A-48 Athletes that self-report no physical activity/rest are more likely to exhibit clinical levels of state anxiety following concussion

Abstract Objective To investigate the influence of self-reported physical activity (PA) on state anxiety in athletes with concussion Method Participants were 230 athletes (mean age = 16.46, SD = 1.94; 43% female) seeking care for a concussion at a specialty clinic within 30 days of injury (M = 8.83, SD = 6.12 days). Demographic data were collected during the clinical interview: age, sex, and history of concussion, migraine, learning disability, attention deficit hyperactivity disorder, anxiety, and depression. Patients completed the State-Trait Anxiety Inventory (STAI) and self-reported current levels of PA; 113 participants reported rest or no physical activity (REST) and 117 reported at least minimal PA (ACTIVE). The groups were compared on demographic variables to ensure group equivalence. Independent samples t-test examined differences between groups on state anxiety scores and a chi-square with odds ratios (ORs) examined the relationship between PA groups and clinical levels of state anxiety (STAI > 40). Statistical significance for all analyses was (p < .05). Results The groups were similar on all demographic variables (p > .05). The NO PA/REST group exhibited significantly higher state anxiety scores at first clinic visit than the PA group (t (228) = 2.82, p = .005), and the NO PA/REST group was 2.26 times more likely to exhibit clinical levels of state anxiety than the PA group at first clinic visit (χ2 (1, N = 230) = 9.16, p = .002). Conclusions Anxiety that is secondary to concussive injury could be mitigated with physical activity. Healthcare providers should encourage individuals with concussion to engage in physical activity during recovery.

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Sex differences in self-report anxiety and sleep quality during COVID-19 stay-at-home orders

Biology of Sex Differences ◽

10.1186/s13293-020-00333-4 ◽

2020 ◽

Vol 11 (1) ◽

Author(s):

Jeremy A. Bigalke ◽

Ian M. Greenlund ◽

Jason R. Carter

Keyword(s):

Sex Differences ◽

Sleep Quality ◽

State Anxiety ◽

Severity Index ◽

Self Report ◽

Analysis Of Covariance ◽

Chi Square ◽

Perceived Impact ◽

The Impact ◽

At Home

Abstract Background COVID-19 and home isolation has impacted quality of life, but the perceived impact on anxiety and sleep remains equivocal. The purpose of this study was to assess the impact of COVID-19 and stay-at-home orders on self-report anxiety and sleep quality, with a focus on sex differences. We hypothesized that the COVID-19 pandemic would be associated with increased anxiety and decreased sleep quality, with stronger associations in women. Methods One hundred three participants (61 female, 38 ± 1 years) reported perceived changes in anxiety and sleep quality due to stay-at-home orders during the COVID-19 pandemic and were administered the Spielberger State-Trait Anxiety Inventory (STAI), Pittsburgh Sleep Quality Index (PSQI), and Insomnia Severity Index (ISI). Chi-square and T test analyses were utilized to assess sex differences in reported anxiety and sleep. Analysis of covariance was used to compare the associations between reported impact of COVID-19 and anxiety/sleep parameters. Results Women (80.3%) reported higher prevalence of increased general anxiety due to COVID-19 when compared to men (50%; p = 0.001) and elevated STAI state anxiety compared to men (43 ± 1 vs. 38 ± 1 a.u., p = 0.007). Despite these differences in anxiety, the perceived impact of COVID-19 on PSQI was not different between sexes. However, when stratified by perceived changes in anxiety due to COVID-19, participants with higher anxiety responses to COVID-19 had higher ISI compared to those with no perceived changes in anxiety (9 ± 1 vs. 5 ± 1 a.u., p = 0.003). Additionally, participants who reported reduced sleep quality due to COVID-19 reported higher state anxiety (45 ± 1 a.u.) compared to those that perceived no change (36 ± 2 a.u., p = 0.002) or increased (36 ± 2 a.u., p < 0.001) sleep quality. Conclusion COVID-19 and state-ordered home isolation was associated with higher anxiety and reduced sleep quality, with a stronger association in women with respect to anxiety.

