Gender Differences in Clinical and Epidemiological Profile of Adult Patients with Vitiligo

INTRODUCTION Vitiligo is an acquired disorder of skin characterized by white macules. Though there are many studies describing clinical and epidemiological features of vitiligo; there are few studies which have attempted to see the differences between male and female. Understanding the gender differences in clinico-epidemiological features will help to find the direction for further research in understanding pathogenesis. The objective was to find the gender wise differences in clinico-epidemiological pattern of vitiligo. MATERIAL AND METHODS This was cross sectional study done at Dermatology and Venereology out-patient clinic of Universal College of Medical Sciences Teaching hospital, Bhairhawa, Nepal from January 1, 2015 to December 31, 2016. Consecutive sampling technique was used and the cases of 18 years and above were taken. Chi-square test, multi-variate logistic regression, two sample t-tests were used to analyze the data. RESULTS The total number of case was 190. Female to male ratio was 1.38:1. Vitiligo vulgaris was seen more in female and mucosal vitiligo more in male and the difference was statistically significant. However, there was no statistically significant difference among gender in family history, duration of disease, mucosal and hair involvement, history of recurrence and various age groups. CONCLUSION Vitiligo vulgaris is seen more in female and mucosal vitiligo is seen more in male. This study has strengthened the evidence regarding the difference noted in clinic-epidemiological aspect of vitiligo. There should be more studies, so that more patterns in gender differences could be understood, and this will help in understanding the pathogenesis of vitiligo.

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DIASTASIS RECTI AMONG PREGNANT AND POSTPARTUM WOMEN IN KANO, NIGERIA: A CROSS-SECTIONAL STUDY

Pakistan Journal of Rehabilitation ◽

10.36283/pjr.zu.6.1/003 ◽

2017 ◽

Vol 6 (1) ◽

pp. 15-20

Author(s):

Fatima Bichi ◽

Dr. Shumaila Hanif

Keyword(s):

Post Partum ◽

Sampling Technique ◽

Cross Sectional Study ◽

Postpartum Women ◽

Chi Square ◽

Cross Sectional ◽

Common Location ◽

Diastasis Recti ◽

Significant Difference ◽

The Difference

Diastasis Recti (DR) is a common muscular condition often present during and after pregnancy. This cross-sectional correlational study investigated the prevalence of DR among pregnant and postpartum women. A total of 250 pregnant and postpartum women were recruited using convenience sampling technique from obstetrics and gynaecology department, Aminu Kano Teaching Hospital, Kano, Nigeria. Age, body mass, height, BMI, parity, trimester, duration of DR postpartum, location of DR and DR status was recorded for each participant. Presence of DR was confirmed using the finger width method. Descriptive statistics of mean, SD, percentage were used to describe the data and determine the prevalence. Inferential statistics of Pearson’s and Spearman’s correlation were used to analyse the relationship between prevalence of DR and age, parity and duration of DR postpartum. Chi square was computed to determine the difference in prevalence of DR across trimesters. The result of this study indicated high prevalence of DR in post-partum and pregnant women (84% and 64.7% respectively); the most common location of DR was at the umbilicus in both pregnant and postpartum women. Prevalence of DR was high among the multigravida; and a significant relationship was found between prevalence of DR and age and parity of participants. There was a significant difference in prevalence of DR across the trimesters. It can be concluded that prevalence of DR among pregnant and postpartum women is high; age and parity are determinants of DR prevalence. Evaluation of DR should be considered as routine assessment in both pregnant and postpartum women.

