Demographic and Clinical Features of Hidradenitis Suppurativa in Turkey

Background The literature contains conflicting reports on the epidemiology and frequency of hidradenitis suppurativa (HS), a chronic, recurrent inflammatory disease of the apocrine glands. Objective To evaluate the clinical and demographic characteristics of HS cases in Turkey and investigate the similarities with world epidemiology. Method The records of 208 patients that presented to our polyclinics and were diagnosed with HS between June 2012 and July 2017 were retrospectively evaluated. Results Of the cases, 68.3% were male and 31.7% were female. Of the patients, 75.5% had no family history of HS, 60.6% were smokers, 39.4% were aged 20-29 years, and 36.1% were aged 30-39 years. The most commonly involved regions were the axilla (62%), groin (50.5%), and gluteus (15.9%). According to univariate analyses, male patients had higher disease stages than females (odds ratio=1.67). The patients with groin involvement, high body mass index (BMI), and low education level (0-8 years) had higher risk of severe disease stage (odds ratio=1.63, 8.91, and 1.51, respectively). The most commonly used treatment was oral antibiotics in Hurley stages I and II, and surgical intervention in Hurley III. In all 3 Hurley stages, clavulanic acid–amoxicillin combination was the mostly used systemic antibiotic (41.8%, 43.2%, and 47.8%, respectively). Conclusions This is the first epidemiological study on HS in the Turkish population, where HS shows male predominance. Male gender, low education level, absence of acne, high BMI, and groin involvement were associated with severe disease stages. Determining associated comorbidities and possible risk factors is important in progression and prevention of the disease.

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Physical activity in Sahara Moroccan hemodialysis patients

BMC Research Notes ◽

10.1186/s13104-021-05460-8 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

A. Bahadi ◽

H. Lagtarna ◽

S. Benbria ◽

Y. Zajjari ◽

D. Elkabbaj ◽

...

Keyword(s):

Physical Activity ◽

Hemodialysis Patients ◽

Education Level ◽

Chronic Hemodialysis ◽

Biological Data ◽

New Approach ◽

Male Predominance ◽

Low Education ◽

Reduced Physical Activity ◽

A Prospective Study

Abstract Objective The evaluation of physical activity for chronic hemodialysis patients is a new approach for patient global care. The objective of this work is to evaluate the physical activity in chronic hemodialysis patients and identify the risk factors associated with reduced physical activity. This is a prospective study for 6 months including 150 chronic hemodialysis patients in the Guelmim-Oued Noun Regionin Moroccan Sahara. We use Baecke's survey, translated and validated in Arabic local language. The socio-demographic, clinical, and biological data were completed during the interrogation and from the medical records of the patients. Results The mean age of our patients was 54.6 ± 16.4 years, with male predominance (59%). Most patients have a low education level and 60% were illiterate. Hypertension was found in 54% of our patients, diabetes in 39%, and cardiovascular disease in 10% of patients. Low Physical activity was associated with gender (OR = 4.05), age (OR = 1.03) and high education level (OR = 0.2). Our work has met the various pre-established objectives, however other more specific studies must be conducted to better characterize the profile of physical activity in chronic hemodialysis patients.

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Modeling Disease Progression of Camellia Twig Blight Using a Recurrent Event Model

Phytopathology ◽

10.1094/phyto-99-4-0378 ◽

2009 ◽

Vol 99 (4) ◽

pp. 378-384 ◽

Cited By ~ 1

Author(s):

J. L. Thomson ◽

W. E. Copes

Keyword(s):

