Infant male sex as a risk factor for shoulder dystocia but not for cephalopelvic disproportion: An independent or confounded effect?

2010 ◽  
Vol 7 (1) ◽  
pp. 55-63 ◽  
Author(s):  
Jayanton Patumanond ◽  
Chamaiporn Tawichasri ◽  
Suthit Khunpradit
Keyword(s):  
Risk Factor ◽  
Shoulder Dystocia ◽  
Cephalopelvic Disproportion ◽  
Male Sex ◽  
Infant Male

scholarly journals Disbalance of testosterone is a risk factor of the beginning of ischemic stroke of middle age men

2008 ◽  
Vol 7 ◽  
pp. 23-28
Author(s):  
B. M. Doronin ◽  
Ye. A. Vas’kina ◽  
O. A. Denisova
Keyword(s):  
Body Mass Index ◽  
Risk Factor ◽  
Ischemic Stroke ◽  
Body Mass ◽  
Sex Hormones ◽  
Critical Period ◽  
Middle Age ◽  
Hormone Concentration ◽  
Hormonal Dysfunction ◽  
Male Sex

The aim of work is to exposure how disbalance of male sex hormones in the period of the age-specific reorganization affects development of atherosclerosis and vascular disorders by the example of ischemic stroke, establishment of correlation between hormonal dysfunction by the example testosterone and lipid metabolism according to the somatic type in the critical period of ischemic stroke. The pilot analysis of level of sex hormones by the example testosterone, lipids and body mass index confirms that there is correlation between these indices. Rising of body mass index is accompanied by reduction of sex hormone concentration, but for all that levels of cholesterol and atherogenic fraction are increased.

Labor abnormalities as a risk factor for shoulder dystocia

1999 ◽  
Vol 78 (8) ◽  
pp. 735-736 ◽  
Author(s):  
Ofer Gemer ◽  
Marina Bergman ◽  
Shmuel Segal
Keyword(s):  
Risk Factor ◽  
Shoulder Dystocia ◽  
Labor Abnormalities

Risikofaktoren für die Diagnoseverzögerung bei idiopathischer Lungenfibrose vermeiden

2019 ◽  
pp. III-IV
Author(s):  
Fotios Drakopanagiotakis ◽  
Andreas Günther
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Negative Binomial ◽  
Diagnostic Delay ◽  
Delayed Diagnosis ◽  
Final Diagnosis ◽  
Inhalation Therapy ◽  
Total Delay ◽  
Specific Patient ◽  
Male Sex

Background: Surveys and retrospective studies of patients with idiopathic pulmonary fibrosis (IPF) have shown a significant diagnostic delay. However, the causes and risk factors for this delay are not known. Methods: Dates at six time points before the IPF diagnosis (onset of symptoms, first contact to a general practitioner, first hospital contact, referral to an interstitial lung disease (ILD) centre, first visit at an ILD centre, and final diagnosis) were recorded in a multicentre cohort of 204 incident IPF patients. Based on these dates, the delay was divided into specific patient-related and healthcare-related delays. Demographic and clinical data were used to determine risk factors for a prolonged delay, using multivariate negative binomial regression analysis. Results: The median diagnostic delay was 2.1 years (IQR: 0.9-5.0), mainly attributable to the patients, general practitioners and community hospitals. Male sex was a risk factor for patient delay (IRR: 3.84, 95% CI: 1.17-11.36, p = 0.006) and old age was a risk factor for healthcare delay (IRR: 1.03, 95% CI: 1.01-1.06, p = 0.004). The total delay was prolonged in previous users of inhalation therapy (IRR: 1.99, 95% CI: 1.40-2.88, p < 0.0001) but not in patients with airway obstruction. Misdiagnosis of respiratory symptoms was reported by 41% of all patients. Conclusion: Despite increased awareness of IPF, the diagnostic delay is still 2.1 years. Male sex, older age and treatment attempts for alternative diagnoses are risk factors for a delayed diagnosis of IPF. Efforts to reduce the diagnostic delay should focus on these risk factors.

scholarly journals Sociocultural Factors of Mental Health in Children Primary Schoolers

