Descriptive epidemiology of depressive and anxiety disorders, cognitive impairment and dementia in a sample of elderly patients in the geriatric unity of a general hospital

2016 ◽  
Vol 33 (S1) ◽  
pp. S177-S178
Author(s):  
A. Pater ◽  
Y. Espolio Desbaillet ◽  
D. Peris

IntroductionStudies have demonstrated the high prevalence of depressive disorders amongst elderly people and their underestimation and mistreatment.ObjectiveThe aim of this study is to describe epidemiological issues in a sample of elderly hospitalized patients, giving special attention on the prevalence of depressive and anxiety disorders and the detection of potential risk factors.Material and methodsThe sample included 168 elderly patients referred for the geriatric unit of a general hospital. Epidemiological and clinical data were collected. Geriatric Depression Scale (GDS), Mini Mental State Examination (MMSE) and Functional Independence Measure (FIM™) were used. Data were analyzed with XLSTAT program.ResultsThe 39% of the sample were men and the 61% women, with an age range between 65 and 95 years. Nine percent of patients aged 65–84 had a diagnosis of depressive or anxious-depressive disorder, compared to 13% within the age range 85–95. However, 14% of patients aged 65–85 had a GDS higher than 5 and 19% for the patients aged 85–95, which could confirm the underestimated rate of depression diagnosed in elderly patients. Item “feeling loneliness” was pointed out in 75% and item “feeling bored” in 64% of all GDS higher than 5. Prevalence of dementia was 8% in the whole sample.ConclusionsHigh prevalence of depressive and anxious disorders amongst the elderly is to be taken in account. Potential risk factors could be loneliness and lack of daily activity. The development of social primary prevention interventions in order to decrease the prevalence of these pathologies amongst elderly is needed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
P O-ium

Abstract Introduction Recent increased in the prevalence of behavioral problems among young adults has coincided with the raised of popularity of Internet usage including handheld technologies, electronic game and social media among adolescent. However, these information in Thailand is limited. Therefore, this study aim to investigate the association between social media misused and behavioral problems among adolescent in Thailand. Materials and methods The cross-sectional was conducted at 7 public schools located in Central of Thailand in December 2018. The behavioral problems were assessed by using the Strengths and Difficulties Questionnaire (SDQ). Multiple logistic regression analysis was used to identify the risk factors associated with the behavioral problems. Results The total of 1,118 were enrolled into the study. The prevalence of the social media misused and behavioral problems were 85% and 18.5%, respectively. The prevalence of the subscale behavioral problems were peer problem (21%), emotional problem (19%), hyperactivities (10%) and conduct problem (4%). The independent factors associated with behavioral problems were include sleep problem (OR = 3.3, 95%CI = 2.1-5.1), prosocial behavior (OR = 0.4, 95%CI =0.3-0.6), social media misused (OR = 2.5, 95%CI =1.7-3.8), Facebook addiction (OR = 1.8, 95%CI = 1.1-3.0) and Line addiction (OR = 2.8, 95%CI = 1.5-5.1). Conclusions This study highlight the association between the social media misused and high prevalence of behavioral problems among adolescent in Thailand. The information of the potential risk factors should be inform to all stakeholders for develop and implement the effective intervention for young adults in Thailand. Key messages The association between the social media misused and high prevalence of behavioral problems among adolescent in Thailand. The information of the potential risk factors should be informed to develop and implement the effective intervention for young adults in Thailand.


2014 ◽  
Vol 23 (4) ◽  
pp. 488-494 ◽  
Author(s):  
Vanessa Diniz Vieira ◽  
Vinícius Longo Ribeiro Vilela ◽  
Thais Ferreira Feitosa ◽  
Ana Célia Rodrigues Athayde ◽  
Sérgio Santos Azevedo ◽  
...  

In this study, we aimed to establish the prevalence and risk factors relating to gastrointestinal helminthiasis, and to characterize the sanitary management practiced among sheep herds in the Sertão region of the state of Paraíba, northeastern Brazil, based on factors that condition the ways of controlling these parasites in these herds. The research was carried out between April and July 2012. We visited 54 farms, where fecal and blood samples were individually collected from 465 animals. On each farm, a questionnaire was applied to gather information on variables relating to potential risk factors. The prevalence of sheep gastrointestinal helminthiasis in the region was 75.9%. At least one animal tested positive for this helminthiasis on 53 (98.1%) of the 54 farms evaluated. The eggs per gram of feces (EPG) analysis showed the following infection burdens: 51.8% with mild infection, 27.1% moderate infection, 9.9% heavy infection and 11.2% fatal infection. Among the sheep farms visited, anthelmintics were used on 81.5% (p <0.05). The most relevant risk factor in this study was the farm area, because it defines the area available for grazing animals. Properties with many animals and little pasture area, which are the most abundant type in the Sertão region of Paraíba, tend to have high prevalence of gastrointestinal helminthiasis, because the animals are more prone to reinfection. The Sertão region of Paraíba presents high prevalence of gastrointestinal helminthiasis among sheep, and the farm area is the most relevant risk factor for the development of these parasites.


