a cross sectional study.

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    Fiona Majorin

    Full Text Available BACKGROUND: An estimated 2.5 billion people worldwide lack access to improved sanitation facilities. While large-scale programs in some countries have increased latrine coverage, they sometimes fail to ensure optimal latrine use, including the safe disposal of child feces, a significant source of exposure to fecal pathogens. We undertook a cross-sectional study to explore fecal disposal practices among children in rural Orissa, India in villages where the Government of India's Total Sanitation Campaign had been implemented at least three years prior to the study. METHODS AND FINDINGS: We conducted surveys with heads of 136 households with 145 children under 5 years of age in 20 villages. We describe defecation and feces disposal practices and explore associations between safe disposal and risk factors. Respondents reported that children commonly defecated on the ground, either inside the household (57.5% for pre-ambulatory children or around the compound (55.2% for ambulatory children. Twenty percent of pre-ambulatory children used potties and nappies; the same percentage of ambulatory children defecated in a latrine. While 78.6% of study children came from 106 households with a latrine, less than a quarter (22.8% reported using them for disposal of child feces. Most child feces were deposited with other household waste, both for pre-ambulatory (67.5% and ambulatory (58.1% children. After restricting the analysis to households owning a latrine, the use of a nappy or potty was associated with safe disposal of feces (OR 6.72, 95%CI 1.02-44.38 though due to small sample size the regression could not adjust for confounders. CONCLUSIONS: In the area surveyed, the Total Sanitation Campaign has not led to high levels of safe disposal of child feces. Further research is needed to identify the actual scope of this potential gap in programming, the health risk presented and interventions to minimize any adverse effect.

  15. Prevalence of oral mucosal lesions in dermatologically diseased patients: A cross-sectional study in Meerut

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    Tanushree Keswani

    2014-01-01

    Full Text Available Introduction: It is a noted fact that dermatologic diseases have varied oral manifestations. By far, there have been inordinately few studies focusing on the prevalence of a wide spectrum of oral mucosal lesions (OML in patients with dermatologic diseases. This is significant as oral lesions may be the only or the primary feature of the skin disease, which could be neglected by dentists. This study aimed to estimate the frequency and sociobehavioral correlates of OML in skin disease patients attending outpatient′s facility of Subharti Hospital, Dermatology Clinic, Meerut, India. Materials and Methods: This was a cross-sectional hospital-based study conducted in Meerut during the period from August 2013 to October 2013. A total of 500 patients (mean age 37.2 ± 14.11 years, 41.4% females completed an oral examination and a personal interview. OML were recorded using the World Health Organization criteria. Data were analyzed using the Statistical Package for Social Science (version 15.0.1. Cross tabulation and Chi-square with Fisher′s exact test were used. Results: At least one kind of OML was registered in 11.8%, males (58.6%: 60.0% versus females (40.0%: 45.6%, P < 0.01 skin disease patients. Thus, a certain number of patients had more than one type of OML. Aphthae were the most frequently diagnosed OML (3.4%, followed in descending order by oral lichen planus (1.8% and geographic tongue (1.6%. Conclusion: OML were frequently diagnosed in skin disease patients (11.80% and varied systematically with the dermatologic disease, age, and gender. The substantial prevalence rates of OML emphasize the importance of routine examination of the oral mucosa in a dermatology clinic.

  16. Occupational electromagnetic field exposures associated with sleep quality: a cross-sectional study.

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    Hui Liu

    Full Text Available Exposure to electromagnetic field (EMF emitted by mobile phone and other machineries concerns half the world's population and raises the problem of their impact on human health. The present study aims to explore the effects of electromagnetic field exposures on sleep quality and sleep duration among workers from electric power plant.A cross-sectional study was conducted in an electric power plant of Zhejiang Province, China. A total of 854 participants were included in the final analysis. The detailed information of participants was obtained by trained investigators using a structured questionnaire, which including socio-demographic characteristics, lifestyle variables, sleep variables and electromagnetic exposures. Physical examination and venous blood collection were also carried out for every study subject.After grouping daily occupational electromagnetic exposure into three categories, subjects with long daily exposure time had a significantly higher risk of poor sleep quality in comparison to those with short daily exposure time. The adjusted odds ratios were 1.68 (95%CI: 1.18, 2.39 and 1.57 (95%CI: 1.10, 2.24 across tertiles. Additionally, among the subjects with long-term occupational exposure, the longer daily occupational exposure time apparently increased the risk of poor sleep quality (OR (95%CI: 2.12 (1.23∼3.66 in the second tertile; 1.83 (1.07∼3.15 in the third tertile. There was no significant association of long-term occupational exposure duration, monthly electric fee or years of mobile-phone use with sleep quality or sleep duration.The findings showed that daily occupational EMF exposure was positively associated with poor sleep quality. It implies EMF exposure may damage human sleep quality rather than sleep duration.

  17. Social correlates of cigarette smoking among Icelandic adolescents: A population-based cross-sectional study

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    Allegrante John P

    2008-03-01

    Full Text Available Abstract Background Previous research has shown that between 80 and 90 percent of adult smokers report having started smoking before 18 years of age. Several studies have revealed that multiple social factors influence the likelihood of smoking during adolescence, the period during which the onset of smoking usually occurs. To better understand the social mechanisms that influence adolescent smoking, we analyzed the relationship and relative importance of a broad spectrum of social variables in adolescent smoking in Iceland, a Nordic country with high per-capita income. Methods We used cross-sectional data from 7,430 14- to 16 year-old students (approximately 81% of all Icelanders in these age cohorts in the 2006 Youth in Iceland study. The Youth in Iceland studies are designed to investigate the role of several cognitive, behavioral, and social factors in the lives of adolescents, and the data collected are used to inform the design, implementation, and evaluation of substance use prevention programs that are being developed by Icelandic social scientists, policy makers, and practitioners. Results Our analysis revealed that friends' smoking behavior and attitude toward smoking were strongly associated with adolescent smoking and other tobacco use, as well as alcohol consumption during the previous 30 days. Main protective factors were parent's perceived attitude toward smoking, the quantity of time spent with parents, absence of serious verbal conflict between parents and adolescents, and participation in physical activity. Family structure was related to adolescent smoking to a small extent, but other background factors were not. Conclusion We conclude that multiple social factors are related to adolescent smoking. Parents and other primary preventive agents need to be informed about the complicated nature of the adolescent social world in order to maximize their impact.

  18. Mental Health Status of Medical Students in Tehran: A Cross Sectional Study

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    Mohammad-Reza Sohrabi

    2015-12-01

    Full Text Available Background: Mental health of medical students who will be responsible for community health has great importance. This study was designed to determine the prevalence of probable mental disorders during the internship period of medical students.    Methods: This descriptive cross sectional study evaluated 404 medical students of Shahid Beheshti University of Medical Sciences, in Tehran, the capital of Iran. The data collecting instrument was a self-rated questionnaire including standard mental health questionnaire SCL-90-R, demographic and socio-economic data. The score 0.7 and above were designated as possible cases of mental disorders. Analysis performed by SPSS software, version 14 (SPSS Inc, Chicago, Il, USA. p-value<0.05 was considered significant.  Results: 53.8% of participants were female, and 79.4% were single. From all participants, 14.1% had Global Severity Index (GSI score more than 0.7. Mean and standard deviation of GSI score was 0.32 (0.27. The frequency of probable mental disorder in medical students was 16.3% in somatization; 24.5% in obsessive-compulsive; 15.6% in interpersonal sensitivity; 16.8% in depression; 18.8% in anxiety; 14.6% in hostility; 11.4% in phobic anxiety; 16.8% in paranoid ideation and 13.9% in psychoticism. Students who had no children, lived in dormitory, had good economic status and were satisfied with their private life and studying course had significantly lower GSI scores.  Conclusion: Between 11 to 24% of the students had mental disorders in different dimensions and economic status, living place and number of children were related to the disorders.

  19. A cross-sectional study of prevalence and implications of depression and anxiety in psoriasis

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    Sreelatha Lakshmy

    2015-01-01

    Full Text Available Background: Physical and mental comorbidity is common and has significant implications for overall health outcomes. Psoriasis, a psychocutaneous disorder, is a classic example of mental-physical comorbidity. Aims: In view of the impact of socio-cultural influences on mind-body interactions and the paucity of Indian research pertaining to psychiatric morbidity in psoriatic patients, this study was undertaken to measure the prevalence of anxiety and depression in patients with psoriasis, and to correlate these with severity of psoriasis and quality of life. Materials and Methods: This cross-sectional study was conducted on 90 consecutive patients of psoriasis, over a period of 12 months, in a tertiary care centre. The Psoriasis Area and Severity Index was used to assess severity of psoriasis. PHQ-9, GAD-7 and the Perceived Stress Scale were used to screen for depression, anxiety and perceived stress respectively. The WHOQOL-BREF was used to determine the quality of life. Statistics Analysis: All analysis was performed using Microsoft Excel software and Statistical Package for Social Sciences. Results: A total of 71 (78.9% subjects had depression and 69 (76.7% had anxiety. Fifty one patients had significant stress. A significant positive correlation was established between psoriasis variables (severity and duration of psoriasis and psychological variables (depression, anxiety and stress. Severity of psoriasis had a significant negative correlation with social relationships and environmental domains of WHOQOL. Quality of life was significantly worse in patients with psoriasis with comorbid anxiety/depression. Conclusion: Patients with psoriasis have a clinically significant prevalence of depression, anxiety and perceived stress. This study highlights the complex relationship between psoriasis, psychiatric comorbidity and quality of life and the need to simultaneously consider dermatological and psychological factors.

  20. A cross-sectional study of soft tissue facial morphometry in children of West Bengal

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    Badruddin A Bazmi

    2013-01-01

    Full Text Available Context: Facial analysis is the first step in the evaluation of patients with orthodontic, cosmetic, or reconstructive procedures of the face, and one of the most important components of orthodontic diagnosis and treatment planning. It is a well-established fact that human faces differ from one another on the basis of race and ethnicity. The study will provide the aesthetic guidelines to assess the facial discrepancy in Bengali children to develop a proper treatment plan. Aims: To find out the mean values for selective linear measurements on the facial soft tissue of Bengali children, to demonstrate gender differences in the measurements. Materials and Methods: A cross-sectional study was done on 250 Bengali children of 6-14 years age, by measuring certain identified facial landmarks using a digital caliper. Statistical Analysis Used: Analytical statistical method with the help of student′s t-test was used to determine mean values, standard deviation, and gender differences in the measurements using SPSS version 11.0. Results: In 6-8 years age group, male′s average inter-endocanthion distance was significantly higher than that of females ( P 0.05, though for 87% of cases, it was significant ( P = 0.13. Total facial height for male subject was significantly high compared to that of females ( P < 0.001 in 12-14 years age group. Conclusions: The study will provide the aesthetic guidelines to assess the facial discrepancy in Bengali children and provide a proper treatment plan through a simple and economically reasonable soft tissue analysis method.

  1. Interaction of smoking and occupational noise exposure on hearing loss: a cross-sectional study

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    Mohammadi Saber

    2007-07-01

    Full Text Available Abstract Background Noise is the most common hazardous agent at workplaces. Noise induced hearing loss (NIHL has been known since the industrial revolution. Although NIHL is permanent, irreversible and frequent, it is preventable. The economic costs of NIHL have been estimated to be about billions of dollars. Besides, cigarette smoking is a common habit worldwide, and according to some recent studies smoking and noise may act in common causal pathways for hearing loss. Methods A cross-sectional study was designed to study the effect of smoking on NIHL in 206 male smoker workers and 206 male non-smoker workers in a large food-producing factory, in which workers were exposed to noise levels exceeding 85dBA. To determine noise exposure level, we used sound level measurements reported by industrial hygienists. A qualified audiologist assessed hearing acuity by using standardized audiometric procedures assuring at least 14 h of noise avoidance. Results We observed that the percentage of workers with hearing threshold differences of greater than or equal to 30 dB between 4000 Hz and 1000 Hz in both ears were 49.5% and 11.2% in smoker and non smoker groups, respectively (Odds ratio = 7.8, 95% CI = 4.7 – 13, and the percentage of workers with a hearing threshold of greater than 25dB at 4000 Hz in the better ear were 63.6% and 18.4% in smoker and non smoker groups, respectively. This difference was statistically significant after adjustment for age and exposure duration. Conclusion It can be concluded that smoking can accelerate noise induced hearing loss, but more research is needed to understand the underlying mechanisms. Accurate follow up of smoker workers who are exposed to noise levels exceeding 85 dBA is suggested. Smokers should periodically attend educational courses on "smoking cessation", especially in noisy workplaces.

  2. Social disadvantages associated with myasthenia gravis and its treatment: a multicentre cross-sectional study

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    Nagane, Yuriko; Murai, Hiroyuki; Imai, Tomihiro; Yamamoto, Daisuke; Tsuda, Emiko; Minami, Naoya; Suzuki, Yasushi; Kanai, Tetsuya; Uzawa, Akiyuki; Kawaguchi, Naoki; Masuda, Masayuki; Konno, Shingo; Suzuki, Hidekazu; Aoki, Masashi; Utsugisawa, Kimiaki

    2017-01-01

    Objectives To clarify the social disadvantages associated with myasthenia gravis (MG) and examine associations with its disease and treatment. Design Cross-sectional study. Setting and participants We evaluated 917 consecutive cases of established MG seen at 13 neurological centres in Japan over a short duration. Outcome measures All patients completed a questionnaire on social disadvantages resulting from MG and its treatment and a 15-item MG-specific quality of life scale at study entry. Clinical severity at the worst condition was graded according to the MG Foundation of America classification, and that at the current condition was determined according to the quantitative MG score and MG composite. Maximum dose and duration of dose ≥20 mg/day of oral prednisolone during the disease course were obtained from the patients' medical records. Achievement of the treatment target (minimal manifestation status with prednisolone at ≤5 mg/day) was determined at 1, 2 and 4 years after starting treatment and at study entry. Results We found that 27.2% of the patients had experienced unemployment, 4.1% had been unwillingly transferred and 35.9% had experienced a decrease in income, 47.1% of whom reported that the decrease was ≥50% of their previous total income. In addition, 49.0% of the patients reported feeling reduced social positivity. Factors promoting social disadvantages were severity of illness, dose and duration of prednisolone, long-term treatment, and a depressive state and change in appearance after treatment with oral steroids. Early achievement of the treatment target was a major inhibiting factor. Conclusions Patients with MG often experience unemployment, unwilling job transfers and a decrease in income. In addition, many patients report feeling reduced social positivity. To inhibit the social disadvantages associated with MG and its treatment, greater focus needs to be placed on helping patients with MG resume a normal lifestyle as soon as

  3. Prevalence, patterns, and correlates of equestrian injuries in Malaysia: A cross-sectional study

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    Majeedkutty, Nizar A.; Khairulanuar, Nor A.B.

    2017-01-01

    BACKGROUND: Equestrian sport carries with it an implicit risk of injury. Despite the frequency of injuries in equestrian sports, there is no published study on injuries of equestrian athletes in Malaysia. OBJECTIVE: The objective of this study was to determine the prevalence of injuries and its correlates among horseback riders. SUBJECTS AND METHODS: A web-based standardized questionnaire was used to collect data for this cross-sectional survey. Horseback riders aged 18 years and above were included in the study. Out of 169 participants, 93 were females and 76 were males. The correlation of injuries to gender, age, level of experience, exercise habits, use of safety measures, and type of equestrian sport were determined. Chi-square test was performed to test for statistical significance. RESULTS: The prevalence was high with 85.8% of the participants reporting symptoms and characteristics of injuries in the past 12 months. The most frequently perceived symptoms reported were in the upper extremities (43.4%) followed by lower extremities (40.7%), head injury (8.3%) and injuries of upper and lower back (3.4%). There was a higher prevalence of injury among female participants (55.03%) than males (42.60%). A significant correlation was found between gender and prevalence of injuries. About 70% of the riders sustained soft tissue injuries. Fifty-five percent of the injured were involved in recreational riding. The most common mechanism of injury was a fall from a horse. Sixty percent of the injured riders did not seek medical attention after being injured, and physiotherapy consultation was even lower with 10.3%. CONCLUSIONS: The high prevalence of injuries and low rate of medical consultation emphasize the need for education programs on safety in Malaysia. Sessions should be held to improve coaching for riders and instructors, and their knowledge of the nature of the horse, mechanisms of injuries, horse handling, and riding skills to help them host safe equestrian

  4. Alterations of Myelin Content in Parkinson’s Disease: A Cross-Sectional Neuroimaging Study

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    Sojkova, Jitka; Hurley, Samuel; Kecskemeti, Steven; Okonkwo, Ozioma; Bendlin, Barbara B.; Theisen, Frances; Johnson, Sterling C.; Alexander, Andrew L.; Gallagher, Catherine L.

    2016-01-01

    Alterations to myelin may be a core pathological feature of neurodegenerative diseases. Although white matter microstructural differences have been described in Parkinson's disease (PD), it is unknown whether such differences include alterations of the brain’s myelin content. Thus, the objective of the current study is to measure and compare brain myelin content between PD patients and age-matched controls. In this cross-sectional study, 63 participants from the Longitudinal MRI in Parkinson's Disease study underwent brain MRI, Unified Parkinson's Disease Rating Scale (UPDRS) scoring, and cognitive asessments. Subjects were imaged with the mcDEPSOT (multi-component driven equilibrium single pulse observation of T1 and T2), a multicomponent relaxometry technique that quantifies longitudinal and transverse relaxation rates (R1 and R2, respectively) and the myelin water fraction (VFM), a surrogate for myelin content. A voxel-wise approach was used to compare R1, R2, and VFM measures between PD and control groups, and to evaluate relationships with age as well as disease duration, UPDRS scores, and daily levodopa equivalent dose. PD subjects had higher VFM than controls in frontal and temporal white matter and bilateral thalamus. Greater age was strongly associated with lower VFM in both groups, while an age-by-group interaction suggested a slower rate of VFM decline in the left putamen with aging in PD. Within the PD group, measures of disease severity, including UPDRS, daily levodopa equivalent dose, and disease duration, were observed to be related with myelin content in diffuse brain regions. The age-by-group interaction suggests that either PD or dopaminergic therapies allay observed age-related myelin changes. The relationships between VFM and disease severity measures suggests that VFM may provide a surrogate marker for microstructural changes related to Parkinson’s disease. PMID:27706215

  5. Factors influencing hygienic practices during menses among girls from south India- A cross sectional study

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    Khyrunnisa Begum

    2010-12-01

    Full Text Available Background: Menstruation is a natural phenomenon among matured females who experience shedding of blood for 1-7 days every month from the age of maturity until menopause. Menstrual hygiene and management is an issue that is insufficiently acknowledged and has not received adequate attention.Aims and Objectives: This study seeks to assess hygienic behavior of unmarried females aged 15 to 22 years and factors affecting their behaviors.Study Design: A cross-sectional study was conducted during 2009-10 on 350 students. They were recruited from educational institutions from a major city in South India. Demographic and menstrual history and hygiene questionnaires were used for obtaining required information. Statistical Packages for the Social Sciences (SPSS for Windows version 16 was used. Descriptive statistics, Chi-sq and Fisher’s exact tests were used for analysis.Results: Mean age of menarche was 13.4±1.2 years; disposable pads were used by two-thirds of the selected girls (68.9% regardless of age while 45.1% reported to use both disposable and non disposable materials. Frequency of changing pads was 2-3 times a day by 78.3% girls. Socioeconomic Status (SES of the selected girls and their age influenced choice of napkin/pads and other practices such as storage place of napkins; change during night and during school or college hours and personal hygiene. Older girls had better hygienic practices than the younger ones. Seventy six percent of the participants desired for more information regarding menstruation and hygienic practices.Conclusion: A variety of factors are known to affect menstrual behaviors most influential being age and SES. Awareness regarding the need for information about healthy menstrual practices is on rise among young women. It is probable that a mechanism be introduced to provide knowledge about menstrual health and self maintenance among women.

  6. Socioeconomic conditions of elderly people in Kosovo: a cross-sectional study

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    Jerliu Naim

    2012-07-01

    Full Text Available Abstract Background Kosovo is the newest state in Europe facing a particularly difficult socioeconomic and political transition. The available evidence on socioeconomic conditions and quality of life of elderly people in Kosovo is scarce notwithstanding the ageing trend due to lowering of fertility rates and a higher life-expectancy. In this context, the aim of our study was to assess the socioeconomic conditions of elderly people in post-war Kosovo. Methods A cross-sectional study was conducted in Kosovo in January-March 2011 including an age- sex-and residence (urban vs. rural-stratified sample of 1,890 individuals (83.5% response aged 65 years and over. A structured questionnaire included assessment of socio-demographic and socioeconomic characteristics including educational level and self-perceived poverty. Binary logistic regression was used to assess the association of self-perceived poverty with socio-demographic and socioeconomic factors. Results The educational level in this representative sample of elderly people in Kosovo was quite low, particularly among women. About 47% of respondents perceived themselves as poor, or extremely poor (41% of men and 52% of women. In multivariable-adjusted models, self-perceived poverty was higher among older women, low educated individuals, urban residents, and elderly individuals living alone. Conclusions Findings from this study indicate that the socioeconomic situation of the elderly population in Kosovo is rather challenging. Demographic trends coupled with the economic and political transition raise serious concerns about increasing needs for socioeconomic support of elderly people in Kosovo. Specific policies and actions should be considered by a number of stakeholders, including government and civil society in transitional Kosovo.

  7. Asthma and Wheeze Prevalence among Nursing Professionals in Western Japan: A Cross-Sectional Study.

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    Kurai, Jun; Watanabe, Masanari; Sano, Hiroyuki; Torai, Saeko; Yanase, Hirokazu; Funakoshi, Tomoaki; Fukada, Atsuko; Hayakawa, Sachiko; Shimizu, Eiji; Kitano, Hiroya

    2015-12-04

    Although adult asthma is attributable to occupational factors, few reports are available on asthma prevalence among health care workers in Japan. The objective of this study was to estimate the prevalence of asthma and wheeze among Japanese nursing professionals. A cross-sectional study was conducted by postal survey using a translated version of the European Community Respiratory Health Survey questionnaire from April to June 2013. The analysis included 4634 nursing professionals (257 men and 4377 women) and the overall response rate was 84.8%. The prevalence of current asthma and wheeze were 10.7% (95% confidence interval (CI), 9.9%-11.7%) and 15.6% (95% CI, 14.5%-16.6%), respectively. More than one year of work experience as a nursing professional and more than one year of experience with bed-making tasks were associated with odds ratios (ORs) of 1.95 (95% CI, 1.12-3.39) and 1.64 (95% CI, 1.15-2.23) for wheeze, respectively. Current smoking was significantly associated with the presence of wheeze, with ORs of 2.27 for men (95% CI, 1.11-4.64) and 2.01 for women (95% CI, 1.54-2.64). Among female nurses, latex allergy was associated with wheeze (OR, 1.87; 95% CI, 1.56-2.23), as was body mass index ≥30 (OR, 2.76; 95% CI, 1.65-4.62). This study has provided the prevalence of asthma and wheeze among Japanese nursing professionals. Employment period, bed-making tasks, latex allergy, obesity, and smoking may be risk factors for prevalent wheeze among nursing professionals.