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The influence of varying maxillary central incisor vertical dimension on perceived smile aesthetics

Journal of Orthodontics ◽

10.1177/1465312519839713 ◽

2019 ◽

Vol 46 (2) ◽

pp. 137-142

Author(s):

Elis Janaina Lira dos Santos ◽

Alana Moura Xavier Dantas ◽

Raíssa Marçal Vilela ◽

Karina Jerônimo Rodrigues Santiago de Lima ◽

Rejane Targino Soares Beltrão

Keyword(s):

Age Groups ◽

Educational Background ◽

Cross Sectional Study ◽

Central Incisor ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

Maxillary Central Incisor ◽

Significant Difference ◽

Chi Square Test

Objective: To evaluate patient perception of the smile focused on analysis of the upper incisors. Design: Cross-sectional study. Setting: Department of Clinical and Social Dentistry at Federal University of Paraíba, João Pessoa, Brazil. Participants: The sample consisted of 135 individuals (73 women and 62 men). Methods: Images with different characteristics associated with the incisal edges were shown at random and analysed using a Likert scale. Data were analysed using the Chi-square test or Fisher’s exact test with a statistically significant difference ( P < 0.05). Results: Smile I (difference of 1.5 mm in relation to the central incisor and lateral) was considered the most aesthetic, while Smile III (no difference in height between the central and lateral incisors) was the least aesthetic. A significant difference was found between perception of smile II (difference of 1 mm in relation to the central incisor and lateral) and age groups ( P < 0.005), with 31% (n = 13) of individuals aged 45–64 years considering smile II as not pleasant, 4.4% (n = 2) aged 15–24 years and 8.3% (n=4) aged 25–44 years and 4.4% (n = 2) aged 15–24 years considering the same. A significant difference was also found in relation to educational background of the assessor and smile perception, with smile III ( P = 0.0441) and smile IV ( P = 0.0053) considered the most aesthetic ( P = 0.0116). Conclusion: The smile considered most attractive among the sample was that with 1.5 mm steepness between the central and lateral incisors, while a flat smile arc was considered least attractive.

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Study of Maternal and Fetal Outcome among Booked and Unbooked Patients at tertiary Hospital

Birat Journal of Health Sciences ◽

10.3126/bjhs.v5i2.31376 ◽

2020 ◽

Vol 5 (2) ◽

pp. 1027-1030

Author(s):

Shanti Sunuwar Subedi ◽

Rakina Bhansakarya ◽

Sajjan Kumar Sharma

Keyword(s):

Sampling Technique ◽

Secondary Level ◽

Tertiary Hospital ◽

Fetal Outcome ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Spontaneous Vaginal Delivery ◽

Significant Difference ◽

The Difference

Introduction: To evaluate the maternal and perinatal outcome in booked and unbooked cases. Objectives: To assess the maternal and fetal outcomes in unbooked and booked patients. Methodology: This was a cross-sectional comparative study conducted in the Department of Obstetrics and Gynecology from Augustti2019 to January 2020. Using a convenient sampling technique, 204 samples were taken and cross-sectional study was done. Results: There were total 204 cases in this study;102were booked and 102 were unbooked. In this study, 85(83%) of booked cases were educated up to secondary level as compared toti65 (64%) of unbooked cases. There was no significant difference in Apgar score in 1 and 5 minute between booked and unbooked cases. More babies in the unbooked group were transferred to NICU as compared to the booked group and the difference was significant (9.8%vs 1.9%). Greater proportion of booked cases had spontaneous vaginal delivery (81.3% vs 59.8%) and complications like preterm delivery, anemia, preeclampsia/ eclampsia, complicated labor and puerperal sepsis was also less in the booked group. Conclusions: The study showed that unbooked mothers and their newborns had higher chance of having complications.

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Knowledge, Attitudes and Practice of Dental Implants among Dental Interns in Saudi Arabia – A Cross-Sectional Study

The Open Dentistry Journal ◽

10.2174/1874210602014010440 ◽

2020 ◽

Vol 14 (1) ◽

pp. 440-449

Author(s):

Khaled Alzahrani ◽

Abdulrahman Mohammed Alnafisah ◽

Khalid Gohormallah Alzahrani ◽

Khalid Ghalib Alharbi

Keyword(s):

Saudi Arabia ◽

Dental Implants ◽

Clinical Skills ◽

Sampling Technique ◽

Practical Experience ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Significant Difference ◽

