scholarly journals Association between early feeding of banana (Musa paradisiaca) and vomiting or abdominal distention in neonates

2016 ◽  
Vol 44 (2) ◽  
pp. 41
Author(s):  
Hananto Wiryo ◽  
M Hakimi ◽  
A Samik Wahab ◽  
Pitono Soeparto
Keyword(s):  
Odds Ratio ◽  
Outcome Measure ◽  
Solid Food ◽  
Abdominal Distention ◽  
Not Given ◽  
Early Feeding ◽  
Main Outcome Measure ◽  
Musa Paradisiaca ◽  
The Relationship ◽  
Lombok Island

Objective To assess the relationship between banana given asearly solid food feeding and symptoms of intestinal obstruction (SIO)such as vomiting and abdominal distention among neonates.Methods A longitudinal cohort study was done in 1993 at a ruralcommunity of West Lombok District on Lombok Island, West NusaTenggara Province, Indonesia. There were 3420 neonates whowere followed up by interviewing their mothers until 28 days afterdelivery. The main outcome measure was the occurrence of SIO.Results Compared to infants who were not given solid food, therelative risk (RR) of SIO for infants given food other than bananaas early solid food feeding was 1.87 (95%CI 0.48;8.24), while forinfants given banana only as early solid food feeding, the RR was9.15 (95%CI 1.96;42.58). After the adjustments of birth weight, co-lostrum, and breast feeding, the odds ratio of SIO for infants givenbanana was 2.99 (95%CI 2.65;5.14).Conclusion Banana as early solid food for neonates feeding isan important risk factor for the occurrence of SIO

Upper-Extremity Physical-Performance Tests in College Athletes

2016 ◽  
Vol 25 (2) ◽  
pp. 146-154 ◽  
Author(s):  
Jeffrey B. Taylor ◽  
Alexis A. Wright ◽  
James M. Smoliga ◽  
J. Tyler DePew ◽  
Eric J. Hegedus
Keyword(s):  
Upper Extremity ◽  
Physical Performance ◽  
Outcome Measure ◽  
Division I ◽  
Normative Values ◽  
Performance Tests ◽  
Main Outcome Measure ◽  
Screening Battery ◽  
Division I Athletes ◽  
The Relationship

Context:Physical-performance tests (PPTs) are commonly used in rehabilitation and injury-prevention settings, yet normative values of upper-extremity PPTs have not been established in high-level athletes.Objective:To establish normative data values for the Closed Kinetic Chain Upper-Extremity Stability Test (CKCUEST) and Upper-Quarter Y-Balance Test (UQYBT) in college athletes and compare results between sports and to analyze the relationship between the 2 tests.Design:Observational.Setting:Laboratory/athletic facility.Participants:257 (118 male, 139 female) Division I athletes participating in basketball, soccer, baseball, lacrosse, volleyball, track and field, and cross-country.Intervention:CKCUEST and UQYBT scores were recorded as part of a comprehensive injury-risk screening battery.Main Outcome Measure:Pearson correlations assessed the relationship between all measures of the CKCUEST and UQYBT. A factorial ANOVA and a repeated-measures ANOVA (arm dominance) were used to assess interactions between sex, year in school, and sport for CKCUEST and UQYBT scores.Results:Normative values for the CKCUEST and UQYBT were established for 9 men’s and women’s college sports. No significant relationships were found between PPT scores. Men scored significantly higher than women for the CKCUEST (P = .002) and UQYBT (P = .010). Baseball players scored significantly higher than athletes from all other sports for the UQYBT (P < .001) but showed nonsignificant trends of lower scores for the CKCUEST than lower-extremity-dominant athletes such as runners (P = .063) and lacrosse players (P = .058).Conclusions:Results suggest that average CKCUEST and UQYBT scores in Division I athletes are distinct from those previously reported in recreationally active populations and that performance differences exist between sexes and sports. In addition, the CKCUEST and UQYBT appear to measure different constructs of performance and may complement each other as part of a screening battery.

scholarly journals The E23K Variant of KCNJ11 Encoding the Pancreatic β-Cell Adenosine 5′-Triphosphate-Sensitive Potassium Channel Subunit Kir6.2 Is Associated with an Increased Risk of Secondary Failure to Sulfonylurea in Patients with Type 2 Diabetes