  8. Asthma and Wheeze Prevalence among Nursing Professionals in Western Japan: A Cross-Sectional Study

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    Jun Kurai

    2015-12-01

    Full Text Available Although adult asthma is attributable to occupational factors, few reports are available on asthma prevalence among health care workers in Japan. The objective of this study was to estimate the prevalence of asthma and wheeze among Japanese nursing professionals. A cross-sectional study was conducted by postal survey using a translated version of the European Community Respiratory Health Survey questionnaire from April to June 2013. The analysis included 4634 nursing professionals (257 men and 4377 women and the overall response rate was 84.8%. The prevalence of current asthma and wheeze were 10.7% (95% confidence interval (CI, 9.9%–11.7% and 15.6% (95% CI, 14.5%–16.6%, respectively. More than one year of work experience as a nursing professional and more than one year of experience with bed-making tasks were associated with odds ratios (ORs of 1.95 (95% CI, 1.12–3.39 and 1.64 (95% CI, 1.15–2.23 for wheeze, respectively. Current smoking was significantly associated with the presence of wheeze, with ORs of 2.27 for men (95% CI, 1.11–4.64 and 2.01 for women (95% CI, 1.54–2.64. Among female nurses, latex allergy was associated with wheeze (OR, 1.87; 95% CI, 1.56–2.23, as was body mass index ≥30 (OR, 2.76; 95% CI, 1.65–4.62. This study has provided the prevalence of asthma and wheeze among Japanese nursing professionals. Employment period, bed-making tasks, latex allergy, obesity, and smoking may be risk factors for prevalent wheeze among nursing professionals.

  9. Foot pain and functional limitation in healthy adults with hallux valgus: a cross-sectional study

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    Nix Sheree E

    2012-10-01

    Full Text Available Abstract Background Hallux valgus (HV is a very common deformity of the first metatarsophalangeal joint that often requires surgical correction. However, the association between structural HV deformity and related foot pain and disability is unclear. Furthermore, no previous studies have investigated concerns about appearance and difficulty with footwear in a population with HV not seeking surgical correction. The aim of this cross-sectional study was to investigate foot pain, functional limitation, concern about appearance and difficulty with footwear in otherwise healthy adults with HV compared to controls. Methods Thirty volunteers with HV (radiographic HV angle >15 degrees and 30 matched controls were recruited for this study (50 women, 10 men; mean age 44.4 years, range 20 to 76 years. Differences between groups were examined for self-reported foot pain and disability, satisfaction with appearance, footwear difficulty, and pressure-pain threshold at the first metatarsophalangeal joint. Functional measures included balance tests, walking performance, and hallux muscle strength (abduction and plantarflexion. Mean differences (MD and 95% confidence intervals (CI were calculated. Results All self-report measures showed that HV was associated with higher levels of foot pain and disability and significant concerns about appearance and footwear (p Conclusions These findings show that HV negatively impacts on self-reported foot pain and function, and concerns about foot appearance and footwear in otherwise healthy adults. There was also evidence of impaired hallux muscle strength and increased postural sway in HV subjects compared to controls, although general physical functioning and participation in physical activity were not adversely affected.

  10. Barriers for Early Detection of Cancer Amongst Urban Indian Women: A Cross Sectional Study

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    Kadam, Yugantara R.; Quraishi, Sanjay R.; Dhoble, Randheer V.; Sawant, Minaxi R.; Gore, Alka D.

    2016-01-01

    Background: Cancer is a leading cause of death globally. Every year, millions of cancer patients could be saved from premature death and and suffering if they had timely access to early detection and treatment. There are two main components of early detection: early diagnosis and screening. In India, cancers of cervix, breast, mouth/oropharynx are the most frequent cancers in women. These cancers are amenable to early detection. More than two third of the cancer patients are already in an advanced and incurable stage at the time of diagnosis. Objectives: This study was designed with the aim to know the reasons for non availment of cancer screening procedures and early diagnostic facilities. Materials and Methods: This cross-sectional study was planned in Sangli, Miraj and Kupwad Corporation area during October 2013 - March 2014 by a pretested questionnaire. Women of 25 years and above were study subjects selected randomly from a cluster sample of ward with estimated sample size of 559 women. Statistical analysis was done with the help of IBM SPSS 22. Results: Nearly 74% of women said that cancer is curable. For awareness about signs and symptoms, risk factors and screening test 82.3% women scored less than 50% of total score. Only 17.7% women had awareness score more than 50%. But their attitude score was > 50% in 85.2% of women. For practice score, 24.4% women scored > 50%. Significant association was found between awareness, attitude and practice scores and education, occupation and history of cancer in family, friends and neighborhood of respondents. Conclusions: Low awareness is the main barrier for undergoing cancer screening and early detection. There is a need of effective health education programme. PMID:27366310

  11. Psychiatric morbidity among inmates of center for destitutes: A cross-sectional study

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    Raghavendra B Nayak

    2015-01-01

    Full Text Available Context: One percent of the population in India is homeless (destitutes which include beggars, commercial sex workers, homeless mentally ill, elderly women with dependent children, street children, and persons with disability. Psychiatric disorders are generally seen to be common among homeless individuals. The data are limited regarding psychiatric morbidity and its prevalence in this populace in Indian context. Aim: The aim was to study the prevalence of psychiatric morbidity among the inmates of a center for destitutes. Settings and Design: Cross-sectional study. Materials and Methods: The study included all the residents (n = 50 of a center of destitutes. Psychiatric evaluation was done by qualified practicing psychiatrist. Brief Psychiatric Rating Scale and Global Assessment of Functioning instruments were used to assess the severity of psychiatric symptoms and general functioning of the individuals with mental disorders. Statistical Analysis Used: SPSS version 13 was used for statistical analysis. Results: All residents (n = 50 of center of destitutes were evaluated for psychiatric co-morbidity. 42 (84% inmates were suffering from psychiatric disorders. Most common psychiatric disorder among them was psychotic disorders in 19 (38%, followed by affective disorders, mainly depression in 16 (32%, somatoform disorders in 5 (10%, and anxiety disorders in 2 (4%. No significant gender differences were noted (P = 0.335. Substance abuse was present in 22 (44% of the inmates. A significant negative correlation between psychiatric symptoms and functioning of the subject was seen, (P < 0.001. Conclusion: Psychiatric disorders and in particular substance abuse, are common among the homeless people who stay in the center of destitutes. Psychiatric disorders are likely to be the cause significant functional impairment.

  12. Erythromelanosis Follicularis Faciei et Colli - A Cross-sectional, Descriptive study

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    Rather, Shagufta; Yaseen, Atiya; Mukhija, Mani

    2016-01-01

    Background: Erythromelanosis follicularis faciei et colli (EFFC) has always been reported as a rare disorder, and more data are needed to define its etiology and epidemiology. Objectives: To present a descriptive study of this disorder from Kashmir and present a review of literature on the same. Materials and Methods: A cross-sectional, descriptive study was conducted on 14 patients with clinical lesions suggestive of EFFC, presenting to our dermatology outpatient clinic between May 2013 and April 2015. After obtaining informed consent from all patients, the demographic and clinical data were collected and punch biopsies were taken which after being fixed in formalin were stained for hematoxylin and eosin. The study was approved by Institutional Review Board. Results: Age of the patients ranged from 12 to 35 years with a mean age of 24.8 years. Females outnumbered males in a ratio of 1.3:1. Family history was positive in one case, and one patient had unilateral presentation. The classical triad of erythema, pigmentation, and follicular papules were present in 100% patients. Telangiectasias were observed in 28.57% patients only. Classical sites described were involved in all the cases (100%). In addition, lesions were found to involve eyebrows (28.57%), forehead (28.57%), upper lips (14.28%), and pinna (21.42%). Keratosis pilaris was present in all patients (100%); most common sites affected were upper arms and thighs. Two (14.28%) had generalized distribution. Histopathology in all correlated well with clinical findings. Conclusion: EFFC has always been reported as a rare disorder, but we believe that it is not so. The reason could be either lack of awareness of the disease by the patient due to its generally asymptomatic nature or under-recognition by the physicians. Awareness about the disease on part of dermatologist and recognition of clinical presentation is important for correct diagnosis and to help find more effective therapeutic modalities. PMID:27293252

  13. Prevalence, patterns, and correlates of equestrian injuries in Malaysia: A cross-sectional study

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    Nizar A Majeedkutty

    2017-01-01

    Full Text Available Background: Equestrian sport carries with it an implicit risk of injury. Despite the frequency of injuries in equestrian sports, there is no published study on injuries of equestrian athletes in Malaysia. Objective: The objective of this study was to determine the prevalence of injuries and its correlates among horseback riders. Subjects And Methods: A web-based standardized questionnaire was used to collect data for this cross-sectional survey. Horseback riders aged 18 years and above were included in the study. Out of 169 participants, 93 were females and 76 were males. The correlation of injuries to gender, age, level of experience, exercise habits, use of safety measures, and type of equestrian sport were determined. Chi-square test was performed to test for statistical significance. Results: The prevalence was high with 85.8% of the participants reporting symptoms and characteristics of injuries in the past 12 months. The most frequently perceived symptoms reported were in the upper extremities (43.4% followed by lower extremities (40.7%, head injury (8.3% and injuries of upper and lower back (3.4%. There was a higher prevalence of injury among female participants (55.03% than males (42.60%. A significant correlation was found between gender and prevalence of injuries. About 70% of the riders sustained soft tissue injuries. Fifty-five percent of the injured were involved in recreational riding. The most common mechanism of injury was a fall from a horse. Sixty percent of the injured riders did not seek medical attention after being injured, and physiotherapy consultation was even lower with 10.3%. Conclusions: The high prevalence of injuries and low rate of medical consultation emphasize the need for education programs on safety in Malaysia. Sessions should be held to improve coaching for riders and instructors, and their knowledge of the nature of the horse, mechanisms of injuries, horse handling, and riding skills to help them host safe

  14. Factors associated with job satisfaction among Chinese community health workers: a cross-sectional study

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    Ge Cuixia

    2011-11-01

    Full Text Available Abstract Background With the medical reform, the function of community health centres emerged to be more important recently in China. However, the health service capabilities were tremendously different between metropolitan cities and small cities. This study aims to clarify the level of job satisfaction of Chinese community health workers between a metropolitan (Shenyang and a small city (Benxi in Liaoning province and explore its associated factors. Methods A cross-sectional survey was conducted from December 2009 to February 2010. A multi-stage sample was used and a total of 2,100 Chinese community health workers from the two cities completed self-administered questionnaire pertaining to job satisfaction indicated by Minnesota Satisfaction Questionnaire (MSQ, demographic characteristic and working situations, stress and job burnout. The effective response rate was 80.7%. Hierarchical regression analysis was performed to explore the related factors. All data analyses for the two cities were performed separately. Results The averages of overall job satisfaction score of Chinese community health workers were 67.17 in Shenyang and 69.95 in Benxi. Intrinsic job satisfaction and extrinsic job satisfaction among Chinese community health workers were significantly different between Shenyang and Benxi (p Conclusion From this study, the job satisfaction among Chinese community health workers in the two cities enjoyed a moderate level of job satisfactions, which represented they are not fully satisfied with their jobs. Community health workers in Shenyang had lower job satisfaction as compared to those in Benxi. This study strengthened the evidence that stress and burnout were important predictors of intrinsic and extrinsic job satisfactions.

  15. Assessment of nutritional status among adolescents: a hospital based cross sectional study

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    J. P. Singh

    2014-04-01

    Full Text Available Background: Adolescence, a period of transition between childhood and adulthood, occupies a crucial position in the life of human beings. The primary causes of under nutrition in India are its large population, socio-economic differences and inadequate access to health facilities. Nutritional assessments among adolescents are important as they are the future parents and constitute a potentially susceptible group. Studies on the assessment of nutritional status of adolescents are less in number and a National database has not yet been developed. Methods: The present hospital based cross sectional study was conducted in year 2013 among 344 rural adolescents of 10-19 years age (166 boys and 178 girls attending the outpatient department at rural health training centre (RHTC Dhaura Tanda, district Bareilly, Uttar Pradesh, belonging to the Muslim and Hindu caste communities. The nutritional status was assessed in terms of under nutrition (weight-for-age below 3rd percentile, stunting (Height-for-age below 3rd percentile and thinness (BMI-for-age below 5th percentile. Diseases were accepted as such as diagnosed by pediatrician, skin specialist and medical officer. Results: The prevalence of underweight, stunting and thinness were found to be 32.8%, 19.5% and 26.7% respectively. The maximum prevalence of malnutrition was observed among early adolescents (28%-47% and the most common morbidities were URTI (38.6%, diarrhea (16.8%, carbuncle / furuncle (16% and scabies (9.30%. Conclusion: The study concluded that the most common morbidities among adolescents were related to nutrition and personal hygiene. Regular health programmes should focus to educate and promote health among adolescent. [Int J Res Med Sci 2014; 2(2.000: 620-624

  16. Medical Faculty Members’ Spiritual Intelligence/Quotient (SQ: A Descriptive Cross-sectional Study in Iran

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    Maryam Akbari Lakeh

    2013-10-01

    Full Text Available Introduction: Recently, promotion of SQ has been introduced as a factor in improving the quality of working life and performance of employees. Since faculty members are the greatest resource of universities; recognition of the SQ and its effectiveness would be the shortcut route to improve their overall performance. Finding and applying all factors affecting the educational organizations promotion is the main approach in improving the quality of higher education. This study aimed to determine the demographic of faculty members, the level of spiritual intelligence and its dimensions in medical faculty members. Methods: This descriptive cross-sectional study with the participant of 160 medical faculty members (32 basic science faculty members, 128 clinical science faculty members conducted through stratified probability sampling in one of the medical universities in Iran. King’s modified Spiritual intelligence questionnaire was used. The data were analyzed using SPSS 11.0. Results: The mean score of faculty members’ SQ was 63.0±1.2, which was moderate. There was no significant difference between faculty members’ SQ scores (p=0.7 considering the minimum score of 28.0 and maximum score of 87.0; (t=0.4. In dimensions of SQ: the highest score was for critical existential thinking and the lowest one was for transcendental awareness. There was significant difference between dimensions of SQ among the participants (p<0.001. Conclusion: Since we found a significant difference between dimensions of SQ among participants, the studies exploring the nature of this difference were warranted. It seems that proper training for promotion of SQ can be an important step for the development of universities educational organization.

  17. Chronic obstructive pulmonary disease prevalence in Lebanon: a cross-sectional descriptive study

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    Waked M

    2011-11-01

    Full Text Available Mirna Waked1, George Khayat2, Pascale Salameh31Saint George Hospital University Medical Center, Beirut, Lebanon; 2Faculty of Medicine, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon; 3Faculties of Pharmacy and Public Health, Lebanese University, Beirut, LebanonBackground: Chronic obstructive pulmonary disease (COPD continues to increase worldwide. The objective of this study was to determine the prevalence of COPD in Lebanese adults.Methods: A cross-sectional study was carried out using a multistage cluster sample from all over Lebanon. Residents aged 40 years and over were enrolled. Subjects underwent baseline spirometry and answered a questionnaire. After an albuterol + ipratropium bromide bronchodilator, a posttest was performed.Results: Of 2201 individuals, only 33.3% had never smoked. The prevalence of COPD by the Global Initiative for Chronic Obstructive Lung Disease definition, was 9.7% (95% confidence interval [CI]: 8.5%–10.9%. According to the 5% lower limit of normal definition of COPD, the prevalence was 12.5% (95% CI: 11.2%–13.9%. A total of 20.2% were already diagnosed by a physician. No differences in symptoms across stages of COPD were found, but there was a significant trend for a higher number of visits to the emergency room and to the doctor (P < 0.001, and a higher number of hospitalizations (P < 0.001. Older individuals had an increased risk of COPD (adjusted odds ratio [ORa] = 1.05; so did “ever” cigarette smokers (ORa = 4.88 and water-pipe smokers (ORa = 2.53.Conclusion: This is the first epidemiological study in Lebanon that determined COPD prevalence and the link with water-pipe smoking.Keywords: COPD, prevalence, water-pipe smoking

  18. Assessment of the profile of psychiatric manifestations in cannabis users: A cross sectional study

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    Indrajeet Sharma

    2016-03-01

    Full Text Available Background: Cannabis is the world's most commonly used illicit drug, with approximately 200 to 300 million regular users. It occupies fourth place in worldwide popularity among psychoactive drugs, after caffeine, nicotine and alcohol. Nowadays, cannabis is widely used by young people and, the prevalence of lifetime use of cannabis by young adults has increased in many developed countries over the past several decades. Methods: It was a one year cross-sectional observational study. The study included 60 patients, who had been taking cannabis for at least previous six months with a frequency of minimum 20 days/month. The eligible patients fulfilling inclusion and exclusion criteria and giving written informed consent were enrolled in the study. Results: Most common co-morbid psychiatric disorders were bipolar affective disorders, current manic episode with or without psychotic features (25.0%. Second most common co-morbid disorder was cannabis induced psychosis which was present in thirteen patients (21.7%. Seven patients (11.7% had acute and transient psychosis; six patients (10.0% were diagnosed as schizophrenia, whereas three patients (5.0% had Psychosis Not Otherwise Specified (NOS. Anxiety disorder and depressive disorder accounted for 10% and 3.4% of comorbidity, respectively. Two patients (3.3% were having cannabis dependence syndrome with withdrawal state and three patients (5.0% were having cannabis dependence syndrome only without any associated psychiatric comorbidity. Conclusion: Among the various psychiatric disorders, bipolar affective disorder, current episode mania with or without psychotic features was the most prevalent disorder.Most of cannabis users seeking treatment suffer from various psychiatric comorbid disorders particularly psychotic disorders (38.4%. [Natl J Med Res 2016; 6(1.000: 58-61

  19. Deficiency of 25-hydroxyvitamin D in male HIV-positive patients: a descriptive cross-sectional study

    DEFF Research Database (Denmark)

    Bang, Ulrich Christian; Shakar, Shakil A; Hitz, Mette Friberg;

    2010-01-01

    The aim of this descriptive cross-sectional study was to describe the prevalence of hypovitaminosis D in a cohort of HIV-seropositive males. Blood samples were collected in November and December 2004 and analyzed in the hospital laboratory. The concentration of 25-hydroxyvitamin D (25(OH)D) was d......The aim of this descriptive cross-sectional study was to describe the prevalence of hypovitaminosis D in a cohort of HIV-seropositive males. Blood samples were collected in November and December 2004 and analyzed in the hospital laboratory. The concentration of 25-hydroxyvitamin D (25(OH...

  20. A cross-sectional study on intestinal parasitic infections in rural communities, northeast Thailand.

    Science.gov (United States)

    Boonjaraspinyo, Sirintip; Boonmars, Thidarut; Kaewsamut, Butsara; Ekobol, Nuttapon; Laummaunwai, Porntip; Aukkanimart, Ratchadawan; Wonkchalee, Nadchanan; Juasook, Amornrat; Sriraj, Pranee

    2013-12-01

    Despite the existence of effective anthelmintics, parasitic infections remain a major public health problem in Southeast Asia, including Thailand. In rural communities, continuing infection is often reinforced by dietary habits that have a strong cultural basis and by poor personal hygiene and sanitation. This study presents a survey of the prevalence of intestinal parasitic infections among the people in rural Thailand. The community-based cross-sectional study was conducted in villages in Khon Kaen Province, northeastern Thailand, from March to August 2013. A total of 253 stool samples from 102 males and 140 females, aged 2-80 years, were prepared using formalin-ethyl acetate concentration methods and examined using light microscopy. Ninety-four individuals (37.2%) were infected with 1 or more parasite species. Presence of parasitic infection was significantly correlated with gender (P=0.001); nearly half of males in this survey (49.0%) were infected. Older people had a higher prevalence than younger members of the population. The most common parasite found was Opisthorchis viverrini (26.9%), followed by Strongyloides stercoralis (9.5%), Taenia spp. (1.6%), echinostomes (0.4%), and hookworms (0.4%). The prevalence of intestinal protozoa was Blastocystis hominis 1.6%, Entamoeba histolytica 0.8%, Entamoeba coli 0.8%, Balantidium coli 0.4%, Iodamoeba bütschlii 0.4%, and Sarcocystis hominis 0.4%. Co-infections of various helminths and protozoa were present in 15.9% of the people. The present results show that the prevalence of parasitic infections in this region is still high. Proactive education about dietary habits, personal hygiene, and sanitation should be provided to the people in this community to reduce the prevalence of intestinal parasite infections. Moreover, development of policies and programs to control parasites is needed.

  1. Pulmonary involvement in rheumatoid arthritis: A cross-sectional study in Iran

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    Habib Zayeni

    2016-01-01

    Full Text Available Background: Interstitial lung disease (ILD is a type of pulmonary manifestation in patients with rheumatoid arthritis (RA. Mostly RA-ILD has no symptoms and is only diagnosed by clinical examination, pulmonary function test (PFT, and high-resolution computed tomography (HRCT; hence it seems that the diagnosis of pulmonary involvement in early stages of RA is of great importance. Therefore, we decided to answer this question whether the evaluation of RA patients without pulmonary symptoms using methods such as PFT and HRCT are justifiable and reasonable or not. Methods: We conducted a cross-sectional study in a referral rheumatology clinic in Razi hospital of Rasht, Iran. Forty-four consecutive patients, diagnosed with RA, were enrolled. Physical examination of the joints was performed by an rheumatologist. The activity of RA was evaluated in all patients by Disease Activity Score 28. An expert pulmonologist performed the respiratory examination in all participants. Then, all subjects were referred for chest X-ray, PFT, and HRCT of lungs. Results: Patients included in this study, 9 (20.45% males and 35 (79.55% females, were 21–73 years old and their mean age was 49 ± 13 years. Significant relation between PFT and respiratory complaints was observed (P = 0.016. PFT had significant relation with respiratory examinations (P = 0.009. Our results indicated a significant relation between disease activity rate and PFT (P = 0.038. While HRCT had any significant relation with above items. Conclusion: We concluded, using PFT in the respiratory assessment of RA patients can be limited to persons with high disease activity, respiratory complaints, and positive findings in the clinical respiratory examination.

  2. Correlates of Unsupervised Bathing of Infants: A Cross-Sectional Study

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    Tinneke M. J. Beirens

    2013-03-01

    Full Text Available Drowning represents the third leading cause of fatal unintentional injury in infants (0–1 years. The aim of this study is to investigate correlates of unsupervised bathing. This cross-sectional study included 1,410 parents with an infant. Parents completed a questionnaire regarding supervision during bathing, socio-demographic factors, and Protection Motivation Theory-constructs. To determine correlates of parents who leave their infant unsupervised, logistic regression analyses were performed. Of the parents, 6.2% left their child unsupervised in the bathtub. Parents with older children (OR 1.24; 95%CI 1.00–1.54 were more likely to leave their child unsupervised in the bathtub. First-time parents (OR 0.59; 95%CI 0.36–0.97 and non-Western migrant fathers (OR 0.18; 95%CI 0.05–0.63 were less likely to leave their child unsupervised in the bathtub. Furthermore, parents who perceived higher self-efficacy (OR 0.57; 95%CI 0.47–0.69, higher response efficacy (OR 0.34; 95%CI 0.24–0.48, and higher severity (OR 0.74; 95%CI 0.58–0.93 were less likely to leave their child unsupervised. Since young children are at great risk of drowning if supervision is absent, effective strategies for drowning prevention should be developed and evaluated. In the meantime, health care professionals should inform parents with regard to the importance of supervision during bathing.

