scholarly journals EP.TU.575One Man's Meat: Nutritional guidance for ileostomy care should consider pre-existing comorbidities

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Yan Yu Tan ◽  
Sriram Subramonia
Keyword(s):  
Literature Review ◽  
Evidence Base ◽  
Cross Sectional Study ◽  
Chronic Illnesses ◽  
Dietary Advice ◽  
Dietary Recommendations ◽  
Cross Sectional ◽  
Patient Demographics ◽  
Nutritional Guidance ◽  
Nutritional Advice

Abstract Aims (1) To assess the prevalence of comorbidities which can be influenced by dietary changes in a cohort of our patients with ileostomies and (2) To compare the standard dietary recommendations for these conditions against nutritional advice for patients with ileostomies. Methods We performed a cross-sectional study of patients with ileostomies identified from a prospectively maintained database in January 2020. Patient demographics, comorbidities and records of formal nutritional advice were analysed. Dietary recommendations for common chronic illnesses were obtained through a literature review. Results Twenty-one patients (15 men, 6 women) were included. Median (IQR) age was 63 (51-73) years. The median (IQR) length of time for which patients had ileostomies was 60 (24-144) months. The most common chronic illnesses include hypertension (38%), diabetes (24%) and chronic kidney disease (14%). All patients received standard dietary advice for ileostomy management without consideration of pre-existing comorbidities. Literature review revealed a lack of high-quality evidence for dietary recommendations in patients with ileostomies and conflicting advice for those with comorbidities. Conclusion Existing nutritional guidance for patients with ileostomies lacks a firm evidence base and does not consider the potential modifications required for pre-existing comorbidities.

Services Provided for Lactating Mothers at Lactation Management Clinic in Selected Tertiary Level Hospitals

2020 ◽  
Vol 38 (2) ◽  
pp. 68-73
Author(s):  
Tarannum Tasnim ◽  
ANM Shamsul Islam ◽  
Mehedi Hasan Azad ◽  
Farhana Sharmin
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Public Awareness ◽  
Cross Sectional Study ◽  
Dietary Advice ◽  
Tertiary Level ◽  
Cross Sectional ◽  
Breast Milk Production ◽  
Lactating Mothers ◽  
Structured Questionnaire

Background: Children are the precious gift from the Almightily Allah and breast milk is an ideal product given to the human being by nature to fulfill all requirements of the offspring until they are matured enough to take adult food. Objective: To assess the services provided for lactating mothers at lactation management centre in selected tertiary level hospitals. Materials and Methods: This cross sectional study was conducted among 100 Lactating mothers who were selected conveniently and were interviewed by pre-tested semi-structured questionnaire and an observational checklist. Collected data were processed and analyzed using SPSS (Statistical Packages for Social Science) software. Results: Lactation management centre (LMC) is supervised by a consultant and separate room is allotted in both out-patient and in-patient departments. Mothers came with lactation problems were more likely in the first month of the baby (73%) and feeling of not enough milk production was common (49%).Highly significant relationship was found between breast problems of lactating mother and age of child (p<0.001). About 84% respondents received practical demonstration on position and attachment of the baby during lactation. About 91% respondents got dietary advice for enough breast milk production, 75% got dietary advice regarding their child’s weaning food chart and69% got health education. Maximum mothers were informed about LMC by doctor & nurse (82%). Conclusion: Information about LMC services should be disseminated across the country. Lactating mothers should be familiarized with LMC and public awareness should be enhanced for effective management of breastfeeding problem to promote, protect and support the breastfeeding. JOPSOM 2019; 38(2): 68-73

scholarly journals Assessment of Inorganic Phosphate Intake by the Measurement of the Phosphate/Urea Nitrogen Ratio in Urine

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 292
Author(s):  
María Victoria Pendón-Ruiz de Mier ◽  
Noemí Vergara ◽  
Cristian Rodelo-Haad ◽  
María Dolores López-Zamorano ◽  
Cristina Membrives-González ◽  
...  
Keyword(s):  
Inorganic Phosphate ◽  
Daily Intake ◽  
Cross Sectional Study ◽  
Normal Serum ◽  
Dietary Recommendations ◽  
Clinical Practices ◽  
Cross Sectional ◽  
Urea Nitrogen ◽  
Inorganic P ◽  
Nitrogen Ratio

In chronic kidney disease (CKD) patients, it would be desirable to reduce the intake of inorganic phosphate (P) rather than limit the intake of P contained in proteins. Urinary excretion of P should reflect intestinal absorption of P(inorganic plus protein-derived). The aim of the present study is to determine whether the ratio of urinary P to urinary urea nitrogen (P/UUN ratio) helps identify patients with a high intake of inorganic P.A cross-sectional study was performed in 71 patients affected by metabolic syndrome with CKD (stages 2–3) with normal serum P concentration. A 3-day dietary survey was performed to estimate the average daily amount and the source of P ingested. The daily intake of P was 1086.5 ± 361.3 mg/day; 64% contained in animal proteins, 22% in vegetable proteins, and 14% as inorganic P. The total amount of P ingested did not correlate with daily phosphaturia, but it did correlate with the P/UUN ratio (p < 0.018). Patients with the highest tertile of the P/UUN ratio >71.1 mg/g presented more abundant inorganic P intake (p < 0.038).The P/UUN ratio is suggested to be a marker of inorganic P intake. This finding might be useful in clinical practices to identify the source of dietary P and to make personalized dietary recommendations directed to reduce inorganic P intake.

