scholarly journals Suicide and Self-Harm Related Internet Use

Crisis ◽  
2018 ◽  
Vol 39 (6) ◽  
pp. 469-478 ◽  
Author(s):  
Prianka Padmanathan ◽  
Lucy Biddle ◽  
Robert Carroll ◽  
Jane Derges ◽  
John Potokar ◽  
...  
Keyword(s):  
Regression Models ◽  
Clinical Characteristics ◽  
Internet Use ◽  
Suicidal Intent ◽  
Logistic Regression Models ◽  
Perceptions Of Risk ◽  
South West ◽  
Self Harm ◽  
Adult Hospital ◽  
South West England

Abstract. Background: The rise in Internet use adds a new dimension to suicide prevention. We investigated suicide/self-harm (S/Sh)-related Internet use among patients presenting to hospital with self-harm. Method: We asked 1,198 adult and 315 child and adolescent patients presenting to hospital following self-harm in a city in South West England about Internet use associated with their hospital presentation. Associations between Internet use and sociodemographic and clinical characteristics were investigated using multivariable logistic regression models. Focus groups with clinicians explored the acceptability and utility of asking about Internet use. Results: The prevalence of S/Sh-related Internet use was 8.4% (95% CI: 6.8–10.1%) among adult hospital presentations and 26.0% (95% CI = 21.3–31.2%) among children's hospital presentations. In both samples, S/Sh-related Internet use was associated with higher levels of suicidal intent. Mostly, clinicians found it acceptable to ask about Internet use during psychosocial assessments and believed this could inform perceptions of risk and decision-making. Limitations: It is unclear whether the findings in this study are applicable to the general self-harm patient population because only those who had psychosocial assessments were included. Conclusion: S/Sh-related Internet use is likely to become increasingly relevant as the Internet-native generation matures. Furthermore, Internet use may be a proxy marker for intent.

scholarly journals Sex Differences in the Association between Internet Usage and Overweight/Obesity: Evidence from a Nationally Representative Survey in Nepal

Sexes ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 132-143
Author(s):  
Juwel Rana ◽  
Md. Momin Islam ◽  
John Oldroyd ◽  
Nandeeta Samad ◽  
Rakibul Islam
Keyword(s):  
Odds Ratio ◽  
Regression Models ◽  
Internet Use ◽  
Adjusted Odds Ratio ◽  
Internet Usage ◽  
The Internet ◽  
Logistic Regression Models ◽  
Biological Sex ◽  
Obesity Interventions ◽  
Nationally Representative

Objective: To examine the associations between internet use and overweight/obesity in people aged 15–49 years in Nepal and the extent to which these associations differ by biological sex. Materials and methods: The study analyzed the nationally representative Nepal Demographic and Health Survey (NDHS) 2016 data. Multivariable ordinal logistic regression models were fitted to estimate the total effects of internet use (IU) in the last 12 months and frequency of internet use (FIU) in the last month on overweight/obesity adjusted for potential confounders. Results: Of the 10,380 participants, the prevalence of overweight/obesity by IU was 38% (95% confidence interval (CI): 35.9%, 40.1%) for males and 44.1% (95% CI: 41.6%, 46.6%) for female. The likelihood of overweight/obesity was significantly higher (adjusted odds ratio (aOR): 1.55; 95% CI: 1.40, 1.73; p < 0.001) among those participants who used the internet compared to the participants who did not use the internet in the last 12 months. Similar associations were observed when using the augmented measure of exposure-FIU in the last month. We observed the modification effect of sex in the associations of IU (p-difference < 0.001) and FIU (p-difference < 0.002) with overweight/obesity in Nepal. Conclusions: Our findings suggest that future overweight/obesity interventions in Nepal discourage unnecessary internet use, particularly among males.

scholarly journals The association between Internet Usage and Overweight/Obesity modified by Gender: Evidence from a nationally representative survey in Nepal

2020 ◽  
Author(s):  
Juwel Rana ◽  
Md Momin Islam ◽  
John Oldroyd ◽  
Nandeeta Samad ◽  
Rakibul M Islam
Keyword(s):  
Regression Models ◽  
Internet Use ◽  
Wald Test ◽  
Overweight And Obesity ◽  
The Internet ◽  
Logistic Regression Models ◽  
Interaction Terms ◽  
Obesity Interventions ◽  
Nationally Representative ◽  
The Individual