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Relationship of the Self-perception of Lifestyle with Level of Physical Activity in People with and without Type 2 Diabetes

International Journal of TROPICAL DISEASE & Health ◽

10.9734/ijtdh/2019/v38i330186 ◽

2019 ◽

pp. 1-7

Author(s):

Briseida Mayel Perez-Avelino ◽

Nicolás Padilla-Raygoza ◽

Verónica Benitez-Guerrero ◽

María Luisa Sánchez Padilla ◽

Vicente Beltrán-Campos ◽

...

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

Statistical Significance ◽

Self Perception ◽

Chi Square ◽

Cross Sectional ◽

Lifestyle Questionnaire ◽

Chi Square Test ◽

Relationship Of

Objective: To determine the relationship of the perception of lifestyle with the level of physical activity in people with type 2 diabetes and without type 2 diabetes. Study Design: Analytical cross-sectional observational study in Celaya, Guanajuato, Mexico. Methodology: Sample composed of 100 people with type 2 diabetes and 100 people without type 2 diabetes, the lifestyle questionnaire and IPAQ questionnaire were used. Descriptive statistics were calculated for sociodemographic variables; it was calculated Chi-square test and Odds Ratio. To demonstrate the statistical significance of results, the value of P was set at .05. Statistical analysis was performed in STATA 13.0 ®. Results: In patients with Type 2 Diabetes predominated females, married, who never went school and elementary and BMI ≥ 25 kg/m2; among patients without Type 2 Diabetes, predominant males, singles, went school or university, BMI ≥25 kg/m2; no relationship was found between lifestyle perception and level of physical activity in adults with type 2 diabetes (X² = 0.0022 gl 1 P = .96) neither it was found a significant relationship between lifestyle perception and level of physical activity in adults without type 2 diabetes (X² = 5.23 gl 1 P = .02 RM = 2.85 95% CI = 0.80 to 10.4). Conclusion: The results show that self-perception of lifestyle and physical activity is different in people with less age, more schooling, males.

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Comparison of Patient Satisfaction Between Virtual Visits During the COVID-19 Pandemic and In-person Visits Pre-pandemic

Annals of Otology Rhinology & Laryngology ◽

10.1177/0003489420977766 ◽

2020 ◽

pp. 000348942097776

Author(s):

Kyohei Itamura ◽

Dennis M. Tang ◽

Thomas S. Higgins ◽

Franklin L. Rimell ◽

Elisa A. Illing ◽

...

Keyword(s):

Patient Satisfaction ◽

Interpersonal Communication ◽

Healthcare Providers ◽

The United States ◽

Clinic Visit ◽

Chi Square ◽

Level Of Evidence ◽

Virtual Visits ◽

Chi Square Test ◽

Student’S T

Objective: To compare the patient experience of a virtual otolaryngology clinic visit to an in-person visit, especially with its significantly increased implementation during the COVID-19 pandemic. Methods: Patient satisfaction (PS) metrics from the Clinician and Group Consumer Assessment of Healthcare Providers and Systems survey were queried from March 1, 2020 to May 1, 2020 for telehealth visits and January 1, 2020 to March 1, 2020 for in-person visits. Overlapping and comparable questions were analyzed using Mann-Whitney U test, Chi-square test for independence, and Student’s t-test. Results: There were 1284 partial or complete PS surveys from in-person visits and 221 partial or complete virtual PS surveys. There were statistically significantly worse virtual visit evaluations of provider listening, conveyance of information, likelihood to recommend, and overall provider ratings compared to in-person visits. Conclusion: Telehealth has become the new norm for most healthcare providers in the United States. This study demonstrates some of the initial shortcomings of telehealth in an otolaryngology practice and identifies challenges with interpersonal communication that may need to be addressed as telehealth becomes increasingly prevalent. Level of Evidence: Three.

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Prevalence of ADHD in Accident Victims: Results of the PRADA Study

Journal of Clinical Medicine ◽

10.3390/jcm8101643 ◽

2019 ◽

Vol 8 (10) ◽

pp. 1643 ◽

Cited By ~ 4

Author(s):

Kittel-Schneider ◽

Wolff ◽

Queiser ◽

Wessendorf ◽

Meier ◽

...