Severe Disease ◽

Stem Diameter ◽

Recurrent Event ◽

Developmental Expression ◽

Disease Stage ◽

Survival Times ◽

Temperature Range ◽

Event Modeling ◽

Twig Blight ◽

Disease Stages

To improve control of camellia twig blight (CTB) using sanitation methods, a more complete epidemiologic understanding of this disease is necessary. Three CTB disease stages were modeled using recurrent event analysis. Wound inoculated stems were observed at regular intervals for appearance of disease symptoms. Survival times (time from inoculation until symptom appearance) for the three disease stages (mild, moderate, and severe) were regressed against stem diameter, monthly mean hours/day within a specified temperature range (15 to 30°C), and season (spring, summer, fall, and winter). For all three CTB disease stages, stem diameter had a protective effect on survival times, while monthly mean hours/day in the specified temperature range and warmer seasons were risk factors. Based upon median ratios, the mild disease stage developed 2 to 3 times faster in spring, summer, and fall than in winter. Similarly, moderate and severe disease stages developed 2 to 2.5 times faster. For all three disease stages, seasonal differences in stage development were smaller among fall, spring, and summer, varying from 1 to 1.6 times faster. Recurrent event modeling of CTB progression provides knowledge concerning developmental expression of this disease, information necessary for creating a comprehensive, integrated disease management program.

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Physical activity in Sahara Moroccan hemodialysis patients

10.21203/rs.3.rs-71471/v1 ◽

2020 ◽

Author(s):

abdelaali bahadi ◽

Hamza lagtarna ◽

sanae benbria ◽

yassir zajjari ◽

Driss El kabbaj ◽

...

Keyword(s):

Physical Activity ◽

Hemodialysis Patients ◽

Education Level ◽

Chronic Hemodialysis ◽

Biological Data ◽

New Approach ◽

Male Predominance ◽

Low Education ◽

Reduced Physical Activity ◽

A Prospective Study

Abstract Background: The evaluation of physical activity for chronic hemodialysis patients is a new approach for the patient global care. The objective of this work is to evaluate the physical activity in chronic hemodialysis patients and identify the risk factors associated with reduced physical activity. Methods: This is a prospective study during 6 months including 150 chronic hemodialysis patients in the Guelmim-Oued Noun Regionin moroccan sahara. We use Baecke's survey, translated and validated in Arabic local language. The socio-demographic, Clinical and biological data were completed during the interrogation and from the medical records of the patients. Results: The mean age of our patients was 54.6 +/- 16.4 years, with male predominance (59%). Most patients have a low education level and 60% were illiterate. Hypertension was found in 54% of our patients, diabetes in 39% and cardiovascular disease in 10% of patients. Low Physical activity was associated with gender (OR=4.05), age (OR=1.03) and education level (OR=0.2). Conclusions: Our work has met the various pre-established objectives, however other more specific studies must be conducted to better characterize the profile of physical activity in chronic hemodialysis patients.

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ALS-specific cognitive and behavior changes associated with advancing disease stage in ALS

Neurology ◽

10.1212/wnl.0000000000006317 ◽

2018 ◽

Vol 91 (15) ◽

pp. e1370-e1380 ◽

Cited By ~ 62

Author(s):

Christopher Crockford ◽

Judith Newton ◽

Katie Lonergan ◽

Theresa Chiwera ◽

Tom Booth ◽

...

Keyword(s):

Behavioral Change ◽

Severe Disease ◽

Staging System ◽

Disease Stage ◽

Clinical Staging ◽

Behavioral Impairment ◽

Cross Sectional ◽

Staging Systems ◽

Disease Stages ◽

The Relationship

ObjectiveTo elucidate the relationship between disease stage in amyotrophic lateral sclerosis (ALS), as measured with the King's Clinical Staging System, and cognitive and behavioral change, measured with the Edinburgh Cognitive and Behavioural ALS Screen (ECAS).MethodsA large multicenter observational cohort of 161 cross-sectional patients with ALS and 80 healthy matched controls were recruited across 3 research sites (Dublin, Edinburgh, and London). Participants were administered the ECAS and categorized into independent groups based on their King's clinical disease stage at time of testing.ResultsSignificant differences were observed between patients and controls on all subtests of the ECAS except for visuospatial functioning. A significant cross-sectional effect was observed across disease stages for ALS-specific functions (executive, language, letter fluency) and ECAS total score but not for ALS-nonspecific functions (memory, visuospatial). Rates of ALS-specific impairment and behavioral change were also related to disease stage. The relationship between cognitive function and disease stage may be due to letter fluency impairment, whereas higher rates of all behavioral domains were seen in later King's stage. The presence of bulbar signs, but not site of onset, was significantly related to ALS-specific, ECAS total, and behavioral scores.ConclusionALS-specific cognitive deficits and behavioral impairment are more frequent with more severe disease stage. By end-stage disease, only a small percentage of patients are free of neuropsychological impairment. The presence of bulbar symptoms exaggerates the differences observed between disease stages. These findings suggest that cognitive and behavioral change should be incorporated into ALS diagnostic criteria and should be included in future staging systems.