scholarly journals Healthcare Provider Attitudes toward the Newly Developed COVID-19 Vaccine: Cross-Sectional Study

2021 ◽  
Vol 11 (1) ◽  
pp. 187-194
Author(s):  
Gasmelseed Ahmed ◽  
Zainab Almoosa ◽  
Dalia Mohamed ◽  
Janepple Rapal ◽  
Ofelia Minguez ◽  
...  
Keyword(s):  
Private Hospital ◽  
Univariate Analysis ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Chronic Illnesses ◽  
Sectional Study ◽  
Provider Attitudes ◽  
Cross Sectional ◽  
Electronic Survey ◽  
Consistency Results

Background: During the long wait and the global anxiety for a vaccine against COVID-19, impressively high-safety and effective vaccines were invented by multiple pharmaceutical companies. Aim: We aimed to assess the attitudes of healthcare providers and evaluate their intention to advocate for the vaccine. Methods: This was a cross-sectional study conducted in a tertiary private hospital where an electronic survey was distributed among healthcare providers (HCPs). The survey contained two sections: socio-demographic characteristics and Likert-scale perception, with 72% internal consistency. Results: The response rate to the email survey was 37% (n = 236). In addition, 169 (71.6%) of respondents were women, with more than half (134, 56.8%) aged ≤35 years. A total of 110 (46.6%) had over 10 years of experience, and most of them were nurses (146, 62%). Univariate analysis revealed that older participants significantly accepted and advocated for the new vaccine more than the younger ones. In the multivariate analysis, men were significantly more likely than women to accept and advocate for the new vaccine, as were those with chronic illnesses. Participants with allergy were significantly less likely to accept the vaccine than others. odds ratio (OR) and p-values were 2.5, 0.003; 2.3, 0.04; and 0.4, 0.01, respectively. Conclusion: The acceptance rate for the newly-developed COVID-19 vaccines was average among HCPs. Sex, age, presence of chronic illnesses, and allergy were significant predictors of accepting the vaccine.

Lifestyle modification adherence among patients attending diabetes clinics in selected hospitals in Remo zone Ogun State, Nigeria

2021 ◽  
Vol 4 (1) ◽  
pp. 23-32
Author(s):  
Adebayo Akadri ◽  
Omobolanle Akadri
Keyword(s):  
Logistic Regression ◽  
Lifestyle Modification ◽  
Exercise Adherence ◽  
Cross Sectional Study ◽  
Dietary Recommendations ◽  
Enabling Factors ◽  
Cross Sectional ◽  
Adherence To Diet ◽  
Ogun State ◽  
Diet And Exercise

Objective: Lifestyle modification is an essential component of self-management of diabetes mellitus. This study assessed adherence to diet and exercise recommendations and elucidated the factors that influence adherence in patients living with diabetes. Method: A cross-sectional study involving 300 patients attending diabetes clinics in some selected hospitals in Ogun State, Nigeria. Structured questionnaires were used to obtain information on the socio-demographic characteristics, and PRECEDE factors of lifestyle-modification adherence in the study participants. Pearson’s correlation and Chi-square test were used to assess the association between the variables, while binary logistic regression was used to determine the predictors of adherence to dietary recommendations. Results: The mean age of the study respondents was 62.7 years. The proportion of respondents who adhered to dietary and exercise recommendations were 87.8% and 45.6% respectively. There were no statistically significant linear relationships between scores for each PRECEDE factor and scores for adherence to diet and exercise. Respondents’ age, body mass index, and duration of illness had a statistically significant association with adherence to diet (P< 0.001, P=0.021, and P=0.041 respectively). On logistic regression analysis, participants 60 years and older had a higher likelihood of adhering to dietary modification than younger participants [AOR=2.6, P < 0.001]. Conclusion: The adherence of patients living with diabetes to dietary recommendations was satisfactory while adherence to exercise recommendations was very poor. There is a need for health care workers, especially at the primary and secondary levels to implement strategies that will enhance reinforcing and enabling factors for exercise adherence.

