Perceptions of Vulnerability 3½ Years After Problems of Feeding and Crying Behavior in Early Infancy

PEDIATRICS ◽  
1991 ◽  
Vol 88 (4) ◽  
pp. 757-763
Author(s):  
Brian W.C. Forsyth ◽  
Priscilla F. Canny
Keyword(s):  
Relative Risk ◽  
Behavior Problems ◽  
Confidence Interval ◽  
Postpartum Period ◽  
Early Infancy ◽  
Long Term Consequences ◽  
The Way

The long-term consequences for infants with problems of feeding and crying behavior remain unknown. The purpose of this research was to determine whether such children are later perceived by their parents as vulnerable and more often have behavior problems and have different personalities than children without problems in infancy. The implications of managing such problems by changing milk formulas is explored. Mothers of 379 infants were enrolled in the postpartum period. Information about problems of feeding and crying behavior was obtained at 4 months. Thirty-six percent of the infants had problems and the formula had been changed for 17%. At 3½ years, 320 (84%) mothers completed a questionnaire. Children who had had problems were more often perceived as vulnerable (relative risk [RR] 1.86; 95% confidence interval [CI] 1.09, 3.19) and more often had behavior problems (RR 1.78; 95% CI 1.03, 3.07). There were no differences in personality. Children whose problems had been managed by changing milk formulas were more often perceived as vulnerable (RR 2.18; 95% CI 1.05, 4.53). Although allergies were reported significantly more often for those children who had had problems, there were no differences in the prevalence of asthma or eczema. Problems of feeding and crying behavior in early infancy and the way they are managed may have long-term implications for the child.

MODERN ASPECTS OF TREATMENT CHRONIC ENDOMETRITIS

2020 ◽  
pp. 58-61
Author(s):  
Shelemekh K.E. ◽  
Petrov Yu.A. ◽  
Arndt I.G. ◽  
Evdokimova E.P. ◽  
Chernavsky V.V.
Keyword(s):  
Chronic Inflammation ◽  
Postpartum Period ◽  
Scientific Literature ◽  
Local Treatment ◽  
Symptomatic Treatment ◽  
Chronic Endometritis ◽  
Disease Complex ◽  
Treat Ment ◽  
Long Term Consequences

The analysis of the data of modern scientific literature containing information on topical issues in the treat-ment of chronic endometritis as one of the most acute, frequently encountered problems of modern gynecol-ogy is carried out. This disease today requires special attention of doctors and scientists due to the erased course of the disease, complex diagnostics and multi-faceted treatment. Chronic inflammation affects men-strual function, fertility of women, is often a complica-tion of pregnancy, childbirth, the postpartum period, and can also cause infertility and early loss, which actualizes the topic of timely and individually selected treatment for patients diagnosed with chronic endo-metritis. Treatment should be aimed at relieving clini-cal symptoms, eradicating the pathogen and combat-ing adverse long-term consequences. Today, many approaches to treatment are known, but it is worth choosing the most effective and promising ones. In addition to etiotropic and symptomatic treatment, attention should be paid to restoring the morphofunc-tional potential of the endometrium with the help of physiotherapy. An important advantage of such com-plexes is the possibility of intracavitary effects that increase the effectiveness of treatment due to local treatment.

Psychological Sequelae of Medical Complications During Pregnancy

PEDIATRICS ◽  
1993 ◽  
Vol 91 (3) ◽  
pp. 566-571
Author(s):  
JoAnne Burger ◽  
Sarah McCue Horwitz ◽  
Brian W.C. Forsyth ◽  
John M. Leventhal ◽  
Philip J. Leaf
Keyword(s):  
Primary Care ◽  
Relative Risk ◽  
Postpartum Depression ◽  
Confidence Interval ◽  
Pregnancy Complications ◽  
Medical Complications ◽  
Community Based ◽  
Increased Risk ◽  
Interview Survey

To determine whether mothers with complicated pregnancies are at increased risk of postpartum depression and whether their children are at increased risk of being perceived as vulnerable, the investigators conducted an interview survey of mothers of 1095 children aged 4 to 8 in a community-based sample of primary care pediatric practices. The offspring were viewed as vulnerable by 17% of the women with severe pregnancy complications and 9% of the women without pregnancy complications (relative risk = 1.88; 95% confidence interval = 1.11, 2.63). Women with a severe complication of pregnancy were significantly more likely to report postpartum depression than those without a complication (27% vs 11%; relative risk = 2.45; 95% confidence interval = 1.55, 3.01). These relationships persisted after adjustment for prematurity, neonatal hospitalization, and demographic factors. It is concluded that pregnancy complications may place a woman at increased risk of postpartum depression and may have important effects on a mother's long-term perceptions of her child's vulnerability to illness.

