Nutritional status and childhood wheezing in rural Bangladesh

AbstractObjectiveTo investigate the association between current childhood nutritional status and current wheezing among pre-school children in rural Bangladesh.DesignCross-sectional study.SettingMatlab region, rural Bangladesh.SubjectsChildren (n 912) aged 4·5 years. Anthropometric measurements of the mothers and their children were taken during a 1-year period from December 2007 to November 2008. Current wheezing was identified using the International Study of Asthma and Allergies in Childhood questionnaire. Serum total IgE was measured by human IgE quantitative ELISA. IgE specific antibody to dust mites (Dermatophagoides pteronyssinus) was measured by the CAP-FEIA system (Phadia AB, Uppsala, Sweden).ResultsWheezing at 4·5 years old was significantly associated with stunting (OR = 1·58; 95 % CI 1·13, 2·22) and underweight (OR = 1·39; 95 % CI 1·00, 1·94). The association with stunting remained significant after adjustment for sex, birth weight, birth length, gestational age at birth, mother's parity, maternal BMI, family history of asthma, socio-economic status, season of birth and intervention trial arm (OR = 1·74; 95 % CI 1·19, 2·56).ConclusionsStunting was a significant risk factor for wheezing among rural Bangladeshi children. Further studies will be required to confirm the relationship between nutritional status and allergic illnesses in developing countries.

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FACTORS INFLUENCING THE ENVIRONMENT AND SANITATION OF A RURAL POPULATION IN VILLUPURAM DISTRICT - A CROSS-SECTIONAL STUDY

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i4.177 ◽

2019 ◽

Vol 3 (4) ◽

Author(s):

M C Sriradha ◽

Jebamalar J ◽

Sasikaladevi S

Keyword(s):

Rural Population ◽

Economic Status ◽

Drainage System ◽

Significant Risk ◽

Significant Risk Factor ◽

Cross Sectional Study ◽

Cross Sectional Survey ◽

Open Drainage ◽

Cross Sectional ◽

Sanitary Conditions

Introduction: Overcrowding, poor sanitary conditions and open-air defecation are still major issues in rural households. This study aimed at assessing the internal, external environment and sanitation among a rural population. Materials and Methods: A cross sectional survey was conducted in Kedar village of Villupuram District from June 2018 to July 2018. Around 379 households were assessed regarding environment and sanitation using a pre-tested semi-structured questionnaire. Results: Overcrowding was present in 29.1 houses. Twenty percent of the houses were inadequately ventilated. Separate toilet facilities were absent in 14.9% of houses. Mosquito nuisance was present among 29.9% houses and fly nuisance among 30.7% houses. Open drainage system was present among 21.3% houses. Lower socio-economic status was a significant risk factor of inadequate ventilation, absence of separate latrine and over-crowding. Conclusion: Awareness and health education on the health hazards of poor housing, imparting knowledge on government schemes such as Pradhan Mantri Awas Yojana and Swacch Bharat are needed for those in the lower socio-economic strata for improving environment and sanitation. Key words: Over-crowding, sanitation, open air defecation, Swacch Bharat

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Epidemiological study of epilepsy in Faisalabad.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.12.4685 ◽

2020 ◽

Vol 27 (12) ◽

pp. 2608-2612

Author(s):

Nazia Nazir ◽

Ahmad Ayaz Sabri ◽

Nazir Ahmad ◽

Muhammad Numan Akram ◽

Hafiz Amjad Hussain ◽

...

Keyword(s):

