Effectiveness of Short-term Medical Missions on Chronic Disease in Underserved Communities

2020 ◽  
pp. 019394592094480
Author(s):  
Sherylyn M. Watson ◽  
Heather Ferrillo

A retrospective chart review study was conducted to evaluate health outcomes after a nurse-led short-term medical mission group provided free health care in four communities in Kingston, Jamaica over a four-year period. Participants were adult patients who had visited short-term medical mission clinics at least twice and were diagnosed with hypertension and/or diabetes. Blood pressure (BP) and blood sugar (BS) results along with factors including adherence and control per guidelines were analyzed using descriptive, t-tests and chi-square analysis. The data revealed that overall BP and BS measurements trended down, and there was a significant decrease in BP in patients with uncontrolled hypertension at the first visit. Medication adherence between the visits and gender had a statistically significant impact on BP and BS control. Outcomes suggest short-term medical missions are an effective model to address hypertension and diabetes in developing countries when using a sustainable approach.

2020 ◽  
Vol 30 ◽  
Author(s):  
Davi Manzini Macedo ◽  
Priscila Lawrenz ◽  
Jean Von Hohendorff ◽  
Clarissa Pinto Pizarro Freitas ◽  
Silvia Helena Koller ◽  
...  

Abstract Child maltreatment is a severe Public Health issue. To understand its associated factors, our study analyzed 14.564 cases of child maltreatment recorded in the state of Rio Grande do Sul between 2010 and 2014. In our study, we analyzed immediate contextual aspects (child’s gender and developmental stage, perpetrator’s gender, family relationship between the victim and the perpetrator) and intermediate aspects (health professionals’ response). Chi-square analysis showed that girls were more likely to be vulnerable to sexual and psychological abuse, especially in middle childhood. Boys, on the other hand, were more likely to experience neglect in infancy and physical abuse in middle childhood. Males were the main perpetrators. Our results are discussed, based on a theoretical review of the sociocultural conceptions of child developmental characteristics, parenting practices, and gender roles. We suggest changes in the notification process and case referral.


2021 ◽  
Author(s):  
Angelique Florentinus-Mefailoski ◽  
Peter Bowden ◽  
Philip Scheltens ◽  
Joep Killestein ◽  
Charlotte Teunissen ◽  
...  

Abstract BackgroundA practical strategy to discover proteins specific to Alzheimer’s dementia (AD) may be to compare the plasma peptides and proteins from patients with dementia to normal controls and patients with neurological conditions like multiple sclerosis or other diseases. The aim was a proof of principle for a method to discover proteins and/or peptides of plasma that show greater observation frequency and/or precursor intensity in AD. The endogenous tryptic peptides of Alzheimer’s were compared to normals, multiple sclerosis, ovarian cancer, breast cancer, female normal, sepsis, ICU Control, heart attack, along with their institution-matched controls, and normal samples collected directly onto ice.MethodsEndogenous tryptic peptides were extracted from blinded, individual AD and control EDTA plasma samples in a step gradient of acetonitrile for random and independent sampling by LC-ESI-MS/MS with a set of robust and sensitive linear quadrupole ion traps. The MS/MS spectra were fit to fully tryptic peptides within proteins identified using the X!TANDEM algorithm. Observation frequency of the identified proteins was counted using SEQUEST algorithm. The proteins with apparently increased observation frequency in AD versus AD Control were revealed graphically and subsequently tested by Chi Square analysis. The proteins specific to AD plasma by Chi Square with FDR correction were analyzed by the STRING algorithm. The average protein or peptide log10 precursor intensity was compared across disease and control treatments by ANOVA in the R statistical system. ResultsPeptides and/or phosphopeptides of common plasma proteins such as complement C2, C7, and C1QBP among others showed increased observation frequency by Chi Square and/or precursor intensity in AD. Cellular gene symbols with large Chi Square values (χ2 ≥ 25, p ≤ 0.001) from tryptic peptides included KIF12, DISC1, OR8B12, ZC3H12A, TNF, TBC1D8B, GALNT3, EME2, CD1B, BAG1, CPSF2, MMP15, DNAJC2, PHACTR4, OR8B3, GCK, EXOSC7, HMGA1 and NT5C3A among others. Similarly, increased frequency of tryptic phosphopeptides were observed from MOK, SMIM19, NXNL1, SLC24A2, Nbla10317, AHRR, C10orf90, MAEA, SRSF8, TBATA, TNIK, UBE2G1, PDE4C, PCGF2, KIR3DP1, TJP2, CPNE8, and NGF amongst others. STRING analysis showed an increase in cytoplasmic proteins and proteins associated with alternate splicing, exocytosis of luminal proteins, and proteins involved in the regulation of the cell cycle, mitochondrial functions or metabolism and apoptosis. Increases in mean precursor intensity of peptides from common plasma proteins such as DISC1, EXOSC5, UBE2G1, SMIM19, NXNL1, PANO, EIF4G1, KIR3DP1, MED25, MGRN1, OR8B3, MGC24039, POLR1A, SYTL4, RNF111, IREB2, ANKMY2, SGKL, SLC25A5, CHMP3 among others were associated with AD. Tryptic peptides from the highly conserved C-terminus of DISC1 within the sequence MPGGGPQGAPAAAGGGGVSHRAGSRDCLPPAACFR and ARQCGLDSR showed a higher frequency and highest intensity in AD compared to all other disease and controls. ConclusionProteins apparently from the brain that were directly related to Alzheimer’s including Nerve Growth Factor (NFG), Sphingomyelin Phosphodiesterase, Disrupted in Schizophrenia 1 (DISC1), the cell death regulator retinitis pigmentosa (NXNl1) that governs the loss of nerve cells in the retina and the cell death regulator ZC3H12A showed much higher observation frequency in AD plasma. There was a striking agreement between the proteins known to be mutated or dis-regulated in the brains of AD patients with the proteins observed in the plasma of AD patients from endogenous peptides including NBN, BAG1, NOX1, PDCD5, SGK3, UBE2G1, SMPD3 neuronal proteins associated with synapse function such as KSYTL4, VTI1B and brain specific proteins such as TBATA.


