The prevalence and determinant factors of high-risk behaviours among medical students in North-West of Iran

2022 ◽  
pp. 1-11
Author(s):  
Amir Sadighpour ◽  
Neda Dolatkhah ◽  
Shokoufeh Khanzadeh ◽  
Maryam Baradaran Binazir ◽  
Fariba Heidari
Keyword(s):  
Medical Students ◽  
High Risk ◽  
Risk Behaviours ◽  
North West ◽  
Determinant Factors

scholarly journals FRI0649-HPR HYDROXYCHLOROQUINE PRESCRIBING AND OPHTHALMOLOGY SCREENING WITHIN RHEUMATOLOGY DEPARTMENTS IN THE NORTH-WEST OF THE UNITED KINGDOM: A PROSPECTIVE REGIONAL AUDIT

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 928.2-929
Author(s):  
S. Juman ◽  
T. David ◽  
L. Gray ◽  
R. Hamad ◽  
S. Horton ◽  
...  
Keyword(s):  
High Risk ◽  
Risk Group ◽  
Service Level ◽  
High Risk Group ◽  
North West ◽  
The North ◽  
The United Kingdom ◽  
The Uk ◽  
Treatment Dosage ◽  
Sd Oct

Background:Hydroxychloroquine (HCQ) is widely used in the management of rheumatoid arthritis and connective tissue disease. The prevalence of retinopathy in patients taking long-term HCQ is approximately 7.5%, increasing to 20-50% after 20 years of therapy. Hydroxychloroquine prescribed at ≤5 mg/kg poses a toxicity risk of <1% up to five years and <2% up to ten years, but increases sharply to almost 20% after 20 years. Risk factors for retinopathy include doses >5mg/kg/day, concomitant tamoxifen or chloroquine use and renal impairment. The UK Royal College of Ophthalmologists (RCOphth) 2018 guidelines for HCQ screening recommend optimal treatment dosage and timing for both baseline and follow-up ophthalmology review for patients on HCQ, with the aim of preventing iatrogenic visual loss. This is similar to recommendations made by the American Academy of Ophthalmology (2016).Objectives:To determine adherence to the RCOphth guidelines for HCQ screening within the Rheumatology departments in the North-West of the UK.Methods:Data for patients established on HCQ and those initiated on HCQ therapy were collected over a 7 week period from 9 Rheumatology departments.Results:473 patients were included of which 56 (12%) were new starters and 417 (88%) were already established on HCQ. 79% of the patients were female, with median ages of 60.5 and 57 years for new and established patients respectively. The median (IQR) weight for new starters was 71 (27.9) kg and for established patients, 74 (24.7) kg.20% of new starters exceeded 5mg/kg daily HCQ dose. 16% were identified as high risk (9% had previously taken chloroquine, 5% had an eGFR <60ml/min/m2and 2% had retinal co-pathology). Of the high-risk group, 44% were taking <5mg/kg. In total, 36% of new starters were referred for a formal baseline Ophthalmology review.In the established patients, 74% were taking ≤5mg/kg/day HCQ dose and 16% were categorized as high risk (10% had an eGFR less than 60ml/min/m2, 3% had previous chloroquine or tamoxifen use and 2% had retinal co-pathology). In the high-risk group, 75% were not referred for spectral domain optical coherence tomography (SD-OCT). 41% of patients established on HCQ for <5 years, and 33% of patients on HCQ for >5 years were not referred for SD-OCT. Reasons for not referring included; awaiting 5 year review, previous screening already performed and optician review advised.Since the introduction of the RCOphth guidelines, 29% patients already established on HCQ had an alteration in the dosage of HCQ in accordance with the guidelines. In the high-risk group, 16% were not on the recommended HCQ dose.Conclusion:This audit demonstrates inconsistencies in adherence to the RCOphth guidelines for HCQ prescribing and ophthalmology screening within Rheumatology departments in the North-West of the UK for both new starters and established patients. Plans to improve this include wider dissemination of the guidelines to Rheumatology departments and strict service level agreements with ophthalmology teams to help optimize HCQ prescribing and screening for retinopathy.Acknowledgments:Drs. S Jones, E MacPhie, A Madan, L Coates & Prof L Teh. Co-1st author, T David.Disclosure of Interests:None declared

