scholarly journals Population-based study and a scoping review for the epidemiology and seasonality in and effect of weather on Bell’s palsy

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Min Hee Kim ◽  
So Young Park
Keyword(s):  
Relative Humidity ◽  
Low Temperature ◽  
Linear Regression ◽  
Atmospheric Pressure ◽  
Meteorological Factors ◽  
Population Based ◽  
Population Based Study ◽  
Seasonal Incidence ◽  
The Past ◽  
Monthly Incidence

AbstractThe association between weather-related variables or seasons and the development of Bell’s palsy (BP) is controversial. This study aimed to evaluate the incidence and clinical characteristics of BP and assess the effects of meteorological factors on seasonal and monthly incidence. This retrospective population-based study used data from the Korean Health Insurance claims database (NHICD) from 2010 to 2018, in which annual, seasonal, and monthly incidence rates and age and sex distributions were calculated. A multivariate linear regression and autoregressive integrated moving average (ARIMA) model was used to determine the association between the seasonal and monthly incidence of BP and meteorological factors, including average wind speed, temperature, relative humidity, and atmospheric pressure. We also conducted a scoping review of the literature on epidemiological and seasonality studies of BP in the past 30 years and summarized them in a table for easy comparison with other studies. In this study, the incidence rate of BP increased over 9 years (from 12.86 to 19.92 per 100,000 persons) and was the highest in patients in their 60s (31.6/100,000 persons). The seasonal incidence of BP was the highest in autumn and showed a significant difference compared with spring (coefficient − 0.318, p = 0.003) and summer (coefficient − 0.463, p < 0.001), adjusting the year. In the ARIMA analysis, the autocorrelation of the monthly and seasonal lag in the raw data disappeared after adjustment of the seasonal (or monthly) and longitudinal changes, indicating no additional trends outside the seasonal (or monthly) longitudinal changes. The seasonal and monthly incidence of BP was related to low temperature (p = 0.002), high atmospheric pressure (p = 0.034), and low relative humidity (p < 0.001) in the multivariate linear regression. In contrast, in the ARIMA analysis, after adjusting for seasonality, month, and trends, there were no significant meteorological factors associated with the monthly or seasonal incidence rate. In the past 30 years, 12 studies have reported on the prevalence or incidence of BP, and 14 have reported on the relationship between seasons, weather, and incidence. These results indicate that BP is more common among the elderly, and the incidence of BP is increasing due to an aging society, increased medical accessibility, and lifestyle changes. The data also indicate that the onset of BP is associated with low temperature and humidity; however, in the climate zone with extreme temperature and humidity differences between the coldest and hottest months, it is assumed that the marked decrease in temperature (autumn) has more influence on the outbreak of BP than does the actual cold temperature (winter).

Epidemiology and Seasonal Variation of Ménière’s Disease: Data from a Population-Based Study

2020 ◽  
Vol 25 (4) ◽  
pp. 224-230
Author(s):  
Min Hee Kim ◽  
Chunhoo Cheon
Keyword(s):  
Seasonal Variation ◽  
Incidence Rate ◽  
Atmospheric Pressure ◽  
Population Based ◽  
Meniere’S Disease ◽  
Ménière’S Disease ◽  
Age Group ◽  
Population Based Study ◽  
Seasonal Incidence ◽  
Ménière's Disease

Introduction: Ménière’s disease (MD) is a disease of the inner ear. In Asian countries, there is one previous epidemiologic study that used a retrospective survey of a specific district. Previous studies have demonstrated that weather variables are strongly associated with symptom aggravation in MD. However, no study has reported on seasonal variation of MD. Methods: We conducted a retrospective population-based study using the Korean national health insurance claims database (NHICD). In the present study, the prevalence and incidence of MD from 2013 to 2017 were calculated. Prevalence and incidence of MD according to sex, age group, and monthly incidence are presented. Seasonal incidence was calculated for four seasons. The seasonal average humidity and atmospheric pressure were also calculated. Results: The incidence rate of MD showed a rapid yearly increase from 2013 to 2017 in Korea. The prevalence and incidence rate by age group continued to increase up to the 70 year olds. The female-to-male ratio was 2.17. The seasonal incidence of MD was relatively high in summer and autumn and relatively low in winter and spring; however, there were no significant differences. Discussion/Conclusions: The rapid progression to an aging society, increase in medical accessibility, and lifestyle changes could be the reasons for the elevation of the incidence rate in the Korean population. Consistent with a previous study, the incidence of MD was higher in seasons with high humidity and low atmospheric pressure; however, there were no significant differences. Further studies about the relationship between diet and MD, seasonality of MD with long-term analysis, and investigating the underlying mechanisms connecting weather and MD are needed.

