scholarly journals Prognostic value of the Diverticular Inflammation and Complication Assessment (DICA) classification

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
G Nasi ◽  
A M Mastromatteo ◽  
G Cambiè ◽  
F Di Mario ◽  
W Elisei ◽  
...  
Keyword(s):  
Public Health ◽  
Diverticular Disease ◽  
Severity Score ◽  
Prognostic Value ◽  
Complicated Diverticulitis ◽  
Significant Relation ◽  
Colonic Diverticulosis ◽  
Time Period ◽  
Endoscopic Classification ◽  
The Cost

Abstract Colonic Diverticulosis is one of the most common anatomic alterations found in the clinical practice. This condition has 60% incidence in the population over 60 years old. About 20% of patients with this condition will develop Diverticular Disease, and 5% of them will evolve into Diverticulitis. The aim of the study is to analyse the validation of the classification considering the distribution of the severity DICA score between the patients with diagnosis of colonic Diverticulosis. We analysed and classified with DICA 5635 colonoscopies in the period between January 2012 and April 2018 and we obtained the Hospital Discharge Form from all the patients that had been admitted to the hospital in the same time period. The results showed that 69.9% of the patients were assigned to the score DICA1, 21% to DICA2 and 9.1% to DICA3. Ageing increased both the diagnosis of Diverticular Disease and the severity score. The severity was higher in female patients (DICA1=44.6%,DICA2=50.8%,DICA3=57.8%). The occurrence of complications overall was 5.4% and specifically: not complicated Diverticular Disease (DICA1=1%, DICA2=1.8%, DICA3=3.5%); not complicated Diverticulitis (DICA1=2.1%, DICA2=4.7%, DICA3=6.4%); Bleeding in Diverticulitis (DICA1=0.4%, DICA2=1.2%, DICA3=4.5%); Diverticular Perforation (DICA1=0.0%, DICA2=0.1%, DICA3=0.4%). The complications that needed a surgical procedure were for DICA1 about 0.2%, for DICA2 0.8% and for DICA3 2.5%. As well the average of the occupant days in the hospital and the cost, respectively, was for DICA1:8.5 days and 2300 €; for DICA2:9.5 days and 3080 €; for DICA 3:13 days and 4090 €. The majority of the patients with Diverticular Disease belonged to the severity score DICA1 and the patients classified with DICA3 were mainly female and older than 69 years old. The study confirmed the prognostic value of the endoscopic classification DICA since the occurrence of complication resulted in a statistically significant relation with the score DICA3. Key messages DICA classification was able to discriminate, based on endoscopic records, the patients that could develop complications for Diverticular Disease. DICA classification is a valid parameter to predict the outcome of the disease, with great impact on public health improving the effectiveness of treatment.

Sa1728 – The Prognostic Value of a New Endoscopic Classification for Diverticular Disease: Dica (Diverticular Inflammation and Complication Assessment)

2019 ◽  
Vol 156 (6) ◽  
pp. S-380
Author(s):  
Ginevra Cambie' ◽  
Alessandra Violi ◽  
Antonio Tursi ◽  
Giovanni Brandimarte ◽  
Marilisa Franceschi ◽  
...  
Keyword(s):  
Diverticular Disease ◽  
Prognostic Value ◽  
Endoscopic Classification

Prognostic Value of the Diverticular Disease Severity Score Based on CT Colonography:

2015 ◽  
Vol 22 (12) ◽  
pp. 1503-1509 ◽  
Author(s):  
Nicola Flor ◽  
Giovanni Maconi ◽  
Francesco Sardanelli ◽  
Maria Antonietta Lombardi ◽  
Bernardo Colombo ◽  
...  
Keyword(s):  
Diverticular Disease ◽  
Disease Severity ◽  
Severity Score ◽  
Ct Colonography ◽  
Prognostic Value ◽  
Disease Severity Score

Clostridium difficileinfection: epidemiology, disease burden and therapy

2013 ◽  
Vol 154 (30) ◽  
pp. 1188-1193 ◽  
Author(s):  
László Gulácsi ◽  
Adrienne Kertész ◽  
Irén Kopcsóné Németh ◽  
János Banai ◽  
Endre Ludwig ◽  
...  
Keyword(s):  
Public Health ◽  
Health Economics ◽  
Disease Burden ◽  
Hungarian Literature ◽  
Medline Database ◽  
The Cost ◽  
Vancomycin Treatment