Keyword(s):

General Population ◽

Incidence Rate ◽

Adult Adhd ◽

Demographic Data ◽

Trauma Surgery ◽

Self Report ◽

Stimulant Treatment ◽

Surgery Patient ◽

Increased Risk ◽

History Of

Background: Recent research has shown an increased risk of accidents and injuries in ADHD patients, which could potentially be reduced by stimulant treatment. Therefore, the first aim of our study was to evaluate the prevalence of adult ADHD in a trauma surgery population. The second aim was to investigate accident mechanisms and circumstances which could be specific to ADHD patients, in comparison to the general population. Methods: We screened 905 accident victims for ADHD using the ASRS 18-item self-report questionnaire. The basic demographic data and circumstances of the accidents were also assessed. Results: Prevalence of adult ADHD was found to be 6.18% in our trauma surgery patient sample. ADHD accident victims reported significantly higher rates of distraction, stress and overconfidence in comparison to non-ADHD accident victims. Overconfidence and being in thoughts as causal mechanisms for the accidents remained significantly higher in ADHD patients after correction for multiple comparison. ADHD patients additionally reported a history of multiple accidents. Conclusion: The majority of ADHD patients in our sample had not previously been diagnosed and were therefore not receiving treatment. The results subsequently suggest that general ADHD screening in trauma surgery patients may be useful in preventing further accidents in ADHD patients. Furthermore, psychoeducation regarding specific causal accident mechanisms could be implemented in ADHD therapy to decrease accident incidence rate.

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A-41 Exploring the Influence of Referral Source on State Anxiety Levels of Concussed Patients

Archives of Clinical Neuropsychology ◽

10.1093/arclin/acaa036.41 ◽

2020 ◽

Vol 35 (5) ◽

pp. 637-637

Author(s):

K Stephenson ◽

M N Womble ◽

R J Elbin

Keyword(s):

State Anxiety ◽

Statistical Significance ◽

Urgent Care ◽

Athletic Trainer ◽

Referral Source ◽

State Trait Anxiety Inventory ◽

Clinical Visit ◽

History Of ◽

Highly Correlated ◽

The Relationship

Abstract Objective To explore the influence of referral source on state anxiety in concussed athletes. Method One hundred thirty athletes (mean age = 16.46, SD = 1.93 yrs; 42% female) seeking care for a concussion at a specialty clinic within 30 days of injury (M = 8.83, SD = 6.12 days) were enrolled in the study. Demographic (e.g., age, sex, and history of anxiety) and referral source (e.g., emergency department/urgent care, primary care/pediatrician, and athletic trainer) information were collected, and the State-Trait Anxiety Inventory (STAI) was administered to all participants. A one-way analysis of variance (ANOVA) was conducted to compare STAI scores between referral groups, and a logistic regression (LR) was used to assess the relationship between referral sources and patients with and without clinical levels of state anxiety (STAI > 40). Statistical significance for all analyses was (p < .05). Results Approximately 25% (32/130) of patients reported a history of anxiety, and 46% (60/130) scored above clinical cutoffs for clinical anxiety. The referral groups did not differ on STAI scores (F(3, 130) = 1.12, p = .34), and the LR was not significant, (χ2(2, N = 130) = 3.75, p = 0.15). Conclusions History of anxiety was highly correlated with state anxiety at the first clinical visit; however, patients referred from different medical sources did not differ on clinical levels of anxiety at the first clinical visit following concussion.

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A study to assess the knowledge on weaning practice among postnatal mothers

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i3.2519 ◽

2020 ◽

Vol 11 (3) ◽

pp. 3601-3605

Author(s):

Beautily V

Keyword(s):

Demographic Data ◽

Sampling Technique ◽

Demographic Variables ◽

Family Status ◽

Chi Square ◽

Number Of Children ◽

Adequate Knowledge ◽

Significant Difference ◽

Level Of Knowledge ◽

Female Baby

The purpose of the study was to assess the knowledge regarding weaning among the working mothers and to find the association between the level of knowledge regarding weaning among mothers of infant with their selected demographic variables. Descriptive approach will be used to conduct the study. Non experimental descriptive design will be adopted for the study. Study was conducted in selected area at kuthambakkam. The mothers who are having infants and residing in kuthambakkam. The mother who has only one baby, whose age is less than one year, was the study samples. The sample size was 30 mothers of infant. The sampling technique adopted for the study was non probability purposive sampling. Regarding demographic data 25 (83.33%) women are between the age of 24-30 years, most of them are having 1-2 (86.66%) number of children. Family status in that 27 (90%) of the women they are in middle class family and the religious 20(66.66%) of the women they are in Hindu. Out of 30 women in that 21 (70) of the women they are having female baby. Regarding the level of knowledge 22 (73.33%) women’s are having adequate knowledge, 5(16.66%) women’s are having moderate knowledge and then 3(10%) women’s are having inadequate knowledge. The association was done by using chi-square test there is significant association between knowledge with variable education and occupation at p = (0.05) significant levels. There is no significant difference with other demographic variables.

