scholarly journals Coeliac disease: no difference in milk and dairy products consumption in comparison with controls

2019 ◽  
Vol 2 (1) ◽  
pp. 39-42
Author(s):  
Fabiana Zingone ◽  
Paola Iovino ◽  
Cristina Bucci ◽  
Carolina Ciacci
Keyword(s):  
General Population ◽  
Coeliac Disease ◽  
Dairy Products ◽  
Online Survey ◽  
Gastrointestinal Symptoms ◽  
Public Access ◽  
Nutritional Deficiencies ◽  
Significance Level ◽  
Significant Difference ◽  
Milk And Dairy Products

BackgroundNutritional deficiencies are common in patients with coeliac disease and they can cause osteopenia among other associated diseases. Reduced consumption of milk and dairy products may play a major role in determining low bone mass in patients with coeliac disease.AimWe aimed to investigate milk and dairy products consumption in patients with coeliac disease compared with the general population.MethodsWe examined the average consumption of milk and dairy products and the reasons for not consuming them. An online survey was sent by email to patients with coeliac disease on a gluten-free diet and aged 18–75. Matched controls were selected among volunteers who responded to the survey posted on the public access sites. Differences in frequencies and means between the two groups were calculated using the χ2 test and t-test, respectively. All tests were two-tailed with a significance level set at p<0.05.Results176 patients with coeliac disease and 528 controls participated in the study. We found that 22.2% of the patients with coeliac disease and 19.9% of controls did not drink fluid milk on a regular basis; lactose-free milk was preferred by 20.4% of the patients with coeliac disease and by 19% of controls (p=0.69). Only a minority of patients with coeliac disease contacted a doctor before having lactose-free milk, despite this being led by the presence of gastrointestinal symptoms. More patients with coeliac disease than the general population reported a breath test before avoiding milk and dairy products.ConclusionsThere is no significant difference between patients with coeliac disease and controls in regular milk consumption. Follow-up visits for patients with coeliac disease could avoid unnecessary dietary restrictions.

scholarly journals Avoidance of Healthcare Utilization in South Korea during the Coronavirus Disease 2019 (COVID-19) Pandemic

2021 ◽  
Vol 18 (8) ◽  
pp. 4363
Author(s):  
Minjung Lee ◽  
Myoungsoon You
Keyword(s):  
General Population ◽  
South Korea ◽  
Healthcare Utilization ◽  
Online Survey ◽  
Negative Impact ◽  
Sociodemographic Characteristics ◽  
Related Factors ◽  
First Case ◽  
Significant Difference ◽  
Health Related

Avoidance of healthcare utilization among the general population during pandemic outbreaks has been observed and it can lead to a negative impact on population health. The object of this study is to examine the influence of socio-demographic and health-related factors on the avoidance of healthcare utilization during the global outbreak of a novel coronavirus (COVID-19) in 2020. Data were collected through an online survey four weeks after the Korea Centers for Disease Control and Prevention (KCDC) confirmed the first case in South Korea; 1000 subjects were included in the analysis. The logit model for regression was used to analyze the associations between sociodemographic and health-related factors regarding the avoidance of healthcare utilization. Among the participants, 73.2% avoided healthcare utilization, and there was no significant difference in the prevalence of healthcare avoidance between groups with (72.0%) and without (74.9%) an underlying disease. Sociodemographic characteristics (e.g., gender, age, income level, and residential area) were related to healthcare avoidance. Among the investigated influencing factors, residential areas highly affected by COVID-19 (i.e., Daegu/Gyeoungbuk region) had the most significant effect on healthcare avoidance. This study found a high prevalence of healthcare avoidance among the general population who under-utilized healthcare resources during the COVID-19 outbreak. However, the results reveal that not all societal groups share the burden of healthcare avoidance equally, with it disproportionately affecting those with certain sociodemographic characteristics. This study can inform healthcare under-utilization patterns during emerging infectious disease outbreaks and provide information to public health emergency management for implementing strategies necessary to improve the preparedness of the healthcare system.