Introduction:C. difficile causes 25 percent of the antibiotic associated infectious nosocomial diarrhoeas. C. difficile infection is a high-priority problem of public health in each country. The available literature of C. difficile infection’s epidemiology and disease burden is limited. Aim: Review of the epidemiology, including seasonality and the risk of recurrences, of the disease burden and of the therapy of C. difficile infection. Method: Review of the international and Hungarian literature in MEDLINE database using PubMed up to and including 20th of March, 2012. Results: The incidence of nosocomial C. difficile associated diarrhoea is 4.1/10 000 patient day. The seasonality of C. difficile infection is unproved. 20 percent of the patients have recurrence after metronidazole or vancomycin treatment, and each recurrence increases the chance of a further one. The cost of C. difficile infection is between 130 and 500 thousand HUF (430 € and 1665 €) in Hungary. Conclusions: The importance of C. difficile infection in public health and the associated disease burden are significant. The available data in Hungary are limited, further studies in epidemiology and health economics are required. Orv. Hetil., 2013, 154, 1188–1193.

The Experience in Organizing and Conducting the Analysis of Data on Nutrition of School-Aged Children in the Sverdlovsk Region within the Federal Public Health Promotion Project

2020 ◽  
pp. 10-17
Author(s):  
NA Moiseeva ◽  
IL Kholstinina ◽  
MF Knyazeva ◽  
TV Mazhaeva ◽  
OL Malykh ◽  
...  
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Rural Areas ◽  
Nutritional Value ◽  
School Meals ◽  
School Aged Children ◽  
Healthy Nutrition ◽  
Urban And Rural Areas ◽  
The Cost ◽  
Public Health Promotion

Introduction: Implementation of the Federal Public Health Promotion Project should raise awareness and develop skills of healthy nutrition in children, thus contributing to disease prevention. Our objective was to evaluate the results of pilot nutrition monitoring in school-aged children of the Sverdlovsk Region as part of the Federal Public Health Promotion Project and the National Demography Project. Results: We established that school meals were generally satisfactory: the rations complied with physiological needs of children in terms of their nutritional value, basic nutrients, energy, and distribution of calories by main meals. We noted differences in the cost and nutritional value of meals and the variety of dishes and foodstuffs used between urban and rural areas. As a rule, pupils have one or two school meals a day. Outside of school, their consumption of dairy products and fruit is limited. Conclusions: Our findings may promote the elaboration of municipal programs aimed, inter alia, at changing the amount of sugar and salt used in the manufacture of public catering products, the cost of dishes with a high content of sugar, saturated fats, and salt, and subsidies on healthy nutrition.

scholarly journals Social determinants of dietary patterns, food basket costs and expenditure on alcohol and tobacco amongst Greenland Inuit

2021 ◽  
pp. 1-10
Author(s):  
Peter Bjerregaard ◽  
Christina Viskum Lytken Larsen
Keyword(s):  
Public Health ◽  
Dietary Patterns ◽  
Social Position ◽  
Alcoholic Beverages ◽  
Targeted Interventions ◽  
Balanced Diet ◽  
Nutritious Food ◽  
Food Basket ◽  
Purchase Patterns ◽  
The Cost

Abstract Objective: Dietary transition, obesity and risky use of alcohol and tobacco are challenges to public health among indigenous peoples. The aim of the article was to explore the role of social position in dietary patterns and expenditures on food and other commodities. Design: Countrywide population health survey. Setting: Greenland. Participants: 2436 Inuit aged 15+ years. Results: Less than half of the expenditures on commodities (43 %) were used to buy nutritious food, and the remaining to buy non-nutritious food (21 %), alcoholic beverages (18 %) and tobacco (18 %). Participants were classified according to five dietary patterns. The cost of a balanced diet and an unhealthy diet was similar, but the cost per 1000 kJ was higher and the energy consumption was lower for the balanced diet. Participants with low social position chose the unhealthy pattern more often than those with high social position (40 % v. 24 %; P < 0·0001), whereas those with high social position more often chose the balanced alternative. Participants with low social position spent less money on the total food basket than those with high social position but more on non-nutritious food, alcohol and tobacco. Conclusions: Cost seems to be less important than other mechanisms in the shaping of social dietary patterns and the use of alcohol and tobacco among the Inuit in Greenland. Rather than increasing the price of non-nutritious food or subsidising nutritious food, socially targeted interventions and public health promotion regarding food choice and prevention of excessive alcohol use and smoking are needed to change the purchase patterns.