2006 ◽  
Vol 91 (6) ◽  
pp. 2334-2339 ◽  
Author(s):  
Giorgio Sesti ◽  
Emanuela Laratta ◽  
Marina Cardellini ◽  
Francesco Andreozzi ◽  
Silvia Del Guerra ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Outcome Measure ◽  
Combined Therapy ◽  
Diabetic Patients ◽  
Main Outcome Measure ◽  
Increased Risk ◽  
Secondary Failure

Abstract Context: Several studies suggest that genetic factors may play a role in the different responses to antidiabetic therapy; however, conclusive evidence is still lacking. Objective: The objective of the study was to investigate whether diabetic patients carrying the E23K variant in KCNJ11 are at increased risk for secondary sulfonylurea failure. Design: Secondary sulfonylurea failure was defined as fasting plasma glucose greater than 300 mg/dl despite sulfonylurea-metformin combined therapy and appropriate diet, in the absence of other conditions causing hyperglycemia. Setting: The study was conducted in an ambulatory care facility. Patients: A total of 525 Caucasian type 2 diabetic patients were enrolled in the study. Intervention: Sulfonylurea treatment was followed by sulfonylurea-metformin combined therapy and then insulin treatment. Main Outcome Measure: Secondary failure was the main outcome measure. Results: Of the diabetic patients enrolled in the study, 38.5% were E23E homozygous, 51.4% were E23K heterozygous, and 10.1% were K23K homozygous. The frequency of carriers of the K allele was 58 and 66.8% among patients treated with oral therapy or secondary sulfonylurea failure, respectively (odds ratio, 1.45; 95% confidence interval, 1.01–2.09; P = 0.04). Adjustment for age, gender, fasting glycemia, glycosylated hemoglobin, age at diagnosis, and duration of diabetes in a logistic regression analysis did not change this association (odds ratio, 1.69; 95% confidence interval, 1.02–2.78; P = 0.04). Islets isolated from carriers of the K allele showed no differences in glucose-stimulated insulin secretion and a tendency toward reduced response upon glibenclamide stimulation (P = 0.09). After 24-h exposure to high (16.7 mmol/liter) glucose concentration, impairment of glibenclamide-induced insulin release was significantly (P = 0.01) worse with the E23K variant. Conclusions: These data suggest that the E23K variant in KCNJ11 may influence the variability in the response of patients to sulfonylureas, thus representing an example of pharmacogenetics in type 2 diabetes.

Knee-Joint Position Sense: The Relationship between Open and Closed Kinetic Chain Tests

2005 ◽  
Vol 14 (4) ◽  
pp. 356-362 ◽  
Author(s):  
Lee Herrington
Keyword(s):  
Error Score ◽  
Outcome Measure ◽  
Weight Bearing ◽  
Absolute Error ◽  
Position Sense ◽  
Joint Position Sense ◽  
Kinetic Chain ◽  
Main Outcome Measure ◽  
Closed Kinetic Chain ◽  
The Relationship

Context:Authors have investigated knee joint-position sense (JPS) in non-weight-bearing open kinetic chain (OKC) manner, but few have investigated JPS during closed kinetic chain (CKC) weight-bearing activities or the relationship between these two.Objective:To investigate the relationship between knee JPS during OKC and CKC maneuvers.Design:2-group (men and women) repeated-measures.Setting:Biomechanics laboratory.Participants:80 asymptomatic subjects.Interventions:None.Main Outcome Measure:Absolute error score of knee JPS during 2 conditions, a CKC squat or OKC knee-flexion maneuver.Results:Statistical analysis by 2-way ANOVA showed sex not to have a significant effect on error score (P= .475), but statistically significant differences between error scores occurred during the 2 tests (P= .0001), the CKC test producing lower error scores (group mean absolute error score OKC [5.6° ± 4.3°] and CKC [2.8° ± 2.4°]), with the absence of a correlation between scores of each test (r= .1).Conclusion:Testing JPS in a CKC scenario would seem appropriate—the ability is greatest (least errors), and conversely any deficits might be most obvious.

scholarly journals What influences the timing of the introduction of solid food to infants?