Males And Females

Objective: The aim of the study is to assess knowledge, attitude and practices of dental implants among dental interns in Saudi Arabia Materials and Methods: A self-designed, close-ended questionnaire was distributed among 205 interns chosen by stratified random sampling technique. The questionnaire consisted of 28 items pertaining to demographic characteristics, knowledge and practices of dental implants. Responses were coded and entered into spreadsheet software (Microsoft Excel 16.0.) and analyzed using Statistical Package for Social Sciences (SPSS, IBM Version 22.0) and contingency tables and chi-square test (χ2). Results: The majority of the participants were males (64.4%), between 24-26 years of age (64%) and had a GPA between 4-5 (63.4%). The majority of the participants gained knowledge of dental implants through theoretical lectures (98.5%), and most of them (80%) knew, what material, an implant was made up of. Almost all participants (91.7%) knew that dental implants had surface modifications. Most (64.4%) believed that case selection is the most important criteria for the success of dental implant therapy, and this differed significantly among participants with respect to GPA (p=0.03). Many participants (60%) believed that the most important advantage of dental implants over fixed prosthesis is that reduction of adjacent tooth is not needed, and this differed significantly between males and females (p=0.026). There was a significant difference (p<0.001) between males and females when it came to confidence in independently restoring teeth using dental implants. 63% of the participants were confident to use dental implants in their future practice. Conclusion: Knowledge of dental implants among dental interns is satisfactory, but this study reveals that participants lack practical experience and would like to acquire more clinical skills. Limitations: The response rate of participants from each university was low, which made comparisons between different universities difficult because sample size from some universities was very small, which could not produce statistically accurate results.

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Prevalence and risk factors for myopia among school children in Aba, Nigeria

African Vision and Eye Health ◽

10.4102/aveh.v76i1.369 ◽

2017 ◽

Vol 76 (1) ◽

Cited By ~ 4

Author(s):

Uchenna C. Atowa ◽

Alvin J. Munsamy ◽

Samuel O. Wajuihian

Keyword(s):

School Children ◽

Refractive Error ◽

Age Groups ◽

Public Health Problem ◽

Sampling Technique ◽

Cross Sectional Study ◽

Cross Sectional ◽

Level Of Education ◽

Multi Stage ◽

Significant Difference

Aim: To study the prevalence of myopia among school children in Aba, Nigeria.Methods: This cross-sectional study was conducted in public and private (primary and secondary) schools. A multi-stage random sampling technique was used for selecting participants aged between 8 and 15 years from 12 schools in Aba, Nigeria. Data were analysed for 1197 children who underwent a comprehensive eye examination. The children were divided according to the following criteria: age groups (group 1 [8–11 years] or group 2 [12–15 years]), gender (male or female), level of education (primary or secondary) and type of school (public or private). Myopia was defined as spherical equivalent refraction (SER) ≤ -0.50 D in the poorer eye.Results: The prevalence of myopia was estimated to be 2.7%. Of the 96 children with refractive error, 78.1% were uncorrected. In using logistic regression analysis, risk of developing myopia was associated with older age groups (odds ratio [OR]: 1.20; 95% confidence interval [CI], 0.16–9.11; p < 0.010) and higher level of education (OR: 1.73; 95% CI, 1.05–2.86; p < 0.030). There was no significant difference in myopia prevalence between male and female children (p = 0.89).Conclusion: Although the prevalence of myopia and overall prevalence of refractive error in school children in Aba were low, the high prevalence of uncorrected refractive error is a significant public health problem. An effective and sustainable children’s vision screening programme is needed to prevent visual impairment and blindness.

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Prevalence and gender differences of buccally displaced canines of 12 years school children and 18-23 years adults in Shah-Alam, Malaysia

International Journal of Dentistry Research ◽

10.31254/dentistry.2021.6204 ◽

2021 ◽

Vol 6 (2) ◽

pp. 39-42

Author(s):

Majda T. Elfseyie ◽

◽

Nagham M.A. Al-Jaf ◽

Mohamed I. Abu Hassan ◽

◽

...