Significant Risk ◽

Significant Risk Factor ◽

Cross Sectional Study ◽

Physical Illness ◽

Ultrasonic Waves ◽

Cross Sectional ◽

Normal Delivery ◽

Normal Birth ◽

History Of ◽

At Home

Objectives: To explore the preventable cause of epilepsy. Study Design: Cross Sectional study. Setting: Monthly Epileptic Camp, Mujahid Hospital Madina Town & Psychiatry OPD of Government General Hospital Ghulam Muhammad Abad, Faisalabad. Period: Jan to December 2019. Material & Methods: 121 epileptic patients participated. A questionnaire was developed. For the analysis of results descriptive statistics was used. Results: During the prenatal period 50.2% mothers of patients had checkup by doctor, 40.6% of patients exposed ultrasonic waves. Percentage of normal birth mode was 90.9 and 70.2% of participants born at home. Among patients 89.3% were vaccinated. Daily functioning was disturbed in 29.8%, academics disturbance was in 78.5% patients. Mental illness was present in 62% patients. Mental and physical illness is same in both gender but age is significant risk factor. Conclusion: Regarding the causes of epilepsy findings depicts that almost half of the patient’s mothers had checkup during their pregnancy. A large number of participants had normal delivery at home. Three fourth of the patients were vaccinated. Around two fourth of the patients had history of physical illness during childhood, fewer patients had history of head injury and family history of epilepsy. Epileptic patient’s cognitive functions and abstract thinking is impaired.

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A study on prevalence of chronic kidney disease and its risk factors among adults in selected slums of Chennai

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20190059 ◽

2019 ◽

Vol 6 (2) ◽

pp. 504

Author(s):

K. Kokila ◽

K. Chellavel Ganapathi

Keyword(s):

Risk Factors ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Significant Risk ◽

Significant Risk Factor ◽

Cross Sectional Study ◽

Uncontrolled Hypertension ◽

Adult Males ◽

Cross Sectional ◽

Slum Population

Background: Chronic kidney disease (CKD) is a silent epidemic. The true prevalence of CKD with in a population are very difficult to estimate, since early to moderate CKD were usually asymptomatic. ESRD in the consequence of CKD is one of the most expensive diseases to treat.Only way is to prevent it and Hence this was conducted to estimate the prevalence of CKD and its associated risk factors among adults in selected slums of Chennai.Methods: This is a cross sectional study done from May 2013 to June 2014 in selected slums of Chennai. The study population includes adult males and females. Multi stage sampling method used. Sample size covered was 400. A semi structured questionnaire used as tool. Based on the serum creatinine eGFR calculated using modified MDRD study equation and CKD prevalence was identified. The data was entered in MS excel and analyzed using SPSS version 21.Results: Total of 400 participants involved. Females were predominant in the study. Among them, 67 (16.8%) were diagnosed as CKD patients and Stage 1, 4.0% had stage 2, 3.6% had stage 3, 1.3% had stage 4 and 0.5% had stage 5 at the time of diagnosis.Conclusions: This study revealed prevalence of CKD among slum population was 16.8%. This study showed that old age, uncontrolled hypertension, uneducated, Diabetes with poor control, overuse of analgesics, H/o smoking, obesity, alcoholism, passive smoking, family H/o CKD and proteinuria were significant risk factor for CKD among study subjects. Slum population with risk factors should be regularly screened for CKD.

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Risk Factors for Infection with Soil Transmitted Helminths, Cryptosporidium spp., and Giardia duodenalis in Children Enrolled in Preschools in Kafue District, Zambia

Epidemiology Research International ◽

10.1155/2015/906520 ◽

2015 ◽

Vol 2015 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Joyce Siwila ◽

Annette Olsen

Keyword(s):

Risk Factors ◽

Longitudinal Study ◽

Significant Risk ◽

Giardia Duodenalis ◽

Significant Risk Factor ◽

Cross Sectional Study ◽

Parasitic Infections ◽

Cross Sectional ◽

Low Socioeconomic ◽

Soil Transmitted Helminths

Intestinal parasitic infections are common among children worldwide. This study was aimed at determining risk factors for infection with soil transmitted helminths, Cryptosporidium spp., and Giardia duodenalis, among children in preschools. The study was in two parts: a cross-sectional study in which data were collected from 403 children from 10 preschools and a longitudinal study in which 100 children from four preschools from the previous 10 were selected. Prevalence of Ascaris lumbricoides was 12.0%, while that of hookworm was 8.3%. Overall prevalence of Cryptosporidium and G. duodenalis was 28.0% and 29.0%, respectively. Low education level of parent/guardian was a significant risk factor for A. lumbricoides (OR = 2.35, 95% CI: 1.02–5.41; P=0.04), while roofing types other than corrugated iron sheets were found to be protective for G. duodenalis infection in both bivariate and multivariate analyses (multivariate: OR = 0.67, 95% CI: 0.45–0.99; P=0.04). Low socioeconomic level was found to be protective for Cryptosporidium spp. infection in multivariate analysis (OR = 0.59, 95% CI: 0.35–0.99; P=0.04). In the longitudinal study, none of the factors were associated with either infection. These findings may have implications for other preschools in other districts in Zambia.