Coeliac disease presenting atypically: A much wider spectrum

2021 ◽  
pp. 004947552199134
Author(s):  
Avinash Lomash ◽  
Abhinaya Venkatakrishnan ◽  
Meenakshi Bothra ◽  
Bhavna Dhingra ◽  
Praveen Kumar ◽  
...  
Keyword(s):  
Coeliac Disease ◽  
Gestational Age ◽  
Dermatitis Herpetiformis ◽  
Mode Of Delivery ◽  
Gastrointestinal Symptoms ◽  
Stunted Growth ◽  
Significant Difference ◽  
High Index Of Suspicion ◽  
Gestational Age At Birth ◽  
Age At Birth

Atypical coeliac disease in young children is frequently missed when it presents atypically as non-gastrointestinal presentations to different specialties. There was a greater delay (54 months) in establishing the diagnosis in those with atypical coeliac disease (p < 0.001). No difference was observed in the mode of delivery or duration of breast feeding, but significant difference was observed between gestational age at birth (p < 0.001). Most cases showed stunted growth and underweight. Irritability, anaemia, rickets, dermatitis herpetiformis, alopecia and intussusception were other common predictors of atypical coeliac disease. Because of a myriad spectrum of non-gastrointestinal symptoms, at any age with diverse presentation, a high index of suspicion is therefore required.

Ingestão de Hortaliças Melhora a Qualidade da Dieta de Atletas Adolescentes / Intake of Vegetables Improves Quality of Diet among Adolescent Athletes

1970 ◽  
Vol 5 (4) ◽  
pp. 20-27
Author(s):  
Ana Carolina Santos Barbosa Machado ◽  
Raquel Simões Mendes Netto ◽  
Danielle Góes da Silva ◽  
Oscar Felipe Falcão Raposo ◽  
Marina de Macedo Rodrigues Leite
Keyword(s):  
Food Intake ◽  
Dairy Products ◽  
Vegetable Consumption ◽  
Healthy Eating Index ◽  
Chi Square ◽  
Significance Level ◽  
Food Pyramid ◽  
Chi Square Test ◽  
Milk And Dairy Products

RESUMOObjetivo: Avaliar a influência da ingestão de alimentos na qualidade global da dieta de jovens atletas. Materiais e Métodos: Participaram do estudo 72 atletas escolares de tênis de campo e natação com idades entre 10 e 18 anos. O índice de qualidade da dieta (IQD) foi obtido a partir da aplicação do questionário de frequência alimentar semi-quantitativo. A estimativa de ingestão de alimentos foi baseada no número de porções dos grupos da pirâmide alimentar. Foi realizada análise estatística descritiva, teste de associação qui-quadrado e regressão linear, adotado o nível de significância de 5%. Resultados: A análise apontou que 77,8% dos jovens possuem “dieta que necessita de modificação” e 22,2% avaliados como “dieta adequada”. A ingestão alimentar dos grupos de leites e derivados e hortaliças foi abaixo do recomendado, entretanto, 91,7% dos adolescentes consumiam mais do que o recomendado do grupo de doces. A ingestão de hortaliças mostrou-se significantemente associada a melhora da qualidade da dieta. Conclusão: Adolescentes atletas necessitam de mudanças qualitativas na dieta, tendo como principais pontos para mudança o aumento na ingestão de hortaliças e leites e derivados e a menor ingestão de doces. Palavras-chave: Ingestão alimentar, Atletas, Adolescentes. ABSTRACTObjective:  Evaluate the influence of food intake in diet quality of teenage athletes. Materials and Methods:  72 swimming and field tennis school athletes with age between 10 and 18 years old took part in the study. The healthy eating index (HEI) was obtained from semi-quantitative food frequency questionnaire. Food intake estimation was based on the number of servings of  the food pyramid groups. Descriptive statistics, chi-square test association and linear regression, adopting the 5% significance level was performed. Results: The analysis showed that 77.8% of the athletes have “needs to improve their diet” and 22.2% were evaluated as "good diet". The dietary intake of milk and dairy products and vegetables was below the recommendation, however, 91.7% of the adolescents intake above the recommendation of sweets.  The vegetable consumption is significantly associated with better quality of diet. Conclusion: Young athletes require quality changes in diet, being the main points for change the increase in the consumption of vegetables, milk and dairy products and a lower sweet intake. Keywords: Eating, Athletes, Adolescent.

