scholarly journals 726. Operational Impact of Infectious Disease Threats During Military Travel

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S462-S462
Author(s):  
Michael A Boatwright ◽  
Gregory Utz ◽  
Anjali Kunz ◽  
Rhonda E Colombo ◽  
Jamie Fraser ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Risk Factors ◽  
Negative Impact ◽  
Close Contact ◽  
Military Training ◽  
Febrile Illness ◽  
Multivariate Logistic Regression Model ◽  
Street Vendor ◽  
Factors Associated ◽  
Operational Impact

Abstract Background We evaluated the incidence and operational impact of travelers’ diarrhea (TD), influenza-like illness (ILI) and undifferentiated febrile illness (FI) in US active duty (AD) personnel traveling outside the continental U.S for deployment (DEP), joint military training exercises (EXR) or other military travel (e.g. Temporary Duty Travel) (TDY). Methods AD personnel traveling for ≤ 6.5 months were prospectively enrolled between 2010-2019. Participants completed a post-travel survey regarding risk behaviors, illnesses and impact on daily activities. Trip purpose was categorized into DEP, EXR, TDY and syndromic definitions were used to identify cases of TD, ILI and FI based on symptoms. A multivariate logistic regression model with backward selection was used to determine the odds ratio associated with partial or complete incapacitation due to infections (a composite endpoint of either TD, ILI or FI). Results 1822 servicemembers were enrolled: 36.2% traveled on DEP, 36.2% for EXR and 27.7% for TDY (Table 1). 83.5% of personnel traveling for DEP were Special Operations and Marine units, and 82% of the EXR group participated in Pacific Pathways. Overall, 19% of US personnel experienced infections associated with partial or complete incapacitation (median duration of incapacitation- TD: 1 day; ILI: 4 days; FI: 3 days). DEP personnel had a longer travel duration and the highest rate of partial or complete incapacitation due to TD, ILI or FI (Figure 1 and 2). Risk factors associated with partial or complete incapacitation due to infections were non-adherence with malaria chemoprophylaxis (OR: 1.7 [95%CI:1.2-2.4]), close contact with locals (OR:1.7 [95%CI:1.3-2.2]), inability to clean hands regularly before meals (OR: 1.7 [95%CI: 1.3-2.3]), fresh water or rodent exposure OR: 1.4 (95%CI:1.1-1.9) and consuming street vendor food (OR:1.8 [95%CI:1.3-2.4]). Table 1. Demographic and travel characteristics of AD personnel traveling outside the continental US. Proportion of AD servicemembers that experienced TD, ILI or undifferentiated febrile illness during DEP, EXR, TDY (p<0.05 for the comparison of each illness between DEP, EXR and TDY). Figure 2. Proportion of AD personnel with partial or complete incapacitation due to TD, ILI or FI during DEP, EXR or TDY (p < 0.05 for the comparison of each illness between DEP, EXR and TDY). Conclusion Infectious disease syndromes are common during overseas military travel. TD had the highest negative impact on military travel especially among DEP personnel. We identified several modifiable risk factors associated with incapacitating infections which can be used to inform preventive and treatment strategies. Disclosures All Authors: No reported disclosures

scholarly journals Risk Factors Associated with Overweight among Adolescents in Serbia/ Dejavniki Tveganja, Povezani S Prekomerno Telesno Težo Pri Mladostnikih V Srbiji

2014 ◽  
Vol 53 (4) ◽  
pp. 283-293 ◽  
Author(s):  
Katarina Boričić ◽  
Snežana Simić ◽  
Nađa Vasiljević ◽  
Jelena Marinković
Keyword(s):  
Risk Factors ◽  
Wealth Index ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Multivariate Logistic Regression Model ◽  
Preventive Interventions ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
Factors Associated ◽  
Skipping Breakfast