scholarly journals ANALYSIS OF DETERMINANT FACTORS OF AFFECTING FAMILY ABILITY IN HIGH-RISK PREGNANCY

2021 ◽  
Vol 10 (1) ◽  
pp. 141-148
Author(s):  
Ika Mardiyanti ◽  
Yasi Anggasari
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Simple Random Sampling ◽  
Early Response ◽  
Significance Test ◽  
Questionnaire Data ◽  
Personal Factors ◽  
Cross Sectional ◽  
Determinant Factors ◽  
Risk Pregnancy

Background: The ability of pregnant women to deal with early response to high risks is still below the average, which is one of the causes of complications that can indicate the welfare of the mother and her fetus. Objectives: The aim of this study was to look at the determinants that influence early detection of high-risk pregnancies. Methods: This study used an analytic design with a cross sectional design. The sample size of 112 from a population of 155 was obtained by simple random sampling. The independent variables are individual factors, interpersonal influence, filial value and commitment, while the dependent variable is the family's ability to detect high risk of pregnancy for 3 months, namely August-October 2020 at PMB Ika Mardiyanti. This study uses a questionnaire. Data collection in the form of a questionnaire. Data analysis using SEM-PLS. Results: The results of the significance test concluded that all the path coefficients and the T statistical value of personal factors on interpersonal (0.453; 6.612), interpersonal on filial values ​​(0.753; 7.267), filial value for commitment (0.851; 17.048), filial value for ability (0.667 ; 4,679), commitment to ability (0.358; 2.356) is significant. Because all have a T-statistic value that is more than the T-table 1.96. Conclusion: The determinant factors that contribute to the ability of families to detect high risk of pregnancy need to be considered so that families are independent and have efforts to maintain the health of pregnant women in their families. In further research, it is necessary to involve other factors to improve family capacity, especially in the ability of families to detect high-risk pregnancies early.   Keywords: Ability, family, high-risk.

scholarly journals Hepatitis B Awareness Among Medical Students And Their Vaccination Status In A Medical College In Western UP.

2019 ◽  
pp. 57-59
Author(s):  
Rajni Dawar ◽  
Tabassum Yasmin ◽  
Ajay Kumar Jha
Keyword(s):  
Medical Students ◽  
High Risk ◽  
Data Collection ◽  
Hepatitis B ◽  
Health Care Professionals ◽  
Hepatitis B Surface Antigen ◽  
Vaccination Status ◽  
Hepatitis B Vaccination ◽  
Universal Precautions ◽  
Medical College

Background: India is in the intermediate hepatitis B virus endemicity zone with hepatitis B surface antigen prevalence among the general population ranging from 2% to 8%.Health care professionals are at a high risk of getting .Hep B infection which can be prevented by strategies like vaccination, increasing awareness and following universal precautions. The present study was conducted on medical students (3rd Semester) to evaluate their knowledge regarding HBV and to know their vaccination status. Also along with data collection, students were educated about hepatitis B vaccine and about universal precautions before they start with their clinical postings. Methods: Cross sectional study was carried out on 3rd semester MBBS students (batch 2012-2013). All the students present on the day of data collection were included in the study and interviewed using pretested questionnaire. Data was analyzed using percentages. Results: Most of the students had good knowledge about disease and modes of transmission & prevention. Surprisingly only 56.6 percent were aware of high risk of transmission to health professional and doctors. Main source of information was media (85.4percent).Nearly 82% of the students were immunized and main reason among those unimmunized was unawareness about vaccine availability. Conclusions: It is recommended that Hepatitis B vaccination should be made available for all unimmunized students who enter medical profession. The orientation and sensitization programm should be held to create awareness regarding HBV infection preferably at the time of admission into medical college ,else no later than start of their clinical posting.

scholarly journals Anatomy of Corona Mortis: A High Risk Yet Rare Lesson for Medical Students