scholarly journals INTERACTIONS BETWEEN SOCIOECONOMIC STATUS AND MENTAL HEALTH OUTCOMES IN THE NIGERIAN CONTEXT AMID COVID-19 PANDEMIC: A COMPARATIVE STUDY

2020 ◽  
Author(s):  
Samson Femi Agberotimi ◽  
Olusola Stella Akinsola ◽  
Rotimi Oguntayo ◽  
Abayomi Oladele Olaseni
Keyword(s):  
Mental Health ◽  
Socioeconomic Status ◽  
Depressive Symptoms ◽  
General Population ◽  
Health Outcomes ◽  
Online Survey ◽  
Mental Health Outcomes ◽  
Healthcare Personnel ◽  
Event Scale ◽  
Significant Difference

This study examines the mental health outcomes among the healthcare personnel and the general population and the role of socioeconomic status. Eight hundred and eighty-four (884) residents in Nigeria comprising 382 Healthcare Personnel and 502 general residents aged between 18 and 78 years (M = 28.75, SD = 8.17) responded to an online survey with measures of Impact of Event Scale-Revised (IES-R), Generalized Anxiety Disorder (GAD-7), Patient Health Questionnaire (PHQ–9) and Insomnia Severity Index. Collected data were subjected to statistical analysis using the SPSS v.25. Results revealed significant difference in the prevalence of depressive symptoms (χ2 = 14.26; df = 4; p &lt;0.01); insomnia symptoms (χ2 = 40.21; df = 3; p&lt; 0.01); posttraumatic stress symptoms (χ2 = 08.34; df = 3; p&lt; 0.05) and clinical anxiety symptoms (χ2 = 06.71; df = 1; p &lt;0.05) among healthcare personnel and the general population, with a higher prevalence reported by the healthcare personnel. Further, socioeconomic status significantly influence prevalence of depressive symptoms (χ2 = 04.5; df = 4; p &lt;0.05). The study concluded that the prevalence of poor mental health outcomes during the COVID-19 crisis among Nigerians is worrisome. Also, the socioeconomic status of the citizens has serious implications on depressive symptoms. It was recommended that better attention should be paid to the mental health of residents in Nigeria, most especially healthcare workers during the COVID-19 pandemic.

scholarly journals Prevalence and Antimicrobial Susceptibility Profile of Staphylococcus aureus in Milk and Traditionally Processed Dairy Products in Addis Ababa, Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Fikirte Lemma ◽  
Haile Alemayehu ◽  
Andrew Stringer ◽  
Tadesse Eguale
Keyword(s):  
Staphylococcus Aureus ◽  
Antimicrobial Susceptibility ◽  
Dairy Products ◽  
Addis Ababa ◽  
Dairy Product ◽  
Raw Milk ◽  
Cottage Cheese ◽  
Diffusion Method ◽  
Significant Difference ◽  
Milk And Dairy Products

Staphylococcus aureus is a contagious pathogen that can cause various diseases in both humans and animals. Antimicrobial-resistant S. aureus is becoming an extremely important global health problem. A cross-sectional study was conducted from December 2019 to May 2020 to assess the occurrence of S. aureus and its antimicrobial susceptibility profiles in milk and traditionally processed dairy products in selected subcities of Addis Ababa. A total of 255 dairy product samples (175 raw milk and 80 traditionally processed dairy products) were collected from farms and retail markets. Samples were cultured for S. aureus according to standard microbiology techniques, and the Kirby–Bauer disk diffusion method was used to assess antimicrobial susceptibility of isolates to a panel of 12 antimicrobials. Susceptibility to methicillin was determined based on the sensitivity of isolates to cefoxitin, and resistant isolates were investigated for the presence of mecA and mecC genes using PCR. Staphylococcus aureus was isolated from 43 (24.6%) of milk, 7 (17.5%) of yogurt, and 2 (5%) of cottage cheese. A significantly higher rate of contamination with S. aureus was recorded among milk samples compared to yogurt and cottage cheese ( p = 0.019 ). Out of 52 S. aureus isolates investigated for susceptibility to 12 antimicrobials, 49 (94.2%) of the isolates were resistant to ampicillin and 42 (80.8%) to amoxicillin+clavulanic acid. Twenty (38.5%) of the isolates were methicillin-resistant S. aureus (MRSA) based on susceptibility to cefoxitin. However, only one of these isolates (5%) was positive for mecA gene, and none of them were positive for the mecC gene. There was no significant difference ( p > 0.05 ) in the rate of occurrence of MRSA among isolates from different sources. In conclusion, this study demonstrated a significant level of contamination of milk and dairy products with S. aureus and most isolates were multidrug resistant. The occurrence of MRSA in raw milk and dairy products signifies a serious public health threat as the practice of consuming raw dairy products in the study area is widespread. The lack of agreement between phenotypic and genotypic detection of MRSA suggests the need for further study to identify the genetic basis for the observed resistance phenotype.