Long-term prognostic factors of young patients (≤ 35 years) having acute myocardial infarction: the detrimental role of continuation of smoking

2008 ◽  
Vol 15 (5) ◽  
pp. 567-571 ◽  
Author(s):  
Loukianos S. Rallidis ◽  
John Lekakis ◽  
Demosthenes Panagiotakos ◽  
Katerina Fountoulaki ◽  
Christoforos Komporozos ◽  
...  
Keyword(s):  
Relative Risk ◽  
Confidence Interval ◽  
Ejection Fraction ◽  
Cardiac Events ◽  
Coronary Syndrome ◽  
Myocardial Infraction ◽  
The Impact

Background There are few and conflicting data regarding the prognostic role of continued smoking in very young survivors of acute myocardial infraction (AMI) after the event. Design We conducted a prospective study to evaluate the impact of smoking habits on long-term outcome in individuals who sustained AMI at the age of ≤ 35 years. Methods We recruited 147 consecutive patients who had survived their first AMI at the age of ≤ 35 years. Patients were followed up for up to 10 years. Clinical end points were: readmission for acute coronary syndrome, cardiac death or coronary revascularization because of clinical deterioration. Results The most prevalent risk factor at presentation was smoking (94.8%). Follow-up data were obtained by 135 patients (32 ± 3 yeas old, 115 men). During follow-up 75 (55.6%) patients reported continuation of smoking. Forty-four (32.6%) patients presented cardiac events (three cardiac deaths, 30 acute coronary syndromes, and 11 revascularizations). Multivariate data analysis showed that persistence of smoking (relative risk = 2.35, 95% confidence interval 1.5–5.25, P = 0.03) and ejection fraction at presentation (relative risk = 0.95, 95% confidence interval 0.91–0.98, P= 0.008) were the only significant predictors of cardiac events after adjusting for various confounding factors. In addition, continuation of smoking was the most significant predictor of cardiac events during follow-up in our sample (i.e. had the lowest log-likelihood ratio as compared with ejection fraction or other covariates). Conclusion Persistence of smoking is the most powerful predictor for the recurrence of cardiac events in patients with premature AMI.

scholarly journals How will the way we live look different in the wake of the COVID-19 pandemic? A nutrition survey in Greece

2021 ◽  
pp. 026010602110090
Author(s):  
Demosthenes Panagiotakos ◽  
Rena I. Kosti ◽  
Christos Pitsavos
Keyword(s):  
Dietary Habits ◽  
Eating Habits ◽  
Physical Activities ◽  
Lifestyle Changes ◽  
Nutrition Survey ◽  
Web Based ◽  
Long Term Consequences ◽  
Almost All ◽  
The Way

Background: As we move towards a post-pandemic society, a question arises: How will the way we live look different in the wake of the COVID-19 pandemic? Aim: The aim of this survey was to evaluate changes in eating habits and other lifestyle behaviours (i.e., exercise and smoking) of people of almost all ages, who live in Greece, during the COVID-19 pandemic. Methods: A web-based survey using conventional sampling was conducted from during December 2020, in Greece. A total of 2258 individuals, aged 17 years and older voluntarily participated (912 (40%) men). Results: 89 (3.94%) of the participants reported that they had, or currently have been diagnosed with COVID-19. Moreover, 36.4% of the participants reported that they have changed their dietary habits during the pandemic towards a healthier diet – those participants had median age of 35 years, were of both sexes, 17% had co-morbidities and 69% with higher education level; moreover, 19% of those participants have started or increased the frequency of receiving dietary supplements that enhance the immune system, 34% of the participants reported that they gained weight during the pandemic period, whereas 19.8% reported that they have lost weight, and 37% of the participants reported that they have started or increased, as compared to the pre-pandemic time, their frequency of physical activities. Conclusions: The COVID-19_pandemic seems to have forced people to discover again habits and traditions towards a more natural and healthier way of living. Long-term consequences and the evolution of these lifestyle changes after the COVID-19 pandemic have to be evaluated relevant to their implications in public health.

scholarly journals Big Data Security Problem and Its Solutions

2021 ◽  
Vol 11 (1) ◽  
pp. 34-36
Author(s):  
Madan Mohan ◽  
◽  
Aadarsh Malviya ◽  
Anuranjan Mishra ◽  
◽  
...  
Keyword(s):  
Big Data ◽  
Data Security ◽  
Due Diligence ◽  
Access Management ◽  
Security Problem ◽  
Long Term Consequences ◽  
New Challenges ◽  
The Way

Big Data is the way to go especially for the large companies which keep a lot of information on the systems. This paper delves into the new challenges associated with big data. It points out safety challenges on Big Data as the main issues that organizations seek to address on a day-to-day basis. These challenges include securing the trusted environments, sufficient access management, performing due diligence, combating AVI vulnerabilities, and security automation. They can be solved by maintaining strict access strategies that only allow their esteemed and responsible employees to login and also set the systems in such a way that they can detect abnormalities and allow for investigations while there is still time. The paper has addressed big data challenges as well as their solutions which are always be considered in the case of the organization as they have long-term consequences if not put into consideration.

scholarly journals The Burden of Post-Thrombotic Syndrome in a Long-Term Retrospective Cohort in Northern Portugal