  3. Cancer Information Seeking Among Adult New Zealanders: a National Cross-Sectional Study.

    Science.gov (United States)

    Richards, Rosalina; McNoe, Bronwen; Iosua, Ella; Reeder, Anthony; Egan, Richard; Marsh, Louise; Robertson, Lindsay; Maclennan, Brett; Dawson, Anna; Quigg, Robin; Petersen, Anne-Cathrine

    2016-11-16

    Organisations seeking to establish themselves as leading cancer information sources for the public need to understand patterns and motivators for information seeking. This study describes cancer information seeking among New Zealanders through a national cross-sectional survey conducted in 2014/15 with a population-based sample of adults (18 years and over). Participants were asked if they had sought information about cancer during the past 12 months, the type of information they sought, what prompted them to look for information and ways of getting information they found helpful. Telephone interviews were completed by 1064 participants (588 females, 476 males, 64% response rate). Of these, 33.8% of females and 23.3% of males (total, 29.2%) had searched for information about cancer over the past year. A search was most frequently prompted by a cancer diagnosis of a family member or friend (43.3%), a desire to educate themselves (17.5%), experience of potential symptoms or a positive screening test (9.4%), family history of cancer (8.9%) or the respondent's own cancer diagnosis (7.7%). Across the cancer control spectrum, the information sought was most commonly about treatment and survival (20.2%), symptoms/early detection (17.2%) or risk factors (14.2%), although many were general or non-specific queries (50.0%). The internet was most commonly identified as a helpful source of information (71.7%), followed by health professionals (35.8%), and reading material (e.g. books, pamphlets) (14.7%).This study provides a snapshot of cancer information seeking in New Zealand, providing valuable knowledge to help shape resource delivery to better meet the diverse needs of information seekers and address potential unmet needs, where information seeking is less prevalent.

  4. Evoked potential abnormalities in multiple sclerosis: a cross sectional study on 25 patients

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    Harirchian MH

    2009-04-01

    Full Text Available "nBackground: Visual, brain stem auditory and somatosensory evoked potentials (EPs have been traditional paraclinical tests to evaluate the competency of sensory tracts in multiple sclerosis (MS patients. It seems that only one of these EPs could be sufficient, at least as a screening test. The objective of this paper is to evaluate the frequency of these three evoked potentials in definite MS patients. "nMethods: This descriptive cross-sectional study involved was 25 definite relapsing remitting MS patients who referred to our university hospital. Twenty five individuals from normal population without any neurologic, visual, auditory or sensory disorders have been evaluated as well to determine the standard values in our electrophysiology lab. Values more than mean+2.5SD for latencies and less than mean-2.5SD for amplitudes were considered as abnormal. "nResults: Fifteen (60%, 13 (52%, and 13 (52% had abnormal visual, auditory and somatosensory EPs respectively. The latency of P100 in visual EP (VEP had the most sensitivity among all of the parameters. It was determined that the possibility of abnormality in each of auditory and somatosensory EPs in the presence of normal VEP could be 30.8%. In other words 30.8% of patients with negative VEP could have a positive auditory brain stem or somatosensory EPs. "nConclusion: In our study, a VEP abnormality was more frequent than auditory brain stem and somatosensory EPs. Thus it is not logical to perform triple EP tests in all suspected MS patients, but auditory and somatosensory EPs could be considered in patients with normal VEP.

  5. A Cross-sectional, comparative study of insight in schizophrenia and bipolar patients in remission

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    Arul Saravanan Ramachandran

    2016-01-01

    Full Text Available Aims: To study insight correlates in schizophrenia and bipolar mood disorder in remission among out-patients attending the Psychiatry Department of a Tertiary Care Hospital. Settings and Design: In a cross-sectional, naturalistic study, adult patients with schizophrenia and bipolar mood disorder in remission (n = 80; schizophrenia-40, mania-20, bipolar depression-20 were compared on insight measures and clinical correlates. Materials and Methods: Scale to Assess the Unawareness of Mental Disorders (SUMD was used as the main tool to assess current and past measures of insight. Hogan's Drug Attitude Inventory was used to assess the drug attitude and compliance. Positive and Negative Symptom Scale for Schizophrenia, Young's Mania Rating Scale, and HAMD were used to rate psychopathology. Clinical Global Improvement was used as a screening tool for remission. Statistical Analysis: For comparison of the three clinical groups, analysis of variance and Chi-square test were used. In the post-hoc analysis, the Ryan-Einot-Gabriel-Welsch test was used to find the group difference. Results: About 40% in the schizophrenia group were unaware of their mental illness as against none in the bipolar group. The awareness of mental disorder for the current period, the awareness of the achieved effects of medications, and the awareness of social consequence was better in the bipolar group. The drug attitude (compliant positive attitude increased as the SUMD item scale decreased or in other words, as the insight improved. Conclusions: Insight, both current and retrospect, showed significant differences between the schizophrenia and bipolar patients. Insight is significantly correlated with the observed compliance and drug attitude of the patient groups.

  6. Avian influenza seroprevalence and biosecurity risk factors in Maryland backyard poultry: a cross-sectional study.

    Science.gov (United States)

    Madsen, Jennifer M; Zimmermann, Nickolas G; Timmons, Jennifer; Tablante, Nathaniel L

    2013-01-01

    Major implications on a country's economy, food source, and public health. With recent concern over the highly pathogenic avian influenza outbreaks around the world, government agencies are carefully monitoring and inspecting live bird markets, commercial flocks, and migratory bird populations. However, there remains limited surveillance of non-commercial poultry. Therefore, a cross-sectional study was conducted in backyard poultry flocks using a convenience sampling method across three regions of Maryland from July 2011 to August 2011. The objective of this study was to develop a better understanding of the ecology and epidemiology of avian influenza by investigating the prevalence and seroprevalence in this potentially vulnerable population and by evaluating biosecurity risk factors associated with positive findings. Serum, tracheal, and cloacal swabs were randomly collected from 262 birds among 39 registered premises. Analysis indicated bird and flock seroprevalence as 4.2% (11/262) and 23.1% (9/39), respectively. Based on RT-qPCR analysis, none of the samples were found to be positive for AI RNA and evidence of AI hemagglutinin subtypes H5, H7, or H9 were not detected. Although no statistically significant biosecurity associations were identified (p≤0.05), AI seroprevalence was positively associated with exposure to waterfowl, pest control, and location. AI seropositive flocks exposed to waterfowl were 3.14 times as likely to be AI seropositive than those not exposed (p = 0.15). AI seropositive flocks that did not use pest control were 2.5 times as likely to be AI seropositive compared to those that did and AI seropositive flocks located in the Northern region of Maryland were 2.8 times as likely to be AI seropositive than those that were located elsewhere.

  7. Avian influenza seroprevalence and biosecurity risk factors in Maryland backyard poultry: a cross-sectional study.

    Directory of Open Access Journals (Sweden)

    Jennifer M Madsen

    Full Text Available Major implications on a country's economy, food source, and public health. With recent concern over the highly pathogenic avian influenza outbreaks around the world, government agencies are carefully monitoring and inspecting live bird markets, commercial flocks, and migratory bird populations. However, there remains limited surveillance of non-commercial poultry. Therefore, a cross-sectional study was conducted in backyard poultry flocks using a convenience sampling method across three regions of Maryland from July 2011 to August 2011. The objective of this study was to develop a better understanding of the ecology and epidemiology of avian influenza by investigating the prevalence and seroprevalence in this potentially vulnerable population and by evaluating biosecurity risk factors associated with positive findings. Serum, tracheal, and cloacal swabs were randomly collected from 262 birds among 39 registered premises. Analysis indicated bird and flock seroprevalence as 4.2% (11/262 and 23.1% (9/39, respectively. Based on RT-qPCR analysis, none of the samples were found to be positive for AI RNA and evidence of AI hemagglutinin subtypes H5, H7, or H9 were not detected. Although no statistically significant biosecurity associations were identified (p≤0.05, AI seroprevalence was positively associated with exposure to waterfowl, pest control, and location. AI seropositive flocks exposed to waterfowl were 3.14 times as likely to be AI seropositive than those not exposed (p = 0.15. AI seropositive flocks that did not use pest control were 2.5 times as likely to be AI seropositive compared to those that did and AI seropositive flocks located in the Northern region of Maryland were 2.8 times as likely to be AI seropositive than those that were located elsewhere.

  8. Association between psychosocial characteristics of work and presenteeism: A cross-sectional study

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    Heidi Janssens

    2016-04-01

    Full Text Available Objectives: This study aimed at investigating cross-sectional relationships between psychosocial characteristics of work and presenteeism in a sample of Belgian middle-aged workers. Material and Methods: Data were collected from 1372 male and 1611 female workers in the Belstress III study. Psychosocial characteristics assessed by the use of self-administered questionnaires were: job demands, job control, social support, efforts, rewards, bullying, home-to-work conflict and work-to-home conflict. Presenteeism was measured using a single item question, and it was defined as going to work despite illness at least 2 times in the preceding year. Logistic regression models were used to investigate the relationship between psychosocial characteristics and presenteeism, while adjusting for several socio-demographic, health-related variables and neuroticism. An additional analysis in a subgroup of workers with good self-rated health and low neuroticism was conducted. Results: The prevalence of presenteeism was 50.6%. Overall results, adjusted for major confounders, revealed that high job demands, high efforts, low support and low rewards were associated with presenteeism. Furthermore, a significant association could be observed for both bullying and work-to-home conflict in relation to presenteeism. The subgroup analysis on a selection of workers with good self-rated health and low neuroticism generally confirmed these results. Conclusions: Both job content related factors as well as work contextual psychosocial factors were significantly related to presenteeism. These results suggest that presenteeism is not purely driven by the health status of a worker, but that psychosocial work characteristics also play a role.

  9. Areca nut chewing and dependency syndrome: Is the dependence comparable to smoking? a cross sectional study

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    Shafique Kashif

    2011-08-01

    Full Text Available Abstract Background Areca nut is the seed of fruit oriental palm known as Areca catechu. Many adverse effects of nut chewing have been well documented in the medical literature. As these nuts are mixed with some other substances like tobacco and flavouring agents, it has been hypothesized that it might also cause some dependency symptoms among its users. Therefore, the objective of this study was to investigate dependency syndrome among areca nut users with and without tobacco additives and compare it with dependency associated with cigarette smoking among the male Pakistani population. Methods This was an observational cross sectional study carried out on healthy individuals, who were users of any one of the three products (areca nut only, areca nut with tobacco additives, cigarette smokers. Participants were selected by convenience sampling of people coming to hospital to seek a free oral check up. Information was collected about the socio-demographic profile, pattern of use and symptoms of dependency using the DSM-IV criteria for substance dependence. We carried out multiple logistic regressions to investigate association between socio-demographic profile, pattern of substance use and dependency syndrome. Results We carried out final analysis on 851 individuals, of which 36.8% (n = 314 were areca nut users, 28.4% (n = 242 were the chewers of areca with tobacco additives and 34.7% (n = 295 were regular cigarette smokers. Multivariate analyses showed that individuals using areca nut with tobacco additives were significantly more likely to have dependency syndrome (OR = 2.17, 95% CI 1.39-3.40 while cigarette smokers were eight times more likely to have dependency syndrome as compared to areca nut only users. Conclusions Areca nut use with and without tobacco additives was significantly associated with dependency syndrome. In comparison to exclusive areca nut users, the smokers were eight times more likely to develop dependence while areca nut

  10. Assessment of Periodontal Health Status in Smokers and Smokeless Tobacco Users: A Cross-Sectional Study

    Science.gov (United States)

    Katuri, Kishore Kumar; Chintagunta, Chaitanya; Tadiboina, Nagarjuna; Borugadda, Ravithej; Loya, Mitali; Marella, Yamuna; Bollepalli, Appaiah Chowdary

    2016-01-01

    Introduction Oral smokeless tobacco consumption has been considered as a major risk factor for oral cancer, its role as a risk factor for periodontal disease is less well documented when compared to that of relationship between smoking and periodontal disease. Aim The aim of the present cross-sectional study was to evaluate the effect of various forms of tobacco consumption i.e., smoking and smokeless tobacco forms on periodontal status. Materials and Methods The study population included 120 subjects with the habit of tobacco consumption, based on form of tobacco use they were divided into Group 1 (smoking), Group 2 (Smokeless tobacco), and Group 3 (smokers and smokeless tobacco users). The periodontal status for each group was evaluated by measuring Oral Hygiene Index- Simplified (OHI-S) and Community Periodontal Index (CPI) for Probing Depth (CPI-PD) and Attachment Loss (CPI-AL). Results OHI-S mean scores in Group 1 (3.53±1.03), Group 2 (3.06±0.92) and Group 3 (3.45±0.96) were similar, which were not statistically significant (p>0.076). The mean values of CPI-PD were 3.75±0.44 in Group 1, 3.65±0.48 in Group 2, 3.80±0.41 in Group 3 with no significant difference between the three Groups (p> 0.309). When the mean values of CPI-AL (0.95±0.75 in Group 1, 1.40±0.74 in group 2, and 1.55±0.60 in Group 3) were compared in between the Groups, a statistically significant difference was observed in Group 3 (pperiodontal status, with smokeless tobacco users having more amount of attachment loss than smokers. PMID:27891477

  11. A descriptive, cross-sectional study characterizing bone erosions in rheumatoid arthritis and gout by ultrasound.

    Science.gov (United States)

    Ventura-Ríos, Lucio; Hernández-Díaz, Cristina; Sanchez-Bringas, Guadalupe; Madrigal-Santillán, Eduardo; Morales-González, José Antonio; Pineda, Carlos

    2016-09-01

    The aim of this study is to characterize bone erosions in metatarsal heads (MTH) in rheumatoid arthritis (RA) and gout by grayscale ultrasound. In a descriptive, cross-sectional study, we evaluated 40 patients with RA and 40 with gout, both diagnosed according to the American College of Rheumatology/European League Against Rheumatism criteria, respectively. All patients had bone erosion demonstrated by ultrasound, which was used, following OMERACT criteria, to describe the shape, size, number, border definition, overhanging margin, topography (intra- or extra-articular), and distribution (over dorsal, medial, lateral, or plantar aspect) of the lesions in the MTH. Descriptive statistics were used and a concordance exercise between two ultrasonographers blinded to the diagnosis was performed. Bone erosions in RA were observed most frequently at the plantar and lateral aspect of the fifth MTH, round in 96 %, small-sized (2.43 ± 0.9 mm), intra-articular (100 %), and single (75 %). Few bone erosions had a well-defined border an overhanging margin while in gout were found most frequently in the medial and dorsal aspect of the first MTH, single in 71 %, intra-articular in 100 %, and of median size (4.0 ± 2.3). For shape, 51 % was round and 49 % was oval. A well-defined border was present in 39 %, and an overhanging margin in 62 %. Inter-rater reliability kappa was excellent (0.81, 95 % CI 0.56-1.00). Some characteristics of bone erosions in RA, including shape, size, ill-defined border, and localization in the fifth MTH could distinguish the lesions from gout. Grayscale US has excellent reliability to describe bone erosions in RA and gout.

  12. Sleep Quality among Patients with Mild Traumatic Brain Injury: A Cross-Sectional Study

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    Arash Mani

    2015-07-01

    Full Text Available Objective: To evaluate and describe the sleep quality in seven subscales among the patients with mild traumatic brain injury (TBI and compare it with normal patterns. Methods: This cross-sectional study was conducted within a 6-month period from February to August 2014 in Shahid Rajaei trauma center of Shiraz. Participants were selected randomly from all adult (18-60 years of age patients admitted during the study period with impression of mild TBI (GCS of more than 13. The patients’ sleep quality and demographic characteristics were evaluated by Pittsburgh sleep quality index (PSQI and self- report questionnaire, respectively. Results were compared with normal data, which extracted from the normative data of PSQI manual. Results: Overall we included 60 patients with mild TBI with mean age of 36.2±13.4 years. All the patients had sleep disturbance. Among them there were 46 (76.7% men and 14 (23.3% women. The subjective sleep quality ( p=0.01, sleep latency ( p=0.01, habitual sleep efficiency ( p=0.01, sleep disturbance ( p=0.01, use of sleep medication ( p=0.01 and day time dysfunction ( p=0.01 were significantly impaired in patients with mild TBI when compared to normal values. There were no difference between men and women regarding the sleep quality. The sleep duration was comparable between the subjects and the normal values. Conclusion: Patients with mild TBI have poor sleep quality which should be considered as one of the main factors in interventions after the injury and it might lead to better quality of life.

  13. Nutritional Status and Intestinal Parasite in School Age Children: A Comparative Cross-Sectional Study

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    Berhanu Elfu Feleke

    2016-01-01

    Full Text Available Background. The objectives of this study were to determine the burden of underweight and intestinal parasitic infection in the urban and rural elementary school children. Methods. A comparative cross-sectional study design was conducted. Binary logistic regression was used to identify the determinants of malnutrition or intestinal parasites. Two independent samples’ t-test was used to identify the effect of malnutrition on school performance or hemoglobin level. Results. A total of 2372 students were included. Quarters (24.8% of school children were underweight. Underweight was associated with sex [adjusted odds ratio (AOR 0.61; 95% CI = 0.47–0.78], age [AOR = 0.21; 95% CI = 0.16–0.28], intestinal parasitic infection [AOR 2.67; 95% CI = 2–3.55], and family size [AOR 23; 95% CI = 17.67–30.02]. The prevalence of intestinal parasite among school children was 61.7% [95% CI = 60%–64%]. Shoe wearing practice [AOR 0.71; 95% CI = 0.58–0.87], personal hygiene [AOR 0.8; 95% CI = 0.65–0.99], availability of latrine [AOR 0.34; 95% CI = 0.27–0.44], age [AOR 0.58; 95% CI = 0.48–0.7], habit of eating raw vegetables [AOR 3.71; 95% CI = 3.01–4.46], and family size [AOR 1.96; 95% CI = 1.57–2.45] were the predictors of intestinal parasitic infection.

  14. Moderate alcohol consumption is associated with better endothelial function: a cross sectional study

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    Di Tullio Marco R

    2009-02-01

    Full Text Available Abstract Background Moderate alcohol consumption is protective against coronary artery disease. Endothelial dysfunction contributes to atherosclerosis and the pathogenesis of cardiovascular disease. The effects of alcohol consumption on endothelial function may be relevant to these cardiovascular outcomes, but very few studies have examined the effect of alcohol consumption on endothelial function assessed by flow-mediated dilation (FMD of the brachial artery in humans. Methods In the population-based Northern Manhattan Study (NOMAS, we performed a cross-sectional analysis of lifetime alcohol intake and brachial artery FMD during reactive hyperemia using high-resolution B-mode ultrasound images among 884 stroke-free participants (mean age 66.8 years, women 56.6%, Hispanic 67.4%, black 17.4%, and white 15.2%. Results The mean brachial FMD was 5.7% and the median was 5.5%. Compared to non-drinkers, those who drank >1 drink/month to 2 drinks/day were more likely to have FMD above the median FMD (5.5% (unadjusted OR 1.7, 95% CI 1.2–2.4, p = 0.005. In multivariate analysis, the relationship between moderate alcohol consumption and FMD remained significant after adjusting for multiple traditional cardiovascular risk factors, including sex, race-ethnicity, body mass index, diabetes mellitus, coronary artery disease, Framingham risk score, medication use (adjusted OR 1.8, 95%CI 1.1–3.0, p = 0.03. No beneficial effect on FMD was seen for those who drank more than 2 drinks/day. Conclusion In conclusion, consumption of up to 2 alcoholic beverages per day was independently associated with better FMD compared to no alcohol consumption in this multiethnic population. This effect on FMD may represent an important mechanism in explaining the protective effect of alcohol intake on cardiovascular disease.

  15. Exploring Australian women’s level of nutrition knowledge during pregnancy: a cross-sectional study

    Science.gov (United States)

    Bookari, Khlood; Yeatman, Heather; Williamson, Moira

    2016-01-01

    Background The Australian Guide to Healthy Eating (AGHE) for pregnancy provides a number of food- and nutrition-related recommendations to assist pregnant women in optimizing their dietary behavior. However, there are limited data demonstrating pregnant women’s knowledge of the AGHE recommendations. This study investigated Australian pregnant women’s knowledge of the AGHE and related dietary recommendations for maintaining a healthy pregnancy. The variations in nutrition knowledge were compared with demographic characteristics. Methods A cross-sectional study assessed eight different nutrition knowledge domains and the demographic characteristics of pregnant women. Four hundred women across Australia completed a multidimensional online survey based on validated and existing measures. Results More than half of the pregnant women surveyed (65%) were not familiar with the AGHE recommendations. The basic recommendations to eat more fruit, vegetables, bread, and cereals but less meat were poorly understood. An in-depth investigation of knowledge of nutrition information revealed misconceptions in a range of areas, including standard serving size, nutrients content of certain foods, energy density of fat, and the importance of key nutrients in pregnancy. Univariate analysis revealed significant demographic variation in nutrition knowledge scores. Multiple regression analysis confirmed the significant independent effects on respondents’ nutrition knowledge score (P<0.000) of the education level, income, age, stage of pregnancy, language, and having a health/nutrition qualification. The model indicated that independent variables explained 33% (adjusted R2) of the variance found between respondents’ knowledge scores. Conclusion Australian pregnant women’s knowledge regarding AGHE for pregnancy and other key dietary recommendations is poor and varies significantly with their demographic profile. The setting of dietary guidelines is not sufficient to ensure

  16. A Cross-Sectional Study on Child Rearing Practices in Rural Goa

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    Jagadish Cacodcar

    2015-10-01

    Full Text Available Aim: To assess the traditional child rearing practices among rural Goan mothers and the various socio demographic factors influencing these practices. Materials and Methods: A cross sectional study was conducted among 307 rural mothers with children < 2 years in two rural areas under rural health and training centre Mandur located 16 kilometres from Panaji Goa, through house to house visits and oral interviews. Analysis of collected data was done using Microsoft Excel and SPSS version. Chi-square test was applied in addition to proportions and percentages. Results: Rooming in was practiced by majority (86% of the mothers within 24 hours of birth. 46.25% of the mothers fed colustrum to their newborns while 73.62 % of the mothers breastfed within 24 hours. 37.59% of the mothers practiced exclusive breastfeeding (EBF for the first six months. The mean duration of breastfeeding was 11.015 th months. 90% of the women was educated 12 standard and above breastfed their babies up to 12 months. Bottle feeding was common (75%. Cereal based diet was the commonest complementary feeding administered by 23% of the mothers. Commonest traditional practices followed included oil massage (97.72% and use of amulets/talisman (97.72% in the study population. Conclusion: Beneficial infant feeding practices such as early initiation of breastfeeding and feeding of colustrum among rural Goan mothers was low despite accessible antenatal care and health care services. However, though some of the traditional children rearing practices followed such as oil massage, delivery at parents' home were as per the recommended norms, some of the beliefs/practices such as kajal application, bathing the newborn immediately after birth, need to be replaced by sound and scientific methods.

  17. A cross-sectional study of avian influenza in one district of Guangzhou, 2013.

    Directory of Open Access Journals (Sweden)

    Haiming Zhang

    Full Text Available Since Feb, 2013, more than 100 human beings had been infected with novel H7N9 avian influenza virus. As of May 2013, several H7N9 viruses had been found in retail live bird markets (LBMs in Guangdong province of southern China where several human cases were confirmed later. However, the real avian influenza virus infection status especially H7N9 in Guangzhou remains unclear. Therefore, a cross-sectional study of avian influenza in commercial poultry farms, the wholesale LBM and retail LBMs in one district of Guangzhou was conducted from October to November, 2013. A total of 1505 cloacal and environmental samples from 52 commercial poultry farms, 1 wholesale LBM and 18 retail LBMs were collected and detected using real-time RT-PCR for type A, H7, H7N9 and H9 subtype avian influenza virus, respectively. Of all the flocks randomly sampled, 6 farms, 12 vendors of the wholesale LBM and 18 retail LBMs were type A avian influenza virus positive with 0, 3 and 11 positive for H9, respectively. The pooled prevalence and individual prevalence of type A avian influenza virus were 33.9% and 7.9% which for H9 subtype was 7.6% and 1.6%, respectively. None was H7 and H7N9 subtype virus positive. Different prevalence and prevalence ratio were found in different poultry species with partridges having the highest prevalence for both type A and H9 subtype avian influenza virus. Our results suggest that LBM may have a higher risk for sustaining and transmission of avian influenza virus than commercial poultry farms. The present study also indicates that different species may play different roles in the evolution and transmission of avian influenza virus. Therefore, risk-based surveillance and management measures should be conducted in future in this area.