2021 ◽  
Vol 35 (S1) ◽  
Author(s):  
Varna Taranikanti ◽  
Majd Faraj ◽  
Josh France
Keyword(s):  
Medical Students ◽  
High Risk ◽  
Corona Mortis

Application of latent class analysis in assessing the mental health of medical students during the COVID-19 Epidemic (Preprint)

2020 ◽  
Author(s):  
Fei Wang
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
High Risk ◽  
Latent Class Analysis ◽  
Latent Class ◽  
Risk Group ◽  
Multinomial Logistic Regression ◽  
High Risk Group ◽  
Class Analysis ◽  
Related Factors

BACKGROUND The novel coronavirus disease 2019 (COVID-19) is a global public health emergency that has caused worldwide concern. The mental health of medical students under the COVID-19 epidemic has attracted much attention. OBJECTIVE This study aims to identify subgroups of medical students based on mental health status and explore the influencing factors during the COVID-19 epidemic in China. METHODS A total of 29,663 medical students were recruited during the epidemic of COVID-19 in China. Latent class analysis of the mental health of medical students was performed using M-plus software to identify subtypes of medical students. The latent class subtypes were compared using the chi-square test. Multinomial logistic regression was used to examine associations between identified classes and related factors. RESULTS In this study, three distinct subgroups were identified, namely, the high-risk group, the low-risk group and the normal group. Therefore, medical students can be divided into three latent classes, and the number of students in each class is 4325, 9321 and 16,017. The multinomial logistic regression results showed that compared with the normal group, the factors influencing mental health in the high-risk group were insomnia, perceived stress, family psychiatric disorders, fear of being infected, drinking, individual psychiatric disorders, sex, educational level and knowledge of COVID-19, according to the intensity of influence from high to low. CONCLUSIONS Our findings suggested that latent class analysis can be used to categorize different medical students according to their mental health subgroup during the outbreak of COVID-19. The main factors influencing the high-risk group and low-risk group are basic demographic characteristics, disease history, COVID-19 related factors and behavioral lifestyle, among which insomnia and perceived stress have the greatest impact. School administrative departments could utilize more specific measures on the basis of different subgroups, and provide targeted measures.

HPV infection and high - risk behaviours among men who have sex with men in the two biggest cities of Vietnam

2021 ◽  
Vol 30 (9) ◽  
pp. 34-41
Author(s):  
Le Anh Tuan ◽  
Tran Hoang My Lien ◽  
Bui Dieu Thuy Linh Anna ◽  
Hoang Tuan Anh ◽  
Nguyen Thi Thuy Duong ◽  
...  
Keyword(s):  
High Risk ◽  
Hpv Infection ◽  
Cross Sectional Study ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
Medical Interventions ◽  
Hpv Status ◽  
High Risk Type ◽  
Sex With Men ◽  
Group Sex

The objective of a cross sectional study is to describe the situation of human papillomavirus (HPV) infection and risk behaviours among 800 men who have sex with men (MSM) in Hanoi and Ho Chi Minh City (HCMC) from December 2017 to May 2018 using respondent - driven sampling method (RDS). The results showed that the prevalence of any type of HPV infection was 29.8% (33% in HCMC, 26.5% in Hanoi) and the prevalence of any high - risk type of HPV infection was 24.0% (29.0% in HCMC, 19.0% in Hanoi). The risk behaviours to HPV among MSM in both cities included: Alcohol use (69.9%), smoking (30.7%), drug use (8.5%), having frst sexual intercourse under 18 years old (31.8%), having group sex (10.5%), having sex with both men and women (21.7%). The factors which had statistically signifcant differences with HPV status in MSM group included: City, age group, and marital status. These results showed that there is a need for medical interventions for MSM to improve individual health as well as to minimize the transmission of HPV in this population.

HIV High-Risk Behaviours in Prison Questionnaire

2008 ◽  
Author(s):  
Babak Eshrati ◽  
Rahim Taghizadeh Asl ◽  
Colleen Anne Dell ◽  
Parviz Afshar ◽  
Peggy Margaret E . Millson ◽  
...  
Keyword(s):  
High Risk ◽  
Risk Behaviours
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