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Comparison of Laryngoscopic Views between C-MAC™ and Conventional Laryngoscopy in Patients with Multiple Preoperative Prognostic Criteria of Difficult Intubation. An Observational Cross-Sectional Study

Medicina ◽

10.3390/medicina55120760 ◽

2019 ◽

Vol 55 (12) ◽

pp. 760

Author(s):

Aikaterini Amaniti ◽

Panagiota Papakonstantinou ◽

Dimitrios Gkinas ◽

Ioannis Dalakakis ◽

Evangelia Papapostolou ◽

...

Keyword(s):

Prognostic Factors ◽

Difficult Intubation ◽

Elective Surgery ◽

Significant Risk ◽

Significant Risk Factor ◽

Cross Sectional Study ◽

Laryngoscopic View ◽

Cross Sectional ◽

Intubation Difficulty ◽

Difficulty Scale

Background and Objectives: Video laryngoscopy has been proven useful under difficult airway scenarios, but it is unclear whether anticipated improvement of visualization is related to specific difficult intubation prognostic factors. The present study evaluated the change in laryngoscopic view between conventional and C-MAC® laryngoscopy and the presence of multiple difficult intubation risk factors. Materials and Methods: Patients scheduled for elective surgery with >2 difficult intubation factors, (Mallampati, thyromental distance (TMD), interinscisor gap, buck teeth, upper lip bite test, cervical motility, body mass index (BMI)) were eligible. Patients underwent direct laryngoscopy (DL) followed by C-MAC™ laryngoscopy (VL) and intubation. Change of view between DL and VL, time for best view, intubation difficulty scale (IDS) and correlation between prognostic factors, laryngoscopic view improvement, and IDS were measured. Results: One-hundred and seventy-six patients completed the study. VL lead to fewer Cormarck–Lehane (C/L) III-IV, compared to DL (13.6% versus 54.6%, p < 0.001). The time to best view was also shorter (VL: 10.82 s, DL: 12.08 s, p = 0.19). Mallampati III-IV and TMD ≤ 6 cm were related to improvement of C/L between DL and VL. Logistic regression showed these two factors to be a significant risk factor of the glottis view change (p = 0.006, AUC-ROC = 0.57, 95% CI: 0.47–0.66). 175/176 patients were intubated with VL. 108/176 were graded as 0 < IDS ≤ 5 and 12/176 as IDS > 5. IDS was only correlated to the VL view (p < 0.0001). Conclusion: VL improved laryngoscopic view in patients with multiple factors of difficult intubation. Mallampati and TMD were related to the improved view. However, intubation difficulty was only related to the VL view and not to prognostic factors.

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Incidence and risk factors of neonatal thrombocytopenia: a pr

Paediatrica Indonesiana ◽

10.14238/pi50.1.2010.31-7 ◽

2016 ◽

Vol 50 (1) ◽

pp. 31

Author(s):