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Physical Activity in Sahara Moroccan Hemodialysis Patients

10.21203/rs.3.rs-101992/v1 ◽

2020 ◽

Author(s):

abdelaali bahadi ◽

Hamza lagtarna ◽

sanae benbria ◽

yassir zajjari ◽

Driss El kabbaj ◽

...

Keyword(s):

Physical Activity ◽

Hemodialysis Patients ◽

Education Level ◽

Chronic Hemodialysis ◽

Biological Data ◽

New Approach ◽

Male Predominance ◽

Low Education ◽

Reduced Physical Activity ◽

A Prospective Study

Abstract Objective: The evaluation of physical activity for chronic hemodialysis patients is a new approach for the patient global care. The objective of this work is to evaluate the physical activity in chronic hemodialysis patients and identify the risk factors associated with reduced physical activity. This is a prospective study during 6 months including 150 chronic hemodialysis patients in the Guelmim-Oued Noun Regionin moroccan sahara. We use Baecke's survey, translated and validated in Arabic local language. The socio-demographic, Clinical and biological data were completed during the interrogation and from the medical records of the patients. Results: The mean age of our patients was 54.6 +/- 16.4 years, with male predominance (59%). Most patients have a low education level and 60% were illiterate. Hypertension was found in 54% of our patients, diabetes in 39% and cardiovascular disease in 10% of patients. Low Physical activity was associated with gender (OR=4.05), age (OR=1.03) and education level (OR=0.2). Our work has met the various pre-established objectives, however other more specific studies must be conducted to better characterize the profile of physical activity in chronic hemodialysis patients.

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Surgical treatment of extensive perianal hidradenitis

Perspectives in Surgery ◽

10.33699/pis.2020.99.9.409-413 ◽

2020 ◽

Vol 99 (9) ◽

Keyword(s):

Surgical Treatment ◽

Hidradenitis Suppurativa ◽

Soft Tissues ◽

Case Reports ◽

Radical Excision ◽

Skin Flaps ◽

Perianal Area ◽

Apocrine Glands ◽

Patient Preparation ◽

Two Stages

Introduction: Perianal hidradenitis suppurativa is a chronic recurrent inflammatory, suppurative, and fistulising disease of apocrine glands, adjacent anal canal and soft tissues. Perianal area is the second most common affected area after axilla. There are three grades of the disease. Hidradenitis suppurativa represents a chronic, recurrent, deep-seated folliculitis resulting in abscesses, followed by the formation of sinus tracts and subsequent scarring. Perianal hidradenitis suppurativa is the last and the most serious grade of the disease and a specific access is needed for patient preparation and surgical treatment alone. The currently preferred method of treatment for patients with extensive perianal hidradentitis is excision and closure with combination of skin flaps, primary suture and skin graft in one or two stages. Case reports: There are three case reports of perianal hidradenitis suppurativa in this article. The local and overall initial treatment of patients followed by a radical excision and closure with a rotation skin flaps and skin grafts is described. The final results were satisfactory, with no recurrence or serious complication.

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Depression and Cognitive Impairment in Patients on Hemodialysis: A cross-sectional study

Environment-Behaviour Proceedings Journal ◽

10.21834/ebpj.v5i15.2468 ◽

2020 ◽

Vol 5 (15) ◽

pp. 185-192

Author(s):

Nor Jannah Nasution Raduan ◽

Mohd Razali Salleh ◽

Ghazali Ahmad ◽

Zaleha Ismail

Keyword(s):