2020 ◽  
Vol 8 (7_suppl6) ◽  
pp. 2325967120S0043
Author(s):  
Benjamin Kivlan ◽  
Shane Nho ◽  
Andrew Wolff ◽  
John Salvo ◽  
John Christoforetti ◽  
...  

Objectives: The radiographic crossover sign (COS) is an indicator of acetabular retroversion, classically representing anterosuperior overcoverage often treated with acetabuloplasty which could exacerbate acetabular hypovolemia in dysplasia. No prior study has investigated the prevalence of acetabular retroversion in patients with dysplasia undergoing hip arthroscopy, acetabuloplasty rates, and outcomes in this setting. Study objectives are to report the prevalence of acetabular retroversion in dysplasia, the influence of the COS on arthroscopic acetabuloplasty rates, and relative outcomes compared with control groups. Methods: A retrospective cohort study was performed from a prospectively collected multi-center database. Patients undergoing isolated hip arthroscopic surgery were assigned to dysplasia (lateral center-edge angle (LCEA) ≤ 25°) or one of two control groups: normal(LCEA 26-38°), or pincer femoroacetabular impingement (FAI)(LCEA ≥ 39°). The prevalence of COS and acetabuloplasty rates between and within study and control groups were compared (Chi square analysis). Minimum 2 year outcomes utilizing iHOT-12 were compared (analysis of variance). Results: Of 401 study patients, 64 (16%) comprised the dysplasia group, 273 (68%) normal group, and 64 (16%) pincer group. Mean LCEAs were 22.3°, 31.5°, and 42.4°, respectively (p<0.001). COS prevalence was similar between groups at 31%, 26%, and 33%, respectively (p=0.873). Acetabuloplasty rates were dependent on the amount of acetabular coverage with lowered rate in the dysplasia group(40%) and increasing rates in the normal(52%) and the pincer(90%) groups (p=0.013). Post-operative iHOT-12 scores improved in all groups (68, 74, and 77, respectively, p=0.222). Patients with a COS plus rendered acetabuloplasty reported similar scores that improved to 77, 74, and 79, respectively,(p=0.949). Patients with dysplasia with COS averaged 73.1(SD 23.3) iHOT-12 score compared to 67.1(SD: 28.7) for the patients with dysplasia without COS (p=0.466). Within the dysplasia with COS subgroup, there was no significant difference in iHOT-12 scores between the group with acetabuloplasty (77.0;SD:17.1) and without acetabuloplasty (70.4;SD:27.4,p=0.580). Conclusion: Acetabular retroversion occurs with similar prevalence in borderline dysplasia compared with non-dysplastic hips undergoing hip arthroscopy but with lower acetabuloplasty rates not influenced by the COS. Arthroscopic outcomes of dysplasia with retroversion are similarly successful and comparable with those of dysplasia and non-dysplastic hips. Although infrequently performed, acetabuloplasty did not compromise outcomes in dysplasia with retroversion.