scholarly journals Yearly Trends In The Prevalence of Ocular Traumas And The Effects of Covid-19: A Nationwide Population-Based Study of Korean Data

2021 ◽  
Author(s):  
Woong-Joo Whang ◽  
Jin-woo Kwon
Keyword(s):  
Ocular Trauma ◽  
Age Groups ◽  
Population Based ◽  
School Closures ◽  
Population Based Study ◽  
Blowout Fracture ◽  
The Past ◽  
Open Globe ◽  
The Republic ◽  
Open Globe Injuries

Abstract We identify the yearly trends in the prevalence of various ocular traumas in the Republic of Korea, and the effects of Covid-19. We recorded the yearly numbers of patients diagnosed with hyphema and those who underwent open reduction surgery because of orbital blowout fracture (BOF), primary closure of the cornea or sclera (PCCS), or intraocular foreign body (IOFB) removal. The incidence of closed globe injuries has decreased significantly over the past 10 years, while that of open globe injuries has not. The patients aged ≥ 60 years showed a significant increase in BOF surgery. Regarding the trend in PCCS, while other age groups showed significant decreases, the population aged ≥ 60 years did not. In addition, the population aged ≥ 60 years showed a significant increase in the incidence of IOFB. When the 2020 data were compared with those of 2019, hyphema evidenced the largest decrease (27.02%), especially in those aged < 20 years (54.33%). In terms of both BOF and IOFB, those aged < 20 years showed the largest decreases (28.85% and 47.93% respectively). In the Covid-19 era, ocular trauma fell markedly in those aged < 20 years, perhaps because of school closures and reductions in outdoor activities.

scholarly journals Status of vitamins A and E in schoolchildren in the centre west of Tunisia: a population-based study

2010 ◽  
Vol 14 (2) ◽  
pp. 255-260 ◽  
Author(s):  
Samira Fares ◽  
Mohamed K Chahed ◽  
Moncef Feki ◽  
Chiraz Beji ◽  
Pierre Traissac ◽  
...  
Keyword(s):  
First Grade ◽  
Population Based ◽  
Urban Region ◽  
Nutrition And Health ◽  
Cross Sectional ◽  
Population Based Study ◽  
The Past ◽  
Children's Nutrition ◽  
The Status ◽  
Main Determinants

AbstractObjectiveThe present study was undertaken to assess the status of vitamins A and E (VA and VE, respectively) and their main determinants in Tunisian children.DesignCross-sectional population-based study.SettingKasserine Governorate in the centre west of Tunisia.SubjectsA total of 7407 children attending the first grade of elementary school were included. VA and VE were assessed by HPLC.ResultsThe prevalence of moderate VA deficiency (VAD; <0·70 μmol/l) was 2·3 % and VE deficiency (VED; <6·97 μmol/l) was 5·4 %. Low status in VA (0·70–1·05 μmol/l) and VE (6·97–11·61 μmol/l) was observed in 17 % and 20·2 % of children, respectively. No child exhibited severe VA or VE deficiency (<0·35 and <2·32 μmol/l, respectively). The main predictors of VAD were advanced age (OR = 1·65; 95 % CI 1·13, 2·41;P= 0·05) and sickness within the past 2 weeks (OR = 1·51; 95 % CI 1·09, 2·09;P= 0·01). Predictors of VED were living in the peri-urban region (OR = 1·60; 95 % CI 1·28, 2·01;P< 0·001) and sickness within the past 2 weeks (OR = 0·75; 95 % CI 0·60, 0·94;P= 0·01).ConclusionsModerate VAD and VED were uncommon in Tunisian children. However, low status in VA and/or VE remains frequent. A reinforcement of the national strategies for children's nutrition and health is needed, particularly in disadvantaged regions. Supplementation of VA and VE is not necessary in Tunisia, but food fortification may be beneficial.

Prevalence of Trigeminal Autonomic Symptoms in Migraine: A Population-Based Study

Cephalalgia ◽  
2007 ◽  
Vol 27 (6) ◽  
pp. 504-509 ◽  
Author(s):  
M Obermann ◽  
M-S Yoon ◽  
P Dommes ◽  
J Kuznetsova ◽  
M Maschke ◽  
...  
Keyword(s):  
Epidemiological Data ◽  
Population Based ◽  
Population Based Study ◽  
Autonomic Symptoms ◽  
Head Pain ◽  
The Past ◽  
Standard Questionnaire ◽  
The City

