scholarly journals Risk Factors for Postpartum Depression in Active Duty Women

2021 ◽  
Author(s):  
Valencia Garcia ◽  
Eric Meyer ◽  
Catherine Witkop
Keyword(s):  
Risk Factors ◽  
Postpartum Depression ◽  
Smoking Status ◽  
Technical Information ◽  
Active Duty ◽  
Military Spouses ◽  
Inclusion Criteria ◽  
Medical Subject Headings ◽  
Complication Risk ◽  
Screening And Prevention

ABSTRACT Introduction Postpartum depression (PPD) is a common perinatal complication. Risk factors previously found to correlate with PPD in civilians include prenatal depression, childcare stress, limited social support, difficult infant temperament, and maternity blues. Previously identified risk factors in military spouses include spouse deployment/redeployment cycles. It is unclear if these previously identified risk factors are also a risk factor for AD women or if the additional stressors associated with being on active duty (AD) are risk factors for PPD. The purpose of this review is to determine if civilian risk factors have been found to put AD women at risk for PPD and to identify unique risk factors for PPD in AD women. Materials and Methods A scoping literature review was performed using PubMed, Defense Technical Information Center, and PsychINFO. The searches were conducted using relevant medical subject headings and keywords. The inclusion criteria included articles published since 1948 (the year women were legally allowed to join the military) that reference risk factors for postpartum/peripartum depression in AD women serving in the U.S. military. The following exclusion criteria were also applied: in a language other than English, opinion papers, and/or not published in a peer-reviewed journal. Articles meeting criteria were evaluated and mapped to stressors previously identified in the literature for civilian and military spouses with PPD with novel stressors identified as mapping outside this framework. Results Only two articles met the inclusion criteria. The first study included 87 AD women. The second study, a cohort study between 2001 and 2008, included 1660 AD women. Unique risk factors identified in AD women include previous deployments, serving in the Army, smoking status, alcohol use, and low self-esteem. Conclusions Few studies have investigated the risk factors for PPD in AD women. It appears that AD women share many risk factors, or variants of those risk factors, for PPD as their civilian and AD spouse counterparts, but there are also unique risks to consider. More work is needed to improve screening and prevention efforts.

scholarly journals Fatores de risco para a depressão pós-parto: revisão de literatura

2020 ◽  
Vol 10 (32) ◽  
pp. 248-258
Author(s):  
Kydja Milene Souza Torres de Araújo ◽  
Suelane Renata de Andrade Silva ◽  
Daniela De Aquino Freire ◽  
Isabella Joyce Silva de Almeida ◽  
Amanda Oliveira Bernardino Cavalcanti de Albuquerque ◽  
...  
Keyword(s):  
Risk Factors ◽  
Postpartum Depression ◽  
Health Professionals ◽  
Psychological Factors ◽  
Inclusion Criteria ◽  
Daily Lives ◽  
Palabras Clave ◽  
Factores De Riesgo ◽  
Salud Mental ◽  
Nursing Health