  18. Quality of osteoarthritis care in family medicine - a cross-sectional study

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    Račić Maja

    2016-01-01

    Full Text Available Introduction. Effective treatments for osteoarthritis are available, yet little is known about the quality of primary care in the Republic of Srpska for this disabling condition. Objective. The main objective of this study was to analyze the overall quality of osteoarthritis treatment in a family medicine setting, as well as to explore whether the achievement of quality indicators was associated with particular patient characteristics and severity of osteoarthritis. Methods. The cross-sectional study included 120 patients with confirmed hand, knee, and hip osteoarthritis, recruited at seven family practices in the town of Ugljevik, Republic of Srpska, Bosnia and Herzegovina. Data were extracted from a patient questionnaire on quality indicators, as well as from their electronic and paper records, to assess care against 14 indicators. The included quality indicators were based on the Arthritis Foundation’s Quality Indicator set for Osteoarthritis. Summary achievement rates for hip, knee, or hand osteoarthritis, as well as for the total sample, were calculated. Results. The mean achievement rate for all 14 quality indicators obtained from medical records was 74%, and 77% obtained from patient interview. The quality indicators concerning referral for weight reduction (23% and pharmacological treatment (24% had the lowest achievement rates, whereas the highest achievement rates were related to physical examination (100%, pain and functional assessment (100%, and education (90.8%. Patients physical functioning was significantly associated with the quality indicator achievement rate (p = 0.001. Conclusion. Pharmacological therapy and the referral of osteoarthritis patients in need of weight reduction seem to have the greatest potential for improvement in primary health care.

  19. A Cross-Sectional Study of Musculoskeletal Health Literacy in Patients With Carpal Tunnel Syndrome.

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    Rosenbaum, Andrew J; Dunkman, Andrew; Goldberg, Daniel; Uhl, Richard L; Mulligan, Michael

    2016-09-01

    Background: Approximately 33% of Americans have inadequate health literacy, which is associated with infrequent use of preventative services, increased hospitalization and use of emergency care, and worse control of chronic diseases. In this study, the Literacy in Musculoskeletal Problems (LiMP) questionnaire was used to evaluate the prevalence of limited musculoskeletal literacy in patients undergoing carpal tunnel release (CTR), as these individuals may be at increased risk of inferior outcomes. Methods: This cross-sectional study included individuals older than or equal to 18 years of age who were scheduled for elective CTR. Participants completed a demographic survey and the LiMP questionnaire during their preoperative office visit. The prevalence of limited health literacy was determined, with chi-square analysis used to determine the influence of demographic parameters. Results: The mean LiMP score was 6 ± 1.40. Limited musculoskeletal literacy was seen in 34% of participants (22/65). Analysis identified race (Caucasian), gender (female), higher education levels (≥college), current or prior employment in a health care field, and a prior physician visit for a non-carpal tunnel musculoskeletal complaint as being associated with higher literacy rates. Conclusions: Approximately one-third of patients scheduled for elective CTR have limited musculoskeletal literacy and may lack the necessary skills required for making informed decisions regarding their care. This is concerning, as CTR is performed in the United States on roughly 500 000 individuals annually, at an estimated cost of 2 billion dollars. The identification of those most at risk is thus crucial, and will facilitate the development of education campaigns and interventions geared toward those who are most vulnerable.

  20. Anemia among adult HIV patients in Ethiopia: a hospital-based cross-sectional study

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    Melese, Hermela; Wassie, Molla Mesele; Woldie, Haile; Tadesse, Abilo; Mesfin, Nebiyu

    2017-01-01

    Background Anemia is a major public health problem in HIV patients around the world. It has a negative effect on the quality of life of HIV patients and progression of the HIV disease. In the sub-Saharan African setting, including Ethiopia where both HIV infection and under-nutrition are expected to be high, there is a paucity of data on the matter. This study was aimed to reveal the magnitude and factors associated with anemia among adult HIV patients in Debre-Tabor Hospital, northwest Ethiopia. Methods A hospital-based cross-sectional study was used among adult HIV patients in Debre-Tabor Hospital from April 1 to May 30, 2015. The diagnosis of anemia was made following the 2011 World Health Organization recommendation on hemoglobin cut-off points. Univariable and multivariable logistic regression was carried out to assess factors associated with anemia. Results A total of 377 patients’ charts were reviewed. Most of the participants (n=237, 62.9%) were taking antiretroviral treatment (ART). The overall prevalence of anemia was 23% (95% CI: 19.1, 27.6). Being ART-naïve (adjusted odds ratio [AOR]: 3.37; 95% CI: 1.59, 7.14), having treatment history with anti-tuberculosis (TB) drug (AOR: 3.2; 95% CI: 1.19, 8.67), taking zidovudine (ZDV)-containing ART regimen (AOR: 2.14; 95% CI: 1.03, 4.57), and having recent CD4+ T-lymphocytes count of HIV patients. Conclusion and recommendation Anemia continues to be a major co-morbidity among adult HIV patients in Ethiopia. Adult HIV patients who are taking ZDV-containing ART, with a history of TB treatment, have a low CD4+T-lymphocytes count and are ART-naïve should be carefully screened and treated for anemia. PMID:28243151

  1. Physical activity in patients with axial spondyloarthritis: a cross-sectional study of 203 patients.

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    Fabre, Stéphanie; Molto, Anna; Dadoun, Sabrina; Rein, Christopher; Hudry, Christophe; Kreis, Sarah; Fautrel, Bruno; Pertuiset, Edouard; Gossec, Laure

    2016-12-01

    Physical activity is recommended in axial spondyloarthritis (axSpA) but may be insufficiently performed. The objective of this study was to assess physical activity in axial spondyloarthritis and to explore its explanatory factors. This was a cross-sectional study of patients with definite axSpA. The level of physical activity (International Physical Activity Questionnaire-Long form, IPAQ-L), type of aerobic exercise and the Exercise Benefits and Barriers Score were collected. Multivariate logistic regression analyses were performed to explain levels of exercise at least as recommended by the World Health Organization. In all, 203 patients were included: mean age 46.0 ± 11.6 years, 108 (53.2 %) males, mean Bath Ankylosing Spondylitis Activity Index (0-100) 37.8 ± 19.9; 137 (68.8 %) were treated with TNF-inhibitors. In all, 111 patients (54.7 %) were exercising at least as recommended; 96 (47.2 %) were in the 'high physical activity' category. Aerobic exercise >30 min was performed at least once a week by 61 (30.0 %) patients; the most frequent activities were energetic walking (31.0 %) and swimming (21.2 %). Main perceived benefits of exercising were improving physical fitness and functioning of the cardiovascular system, and the main barrier was physical exertion. Patients with paid employment had lower levels of physical activity whereas other demographic variables, disease activity/severity or TNF-inhibitor treatment were not predictive. One half of these patients performed enough physical activity according to the recommendations, similarly to the French population. Levels of physical activity did not appear to be explained by disease-related variables. Physical activity should be encouraged in axSpA.

  2. Knowledge and child care practices regarding childhood diarrhoea- A cross sectional study

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    Atul Choube

    2014-09-01

    Full Text Available Background: Diarrhea still continues to be a leading cause of childhood morbidity and mortality and holds the second rank (after pneumonia for mortality in children < 5 years of age. The majority of these deaths can be avoided by timely intervention. The knowledge of caretakers about the severity of diarrheal illness ultimately affects the choice for childcare practices and influences the type of therapies received.  Objectives: To assess the various aspect of maternal knowledge about diarrhea in under-five age children. To determine the child care practices of mothers during diarrheal episodes.Materials and methods: A cross-sectional survey was carried out from February to May 2014. 5 villages were selected by systematic random sampling method in rural field training area of medical college. A self-designed and pre-tested structured questionnaire was used as study tool which covers different aspect of knowledge and childcare practices by mothers/caretakers regarding diarrhea. Overall responses of participants were scored as good, average and poor for assessment of knowledge and practice.  Results: Total 972 mother/caretakers were interviewed. Most of the mothers/caretakers (62.1% were in favor of giving of breast milk as preferred oral fluid during diarrheal episode. Nearly one fourth of mothers/caretakers (26.1% identify symptoms and signs of "dehydration" and the need for consultation. During diarrheal episodes less amount of food and fluid was given by 49.9% and 20.4% mothers/caretaker respectively. The higher level educated and employed mothers had better practices (P < 0.001 Conclusion: The study showed that knowledge and childcare practices for diarrhea still remains a great challenge among the rural population. This could be only deals with improvement in female literacy and to develop and implement diarrhea related educational interventions for mothers/caretakers.

  3. Social perceptions of adults wearing orthodontic appliances: a cross-sectional study.

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    Jeremiah, H G; Bister, D; Newton, J T

    2011-10-01

    This study ascertained the influence of orthodontic appliances on subjective ratings for social competence (SC), intellectual ability (IA), psychological adjustment (PA), and attractiveness in young adult orthodontic patients. A cross-sectional analytical questionnaire study was conducted with 130 undergraduates from the UK. Each participant was asked to look at a single, randomly assigned colour photograph of a young adult female and then asked to make judgements concerning her personal characteristics. Five modified photographs of the same young adult female were used: (1) no appliance, (2) stainless steel fixed orthodontic appliance, (3) ceramic fixed orthodontic appliance, (4) gold fixed orthodontic appliance, and (5) clear colourless aligner. Likert scales with higher scores indicating more positive ratings were used. The results were analysed using chi-square test, one-way univariate analysis of variance, and post hoc Tukey-B and Kruskal-Wallis tests. The results showed that greater perceived IA was associated with the appearance of no appliance (mean values: 7.56) rather than steel (6.67) or ceramic appliances (6.65) but similar to the gold (7.35) and aligner (7.08) appliances. No significant differences between the different orthodontic appliance appearances were found for SC and PA. A trend existed where the no appliance image (resembling a lingual appliance) or clear aligner was considered more attractive than the visible buccal fixed appliances. In the absence of other information, the judgements an individual young adult makes concerning the personal characteristics of a young adult are influenced by dental appearance and orthodontic appliance design. This may influence orthodontic appliance choice.

  4. Overlap between Headache, Depression, and Anxiety in General Neurological Clinics: A Cross-sectional Study

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    Cui-Bai Wei; Jian-Ping Jia; Fen Wang; Ai-Hong Zhou; Xiu-Mei Zuo; Chang-Biao Chu

    2016-01-01

    Background:Many studies have reported that depression and anxiety have bidirectional relationship with headache.However,few researches investigated the roles of depression or anxiety in patients with headache.We surveyed the prevalence of depression and anxiety as a complication or cause of headache among outpatients with a chief complaint of headache at neurology clinics in general hospitals.Additional risk factors for depression and anxiety were also analyzed.Methods:A cross-sectional study was conducted at 11 general neurological clinics.All consecutive patients with a chief complaint of headache were enrolled.Diagnoses of depression and anxiety were made using the Chinese version of the Mini International Neuropsychiatric Interview,and those for headache were made according to the International Classification of Headache Disorders,2nd Edition.The headache impact test and an 11-point verbal rating scale were applied to assess headache severity and intensity.Logistic regression was used to analyze risk factors of patients with headache for depression or anxiety.Results:A total of 749 outpatients with headache were included.Among them,148 (19.7%) were diagnosed with depression and 103 (13.7%) with anxiety.Further analysis showed that 114 (15.2%) patients complaining headache due to somatic symptoms of psychiatric disorders and 82 (10.9%) had a depression or anxiety comorbidity with headache.Most patients with depression or anxiety manifested mild to moderate headaches.Poor sleep and severe headache-related disabilities were predictors for either depression or anxiety.Conclusion:Clinicians must identify the etiology of headache and recognize the effects of depression or anxiety on headache to develop specific treatments.

  5. Maternal diet, LCPUFA status and prematurity in Indian mothers: A cross-sectional study

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    Prachi S. Ranade

    2012-11-01

    Full Text Available Background: Recently, certain long chain polyunsaturated fatty acids (LCPUFA have been shown to exert functional benefits with regards to gestational length. The present study examined the association of maternal LCPUFA intake, specifically Docosahexaenoic acid(DHA and Arachidonic acid (ARA, and plasma status at delivery with duration of gestation and risk of premature delivery in Indian mothers.Methods: In a cross-sectional nested case-control study, 191 mother-baby pairs [164 Full term(FT and 27 Preterm (PT] were examined for differences in maternal habitual diet pattern and plasma fatty acid composition in relation to the length of gestation.Results: The frequency of intake of n-3 fatty acid rich varieties of fish was higher (p<0.05 in FT mothers compared to PT mothers. Maternal plasma fatty acid concentration of n-3 Alpha Linolenic acid (ALA, Eicosapentaenoic acid (EPA, DHA and total n-3 fatty acids at delivery was significantly associated with intake of vegetarian ALA sources such as millets, dark whole pulses, dry fruits like walnuts, and green leafy vegetables. Among age, parity, and neonatal sex matched case-control pairs, PT mothers had significantly (p<0.01 higher levels of n-6 ARA, but lower (p<0.01 levels of n-3 DHA and total n-3 fatty acids compared to FT mothers irrespective of socioeconomic group. In fact, mothers with plasma DHA levels below median (<3.0% had ten times higher risk (OR-10.47; 95% CI: 3.03-36.48 of delivering prematurely compared to those who had plasma DHA levels above median.Conclusion: Results underscore the importance of consuming varied sources of ALA and DHAfor their role as functional lipids in determining gestational length.

  6. Cross sectional study of MR fistulography in the evaluation of perianal fistulae and its surgical correlation

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    Sameeha Khan

    2015-10-01

    Full Text Available Aims and objectives: To evaluate the diagnostic accuracy of Magnetic Resonance Fistulography in the assessment of the perianal fistulae. Background: The success of the surgical approach for perianal fistulae treatmentis closely associated with the preoperative assessment. MR imaging plays a key role in describing the fistulae in relation to the anatomy of the perianal region. This has been categorised according to the involvement of the fistulous tract in relation to the sphincters and its extension of the disease into five imaging based grades. This helps in selecting the appropriate surgery in order to reduce the load of recurrences. Materials and methods: Over a period of 6 months, a cross sectional study was conducted among 18 patients who were admitted with the features of perianal fistulae at Al-Ameen Medical College Hospital , Vijayapura. The average age of patients was 44.5 years, ranging from 33 to 72 years, with the number of females 22.2% (n = 4 and males 77.8% (n = 14. The pre-operative MR imaging assessment was studied and correlated with intra operative surgical findings. Results: The accuracy of MR Fistulography was consistent with 17 out of 18 surgical findings, except for one case, which was falsely over diagnosed. Conclusion: To conclude, MR Fistulography is an essential investigation of choice in the evaluation of perianal fistulae. It helps in accurate identification of the type of perianal fistula in relation to the anal sphincters and adjacent anatomical structures. Hence this investigation should be recommended routinely in preoperative work up for precise surgical management of perianal fistulae.

  7. Prevalence of metabolic syndrome among HIV-infected patients in Ghana: A cross-sectional study

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    Christian Obirikorang

    2016-01-01

    Full Text Available Background: Prevalence of metabolic syndrome (MetS in HIV-infected patients is very limited in the Ghanaian setting and may vary across the globe by the different study populations and criteria used. Aim: We investigated the prevalence of MetS among HIV-infected patients receiving highly active antiretroviral therapy (HAART at the St. Dominic Hospital, Akwatia, Ghana. Patients and Methods: This cross-sectional study recruited 433 HIV-infected patients (294 on HAART and 139 HAART-naÏve from the period of February 2013 to December 2013. Information on the demographic, clinical, anthropometric characteristics were obtained and lipid profile for each patient was assessed. MetS was assessed based on the National Cholesterol Education Program (NCEP Adult Treatment Panel III (ATP III, World Health Organization (WHO and International Diabetes Federation (IDF criteria. Results: The prevalence of MetS was 24.5% according to WHO criteria, 48.3% by NCEP-ATP III criteria, and 42.3% by IDF criteria. In general, participants on HAART were significantly associated with higher prevalence of MetS compared to those without HAART (P < 0.05 irrespective of the criteria used. Prevalence of clustering components of MetS was significantly higher among those on HAART when risk scores of 2 and above were used compared with those not on HAART (P < 0.05. Conclusion: HAART recipient developed MetS as indicated by dyslipidemia, high blood pressure, and abnormal body fat. It is incumbent on health giver to incorporate MetS assessment as a part of treatment and management plan in patients receiving HAART.

  8. A cross-sectional study of avian influenza in one district of Guangzhou, 2013.

    Science.gov (United States)

    Zhang, Haiming; Peng, Cong; Duan, Xiaodong; Shen, Dan; Lan, Guanghua; Xiao, Wutao; Tan, Hai; Wang, Ling; Hou, Jialei; Zhu, Jiancui; He, Riwen; Zhang, Haibing; Zheng, Lilan; Yang, Jianyu; Zhang, Zhen; Zhou, Zhiwei; Li, Wenhua; Hu, Mailing; Zhong, Jinhui; Chen, Yuhua

    2014-01-01

    Since Feb, 2013, more than 100 human beings had been infected with novel H7N9 avian influenza virus. As of May 2013, several H7N9 viruses had been found in retail live bird markets (LBMs) in Guangdong province of southern China where several human cases were confirmed later. However, the real avian influenza virus infection status especially H7N9 in Guangzhou remains unclear. Therefore, a cross-sectional study of avian influenza in commercial poultry farms, the wholesale LBM and retail LBMs in one district of Guangzhou was conducted from October to November, 2013. A total of 1505 cloacal and environmental samples from 52 commercial poultry farms, 1 wholesale LBM and 18 retail LBMs were collected and detected using real-time RT-PCR for type A, H7, H7N9 and H9 subtype avian influenza virus, respectively. Of all the flocks randomly sampled, 6 farms, 12 vendors of the wholesale LBM and 18 retail LBMs were type A avian influenza virus positive with 0, 3 and 11 positive for H9, respectively. The pooled prevalence and individual prevalence of type A avian influenza virus were 33.9% and 7.9% which for H9 subtype was 7.6% and 1.6%, respectively. None was H7 and H7N9 subtype virus positive. Different prevalence and prevalence ratio were found in different poultry species with partridges having the highest prevalence for both type A and H9 subtype avian influenza virus. Our results suggest that LBM may have a higher risk for sustaining and transmission of avian influenza virus than commercial poultry farms. The present study also indicates that different species may play different roles in the evolution and transmission of avian influenza virus. Therefore, risk-based surveillance and management measures should be conducted in future in this area.

  9. Urbanicity and lifestyle risk factors for cardiometabolic diseases in rural Uganda: a cross-sectional study.

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    Johanna Riha

    2014-07-01

    Full Text Available Urban living is associated with unhealthy lifestyles that can increase the risk of cardiometabolic diseases. In sub-Saharan Africa (SSA, where the majority of people live in rural areas, it is still unclear if there is a corresponding increase in unhealthy lifestyles as rural areas adopt urban characteristics. This study examines the distribution of urban characteristics across rural communities in Uganda and their associations with lifestyle risk factors for chronic diseases.Using data collected in 2011, we examined cross-sectional associations between urbanicity and lifestyle risk factors in rural communities in Uganda, with 7,340 participants aged 13 y and above across 25 villages. Urbanicity was defined according to a multi-component scale, and Poisson regression models were used to examine associations between urbanicity and lifestyle risk factors by quartile of urbanicity. Despite all of the villages not having paved roads and running water, there was marked variation in levels of urbanicity across the villages, largely attributable to differences in economic activity, civil infrastructure, and availability of educational and healthcare services. In regression models, after adjustment for clustering and potential confounders including socioeconomic status, increasing urbanicity was associated with an increase in lifestyle risk factors such as physical inactivity (risk ratio [RR]: 1.19; 95% CI: 1.14, 1.24, low fruit and vegetable consumption (RR: 1.17; 95% CI: 1.10, 1.23, and high body mass index (RR: 1.48; 95% CI: 1.24, 1.77.This study indicates that even across rural communities in SSA, increasing urbanicity is associated with a higher prevalence of lifestyle risk factors for cardiometabolic diseases. This finding highlights the need to consider the health impact of urbanization in rural areas across SSA. Please see later in the article for the Editors' Summary.

  10. Pelvic floor muscle strength in primiparous women according to the delivery type: cross-sectional study

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    Edilaine de Paula Batista Mendes

    Full Text Available ABSTRACT Objectives: to compare the pelvic floor muscle strength in primiparous women after normal birth and cesarean section, related to the socio-demographic characteristics, nutritional status, dyspareunia, urinary incontinence, perineal exercise in pregnancy, perineal condition and weight of the newborn. Methods: this was a cross-sectional study conducted after 50 - 70 postpartum days, with 24 primiparous women who underwent cesarean delivery and 72 who had a normal birth. The 9301 PeritronTM was used for analysis of muscle strength. The mean muscle strength was compared between the groups by two-way analysis of variance. Results: the pelvic floor muscle strength was 24.0 cmH2O (±16.2 and 25.4 cmH2O (±14.7 in postpartum primiparous women after normal birth and cesarean section, respectively, with no significant difference. The muscular strength was greater in postpartum women with ≥ 12 years of study (42.0 ±26.3 versus 14.6 ±7.7 cmH2O; p= 0.036 and in those who performed perineal exercises (42.6±25.4 11.8±4.9 vs. cmH2O; p = 0.010, compared to caesarean. There was no difference in muscle strength according to delivery type regarding nutritional status, dyspareunia, urinary incontinence, perineal condition or newborn weight. Conclusion: pelvic floor muscle strength does not differ between primiparous women based on the type of delivery. Postpartum women with normal births, with higher education who performed perineal exercise during pregnancy showed greater muscle strength.