2004 ◽  
Vol 92 (3) ◽  
pp. 527-531 ◽  
Author(s):  
Elizabeth M. Alder ◽  
Fiona L. R. Williams ◽  
Annie S. Anderson ◽  
Stewart Forsyth ◽  
Charles du V. Florey ◽  
...  
Keyword(s):  
Outcome Measure ◽  
Educational Interventions ◽  
Maternity Hospital ◽  
Postal Questionnaire ◽  
Solid Food ◽  
Maternal Grandmother ◽  
Main Outcome Measure ◽  
Early Introduction ◽  
Factors Influencing ◽  
Primiparous Women

The aim of the present study was to assess the factors which may influence the timing of the introduction of solid food to infants. The design was a prospective cohort study by interview and postal questionnaire. Primiparous women (n 541) aged between 16 and 40 years were approached in the Forth Park Maternity Hospital, Fife, Scotland. Of these, 526 women agreed to participate and seventy-eight were used as subjects in the pilot study. At 12 weeks we interviewed 338 women of the study sample. The postal questionnaire was returned by 286 of 448 volunteers. At 12 weeks 133 of 338 mothers said that they had introduced solids. Those that said that they had introduced solids early (>12 weeks) were compared with those who had introduced solids late (<12 weeks) by bivariate and multiple regression analysis. Psychosocial factors influencing the decision were measured with the main outcome measure being the time of introduction of solid food. The early introduction of solids was found to be associated with: the opinions of the infant's maternal grandmother; living in a deprived area; personal disagreement with the advice to wait until the baby was 4 months; lack of encouragement from friends to wait until the baby was 4 months; being in receipt of free samples of manufactured food. Answers to open-ended questions indicated that the early introduction appeared to be influenced by the mothers' perceptions of the baby's needs. Some of the factors influencing a woman's decision to introduce solids are amenable to change, and these could be targeted in educational interventions.

scholarly journals The impact of the Coronial Communiqué on changing patient safety: a subscriber survey

2009 ◽  
Vol 33 (4) ◽  
pp. 583 ◽  
Author(s):  
Johnathon P Ehsani ◽  
Joseph E Ibrahim
Keyword(s):  
Patient Safety ◽  
Clinical Practice ◽  
Odds Ratio ◽  
Population Survey ◽  
Outcome Measure ◽  
Survey Questionnaire ◽  
Cross Sectional ◽  
Main Outcome Measure ◽  
Change In Practice ◽  
The Impact

To determine whether the Coronial Communiqu� prompted subscribers to initiate changes to clinical practice for patient safety an anonymous, online cross-sectional population survey questionnaire was provided to all registered subscribers to the Communiqu�. The main outcome measure was self-reported review and change to practice. From 1325 subscribers invited to participate, 697 complete and valid responses were received (52.6%). Most of the respondents (588; 84.4%) reported the Communiqu� provided ideas for improving patient safety, 429 (61.5%) reviewed their practice, and 290 (41.6%) changed their practice. The characteristic most associated with a change in practice was if the subscriber was in clinical practice. This association was evident for ideas (odds ratio [OR], 3.42; 95% CI, 2.24?5.23), review (OR, 2.63; 95% CI, 1.91?3.61) and change to improve practice (OR, 2.40; 95% CI, 1.73?3.32).

Subcutaneous Tissue Thickness Alters the Effect of NMES

2008 ◽  
Vol 17 (1) ◽  
pp. 68-75 ◽  
Author(s):  
Michael G. Miller ◽  
Christopher C. Cheatham ◽  
William R. Holcomb ◽  
Rosealin Ganschow ◽  
Timothy J. Michael ◽  
...  
Keyword(s):  
Athletic Training ◽  
Outcome Measure ◽  
Subcutaneous Tissue ◽  
Neuromuscular Electrical Stimulation ◽  
Force Production ◽  
Tissue Thickness ◽  
Main Outcome Measure ◽  
Fixed Design ◽  
Post Hoc ◽  
The Relationship

Context:No direct research has been conducted on the relationship between subcutaneous tissue thickness and neuromuscular electrical stimulation (NMES).Objective:The purpose of this study was to determine the effects of subcutaneous tissue thickness on NMES amplitude and NMES force production of the quadriceps.Design:Simple fixed design, testing the independent variable of subcutaneous thickness (skinfold) groups with the dependent variables of NMES amplitude and force production.Setting:Athletic Training Laboratory.Participants:29 healthy women.Intervention:NMES to produce at least 30% of maximal voluntary isometric contractions (MVIC) of the quadriceps.Main Outcome Measure:Maximal NMES amplitude and percentage of MVIC using NMES.Results:A significant skinfold category difference F2,28 = 3.92, P = .032 on NMES amplitude was found. Post hoc revealed the thinnest skinfold category tolerated less amplitude compared to the thickest category. A significant correlation was found between NMES amplitude skinfold category R = .557, P = .002.Conclusion:Higher NMES amplitudes are needed for the thickest skinfold category compared to the thinnest skinfold category.

