Risk Factors for Otitis Media Sequelae and Chronicity

1994 ◽  
Vol 103 (5_suppl) ◽  
pp. 39-42 ◽  
Author(s):  
Kathleen Daly
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Early Detection ◽  
Otitis Media ◽  
Middle Ear ◽  
Childhood Illness ◽  
Modifiable Risk Factors ◽  
Clinical Factors ◽  
Aggressive Therapy ◽  
High Risk Children

Otitis media (OM) is a very common childhood illness, with identified risk factors for chronicity and recurrence. Although a few treatment studies have described clinical factors that predict increased morbidity, there is little information on risk factors for middle ear sequelae of OM. These conditions have an estimated annual incidence of 0.5% to 4% among children with chronic OM with effusion. Prospective studies to identify risk factors for sequelae, although usually preferred by researchers, are expensive to conduct and impractical for rare conditions such as cholesteatoma. Knowledge of risk factors for chronicity and sequelae can be used clinically to target high-risk children for earlier, more aggressive therapy or more frequent surveillance and testing to prevent sequelae and increase early detection of these conditions. A clinician's advice about modifiable risk factors may motivate parents to decrease their child's exposure to factors that increase the risk of OM, OM chronicity, and sequelae. Research is needed to identify risk factors for OM sequelae by means of well-designed controlled studies.

Gender differences in acute coronary events

2000 ◽  
Vol 9 (3) ◽  
pp. 207-209 ◽  
Author(s):  
KB Keller ◽  
L Lemberg
Keyword(s):  
Risk Factors ◽  
Gender Differences ◽  
Early Detection ◽  
Early Death ◽  
Female Gender ◽  
The United States ◽  
Vascular Events ◽  
Aggressive Therapy ◽  
The Difference ◽  
Coronary Events

The most frequent cause of death among women in the United States is coronary heart disease, which claims 200,000 lives a year. The prognosis with either medical or surgical therapy is worse in females than in males. The following significant gender differences have been observed and reported: (1) the rate of early death following acute myocardial infarction is greater in women, (2) the difference between sexes remains whether or not thrombolytic therapy is used, and (3) the hospital mortality rate following coronary angioplasty, atherectomy, or bypass surgery is greater in females. The reasons for these gender differences are not clearly understood. Nevertheless, awareness of the higher morbidity and mortality in women dictates the need for early detection and more aggressive therapy of the risk factors. However, diabetes mellitus and essential hypertension are 2 well-established major risk factors for coronary disease and stroke that are more prevalent in the female gender. These 2 risk factors are cumulative and require more intensive and aggressive therapy to prevent acute vascular events, and therefore early detection is mandatory.

Early detection of diabetes mellitus in high-risk children

2014 ◽  
Vol 27 (4) ◽  
pp. 705
Author(s):  
SaharA Hewait ◽  
SoheirS Abou El-Ella ◽  
MahaA Tawfik
Keyword(s):  
Diabetes Mellitus ◽  
High Risk ◽  
Early Detection ◽  
High Risk Children

Selective development of a strong Th2 cytokine profile in high-risk children who develop atopy: risk factors and regulatory role of IFN-γ, IL-4 and IL-10

2001 ◽  
Vol 31 (7) ◽  
pp. 997-1006 ◽  
Author(s):  
V. H. J. Van Der Velden ◽  
M. P. Laan ◽  
M. R. M. Baert ◽  
R. De Waal Malefyt ◽  
H. J. Neijens ◽  
...  
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Cytokine Profile ◽  
Regulatory Role ◽  
Th2 Cytokine ◽  
Ifn Γ ◽  
High Risk Children

scholarly journals Assessment of the eating behaviour of adolescent girls from Varna, Bulgaria

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Marinov ◽  
D Najdenova ◽  
T Dimitrova
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Early Detection ◽  
Disordered Eating ◽  
Adolescent Girls ◽  
Eating Behaviour ◽  
Eating Attitudes ◽  
Significant Percentage ◽  
Increased Risk ◽  
Eat 26

Abstract Background Healthy eating behaviour of children determines their normal physical and neuropsychological status. Epidemiological data has revealed an increasing prevalence rate of disordered eating behaviour in the population for all ages and genders. It is most common in adolescent girls who often conduct extreme weight control practices, driven by a desire to achieve the “perfect” body shape. Methods A study was conducted among 240 adolescent girls from Varna aiming to estimate their eating behaviour. The data was collected via: • Anthropometric measurements for assessment of the nutritional status Bioelectrical impedance analysis of body composition assessmentQuestionnaires including: Food frequency questionnaire (FFQ); The Eating Attitudes Test - 26 (EAT- 26) to access the risk factors for the development of eating disorders (ED); Questionnaire for identification of risk factors contributing to early dieting. Results The analysis of the results shows that the eating behaviour of the female students aged from 14 to 19 years in Varna can be defined as risky. Findings demonstrate a significant percentage of subjects who are on a diet at the time of the survey. Over 36% of the participants show at least 1 symptom correlating with an increased risk for the development of ED and 22.7% are at very high risk of developing an ED in the future. Conclusions The findings suggest that adolescent girls tend to engage in unhealthy approaches trying to reach their “thin ideal”. Early detection of disordered eating behaviour is especially important to prevent the development of clinically expressed ED and the complications associated with them. Key messages The study has revealed that a significant percentage of adolescent girls are at high risk of developing an eating disorder. The data shows a need for an early detection program for risky eating behaviour in order to prevent the development of ED amongst adolescents.