  11. Burnout and Work Engagement Among Dental Practitioners in Bangalore City: A Cross-Sectional Study

    Science.gov (United States)

    Mallaiah, Pramila; Krishnamurthy, Archana; Sangha, Ranganath

    2016-01-01

    Introduction Burnout is a job-related stress reaction; a potential hazard for personal, professional lives of dentists. Work Engagement (WE) is the antithesis of Burnout and they can co-exist. Aim This study was taken up to know the prevalence of Burnout and WE among dentists in Bangalore, India. Matreials and Methods In a cross-sectional study, all (n=116) dentists practicing in Bangalore East Zone were randomly selected. A structured, self-administered questionnaire revealing dentists’ demographics, practice characteristics, Burnout level [6-item from Maslach Burnout Inventory] and WE [4-item from Utrecht Work Engagement Scale] was used. Ethical clearance and informed consent was obtained. The data was analyzed using SPSS version 15.0. Results With a response rate of 58.6%, high burnout was seen in 5.15% dentists. Personal Accomplishment was significantly associated with dentists in older age-group (p=0.002), married (p=0.014), MDS qualified (p=0.038), having long working hours (p=0.009) with assistants (p=0.024), more years into practice (0.007), travelling more distance from residence (p=0.021). Significance was also seen for dedication among dentists with assistants (p=0.006), emotional exhaustion among dentist with long working hours (p=0.009), and driving own vehicle (p=0.028). Finally absorption was found significant in dentists practicing solo. Conclusion Higher WE were found but still burnout persisted. Thus, burnout and WE were found to co-exist. PMID:27042589

  12. Prevalence of overweight and obesity among Chinese Yi nationality: a cross-sectional study

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    Gao Yun

    2011-12-01

    Full Text Available Abstract Background Overweight and obesity are considered a serious health problem. There are little data on the prevalence of overweight and obesity among the Yi ethnic group in China. This study aimed to investigate the epidemiologic features of overweight/obesity among Chinese Yi nationality. Methods A cross-sectional study, including 1255 subjects aged 20-75 years, was carried out in Liangshan Yi Autonomous Prefecture of Sichuan province from 2007 to 2008. Overweight/overall obesity was defined by World Health Organization (WHO or the Working Group on Obesity in China. Results Overall, the prevalence of overweight and obesity was 19.0% and 2.9%, respectively, based on the WHO definition, while it was 21.0% and 7.4%, respectively, according to the Working Group on Obesity in China, which is similar to data reported in the 2002 Chinese National Nutrition and Health Survey. Urban residents had a significantly higher prevalence of obesity (WHO criteria: 4.3% vs 1.7% p = 0.008; China criteria: 11.4% vs 3.7%, p p p Conclusions The prevalence of overweight/obesity in the Yi nationality is similar to that in Chinese adults 5 years ago. However, urban residents have a much higher prevalence of overweight/obesity than their rural counterparts. Lifestyle and diet patterns associated with socioeconomic status may explain the difference between urban and rural residents. The prevention of overweight/obesity among urban inhabitants deserves more attention in national health education programs.

  13. Do advertisements for antihypertensive drugs in Australia promote quality prescribing? A cross-sectional study

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    Spurling Geoffrey K

    2008-05-01

    Full Text Available Abstract Background Antihypertensive medications are widely prescribed by doctors and heavily promoted by the pharmaceutical industry. Despite strong evidence of the effectiveness and cost-effectiveness of thiazide diuretics, trends in both promotion and prescription of antihypertensive drugs favour newer, less cost-effective agents. Observational evidence shows correlations between exposure to pharmaceutical promotion and less ideal prescribing. Our study therefore aimed to determine whether print advertisements for antihypertensive medications promote quality prescribing in hypertension. Methods We performed a cross-sectional study of 113 advertisements for antihypertensive drugs from 4 general practice-oriented Australian medical publications in 2004. Advertisements were evaluated using a quality checklist based on a review of hypertension management guidelines. Main outcome measures included: frequency with which antihypertensive classes were advertised, promotion of thiazide class drugs as first line agents, use of statistical claims in advertisements, mention of harms and prices in the advertisements, promotion of assessment and treatment of cardiovascular risk, promotion of lifestyle modification, and targeting of particular patient subgroups. Results Thiazides were the most frequently advertised drug class (48.7% of advertisements, but were largely promoted in combination preparations. The only thiazide advertised as a single agent was the most expensive, indapamide. No advertisement specifically promoted any thiazide as a better first-line drug. Statistics in the advertisements tended to be expressed in relative rather than absolute terms. Drug costs were often reported, but without cost comparisons between drugs. Adverse effects were usually reported but largely confined to the advertisements' small print. Other than mentioning drug interactions with alcohol and salt, no advertisements promoted lifestyle modification. Few

  14. Insomnia and Relationship with Anxiety in University Students: A Cross-Sectional Designed Study.

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    Nour Choueiry

    Full Text Available Sleep disorders (SDs are now recognized as a public health concern with considerable psychiatric and societal consequences specifically on the academic life of students. The aims of this study were to assess SDs in a group of university students in Lebanon and to examine the relationship between SDs and anxiety.An observational cross-sectional study was conducted at Saint-Joseph University, Lebanon, during the academic year 2013-2014. Four questionnaires were face-to-face administered to 462 students after obtaining their written consent: Insomnia Severity Index (ISI, Pittsburgh Sleep Quality Index (PSQI, Epworth Sleepiness Scale (ESS, and Generalized Anxiety Disorder 7-item scale (GAD-7.The prevalence of clinically significant insomnia was 10.6% (95% CI: 7.8-13.4%, more frequent in first year students. ISI mean score was 10.06 (SD = 3.76. 37.1% of the participants were poor sleepers. Excessive daytime sleepiness (EDS and poor sleep were significantly more frequent among participants with clinical insomnia (p = 0.031 and 0.001 respectively. Clinically significant anxiety was more frequent in students suffering from clinical insomnia (p = 0.006 and in poor sleepers (p = 0.003. 50.8% of the participants with clinically significant anxiety presented EDS versus 30.9% of those with no clinically significant anxiety (p<0.0001.The magnitude of SDs in this sample of Lebanese university students demonstrate the importance of examining sleep health in this population. Moreover, the link between SD and anxiety reminds us of the importance of treating anxiety as soon as detected and not simply targeting the reduction of sleep problems.

  15. A Cross-sectional, Comparative Study of Insight in Schizophrenia and Bipolar Patients in Remission

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    Ramachandran, Arul Saravanan; Ramanathan, Rajkumar; Praharaj, Samir Kumar; Kanradi, Haridas; Sharma, Podila Satya Venkata Narasimha

    2016-01-01

    Aims: To study insight correlates in schizophrenia and bipolar mood disorder in remission among out-patients attending the Psychiatry Department of a Tertiary Care Hospital. Settings and Design: In a cross-sectional, naturalistic study, adult patients with schizophrenia and bipolar mood disorder in remission (n = 80; schizophrenia-40, mania-20, bipolar depression-20) were compared on insight measures and clinical correlates. Materials and Methods: Scale to Assess the Unawareness of Mental Disorders (SUMD) was used as the main tool to assess current and past measures of insight. Hogan's Drug Attitude Inventory was used to assess the drug attitude and compliance. Positive and Negative Symptom Scale for Schizophrenia, Young's Mania Rating Scale, and HAMD were used to rate psychopathology. Clinical Global Improvement was used as a screening tool for remission. Statistical Analysis: For comparison of the three clinical groups, analysis of variance and Chi-square test were used. In the post-hoc analysis, the Ryan-Einot-Gabriel-Welsch test was used to find the group difference. Results: About 40% in the schizophrenia group were unaware of their mental illness as against none in the bipolar group. The awareness of mental disorder for the current period, the awareness of the achieved effects of medications, and the awareness of social consequence was better in the bipolar group. The drug attitude (compliant positive attitude) increased as the SUMD item scale decreased or in other words, as the insight improved. Conclusions: Insight, both current and retrospect, showed significant differences between the schizophrenia and bipolar patients. Insight is significantly correlated with the observed compliance and drug attitude of the patient groups. PMID:27335515

  16. Association between abdominal obesity and periodontal disease. Cross-sectional study.

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    Israel Juarez

    2015-04-01

    Full Text Available Introduction: The aim of the study is to determine the association. between abdominal obesity and periodontal disease by means of multivariate analysis. Materials and method: A cross -sectional observational study was carried out. From March to April 2014, patients admitted to the Dental Sciences Building at Universidad Austral de Chile were subjected to a clinical periodontal examination. Periodontitis was defined by a probing pocket depth equal to or greater than 4mm in at least one site of the teeth in two different quadrants, along with active bleeding within 30 seconds after probing. Abdominal obesity was defined by waist-hip ratio with values equal to or greater than 0.90 for men and 0.88 for women. Oral hygiene was assessed by Simplified Oral Hygiene Index. Smoker status was determined after undergoing an interview. Results: The sample comprised 136 participants (51 males and 85 females, with a mean age of 40.6±15.1 years. Prevalence of periodontal disease was 49.2% and obesity was 50.7%. A 62.3% of the patients showed both, periodontal disease and obesity. A statistically significant association between abdominal obesity (Odds ratio (OR=2.4, 95% confidence interval (CI: 1.1, 5.1, cigarette comsumption (OR=4.0, 95% CI: 1.0, 16.5, poor oral hygiene (OR=2.8, 95% CI: 1.3, 5.9 and periodontal disease was established. Conclusion: There is a statically significant association between abdominal obesity and periodontal disease.

  17. A cross-sectional study of the self-report of stress among emergency department patients

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    Nirenberg Ted

    2009-01-01

    Full Text Available Background: There is a lack of information about the prevalence of stress and types of stressors experienced by Emergency Department (ED patients. Objective: The present aim is to study the prevalence of stress, types of stressful situations and the relationship with other health issues within the ED population. Materials and Methods: This is a cross-sectional study performed in an ED at a level-1 urban trauma center for four months. An anonymous survey was offered to adult non critically ill patients who were admitted in the ED. They were divided on the basis of gender, age and level of stress and were asked about their demographics, reasons for their ED visit and health issues including stress, tobacco, alcohol and marijuana use, weight concern and health. Chi-square for the categorical variables and unpaired t-tests for continuous variables were conducted. Results: We interviewed 1797 patients, over 66% reported that they felt stressed on at least a weekly basis, and over 45% indicated that they felt stressed more than twice per week. While both young and old were equally stressed, females reported significantly more stress. Family, finances and work are the most frequently cited stressors. Different age groups reported different types of stressors. Overall, those patients reporting being stressed more frequently reported more high risk behaviors including cigarette and marijuana use and health problems including being overweight, being depressed, and having sleeping problems and chronic fatigue. Conclusions: Considering the high frequency of ED patients that report frequent stress and high risk behaviors, their ED visit may be an excellent opportunity to provide a referral or an intervention for stress reduction.

  18. Benzodiazepine use among adults residing in the urban settlements of Karachi, Pakistan: A cross sectional study

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    Tharani Ambreen

    2011-08-01

    Full Text Available Abstract Background There are hardly any studies carried out in Pakistan on the usage of benzodiazepines at the level of community. This research was aimed to determine the frequency of benzodiazepine use, along with its associations with socio-demographic and clinical characteristics among community dwelling adults, residing in two urban settlements of Karachi, Pakistan. Methods We performed a cross sectional study from August 2008 to December 2009, in 2 areas of Karachi, namely Garden and Sultanabad. We followed the systematic sampling strategy to randomly select the households, with an adult of either sex and of age 18 years or more. Data collection was carried out through interview, using a pre-tested questionnaire, with items on socio-demographic position, medical history and benzodiazepine use. Student's t-test and χ2 test was employed to determine the associations between socio-demographic and clinical characteristics, and their relationship with benzodiazepine use was determined using applied logistic regression. Results The overall percentage of benzodiazepine consumption was estimated to be 14%. There were significantly more benzodiazepine users in the peri-urban Sultanabad community to the urban community of Garden (p-value = 0.001. The mean age (± SD for users was 51.3 (± 15.6 years compared to 37.1 (± 14.4 years among non-users. Bromazepam was the most widely used benzodiazepine (29%; followed by diazepam, with a median duration on primary use being 144 weeks (IQR = 48-240. The adjusted logistic regression model revealed that increasing age, location, female sex, unemployment and psychiatric consultation were associated with increased likelihood of benzodiazepine use. Conclusion We believe the unregulated over-the-counter sales of benzodiazepines and social conditions might be playing a role in this high consumption of benzodiazepines in the community.

  19. Respiratory effects associated with wood fuel use: a cross-sectional biomarker study among adolescents.

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    Van Miert, Erik; Sardella, Antonia; Nickmilder, Marc; Bernard, Alfred

    2012-04-01

    The use of wood as heating and cooking fuel can result in elevated levels of indoor air pollution, but to what extent this is related to respiratory diseases and allergies is still inconclusive. Here, we report a cross-sectional study among 744 school adolescents (median age 15 years) using as main outcomes respiratory symptoms and diseases, exhaled nitric oxide, total and aeroallergen-specific IgE in serum, and two epithelial biomarkers in nasal lavage fluid (NALF) or serum, that is, Clara cell protein (CC16) and surfactant-associated protein D (SPD). Information about the wood fuel use and potential confounders was collected via a personal interview of the adolescent and a questionnaire filled out by the parents. Two approaches were used to limit the possible influence of confounders, that is, multivariate analysis using the complete study population or pairwise analysis of matched sub-populations obtained using an automated procedure. Wood fuel use was associated with a decrease of CC16 and an increase of SPD in serum, which resulted in a decreased serum CC16/SPD ratio (median -9%, P = 0.001). No consistent differences were observed for the biomarkers measured in exhaled breath or NALF. Wood fuel use was also associated with increased odds for asthma [odds ratio (OR) 2.2, 95% CI: 1.1-4.4, P = 0.02], hay fever (OR = 2.4, 95% CI: 1.4-4.3, P = 0.002), and sensitization against pollen allergens (OR = 2.1, 95% CI: 1.3-3.4, P = 0.002). The risks of respiratory tract infections, self-reported symptoms, and sensitization against house-dust mite were not increased by wood fuel use. The increased risks of asthma, hay fever and aeroallergen sensitization, and the changes of lung-specific biomarkers consistently pointed towards respiratory effects associated with the use of wood fuel.

  20. Aesthetic perception of single implants placed in the anterior zone. A cross-sectional study

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    Burgueño-Barris, Genís; Cortés-Acha, Berta; Valmaseda-Castellón, Eduard

    2016-01-01

    Background Several aesthetic indexes have been described to assess implant aesthetics. The aim of this study was to compare the aesthetic assessment made by dental professionals and students of single-tooth implants placed in the upper incisors. Material and Methods A cross-sectional survey study using a subjective questionnaire to assess the aesthetics in 3 implant supported single-tooth cases in the anterior maxilla was performed. The interviewed subjects were divided into 4 groups: dentists with experience in implant treatment, dentists without experience in implants and 3rd and 5th year dental students. The questionnaire consisted of 2 visual analogue scales (VAS) to evaluate aesthetics, the pink esthetic score (PES), the white esthetic score (WES) and the simplified papilla index (PI). Results One-hundred dentists and one-hundred dental students filled the aesthetic assessment questionnaire. The results showed that the subjects were more critical than reference values, specially concerning prosthetic issues. The differences between groups were more obvious in the case with the best result. On the other hand, few differences were detected in the remaining cases. Regarding soft tissue and crown features, experienced dentists in implant dentistry were the most demanding. Cronbach’s Alpha showed values ≥ 0,8 in the questionnaire in every case, which indicates an adequate reliability. Conclusions Dentists and dental students have different opinions when assessing aesthetics of single tooth implant supported cases. Experience and area of expertise seem to influence the evaluation of aesthetics in the anterior region. Key words:Dental implant, anterior area, aesthetics. PMID:27031072

  1. A cross-sectional epidemiological study of domestic animals related to human leptospirosis cases in Nicaragua.

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    Flores, Byron J; Pérez-Sánchez, Tania; Fuertes, Héctor; Sheleby-Elías, Jessica; Múzquiz, José Luis; Jirón, William; Duttmann, Christianne; Halaihel, Nabil

    2017-02-28

    Leptospirosis is one of the most extended zoonosis worldwide and humans become infected most commonly through contact with the urine of carrier animals, either directly or via contaminated water or soil. The aim in this study was to analyse the epidemiological behaviour of Leptospira spp., from domestic animals around the sites of human leptospirosis cases in Nicaragua, from 2007 through 2013. We report the results of a cross-sectional epidemiological study with a non-probability sampling of blood (n=3050) and urine (n=299) from Domestic Animals (DA) around the sites of human leptospirosis cases in Nicaragua. We analysed data obtained through Microscopic Agglutination Test (MAT), in-vitro culture, real time PCR and sequencing of lfb1 locus. Frequencies of 30.31% (95% CI: 28.66-31.95) and 15.38% (95% CI: 11.12-19.64) were obtained from serological test and from in-vitro culture, respectively. Although similar frequencies from serology test (P≥0.05) were found in DA species, in-vitro culture frequencies were significantly higher from bovine, equine and sheep (PLeptospira spp. were encountered, with the highest presence of Icterohaemorrhagiae serogroup 34.65% (95% CI: 29.35-39.94). We identified 7 samples homologous to L. interrogans species Pyrogenes serovar and 3 samples as L. noguchii Louisiana or Panama serovars by analysis of lfb1 sequences. We were able to establish a temporal and spatial correlation from DA and cumulative incidence of human cases. Therefore an effective epidemiological surveillance should be implemented with a specific control program toward DA in order to reduce human leptospirosis incidence.

  2. Psychosocial health risk factors and resources of medical students and physicians: a cross-sectional study

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    Wirsching Michael

    2008-10-01

    Full Text Available Abstract Background Epidemiological data indicate elevated psychosocial health risks for physicians, e. g., burnout, depression, marital disturbances, alcohol and substance abuse, and suicide. The purpose of this study was to identify psychosocial health resources and risk factors in profession-related behaviour and experience patterns of medical students and physicians that may serve as a basis for appropriate health promoting interventions. Methods The questionnaire -Related Behaviour and Experience "Work administered in cross-sectional surveys to students in the first (n = 475 and in the fifth year of studies (n = 355 in required courses at three German universities and to physicians in early professional life in the vicinity of these universities (n = 381. Results Scores reflecting a healthy behaviour pattern were less likely in physicians (16.7% compared to 5th year (26.0% and 1st year students (35.1% while scores representing unambitious and resigned patterns were more common among physicians (43.4% vs. 24.4% vs. 41.0% and 27.3% vs. 17.2% vs. 23.3 respectively. Female and male responders differed in the domains professional commitment, resistance to stress and emotional well-being. Female physicians on average scored higher in the dimensions resignation tendencies, satisfaction with life and experience of social support, and lower in career ambition. Conclusion The results show distinct psychosocial stress patterns among medical students and physicians. Health promotion and prevention of psychosocial symptoms and impairments should be integrated as a required part of the medical curriculum and be considered an important issue during the further training of physicians.

  3. Physicians' attitudes about obesity and their associations with competency and specialty: A cross-sectional study

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    Sherman Scott

    2009-06-01

    Full Text Available Abstract Background Physicians frequently report negative attitudes about obesity which is thought to affect patient care. However, little is known about how attitudes toward treating obese patients are formed. We conducted a cross-sectional survey of physicians in order to better characterize their attitudes and explore the relationships among attitudes, perceived competency in obesity care, including report of weight loss in patients, and other key physician, training, and practice characteristics. Methods We surveyed all 399 physicians from internal medicine, pediatrics, and psychiatry specialties at one institution regarding obesity care attitudes, competency, including physician report of percent of their patients who lose weight. We performed a factor analysis on the attitude items and used hierarchical regression analysis to explore the degree to which competency, reported weight loss, physician, training and practice characteristics explained the variance in each attitude factor. Results The overall response rate was 63%. More than 40% of physicians had a negative reaction towards obese patients, 56% felt qualified to treat obesity, and 46% felt successful in this realm. The factor analysis revealed 4 factors–Physician Discomfort/Bias, Physician Success/Self Efficacy, Positive Outcome Expectancy, and Negative Outcome Expectancy. Competency and reported percent of patients who lose weight were most strongly associated with the Physician Success/Self Efficacy attitude factor. Greater skill in patient assessment was associated with less Physician Discomfort/Bias. Training characteristics were associated with outcome expectancies with newer physicians reporting more positive treatment expectancies. Pediatric faculty was more positive and psychiatry faculty less negative in their treatment expectancies than internal medicine faculty. Conclusion Physician attitudes towards obesity are associated with competency, specialty, and years since

  4. Cross-sectional study on accidental occupational exposures amongst urban slum-based private medical practitioners

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    Aniruddha A. Malgaonkar

    2015-12-01

    Full Text Available Background: This cross-sectional, complete enumeration study was conducted in an urban slum to determine the frequency of occupational exposure of private medical practitioners to patient body fluids and the remedial measures adopted following such events and also to examine their high-risk practices, personal protective measures, immunisation and training status in relation to occupational exposures. Methods: After Institutional Ethics Committee approval, private medical practitioners practising for and #8805; 1 year in the locality who gave written informed consent were interviewed in their own clinics using a pre-tested formatted questionnaire. Results: Of the 108 respondents interviewed, the majority were non-allopathic, male practitioners. The speciality-wise and gender-wise differences in training in occupational exposure were not significant (p=0.135. Prior to disposal, 10.18% cut needles while 26.85% disinfected needles with 1% hypochlorite solution (p=0.0001. 50.93% never bent or recapped needles (p=0.0008. Only 19.44% regularly used gloves while examining patients (p=0.0039. 41.66% were completely unimmunised against Hepatitis B (p=0.004, while only one female non-allopathic practitioner (0.92% had taken complete immunisation against tetanus (p<0.05. Of the 7.41% respondents who had history of needle stick injuries, only one female non-allopathic practitioner had reported occupational exposure. Those unaware about the need for post-exposure prophylaxis for occupational exposure and that anti-retroviral therapy was part of post-exposure prophylaxis constituted 87.96% and 95.37%, respectively. Conclusions: Reporting of occupational exposure, complete immunisation against hepatitis B and tetanus and use of personal protection was inadequate. Specialised hands-on training ought to be an integral component of continuing medical education for private medical practitioners. [Int J Res Med Sci 2015; 3(12.000: 3708-3713

  5. Association of Processed Meat Intake with Hypertension Risk in Hemodialysis Patients: A Cross-Sectional Study.

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    Pei-Yu Wu

    Full Text Available In this cross-sectional study, we hypothesized that hemodialysis patients consuming greater processed meat is associated with hypertension risk, which can be partly explained by the high sodium content in processed meat. From September 2013 to May 2014, one hundred and four patients requiring chronic hemodialysis treatment were recruited from hemodialysis centers. Data on systolic blood pressure and diastolic blood pressure before receiving dialysis, and 3-day dietary records of the recruited patients were collected. HD patients with systolic and diastolic blood pressures greater than140 mmHg and higher than 90 mmHg, respectively, were considered hypertension risk. Protein foods were divided into 4 categories: red meat, white meat, soybeans, and processed meat (e.g., sausage and ham. In a model adjusted for energy intake and hypertension history, additional servings of processed meats was positively associated to systolic blood pressure >140 mmHg (odds ratio [95% confidence interval]: 2.1 [1.0-4.3], and diastolic blood pressure > 90 mmHg (odds ratio: 2.5 [1.2-5.5]. After adjustment for dietary sodium contents or body mass index (BMI, most associations were substantially attenuated and were no longer significant. In systolic blood pressure greater than140 mmHg, one serving per day of red meats (β = -1.22, P < .05 and white meats (β = -0. 75, P = .05 was associated with a reduced risk compared with one serving per day of processed meats. Similarly, compared with one serving per day of processed meat, a reduced risk of diastolic blood pressure higher than 90 mmHg was associated with one serving per day of red meat (β = -1. 59, P < .05, white meat (β = -0. 62, P < .05. Thus, in these hemodialysis patients, intake of processed meat is significantly positively associated with higher blood pressure risk, and both sodium contents in processed meat and BMI significantly contributes to this association.