scholarly journals PCSK9 in African Americans and Caucasians in Relation to Lp(a) Level, Apo(a) Size and Heritability

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Byambaa Enkhmaa ◽  
Kyoungmi Kim ◽  
Wei Zhang ◽  
Nishant Prakash ◽  
Kevin Truax ◽  
...  
Keyword(s):  
African Americans ◽  
Outcome Measure ◽  
Total Plasma ◽  
Cross Sectional ◽  
Main Outcome Measure ◽  
Apolipoprotein A ◽  
Significant Heritability ◽  
Age Range ◽  
Relationship Of ◽  
The Relationship

Abstract Context Inhibition of proprotein convertase subtilisin/kexin type 9 (PCSK9) reduces lipoprotein(a) [Lp(a)] levels, but the association of PCSK9 with Lp(a) level and its major determinant, apolipoprotein(a) [apo(a)] size, is not fully understood. Objective To assess the relationship between PCSK9, Lp(a) level, apo(a) size, age, and ethnicity/race. Design Cross-sectional Setting General population Participants Healthy African Americans and Caucasians (n = 267); age range: 6 to 74 years. Interventions None. Main outcome measure(s) PCSK9 levels, apo(a) isoform and LPA allele sizes, and isoform-specific Lp(a) levels. Results Plasma PCSK9 levels were significantly higher in African Americans vs Caucasians, in females vs males, and in adults vs children. PCSK9 levels were not associated with total plasma Lp(a) levels either in all participants or in ethnicity-specific analyses. However, PCSK9 levels were significantly positively associated with isoform-specific Lp(a) levels carried by the larger apo(a) size in all participants (r = 0.139, P = 0.0361). In ethnicity/race analyses, a significant association was seen for African Americans (r = 0.268, P = 0.0199), but not for Caucasians. In contrast, there were no significant associations of PCSK9 with isoform-specific Lp(a) levels for the smaller apo(a) sizes in all participants nor in ethnic-specific analyses. Furthermore, heritability (h2) analyses revealed a significant heritability for PCSK9 level in both ethnic groups, with a higher estimate in Caucasians than in African Americans (47% vs 22%, respectively). Conclusions Among African Americans, but not Caucasians, PCSK9 levels were associated with isoform-specific Lp(a) levels carried on larger, but not smaller, apo(a) sizes. The findings illustrate a diverging relationship of PCSK9 with isoform-specific Lp(a) levels across ethnicity.

scholarly journals Epidemiology of Cheerleading Stunt-Related Injuries in the United States

2009 ◽  
Vol 44 (6) ◽  
pp. 586-594 ◽  
Author(s):  
Brenda J. Shields ◽  
Soledad A. Fernandez ◽  
Gary A. Smith
Keyword(s):  
Odds Ratio ◽  
Outcome Measure ◽  
Head Injuries ◽  
The United States ◽  
Epidemiologic Studies ◽  
Main Outcome Measure ◽  
Closed Head Injuries ◽  
Lower Back ◽  
Increased Risk ◽  
Closed Head

Abstract Context: Cheerleading-related injuries are on the rise. To date, no epidemiologic studies of cheerleading stunt-related injuries have been published. Objective: To describe and compare cheerleading stunt-related injuries by type of cheerleading team (All Star, college, high school, middle school, or recreation league) and event (practice, pep rally, athletic event, or cheerleading competition). Design: Prospective injury surveillance study. Setting: Participant exposure and injury data were collected from US cheerleading teams via the Cheerleading RIO (Reporting Information Online) surveillance tool. Patients or Other Participants: Athletes from enrolled cheerleading teams who participated in official, organized cheerleading practices, pep rallies, athletic events, or cheerleading competitions. Main Outcome Measure(s): The numbers, types, and rates of cheerleading stunt-related injuries during a 1-year period (2006–2007) are reported. Results: Stunt-related injuries accounted for 60% (338/567) of the injuries sustained by US cheerleaders who participated in the study and 96% (22/23) of the concussions and closed head injuries (CHIs) reported during the study. Collegiate cheerleaders were more likely to sustain a concussion or CHI than were cheerleaders on other types of teams (P  =  .02, odds ratio  =  3.10, 95% confidence interval  =  1.20, 8.06). Most injuries occurred while the cheerleader was spotting or basing another cheerleader (34%, 115/338), and these injuries comprised 32% (51/161) of all stunt-related strains and sprains. Four cheerleaders (1.2%, 4/335) were admitted to the hospital, and 9 cheerleaders (2.7%, 9/335) required surgery. Conclusions: Cheerleading stunts pose an increased risk for injury, especially in terms of sustaining a concussion or CHI. Spotters and bases were most likely to be injured during the performance of cheerleading stunts and were at risk for sustaining strain and sprain injuries. The ankle, lower back, and wrist were the sites most likely to be reinjured while performing cheerleading stunts.