2019 ◽  
Vol 21 (3) ◽  
pp. 716-725
Author(s):  
E. V. Kuftyak ◽  
I. V. Tikhonova
Keyword(s):  
Mental Health ◽  
Risk Factor ◽  
Theoretical Analysis ◽  
Rural School ◽  
Mental Development ◽  
Social Orientation ◽  
Sociocultural Factors ◽  
Grammar School ◽  
Nonspecific Factor ◽  
Male Sex

The present research featured a theoretical analysis of the concept "mental health" within the framework of the system and level approach. The paper focuses on factors and conditions of mental health, as well as on the effect of sociocultural factors on emotional problems and deviations in the behavior of primary schoolers. The experiment involved 131 primary schoolers (girls – 48,1 %; mean age=10,2): 53 pupils of a grammar school, 54 pupils of a comprehensive school, and 24 pupils of a rural school. The research included their relationships with parents, mental health, and social living conditions. The children from the grammar school demonstrated more pronounced behavioral and communicative problems. The children from the rural school had a more distinct pro-social orientation of behavior. Male sex appeared to be a risk factor of mental health deviations. Urban children demonstrated more difficult relations with peers, as well as internality and externality or problems. Good relations with parents acted as a nonspecific factor of mental health protection. The obtained data have a certain value for prevention of mental development deviations in primary schoolers.

scholarly journals Death from mechanical asphyxia as a result of drowning in Ivano-frankivsk region for 2012-2016

2017 ◽  
pp. 93-95
Author(s):  
Volodymyr Voloshinovych ◽  
Ihor Ivaskevych
Keyword(s):  
Risk Factor ◽  
Causes Of Death ◽  
Medical Examination ◽  
Older Person ◽  
Male Sex ◽  
Mechanical Asphyxia

The article analyzes deaths from mechanical asphyxia as a result of drowning in Ivano-Frankivsk region during the last five years on the basis of materials from the Ivano-Frankivsk Regional Bureau of Forensic Medical Examination. It was found that among all the causes of death, mechanical asphyxia set 19.1% (1502 cases), and mechanical asphyxia as a result of drowning set 23.6% (354 cases) of all types of mechanical asphyxia. The risk factor for mortality in mechanical asphyxia as a result of drowning is male sex. The possibility of dying due to mechanical asphyxia as a result of drowning in men is 5 times higher than that of women. The increase in the number of drowning cases is related to the age of the person. The older person is, the risk of dying due to mechanical asphyxia as a result of drowning is greater.

Characthrization of suicide attempt in patients at Pedro Diaz Coello Polyclinic, in Holguin, 2015-2019 (Preprint)

2020 ◽  
Author(s):  
Carlos Medina
Keyword(s):  
Risk Factor ◽  
Secondary Education ◽  
Suicide Attempt ◽  
Cross Sectional ◽  
Main Method ◽  
Female Sex ◽  
High Prevalence ◽  
Male Sex ◽  
The One ◽  
Keywords Suicide

BACKGROUND suicide represents a problem for public health, due to its high prevalence at the present time and the lack of implementation of adequate preventive strategies in a large number of countries. OBJECTIVE Objective: to characterize patients with a suicide attempt in the health area of ​​the Pedro Díaz Coello Polyclinic in Holguín in the period 2015-2019. METHODS Methods: an observational, descriptive, cross-sectional retrospective study was carried out, with a population of 138 patients, where they were fully studied. RESULTS a predominance of patients between 10 and 20 years of age (52.2%) was found, in the female sex (60%), 57 (41.3%) had basic secondary education. Singles were the most prevalent 80 (58%). The method of ingestion of tablets was the most used with 92 patients (66.6%), of them the female sex was the one with the greatest quantity, however, in the male sex the preferred method was hanging. As a risk factor, depression was the most prevalent, with 40 (29%) patients. CONCLUSIONS adolescent females, mainly with a basic secondary education level, were prone to intense suicide. The ingestion of tablets was the main method used, with a predominance of females; where depression was the main risk factor. CLINICALTRIAL Keywords: suicide, risk factors, primary health care

Risk Factors for Infection After Shoulder Arthroscopy in a Large Medicare Population

2018 ◽  
Vol 46 (4) ◽  
pp. 809-814 ◽  
Author(s):  
Jourdan M. Cancienne ◽  
Stephen F. Brockmeier ◽  
Eric W. Carson ◽  
Brian C. Werner
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Postoperative Infection ◽  
Independent Risk Factor ◽  
Steroid Injection ◽  
Shoulder Arthroscopy ◽  
Safe Procedure ◽  
Chronic Anemia ◽  
Related Risk ◽  
Male Sex