Epidemiological data on trigeminal unilateral autonomic symptoms in patients with migraine are scarce. The authors wanted to provide a population-based evaluation of the prevalence of unilateral autonomic features in migraine patients and an assessment of the expression of unilaterality of autonomic symptoms and head pain in patients with UAs compared to other migraine patients. A population based sample of 6000 inhabitants of the city of Essen in Germany was screened using a previously validated standard questionnaire. Three thousand three hundred and sixty subjects (56% of a total 6000) responded. 841 subjects had migraine, out of which 226 reported accompanying unilatral auetonomic symptoms (26.9%, CI 95% [23.9-30%]). Unilateral autonomic symptoms in patients with migraine are common and have been widely underestimated in the past. One out of four migraine patients regularly experiences one or more unilateral autonomic symptoms during their attack. Migraine patients with accompanying autonomic symptoms seem to experience their pain more unilateral and more severe than non-UA patients.

scholarly journals COVID-19 in Cancer Patients, Risk Factors for Disease and Adverse Outcome, a Population-Based Study From Norway

2021 ◽  
Vol 11 ◽  
Author(s):  
Tom Børge Johannesen ◽  
Sigbjørn Smeland ◽  
Stein Aaserud ◽  
Eirik Alnes Buanes ◽  
Anna Skog ◽  
...  
Keyword(s):  
Intensive Care ◽  
Cancer Patients ◽  
Adverse Outcome ◽  
Population Based ◽  
Treatment Modalities ◽  
Major Surgery ◽  
Prescription Database ◽  
Population Based Study ◽  
The Past ◽  
Increased Risk

BackgroundCancer has been suggested as a risk factor for severe outcome of SARS-CoV-2 infection. In this population-based study we aimed to identify factors associated with higher risk of COVID-19 and adverse outcome.MethodsData on all confirmed SARS-CoV-2 positive patients in the period January 1 to May 31, 2020 were extracted from the Norwegian Surveillance System for Communicable Diseases. Data on cancer and treatment was available from the Cancer Registry of Norway, the Norwegian Patient Registry and the Norwegian Prescription Database. Deaths due to COVID-19 were extracted from the Cause of Death Registry. From the Norwegian Intensive Care and Pandemic Registry we retrieved data on admittance to hospital and intensive care. We determined rates of COVID-19 disease in cancer patients and the rest of the population. We also ran multivariate analyses adjusting for age and gender.ResultsA total of 8 410 patients were diagnosed with SARS-CoV-2 infection in Norway during the study period, of which 547 (6.5%) were cancer patients. Overall, we found similar age adjusted rates of COVID-19 in the population with cancer as in the population without cancer. Unadjusted analysis showed that patients having undergone major surgery within the past 3 months had an increased risk of COVID-19 while we did not find increased Odds Ratio (OR) related to other oncological treatment modalities. No patients treated with stem cell or bone marrow transplant were diagnosed with COVID-19. The fatality rate of COVID-19 among cancer patients was 0.10. This was similar to non-cancer patients, when adjusting for age and sex with OR (95% CI) for death= 0.99 (0.68–1.42). Patients with distant metastases had significantly increased OR of death due to COVID-19 disease of 9.31 (95% CI 2.60–33.34). For the combined outcome death and/or admittance to hospital due to COVID-19, we found significant two-fold increased risk estimates for patients diagnosed with cancer less than one 1 year ago (OR 2.08, 95% CI 1.14–3.80), for those treated with anti-cancer drugs during the past 3 months (OR 1.80, 95% CI 1.07–3.01) and for patients undergoing major surgery during the past 3 months (OR 2.19, 95% CI 1.40–3.44).

scholarly journals Impact of a Publicly Funded Herpes Zoster Immunization Program on the Burden of Disease in Ontario, Canada: A Population-based Study

2020 ◽  
Author(s):  
Diana Martins ◽  
Daniel McCormack ◽  
Mina Tadrous ◽  
Tara Gomes ◽  
Jeffrey C Kwong ◽  
...  
Keyword(s):  
Herpes Zoster ◽  
Service Use ◽  
Moving Average ◽  
Population Based ◽  
Publicly Funded ◽  
Immunization Program ◽  
Population Based Study ◽  
Ed Visits ◽  
The Impact ◽  
Monthly Incidence