Cognitive Impairment ◽

Publishing House ◽

Cross Sectional Study ◽

Hemodialysis Patients ◽

Education Level ◽

Sectional Study ◽

Contributing Factors ◽

Cross Sectional ◽

Factors Associated ◽

Low Education

Depression and cognitive impairment are the most common complications of patients on hemodialysis. The objective of this study is to identify contributing factors to depression and cognitive impairment in hemodialysis patients. This is a cross-sectional study involving 110 hemodialysis patients in Hospital Kuala Lumpur. The samples were recruited through universal sampling. Patients were assessed with the Beck Depression Inventory and Montreal Cognitive Assessment. This study found that 18.2% of patients had depression, and 48.2% had cognitive impairment. Factors associated with depression were unmarried status, low education level, and cognitive impairment. Factors associated with cognitive impairment were low education level, depression, and unemployment. Keywords: hemodialysis, depression, cognitive, ESRD eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v5i15.2468.

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Comparison of Clinical Outcomes of Persons Living With HIV by Enrollment Status in Washington, DC: Evaluation of a Large Longitudinal HIV Cohort Study (Preprint)

10.2196/preprints.16061 ◽

2019 ◽

Author(s):

Jenevieve Opoku ◽

Rupali K Doshi ◽

Amanda D Castel ◽

Ian Sorensen ◽

Michael Horberg ◽

...

Keyword(s):

Cohort Study ◽

Health Outcomes ◽

Odds Ratio ◽

Adjusted Odds Ratio ◽

Hiv Care ◽

Disease Stage ◽

People Living With Hiv ◽

Hiv Disease ◽

Persons Living With Hiv ◽

Living With Hiv

BACKGROUND HIV cohort studies have been used to assess health outcomes and inform the care and treatment of people living with HIV disease. However, there may be similarities and differences between cohort participants and the general population from which they are drawn. OBJECTIVE The objective of this analysis was to compare people living with HIV who have and have not been enrolled in the DC Cohort study and assess whether participants are a representative citywide sample of people living with HIV in the District of Columbia (DC). METHODS Data from the DC Health (DCDOH) HIV surveillance system and the DC Cohort study were matched to identify people living with HIV who were DC residents and had consented for the study by the end of 2016. Analysis was performed to identify differences between DC Cohort and noncohort participants by demographics and comorbid conditions. HIV disease stage, receipt of care, and viral suppression were evaluated. Adjusted logistic regression assessed correlates of health outcomes between the two groups. RESULTS There were 12,964 known people living with HIV in DC at the end of 2016, of which 40.1% were DC Cohort participants. Compared with nonparticipants, participants were less likely to be male (68.0% vs 74.9%, P<.001) but more likely to be black (82.3% vs 69.5%, P<.001) and have a heterosexual contact HIV transmission risk (30.3% vs 25.9%, P<.001). DC Cohort participants were also more likely to have ever been diagnosed with stage 3 HIV disease (59.6% vs 47.0%, P<.001), have a CD4 <200 cells/µL in 2017 (6.2% vs 4.6%, P<.001), be retained in any HIV care in 2017 (72.9% vs 59.4%, P<.001), and be virally suppressed in 2017. After adjusting for demographics, DC Cohort participants were significantly more likely to have received care in 2017 (adjusted odds ratio 1.8, 95% CI 1.70-2.00) and to have ever been virally suppressed (adjusted odds ratio 1.3, 95% CI 1.20-1.40). CONCLUSIONS These data have important implications when assessing the representativeness of patients enrolled in clinic-based cohorts compared with the DC-area general HIV population. As participants continue to enroll in the DC Cohort study, ongoing assessment of representativeness will be required.

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Diagnostic value of brain MR imaging and its correlation with clinical presentation and cognitive functions in idiopathic intracranial hypertension patients

The Egyptian Journal of Neurology Psychiatry and Neurosurgery ◽

10.1186/s41983-021-00338-9 ◽

2021 ◽

Vol 57 (1) ◽

Author(s):

Ali Ahmed Abou Elmaaty ◽

Carmen Ali Zarad ◽

Tamer Ibrahim Belal ◽

Tamer Sabry Elserafy

Keyword(s):