2020 ◽  
Author(s):  
Bin Yan ◽  
Yeen Huang

Abstract Background: The Corona Virus Disease 2019 (COVID-19) pandemic has swept into over 200 countries with considerable confirmed cases and deaths, and has caused public panic and mental health stress. We aimed to examine the quarantined population’s psychological problems during the pandemic, and to explore the potential risk factors.Methods: From 3 February, to 17 February, 2020, we conducted a web-based cross-sectional survey to collect data from 6,961 participants assessed with demographic data, knowledge about the COVID-19, anxiety disorders, depressive symptoms, and poor sleep. Multivariate logistic regressions were used to identify the risk factors associated with the psychological issues.Results: The overall prevalence of anxiety disorders, depressive symptoms, and poor sleep quality were 34.6%, 19.2%, and 18.3%, respectively. People aged < 35 years reported a higher prevalence of anxiety disorders and depressive symptoms than people aged ≥ 35 years (P<0.01). Compared with other occupational groups, healthcare workers had the highest rate of poor sleep quality (P<0.001). Younger age, spent ≥ 3 hours a day focusing on the pandemic, and healthcare workers were the potential risk factors for psychological problems.Conclusions: During the COVID-19 pandemic, the quarantined population showed a severe psychological impact, especially people aged < 35 years, those spent ≥3 hours a day focusing on the pandemic, and being a healthcare worker. Our findings can be a helpful reference for intervention and prevention programs for the quarantined population facing crisis in the future.


2019 ◽  
Vol 13 (05) ◽  
pp. 384-393 ◽  
Author(s):  
Lynda Mezali ◽  
Faiza Mebkhout ◽  
Siham Nouichi ◽  
Sofiane Boudjellaba ◽  
Taha-Mossadak Hamdi

Introduction: In Algeria, the latest studies on Salmonella demonstrated warning contamination rates in farms and slaughterhouses. This pathogen can contaminate poultry meat and put humans at risk especially that such product is nowadays widely consumed. Methodology: a cross-sectional study was conducted in Algiers to evaluate prevalence, determine serotypes and quantify risk for Salmonella contamination in broiler chickens and turkeys at the post-chill stage of slaughter process. Results: batch prevalence was 63.1% for chickens and 34.9% for turkeys. Eleven serotypes were isolated from chickens and five from turkeys. The most predominant at both sample and batch levels was S. Kentucky either in chicken (65.1%) or in turkey carcasses (63.2%). Univariate analysis screened 3 variables for chickens and 5 variables for turkeys. Final multivariate regression models provided one potential risk factor for Salmonella contamination in each poultry species. Presence of less than 6 broilers simultaneously in the traditional scalding tank of small scale slaughterhouses had a significantly reduced contamination risk (OR = 0.31; p < 0.05). Slaughtering turkeys in sites processing only this specie than in mixed poultry slaughterhouses increased significantly the contamination probability (OR = 4.44; p < 0.05). Conclusions: Our study indicates a high prevalence of Salmonella-contaminated poultry carcass with wide diversity of serotypes. Moreover, two potential risk factors identified for the first time in Algeria are found to be associated with the lack in hygienic management on production sites. A real threat for consumers exists highlighting the imperative need for improved safety throughout the local poultry meat supply chain.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1093-1093
Author(s):  
J. Dayan ◽  
C. Creveuil ◽  
V. O’Keane

BackgroundVery few studies have conducted a multivariate analysis incorporating both the major predictors of depression in women, in accordance with comprehensive developmental models of depression, and specific stressors associated with the biological and psychosocial state of the mother-to-be.MethodologyWe used a cross-sectional cohort design to analyze the associations between prenatal depression and potential risk factors. 693 French-speaking women with singleton pregnancies at 20–28 weeks’ gestation were consecutively recruited. Fifty women with missing values were subsequently excluded from the analysis. Depressive symptoms were assessed on the Edinburgh Postnatal Depression Scale. Risk factors were either extracted from the computerized obstetric records or assessed by means of self-administered questionnaires. The associations between prenatal depression and the potential risk factors were assessed using log-binomial regression models to obtain a direct estimate of relative risk.Principal findingsThe following factors were found to be significant in the multivariate analysis: level of education, past psychiatric history, stress related to the health and viability of the fetus and stress related to severe marital conflicts or to serious difficulties at work. An association was also found with the previous delivery of a child with a major or minor birth defect. Univariate analyses revealed a strong association with childhood adversity (parental rejection and family secrets).ConclusionsOur study identifies several risk factors that could easily be assessed in clinical practice. It draws attention to the impact of previously delivering a child with a birth defect and to the association with childhood adversity.


1990 ◽  
Vol 63 (01) ◽  
pp. 013-015 ◽  
Author(s):  
E J Johnson ◽  
C R M Prentice ◽  
L A Parapia

SummaryAntithrombin III (ATIII) deficiency is one of the few known abnormalities of the coagulation system known to predispose to venous thromboembolism but its relation to arterial disease is not established. We describe two related patients with this disorder, both of whom suffered arterial thrombotic events, at an early age. Both patients had other potential risk factors, though these would normally be considered unlikely to lead to such catastrophic events at such an age. Thrombosis due to ATIII deficiency is potentially preventable, and this diagnosis should be sought more frequently in patients with arterial thromboembolism, particularly if occurring at a young age. In addition, in patients with known ATIII deficiency, other risk factors for arterial disease should be eliminated, if possible. In particular, these patients should be counselled against smoking.


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