AbstractIntroduction. The pandemic of obesity in adolescents is one of the challenges of public health.Aim. The aim of this study was to examine the association of overweight with demographic, socioeconomic and lifestyle factors among Serbian adolescents.Method. A cross-sectional study of 2139 adolescents aged 10 to 19 years was carried out. Data used in this study were from the 2006 Health Survey. In accordance with the international sex- and age-specific Body Mass Index cut-off points, all participants were classified as being normal weight or overweight, including obese. The association between the risk factors and overweight were examined using a multivariate logistic regression model.Results. The study showed that 28.9% of boys and 17.0% of girls were overweight, while 14.5% of boys and 8.1% of girls were obese. Boys were more likely to be overweight/obese, compared with girls. Being younger (p< 0.01 for 14 to 15 years) and (p< 0.01, for 16 to 19 years), engaging in physical activities that last less than 7 hours a week, in such a manner that they breathe quickly and become sweaty, (p< 0.01) and skipping breakfast (p< 0.05) were risk factors significantly associated with overweight among adolescents. No significant association was found with wealth index.Conclusion. These findings should be an integral part of further preventive interventions, especially oriented towards younger adolescents, who are physically inactive, have a habit of skipping breakfast and are boys.

Caseous lymphadenitis in small ruminants in Egypt

2014 ◽  
Vol 42 (05) ◽  
pp. 271-277 ◽  
Author(s):  
A. F. Oreiby ◽  
Y. M. Hegazy ◽  
Y. M. Ghanem ◽  
M. H. Al-Gaabary ◽  
S. A. Osman
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Close Contact ◽  
Small Ruminants ◽  
Breeding Systems ◽  
Caseous Lymphadenitis ◽  
Factors Associated ◽  
Short Period ◽  
Antibody Titers

Summary Objective: The aim of this study was to investigate the distribution of caseous lymphadenitis (CLA) among small ruminants in Egypt, identify risk factors associated with its occurrence and to analyze the efficacy of the vaccine for control of CLA. Material and methods: A total of 1206 sheep and 351 goats were examined clinically for CLA. The prevalence and the risk factors of CLA in small ruminant flocks were estimated and identified. Efficacy of the commercial vaccine Case-Bac (Colorado Serum Company, USA) was determined in a field study trial conducted on 15 CLA-free lambs. Follow-up of vaccination immune response was carried out using indirect ELISA. Results: Prevalence of superficial CLA was 6.7%. Clinically, CLA appeared as abscesses in superficial lymph nodes mostly of the head and neck. On the basis of a multivariate analysis which accounted for clustering at herd level, sheep were at risk of getting superficial CLA 3.5 times more than goats (p < 0.0001). Animals of fixed flocks were at risk of getting the superficial CLA 2 times more than animals in fixed-mobile flocks (p < 0.038). Serological follow-up indicated protective antibody titers for 6 months. In vaccinated animals clinical cases were not observed while they occurred among non-vaccinated sheep. Discussion: Prevalence of CLA varied among studied flocks even between those of the same breeding system due to complex and overlapping factors associated with each flock like introduction or culling rate of animals, care of shepherds or owners to deal with opened abscesses in addition to the average age of the animals within each flock. Breeding systems have observable effects on occurrence of CLA: infected sheep can transmit the infection to a large number of animals in a short period under the conditions of close contact and reduced air flow in covered sheds. Conclusion and clinical relevance: Infected small ruminants in fixed flocks represent a risk factor for CLA for healthy ones. The vaccine used in the study provides an effective protection against new in fections. So mass vaccination of small ruminants against CLA in Egypt has to be considered to minimize the disease prevalence.

scholarly journals Seroreactivity and Risk Factors Associated with Coxiella burnetii Infection among Cattle Slaughterhouse Workers in South Korea

2018 ◽  
Vol 15 (10) ◽  
pp. 2264 ◽  
Author(s):  
Ji-Hyuk Park ◽  
Seon Hwang ◽  
Dilaram Acharya ◽  
Seung Lee ◽  
Kyu Hwang ◽  
...  
Keyword(s):  
Risk Factors ◽  
South Korea ◽  
Coxiella Burnetii ◽  
Q Fever ◽  
Close Contact ◽  
Cross Sectional Study ◽  
Immunofluorescence Assay ◽  
Cross Sectional ◽  
Factors Associated ◽  
Related Risk