scholarly journals Ørebetennelser hos barn – "alle har noen, men gutter har flest"

2009 ◽  
Vol 9 (2) ◽  
Author(s):  
Kari J. Kværner
Keyword(s):  
Risk Factors ◽  
Gender Differences ◽  
Otitis Media ◽  
Middle Ear ◽  
English Summary ◽  
Font Size ◽  
Tuba Auditiva ◽  
Related Risk

<strong><span style="font-family: TimesNewRomanPS-BoldMT;"><span style="font-family: TimesNewRomanPS-BoldMT;"><p align="left"> </p></span></span><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldMT;">SAMMENDRAG</span></span></strong><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><p align="left">Mellomørebetennelse, eller otitis media, er en infeksjons- eller inflammasjonsprosess i mellomøret som</p><p align="left">også rammer de tilgrensende avsnitt av denne delen av øvre luftveier, dvs. tuba auditiva og mastoidcellene,</p><p align="left">selv om disse sjelden gir manifeste symptomer. OM er nesten alltid sekundært til en oppadstigende</p><p align="left">slimhinnepatologi i nesen, epipharynx og tuba auditiva.</p><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><p align="left">Kværner KJ.</p></span></span></span><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><p align="left"> </p></span></span><p align="left"><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldMT;">Otitis media in children. </span></span></strong><em><span style="font-size: x-small; font-family: TimesNewRomanPS-ItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-ItalicMT;">Nor J Epidemiol </span></span></em><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;">1999; </span></span><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldMT;">9 </span></span></strong><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;">(2): 123-127.</span></span></p><strong><span style="font-family: TimesNewRomanPS-BoldMT;"><span style="font-family: TimesNewRomanPS-BoldMT;"><p align="left"> </p></span></span><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldMT;">ENGLISH SUMMARY</span></span></strong><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><p align="left">Otitis media refers to an infection or inflammation of the middle ear cavity that also affects the eustachian</p><p align="left">tube and the mastoid cells. Otitis media is almost always caused by an ascending pathology of the</p><p align="left">epithelial and subepithelial layers of the middle ear mucoperiostium. This paper firstly describes the</p><p align="left">classification and distribution of otitis media. Next, using Norwegian data, host related risk factors for</p><p>otitis media are discussed, particularly focusing on gender differences.</p></span></span>

Cardio-metabolic risk factors among healthcare staff: a cross-sectional study at the hospitals in six cities of Ukraine dedicated to World Heart Day 2020

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
I Sulska ◽  
L Mishchenko ◽  
A Sorokolietova ◽  
M Hordina ◽  
S Zhulinska
Keyword(s):  
Risk Factors ◽  
Family History ◽  
High Risk ◽  
Smoking Status ◽  
Cross Sectional Study ◽  
Metabolic Risk Factors ◽  
Modifiable Risk Factors ◽  
Metabolic Risk ◽  
Sectional Study ◽  
Cross Sectional

Abstract Funding Acknowledgements Type of funding sources: None. Background. There is a little information on the prevalence of cardio-metabolic risk factors in the Ukrainian medical staff. The aim of investigation was to determine the abundance of certain risk factors for cardiovascular (CV) diseases among the medical personnel in the six cities of Ukraine, a study dedicated to World Heart Day 2020. Purpose. To establish the presence of cardio-metabolic risk factors among medical workers in Ukraine. Materials and methods. A hospital-based cross-sectional study including 471 participants (415 female and 56 male) between the age of 19 and 79 years surveyed. The cardio-metabolic risk markers assessed were non-modifiable risk factors (family history) and modifiable risk factors (obesity, hypertension, dyslipidemia, diabetes, prediabetes, smoking status). The prevalence of hypertension (HTN) estimated by ESC 2018 recommendations, diabetes and prediabetes by ADA 2019, ESC 2019 and body mass index WHO criteria for obesity classifications. Using standard methods were assessed: fasting glucose concentration, glycosylated hemoglobin (HbA1c) and blood lipids (total cholesterol, LDL-C, triglycerides, HDL-C). Results The median age of participants was 53,3 ± 11,77 years. Positive smoking status reported by 66 persons (14,0%). Analysis of family history showed that 51,4% of the participants had of HTN, 14,9% of myocardial infarction and 25,1% of stroke. The prevalence of modifiable risk factors: HTN registered in 51,4% cases. Around 34,8% of participants were overweight, and 34,6% were obese, 70,7% had waist circumference more than 94 cm (men) and &gt; 80 cm (woman). Prediabetes glycemic levels and diabetes incidence were 42,8% and 12,6%, accordingly. Atherogenic dyslipidemia estimated by increased level of LDL-C more than 4,9 mmol/l, which determinate high risk of CV disorders, estimated in 13,6% participants. Also high triglycerides levels were defined as those of at least 2,3 mmol/l were in 14,9%. Low level of aerobic activity (less than 150 min in week) had 33,4% participants. 30,7% of participants older than 40 years presented high CV risk and 23,9% were in very high risk. Conclusion. Cardio-metabolic risk factors prevail among medical workers in Ukraine. The results point to the relevance of public health recommendations to contribute lifestyle changes and early identification of risk factors for prevention of CV outcomes.

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