Keyword(s):

Gender Differences ◽

School Children ◽

Treatment Plan ◽

Age Groups ◽

Clinical Signs ◽

Clinical Situation ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

And Gender

Background: The buccally displaced canines (BDC) are more commonly encountered conditions in orthodontic clinics. It is a positional variation result of several factors such as retained deciduous canines, crowding, and lateral incisors anomalous. Aims: To determine the prevalence and gender differences of one-two-three-four buccally displaced canines in the area of Shah-Alam, Malaysia. Methods: A cross-sectional study of 399 subjects; was consist of two age groups; 208 subjects of school children aged 12 years and 191 subjects of adults aged 18-23 years were examined clinically to determine the prevalence of BDC. Statistical analysis: The data were statistically analyzed using SPSS version 16; a Chi-square test was performed to assess the gender differences. Results: No gender differences were found in the school-children group while in the adults group a significant gender difference was found regarding one and four canine displacements (P < 0.05). The prevalence of one-two-three canine displacement was higher significantly between the two groups (P < 0.05). However, the frequency of one canine displacement was higher significantly in adult females and girls (P < 0.05). The frequency of three canines displacement was approximately equal in both genders. Conclusion: The frequency of one canine displacement was higher significantly in females. However, the frequency of four canines displacement was higher significantly in males. These features may help in providing additional clinical signs in diagnosis and interception of such clinical situation. It will be effective in treatment plan procedure if canine displacement is detected early, help clinicians on the prevention of impaction possibility.

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Psychotherapy can be effective in prolonging periods free of depression in early senescent

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v15i1.19432 ◽

2016 ◽

Vol 15 (1) ◽

pp. 118-122

Author(s):

Vidya Bhagat

Keyword(s):

Medical Science ◽

Age Groups ◽

Sampling Technique ◽

Age Group ◽

Chi Square ◽

Significant Difference ◽

Before And After ◽

The Difference ◽

To Come ◽

Level Of Significance

Background: The Psychotherapy can be effective in prolonging periods free of depression in early senescent has been focused on the study. People refused medication agreed to come for psychotherapy are treated to get free from their depressive symptom. The main objective of the study was therefore using psychotherapy as a treatment module to stretch time free of depression. Further psycho education to give more information on depression and increase patient flexibility for the combination of anti-depressant with psychotherapy when needed.Methodology: The subjects selected for the study were 60 patients from Nitte Rural Psychiatry Clinic Nitte Mangalore Karnataka, India. They were selected by random sampling technique. Medico-Psychological questionnaire for general neuroticism was administered to find out the extent of depression before and after psychotherapy. To find the difference between the age and depression before and after psychotherapy Carl Pearsons Correlation coefficient method was carried out.Results: The results reveal that a non-significant difference between age groups with extent of depression in different age group of early senescent before and after psychotherapy (Chi-square=1.7913, p>0.05) at the 5 % level of significance and (Chi-square=2.4485, p>0.05) at the 5 % level of significance respectively. Further the Comparison of extent of depression before and after psychotherapy in 50-55, 56-60 age groups and as a total by Wilcoxon matched pairs test has been administered and the result reveals that significant differences between extent of depression before and after psychotherapy in 50-55yrs of age group (Z=2.5205, p<0.05) at the 5 % level of significance, 56-60yrs of age group (Z=2.2014, p<0.05) at the 5 % level of significance. It means that, the significant means that, the significance of 15.7%, 10.5%depression was decreased before and after psychotherapy respectively. A significant difference was observed between extent of depression before and after psychotherapy in 50-60yrs of age group (Z=3. 2958, p<0.05) at the 5 % level of significance. It means that, the significance of 13.0% depression was decreased after psychotherapy.Conclusion: The implication of this study was to develop insight and understanding among the clinicians that importance psychotherapy as treatment of depression.Bangladesh Journal of Medical Science Vol.15(1) 2016 p.118-122