Background: Shoulder arthroscopy is well established as a highly effective and safe procedure for the treatment for several shoulder disorders and is associated with an exceedingly low risk of infectious complications. Few data exist regarding risk factors for infection after shoulder arthroscopy, as previous studies were not adequately powered to evaluate for infection. Purpose: To determine patient-related risk factors for infection after shoulder arthroscopy by using a large insurance database. Study Design: Case-control study; Level of evidence, 3. Methods: The PearlDiver patient records database was used to query the 100% Medicare Standard Analytic Files from 2005 to 2014 for patients undergoing shoulder arthroscopy. Patients undergoing shoulder arthroscopy for a diagnosis of infection or with a history of prior infection were excluded. Postoperative infection within 90 days postoperatively was then assessed with International Classification of Diseases, Ninth Revision codes for a diagnosis of postoperative infection or septic shoulder arthritis or a procedure for these indications. A multivariate binomial logistic regression analysis was then utilized to evaluate the use of an intraoperative steroid injection, as well as numerous patient-related risk factors for postoperative infection. Adjusted odds ratios (ORs) and 95% CIs were calculated for each risk factor, with P < .05 considered statistically significant. Results: A total of 530,754 patients met all inclusion and exclusion criteria. There were 1409 infections within 90 days postoperatively (0.26%). Revision shoulder arthroscopy was the most significant risk factor for infection (OR, 3.25; 95% CI, 2.7-4.0; P < .0001). Intraoperative steroid injection was also an independent risk factor for postoperative infection (OR, 1.46; 95% CI, 1.2-1.9; P = .002). There were also numerous independent patient-related risk factors for infection, the most significant of which were chronic anemia (OR, 1.58; 95% CI, 1.4-1.8; P < .0001), malnutrition (OR, 1.42; 95% CI, 1.2-1.7; P = .001), male sex (OR, 2.71; 95% CI, 2.4-3.1; P < .0001), morbid obesity (OR, 1.41; 95% CI, 1.2-1.6; P < .0001), and depression (OR, 1.36; 95% CI, 1.2-1.5; P < .0001). Conclusion: Intraoperative steroid injection was a significant independent risk factor for postoperative infection after shoulder arthroscopy. There were also numerous significant patient-related risk factors for postoperative infection, including revision surgery, obesity, male sex, chronic anemia, malnutrition, depression, and alcohol use, among others.

scholarly journals Sex, diabetes and the kidney

2009 ◽  
Vol 296 (4) ◽  
pp. F680-F688 ◽  
Author(s):  
Christine Maric
Keyword(s):  
Risk Factor ◽  
Renal Disease ◽  
Sex Hormones ◽  
Experimental Studies ◽  
Sex Hormone ◽  
Disease Development ◽  
Hormone Levels ◽  
Diabetic Renal Disease ◽  
Rate Of Progression ◽  
Male Sex

The incidence and the rate of progression of nondiabetic renal disease is generally greater in men compared with age-matched women, suggesting that the female sex is protective and/or that the male sex is a risk factor for the development and progression of nondiabetic renal disease. In diabetes, even though the male sex still appears to be a risk factor, this relationship is not as strong as it is in nondiabetic renal disease. Experimental evidence suggests that both estrogens and androgens play an important role in the pathophysiology of renal disease. Thus one of the potential mechanisms for the absence of a clear sex difference in the setting of diabetes may be alterations in sex hormone levels. Indeed, studies suggest that diabetes is a state of an imbalance in sex hormone levels; however, whether these changes correlate with the decline in renal function associated with diabetes is unclear. Furthermore, diabetic renal disease rarely develops before puberty, and the onset of puberty accelerates microalbuminuria, supporting the idea of the involvement of sex hormones in the development and progression of the disease. However, other than a handful of experimental studies indicating that treatment with or removal of sex hormones alters the course of diabetic renal disease, very few studies have actually directly examined the correlation between sex hormones and the disease development and progression. Further studies are necessary to determine the precise contribution of sex hormones in the pathophysiology of diabetic renal disease to develop novel and potentially sex-specific therapeutic treatments.

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