Locking down behavioural compliance: The role of emotion and emotion regulation in breaches of COVID-19 mitigation measures in Aotearoa New Zealand

2021 ◽  
pp. 135910532110299
Author(s):  
Terise Broodryk ◽  
Kealagh Robinson
Keyword(s):  
Public Health ◽  
Young Adults ◽  
New Zealand ◽  
Health Behaviours ◽  
Mitigation Measures ◽  
Aotearoa New Zealand ◽  
High Knowledge ◽  
The Cost ◽  
Insight Into

Although anxiety and worry can motivate engagement with COVID-19 preventative behaviours, people may cognitively reframe these unpleasant emotions, restoring wellbeing at the cost of public health behaviours. New Zealand young adults ( n = 278) experiencing nationwide COVID-19 lockdown reported their worry, anxiety, reappraisal and lockdown compliance. Despite high knowledge of lockdown policies, 92.5% of participants reported one or more policy breaches ( M  = 2.74, SD = 1.86). Counter to predictions, no relationships were found between anxiety or worry with reappraisal or lockdown breaches. Findings highlight the importance of targeting young adults in promoting lockdown compliance and offer further insight into the role of emotion during a pandemic.

scholarly journals Complicated Diverticular Disease

2020 ◽  
Author(s):  
Kathleen M. Coakley ◽  
Bradley R. Davis ◽  
Kevin R. Kasten
Keyword(s):  
Postoperative Complications ◽  
Diverticular Disease ◽  
Surgical Intervention ◽  
Management Strategies ◽  
Significant Risk ◽  
Complicated Diverticulitis ◽  
Careful Attention ◽  
Correct Treatment ◽  
Treatment Paradigm ◽  
Colonic Diverticular Disease

AbstractThe modern management of colonic diverticular disease involves grouping patients into uncomplicated or complicated diverticulitis, after which the correct treatment paradigm is instituted. Recent controversies suggest overlap in management strategies between these two groups. While most reports still support surgical intervention for the treatment of complicated diverticular disease, more data are forthcoming suggesting complicated diverticulitis does not merit surgical resection in all scenarios. Given the significant risk for complication in surgery for diverticulitis, careful attention should be paid to patient and procedure selection. Here, we define complicated diverticulitis, discuss options for surgical intervention, and explain strategies for avoiding operative pitfalls that result in early and late postoperative complications.

Diverticular disease severity score based on CT colonography

2013 ◽  
Vol 23 (10) ◽  
pp. 2723-2729 ◽  
Author(s):  
Nicola Flor ◽  
Paolo Rigamonti ◽  
Andrea Pisani Ceretti ◽  
Solange Romagnoli ◽  
Federica Balestra ◽  
...  
Keyword(s):  
Diverticular Disease ◽  
Disease Severity ◽  
Severity Score ◽  
Ct Colonography ◽  
Disease Severity Score

Letter to the Editor

PEDIATRICS ◽  
1994 ◽  
Vol 93 (1) ◽  
pp. 151-152
Author(s):  
Caroline Breese Hall ◽  
Harold S. Margolis
Keyword(s):  
Public Health ◽  
Private Practice ◽  
Clinton Administration ◽  
Health Issues ◽  
Childhood Immunization ◽  
Letter To The Editor ◽  
The Many ◽  
The Cost

We appreciate the concerned letter of Dr Jacobs and his thoughtful questions arising both from his knowledge of the recommendations and public health issues, as well as those of private practice. The cost of vaccines is an issue with which we must all be concerned. By highlighting the importance of childhood immunization the Clinton administration has engendered interest and, thus, optimism that efforts toward reducing the cost will be successful. However, we should remember that the many excellent studies that have analyzed the reasons why children are not being vaccinated have shown that cost is not the major factor, but access, difficulties, and obstacles, real and perceived, to obtaining immunizations are.

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