Nila Kusumasari ◽

Rinawati Rohsiswatmo ◽

Djajadiman Gatot ◽

Darlan Darwis

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Necrotizing Enterocolitis ◽

Late Onset ◽

Significant Risk ◽

Significant Risk Factor ◽

Cross Sectional Study ◽

Cross Sectional ◽

Neonatal Thrombocytopenia ◽

Complete Blood Counts

Background Thrombocytopenia is the most common hematological abnormality in the neonatal period. Hemorrhagic manifestations are found in 10% cases of thrombocytopenia. Neonatal thrombocytopenia commonly assumed due to sepsis, despite many risk factors that may caused thrombocytopenia.Objective To obtain incidence and risk factors of neonatal thrombocytopenia.Methods A cross sectional study was conducted in April 2009. Complete blood counts investigation was performed before age of 24 hours, medical conditions and risk factors of mothers and subjects were noted, as well as hemorrhagic manifestations. Subjects with thrombocytopenia were followed for 2 weeks. The risk factors consisted of hypertension in pregnancy, pre-eclampsia, eclampsia, intrauterine growth retardation, gestational diabetes mellitus, perinatal infection, asphyxia, sepsis, and necrotizing enterocolitis.Results Neonatal thrombocytopenia was found 17 (12.1%) of 140 subjects, consisted of 88.2% early onset and 11.8% late onset. Significant risk factor of mother was pre-eclampsia (PR 3.97, 95%CI 1.70 to 9.25), while significant risk factors of neonates were asphyxia (PR 5.66, 95%CI 2.49 to 12.86), sepsis (PR 5.33, 95%CI 2.33-12.19) and necrotizing enterocolitis (p=0.014; PR 9.2 95% CI 5.17 to14.84). We found 29.4% hemorrhagic cases of neonatal thrombocytopenia (i.e.,. skin, gastrointestinal, intracranial hemorrhage).Conclusions The incidence of neonatal thrombocytopenia was 12.2%. Significant risk factor of mother that caused thrombocytopenia was pre-eclampsia, while risk factors of neonates were asphyxia, sepsis and necrotizing enterocolitis.[Paediatr Indones. 2010;50:31-7].

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The association of opium with coronary artery disease

European Journal of Cardiovascular Prevention & Rehabilitation ◽

10.1097/hjr.0b013e328045c4e9 ◽

2007 ◽

Vol 14 (5) ◽

pp. 715-717 ◽

Cited By ~ 50

Author(s):

Saeed Sadeghian ◽

Soodabeh Darvish ◽

Gholamreza Davoodi ◽

Mojtaba Salarifar ◽

Mehran Mahmoodian ◽

...

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Significant Risk ◽

Significant Risk Factor ◽

Cross Sectional Study ◽

Cross Sectional ◽

Artery Disease ◽

European Society Of Cardiology ◽

Vessel Score ◽

First Time

Background The effects of opium consumption on coronary artery disease are still unknown. Methods A cross-sectional study was conducted on 2405 patients admitted to the Angiographic Ward at Tehran Heart Center from 7 May 2005 to 13 August 2005. Results After adjusting for conventional cardiovascular risk factors, opium consumption was a significant risk factor for coronary artery disease ( P=0.01 and odds ratio = 1.8). Moreover, the amount of opium consumption was associated significantly with the severity of coronary atherosclerosis, as measured by clinical vessel score ( r=0.2, P=0.002). Conclusions To our knowledge, this is the first time that the adverse effects of opium consumption on coronary arteries was defined. Eur J Cardiovasc Prev Rehabil14:715-717 © 2007 The European Society of Cardiology

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Evaluation of individual awareness of diabetes, related risk factors and complications in urban and rural people of Noakhali region, Bangladesh: a population-based study

Bangladesh Journal of Medicine ◽

10.3329/bjmed.v27i1.28069 ◽

2016 ◽

Vol 27 (1) ◽

pp. 8-15

Author(s):

Md Khorshed Alam ◽

Md Ariful Islam ◽

Abhijit Das ◽

Palash Karmakar ◽

Pankaj Chandra Debnath ◽

...

Keyword(s):

Risk Factors ◽

Significant Risk ◽

Significant Risk Factor ◽

Population Based ◽

Cross Sectional Study ◽

Dominant Group ◽

Cross Sectional ◽

Related Risk ◽

Secondary Study ◽

The Individual

This cross-sectional study was conducted to evaluate the individual awareness, related risk factors and complications of diabetes with socio-demographic profiles of the study individuals in Noakhali region, Bangladesh during June to December, 2013. A total 250 participants were selected randomly and data were collected using structured questionnaire. Among the respondents 47.20% were found male and 52.80% were female and majorities (52.00%) of the respondents were urban people. Respondents completed secondary study level or below were the dominant group. 9.20%, 27.20%, 12.80% and 34.40% respondents were agriculturist, businessman and housewives respectively. Women showed better knowledge about overall diabetes (20.00%) and blood glucose level (9.60%), in case of causes, symptoms and management men (12.80%, 23.20% and 18.40% respectively) were found dominant than women (10.00%, 16.00% and 12.00% respectively). It was found that 13.20% respondents were suffering from impaired glucose tolerance and 79.20% had diabetes mellitus where female were more vulnerable than male. Family history was found the significant risk factor (p= 0.016; Ç2 = 5.849) for diabetes (total 62%, male 40.65% and female 59.35%), Other risk factors like age (67.20%), obesity (46.40%), hypercholesterolemia (82.00%), excess triglyceride (78.00%) and hypertension (29.60%) remained insignificant respectively and in every cases female were found more vulnerable than men. Study revealed that knowledge regarding diabetes was not up to the mark to the respondents though it is now one of the most pandemic diseases in the world.Bangladesh J Medicine Jan 2016; 27(1) : 8-15