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Sub Sinus Ridge Height at First Molar Region- A Panoramic Radiograph Based Study

Journal of Nepal Health Research Council ◽

10.33314/jnhrc.v18i2.2675 ◽

2020 ◽

Vol 18 (2) ◽

pp. 243-247

Author(s):

Nashib Pandey ◽

Sujaya Gupta ◽

Ankit Shah ◽

Anju Khapung ◽

Bhageshwar Dhami

Keyword(s):

Age Groups ◽

Panoramic Radiograph ◽

Cross Sectional Study ◽

Treatment Needs ◽

Sinus Augmentation ◽

Cross Sectional ◽

Ridge Height ◽

Significant Difference ◽

The Difference ◽

Molar Region

Background: Among various replacement options available for maxillary molars, implants necessitate the need to examine available ridge height and width. Panoramic radiographs (orthopantomograms) are routinely used for preliminary determination of ridge height which is helpful in communicating with patients regarding treatment needs and options. This study was designed with the aim to assess the sub sinus ridge height at dentulous and edentulous first molar sites.Methods: A cross-sectional study was conducted from March to November 2019 among patients visiting the dental college. The orthopantomograms of 455 patients were prospectively collected and analysed using Carestream imaging software (version 7.0.0). Distance from alveolar crest to maxillary sinus was measured in first molar region. Results: Mean minimal sub sinus ridge height at non-missing maxillary first molar site was 8.16 ± 2.6 mm, whereas for missing maxillary first molar site it was 5.25 ± 2.28 mm and the difference was statistically significant (p<0.001). Statistically significant difference among the age groups and minimum subsinus ridge height (p<0.001) was observed. Conclusions: Missing maxillary first molar sites may often require vertical bone augmentation with direct sinus lifting procedures if it has to undergo replacement with dental implants in the representative Nepalese population.Keywords: Implant; Nepalese; orthopantomogram; panoramic radiography; sinus augmentation

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Prevalência de sobrepeso e obesidade em escolares de um colégio militar

Revista de Educação Física / Journal of Physical Education ◽

10.37310/ref.v88i3.846 ◽

2019 ◽

Vol 88 (3) ◽

Author(s):

Patrícia Paixão Fayer ◽

Maria Marta Conrado ◽

Luciano Miranda ◽

Renato Melo Ferreira ◽

Everton Rocha Soares ◽

...

Keyword(s):