Q fever, caused by Coxiella burnetii, is a zoonotic disease that is an occupational hazard to people who work in close contact with animals or their carcasses. A nationwide serologic study among cattle slaughterhouse workers who were presumed to be at risk of having C. burnetii infection in South Korea was performed to investigate the seroreactivity of C. burnetii infection and identify related risk factors. Out of 1017 cattle slaughterhouse workers in South Korea, 923 (90.8%) participated in this cross-sectional study. Samples were tested for immunoglobulin G (IgG) and M (IgM) antibodies against phase II C. burnetii via indirect immunofluorescence assay. The overall seroreactivity, defined as IgG or IgM antibody titer cutoffs ≥1:16, was 9.1% (84/923). Additionally, a significant association was found between the seroreactivity of C. burnetii infection and performing carcass evisceration work (odds ratio, 2.36; 95% confidence interval, 1.39–4.03) in multivariate analysis. To diminish C. burnetii infection, cattle slaughterhouse workers need to take precautions during the evisceration process.

Antenatal risk factors for symptomatic congenital CMV disease following primary maternal CMV infection

2016 ◽  
Vol 44 (3) ◽  
Author(s):  
Eran Hadar ◽  
Liat Salzer ◽  
Elizabeta Dorfman ◽  
Jacob Amir ◽  
Joseph Pardo
Keyword(s):  
Risk Factors ◽  
Fetal Mri ◽  
Febrile Illness ◽  
Cmv Infection ◽  
Factors Associated ◽  
Congenital Cmv Infection ◽  
Us Findings ◽  
Cmv Disease ◽  
Prognostic Risk Factors ◽  
Congenital Cmv

AbstractThis study aimed to evaluate antenatal risk factors associated with symptomatic congenital cytomegalovirus (CMV) disease, followingThis study included a retrospective cohort of 155 neonates with congenital CMV infection, following primary maternal CMV infection during pregnancy, and were divided to symptomatic (n=95) and asymptomatic (n=60) newborns.Young maternal age (29.1±5.12 vs. 31.6±5.36 years, P=0.005), high risk occupation for viral exposure (20.0% vs. 11.7%, P=0.04), CMV IgG seroconversion at diagnosis (83.1% vs. 63.3%, P=0.005) and abnormal fetal MRI (11.6% vs. 0%, P=0.003) were found to be prognostic risk factors associated with symptomatic CMV disease of the newborn. Maternal febrile illness at diagnosis, IgG avidity, US findings and the timing of maternal infection were not associated with the occurrence of neonatal symptoms.Knowledge of the reported risk factors may assist in counseling parents with intra uterine CMV infection.

scholarly journals Identifying children at high risk for recurrence child abuse

2021 ◽  
Vol 29 (1) ◽  
pp. 230949902199641
Author(s):  
Jidapa Wongcharoenwatana ◽  
Jariya Tarugsa ◽  
Kamolporn Kaewpornsawan ◽  
Perajit Eamsobhana ◽  
Chatupon Chotigavanichaya ◽  
...  
Keyword(s):  
Risk Factors ◽  
Child Abuse ◽  
Causes Of Death ◽  
Multivariate Logistic Regression Model ◽  
Abused Children ◽  
Factors Associated ◽  
Increased Risk ◽  
Two Factors ◽  
Death Cases ◽  
Child Age

Purpose: To evaluate the characteristics of abused children, families and abusive event and to identify risk factors associated with recurrence of child abuse. Methods: Retrospective data from 133 children aged between 2 months to 15 years old who were diagnosed as abuse between year 2002 and 2017. Thirteen items related to characteristics of the child, families, abusive event were selected. These factors were analyzed by multivariate logistic regression model for association with repeated child abuse. Results: Total of 133 subjects with average age of 5.25 ± 4.65 years old. There were 54 cases (40.60%) reported of repeated abuse. Majority of repeated abuse type in this study was physical abuse (73.68%). Most perpetrators were child’s own parents (45.10%). Factors associated with increased risk of repeated abuse were child age 1–5 years old (AOR = 4.95/95%CI = 1.06–23.05), 6–10 years old (AOR = 6.80/95%CI = 1.22–37.91) and perpetrator was child’s own parent (AOR = 21.34/95%CI = 3.51–129.72). Three cases of mortality were found with single-visit children and one case in recurrence. Most of death cases were children less than 1-year-old with average age of 7 months. Causes of death were subdural hematoma with skull and ribs fracture. Conclusions: Identifying risk factors for repeated child abuse help in recognizing child at risk to provide prompt intervention. This study found two factors associated with higher risk of abuse recurrence: child age 1–10 years old and abusive parents. Children who presented with these risk factors should be recognized and intensively monitored.