Is there a relationship between gestational diabetes and postpartum depression?

2020 ◽  
Vol 16 ◽  
Author(s):  
Salman Khazaei ◽  
Erfan Ayubi ◽  
Saeid Bashirian ◽  
Ronak Hamzehei ◽  
Ensiyeh Jenabi
Keyword(s):  
Gestational Diabetes ◽  
Postpartum Depression ◽  
Odds Ratio ◽  
Depression Scale ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
University Education ◽  
P Value ◽  
Cross Sectional ◽  
The Relationship

Background: The relationship between gestational diabetes and postpartum depression (PPD) is poorly understood and seldom studied. Objective: In an effort to explore this issue, the present study investigated the relationship between gestational diabetes and PPD. Methods: The present cross-sectional study was performed with 342 women who were referred to four urban health centers of Hamadan city, west of Iran. We used convenience sampling as a method to recruit women in each health center. We used a researcher-made checklist for gathering data on socio-demographic characteristics and potential risk factors of PPD. The Persian validated version of the Edinburgh Postnatal Depression Scale (EPDS) was used to assess PPD. Univariate and multivariable binary logistic regression was applied to estimate the odds ratio (OR) (95% confidence interval [CI]). Results: Gestational diabetes was identified as the most important risk factor for PPD with OR (95% CI) of 2.19 (1.11, 4.31); P-value=0.02 after adjusting for other variables. Moreover, the adjusted odds ratio showed that PPD among lesseducated women (primary school) was 3.5 times higher compared to women with a university education (OR=3.54, 95% CI: 1.27, 9.84; P-value=0.01). Conclusion: Our findings suggested that PPD is more likely among women with gestational diabetes and those who were less educated. Interventional and educational activities for reducing the risk of PPD can be targeted for use with this population.

Explore the Possible Impact of BCG Vaccination Policy on the Morbidity, Mortality, and Recovery Rates due to COVID-19 Infection. (Preprint)

2020 ◽  
Author(s):  
Yue-Cune Chang
Keyword(s):  
Odds Ratio ◽  
Randomized Clinical Trials ◽  
Vaccination Policy ◽  
Bacille Calmette Guerin ◽  
Recovery Rates ◽  
Bcg Vaccination ◽  
The World ◽  
New Form ◽  
The Relationship ◽  
Disease Specific

BACKGROUND The Coronavirus Disease-19 (COVID-19) is the new form of an acute infectious respiratory disease and has quickly spread over most continents in the world. Recently, it has been shown that Bacille Calmette-Guerin (BCG) might protect against COVID-19. This study aims to investigate the possible correlation between BCG vaccination and morbidity/mortality/recovery rate associated with COVID-19 infection. OBJECTIVE Our findings confirm that the BCG vaccination might protect against COVID-19 virus infection. METHODS Data of COVID-19 confirmed cases, deaths, recoveries, and population were obtained from https://www.worldometers.info/coronavirus/ (Accessed on 12 June, 2020). To have meaningful comparisons among countries’ mortality and recovery rates, we only choose those countries with COVID-19 infected cases at least 200. The Poisson regression and logistic regression were used to explore the relationship between BCG vaccination and morbidity, mortality and recovery rates. RESULTS Among those 158 countries with at least 200 COVID-19 infected cases, there were 141 countries with BCG vaccination information available. The adjusted rates ratio of COVID-19 confirmed cases for Current BCG vaccination vs. non-Current BCG vaccination was 0.339 (with 95% CI= (0.338,0.340)). Moreover, the adjusted odds ratio (OR) of death and recovery after coronavirus infected for Current BCG vaccination vs. non-Current BCG vaccination were 0.258 (with 95% CI= (0.254,0.261)) and 2.151 (with 95% CI= (2.140,2.163)), respectively. CONCLUSIONS That data in this study show the BCG might provide the protection against COVID-19, with consequent less COVID-19 infection and deaths and more rapid recovery. BCG vaccine might bridge the gap before the disease-specific vaccine is developed, but this hypothesis needs to be further tested in rigorous randomized clinical trials. INTERNATIONAL REGISTERED REPORT RR2-https://doi.org/10.1101/2020.06.14.20131268

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