scholarly journals Measuring dry extract in dairy products: optimizing the methodology

2018 ◽  
Vol 48 (7) ◽  
Author(s):  
Vanessa Cristina Martins ◽  
Suzane Martins Ferreira ◽  
Vania Silva Carvalho
Keyword(s):  
Dairy Products ◽  
Microwave Drying ◽  
Food Storage ◽  
Reliable Technique ◽  
Dry Extract ◽  
Significance Level ◽  
Significant Difference ◽  
Processing Plants ◽  
The City

ABSTRACT: Dairy products are a common staple in the human diet. Moisture content is an important factor in the composition of foods, and it is a parameter used to measure product quality due to its direct influence on food storage. In this study, the moisture contents of three different products (mozzarella cheese, a creamy cheese spread, and yogurt drinks) were measured using oven drying, infrared drying, and microwave drying in order to compare the results of these three methods. Three brands of each product were used, all of which were purchased at the local supermarket in the city of Goiatuba, Goiás, Brazil. The different methods used to measure the dry extract of most of the brands analyzed did not differ significantly between each other based on a significance level of 5% on Tukey’s test. There was a significant difference between the methodologies used in the case of only one brand of each analyzed product. Microwave drying method wasreported to be a safe and reliable technique for analyzing dry extract from dairy products; it produces precise results, thus guaranteeing the quality of the analysis, and it reduces procedure time, thus optimizing the routine analytical processes performed in quality control laboratories within food processing plants.

Utility and Results from a Patient-Reported Online Survey in Myotonic Dystrophies Types 1 and 2

2020 ◽  
Vol 83 (5) ◽  
pp. 523-533
Author(s):  
Stephan Wenninger ◽  
Kristina Stahl ◽  
Federica Montagnese ◽  
Benedikt Schoser
Keyword(s):  
Muscle Weakness ◽  
Online Survey ◽  
Clinical Symptoms ◽  
Age Of Onset ◽  
Neuromuscular Disorders ◽  
Gastrointestinal Symptoms ◽  
Online Surveys ◽  
Cardiac Symptoms ◽  
Significant Difference ◽  
Patient Reported

<b><i>Introduction:</i></b> Myotonic dystrophies (DMs) are the most frequent autosomal dominant neuromuscular disorders in adults. Our objective was to evaluate the utility of an online survey in a rare disease as well as to assess and compare the onset and the progression of clinical symptoms in patients with myotonic dystrophy types 1 (DM1) and 2 (DM2). <b><i>Methods:</i></b> We conducted a patient’s reported online survey assessing demographics, disease-related symptoms (age of onset, first symptom, time of diagnosis, current symptoms, inheritance, and family history) combined with capturing current symptoms by validated questionnaires. The questionnaire consisted of open, closed, single- and multiple-choice questions. Multiple answers were possible in some cases. Patients with genetically confirmed DM1 or DM2 who were registered in the German DM registry or the <i>Deutsche Gesellschaft für Muskelkranke e.V.</i> – Diagnostic Group for DMs were invited to participate in this online survey. We calculated descriptive and exploratory analysis, where applicable. <b><i>Results:</i></b> Out of 677 data sets from respondents, 394 were suitable for final analysis, containing completed questionnaires from 207 DM1 (56% female) and 187 DM2 patients (71% female). The median age of onset was 28 years for DM1 and 35 years for DM2. Muscular symptoms were most frequently reported as the first symptom. The onset of myotonia was earlier than the onset of muscle weakness in both DM1 and DM2. Forty-four percent of patients with DM1 and one-third of patients with DM2 indicated muscle weakness as the first symptom. Patients with DM1 were significantly younger when experiencing muscle weakness as first symptom. Fatigue was only mentioned by a small fraction of patients as a first symptom but increased significantly in the course of the disease. There was no statistically significant difference in the incidence of cataracts, cardiac symptoms, and gastrointestinal symptoms between DM1 and DM2. Falls were reported almost equally in both groups, and most of the patients reported 2–3 falls within the past year. <b><i>Discussion:</i></b> Overall, as our results are consistent with the results of clinical studies and online registries, it can be assumed that this type of systematic gathering of data from patients with rare diseases is useful and provides realistic and appropriate results. Due to the nature of online surveys and the absence of an assessor, some uncertainty remains. Furthermore, survey frauds cannot be completely excluded. An additional clinical assessment could confirm the given information and will improve the utility and validity of reported symptoms participants provide in online surveys. Therefore, we recommend a combination of data collecting by online surveys and clinical assessments.