scholarly journals The analysis of risk factors associated with women's urinary incontinence; literature review

2021 ◽  
Vol 8 (1) ◽  
pp. 53-59
Author(s):  
Denisa Balalau ◽  
Octavian Olaru ◽  
Nicolae Bacalbasa ◽  
Stana Paunica ◽  
Daniela Balan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Negative Impact ◽  
Caffeine Consumption ◽  
Future Studies ◽  
Factors Associated ◽  
Mode Of Birth ◽  
History Of ◽  
Race Ethnicity

Urinary incontinence (UI) is a common condition among women. Approximately 50% of them had an involuntary loss of urine at least once in their lifetime. It can be present during sexual activity, contributing to sexual dysfunction and often associated with anxiety or even depression, thus having a negative impact on the quality of life. The incidence of UI is related to the existence of predisposing factors. The best known are: age, weight, family history, race/ ethnicity, number of pregnancies and mode of birth, history of genitourinary interventions and factors related to ordinary habits: smoking, caffeine consumption, oral contraceptives. Studies on middle-aged women have revealed that BMI, parity, age, hysterectomy, smoking, race/ ethnicity and diabetes are factors often associated with urinary incontinence. Future studies are needed to further explore the risk factors for urinary incontinence.

scholarly journals A prospective observational study on critically ill children with diaphragmatic dysfunction: clinical outcomes and risk factors

2020 ◽  
Author(s):  
Yang Xue ◽  
Chun-Feng Yang ◽  
Yu Ao ◽  
Ji Qi ◽  
Fei-Yong Jia
Keyword(s):  
Risk Factors ◽  
Length Of Stay ◽  
Clinical Outcomes ◽  
Critically Ill ◽  
Treatment Time ◽  
Negative Impact ◽  
Extubation Failure ◽  
Critically Ill Children ◽  
Diaphragmatic Dysfunction ◽  
Factors Associated

Abstract Background Diaphragmatic dysfunction (DD) has a great negative impact on clinical outcomes, and it is a well-recognized complication in adult patients with critical illness. However, DD is largely unexplored in the critically ill pediatric population. The aim of this study was to identify risk factors associated with DD, and to investigate the effects of DD on clinical outcomes among critically ill children. Methods Diaphragmatic function was assessed by diaphragm ultrasound. According to the result of diaphragmatic ultrasound, all enrolled subjects were categorized into the DD group (n=24) and the non-DD group (n=46). Collection of sample characteristics in both groups include age, sex, height, weight, primary diagnosis, complications, laboratory findings, medications, ventilatory time and clinical outcomes. Results The incidence of DD in this PICU was 34.3%. The level of CRP at discharge (P=0.003) in the DD group was higher than the non-DD group, and duration of elevated C-reactive protein (CRP) (P<0.001), sedative days (P=0.008) and ventilatory treatment time (P<0.001) in the DD group was significantly longer than the non-DD group. Ventilatory treatment time and duration of elevated CRP were independently risk factors associated with DD. Patients in the DD group had longer PICU length of stay, higher rate of weaning or extubation failure and higher mortality. Conclusion DD is associated with poorer clinical outcomes in critically ill childern, which include a longer PICU length of stay, higher rate of weaning or extubation failure and a higher mortality. The ventilatory treatment time and duration of elevated CRP are main risk factors of DD in critically ill children.

scholarly journals Risk factors related to seropositivity for Leptospira spp. in horses in the Serra Catarinense region

2020 ◽  
Vol 50 (7) ◽  
Author(s):  
Deise Keli Farias ◽  
Gabriela Dick ◽  
Silvério Bunn ◽  
André Thaler Neto ◽  
Carolina Rech ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Risk Factors ◽  
Animal Species ◽  
Clinical History ◽  
Control Measures ◽  
Serum Samples ◽  
Factors Associated ◽  
Leptospira Spp ◽  
History Of ◽  
And Control

