scholarly journals Leprosy Reaction in Thai Population: A 20-Year Retrospective Study

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Poonkiat Suchonwanit ◽  
Siripich Triamchaisri ◽  
Sanchawan Wittayakornrerk ◽  
Ploysyne Rattanakaemakorn

Background. Leprosy is a chronic infectious disease that presents with varying dermatological and neurological symptoms. The leprosy reactions occur over the chronic course of the disease and lead to extensive disability and morbidity.Objective. To analyze and identify the risk factors which contribute to leprosy reactions.Methods. In a retrospective study, we reviewed the medical records of leprosy patients registered at the leprosy clinic, Ramathibodi Hospital, Thailand, between March 1995 and April 2015. One hundred and eight patients were included; descriptive analysis was used for baseline characteristics and a binary logistic regression model was applied for identifying risk factors correlated with leprosy reactions.Results. Of the 108 cases analyzed, 51 were male and 57 were female. The mean age of presentation was 45 years. The borderline tuberculoid type was the most common clinical form. Leprosy reactions were documented in 61 cases (56.5%). The average time to reaction was 8.9 months. From multivariate analysis, risk factors for leprosy reactions were being female, positive bacillary index status, and MB treatment regimen.Conclusions. Leprosy reactions are common complications in leprosy patients. Being female, positive bacillary index status, and multibacillary treatment regimen are significantly associated with the reactions. Early detection in cases with risk factors followed by appropriate treatment could prevent the morbidity of leprosy patients.

Author(s):  
В.А. Белобородов ◽  
И.А. Степанов ◽  
А.В. Щербатых ◽  
И.И. Томашов ◽  
З.С. Саакян ◽  
...  

В отечественной и зарубежной специализированной литературе отсутствуют исследования, посвященные изучению факторов риска развития неблагоприятного исхода у пациентов старшей возрастной группы с инсультассоциированной нозокомиальной пневмонией. Цель исследования - изучение факторов риска развития неблагоприятного клинического исхода у пациентов пожилого и старческого возраста с нозокомиальной пневмонией на фоне ОНМК. В исследование были включены 247 пациентов пожилого и старческого возраста (139 мужчин, 108 женщин, средний возраст - 74,1±6,3 года), госпитализированных с признаками ОНМК по ишемическому или геморрагическому типу. Согласно модели бинарной логистической регрессии, статистически значимо ассоциированы с развитием неблагоприятного исхода у изучаемой группы респондентов следующие параметры: возраст свыше 75 лет (p=0,011), степень инвалидизации по шкале mRS 3 (р=0,009), а также уровень С-РБ >100 мг/л (р=0,023) и мочевины >7 ммоль/л (р=0,044). Для снижения частоты встречаемости неблагоприятного клинического исхода у пациентов старшей возрастной группы с инсульт-ассоциированной нозокомиальной пневмонией необходимо верифицировать перечисленные выше клинико-лабораторные параметры на ранних этапах госпитализации. In the domestic and foreign specialized literature, there are no studies devoted to the study of risk factors of mortality in the older age patients with stroke-associated nosocomial pneumonia. The purpose of the study was to study the risk factors of adverse clinical outcomes in elderly and senile patients with stroke-associated nosocomial pneumonia. The study included 247 elderly and senile patients (139 men, 108 women, mean age - 74,1±6,3 years) who were hospitalized with signs of ischemic or hemorrhagic stroke. According to the binary logistic regression model, the following parameters are statistically significantly associated with adverse clinical outcomes in the studied group of respondents: age over 75 years (p=0.011), degree of disability according to mRS ≥3 (p=0,009), and C-reactive protein levels over 100 mg/l (p=0,023) and urea more than 7 mmol/l (p=0,044). In order to reduce the incidence of adverse clinical outcomes in patients of the older age group with stroke-associated nosocomial pneumonia, it is necessary to verify the above clinical and laboratory parameters at the early stages of hospitalization.


2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Ana Maria Ribeiro dos Santos ◽  
Rosalina Aparecida Partezani Rodrigues ◽  
Marina Aleixo Diniz

ABSTRACT Objective: to analyze cases of trauma caused by traffic accidents in elderly individuals assisted at a reference municipal emergency hospital in 2010 and 2011. Method: longitudinal retrospective study was developed at an emergency hospital and a Traffic Accidents Repression Station, with 524 elderly individuals. All variables were submitted for descriptive analysis. Risk of involvement in accidents, occurrence of injury and death were determined using relative risk. Results: a statistically significant association was found in accidents with injuries when motorcycles were the vehicle that ran over the individual. Associations were also found between men and the occurrence of accidents, injury and death, mainly among younger elderly individuals. Most of the 524 elderly individuals who suffered an accident were men, married and had elementary school level education. Of these, 78.6% presented with injuries, with the majority of them being pedestrians. Conclusion: among younger elderly individuals, the possibility of death as a result of the injury was 3.4 times higher in 2010.