Abstract Background In September 2009, a live attenuated herpes zoster vaccine (ZVL) became available in Canada. Beginning in September 2016, ZVL was made available to all Ontario residents aged 65–70 through a publicly funded immunization program. We assessed the impact of ZVL availability and its subsequent public funding on herpes zoster burden in this population. Methods A population-based study of Ontario residents aged 65–70 between January 2005 and September 2018. We used interventional autoregressive integrated moving average models to examine the impact of ZVL market availability and the publicly funded ZVL program on monthly incidence rate of medically attended herpes zoster, defined as an outpatient visit for herpes zoster with a prescription for a herpes zoster antiviral dispensed ≤5 days before or after the visit, or a herpes zoster–related emergency department (ED) visit or hospitalization. In secondary analyses, we examined impacts on any herpes zoster–related ED visits and hospitalizations. Results We found no association between ZVL market availability and monthly incidence of herpes zoster (P = .32) or monthly rates of ED visits and hospitalizations (P = .88). Conversely, the introduction of publicly funded ZVL reduced the monthly rate of medically attended herpes zoster by 19.1% (from 4.8 to 3.8 per 10 000 population; P &lt; .01) and herpes zoster–related ED visits and hospitalizations by 38.2% (from 1.7 to 1.0 per 10 000 population; P &lt; .05). Conclusions The introduction of a publicly funded immunization program for herpes zoster was associated with reduced disease burden and related acute healthcare service use.

scholarly journals Are depressive symptoms associated with quality of care in diabetes? Findings from a nationwide population-based study

2021 ◽  
Vol 9 (1) ◽  
pp. e001804
Author(s):  
Andreas Jung ◽  
Yong Du ◽  
Julia Nübel ◽  
Markus A Busch ◽  
Christin Heidemann ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Sex Education ◽  
Population Based ◽  
National Health Survey ◽  
Future Research ◽  
Population Based Study ◽  
Logistic Regression Models ◽  
The Past ◽  
Diagnosed Diabetes

IntroductionWe investigated whether the presence of depressive symptoms among adults with diagnosed diabetes is associated with adverse quality of diabetes care.Research design and methodsThe study population was drawn from the German national health survey ‘German Health Update’ 2014/2015-European Health Interview Survey and included 1712 participants aged ≥18 years with self-reported diabetes during the past 12 months. Depressive symptoms in the past 2 weeks were assessed by the eight-item depression module of the Patient Health Questionnaire (PHQ-8), with PHQ-8 sum score values ≥10 indicating current depressive symptoms. We selected 12 care indicators in diabetes based on self-reported information on care processes and outcomes. Associations of depressive symptoms with those indicators were examined in multivariable logistic regression models with stepwise adjustments.ResultsOverall, 15.6% of adults with diagnosed diabetes reported depressive symptoms, which were higher in women than in men (18.7% vs 12.9%). Adjusted for age, sex, education, social support, health-related behaviors, and diabetes duration, adults with depressive symptoms were more likely to report acute hypoglycemia (OR 1.81, 95% CI 1.13 to 2.88) or hyperglycemia (OR 2.10, 95% CI 1.30 to 3.37) in the past 12 months, long-term diabetes complications (OR 2.30, 95% CI 1.55 to 3.39) as well as currently having a diet plan (OR 2.14, 95% CI 1.39 to 3.29) than adults without depressive symptoms. Significant associations between depressive symptoms and other care indicators were not observed.ConclusionsThe present population-based study of adults with diagnosed diabetes indicates an association between depressive symptoms and adverse diabetes-specific care with respect to outcome but largely not to process indicators. Our findings underline the need for intensified care for persons with diabetes and depressive symptoms. Future research needs to identify underlying mechanisms with a focus on the inter-relationship between diabetes, depression and diabetes-related distress.

Sick Leave is Related to Frequencies of Migraine and Non-Migrainous Headache—The HUNT Study

Cephalalgia ◽  
2006 ◽  
Vol 26 (8) ◽  
pp. 960-967 ◽  
Author(s):  
I Fiane ◽  
ME Haugland ◽  
LJ Stovner ◽  
J-A Zwart ◽  
G Bovim ◽  
...  
Keyword(s):  
Sick Leave ◽  
Multivariate Analyses ◽  
Population Based ◽  
Work Situation ◽  
Cross Sectional ◽  
Population Based Study ◽  
Economic Implications ◽  
The Past ◽  
Hunt Study ◽  
Migrainous Headache

The aim of this large, cross-sectional, population-based study was to examine the association between sick leave and headache. Between 1995 and 1997, all 92 566 adults in Nord-Tr⊘ndelag County in Norway were invited to participate in a health survey. Out of 73 327 invited individuals <67 years old, a total of 38 192 (52±) responded to questions about headache, work situation and sick leave during the past year. Associations between sick leave, headache and migraine included were assessed in multivariate analyses, estimating prevalence odds ratios (ORs) with 95± confidence intervals (CIs). There was an increasing prevalence of sick leave with increasing frequency of migraine and non-migrainous headache. The prevalence of sick leave >8 weeks during the past year was more than three times higher among individuals with headache >14 days per month (20±) compared with those without headache (6±). The results may indicate that better treatment of individuals with chronic headache may have beneficial economic implications.

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