  6. Physical activity level of urban pregnant women in Tianjin, China: a cross-sectional study.

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    Yan Zhang

    Full Text Available To determine the physical activity level and factors influencing physical activity among pregnant urban Chinese women.This prospective cross-sectional study enrolled 1056 pregnant women (18-44 years of age in Tianjin, China. Their socio-demographic characteristics were recorded, and the Pregnancy Physical Activity Questionnaire was used to assess their physical activity during pregnancy. The data were analyzed by multinomial logistic regression with adjustment for potential confounders.Median total energy expenditure of pregnant women in each of the three trimesters ranged from 18.50 to 21.90 metabolic equivalents of task (METs h/day. They expended 1.76-1.85 MET h/day on moderate and vigorous activities and 0.11 MET h/day on exercise. Only 117 of the women (11.1% met the international guideline for physical activity in pregnancy (≥150 min moderate intensity exercise per week. The most frequent reason given for not being more physically active was the fear of miscarriage. Higher education level (OR: 4.11, 95% CI: 1.59-10.62, habitual exercise before pregnancy (OR: 2.14, 95% CI: 1.39-3.28, and husbands who exercised regularly (OR: 2.21, 95% CI: 1.33-3.67 significantly increased the odds of meeting the guideline (p<0.001. A low pre gravid body mass index (OR: 0.42, 95% CI: 0.20-0.87 significantly decreased the odds (p<0.001.Few urban Chinese pregnant women met the recommended physical activity guideline. They also expended little energy exercising. Future interventions should be based on the clinic environment and targeting family members as well as the subjects. All pregnant women should be targeted, not just those in high-risk groups.

  7. Information and rehabilitation needs of Indian breast cancer patients: Report of a cross-sectional study

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    N Kaur

    2014-01-01

    Full Text Available Background: Breast cancer causes significant disruption to the quality of life (QOL of its patients, which is compounded further by lack of information and adequate facilities for rehabilitation. Materials and Methods: This descriptive cross-sectional study was conducted in women who had completed their Primary treatment of breast cancer. The QOL was assessed by Functional assessment of cancer therapy-breast (FACT-B version 4, and information and rehabilitation needs were enquired about in a semi-structured interview. Results: A total of 154 patients were enrolled and divided into three groups according to the time elapsed after initial treatment; Group I: 1-2 years, Group II: 2-5 years, Group III: >5 years The FACT-B mean scores were; Group I (n = 64: 79.06 ± 14.60; Group II (n = 48: 85.75 ± 20.15; and Group III (n = 42: 89.83 ± 12.80. Patients in Group I scored lowest on physical well-being subscale, Group II on breast specific subscale and Group III on Social well-being subscale. Pain, lack of energy, inability to meet the needs of the family, fear that the condition will get worse and loss of body image were significant factors contributing to poor QOL. Analysis of interviewshowed many unmet information needs. Main rehabilitation needs were effective treatment of physical symptoms and counselling about body image issues and sexual dysfunctions. Easy availability of clinical and social support services were major felt needs in the long-term follow-up. Conclusions: Targeted Interventions are needed to address issues relating to QOL and rehabilitation needs of breast cancer patients.

  8. Evaluation of pityriasis versicolor in prisoners: A cross-sectional study

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    Salahi-Moghaddam Abdoreza

    2009-01-01

    Full Text Available Background: Pityriasis versicolor (PV is a mild but recurrent superficial fungal infection of stratum corneum. Many predisposing factors such as late teen and young adulthood age, tropical and subtropical climate (and to a lesser extent temperate climate, immunosuppression, malnutrition, use of oral contraceptives, hyperhidrosis, poor hygiene and a few other factors have been proposed for this condition. Aim: Regarding these probable and possible risk factors, we felt that jail is a unique population which can be affected by this infection and therefore we decided to evaluate some aspects of this infection in this population. Methods: In this cross-sectional study in male prisoners of Bandarabbas city, 230 prisoners were randomly selected. One hundred and five (45.67% of them were diagnosed to be infected. They were also evaluated regarding age, duration of being imprisoned, skin color, site of lesion and its pigmentation change and any concomitant clinical manifestation such as pruritis, burning or cebure. Chi-square test or Fisher′s exact test was used for data analysis. Results: Mean age of infected population was 31.62 ± 8.67 years while peak incidence of PV was in 28-32 years age group. The most common color change was hypopigmentation. No case of PV hyperpigmentation was seen. We could not also observe any association between skin color and duration of being imprisoned with the frequency of infection. Conclusion: There seems to be no difference between pattern of infection in the general population and prisoners′ population in the aspects evaluated.

  9. Atypical Fractures are Mainly Subtrochanteric in Singapore and Diaphyseal in Sweden: A Cross-Sectional Study.

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    Schilcher, Jörg; Howe, Tet Sen; Png, Meng Ai; Aspenberg, Per; Koh, Joyce S B

    2015-11-01

    We have previously noted a dichotomy in the location of atypical fractures along the femoral shaft in Swedish patients, and a mainly subtrochanteric location of atypical fractures in descriptions of patients from Singapore. These unexpected differences were now investigated by testing the following hypotheses in a cross-sectional study: first, that there is a dichotomy also in Singapore; second, that the relation between subtrochanteric and diaphyseal location is different between the two countries; third, that the location is related to femoral bow. The previously published Swedish sample (n = 151) was re-measured, and a new Singaporean sample (n = 75) was established. Both samples were based on radiographic classification of all femoral fractures in women above 55 years of age. The distance between the fracture line and the lesser trochanter was measured. Femoral bow was classified as present or absent on frontal radiographs. Frequency distribution of the measured distances was analyzed using the Bayesian information criterion to choose the best description of the observed variable distribution in terms of a compilation of normally distributed subgroups. The analysis showed a clear dichotomy of the fracture location: either subtrochanteric or diaphyseal. Subtrochanteric fractures comprised 48% of all fractures in Singapore, and 17% in Sweden (p = 0.0001). In Singapore, femoral bow was associated with more fractures in the diaphyseal subgroup (p = 0.0001). This was not seen in Sweden. A dichotomous location of atypical fractures was confirmed, because it was found also in Singapore. The fractures showed a different localization pattern in the two countries. This difference may be linked to anatomical variations, but might also be related to cultural differences between the two populations that influence physical activity.

  10. Workplace determinants of social capital: cross-sectional and longitudinal evidence from a Finnish cohort study.

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    Tuula Oksanen

    Full Text Available OBJECTIVE: To examine which contextual features of the workplace are associated with social capital. METHODS: This is a cohort study of 43,167 employees in 3090 Finnish public sector workplaces who responded to a survey of individual workplace social capital in 2000-02 (response rate 68%. We used ecometrics approach to estimate social capital of work units. Features of the workplace were work unit's demographic and employment patterns and size, obtained from employers' administrative records. We used multilevel-multinomial logistic regression models to examine cross-sectionally whether these features were associated with social capital between individuals and work units. Fixed effects models were used for longitudinal analyses in a subsample of 12,108 individuals to examine the effects of changes in workplace characteristics on changes in social capital between 2000 and 2004. RESULTS: After adjustment for individual characteristics, an increase in work unit size reduced the odds of high levels of individual workplace social capital (odds ratio 0.94, 95% confidence interval 0.91-0.98 per 30-person-year increase. A 20% increase in the proportion of manual and male employees reduced the odds of high levels of social capital by 8% and 23%, respectively. A 30% increase in temporary employees and a 20% increase in employee turnover were associated with 11% (95% confidence interval 1.04-1.17 and 24% (95% confidence interval 1.18-1.30 higher odds of having high levels of social capital respectively. Results from fixed effects models within individuals, adjusted for time-varying covariates, and from social capital of the work units yielded consistent results. CONCLUSIONS: These findings suggest that workplace social capital is contextually patterned. Workplace demographic and employment patterns as well as the size of the work unit are important in understanding variations in workplace social capital between individuals and workplaces.

  11. Psychosocial profile of bullies, victims, and bully-victims: A cross-sectional study

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    Marie eLeiner

    2014-01-01

    Full Text Available While adverse conditions in a child’s life do not excuse inappropriate behavior, they may cause emotional and behavioral problems that require treatment as a preventive measure to reduce the likelihood of bullying. We aimed to identify differences in the psychosocial profiles of adolescents who classified themselves as bullies, victims, or bully-victims. We performed a cross-sectional study in which data were collected between January 2009 and January 2010 from seven university-based clinics in a large metropolitan area with a predominantly Mexican-American population. We collected data on physical aggression among adolescents who self-categorized into the following groups: uninvolved, bullies, victims, and bully-victims. We determined the psychosocial profiles of the adolescents based on responses to the Youth Self Report (YSR and parent’s responses to the Child Behavior Checklist (CBCL. A one-way analysis of variance and multivariate regression analyses were performed to compare the various components of the psychosocial profiles among the groups. Our analysis of the CBCL and the YSR assessments identified differences between the uninvolved group and one or more of the other groups. No significant differences were observed among the bully, victim, and bully-victim groups based on the CBCL. We did find significant differences among those groups based on the YSR, however. Our results suggest that emotional and behavioral problems exist among bullies, victims, and bully-victims. Therefore, treatment should not focus only on the victims of bullying; treatment is equally important for the other groups (bullies and bully-victims. Failure to adequately treat the underlying problems experienced by all three groups of individuals could allow the problems of bullying to continue.

  12. Epidemiological and Clinical Characteristics of Fall Injuries in East Azerbaijan, Iran; A Cross-Sectional Study

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    Saber Ghaffari-Fam

    2015-07-01

    Full Text Available Objective: To describe the epidemiological and clinical characteristics of fall injuries in East Azerbaijan, Iran. Methods: This cross-sectional study was based on Hospital Information System (HIS data for patients referred to the Imam Reza Hospital between 2008 and 2013. We recorded the demographic characteristics and epidemiological patterns of patients who were admitted to our center due to fall injuries. To standardize the reports the International Classification of Diseases (ICD, the International Classification of Diseases 9 Clinical Modification (ICD-9-CM was used. Equally, the hospitalization period and number, admission ward, and the final status of victims after discharge from the hospital were extracted from the HIS. Results: Overall we included a total number of 3397 patients with mean age of 39.2±22.7 years. There were 2501 (73.6% men among the patients. Long bone fracture (48.1% and intracranial injury (24.2% were the most frequent injuries among fall injury victims. Operations on spinal cord and spinal canal structures (12.0%, Operations on nose (11.6% were the most common operations being performed in these patients. The survival was significantly lower in patients with age more than 60 years when compared to other age groups ( p=0.001. The survival rate was significantly lower in age group of >60 years, compared to other age groups ( p=0.001. Conclusion: Given the high rate of fall injuries and death among the elderly that increases with age, appropriate measures must be taken to control and prevent injuries while prioritizing the elderly.

  13. Physical Activity Level of Urban Pregnant Women in Tianjin, China: A Cross-Sectional Study

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    Zhang, Yan; Dong, Shengwen; Zuo, Jianhua; Hu, Xiangqin; Zhang, Hua; Zhao, Yue

    2014-01-01

    Objective To determine the physical activity level and factors influencing physical activity among pregnant urban Chinese women. Methods This prospective cross-sectional study enrolled 1056 pregnant women (18–44 years of age) in Tianjin, China. Their socio-demographic characteristics were recorded, and the Pregnancy Physical Activity Questionnaire was used to assess their physical activity during pregnancy. The data were analyzed by multinomial logistic regression with adjustment for potential confounders. Results Median total energy expenditure of pregnant women in each of the three trimesters ranged from 18.50 to 21.90 metabolic equivalents of task (METs) h/day. They expended 1.76–1.85 MET h/day on moderate and vigorous activities and 0.11 MET h/day on exercise. Only 117 of the women (11.1%) met the international guideline for physical activity in pregnancy (≥150 min moderate intensity exercise per week). The most frequent reason given for not being more physically active was the fear of miscarriage. Higher education level (OR: 4.11, 95% CI: 1.59–10.62), habitual exercise before pregnancy (OR: 2.14, 95% CI: 1.39–3.28), and husbands who exercised regularly (OR: 2.21, 95% CI: 1.33–3.67) significantly increased the odds of meeting the guideline (p<0.001). A low pre gravid body mass index (OR: 0.42, 95% CI: 0.20–0.87) significantly decreased the odds (p<0.001). Conclusions Few urban Chinese pregnant women met the recommended physical activity guideline. They also expended little energy exercising. Future interventions should be based on the clinic environment and targeting family members as well as the subjects. All pregnant women should be targeted, not just those in high-risk groups. PMID:25286237

  14. Dietary patterns in Brazilian patients with nonalcoholic fatty liver disease: a cross-sectional study

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    Silvia Marinho Ferolla

    2013-01-01

    Full Text Available OBJECTIVE: Recent evidence suggests that non-alcoholic fatty liver disease is associated with diet. Our aim was to investigate the dietary patterns of a Brazilian population with this condition and compare them with the recommended diet. METHODS: A cross-sectional study was conducted on 96 non-alcoholic fatty liver disease patients before any dietetic counseling. All patients underwent abdominal ultrasound, biochemical tests, dietary evaluations, and anthropometric evaluations. Their food intake was assessed by a semi-quantitative food-frequency questionnaire and 24-hour food recall. RESULTS: The median patient age was 53 years, and 77% of the individuals were women. Most (67.7% participants were obese, and a large waist circumference was observed in 80.2% subjects. Almost 70% of the participants had metabolic syndrome, and 62.3% presented evidence of either insulin resistance or overt diabetes. Most patients (51.5, 58.5, and 61.7%, respectively exceeded the recommendations for energy intake, as well as total and saturated fat. All patients consumed less than the amount of recommended monounsaturated fatty acids, and 52.1 and 76.6% of them consumed less polyunsaturated fatty acids and fiber, respectively, than recommended. In most patients, the calcium, sodium, potassium, pyridoxine, and vitamin C intake did not meet the recommendations, and in 10.5-15.5% of individuals, the tolerable upper limit intake for sodium was exceeded. The patients presented a significantly high intake of meats, fats, sugars, legumes (beans, and vegetables and a low consumption of cereals, fruits, and dairy products compared with the recommendations. CONCLUSIONS: Although patients with non-alcoholic fatty liver disease exhibited high energy and lipid consumption, most of them had inadequate intake of some micronutrients. The possible role of nutrient-deficient intake in the development of non-alcoholic fatty liver disease warrants investigation.

  15. Ningbo thyroid dysfunction prevalence study: a cross-sectional survey in an employees-cohort

    Institute of Scientific and Technical Information of China (English)

    MAO Yu-shan; LIU Zhi-min; CHEN Chang-xi; ZHU Zhong-wei; HONG Zhong-li

    2010-01-01

    Background The prevalence and the spectrum of thyroid dysfunction in the mainland of China are not adequately understood. We performed a population-based study to determine the prevalence of major thyroid dysfunctions including overt and subclinical hyper- and hypothyroidism in a stable cohort.Methods All active and retired employees aged 20 years and older (11 067) of Sinopec Zhenhai Refining & Chemical Company in Ningbo participated in the cross-sectional survey with a questionnaire and blood samples. Results A total of 10 405 individuals attended for screening. Using biochemical definitions 95.5% were euthyroid. The prevalence of former diagnosed hyperthyroidism was 1.1% in females and 0.4% in males, hypothyroidism 1.7% and 0.3%, and thyroid surgery 1.2% and 0.3%, respectively. In both sex the prevalence increased with age. Twenty-four percent of individuals with thyroid surgery or medications had abnormal thyroid-stimulating hormone (TSH) levels. In individuals without a history of thyroid disease, the prevalence of pathological TSH values in females and males were TSH ≥10 mU/L 0.60% and 0.29%; TSH 4.8-9.9 mU/L 5.71 % and 2.25%; TSH <0.3 mU/L 0.87% and 0.41 %, respectively. Overt hyper- and hypothyroidism were uncommon (0.2%, 0.3%, respectively). The prevalence of subclinical hyper- and hypothyroidism was 0.4% and 3.4%, respectively. Subclinical hypothyroidism was more common in females (male 2.4% vs. female 5.8%, P<0.001) and with increasing age (P<0.001).Conclusions The prevalence of thyroid dysfunction is 4.5% in the cohort. Among individuals with thyroid medications or surgery, only 75.7% were within the normal range of TSH. These results indicate that thyroid dysfunction is common in Chinese adults.

  16. Hand tactile discrimination, social touch and frailty criteria in elderly people: A cross sectional observational study.

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    Vieira, Ana Isabel; Nogueira, Dália; de Azevedo Reis, Elisabeth; da Lapa Rosado, Maria; Vânia Nunes, Maria; Castro-Caldas, Alexandre

    2016-01-01

    Frailty is a common syndrome among elderly and sensory decline may exacerbate functional decline. The hand function, the manual dexterity, the performance of the daily living skills and the social interactions are determined, in a large degree, by sensory integrity. However, hand tactile sensory deterioration has been little explored in frailty. We performed a cross sectional observational study with 181 of institutionalized elders. From the initial sample we selected 50 subjects (68-99 years) who met the inclusion/exclusion criteria. Our goals were (1) to analyse the relationship between tactile discrimination (TD) of the hand, avoidance behaviours and attitudes towards social touch (BATST) and phenotype frailty criteria (unintentional weight loss, self-perception of exhaustion, decrease grip strength - GS, slow walking speed, low level of physical activity), (2) to explore whether other variables can contribute to explain the differences between pre-frail and frail elders. The results showed that increasing age is related to decline of TD of the hand (p=0.021) and to decrease in GS (p=0.025); women have significantly lower level of GS (p=0.001); TD decrease is correlated with higher avoidance BATST (p=0.000) and with lower GS (p=0.000); Lower GS corresponds to more avoidance BATST (p=0.003). Hand TD also can differentiate frail and pre-frail elderly subjects in this sample (p=0.037). Decreased TD of the hand may have implications on the functionality and on interpersonal relationships. TD of the hand also explains frailty levels in this sample. Hand TD should be used in assessment and intervention protocols in pre-frail and frail elders.

  17. Consumers’ estimation of calorie content at fast food restaurants: cross sectional observational study

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    Condon, Suzanne K; Kleinman, Ken; Mullen, Jewel; Linakis, Stephanie; Rifas-Shiman, Sheryl; Gillman, Matthew W

    2013-01-01

    Objective To investigate estimation of calorie (energy) content of meals from fast food restaurants in adults, adolescents, and school age children. Design Cross sectional study of repeated visits to fast food restaurant chains. Setting 89 fast food restaurants in four cities in New England, United States: McDonald’s, Burger King, Subway, Wendy’s, KFC, Dunkin’ Donuts. Participants 1877 adults and 330 school age children visiting restaurants at dinnertime (evening meal) in 2010 and 2011; 1178 adolescents visiting restaurants after school or at lunchtime in 2010 and 2011. Main outcome measure Estimated calorie content of purchased meals. Results Among adults, adolescents, and school age children, the mean actual calorie content of meals was 836 calories (SD 465), 756 calories (SD 455), and 733 calories (SD 359), respectively. A calorie is equivalent to 4.18 kJ. Compared with the actual figures, participants underestimated calorie content by means of 175 calories (95% confidence interval 145 to 205), 259 calories (227 to 291), and 175 calories (108 to 242), respectively. In multivariable linear regression models, underestimation of calorie content increased substantially as the actual meal calorie content increased. Adults and adolescents eating at Subway estimated 20% and 25% lower calorie content than McDonald’s diners (relative change 0.80, 95% confidence interval 0.66 to 0.96; 0.75, 0.57 to 0.99). Conclusions People eating at fast food restaurants underestimate the calorie content of meals, especially large meals. Education of consumers through calorie menu labeling and other outreach efforts might reduce the large degree of underestimation. PMID:23704170

  18. A Cross-Sectional Study of the Cardiovascular Effects of Welding Fumes.

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    Huiqi Li

    Full Text Available Occupational exposure to particulate air pollution has been associated with an increased risk of cardiovascular disease. However, the risk to welders working today remains unclear. We aimed to elucidate the cardiovascular effects of exposure to welding fumes.In a cross-sectional study, structured interviews and biological sampling were conducted for 101 welders and 127 controls (all non-smoking males from southern Sweden. Personal breathing zone sampling of respirable dust was performed. Blood pressure (BP and endothelial function (using peripheral arterial tonometry were measured. Plasma and serum samples were collected from peripheral blood for measurement of C-reactive protein, low-density lipoprotein, homocysteine, serum amyloid A, and cytokines.Welders were exposed to 10-fold higher levels of particles than controls. Welders had significantly higher BP compared to controls, an average of 5 mm Hg higher systolic and diastolic BP (P ≤ 0.001. IL-8 was 3.4 ng/L higher in welders (P=0.010. Years working as a welder were significantly associated with increased BP (β=0.35, 95%CI 0.13 - 0.58, P=0.0024 for systolic BP; β=0.32, 95%CI 0.16 - 0.48, P<0.001 for diastolic BP, adjusted for BMI but exposure to respirable dust was not associated with BP. No clear associations occurred between welding and endothelial function, or other effect markers.A modest increase in BP was found among welders compared to controls suggesting that low-to-moderate exposure to welding fumes remains a risk factor for cardiovascular disease.

  19. Factors influencing Chinese male's willingness to undergo circumcision: a cross-sectional study in western China.

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    Xiaobo Yang

    Full Text Available BACKGROUND: Male circumcision (MC has been shown to reduce the risk of female to male transmission of HIV. The goal of this survey was to explore the acceptability of MC among the Chinese and to identify factors associated with circumcision preference. METHODS: A cross-sectional survey was conducted between September 2009 and December 2010. We interviewed 2,219 male community participants, from three high HIV prevalence provinces in western China. A structured questionnaire was used to collect data on MC knowledge, willingness to accept MC, reasons to accept or refuse MC, and sexual behaviors and health. For those who refused MC, a health education intervention providing information on the benefits of circumcision was conducted. We used multiple logistic regression models to identify factors associated with the acceptability of MC. RESULTS: Of the respondents (n = 2,219, 44.6% (989/2,219 reported they would accept MC for the following reasons: promotion of female partners' hygiene (60.3%, redundant foreskin (59.4%, prevention of penile cancer (50.2%, enhanced sexual pleasure (41.4%, and protection against HIV and STDs (34.2%. The multivariable logistic regression showed that five factors were associated with MC willingness: long foreskin (OR = 15.98, residing in Xinjiang province (OR = 3.69, being younger than 25 (OR = 1.60, knowing hazards of redundant foreskin (OR = 1.78, and having a friend who underwent circumcision (OR = 1.36. CONCLUSION: The acceptability of male circumcision was high among the general population in China. Our study elucidates the factors associated with circumcision preference and suggests that more health education campaigns about positive health effects are necessary to increase the MC rate in China.

  20. Non prescribed sale of antibiotics in Riyadh, Saudi Arabia: A Cross Sectional Study

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    Obeidat Sadek A

    2011-07-01

    Full Text Available Abstract Background Antibiotics sales without medical prescriptions are increasingly recognized as sources of antimicrobial misuse that can exacerbate the global burden of antibiotic resistance. We aimed to determine the percentage of pharmacies who sell antibiotics without medical prescriptions, examining the potential associated risks of such practice in Riyadh, Saudi Arabia, by simulation of different clinical scenarios. Methods A cross sectional study of a quasi-random sample of pharmacies stratified by the five regions of Riyadh. Each pharmacy was visited once by two investigators who simulated having a relative with a specific clinical illness (sore throat, acute bronchitis, otitis media, acute sinusitis, diarrhea, and urinary tract infection (UTI in childbearing aged women. Results A total of 327 pharmacies were visited. Antibiotics were dispensed without a medical prescription in 244 (77.6% of 327, of which 231 (95% were dispensed without a patient request. Simulated cases of sore throat and diarrhea resulted in an antibiotic being dispensed in (90% of encounters, followed by UTI (75%, acute bronchitis (73%, otitis media (51% and acute sinusitis (40%. Metronidazole (89% and ciprofloxacin (86% were commonly given for diarrhea and UTI, respectively, whereas amoxicillin/clavulanate was dispensed (51% for the other simulated cases. None of the pharmacists asked about antibiotic allergy history or provided information about drug interactions. Only 23% asked about pregnancy status when dispensing antibiotics for UTI-simulated cases. Conclusions We observed that an antibiotic could be obtained in Riyadh without a medical prescription or an evidence-based indication with associated potential clinical risks. Strict enforcement and adherence to existing regulations are warranted.