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Ivermectin as Pre-exposure Prophylaxis for COVID-19 among Healthcare Providers in a Selected Tertiary Hospital in Dhaka – An Observational Study

European Journal of Medical and Health Sciences ◽

10.24018/ejmed.2020.2.6.599 ◽

2020 ◽

Vol 2 (6) ◽

Author(s):

Mohammed Tarek Alam ◽

Rubaiul Murshed ◽

Pauline Francisca Gomes ◽

Zafor Md. Masud ◽

Sadia Saber ◽

...

Keyword(s):

Observational Study ◽

Large Scale ◽

Statistical Significance ◽

Healthcare Providers ◽

Tertiary Hospital ◽

Control Group ◽

P Value ◽

Chi Square ◽

Exposure Prophylaxis ◽

Experimental Group

Introduction: While multiple vaccines are undergoing clinical trial across the globe, we yearn for an FDA approved drug to protect us from the devastating pandemic for the time being. This study aims to determine the effectiveness of Ivermectin when administered as pre-exposure prophylaxis for COVID-19. Method: An observational study, with 118 healthcare providers who were enrolled purposively, was conducted in a tertiary hospital in Dhaka from May 2020 to August 2020. The subjects were divided into experimental and control groups; and the experimental group received an oral monthly dose of Ivermectin 12mg for 4 months. Both groups were exposed to COVID-19 positive patients admitted in the hospital during the course of study. The symptomatic subjects were evaluated by physical examination, COVID-19 RT-PCR and/or HRCT of chest. Differences between the variables were determined using the Chi-square test and the level of statistical significance was reached when p<0.05. Result: 73.3% (44 out of 60) subjects in control group were positive for COVID-19, whereas only 6.9% (4 out of 58) of the experimental group were diagnosed with COVID-19 (p-value < 0.05). Conclusion: Ivermectin, an FDA-approved, safe, cheap and widely available drug, should be subjected to large-scale trials all over the world to ascertain its effectiveness as pre-exposure prophylaxis for COVID-19.

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KOMPLIKASI GANGGUAN SISTEM KEMIH PADA PASIEN DIABETES MELITUS

Real in Nursing Journal ◽

10.32883/rnj.v1i3.457 ◽

2018 ◽

Vol 1 (3) ◽

pp. 106

Author(s):

Rahmiwati Rahmiwati

Keyword(s):