2021 ◽  
Vol 49 (9) ◽  
pp. 030006052110452
Author(s):  
Chen Wang ◽  
Bo Xu ◽  
Pengfei Wang ◽  
Weiguang Yu ◽  
Xianshang Zeng ◽  
...  

Objective The association of chronic non-malignant pain (CNP) with dyslipidemia is unclear. This retrospective study was performed to evaluate the association between CNP and dyslipidemia in elderly patients with femoral neck fractures (FNFs) treated by primary unilateral total hip arthroplasty (THA). Methods We retrospectively identified 521 consecutive patients with FNFs (AO/OTA type 31B) who underwent primary unilateral THA from 2009 to 2021. The study population was divided into patients with and without CNP. Serum lipids were measured for each patient. The association between CNP and dyslipidemia was assessed using a multivariate binary logistic regression model. Results In total, 436 patients (220 with CNP, 216 without CNP) were eligible for analysis. In the quantile regression, the adverse effect of CNP was significantly attenuated by resilience in patients with a high high-density lipoprotein (HDL) concentration and low low-density lipoprotein (LDL) concentration. The multivariate binary logistic regression model showed that the HDL and LDL concentrations were the only variables significantly associated with the development of CNP. Conclusion Both a low HDL and high LDL concentration may result in the occurrence of CNP in elderly patients with FNFs treated by primary unilateral THA.


2019 ◽  
Vol 4 (8) ◽  
pp. 44-48
Author(s):  
Abdulmumeen Adekunle Issa ◽  
Waheed Babatunde Yahya ◽  
Eyitayo Tejumola Jolayemi

A number of discussions on mortality or survival patterns of under-five children in Nigeria have been presented in the literature over years, most of which were characterized by descriptive analysis, in which facts were reported by percentages, ratio and measures of association to mention a few.  In this study, binary logistic regression model was employed to model the survival status (dead or alive) of under-five children in Nigeria as a function of some socio-demographic variables. Results from this study revealed that ten socio-demographic variables among several others were significantly associated with the survivals of under-five children in Nigeria. Specifically, the results showed that children that were born in urban area, that were exclusively breastfed, that were among the first four children in the family, whose mothers have secondary education and post-secondary education have significant increased odds, to about 27%, 580%, 20%, 22% and 102% respectively, of surviving beyond age five than their counterparts in the reference categories of the above identified risk factors (odds ratio is 1.271(p < 0.0001 for urban), 6.810 (p<0.0001 for breastfeeding), 1.197 (p < 0.0001 for birth order), 1.225 (p = 0.001 for secondary education) and 2.023 (p < 0.0001 for higher education)). Results from this work indicated that more enlightenment program is required to stem the alarming increase in under-five mortality rate in Nigeria which currently stood at 112%. Data set from Nigerian Demographic and Health Surveys (NDHS) report for 2008 was employed in this study.


2020 ◽  
Vol 15 (4) ◽  
pp. 533-541
Author(s):  
Ricardo Monteiro ◽  
Diogo Monteiro ◽  
Célia Nunes ◽  
Miquel Torregrossa ◽  
Bruno Travassos

The aim of this study was to describe and identify the weight of some key career indicators (KCI) on the competitive level of retirement (professional vs. non-professional) of Portuguese football players. Three thousand five hundred retired Portuguese football players born between 1950 and 1989, and registered on Portuguese Football Federation were considered in this study. Descriptive analysis and a multivariable binary logistic regression model were performed to assess the relationship between the mastery stage development variables and the competitive level of retirement of football players. The results highlighted that the KCI first senior registration level, number of seasons in mastery stage, number of total games as senior player, number of total games in retirement season, and the age of the last best result achieved contribute to explain and predict the competitive level of retirement of Portuguese football players. The tendencies identified and their impact on the competitive level of retirement could be important implications on awareness and definition of management and support programs of players’ careers.


2019 ◽  
Vol 26 (12-13) ◽  
pp. 1493-1516
Author(s):  
María García-Jiménez ◽  
María Jesús Cala-Carrillo ◽  
M. Eva Trigo

This article examines which variables predict disengagement from legal proceedings by victims of intimate partner violence in the first steps of the Spanish judicial process. We replicated a previous retrospective study with a prospective sample of 393 women. The relationships of sociodemographic, emotional, motivational, and psychological variables with procedural withdrawals were analyzed. We developed a binary logistic regression model that predicts disengagement with two variables: the contact with the abuser and the interaction between this contact and the thought of going back with him. Interesting differences between the current and the retrospective study were found. Results are discussed extensively in the conclusions.