  1. Association of Processed Meat Intake with Hypertension Risk in Hemodialysis Patients: A Cross-Sectional Study.

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    Wu, Pei-Yu; Yang, Shwu-Huey; Wong, Te-Chih; Chen, Tzen-Wen; Chen, His-Hsien; Chen, Tso-Hsiao; Chen, Yu-Tong

    2015-01-01

    In this cross-sectional study, we hypothesized that hemodialysis patients consuming greater processed meat is associated with hypertension risk, which can be partly explained by the high sodium content in processed meat. From September 2013 to May 2014, one hundred and four patients requiring chronic hemodialysis treatment were recruited from hemodialysis centers. Data on systolic blood pressure and diastolic blood pressure before receiving dialysis, and 3-day dietary records of the recruited patients were collected. HD patients with systolic and diastolic blood pressures greater than140 mmHg and higher than 90 mmHg, respectively, were considered hypertension risk. Protein foods were divided into 4 categories: red meat, white meat, soybeans, and processed meat (e.g., sausage and ham). In a model adjusted for energy intake and hypertension history, additional servings of processed meats was positively associated to systolic blood pressure >140 mmHg (odds ratio [95% confidence interval]: 2.1 [1.0-4.3]), and diastolic blood pressure > 90 mmHg (odds ratio: 2.5 [1.2-5.5]). After adjustment for dietary sodium contents or body mass index (BMI), most associations were substantially attenuated and were no longer significant. In systolic blood pressure greater than140 mmHg, one serving per day of red meats (β = -1.22, P processed meat, a reduced risk of diastolic blood pressure higher than 90 mmHg was associated with one serving per day of red meat (β = -1. 59, P processed meat is significantly positively associated with higher blood pressure risk, and both sodium contents in processed meat and BMI significantly contributes to this association.

  2. "Aging males" symptoms and general health of adult males: a cross-sectional study.

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    Yuen, John W; Ng, Chi-Fai; Chiu, Peter Ka Fung; Teoh, Jeremy Yuen Chun; Yee, C H

    2016-06-01

    A cross-sectional study was conducted to explore the prevalence and severity of health-related complaints perceived by adult males of Hong Kong by using the Hong Kong Traditional Chinese versions of the Aging males' symptoms (AMS) scale and the 5-dimensional and 3-level European Quality of life (EQ-5D-3L) questionnaire. A total of 825 adult males aged 40 years or above were surveyed, and observed that 80% of the population was living with little-to-mild levels of aging symptoms with mean total scores ranged between 26.02 ± 7.91 and 32.99 ± 7.91 in different age groups. Such symptoms were correlated with age, especially for the somato-vegetative and sexual symptoms. The most severe AMS symptoms were observed in the oldest age group at 70 years or above, with 76%, 34% and 70% living with moderate-to-severe levels of somato-vegetative, psychological and sexual symptoms, respectively. The result was highly correlated with the EQ-5D-3L questionnaire. Secondly, the Hong Kong Aging males' symptoms (AMS) scale was shown to have good reliability with test-retest coefficient at 0.79 (ranged 0.66-0.87) and Cronbach's alpha coefficient at 0.88 (ranged 0.70-0.84). In summary, the population of Hong Kong male adults was commonly living with little-to-mild levels of aging symptoms, whereas their severity was correlated with age.

  3. Status and risk factors of unintentional injuries among Chinese undergraduates: a cross-sectional study

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    Zhou Qiang

    2011-07-01

    Full Text Available Abstract Background Injuries affect all age groups but have a particular impact on young people. To evaluate the incidence of non-fatal, unintentional, injuries among undergraduates in Wenzhou, China, assess the burden caused by these injuries, and explore the associated risk factors for unintentional injuries among these undergraduates, we conducted a college-based cross-sectional study. Methods Participants were selected by a multi-stage random sampling method, and 2,287 students were asked whether they had had an injury in the last 12 months; the location, cause, and consequences of the event. The questionnaire included demographic and socioeconomic characteristics, lifestyle habits, and the scale of type A behaviour pattern (TABP. Multivariate logistic regression models were used; crude odds ratios (ORs, adjusted ORs and their 95% confidence intervals (CIs were estimated, with students having no injuries as the reference group. Results The incidence of injuries among undergraduates in Wenzhou was 18.71 injuries per 100 person-years (95%CI: 17.12~20.31 injuries per 100 person-years. Falls were the leading cause of injury, followed by traffic injuries, and animal/insect bites. Male students were more likely to be injured than female students. Risk factors associated with unintentional injuries among undergraduates were: students majoring in non-medicine (adjusted OR: 1.53; 95% CI: 1.19-1.96; type A behaviour pattern (adjusted OR: 2.99; 95% CI: 1.45-6.14; liking sports (adjusted OR: 1.86; 95% CI: 1.41-2.45. Conclusions Injuries have become a public health problem among undergraduates. Falls were the major cause of non-fatal injury. Therefore, individuals, families, schools and governments should promptly adopt preventive measures aimed at preventing and controlling morbidity due to non-fatal injury, especially among students identified to be at high-risk; such as male students with type A behaviour pattern who like sports.

  4. Influenza immunization among Canadian health care personnel: a cross-sectional study

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    Buchan, Sarah A.; Kwong, Jeffrey C.

    2016-01-01

    Background: Influenza immunization coverage among Canadian health care personnel remains below national targets. Targeting this group is of particular importance given their elevated risk of influenza infection, role in transmission and influence on patients' immunization status. We examined influenza immunization coverage in health care personnel in Canada, reasons for not being immunized and the impact of "vaccinate-or-mask" influenza prevention policies. Methods: In this national cross-sectional study, we pooled data from the 2007 to 2014 cycles of the Canadian Community Health Survey and restricted it to respondents who reported a health care occupation. Using bootstrapped survey weights, we examined immunization coverage by occupation and by presence of vaccinate-or-mask policies, and reasons for not being immunized. We used modified Poisson regression to estimate the prevalence ratio (PR) of influenza immunization for health care occupations compared with the general working population. Results: For all survey cycles combined, 50% of 18 446 health care personnel reported receiving seasonal influenza immunization during the previous 12 months, although this varied by occupation type (range 4%-72%). Compared with the general working population, family physicians and general practitioners were most likely to be immunized (PR 3.15, 95% confidence interval [CI] 2.76-3.59), whereas chiropractors, midwives and practitioners of natural healing were least likely (PR 0.17, 95% CI 0.10-0.30). Among those who were not immunized, the most frequently cited reason was the belief that influenza immunization is unnecessary. Introduction of vaccinate-or-mask policies was associated with increased influenza immunization among health care personnel. Interpretation: Health care personnel are more likely to be immunized against influenza than the general working population, but coverage remains suboptimal overall, and we observed wide variation by occupation type. More efforts

  5. Suicidal expressions in young Swedish Sami, a cross-sectional study

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    Lotta Omma

    2013-01-01

    Full Text Available Objectives. To investigate the experience of suicidal expressions (death wishes, life weariness, ideation, plans and attempts in young Swedish Sami, their attitudes toward suicide (ATTS, and experience of suicidal expressions and completed suicide in significant others and to compare with Swedes in general. Methods. A cross-sectional study comprising 516 Swedish Sami, 18–28 years of age together with an age and geographically matched reference group (n=218. Parts of the ATTS questionnaire have been used to cover different aspects of the suicidal complex.Data were analysed with regard to gender, occupation, counties and experience of negative societal treatment due to Sami background. Results. Both young Sami and young Swedes reported suicidal ideation, life weariness, and death wishes in a high degree (30–50%, but it was more common among the Sami. Having had plans to commit suicide showed a significant gender difference only in the Sami. The prevalence of suicide attempts did not differ significantly between Sami and Swedes. Subgroups of the Sami reported a higher degree of suicidal behaviour, Sami women and reindeer herders reported a 3, 5-fold higher odds of suicide attempts and a 2-fold higher odds having had plans committing suicide. Sami living in Vasterbotten/Jamtland/Vasternorrland and Sami with experience of ethnicity related bad treatment 2-fold higher odds of suicidal plans compared to those living in other counties. Conclusion. An increased occurrence of suicidal ideation/death wishes/life weariness in young Sami compared to young majority Swedes was found, but not an increased prevalence of suicide attempts and positive attitudes together with an increased awareness to handle suicide problems could be a contributing factor. Severe circumstances and experience of ethnicity-related bad treatment seems to contribute to increased levels of suicidal plans and attempts in subgroups of Sami.

  6. Delays in the diagnosis and treatment of tuberculosis patients in Vietnam: a cross-sectional study

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    Khanh Vu T

    2007-06-01

    Full Text Available Abstract Background Treatment delay is an important indicator of access to tuberculosis diagnosis and treatment. Analyses of patient delay (i.e. time interval between onset of symptoms and first consultation of a health care provider and health care delay (i.e. time interval between first consultation and start of treatment can inform policies to improve access. This study assesses the patient, health care provider and total delay in diagnosis and treatment of new smear-positive pulmonary tuberculosis patients, and the risk factors for long delay, in Vietnam. Methods A cross-sectional survey of new patients treated by the National Tuberculosis Control Programme was conducted in 70 randomly selected districts in Vietnam. All consecutively registered patients in one quarter of 2002 were interviewed using a pre-coded structured questionnaire. Results Median (range delay was 4 weeks (1–48 for total, 3 (1–48 weeks for patient and 1 (0–25 week for health care delay. Patients with long total delay (≥ 12 weeks, 15% accounted for 49% of the cumulative number of delay-weeks. Independent risk factors (p 5 km distance from a health facility or in the northern area. For long health care delay (≥ 6 weeks this was urban setting, residence in the central area and initial visit to a communal health post, TB hospital or the private sector. Conclusion Analyses of patient and treatment delays can indicate target groups and areas for health education and strengthening of the referral system, in particular between the private sector and the NTP.

  7. Oral health status among long-term hospitalized adults: a cross sectional study

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    Leon Bilder

    2014-06-01

    Full Text Available Background. Many Long-Term Care (LTC institutionalized patients are the most frail and functionally dependent among the geriatric population and have significant oral health disparities.They often suffer from dental neglect due to limited access to appropriate professional dental care. These patients have chronic health situations and are treated with medications, which increase their risk of oral diseases. Despite the growth in elderly population in Israel, there is insufficient data regarding their oral health status and treatment needs.Objective. To describe the oral health status of the LTC hospitalized adults in a geriatric and psychiatric hospital in Israel.Methods. Data was recorded from LTC hospitalized adults with a physical and/or mental disabilities in a cross-sectional research design, which included general health anamnesis and clinical oral examination. Variables included gender, medicines, oral hygiene (OH, using dentures, number of caries lesions and residual teeth. Univariate analyses included Pearson χ2 and t-test analyses. Multivariate analyses included logistic and linear regressions while the outcome variables were categorical OH index and number of carious cavitations, number of residual teeth and carious teeth percentage.Results. 153 participants were included in the study with a mean age of 65.03 ± 18.67 years. 31.3% of the patients were edentulous, and only 14% had partial or full dentures. Females had a significantly higher number of caries cavitation than males (P = 0.044. The number of caries cavitation was higher among patients with poor OH (P < 0.001 and when taking Clonazepam (P = 0.018. Number of residual teeth was higher in the fair OH group (P < 0.001. Carious teeth percentage was higher among the poor OH group (P < 0.001.

  8. Exposição múltipla a agrotóxicos e efeitos à saúde: estudo transversal em amostra de 102 trabalhadores rurais, Nova Friburgo, RJ Multiple exposure to pesticides and impacts on health: a cross-section study of 102 rural workers, Nova Friburgo, Rio de Janeiro State, Brazil

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    Alberto José de Araújo

    2007-03-01

    Full Text Available Um estudo transversal foi realizado em uma comunidade agrícola localizada em Nova Friburgo, RJ, para conhecer os aspectos epidemiológicos, clínicos e laboratoriais da exposição múltipla a agrotóxicos em uma amostra representativa de 102 pequenos agricultores, de ambos os sexos. Os trabalhadores foram submetidos a um extenso protocolo que incluía aplicação de questionário ocupacional, coleta de amostras biológicas para exame toxicológico e avaliação clínica - geral e neurológica. Os resultados dos exames toxicológicos revelaram episódios leves a moderados de intoxicação aguda aos organofosforados descritos pelos agricultores ou observados durante o exame clínico. Foram também diagnosticados 13 (12,8 % quadros de neuropatia tardia e 29 (28,5% quadros de síndrome neurocomportamental e distúrbios neuropsiquiátricos associados ao uso crônico de agrotóxicos. Os resultados apontam para a ocorrência de episódios recorrentes de sobre-exposição múltipla, a elevadas concentrações de diversos produtos químicos, com grave prejuízo para as funções vitais desses trabalhadores, especialmente por se encontrarem em uma faixa etária jovem (média = 35 ± 11anos e período produtivo da vida. Estes dados demonstram a importância do monitoramento da múltipla exposição a agrotóxicos, uma cadeia de eventos de grande repercussão na saúde pública e para o meio ambiente.A cross section study was carried out in a farming community from Nova Friburgo, Rio de Janeiro state, Brazil, to examine epidemiological, clinical and laboratory aspects of multiple exposure to pesticides in a representative sample of 102 small farmers. Both males and females were submitted to an extensive protocol which included an occupation questionnaire, biological sample collection for toxicology analysis and clinical - general and neurological - evaluation. The toxicology test results showed light to moderate episodes of acute intoxication by

  9. Adolescent Idiopathic Scoliosis and Eating Disorders: Is There a Relation? Results of a Cross-Sectional Study

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    Zaina, Fabio; Donzelli, Sabrina; Lusini, Monia; Vismara, Luca; Capodaglio, Paolo; Neri, Laura; Negrini, Stefano

    2013-01-01

    A recent study suggests a correlation between idiopathic scoliosis in adolescence and eating disorders. However, this does not correspond with our clinical experience in the same population. The aim of this study was to verify the correlation between scoliosis and eating disorders in adolescence. A cross-sectional study was designed including 187…

  10. A CROSS SECTIONAL MORPHOMETRIC STUDY OF HYPERTENSIVE WITH NORMAL PLACENTAE AND ITS CORRELATION WITH FETAL OUTCOME

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    Sabita Singh

    2014-06-01

    Full Text Available Introduction: Placenta “the vital organ” for maintaining healthy pregnancy is unique in its development, being derived from both mother and fetus. Thus hypertensive disorder affecting mother has a deleterious impact on placenta which may lead to poor fetal outcome. Aim: A cross-sectional descriptive study was undertaken to analyze and assess the morphological changes in hypertensive placentae and to clinically correlate it with fetal and maternal parameters. Materials and Methods: 50 placentae were freshly collected from pregnancy induced hypertension (PIH cases (study group and 50 from normal pregnancy (control group. Study group was divided into three categories depending upon severity of the disease. Observations and Results: 70% in study group were primigravida and were from rural area.46% were in age group of 15 – 20yrs.50% under low socio-economic status and 60% were without any regular antenatal checkup. Preterm, IUGR, still birth and neonatal death accounted to 10%, 12%, 18% and 10% respectively in study group. The average diameter, thickness, volume and number of cotyledons in study group were 15.91±2.11cm, 2.39±.54cm, 297.64±67.90ml and 10.02±4.13respectively. Mean placental weight was 376.41±17.198gm (mild PIH, 330.72±2.90gm (severe PIH, 329.73±3.19gm (eclampsia and mean birth weight was 2680.29±198.46gm (mild PIH, 2212.06±36.41gm (severe PIH and 2073.60±9.47gm (eclampsia respectively in study group. Various pathological changes like retro placental hematoma, infarction and calcification had been noticed. Conclusion: Placental morphometric parameters were significantly reduced (<.001 in study group as compared to control group. Decreased placental weight was associated with reduced birth weight and feto-placental ratio with increase in severity of hypertension significantly (<.001. A significant increase (<.05 in incidence of preterm, IUGR, still birth and neonatal death were found in study group. Assessment of

  11. A Cross Sectional Study to Assess Socio Economic Complications of Adolescent Pregnancy in a Metropolitan City of Central India.

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    Rachna Dubey, Sanjay Dixit

    2014-01-01

    Full Text Available "Background: Teenage pregnancy is not new to this century which is pregnancy in a female under the age of 20 (when the pregnancy ends. Half of all the teenage births occur in just 7 countries, namely Bangladesh, Brazil, Congo, Ethiopia, Nigeria, India and USA. Present study assessed the prevalence of adolescent pregnancies and correlate with their social background, also to study the possible socio-economic problems specific to pregnant adolescents. Methods: The cross sectional study is conducted at Hukumchand hospital, District hospital and MGM medical college from 1st October 2011 to 1st September 2012. The delivered mothers were visited daily and detailed history was taken in a pre-designed, semi-open pro-forma. Study Group include Adolescent mothers (Study group 14-20 years & Mothers 20-28 years (Control group. Result: 12.05% of the total deliveries were teenage pregnancy. 31.74% were adolescent deliveries out of the total primi-gravida. 77 (43.75% adolescent mothers were found in the age group of 17-19 years. In non-adolescent mothers 68 (38.64% beneficiaries were in 21-23 years. Mean age of delivery in adolescent age was 18.45 years as compared to 22.28 years in control group. Only 41 (11.65% beneficiaries were graduates and above. Most beneficiaries were in the Socio Economic Status Class III and IV. 101 (57.39% adolescent mothers had alcoholic/addict fathers as compared to 54 (30.68% in non-adolescent mothers. Conclusion: Most of adolescent mothers had low education, rural background and belonged to low socioeconomic status with history of both pre and post marital sex discrimination."

  12. Back Pain Prevalence and Its Associated Factors in Brazilian Athletes from Public High Schools: A Cross-Sectional Study.

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    Noll, Matias; de Avelar, Ivan Silveira; Lehnen, Georgia Cristina; Vieira, Marcus Fraga

    2016-01-01

    Most studies on the prevalence of back pain have evaluated it in developed countries (Human Development Index--HDI > 0.808), and their conclusions may not hold for developing countries. The aim of this study was to identify the prevalence of back pain in representative Brazilian athletes from public high schools. This cross-sectional study was performed during the state phase of the 2015 Jogos dos Institutos Federais (JIF), or Federal Institutes Games, in Brazil (HDI = 0.744), and it enrolled 251 athletes, 173 males and 78 females (14-20 years old). The dependent variable was back pain, and the independent variables were demographic, socioeconomic, psychosocial, hereditary, exercise-level, anthropometric, strength, behavioral, and postural factors. The prevalence ratio (PR) was calculated using multivariable analysis according to the Poisson regression model (α = 0.05). The prevalence of back pain in the three months prior to the study was 43.7% (n = 104), and 26% of the athletes reported feeling back pain only once. Multivariable analysis showed that back pain was associated with demographic (sex), psychosocial (loneliness and loss of sleep in the previous year), hereditary (ethnicity, parental back pain), strength (lumbar and hand forces), anthropometric (body mass index), behavioral (sleeping time per night, reading and studying in bed, smoking habits in the previous month), and postural (sitting posture while writing, while on a bench, and while using a computer) variables. Participants who recorded higher levels of lumbar and manual forces reported a lower prevalence of back pain (PR 1.30). In conclusion, there is no association between exercise levels and back pain but there is an association between back pain and non-exercise related variables.

  13. Back Pain Prevalence and Its Associated Factors in Brazilian Athletes from Public High Schools: A Cross-Sectional Study.

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    Matias Noll

    Full Text Available Most studies on the prevalence of back pain have evaluated it in developed countries (Human Development Index--HDI > 0.808, and their conclusions may not hold for developing countries. The aim of this study was to identify the prevalence of back pain in representative Brazilian athletes from public high schools. This cross-sectional study was performed during the state phase of the 2015 Jogos dos Institutos Federais (JIF, or Federal Institutes Games, in Brazil (HDI = 0.744, and it enrolled 251 athletes, 173 males and 78 females (14-20 years old. The dependent variable was back pain, and the independent variables were demographic, socioeconomic, psychosocial, hereditary, exercise-level, anthropometric, strength, behavioral, and postural factors. The prevalence ratio (PR was calculated using multivariable analysis according to the Poisson regression model (α = 0.05. The prevalence of back pain in the three months prior to the study was 43.7% (n = 104, and 26% of the athletes reported feeling back pain only once. Multivariable analysis showed that back pain was associated with demographic (sex, psychosocial (loneliness and loss of sleep in the previous year, hereditary (ethnicity, parental back pain, strength (lumbar and hand forces, anthropometric (body mass index, behavioral (sleeping time per night, reading and studying in bed, smoking habits in the previous month, and postural (sitting posture while writing, while on a bench, and while using a computer variables. Participants who recorded higher levels of lumbar and manual forces reported a lower prevalence of back pain (PR 1.30. In conclusion, there is no association between exercise levels and back pain but there is an association between back pain and non-exercise related variables.

  14. FEMA DFIRM Cross Sections

    Data.gov (United States)

    Minnesota Department of Natural Resources — FEMA Cross Sections are required for any Digital Flood Insurance Rate Map database where cross sections are shown on the Flood Insurance Rate Map (FIRM). Normally...

  15. An experimental study of sound generated by flows around cylinders of different cross-section

    Science.gov (United States)

    King, W. F.; Pfizenmaier, E.

    2009-12-01

    The sound radiated by rigid cylinders placed transversely in a uniform stream has been measured in an anechoic wind tunnel over a range of Mach numbers ( M=0.09-0.2). The cylinders have different cross-sections, e.g., circular, square, rectangular, elliptic, and circular with lateral ribs or knurled surfaces. Different length to diameter ratios of the cylinders are also investigated. Results are presented as narrow band spectra, measured in the far field (acoustic as well as geometric). All spectra are presented with dimensionless (scaled) axes, as well as the original dimensional scales. It is shown that elliptic cross-sections are less noisy, compared to all other cylinders, but noise abatement techniques such as lateral ribs and knurled surfaces can also reduce tonal radiated noise. Two practical applications of these experiments are the reduction of radiated noise from pantographs of high-speed railway trains, and from the landing gear of modern passenger aircraft.

  16. Scaling study of the pion electroproduction cross sections and the pion form factor

    Energy Technology Data Exchange (ETDEWEB)

    Tanja Horn; Xin Qian; John Arrington; Razmik Asaturyan; Fatiha Benmokthar; Werner Boeglin; Peter Bosted; Antje Bruell; Eric Christy; Eugene Chudakov; Ben Clasie; Mark Dalton; AJI Daniel; Donal Day; Dipangkar Dutta; Lamiaa El Fassi; Rolf Ent; Howard Fenker; J. Ferrer; Nadia Fomin; H. Gao; K Garrow; Dave Gaskell; C Gray; G. Huber; M. Jones; N Kalantarians; C. Keppel; K Kramer; Y Li; Y Liang; A. Lung; S Malace; P. Markowitz; A. Matsumura; D. Meekins; T Mertens; T Miyoshi; H. Mykrtchyan; R. Monson; T. Navasardyan; G. Niculescu; I. Niculescu; Y. Okayasu; A. Opper; C Perdrisat; V. Punjabi; A. Rauf; V. Rodriguez; D. Rohe; J Seely; E Segbefia; G. Smith; M. Sumihama; V. Tadevoyan; L Tang; V. Tvaskis; A. Villano; W. Vulcan; F. Wesselmann; S. Wood; L. Yuan; X. Zheng

    2007-07-12

    The $^{1}$H($e,e^\\prime \\pi^+$)n cross section was measured for a range of four-momentum transfer up to $Q^2$=3.91 GeV$^2$ at values of the invariant mass, $W$, above the resonance region. The $Q^2$-dependence of the longitudinal component is consistent with the $Q^2$-scaling prediction for hard exclusive processes. This suggests that perturbative QCD concepts are applicable at rather low values of $Q^2$. Pion form factor results, while consistent with the $Q^2$-scaling prediction, are inconsistent in magnitude with perturbative QCD calculations. The extraction of Generalized Parton Distributions from hard exclusive processes assumes the dominance of the longitudinal term. However, transverse contributions to the cross section are still significant at $Q^2$=3.91 GeV$^2$.