O presente estudo objetiva identificar os fatores de risco para o desenvolvimento da depressão pós-parto. Trata-se de uma revisão integrativa com busca nas bases de dados: BDENF, LILACS e MEDLINE; utilizando os descritores Fatores de Risco e Depressão Pós-Parto. Foram avaliados 163 artigos, sendo incluídos no estudo 18 por atenderem aos critérios de inclusão. Predominaram estudos em inglês (77,8%), com abordagem quantitativa (100%) e realizados no Continente Asiático (33,3%). Diversos são os fatores de risco, dentre eles encontra-se o nível de HDL, a presença de diabetes gestacional, dentre outros fatores ginecológicos, sociodemográficos, familiares, clínicos e psicológicos. As evidências mostram que estes são fatores que perpassam o cotidiano dos profissionais de saúde independente da categoria que ocupam, entretanto, devido à sua dinâmica de trabalho ou até mesmo a falta de conhecimento, não há rastreio efetivo para este agravo.Descritores: Fatores de Risco, Depressão Pós-Parto, Enfermagem, Saúde Mental. Risk factors for post-delivery depression: literature reviewAbstract: The present study aims to identify the risk factors for the development of postpartum depression. It is an integrative review with a search in the databases: BDENF, LILACS and MEDLINE; using the keywords Risk Factors and Postpartum Depression. 163 articles were evaluated and 18 were included in the study because they met the inclusion criteria. Studies in English predominated (77.8%), with a quantitative approach (100%) and carried out in Asia (33.3%). There are several risk factors, among which is the level of HDL, the presence of gestational diabetes, among other gynecological, sociodemographic, family, clinical and psychological factors. Evidence shows that these are factors that permeate the daily lives of health professionals regardless of the category they occupy, however, due to their work dynamics or even the lack of knowledge, there is no effective screening for this condition.Descriptors: Risk factors, Depression, Postpartum, Nursing, Health Mental. Factores de riesgo de depresión  postparto: revisión de la literaturaResumen: El presente estudio tiene como objetivo identificar los factores de riesgo para el desarrollo de la depresión posparto. Es una revisión integradora con una búsqueda en las bases de datos: BDENF, LILACS y MEDLINE; utilizando las palabras clave Factores de riesgo y depresión posparto. Se evaluaron 163 artículos y 18 se incluyeron en el estudio porque cumplían los criterios de inclusión. Predominaron los estudios en inglés (77.8%), con un enfoque cuantitativo (100%) y realizados en Asia (33.3%). Existen varios factores de riesgo, entre los cuales se encuentra el nivel de HDL, la presencia de diabetes gestacional, entre otros factores ginecológicos, sociodemográficos, familiares, clínicos y psicológicos. La evidencia muestra que estos son factores que impregnan la vida cotidiana de los profesionales de la salud, independientemente de la categoría que ocupen, sin embargo, debido a su dinámica de trabajo o incluso a la falta de conocimiento, no existe una evaluación efectiva para esta afección.Descriptores: Factores de Riesgo, Depresión Posparto, Enfermería, Salud Mental.

scholarly journals Osteoarthritis and the Tactical Athlete: A Systematic Review

2016 ◽  
Vol 51 (11) ◽  
pp. 952-961 ◽  
Author(s):  
Kenneth L. Cameron ◽  
Jeffrey B. Driban ◽  
Steven J. Svoboda
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Joint Replacement ◽  
Military Service ◽  
Total Joint Replacement ◽  
Active Duty ◽  
Service Members ◽  
Inclusion Criteria ◽  
Occupational Risk Factors ◽  
Military Service Members

Objective: Although tactical athletes (eg, military service members, law enforcement personnel, fire fighters) are exposed to several known risk factors, it remains unclear if they are at increased risk for osteoarthritis (OA). The purpose of this systematic review was to investigate the association between serving as a tactical athlete and the incidence and prevalence of OA. Data Sources: We completed a comprehensive systematic literature search in November 2014 using 12 bibliographic databases (eg, PubMed, Ovid, SportDiscus) supplemented with manual searches of reference lists. Study Selection: Studies were included if they met the following criteria: (1) an aim of the study was to investigate an association between tactical athletes and OA; (2) the outcome measure was radiographic OA, clinical OA, total joint replacement, self-reported diagnosis of OA, or placement on a waiting list for a total joint replacement; (3) the study design was a cohort study; and (4) the study was written in English. Data Extraction: One investigator extracted data from articles that met all inclusion criteria (eg, group descriptions, measures of disease burden, source of nonexposed controls). Data Synthesis: Twelve articles met the inclusion criteria and described retrospective cohort studies. Firefighters, active-duty military service members, and veteran military parachutists consistently had a higher incidence or prevalence of knee, hip, or any OA diagnosis (4 studies). Active-duty pilots and veteran military parachutists may have a higher prevalence of spine OA, but this was not statistically significant (2 studies). Occupational risk factors for OA among tactical athletes include rank and branch of military service. The risk of OA among individuals who completed mandatory national military service remains unclear (6 studies). Conclusions: The incidence of OA among tactical athletes appears to be significantly higher when compared with nonexposed controls. Further research is needed to specifically identify modifiable risk factors within this high-risk population to develop and implement effective risk-reduction strategies.