2018 ◽  
Vol 64 (No. 8) ◽  
pp. 367-377 ◽  
Author(s):  
Rafael Gonzalo Herranz De ◽  
Sebastián Fernandez-Prados Juan

The main purpose of this study was to analyse the opinions of farmers in the province of Almería concerning the state of the fruit and vegetable sector, to learn about the main considerations in their decision-making processes when marketing their products and their assessment of the image of companies and cooperatives and to analyse the social structure of this collective. To that end, the analysis was conducted on three levels: a descriptive analysis on two levels – a quantitative analysis of the socio-demographic, socio-economic and marketing characteristics of farmers in the province of Almería and a qualitative analysis based on the opinions of farmers and a group of experts in the sector; and an explanatory analysis, based on a binary logistic regression model, to show how decision-making occurs in the marketing dialectic, whether it either be at the source (auction) or the end-point (cooperative). The conclusion is that the marketing variables that are most tied to context – such as price, timeframe or certification – better explain the decision-making process of farmers in the province of Almería when marketing their products, both for cooperative members and for those who sell their products in alhóndigas (traditional auction houses).


2020 ◽  
Vol 1 (1) ◽  
pp. 30-37
Author(s):  
O.A. Adekoya ◽  
O.T. Adenubi ◽  
O.O. Adebayo ◽  
O.O. Adebowale ◽  
J.A. Oyewusi ◽  
...  

AbstractCases of canine poisoning pose a great challenge to pet owners and veterinarians due to incomplete patient history, late/delayed presentation of pets and the large array of poisonous agents. A ten-year retrospective study on canine poisoning cases presented to the Veterinary Teaching Hospital, Abeokuta, Nigeria was conducted. Descriptive statistics were used to characterize animal signalment, mode, month and year of exposure, severity, treatment and outcome. Associations between explanatory demographic characteristics of patients (age, sex and breed) with poison type and route of exposure were determined using a binary logistic regression model. Fifty-two case records with poisoning history and complete data were reviewed. The study population consisted of twenty males and thirty-two females between two months and five years of age. Poisonous agents that were identified included insecticides/acaricides (83%), cleaning products (2%), rodenticides (4%) and snake venom (6%). Poisoning occurred more in Alsatians, especially during the rainy season. No association between the dog demographics with type of poisoning and route of exposure was observed (p>0.05). There were 4 fatalities and 48 recoveries. This study highlights the heterogeneity of poisonous agents, associated clinical signs, treatment and outcome, and the challenges involved in poison control. Standardized approaches for the collection, assessment, integration of poisoning data and risk management is needed.


2020 ◽  
Author(s):  
Fang Nie ◽  
Ziyun Wang ◽  
Qibing Zeng ◽  
Han Guan ◽  
Jingyuan Yang ◽  
...  

Abstract Background: Behavioral and metabolic risk factors will increase the risk of dyslipidemia, the association of behaviors and metabolic factors with dyslipidemia among Miao adults are still unclear. Objective: To evaluate the association between behaviors, metabolic factors and dyslipidemia.Methods: Based on the CMEC study, a representative samples of 5,559 Miao participants aged 30 to 79 years old who were included in the baseline survey from 2018 to 2019 were analyzed. A binary logistic regression model was utilized to evaluate the odds ratios (OR) and 95% confidence intervals (CI) of the associations of healthy behaviors and metabolic factors with dyslipidemia.Results: In both sexes, only a small percentage of females with ideal levels of waist-to-hip ratio (WHR) (27.2%). However, participants were more likely to have ideal levels of fasting blood glucose (FBG). In addition, males with dyslipidemia had poor levels of body mass index (BMI) (60.3%), WHR (59.2%) and FBG (65.8%). While females with dyslipidemia had poor levels of FBG (60.0%). Notably, our study found that WHR, BMI, FBG, and blood pressure were major risk factors for almost all dyslipidemia components. Conclusions: The rate of dyslipidemia cannot be ignored, particularly high TG levels. In addition, healthy behaviors and metabolic factors, especially WHR, BMI, FBG levels, and blood pressure were significantly associated with dyslipidemia, which may have become a major challenge to public health problems in the ethnic minority areas of Guizhou.


2019 ◽  
Vol 6 (1) ◽  
pp. 01-09
Author(s):  
Rituparna Acharjee

Childhood anaemia poses serious threats to public health and may impair growth, cardiac function and cognitive and physical development. It also causes increased susceptibility to infections. Statistical analysis was performed on the cross-sectional data of 2957 children from 2015-2016 National Family Health Survey (NFHS-IV), using binary logistic regression model, to assess the significance of some risk factors of child anemia. Anemia was diagnosed by WHO cut-off points on hemoglobin level. The mean haemoglobin concentration was 114.19 g/dl (95% CI, 113.55-114.83) with the prevalence of child anaemia as 60.4% in Meghalaya. Of the 7 districts in Meghalaya (as per the seven-district classification used in NFHS-4), the highest prevalence was found in West Garo Hills (70.4 per cent), followed by Ri-Bhoi (67.7 per cent) and East Garo Hills (66.4 per cent) and the least prevalence was found in East Khasi Hills (45.6 per cent). The results of binary logistic risk factors showed higher likelihood of anaemia for lower age groups and higher birth orders (p <0.05).


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