  17. Neutron cross section measurements at n-TOF for ADS related studies

    CERN Document Server

    Mastinu, P F; Aerts, G; Alvarez, H; Alvarez-Velarde, F; Andriamonje, Samuel A; Andrzejewski, J; Assimakopoulos, P A; Audouin, L; Badurek, G; Bustreo, N; Aumann, P; Beva, F; Berthoumieux, E; Calviño, F; Cano-Ott, D; Capote, R; Carillo de Albornoz, A; Cennini, P; Chepel, V; Chiaveri, Enrico; Colonna, N; Cortés, G; Couture, A; Cox, J; Dahlfors, M; David, S; Dillmann, I; Dolfini, R; Domingo-Pardo, C; Dridi, W; Durán, I; Eleftheriadis, C; Segura, M E; Ferrant, L; Ferrari, A; Ferreira-Marques, R; itzpatrick, L; Frais-Kölbl, H; Fujii, K; Furman, W; Guerrero, C; Gonçalves, I; Gallino, R; González-Romero, E M; Goverdovski, A; Gramegna, F; Griesmayer, E; Gunsing, F; Haas, B; Haight, R; Heil, M; Herrera-Martínez, A; Igashira, M; Isaev, S; Jericha, E; Kadi, Y; Käppeler, F K; Karamanis, D; Karadimos, D; Kerveno, M; Ketlerov, V; Köhler, P; Konovalov, V; Kossionides, E; Krticka, M; Lamboudis, C; Leeb, H; Lindote, A; Lopes, I; Lozano, M; Lukic, S; Marganiec, J; Marques, L; Marrone, S; Massimi, C; Mengoni, A; Milazzo, P M; Moreau, C; Mosconi, M; Neves, F; Oberhummer, Heinz; O'Brien, S; Oshima, M; Pancin, J; Papachristodoulou, C; Papadopoulos, C; Paradela, C; Patronis, N; Pavlik, A; Pavlopoulos, P; Perrot, L; Plag, R; Plompen, A; Plukis, A; Poch, A; Pretel, C; Quesada, J; Rauscher, T; Reifarth, R; Rosetti, M; Rubbia, Carlo; Rudolf, G; Rullhusen, P; Salgado, J; Sarchiapone, L; Savvidis, I; Stéphan, C; Tagliente, G; Taín, J L; Tassan-Got, L; Tavora, L; Terlizzi, R; Vannini, G; Vaz, P; Ventura, A; Villamarín, D; Vincente, M C; Vlachoudis, V; Vlastou, R; Voss, F; Walter, S; Wendler, H; Wiescherand, M; Wisshak, K

    2006-01-01

    A neutron Time-of-Flight facility (n_TOF) is available at CERN since 2001. The innovative features of the neutron beam, in particular the high instantaneous flux, the wide energy range, the high resolution and the low background, make this facility unique for measurements of neutron induced reactions relevant to the field of Emerging Nuclear Technologies, as well as to Nuclear Astrophysics and Fundamental Nuclear Physics. The scientific motivations that have led to the construction of this new facility are here presented. The main characteristics of the n_TOF neutron beam are described, together with the features of the experimental apparata used for cross-section measurements. The main results of the first measurement campaigns are presented. Preliminary results of capture cross-section measurements of minor actinides, important to ADS project for nuclear waste transmutation, are finally discussed.

  18. ASSOCIATION OF CORONARY HEART DISEASE AND OBESITY: A CROSS SECTIONAL STUDY FROM DARBHANGA DISTRICT OF BIHAR

    Directory of Open Access Journals (Sweden)

    Vijay Kumar

    2015-08-01

    Full Text Available INTRODUCTION: Overweight and Obesity has been found to be strongly associated with some cardiovascular risk factors like adverse lipid profiles, hypertension and glucose intolerance. Although, the contribution of obesity to coronary heart disease (CHD incidence may be largely mediated through effect on major cardiovascular risk factors, obesity must be considered to be an important modifiable risk factor for the disease. MATERIALS AND METHODS: This was a cross - sectional study conducted from Jan . 2015 to March 2015 (3 mo nths, involving staffs and doctors of Darbhanga Medical College & Hospital. They were selected by simple random sampling. Variables measured in the study were weight ( I n kilograms, height ( I n metres, and waist & hip circumference (I n centimetres. OBSER VATION: The percentage of male members enrolled for the study was 98.58% and females were 1.22%. Majority of the responden ts were in the age group of 30 - <40 yrs. 3.25% of the males were found to be obese. 41.70% of the males were found to be overweight. Th e association of obesity with CHD in the present study was found to be statistically significant (for overwe ight p<0.05 and for obese p< 0.001. 12.50% of the females were found to be obese. 37.50% of the female were found to be overweight. Truncal obesity among the males was found to be 20.27%. Truncal obesity among the females was found to be 50%. The association of truncal obesity with CHD in the present study was found to be statistically significant (p<0.01. CONCLUSION : It was concluded that the overall prevalence of CHD in our present study was 5.16% and the maximum prevalence of CHD was found in the age group of 50 - 59 years. Obesity was present in 3.25% of the study subjects and 41.70% were overweight. The association of obesity with the prevalence of CHD was found to be statistically significant (p<0.001. Truncal obesity was present in 20.27% of male and 50% of the female subjects. RECOMMENDATIONS: Proper

  19. Age and Gender Differences in Ability Emotional Intelligence in Adults: A Cross-Sectional Study

    Science.gov (United States)

    Cabello, Rosario; Sorrel, Miguel A.; Fernández-Pinto, Irene; Extremera, Natalio; Fernández-Berrocal, Pablo

    2016-01-01

    The goal of the current investigation was to analyze ability emotional intelligence (EI) in a large cross-sectional sample of Spanish adults (N = 12,198; males, 56.56%) aged from 17 to 76 years (M = 37.71, SD = 12.66). Using the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT), which measures ability EI according to the 4 branches of the…

  20. Association of lifestyle factors and suboptimal health status: a cross-sectional study of Chinese students

    OpenAIRE

    Bi, Jianlu; Huang, Ying; Xiao, Ya; Cheng, JingRu; Li, Fei; Wang, Tian; Chen, Jieyu; Wu, Liuguo; Liu, Yanyan; Luo, Ren; Zhao, Xiaoshan

    2014-01-01

    Objectives Suboptimal health status (SHS) is considered to be an intermediate status between disease and health, and is characterised by a decline in vitality, in physiological function and in the capacity for adaptation. Although the incidence of SHS is high, the underlying causes remain unclear. Lifestyle is one of the most important factors affecting health status; however, the relationship between SHS and lifestyle has not been elucidated. Design Cross-sectional survey. Setting A question...

  1. A CROSS - SECTIONAL STUDY ON SELF MEDICATION PATTERN AMONG MEDICAL STUDENTS AT KANNUR, NORTH KERALA

    Directory of Open Access Journals (Sweden)

    Girish

    2013-11-01

    Full Text Available ABSTRACT: BACKGROUND: Self medication is mainly symptomatic based and may lead to the masking of signs and symptoms of underlying disease. Medical students being exposed to the subjects in medicine are more prone for self medic ation. This raises the concerns of incorrect self - diagnosis, drug interaction, and use of drugs other than for the original indication. AIMS: To study the pattern of self medication among medical students and to determine the factors affecting it. METHODS AND MATERIAL: STUDY DESIGN & SETTING: A cross - sectional descriptive study done in a medical college. Study Duration: March 15 th to April 20 th 2013. Participants: Out of 400 students, 302 students who were willing to participate and available during study p eriod were enrolled in the study. R epresentation from all phases/batches of MBBS course was ensured, accounting to 77, 84, 63 and 78 students from first, second, third and final phase of MBBS. Data collection: By self administered pre - tested & validated qu estionnaire . Statistical analysis was done by applying proportions/percentages. RESULTS: Out of 302 participants, 25.8% were males & 74.2% were females. Practice of self medication was reported by 64.9% students. It was 16.9% in first phase students which shoot to 100% in final phase. Practice of self medication was higher in males while the frequency of self medication was higher in females. Seniors (89.8% and previous prescriptions (87.2% were the most common sources for reference. Fever (70.4%, commo n cold (67.8% and headache/bodyache (64.7% were the common reasons for self medication. Analgesics (79.6%, antipyretics (79.6% and anti - histaminic (72.4% were the most common drugs used for self medication. 30.1% of them took antibiotics and 9.7% seda tives without prescription. 80.1% (157 of those who took self medication said that they prescribed drugs for others also (friends/relatives. None of them suffered any adverse effects. CONCLUSIONS: The

  2. The contribution of databases to the results of systematic reviews: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Lisa Hartling

    2016-09-01

    Full Text Available Abstract Background One of the best sources for high quality information about healthcare interventions is a systematic review. A well-conducted systematic review includes a comprehensive literature search. There is limited empiric evidence to guide the extent of searching, in particular the number of electronic databases that should be searched. We conducted a cross-sectional quantitative analysis to examine the potential impact of selective database searching on results of meta-analyses. Methods Our sample included systematic reviews (SRs with at least one meta-analysis from three Cochrane Review Groups: Acute Respiratory Infections (ARI, Infectious Diseases (ID, Developmental Psychosocial and Learning Problems (DPLP (n = 129. Outcomes included: 1 proportion of relevant studies indexed in each of 10 databases; and 2 changes in results and statistical significance of primary meta-analysis for studies identified in Medline only and in Medline plus each of the other databases. Results Due to variation across topics, we present results by group (ARI n = 57, ID n = 38, DPLP n = 34. For ARI, identification of relevant studies was highest for Medline (85 % and Embase (80 %. Restricting meta-analyses to trials that appeared in Medline + Embase yielded fewest changes in statistical significance: 53/55 meta-analyses showed no change. Point estimates changed in 12 cases; in 7 the change was less than 20 %. For ID, yield was highest for Medline (92 %, Embase (81 %, and BIOSIS (67 %. Restricting meta-analyses to trials that appeared in Medline + BIOSIS yielded fewest changes with 1 meta-analysis changing in statistical significance. Point estimates changed in 8 of 31 meta-analyses; change less than 20 % in all cases. For DPLP, identification of relevant studies was highest for Medline (75 % and Embase (62 %. Restricting meta-analyses to trials that appeared in Medline + PsycINFO resulted in only one change in

  3. Knowledge, attitude and practice of Nigerian women towards breast cancer: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Okonofua Friday E

    2006-02-01

    Full Text Available Abstract Background Late presentation of patients at advanced stages when little or no benefit can be derived from any form of therapy is the hallmark of breast cancer in Nigerian women. Recent global cancer statistics indicate rising global incidence of breast cancer and the increase is occurring at a faster rate in populations of the developing countries that hitherto enjoyed low incidence of the disease. Worried by this prevailing situation and with recent data suggesting that health behavior may be influenced by level of awareness about breast cancer, a cross-sectional study was designed to assess the knowledge, attitude and practices of community-dwelling women in Nigeria towards breast cancer. Methods One thousand community-dwelling women from a semi-urban neighborhood in Nigeria were recruited for the study in January and February 2000 using interviewer-administered questionnaires designed to elicit sociodemographic information and knowledge, attitude and practices of these women towards breast cancer. Data analysis was carried out using Statistical Analysis Software (SAS version 8.2. Results Study participants had poor knowledge of breast cancer. Mean knowledge score was 42.3% and only 214 participants (21.4% knew that breast cancer presents commonly as a painless breast lump. Practice of breast self examination (BSE was low; only 432 participants (43.2% admitted to carrying out the procedure in the past year. Only 91 study participants (9.1% had clinical breast examination (CBE in the past year. Women with higher level of education (X2 = 80.66, p 2 = 47.11, p Conclusion The results of this study suggest that community-dwelling women in Nigeria have poor knowledge of breast cancer and minority practice BSE and CBE. In addition, education appears to be the major determinant of level of knowledge and health behavior among the study participants. We recommend the establishment and sustenance of institutional framework and policy guidelines

  4. Patients visiting the complementary medicine clinic for pain: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Press Yan

    2011-05-01

    Full Text Available Abstract Background Pain is one of the most common reasons for seeking medical care. The purpose of this study was to characterize patients visiting the complementary medicine clinic for a pain complaint. Methods This is a cross-sectional study. The study took place at Clalit Health Services (CHS complementary clinic in Beer-Sheva, Israel. Patients visiting the complementary clinic, aged 18 years old and older, Hebrew speakers, with a main complaint of pain were included. Patients were recruited consecutively on random days of the month during a period of six months. Main outcome measures were: pain levels, location of pain, and interference with daily activities. Once informed consent was signed patients were interviewed using a structured questionnaire by a qualified nurse. The questionnaire included socio-demographic data, and the Brief Pain Inventory (BPI. Results Three-hundred and ninety-five patients were seen at the complementary medicine clinic during the study period, 201 (50.8% of them met the inclusion criteria. Of them, 163 (81.1% agreed to participate in the study and were interviewed. Pain complaints included: 69 patients (46.6% with back pain, 65 (43.9% knee pain, and 28 (32.4% other limbs pain. Eighty-two patients (50.3% treated their pain with complementary medicine as a supplement for their conventional treatment, and 55 (33.7% felt disappointed from the conventional medicine experience. Eighty-three patients (50.9% claimed that complementary medicine can result in better physical strength, or better mental state 51 (31.3%. Thirty-seven patients (22.7% were hoping that complementary medicine will prevent invasive procedures. Conclusion Given the high proportion of patients with unsatisfactory pain relief using complementary and alternative medicine (CAM, general practitioners should gain knowledge about CAM and CAM providers should gain training in pain topics to improve communication and counsel patients. More clinical

  5. Self-perceived need for dental treatment and related factors. A cross-sectional population-based study

    Directory of Open Access Journals (Sweden)

    Luciana Freitas Gomes e SILVA

    2016-01-01

    Full Text Available Abstract This study compared adolescents’ self-perceived need for orthodontic treatment with the normative need for such treatment and investigated associations between socioeconomic and demographic variables and self-perceptions of dental malocclusion. This cross-sectional study involved 1015 schoolchildren aged 12–15 years in São Luís, Maranhão, Brazil. The following data were collected using a questionnaire and an orthodontic examination card: demographic and identifying data, socioeconomic data, educational levels of family, household income, economic classification criteria, and self-reported skin color behavioral data, and oral health data. Normative occlusal condition was examined using the Angle classification and Dental Aesthetic Index (DAI. Data were analyzed using the chi-squared test (to analyze differences in the frequency distribuition of qualitative variables and Poisson regression (to stimate associations between the perceived need of orthodontic treatment and study covariates, with a 5% significance level. Schoolchildren’s self-perceived need for orthodontic treatment was associated with sex (p = 0.022 and the normative need for treatment (p = 0.004. Among socioeconomic, demographic, and oral health variables, only sex [prevalence ratio (PR = 1.15; 95% confidence interval (95%CI = 1.04–1.28; p = 0.009] and the normative need for orthodontic treatment (PR = 1.19; 95%CI = 1.08–1.32; p < 0.001 were associated with the perception of malocclusion, with female adolescents reporting a greater need for orthodontic treatment. Female adolescents seems to be more sensitive to oral health problems. The results suggest that the DAI score might reflect a self-perceived need for orthodontic treatment and the Angle classification might overestimate the orthodontic treatment need.

  6. MATERNAL NEAR MISS IN A TERTIARY CARE HOSPITAL: A CROSS SECTIONAL STUDY

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    Namrata

    2016-06-01

    Full Text Available BACKGROUND Maternal mortality is one of the important indicators of maternal health. To overcome the challenge of reduction of maternal mortality, nationwide notion of SAMM (Severe Acute Maternal Morbidity and near miss event was introduced to access maternal health care. Maternal near miss case is defined as “A woman who nearly died, but survived a complication that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy.” SAMM refers to a life-threatening disorder that can end up in near miss with or without residual morbidity or mortality. Women who develop SAMM during pregnancy share many pathological and circumstantial factors related to their condition. Although some of these women die, a proportion of them narrowly escape death. Near miss cases and maternal deaths together are referred to as Severe Maternal Outcome (SMO. AIMS AND OBJECTIVES 1. To determine the prevalence of maternal near miss due to severe obstetric complications or maternal disease in a tertiary hospital. 2. To determine Severe Maternal Outcome Ratio (SMOR, Maternal Near Miss Ratio (MNM Ratio and Maternal Mortality Ratio. MATERIALS AND METHODS Cross sectional observational study carried out from 01st October 2014 to 30th September 2015. The study was conducted in Obstetric Department of Krishna Hospital, Krishna Institute of Medical Sciences Deemed University, Karad. Near-miss case definition was based on validated specific criteria comprising of five diagnostic features and WHO Criteria: Haemorrhage, hypertensive disorders in pregnancy, dystocia, infection and anaemia. The main outcome measures were frequency and characteristics of nearmiss cases, total hospital stay, high dependency unit/ICU stay and development of multiple organ dysfunction. The maternal death to near-miss ratio was calculated. RESULT There were 4800 deliveries from October 2014 to September 2015, 220 near miss cases and 17 maternal deaths. Maternal death to near miss

  7. Alcohol use in a military population deployed in combat areas: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Hanwella Raveen

    2012-06-01

    Full Text Available Abstract Background Alcohol misuse is more prevalent among military populations. Association between PTSD and heavy drinking have been reported in many studies. Most of the studies on alcohol use among military personnel are from US and UK. Aim of this study is to describe alcohol consumption patterns among military personnel in Sri Lanka, a country where the alcohol consumption among the general population are very different to that in US and UK. Methods Cross sectional study consisting of representative samples of Sri Lanka Navy Special Forces and regular forces deployed in combat areas continuously during a one year period was carried out. Data was collected using a self report questionnaire. Alcohol Use Disorder Identification Test (AUDIT was used to assess alcohol consumption. Results Sample consisted of 259 Special Forces and 412 regular navy personnel. The median AUDIT score was 2.0 (interquartile range 6.0. Prevalence of current drinking was 71.2 %. Of the current users 54.81 % were infrequent users (frequency ≤ once a month while 37.87 % of users consumed 2–4 times a month. Prevalence of hazardous drinking (AUDIT ≥ 8 was 16.69 % and binge drinking 14.01 %. Five (0.75 % had AUDIT total ≥20. There was no significant difference between Special Forces and regular forces in hazardous drinking or binge drinking. Total AUDIT score ≥16 were associated with difficulty performing work. Conclusions High rates of hazardous drinking and binge drinking described among military personnel in US and UK were not seen among SLN personnel deployed in combat areas. This finding contrasts with previously reported association between combat exposure and hazardous alcohol use among military personnel. Alcohol use among military personnel may be significantly influenced by alcohol consumption patterns among the general population, access to alcohol and attitudes about alcohol use. Similar to findings from other countries, heavy

  8. Consumption of fruit and vegetables among elderly people: a cross sectional study from Iran

    Directory of Open Access Journals (Sweden)

    Jazayery Abolghasem

    2010-01-01

    Full Text Available Abstract Background There is substantial evidence that low consumption of fruit and vegetables (FV is a major risk factor for many chronic diseases. The aim of this study was to assess FV consumption and the variables that influence it among elderly individuals in Iran aged 60 and over. Methods This was a cross-sectional study to investigate FV intake by a randomly-selected sample of members of elderly centers in Tehran, Iran. A multidimensional questionnaire was used to collect data on demographic characteristics, daily consumption of FV, knowledge, self-efficacy, social support, perceived benefits, and barriers against FV. Data were analyzed using t-tests, one way analysis of variance, Pearson correlation, and logistic regression. Results In total, 400 elderly individuals took part in the study. The mean age of the participants was 64.07 (SD = 4.49 years, and most were female (74.5%. The mean number of FV servings per day was 1.76 (SD = 1.15. Ninety-seven percent of participants (n = 388 did not know the recommended intake was at least five servings of FV per day. Similarly, 88.3% (n = 353 did not know the size of a single serving. The most frequent perceived benefits of and barriers against FV consumption were availability and expense, respectively. Knowledge (OR = 0.59, 95% CI = 0.39-0.88, perceived benefits (OR = 0.92, 95% CI = 0.88-0.96 and barriers (OR = 1.08, 95% CI = 1.04-1.14, self-efficacy (OR = 0.89, 95% CI = 0.83-0.95 and family support (OR = 0.91, 95% CI = 0.83-0.99 were significantly associated with fruit and vegetable consumption. Conclusion The findings of this study indicate that FV intake among elderly individuals in Iran was lower than the recommended minimum of five daily servings and varied greatly with age, marital status, educational attainment, and income level. The results also indicated that low perceived benefits, low self-efficacy, and perceived barriers could lead to lower consumption of FV. It seems that in order

  9. Toxoplasma gondii Infection and Premenstrual Dysphoric Disorder: A Cross-Sectional Study

    Science.gov (United States)

    Alvarado-Esquivel, Cosme; Sanchez-Anguiano, Luis Francisco; Hernandez-Tinoco, Jesus; Perez-Alamos, Alma Rosa; Rico-Almochantaf, Yazmin del Rosario; Estrada-Martinez, Sergio; Vaquera-Enriquez, Raquel; Diaz-Herrera, Arturo; Ramos-Nevarez, Agar; Sandoval-Carrillo, Ada Agustina; Salas-Pacheco, Jose Manuel; Cerrillo-Soto, Sandra Margarita; Antuna-Salcido, Elizabeth Irasema; Liesenfeld, Oliver; Guido-Arreola, Carlos Alberto

    2016-01-01

    Background Premenstrual dysphoric disorder is a severe form of premenstrual syndrome. The influence of Toxoplasma gondii (T. gondii) infection on clinical features in women with this disorder has not been studied. Therefore, we determined the association of T. gondii infection with symptoms and signs in women suffering from premenstrual dysphoric disorder. Methods We performed a cross-sectional study of 151 women suffering from premenstrual dysphoric disorder. Anti-Toxoplasma IgG and IgM antibodies were detected in sera of the participants using enzyme-linked immunoassays (EIAs). In addition, T. gondii DNA was detected in whole blood of IgG seropositive participants using polymerase chain reaction. We obtained the clinical data of women with the aid of a questionnaire. The association of T. gondii infection with clinical characteristics of women was assessed by bivariate and multivariate analyses. Results Anti-T. gondii IgG antibodies were found in 10 (6.6%) of the 151 women studied. Of the 10 IgG seropositive women, four (40.0%) were positive for anti-T. gondii IgM antibodies, and one (10.0%) for T. gondii DNA. Mean number (25.8 ± 7.58) of premenstrual clinical characteristics in seropositive women was similar to that (29.22 ± 9.13) found in seronegative women (P = 0.25). Logistic regression showed that seropositivity to T. gondii was negatively associated with difficulty concentrating (OR: 0.18; 95% CI: 0.03