ABSTRACT: Leptospirosis is a zoonotic infectious disease caused by the bacterium Leptospira spp. The consequences of infection in horses are unclear, and the serogroups involved vary depending on the region. This study aimed to evaluate the seropositivity of unvaccinated horses in the Serra Catarinense region and the possible risk factors associated with the infection. We used 207 horses from 26 properties, with no clinical history of infection and unvaccinated for leptospirosis. We submitted serum samples to the microscopic agglutination serum (SAM) to obtain the main reference serogroups. We considered animals with titre ≥100 as infected. The results of the serology revealed seropositivity in 45.4% (94/207) of the animals studied. The most frequent antibodies reportedwere those against the serogroups Australis 16.9% (35/207), Ichterhaemorrhagiae 14.4% (30/207), and Grippotyphosa 5.31% (11/207). Among the primary risk factors associated with the infection we reported extensive rearing system (OR = 1.27; P<0.05) and the presence of other animal species such as cattle (OR = 3.85; P<0.01) and capybaras (OR = 2.07; P=0.06). The findings presented in this study showed that leptospirosis is endemic in horses in the Serra Catarinense region, and revealed the need for emergency surveillance and control measures specific to this important zoonosis.

scholarly journals A case of alcohol-related emphysematous cystitis

2019 ◽  
pp. 3-6
Author(s):  
A. Sancı ◽  
E. Aydoğ ◽  
M.C. Karaburun ◽  
E. Süer
Keyword(s):  
Diabetes Mellitus ◽  
Infectious Disease ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Urine Culture ◽  
Emphysematous Cystitis ◽  
Factors Associated ◽  
Classical Risk Factor ◽  
Negative Urine Culture

Emphysematous cystitis (EC) is a very rare urinary tract infectious disease that can be fatal if not treated. In general, it frequently occurs in diabetic women and is thought to be associated with gas-producing bacteria. Type 2 diabetes mellitus, immunosuppression, drugs (mostly steroids), neurogenic bladder and instrumentation are the major risk factors of this type of infection. We present a case of emphysematous cystitis in a 53-year-old male, in which the patient does not have any classical risk factors associated with EC other than alcohol consumption. To the best of our knowledge, the only case in the literature where this type of infection develops without a classical risk factor and negative urine culture. It is also one of the rare EC cases that may be associated with alcohol use.

scholarly journals The association between personal history and the outcomes of transobturator sling surgery

2019 ◽  
Vol 65 (6) ◽  
pp. 864-869
Author(s):  
Paula da Silva Feitosa ◽  
Nicolle Henriques Barreto Colaço ◽  
Cristiane Regina Barros ◽  
Thomaz Rafael Gollop ◽  
Ana Carolina Marchesini
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Negative Impact ◽  
Demographic Data ◽  
Menopausal Status ◽  
Total Sample ◽  
The Body ◽  
Transobturator Sling ◽  
Factors Associated ◽  
Sling Surgery

SUMMARY OBJECTIVE: This study aims to verify the association between risk factors for the onset of SUI and transobturator suburethral sling surgical treatment outcomes. PATIENTS AND METHODS: A retrospective study was conducted with 57 patients operated by the Pelvic Floor Surgery Service. Demographic data were compiled from the sample, the body mass index (BMI) was calculated, and the patients were divided according to the response to the surgical treatment. RESULTS: A total of 77.2% of the sample was cured or improved after surgical treatment. Out of the total sample, 75.4% of the women were postmenopausal, and 73.7% denied current or past smoking. The median age was 61 years, the median number of births was 4.0, the median BMI was 28.6 kg/m2, and 50.9% of the sample was classified as pre-obese. BMI, menopausal status, age, smoking, and sexual activity were not factors associated with the surgical outcome. However, parity equal to or greater than 5 was associated with worse postoperative results (p = 0.004). CONCLUSIONS: among risk factors associated with the emergence of SUI, only parity greater than 4 showed a negative impact on transobturator sling surgery outcomes.

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