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Inês Mendes-Andrade ◽  
Marina Dias-Neto ◽  
João Rocha-Neves ◽  
Armando Mansilha
Keyword(s):  
Quality Of Life ◽  
Relative Risk ◽  
Confidence Interval ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Retrospective Cohort ◽  
Post Thrombotic Syndrome ◽  
Northern Portugal

Introduction: Post-thrombotic syndrome is a frequent and disabling complication of deep venous thrombosis. Its incidence is not described in the Portuguese population. The objective of this study is to report the incidence and severity of post-thrombotic syndrome after the initial episode of deep venous thrombosis.Material and Methods: This is an observational, unicentric, retrospective cohort of patients who had a first episode of deep venous thrombosis in the lower limb, documented with duplex ultrasound (n = 101). The modified Villalta score was applied by phone interview for the diagnosis and staging of post-thrombotic syndrome. The quality of life of patients was measured with the modified CIVIQ 14 classification.Results: Median follow-up time was six years (interquartile range 1). Severe post-thrombotic syndrome was present in 27% of patients and moderate in 33%. Performing physical activity at the time of the interview was associated with lower incidence of post-thrombotic syndrome (relative risk 0.489; 95% confidence interval = 0.320 - 0.748). Body weight gain after deep venous thrombosis (relative risk 2.188; 95% confidence interval 1.137 - 4.210) and lower education levels (relative risk 2.005; 95% confidence interval 1.297 - 3.098) were associated positively with post-thrombotic syndrome. Quality of life was 90 ± 17 vs 64 ± 18 vs 43 ± 15 in patients without postthrombotic syndrome, with moderate post-thrombotic syndrome and with severe post-thrombotic syndrome, respectively (p < 0.001).Discussion: The long-term incidence of post-thrombotic syndrome in a cohort of patients from Northern Portugal is higher than in other studies and correlates with worse adjusted CIVIQ-14 scores.Conclusion: Large studies of prospective nature could provide more definitive evidence.

scholarly journals Repeated influenza vaccination of healthy children and adults: borrow now, pay later?

2005 ◽  
Vol 134 (1) ◽  
pp. 63-70 ◽  
Author(s):  
F. CARRAT ◽  
A. LAVENU ◽  
S. CAUCHEMEZ ◽  
S. DELEGER
Keyword(s):  
Simple Model ◽  
Confidence Interval ◽  
Influenza Vaccination ◽  
Influenza Infection ◽  
Incidence Rates ◽  
Reference Scenario ◽  
Healthy Children ◽  
Long Term Consequences ◽  
Number Of Publications

SUMMARYA growing number of publications are recommending annual influenza vaccination of healthy children and adults. However, the long-term consequences of repeated influenza vaccination are unknown. We used a simple model of recurrent influenza infection to assess the likely impact of various repeated influenza vaccination scenarios. The model was based on a Markovian framework and was fitted on annual incidence rates of influenza infection by age. We found that natural influenza infection reduced the risk of being re-infected by 15·4% (95% confidence interval 7·1–23·0). Various scenarios of repeated influenza vaccination were then simulated and compared with a reference scenario where vaccination is given from age 65 years onwards. We show that repeated vaccination at a young age substantially increases the risk of influenza in older age, by a factor ranging between 1·2 (vaccination after 50 years) to 2·4 (vaccination from birth). These findings have important implications for influenza vaccination policies.

Barriers to Physical Activity in Adolescents

2015 ◽  
Vol 23 (2) ◽  
pp. 47-59 ◽  
Author(s):  
Nadine Langguth ◽  
Tanja Könen ◽  
Simone Matulis ◽  
Regina Steil ◽  
Caterina Gawrilow ◽  
...  
Keyword(s):  
Physical Activity ◽  
Leisure Activities ◽  
Outcome Expectations ◽  
Multidimensional Approach ◽  
Factor Analyses ◽  
Physical And Mental Health ◽  
Tailored Interventions ◽  
Long Term Consequences ◽  
Age Range

During adolescence, physical activity (PA) decreases with potentially serious, long-term consequences for physical and mental health. Although barriers have been identified as an important PA correlate in adults, research on adolescents’ PA barriers is lacking. Thus reliable, valid scales to measure adolescents’ PA barriers are needed. We present two studies describing a broad range of PA barriers relevant to adolescents with a multidimensional approach. In Study 1, 124 adolescents (age range = 12 – 24 years) reported their most important PA barriers. Two independent coders categorized those barriers. The most frequent PA barriers were incorporated in a multidimensional questionnaire. In Study 2, 598 adolescents (age range = 13 – 21 years) completed this questionnaire and reported their current PA, intention, self-efficacy, and negative outcome expectations. Seven PA barrier dimensions (leisure activities, lack of motivation, screen-based sedentary behavior, depressed mood, physical health, school workload, and preconditions) were confirmed in factor analyses. A multidimensional approach to measuring PA barriers in adolescents is reliable and valid. The current studies provide the basis for developing individually tailored interventions to increase PA in adolescents.

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