Objective: Using a nationally representative data, we examined the associations between internet use and overweight/obesity in people aged 15-49 years in Nepal, and the extent to which these associations vary by gender. Materials and methods: The study analyzed the nationally representative Nepal Demographic and Health Survey (NDHS) 2016 data, collected between June 2016 and January 2017. The outcome was overweight/obesity. Exposures were internet use (IU) in the last twelve months and internet use frequency (FIU) in the last month. Multivariable ordinal logistic regression models were fitted to estimate the total effects of IU and FIU on overweight/obesity adjusted for minimal sufficient adjustment set of potential confounders. P-difference was extracted using a Wald test for the models with interaction terms. Results: Of the 10,380 participants, 33.9% used internet in the last 12 months, and 13.1 % used less than/at least once in a week, and 17.5% used internet almost every day. The prevalence of overweight/obesity by IU was 38% (95% CI: 35.9%, 40.1%) for male and 44.1% (95% CI: 41.6%, 46.6) for female. The risk of overweight and obesity was significantly 1.55 times higher (aOR: 1.55; 95% CI: 1.40, 1.73; p < 0.001) among those participants who used the internet compared to the individual who did not use the internet in the last 12 months or earlier of the interview. Similar associations were observed when using the augmented measure of exposure-FIU. We observed modification effect of gender in the associations of IU (p-difference<0.001) and FIU (p-difference<0.002) with overweight and obesity in Nepal. Conclusions: Our findings suggest that it is imperative for future overweight/obesity interventions in LMICs, including Nepal, to discourage unnecessary internet use, particularly among males.

Abstract TP339: Simultaneous Multiple Intracerebral Hemorrhages (SMICH)

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Teddy Wu ◽  
Nawaf Yassi ◽  
Darshan Shah ◽  
Minmin Ma ◽  
Gagan Sharma ◽  
...  
Keyword(s):  
Regression Models ◽  
Clinical Characteristics ◽  
Amyloid Angiopathy ◽  
Royal Melbourne Hospital ◽  
Aneurysmal Rupture ◽  
Logistic Regression Models ◽  
Lower Baseline ◽  
Intracerebral Hemorrhages ◽  
Cerebral Amyloid ◽  
Underlying Pathology

Background and Purpose: Simultaneous multiple intracerebral hemorrhages (SMICH) are uncommon. Few single center studies have analyzed characteristics and outcome of SMICH. We analyzed clinical characteristics and outcome of SMICH patients from two comprehensive stroke centers. Methods: Baseline imaging from consecutive intracerebral hemorrhage (ICH) patients (n=1552) from Helsinki ICH study and Royal Melbourne Hospital ICH study were screened for SMICH. ICH etiology was classified according to the SMASH-U classification system. ICH due to trauma, tumor and aneurysmal rupture were excluded. Baseline clinical and radiological characteristics and 90-day mortality were compared between SMICH and single ICH patients. Association of SMICH with 90-day mortality was assessed in multivariable logistic regression models adjusted for predictors of ICH outcome. Results: 1452 patients were included in the analysis and 85 (5.9%) were classified as SMICH. SMICH were more often female (58% vs 42%;p=0.004), had lower baseline Glasgow Coma Scale (12 vs 14;p=0.008), and more frequent lobar location (59% v 34%;p<0.001) compared to single ICH. The SMASH-U etiology of SMICH patients was less often hypertensive (20% vs 37%;p=0.001), more other systemic coagulopathy (12% vs 3%;p<0.001) and trended towards more cerebral amyloid angiopathy (32% vs 23%;p=0.071). SMICH was not associated with 90-day mortality on univariate (37% vs 35%;p=0.635), multivariable (OR 0.783 95%CI 0.401-1.529;p=0.473), or propensity score matched analyses (OR 0.817 95% CI 0.400-1.668,p=0.578). Conclusion: SMICH occurs in approximately 1 in 20 ICH with more often lobar located hematomas, less often hypertensive and associated with more systemic coagulopathy. The mortality is similar to single ICH. Given varied etiologies, SMICH management should target the underlying pathology.

scholarly journals Sex education and self-poisoning in Sri Lanka: an explorative analysis

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Grace Crowley ◽  
Piumee Bandara ◽  
Lalith Senarathna ◽  
Ayodhya Malalagama ◽  
Sonali Gunasekera ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Sex Education ◽  
Regression Models ◽  
Population Level ◽  
Control Data ◽  
Logistic Regression Models ◽  
Measurement Tools ◽  
Self Harm ◽  
Societal Expectations

Abstract Background Self-harm and suicide are important causes of morbidity and mortality in Sri Lanka, but our understanding of these behaviours is limited. Qualitative studies have implicated familial and societal expectations around sex and relationships. We conducted an explorative analysis using case-control data to investigate the association between sex education and self-poisoning in Sri Lanka. Methods Cases (N=298) were self-poisoning inpatients on a toxicology ward, Teaching Hospital Peradeniya. Controls (N=500) were sex and age frequency matched to cases and were outpatients/visitors to the same hospital. Participants were asked whether they had received sex education, and to rate the quality and usefulness of any sex education received. Logistic regression models adjusted for age, sex, and religion quantified the association between receipt, quality and usefulness of sex education and self-poisoning. We tested whether the associations differed by sex. Results Roughly 1-in-3 cases and 1-in-5 controls reported having not received sex education. Individuals who did not receive sex education were nearly twice as likely to have self-poisoned than those who did (OR 1.68 (95% CI 1.11-2.55)). Those who reported the sex education they received as not useful were more likely to have self-poisoned compared to those who reported it useful (OR 1.95 (95% CI 1.04-3.65)). We found no evidence of an association between self-poisoning and the self-rated quality of sex education, or that associations differed by participant sex. Conclusion As sex education is potentially modifiable at the population-level, further research should aim to explore this association in more depth, using qualitative methods and validated measurement tools.