2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e22184-e22184
Author(s):  
Zaid Alirhayim ◽  
Herman Dyal ◽  
Danielle Heidemann ◽  
Cesar Ochoa Perez ◽  
Abdulqader Alarhayem ◽  
...  

e22184 Background: Heparin induced thrombocytopenia (HIT) is known to be caused by the presence of PF 4 antibody. Tumors exert immunomodulatory effects on the host immune response, including development of antibodies. Our aim was to analyze the presence of HIT in cancer patients and determine if HIT Ab is an adverse risk factor in patients with cancer. Methods: Patients with suspected HIT were selected. A case – control study was designed with 1:1 age and gender matched controls. We used chi – square analysis to compare proportions and Cox proportional hazard model to detect various predictors. Time to survival analysis was performed using Kaplan – Meier method. Results: Of 600 patients, 300 (63±15 years, women 48.8%) had a mean 4T pre – probability score of 4 ± 1.6. There were 132 cancers in both groups. 65 of these (49.2%) were in patients with probable HIT. The numbers of carcinomas and sarcomas were not significantly different between the two groups. There were no significant differences between the two groups when comparing the number of cancer diagnoses or the particular types of cancer diagnosed. The mean time to detection of cancer was within 9 ± 23 months for patients with HIT Ab versus 31 ± 54 months in cancer patients without HIT Ab (p <0.0001). In addition, there was a greater number of patients with at least 2 primary cancers among the HIT Ab positive group (p = 0.003). No predictive relationship between the type of cancer and the presence of HIT Ab was found (p >0.05). Patients with advanced cancer (stage 3 or 4) were also more likely to be HIT Ab positive (HR 3.61; 95% CI 1.31 – 10.11, p = 0.013). Cancer patients with HIT Ab were more likely to have venous thromboembolism as compared to cancer patients without HIT Ab (7.7% vs. 4.7, p = 0.0001). Kaplan – Meier’s showed worse mortality for cancer patients with HIT Ab than patients without the HIT Ab (Breslow statistic = 0.04). Conclusions: Among our cohort with suspected HIT, cancer was a common finding. Patients with HIT antibody positivity were more likely to have a new cancer diagnosis within 1 year of a positive result. These patients were also more likely to have thromboembolic complications and worsened mortality. These findings require further study, but perhaps suggest that the presence of HIT Ab should trigger earlier surveillance for cancer.


2016 ◽  
Vol 18 (2) ◽  
pp. 152-162 ◽  
Author(s):  
Chompoonut Suttikun ◽  
Hyo Jung Chang ◽  
C. Stephanie Acho ◽  
McDaniel Ubi ◽  
Hamilton Bicksler ◽  
...  

Bangkok, Thailand is in a unique position to benefit economically and has become one of the world’s most popular tourist destinations, due to its function as a hub for international travel in Southeast Asia. Thus, this study examines how past experiences, age, income, gender, education level, occupation, and regions affect international tourists’ reasons to visit Bangkok. After conducting chi-square analysis on 400 participants, significant differences were found among the varying income levels, occupations, education levels, and regions of origin and their reasons for visiting Bangkok. However, no significant differences were found based on age and gender regarding reasons to visit Bangkok. As far as regions of origin, Europeans were most likely to visit Bangkok as a stopover in route to another destination. This lays the foundations for further research focusing on what Bangkok can do to increase their status as a destination for European travelers.


2021 ◽  
Vol 9 (1) ◽  
pp. 33-37
Author(s):  
Rosyanne Kushargina ◽  
Nunung Cipta Dainy

Background: Adequate nutrition plays an important roles for children on school age to developed and maintain their growth and health. Many factors could affect the nutritional status of school children, one of them is the school location.Objectives: To analysis the correlation between school location with nutritional status of elementary school students.Method: The research design used was a cross-sectional design. 80 subjects were observed from two different schools namely SDN 1 Cikelet Garut (Urban) and SDN Pesanggrahan 02 Pagi Jakarta Selatan (Rural). The relationship of school location and gender with nutritional status were analyzed using Chi Square. Independent Sample T-test used to analyze nutritional status based on different locations.Result: In rural there are 25% of children with over nutritional status (weight/age). There are still stunted child both in urban (7.50%) and rural (10%), but based on weight/height nutritional status, almost all subjects in both urban (92.50%) and rural (97.50%) in obese category. Chi Square analysis showed that the school location was significantly related (P 0.05) only with the weight/age nutritional status. Gender is significantly related to height/age nutritional status. The majority of boys (15,4%) are shorter than girls (2,4%). The results of the Independent Sample T-test based on location, showed that the nutritional status of subjects in urban was significantly different (P0.05) from the nutritional status of subjects in rural. In line with this, based in gender there is significantly different (P0.05) in nutritional status between boy and girl.Conclusions: The results of this study indicate that differences in school locations are related to the nutritional status of elementary school students.