Laboratory Parameters and Complication Risk Factors in Mexican COVID-19 Patients: A Cross-Sectional Study

2020 ◽  
Author(s):  
Christian Omar Ramos-Peñafiel ◽  
Erika Areli Rosas-Gonzalez ◽  
Cristina Elizabeth Madera-Maldonado ◽  
Monica Patricia Bejarano-Rosales ◽  
Rafael García Rascón ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Laboratory Parameters ◽  
Complication Risk

Lifestyle-Related Risk Factors, Smoking Status and Cardiovascular Disease

2012 ◽  
Vol 19 (2) ◽  
pp. 85-92
Author(s):  
Renata Giudice ◽  
Raffaele Izzo ◽  
Maria Virgina Manzi ◽  
Giampiero Pagnano ◽  
Mario Santoro ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Smoking Status ◽  
Related Risk

scholarly journals Characteristics of Pediatric Emergency and Risk Factors for Life-saving Interventions

2021 ◽  
Vol 8 ◽  
pp. 2333794X2199034
Author(s):  
Phatthranit Phattharapornjaroen ◽  
Yuwares Sittichanbuncha ◽  
Pongsakorn Atiksawedparit ◽  
Kittisak Sawanyawisuth
Keyword(s):  
Risk Factors ◽  
Analytical Study ◽  
Pediatric Patients ◽  
Pediatric Emergency ◽  
Limited Data ◽  
Inclusion Criteria ◽  
Resuscitation Room ◽  
Life Saving ◽  
Level 1 ◽  
Triage Level

Pediatric emergency patients are vulnerable population and require special care or interventions. Nevertheless, there is limited data on the prevalence and risk factors for life-saving interventions. This study is a retrospective analytical study. The inclusion criteria were children aged 15 years or under who were triaged as level 1 or 2 and treated at the resuscitation room. Factors associated with LSI were executed by logistic regression analysis. During the study period, there were 22 759 ER visits by 14 066 pediatric patients. Of those, 346 patients (2.46%) met the study criteria. Triage level 1 accounted for 16.18% (56 patients) with 29 patients (8.38%) with LSI. Trauma was an independent factor for LSI with adjusted odds ratio (95% CI) of 4.37 (1.49, 12.76). In conclusion, approximately 8.38% of these patients required LSI. Trauma cause was an independent predictor for LSI.

scholarly journals Risk of Typical Diabetes-Associated Complications in Different Clusters of Diabetic Patients: Analysis of Nine Risk Factors

2021 ◽  
Vol 11 (5) ◽  
pp. 328
Author(s):  
Michael Leutner ◽  
Nils Haug ◽  
Luise Bellach ◽  
Elma Dervic ◽  
Alexander Kautzky ◽  
...  
Keyword(s):  
Risk Factors ◽  
Liver Disease ◽  
Diabetic Patients ◽  
Complication Risk ◽  
Increased Risk ◽  
Icd 10 ◽  
Healthy Control ◽  
Design And Methods ◽  
The Relationship ◽  
Observation Period

Objectives: Diabetic patients are often diagnosed with several comorbidities. The aim of the present study was to investigate the relationship between different combinations of risk factors and complications in diabetic patients. Research design and methods: We used a longitudinal, population-wide dataset of patients with hospital diagnoses and identified all patients (n = 195,575) receiving a diagnosis of diabetes in the observation period from 2003–2014. We defined nine ICD-10-codes as risk factors and 16 ICD-10 codes as complications. Using a computational algorithm, cohort patients were assigned to clusters based on the risk factors they were diagnosed with. The clusters were defined so that the patients assigned to them developed similar complications. Complication risk was quantified in terms of relative risk (RR) compared with healthy control patients. Results: We identified five clusters associated with an increased risk of complications. A combined diagnosis of arterial hypertension (aHTN) and dyslipidemia was shared by all clusters and expressed a baseline of increased risk. Additional diagnosis of (1) smoking, (2) depression, (3) liver disease, or (4) obesity made up the other four clusters and further increased the risk of complications. Cluster 9 (aHTN, dyslipidemia and depression) represented diabetic patients at high risk of angina pectoris “AP” (RR: 7.35, CI: 6.74–8.01), kidney disease (RR: 3.18, CI: 3.04–3.32), polyneuropathy (RR: 4.80, CI: 4.23–5.45), and stroke (RR: 4.32, CI: 3.95–4.71), whereas cluster 10 (aHTN, dyslipidemia and smoking) identified patients with the highest risk of AP (RR: 10.10, CI: 9.28–10.98), atherosclerosis (RR: 4.07, CI: 3.84–4.31), and loss of extremities (RR: 4.21, CI: 1.5–11.84) compared to the controls. Conclusions: A comorbidity of aHTN and dyslipidemia was shown to be associated with diabetic complications across all risk-clusters. This effect was amplified by a combination with either depression, smoking, obesity, or non-specific liver disease.

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