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Effect of socio-economic, demographic and environmental factors on nutritional status of elderly: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20193476 ◽

2019 ◽

Vol 6 (8) ◽

pp. 3483

Author(s):

Darshan J. Patil ◽

Maheshkumar M. Shindhe

Keyword(s):

Environmental Factors ◽

Nutritional Status ◽

Elderly Population ◽

Economic Status ◽

Educational Status ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Socio Economic Status ◽

Status Occupation

Background: Worldwide elderly population is rapidly increasing. This is posing many challenges in elderly population. Malnutrition in them is one of the major problems but ignored component. Socio-economic, demographic and environmental factors are those greatly influence their nutritional status. Hence the present study was undertaken to assess the effect of socio-economic, demographic and environmental factors on nutritional status of elderly.Methods: The present study was a cross-sectional study which included 545 elderly population of Uchagaon subcentre and was carried out over a period of 1½ years. After selecting Uchagaon subcentre by simple random sampling technique and house to house survey was carried out to select eligible elderly participants who met the selection criteria. Data was collected from eligible elderly by using pretested questionnaire and Mini Nutritional Assessment (MNA) tool.Results: 65.1% were between the age group of 60-69 years. 55% were females, 66% were currently married, 60% had no formal schooling, 67.2% were belongs to socio-economic status of either class IV/V. 23.5% were malnourished and 49% were at risk of malnutrition. There was association found between nutritional status of elderly with increase in age, marital status, educational status, occupation, socio-economic status, type of family and housing condition.Conclusions: In the present study majority of the elderly were at risk of malnutrition. The nutritional status of elderly was associated with increase in age, marital status, educational status, occupation, socio-economic status, type of family and housing condition of rural elderly and subsequently modify those factors to improve the nutritional status of elderly and this can be a scope for further study in future.

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Asthma and Keratoconus: An analysis of the risk factors association with the severity of keratoconus

10.21203/rs.3.rs-19388/v1 ◽

2020 ◽

Author(s):

Srujana Sahebjada ◽

Elsie Chan ◽

Jing Xie ◽

Grant Snibson ◽

Mark Daniel ◽

...

Keyword(s):

Risk Factors ◽

Regression Analysis ◽

Risk Factor ◽

Significant Risk ◽

Significant Risk Factor ◽

Educational Background ◽

Cross Sectional Study ◽

Cross Sectional ◽

Wide Range ◽

Multivariable Regression

Abstract Background: A cross-sectional study was undertaken in Australia to explore a wide range of risk factors associated with keratoconus. A questionnaire addressing age, gender, educational background, ocular and medical history, smoking and alcohol consumption, and physical examination comprising anthropometric measurements was collected; eye examination was undertaken. The associations between a range of risk factors and keratoconus was determined using univariate and multivariable linear regression analyses.Main Text: A total of 260 keratoconus subjects were included in this study. Mean age of subject was 35.5 (SD= 14.8) years and the majority of the subjects were European 171 (68.2%). Initial univariate regression analysis identified the following risk factors at the p<0.1 level with keratoconus: higher body mass index, smoking cigarettes, diabetes, rheumatoid arthritis and asthma were associated with increased severity of keratoconus, whereas eczema was associated with less severe keratoconus. Following multivariable regression analysis, only asthma remained as a significant risk factor associated with 2.2 diopters (D) steeper average mean keratometry compared to keratoconus subjects having no asthma [p = 0.03; β= 2.18; 95% confidence intervals: 1.22, 4.14].Conclusion: Our study describes the comprehensive assessment of all the known risk factors in a large keratoconus cohort recruited in Australia. Our study has reported asthma as the only risk factor found to be significantly associated with keratoconus. The results of this study allow us to better understand the aetiology of keratoconus and such a knowledge could be useful in instigate systemic management of patients to slow or prevent keratoconus.

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