Monoallelic KIF1A-related disorders: a multicenter cross sectional study and systematic literature review

2021 ◽  
Author(s):  
Stefania Della Vecchia ◽  
Alessandra Tessa ◽  
Claudia Dosi ◽  
Jacopo Baldacci ◽  
Rosa Pasquariello ◽  
...  
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Storage of prescription veterinary medicines on UK dairy farms: a cross-sectional study

2018 ◽  
Vol 184 (5) ◽  
pp. 153-153 ◽  
Author(s):  
Gwen M Rees ◽  
David C Barrett ◽  
Henry Buller ◽  
Harriet L Mills ◽  
Kristen K Reyher
Keyword(s):  
Dairy Farms ◽  
Evidence Base ◽  
Cross Sectional Study ◽  
European Medicines Agency ◽  
Cross Sectional ◽  
Veterinary Medicines ◽  
Veterinary Profession ◽  
Farmer Decision Making ◽  
The Uk ◽  
Future Work

Prescription veterinary medicine (PVM) use in the UK is an area of increasing focus for the veterinary profession. While many studies measure antimicrobial use on dairy farms, none report the quantity of antimicrobials stored on farms, nor the ways in which they are stored. The majority of PVM treatments occur in the absence of the prescribing veterinarian, yet there is an identifiable knowledge gap surrounding PVM use and farmer decision making. To provide an evidence base for future work on PVM use, data were collected from 27 dairy farms in England and Wales in Autumn 2016. The number of different PVMs stored on farms ranged from 9 to 35, with antimicrobials being the most common therapeutic group stored. Injectable antimicrobials comprised the greatest weight of active ingredient found, while intramammary antimicrobials were the most frequent unit of medicine stored. Antimicrobials classed by the European Medicines Agency as critically important to human health were present on most farms, and the presence of expired medicines and medicines not licensed for use in dairy cattle was also common. The medicine resources available to farmers are likely to influence their treatment decisions; therefore, evidence of the PVM stored on farms can help inform understanding of medicine use.

scholarly journals Associations of chronic illnesses and socio-demographic factors with health-related quality of life of older adults in Nigeria: A cross-sectional study

2020 ◽  
Vol 54 (3) ◽  
pp. 164-172
Author(s):  
Joel Faronbi ◽  
Aishat Ajadi ◽  
Robbert Gobbens
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Chronic Illness ◽  
Cross Sectional Study ◽  
Chronic Illnesses ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related

Background: The increase in life expectancy has brought about a higher prevalence of chronic illnesses among older people.Objectives: To identify common chronic illnesses among older adults, to examine the influence of such conditions on their Health-Related Quality of Life (HRQoL), and to determine factors predicting their HRQoL.Method: A population-based cross-sectional study was conducted involving 377 individuals aged 60 years and above who were selected using multi-stage sampling techniques in Olorunda Local Government, Osun State, Nigeria. Data were collected using an interviewer-administered questionnaire comprising socio-demographic characteristics, chronic illnesses, and the World Health Organization quality of life instrument (WHOQOL-BREF) containing physical health, psychological, social relationships, and environmental domains.Results: About half (51.5%) of the respondents reported at least one chronic illness which has lasted for 1–5 years (43.3%). The prevalence of hypertension was 36.1%, diabetes 13.9% and arthritis 13.4%. Respondents with chronic illness had significantly lower HRQoL overall and in the physical health, social relationships and the environmental domains (all p<0.05) compared to those without a chronic illness. Factors that predicted HRQoL include age, marital status, level of education, the presence of chronic illness and prognosis of the condition.Conclusion: This study concluded that chronic illness is prevalent in Nigerian older people and significantly influence their HRQoL. Age, marital status, and level of education were associated with HRQoL in this group.Keywords: Chronic illness, Health-Related Quality of Life, Older adults, Socio-demographic factorsFunding: Postdoctoral fellowship from Consortium for Advanced Research Training in Afric

scholarly journals Oral manifestation in leprosy: A cross-sectional study of 100 cases with literature review

2019 ◽  
Vol 8 (11) ◽  
pp. 3689 ◽  
Author(s):  
Puneeta Vohra ◽  
MdSiraj UR Rahman ◽  
B Subhada ◽  
RahulVinay Chandra Tiwari ◽  
MS Nabeel Althaf ◽  
...  
Keyword(s):  
Literature Review ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Oral Manifestation

scholarly journals Mediating Effect of Chronic Illnesses in the Relationship Between Psychological Distress and COVID-19 Vaccine Acceptance

2021 ◽  
pp. 101053952110478
Author(s):  
Won Sun Chen ◽  
Ching Sin Siau ◽  
Suzanna Awang Bono ◽  
Wah Yun Low
Keyword(s):  
Psychological Distress ◽  
Psychological Health ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Chronic Illnesses ◽  
Mediating Effect ◽  
Cross Sectional ◽  
Vaccine Acceptance ◽  
The Impact ◽  
The Relationship

The impact of the COVID-19 pandemic on mental health is an emerging problem globally. This study aimed to examine the mediating effect of chronic illnesses in the relationship between psychological health and the acceptance of the COVID-19 vaccine, prior to the national vaccine rollout in Malaysia. An online cross-sectional study was conducted in Malaysia between December 10, 2020, and February 9, 2021. In addition to the descriptive analyses, a mediation analysis was performed to examine the mediating effect of chronic illnesses in the relationship between psychological distress and the willingness to accept the vaccine. A total of 1738 participants completed the survey. The psychological distress levels were found to be significantly different across demographic factors such as age, gender, and social economic status. This study demonstrated a partial mediating effect of chronic illnesses in the relationship between psychological distress and vaccine acceptance.

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