scholarly journals Domestic violence, mental health, and repeat self-harm in Sri Lanka

2021 ◽  
Author(s):  
Piumee Bandara ◽  
Andrew Page ◽  
Thilini Rajapakse ◽  
Duleeka Kniipe
Keyword(s):  
Domestic Violence ◽  
Sri Lanka ◽  
Regression Models ◽  
Psychiatric Morbidity ◽  
Middle Income ◽  
Logistic Regression Models ◽  
Clinical Assessments ◽  
Middle Income Countries ◽  
Self Harm ◽  
Age And Sex

Background: Evidence on the risk factors for repeat self-harm from low- and middle-income countries is scarce and requires urgent attention. Aims: We sought to examine psychosocial correlates of repeat self-harm in Kandy, Sri Lanka. Methods: Logistic regression models (adjusting for age and sex) were used to examine associations between study factors and repeat self-harm among adult patients (N=292) admitted for self-poisoning. Results: Depression (OR 2.8 95% CI 1.7-4.7), prior psychiatric diagnosis (OR 4.8 95% CI 2.2-10.2), past-year exposure to suicidal behaviour (OR 1.9 95% 1.1-3.3), physical/sexual abuse (OR 3.0 95% CI 1.3-6.9), and psychological abuse (OR 2.3 95% CI 1.3-4.2) were strongly associated with repeat self-harm. Conclusions: Identification and management of domestic violence and psychiatric morbidity should be part of routine clinical assessments of patients presenting with self-harm.

scholarly journals Clinical characteristics and outcomes of hospitalized patients with SARS-CoV-2 infection in a Latin American country: Results from the ECCOVID multicenter prospective study

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258260
Author(s):  
Ezequiel Cordova ◽  
Analia Mykietiuk ◽  
Omar Sued ◽  
Lautaro De Vedia ◽  
Natalia Pacifico ◽  
...  
Keyword(s):  
Oxygen Saturation ◽  
Latin American ◽  
Regression Models ◽  
Clinical Characteristics ◽  
Supplemental Oxygen ◽  
Old Patients ◽  
Logistic Regression Models ◽  
Multicenter Prospective Study ◽  
Multicenter Prospective Cohort Study ◽  
Multicenter Prospective Cohort

Background Clinical features and outcomes of SARS-CoV-2 infections diverge in different countries. The aim of this study was to describe clinical characteristics and outcomes in a cohort of patients hospitalized with SARS-CoV-2 in Argentina. Methods Multicenter prospective cohort study of ≥18 years-old patients with confirmed SARS-CoV-2 infection consecutively admitted to 19 hospitals in Argentina. Multivariable logistic regression models were used to identify variables associated with 30-day mortality and admission to intensive care unit (ICU). Results A total of 809 patients were analyzed. Median age was 53 years, 56% were males and 71% had at least one comorbidity. The most common comorbidities were hypertension (32%), obesity (23%) and diabetes (17%). Disease severity at admission was classified as mild 25%, moderate 51%, severe 17%, and critical 7%. Almost half of patients (49%) required supplemental oxygen, 18% ICU, and 12% invasive ventilation. Overall, 30-day mortality was 11%. Factors independently associated with ICU admission were male gender (OR 1.81; 95%CI 1.16–2.81), hypertension (OR 3.21; 95%CI 2.08–4.95), obesity (OR 2.38; 95%CI 1.51–3.7), oxygen saturation ≤93% (OR 6.45; 95%CI 4.20–9.92) and lymphopenia (OR 3.21; 95%CI 2.08–4.95). Factors independently associated with 30-day mortality included age ≥60 years-old (OR 2.68; 95% CI 1.63–4.43), oxygen saturation ≤93% (OR 3.19; 95%CI 1.97–5.16) and lymphopenia (OR 2.65; 95%CI 1.64–4.27). Conclusions This cohort validates crucial clinical data on patients hospitalized with SARS-CoV-2 in Argentina.

Abstract #295 Epidemiologic and Clinical Characteristics of Diabetic Foot Ulcers – Report From South West Nigeria

2019 ◽  
Vol 25 ◽  
pp. 121-122
Author(s):  
Olufunmilayo Adeleye ◽  
Ejiofor Ugwu ◽  
Anthonia Ogbera ◽  
Akinola Dada ◽  
Ibrahim Gezawa ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Clinical Characteristics ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
South West

TBE in United Kingdom

2020 ◽  
Keyword(s):  
United Kingdom ◽  
Clinical Disease ◽  
England And Wales ◽  
Probable Case ◽  
The United Kingdom ◽  
South West ◽  
Louping Ill ◽  
The Uk ◽  
North And South ◽  
South West England

Until 2019, TBE was considered only to be an imported disease to the United Kingdom. In that year, evidence became available that the TBEV is likely circulating in the country1,2 and a first “probable case” of TBE originating in the UK was reported.3 In addition to TBEV, louping ill virus (LIV), a member of the TBEV-serocomplex, is also endemic in parts of the UK. Reports of clinical disease caused by LIV in livestock are mainly from Scotland, parts of North and South West England and Wales.4

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