Cognitive Impairment ◽

Magnetic Resonance ◽

Mr Imaging ◽

Intracranial Hypertension ◽

Idiopathic Intracranial Hypertension ◽

Brain Magnetic Resonance Imaging ◽

Education Level ◽

Unknown Etiology ◽

Control Subjects ◽

Low Education

Abstract Background Idiopathic intracranial hypertension (IIH) is a neurological disorder of unknown etiology and ambiguous pathophysiology due to cerebrospinal fluid dysregulation. This study is designed to evaluate the role of brain magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) in diagnosis of IIH, to clarify the nature and extent of cognitive deficits, and to detect if there is a correlation between radiology, clinical findings, and cognitive dysfunctions in those patients. Results The study included 34 patients and 34 age-, sex-, body mass index (BMI)-, and education-matched healthy control subjects. MR brain imaging and Montreal cognitive assessment (MoCA) test were used for both groups. MRI and MRV sensitivity for IIH diagnosis were 85.2% and 85.3% with 100% and 94.1% specificity respectively. 44.1% had cognitive impairment, memory was the most affected domain, followed by attention, abstraction, and orientation with statistically significantly lower total MoCA score (p < 0.005). Domain comparisons reveal a statistically significantly lower memory/delayed recall (p < 0.001) and abstract scores (p < 0.007) in IIH cases versus control subjects. In comparing patients with cognitive impairment (CI) versus those without CI, there were statistically significantly higher CI in low education level, presence of diplopia, hormonal contraceptive use, abnormal MRI brain, papilledema grades, BMI, and opening pressure. Conclusions Presence of more than or equal 3 MR imaging findings, bilateral transverse sinus stenosis, and less than or equal 4 combined conduit score increase the specificity and sensitivity of MRI and MRV for IIH diagnosis. IIH had detrimental effect on different cognitive domains especially when patient have low education level, diplopia, papilledema ≥ grade III, high OP ≥ 61.5 cm H2O, and BMI ≥ 34 Kg/m2 with abnormal MRI and MRV findings.

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Disaggregation of official demographic projections in sub-groups by education level: the neglected “composition effect” in the future path of life expectancy

Genus ◽

10.1186/s41118-020-00113-3 ◽

2021 ◽

Vol 77 (1) ◽

Author(s):

Sergio Ginebri ◽

Carlo Lallo

Keyword(s):

High Education ◽

Life Expectancy ◽

Education Level ◽

Retirement Age ◽

Composition Effect ◽

Education Group ◽

Population Forecasts ◽

Low Education ◽

Mortality Differential ◽

Education Groups

AbstractWe developed an innovative method to break down official population forecasts by educational level. The mortality rates of the high education group and low education group were projected using an iterative procedure, whose starting point was the life tables by education level for Italy, based on the year 2012. We provide a set of different scenarios on the convergence/divergence of the mortality differential between the high and low education groups. In each scenario, the demographic size and the life expectancy of the two sub-groups were projected annually over the period 2018–2065. We compared the life expectancy paths in the whole population and in the sub-groups. We found that in all of our projections, population life expectancy converges to the life expectancy of the high education group. We call this feature of our outcomes the “composition effect”, and we show how highly persistent it is, even in scenarios where the mortality differential between social groups is assumed to decrease over time. In a midway scenario, where the mortality differential is assumed to follow an intermediate path between complete disappearance in year 2065 and stability at the 2012 level, and in all the scenarios with a milder convergence hypothesis, our “composition effect” prevails over the effect of convergence for men and women. For instance, assuming stability in the mortality differential, we estimated a life expectancy increase at age 65 of 2.9 and 2.6 years for men, and 3.2 and 3.1 for women, in the low and high education groups, respectively, over the whole projection period. Over the same period, Italian official projections estimate an increase of 3.7 years in life expectancy at age 65 for the whole population. Our results have relevant implications for retirement and ageing policies, in particular for those European countries that have linked statutory retirement age to variations in population life expectancies. In all the scenarios where the composition effect is not offset by a strong convergence of mortality differentials, we show that the statutory retirement age increases faster than the group-specific life expectancies, and this finding implies that the expected time spent in retirement will shrink for the whole population. This potential future outcome seems to be an unintended consequence of the indexation rule.

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