Statistical Significance ◽

Age Groups ◽

Cross Sectional Study ◽

Minas Gerais ◽

Overweight And Obesity ◽

The Body ◽

Chi Square ◽

Cross Sectional ◽

Significant Difference ◽

Military College

Introdução: Nas últimas décadas aumentou o número de pessoas acima do peso, incluindo crianças e adolescentes, fato que é considerado preocupante, pois pode acarretar diversas doenças crônicas, em longo prazo.Objetivo: Avaliar a prevalência de sobrepeso e obesidade em escolares de um colégio militar, investigando possíveis diferenças entre os sexos e as faixas etárias.Métodos: Estudo quantitativo, transversal, do qual participaram 381 escolares de um colégio militar de Minas Gerais, de 11 a 17 anos, sendo 213 meninos e 168 meninas. Calculou-se o índice de massa corporal (IMC) que foi classificado segundo o PROESP-BR. Para testar diferenças entre os sexos, utilizou-se o teste do Qui-Quadrado (X2) e para testar a relação entre idade e IMC, utilizou-se a correlação de Pearson. Significância estatística: p < 0,05.Resultados: Foi observado sobrepeso em 17,8% (n = 68) e de obesidade em 5,8% (n = 22) dos escolares. Houve correlação positiva entre a idade cronológica e o IMC (r = 0,32; p < 0,0001). Não houve correlação entre estado nutricional e faixa etária. Não foram observadas diferenças significativas entre os sexos, em relação ao sobrepeso e à obesidade (16,9% e 6,6% nos meninos vs. 19,0% e 4,8% nas meninas, respectivamente).Conclusão: A prevalência sobrepeso e obesidade nos escolares do colégio militar, em conjunto, foi de 23,6%, tanto nos meninos quanto nas meninas, sem diferença significativa entre as faixas etárias. Essa prevalência foi similar à média de escolares brasileiros.Prevalence of Overweight and Obesity in Students of a Military SchoolIntroduction: Over the past few decades, the number of overweight people, including children and adolescents has increased significantly, a fact that is considered worrying, as it can lead to several chronic diseases in the long term.Objective: To evaluate the prevalence of overweight and obesity in schoolchildren of a military college, investigating possible differences between sexes and age groups.Methods: A quantitative, cross-sectional study was carried out in which 381 students from a military school in Minas Gerais, aged 11 to 17 years, were 213 boys and 168 girls. The body mass index (BMI) was calculated according to the PROESP-BR. To test for gender differences, the Chi-square test (X2) was used and Pearson's correlation was used to test the relationship between age and BMI. Statistical significance: p <0.05.Results: Overweight was observed in 17.8% (n = 68) and obesity in 5.8% (n = 22) of the students. There was a positive correlation between chronological age and BMI (r = 0.32; p <0.0001). There was no correlation between nutritional status and age range. No significant differences were observed between genders regarding overweight and obesity (16.9% and 6.6% in boys vs. 19.0% and 4.8% in girls, respectively).Conclusion: The prevalence of overweight and obesity in the students of the military college, together, was 23.6% in both boys and girls, with no significant difference between age groups. This prevalence was similar to the average of Brazilian schoolchildren.

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Satisfaction and Competence With Telepractice Services in Pakistan Amid COVID-19 Pandemic: The Speech-Language Pathologists’ Perspective

Iranian Rehabilitation Journal ◽

10.32598/irj.19.3.1335.3 ◽

2021 ◽

Vol 19 (3) ◽

pp. 251-260

Author(s):

Sidra Akram ◽

◽

Nazia Mumtaz ◽

Nameeka Shahid ◽

Ghulam Saqulain ◽

...

Keyword(s):

Sampling Technique ◽

Cross Sectional Study ◽

Relationship Building ◽

Speech Language Pathologists ◽

Chi Square ◽

Cross Sectional ◽

Building Relationships ◽

Face To Face ◽

Convenience Sampling ◽

The Difference

Objectives: This study aimed to explore satisfaction and competency with telepractice services among Speech-Language Pathologists (SLPs) in Pakistan. Methods: This cross-sectional study with a sample of 204 SLPs was conducted at Riphah International University, Lahore Campus, Lahore, Pakistan, from August 2020 to December 2020. Our study recruited qualified SLPs of both genders, aged between 25 and 60 years, using a convenience sampling technique. Non-practicing SLPs and those holding administrative posts were excluded from this study. The “Service Provider Questionnaire for Telepractice” was used for data collection. The obtained data were analyzed in SPSS v. 22. The Chi-square and Pearson r correlation were used to detect any relationships between study variables, and P<0.05 was significant. Results: The results showed that SLPs are pretty satisfied with using telepractice and building relationships with child/family, compared to face-to-face practice, and did not reveal significant differences (P=0.146 and P=0.882, respectively). Also, the competence of SLPs was good with telepractice; however, higher competence was noted with face-to-face practice, and the difference was statistically significant (r=0.165, P=0.018). Discussion: Regarding satisfaction with the use of telepractice and relationship building with child/family, SLPs are pretty satisfied, though results did not differ significantly from face-to-face practice. However, for competence in providing services, the SLPs felt more competent with face-to-face practice than telepractice. Satisfaction using telepractice has an association with patient’s age and SLP’s experience and age, while satisfaction with relationships using telepractice is associated with SLP’s qualification and experience. Competence in providing telepractice is associated with patient’s age and SLP’S qualification, experience, and age.

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