Physical Activity ◽

Smoking History ◽

Type Ii ◽

Urinary System ◽

Chi Square ◽

Cross Sectional ◽

Purposive Sampling ◽

History Of ◽

System Disorder ◽

Diabetes Melitus

Urinary system disorders are asymptomatic complications (not realized by patients) which are mostly found in people with diabetes mellitus (DM). There are several factors (age, sex, duration of suffering, smoking, history of hypertension, physical activity, and exercise regulation) that contribute to the onset of urinary system disorders in people with DM, especially type II DM. This study aims to obtain factors related to the occurrence of complications of urinary system disorders in patients with type II DM. This research is categorical analytical research with cross sectional method. Samples were 66 people taken by purposive sampling. Data was collected using a questionnaire. Data was analyzed by univariate and bivariate using the Chi-Square test. This study found more than half (56.1%) of type II DM patients who had a urinary system disorder. The results of this study found there were several factors associated with the occurrence of complications of urinary system disorders in DM patients including age, duration of DM, smoking history, physical activity, regularity of exercise, while those not related were gender and history of hypertension. Keywords : DM tipe II, Urinary system disorders AbstrakGangguan sistem kemih merupakan komplikasi asimptomatis (tidak disadari oleh pasien) yang terbanyak ditemukan pada penderita diabetes melitus (DM). Ada beberapa faktor (umur, jenis kelamin, lama menderita, merokok, riwayat hipertensi, aktifitas fisik, dan keeteraturan olahraga) yang memberikan kontribusi terhadap timbulnya gangguan sistem kemih pada penderita DM, khususnya DM tipe II. Penelitian ini bertujuan untuk mendapatkan faktor yang berhubungan dengan terjadinya komplikasi gangguan sistem kemih pada penderita DM tipe II. Penelitian ini merupakan penelitian analitikf kategorik dengan metode cross sectional. Sampel berjumlah 66 orang yang diambil secara purposive sampling. Data dikumpulkan menggunakan kuesioner. Data di analisis secara univariat dan bivariat dengan menggunakan uji Chi-Square. Penelitian ini mendapatkan lebih dari setengah (56,1 %) pasien DM tipe II yang mengalami gangguan sistem kemih. Hasil penelitian ini mendapatkan ada beberapa faktor yang berhubungan dengan terjadinya komplikasi gangguan sistem kemih pada penderita DM diantaranya usia, lama menderita DM, riwayat merokok, aktifitas fisik, keteraturan olahraga, sedangkan yang tidak berhubungan adalah jenis kelamin dan riwayat hipertensi. Kata kunci : DM tipe II, Gangguan Sistem Kemih

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Pengaruh aktivitas fisik terhadap kejadian hipertensi pada pekerja (Analisis data Riskesdas 2013)

Berita Kedokteran Masyarakat ◽

10.22146/bkm.25783 ◽

2017 ◽

Vol 33 (10) ◽

pp. 467

Author(s):

Anna Tri Hardati ◽

Riris Andono Ahmad

Keyword(s):

Physical Activity ◽

Total Population ◽

Secondary Data ◽

Abdominal Circumference ◽

Inclusion Criteria ◽

Chi Square ◽

Measured Weight ◽

External Variables ◽

History Of ◽

Level Of Significance

Purpose: This research aimed to know the influence of physical activity and external variables on hypertension in workers. Methods: We used secondary data for our research which is Basic Health Research (Riskesdas) 2013. The total population was 1,027,763. Our inclusion criteria were: have a main job, aged ≥15 years, measured height, measured weight, measured abdominal circumference, measured blood pressure, and not pregnant. We found 371,713 respondents matching our criteria. We analyzed our data using chi square and logistic regression with 5% level of significance. Results: Physical activity affects the incidence of hypertension in workers with OR of 1.25 (95% CI: 1.21-1.28), physical activity involving external variables to 1.16 (95% CI: 1.13-1.19). External variables that became hypertension risk factors include: age, obesity, abdominal obesity, daily smoking habits, 10-20 cigarette/day cigarettes, consumption of fatty foods, vegetables consumption <3 servings/day, stress, history of DM, chronic renal failure and kidney stones. Conclusion: Physical activity affects the incidence of hypertension in workers.

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We are Family

Californian Journal of Health Promotion ◽

10.32398/cjhp.v8i1.2034 ◽

2010 ◽

Vol 8 (1) ◽

pp. 88-97 ◽

Cited By ~ 4

Author(s):

Alexander Omolafe ◽

Michele Mouttapa ◽

Shari McMahan ◽

Sora Park Tanjasiri

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Type 2 Diabetes ◽

Family History ◽

African Americans ◽

Positive Family History ◽

Self Report ◽

Cross Sectional ◽

History Of

This cross-sectional study sought to describe an association between family history of type-2 diabetes and the awareness of risk factors, perceived threat and physical activity levels in African Americans. With a prevalence of 11.8%, African Americans remain disproportionately affected by the epidemic of diabetes. A risk factor that cannot be modified, but is important and closely linked with diabetes expression, family history, can be a considerable tool in promoting behavior change and reducing the risk of developing the condition in African Americans. A self-report questionnaire was administered to 133 church going African Americans, with 55 of them with a positive family history of type-2 diabetes (41.4%) and 78 (58.6%) without. None of the participants had been previously been diagnosed with type-2 diabetes. The results from the study indicated that African Americans with positive family history had a greater knowledge of risk factors, were more likely to indicate that their concern about the disease influences their eating habits and physical activity, and engaged in significantly more physical activity than those with no family history.

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