Author(s):  
E. I. Edibamode ◽  
K. Mordi ◽  
L. K. David ◽  
A. M. Eghoi

Background. External ear measurement is of utmost importance in reconstructive surgeries. Objectives. The present study is aimed at ascertaining sexual dimorphism in external ear anthropometry and ear lobe attachments among adults Ijaws in Bayelsa, Nigeria. Methods. A total of 112 adults within the age range of 18-50 yrs, who met the inclusion criteria, were involved in the study. Four linear dimensions of the ear, which are ear length (EL), ear width (EW), lobular length (LL) and lobular width (LW), were measured for both genders. The lobular attachment for both ears for males and females were also examined and results recorded. These data were subjected to Student t-test, Chi-square test, and Pearson’s correlation using SPSS version 20.0. Results. The mean values for EL, EW, LL, and LW for the left auricle in the males and females were 58.14±0.60, 27.41±0.37, 14.47±0.27, 13.50±0.34 and 57.90±0.16, 27.45±0.65, 15.41±0.31, 13.43±0.38 respectively. However, for the right auricle in the males and females, the values were 58.40±0.45, 28.21±0.68, 14.32±0.31, 13.04±0.32, and 56.66±1.10, 27.51±0.65, 15.58±0.29, 13.28±0.34 respectively. The left and right lobular length were the only parameters that proved statistical significance (p<0.05) in females compare to males. Pearson’s correlations between right and left sides for each of the parameters were positive and significant. Chi-square analysis revealed no significant relationship (p>0.05) between earlobe attachments and gender. Conclusions. Sexual dimorphism was thus established in the Ijaw population as regards lobular length dimensions. It is believed that the results of this study would be very useful for ear morphology and reconstructive surgeries.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Yan Kurnia Putri

This study aims to examine and analyze the influence of personal characteristics on employee motivation Sari Sehat Herbal Medicine Industry and to determine whether the employee motivation Sari Sehat Herbal Medicine Industry in Magelang . Data collected through questionnaires and conducted on 89 employees Sari Sehat Herbal Medicine Industry Magelang . Analysis of the data in this study using SPSS version 17 . In this study used a sample of the entire population and data testing techniques used in this study include test validity , reliability tests with Cronbach alpha . Spearman correlation analysis to examine the relationship between personal characteristics such as age , education , length of employment , marital status of the motivation , by comparing the value Sig.ρhitung with α value ( 0.05 ) . As for analyzing gender relations to motivation chi square analysis was used to compare the value of Sig . χ ^ 2hitung the value of α ( 0.05 ) . The analysis showed that the level of personal characteristics ( 0.003 ) , length of employment ( 0 ) and marital status ( 0.006 ) effect on employee performance . Age (0.524 ) and gender (0.217 ) had no effect on motivation . And the biggest motivation for employees Sari Sehat Herbal Medicine Industry is salary ( 79 % ) . This research


1989 ◽  
Vol 20 (4) ◽  
pp. 8-12 ◽  
Author(s):  
Charlene P. DeLoach

A survey of 501 alumni with disabilities who attended the University of Illinois during the forty-year period from 1948 to 1988 indicated gender is a major factor in the career choices and the occupational outcomes of university graduates. Chi-square analysis revealed significant relationships between gender and marital status (p < .05), gender and choice of major (p < .01), gender and occupational category (p<.01), gender and parttime or fulltime employment (p < .01), and gender and salary level (p < .01). There was no significant relationship between gender and disability type or gender and employment/unemployment. On the basis of this survey of college alumni, one could conclude gender has a more significant impact on career choice and career development than do the physical or sensory disabilities of college students.


2009 ◽  
Vol 46 (3) ◽  
pp. 237-244 ◽  
Author(s):  
Albert K. Oh ◽  
John B. Mulliken ◽  
Richard A. LaBrie ◽  
Gary F. Rogers

Objective: Left-handedness reportedly has been more common in persons with neurological afflictions (e.g., stroke) and malformations (e.g., cleft lip with or without cleft palate) that demonstrate marked unilateral involvement. Coronal synostosis is also more frequently unilateral, affecting the right side more commonly than the left. We sought to compare left-handedness in patients with unilateral coronal synostosis versus healthy controls. Subjects: All patients aged 3 years or older with nonsyndromic unilateral coronal synostosis and healthy controls recruited by pediatricians blinded to the study. Main Outcome Measures: Prospective data obtained for all participants included age, gender, and handedness. In patients with unilateral coronal synostosis, the side of synostosis and age at surgery were documented. Left-handedness in the study and control groups was compared using chi-square analysis. Left-handedness also was analyzed in the study group according to side of fusion. Results: Eighty-six patients with nonsyndromic unilateral coronal synostosis comprised the study group; there were 96 controls. The mean ages of the study (8.8 years) and control groups (9.8 years) were not statistically different (p > .05). There were more girls in the study group (67%) than in the control group (56%), but this difference was not statistically significant (p > .05). Left-handedness was documented in 30.2% of the study group and 11.4% of the control group (p < .005). Left-handedness was twice as common in patients with left versus right unilateral coronal synostosis (44.4% versus 20.4%; p < .05). Conclusions: Left-handedness is nearly three times more common in patients with unilateral coronal synostosis than in controls and four times more likely in patients with left-sided fusion.


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