Speech-Language Pathologists' Perceptions of School-Based Services for Children With Hearing Loss

2020 ◽  
Vol 51 (2) ◽  
pp. 469-478
Author(s):  
Sarah Allen ◽  
Robert Mayo
Keyword(s):  
Hearing Loss ◽  
Online Survey ◽  
Working Relationships ◽  
Speech Language Pathologists ◽  
School Aged Children ◽  
School Based ◽  
Significant Difference ◽  
Positive Feelings ◽  
Children With Hearing Loss ◽  
Perceptions Of School

Purpose School-aged children with hearing loss are best served by a multidisciplinary team of professionals. The purpose of this research was to assess school-based speech-language pathologists' (SLPs) perceptions of their access to, involvement of, and working relationships with educational audiologists in their current work setting. Method An online survey was developed and distributed to school-based SLPs in North Carolina. Results A significant difference in access to and involvement of educational audiologists across the state was found. Conclusions This research contributes to professional knowledge by providing information about current perceptions in the field about interprofessional practice in a school-based setting. Overall, SLPs reported positive feelings about their working relationship with educational audiologists and feel the workload is distributed fairly.

AWARENESS ABOUT INDOOR AIR POLLUTION IN GENERAL POPULATION OF RAWALPINDI AND ISLAMABAD

2018 ◽  
Vol 8 (2) ◽  
pp. 80-83
Author(s):  
Nadia Tariq ◽  
Tamkeen Jaffry ◽  
Rahma Fiaz ◽  
Abdul Majid Rajput ◽  
Sadaf Khalid
Keyword(s):  
Air Pollution ◽  
General Population ◽  
Indoor Air ◽  
Indoor Air Pollution ◽  
Economic Status ◽  
Educational Status ◽  
Epidemiological Studies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference

Background: Indoor air pollutants are increasingly being associated with respiratory illnesses leading to high degree of morbidity and mortality. There are not sufficient epidemiological studies from Pakistan which assess level of awareness of indoor air pollution resulting in respiratory diseases in population. Methods: This cross sectional survey was carried out on general population of Rawalpindi/Islamabad. Sample size was 223 study subjects selected by non-probability convenient sampling. Knowledge of the study subjects was determined with regard to indoor air pollution, its effects on health and different sources of indoor air pollution with the help of a questionnaire. The influence of age, gender, educational status and socio economic status on the level of awareness was also analyzed. Results: Out of total 223 participants, 115 were males and108 females. Participants aware of indoor air pollution were 91.5% and adequate awareness about its sources was 80.7%. Those who knew indoor air pollution is detrimental to health were 95.1%. Awareness about building construction dust as source of indoor air pollution was maximum (84.8%). There was significant difference in awareness among participants with different monthly incomes and educational status and also between males and females. Conclusion: This study concludes that general population of Rawalpindi/Islamabad has fairly good awareness about sources of indoor air pollution. Use of harmful material causing indoor air pollution should be limited or substituted with better ones where possible.

Sign in / Sign up

Export Citation Format

Share Document