SENSORIMOTOR ALTERATIONS AND ASSOCIATED FACTORS IN DIABETES MELLITUS PATIENTS

ABSTRACT Objective: to evaluate sensorimotor alterations in the extremities of the lower limbs and associated factors in Diabetes Mellitus patients. Method: this was a cross-sectional and analytical study, conducted in a Basic Health Unit, in Teresina (Brazil) with a sample of 102 participants between April and July 2018, by means of a semi-structured form. For the statistical analyses, the Pearson's chi-square and Fisher's exact tests were performed. Results: among the study participants, 99 (97.1%) presented alterations, 73 (71.6%) on the skin and 40 (39.2%) on nails. The sensorimotor examination identified 40 (39.22%) individuals with tactile sensitivity alterations and 13 (12.7%) with reduced vibratory sensitivity, using the 128 Hz tuning fork. The factors associated with sensorimotor alterations detected by the 10 gram monofilament were the following: time of disease over ten years; absence of periodic foot evaluation (p=0.003); impaired visual acuity (p=0.001); presence of pain or discomfort (p=0.003); pain worsening at night (p=0.008); moderate pain intensity (p=0.012) and relief at rest (p=0.015). Conclusion: sensory alterations in the lower limbs showed their relationship with some of the research variables, such as time of disease, foot evaluation, glycemic value, presence of pain or discomfort (worsening and relief shifts, and intensity), skin coloring and vibratory sensitivity evaluation with a tuning fork.

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Tuberculosis prevalence and associated factors among persons with diabetes mellitus after intensified case finding in three West African countries

Multidisciplinary Respiratory Medicine ◽

10.4081/mrm.2021.783 ◽

2021 ◽

Vol 16 ◽

Author(s):

Ablo Prudence Wachinou ◽

Serge Ade ◽

Maimouna Ndour Mbaye ◽

Boubacar Bah ◽

Naby Balde ◽

...

Keyword(s):

Diabetes Mellitus ◽

Associated Factors ◽

Close Contact ◽

Case Finding ◽

Sputum Smear ◽

African Countries ◽

Consultation Process ◽

Cross Sectional ◽

Factors Associated ◽

Intensified Case Finding

Background: To determine the prevalence of tuberculosis (TB) and associated factors in persons with diabetes mellitus (DM) in Benin, Guinea and Senegal.Methods: A cross-sectional study was conducted in the largest DM center in each country. Participants systematically underwent clinical screening and chest radiography. Participants who were symptomatic or with abnormal radiography underwent bacteriological investigations (sputum smear, Xpert MTB/RIF and culture) on sputum. Participants with no TB at enrolment were re-examined for TB six months later. Logistic regression was performed to identify factors associated with TB.Results: There were 5870 DM patients: 1881 (32.0%) in Benin, 1912 (32.6%) in Guinea and 2077 (35.4%) in Senegal. Of these, 114 had bacteriologically-confirmed TB, giving a pooled prevalence of 1.9% (95%CI=1.6-2.3). TB prevalence was 0.5% (95%CI=0.3-1.0), 2.4% (95%CI=1.8-3.2) and 2.8% (95%CI=2.2-3.6), respectively, in Benin, Guinea and Senegal. Factors associated with an increased odds of TB diagnosis were a usual residence in Guinea (aOR=2.62;95%CI=1.19-5.77; p=0.016) or in Senegal (aOR=3.73;95%CI=1.85-7.51; p<0.001), the age group of 35-49 years (aOR=2.30;95%CI=1.11-4.79; p=0.025), underweight (aOR=7.34;95%CI=4.65-11.57; p<0.001) and close contact with a TB case (aOR=2.27;95%CI=1.37-3.76; p=0.002). Obesity was associated with lower odds of TB (aOR=0.20; 95%CI=0.06-0.65; p=0.008).Conclusion: TB is prevalent among DM patients in Benin, Guinea and Senegal and higher than among the general population. The findings support the need for intensified case finding in DM patients in order to ensure systematic early detection of TB during the routine consultation process.

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Risk Factors Associated with Probable Sleep Bruxism of Children and Teenagers with Cerebral Palsy

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4625-44.4.3 ◽

2020 ◽

Vol 44 (4) ◽

pp. 228-233

Author(s):

TAE da Silva ◽

AM Silva ◽

ESL Alvarenga ◽

BR Nogueira ◽

RR Prado ◽

...

Keyword(s):

Cerebral Palsy ◽

Tooth Wear ◽

Sleep Bruxism ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

Factors Associated ◽

Study Participants

Aim: To assess the association between probable sleep bruxism (PSB) and other occlusal characteristics in children and teenagers with Cerebral Palsy (CP). Study design: A cross-sectional study was carried out with 148 participants (74 with CP and 74 without special needs) aged between 2 and 14 years old. Participants underwent an oral clinical examination to evaluate the occlusal characteristics. Parents/caregivers filled out a questionnaire with information related to the typical sounds of PSB, sociodemographic factors and the presence of harmful oral habits in the study participants. Data analysis was carried out, using Chi-square or Fisher’s exact test and Odds Ratio (p<0.05).Results: PSB and malocclusion (68.9% and 95.9%, respectively) were more prevalent in participants with CP than in participants without CP. The association between PSB and the presence of a wear facet was statistically significant (p < 0.001) in participants with CP. In this group, 64.8% of participants with PSB presented tooth wear. Conclusion: Presence of dental wear facets was significantly associated with PSB in individuals with cerebral palsy.

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The Role of Sex in Malaria-COVID19 Coinfection and Some Associated Factors in Rivers State, Nigeria

Journal of Parasitology Research ◽

10.1155/2020/8829848 ◽

2020 ◽

Vol 2020 ◽

pp. 1-4

Author(s):

E. O. Onosakponome ◽

M. N. Wogu

Keyword(s):

Associated Factors ◽

Randomized Study ◽

Plasmodium Species ◽

Medical Laboratory ◽

Treatment Center ◽

Chi Square ◽

Cross Sectional ◽

Study Participants ◽

Rivers State

Objectives. Data on the coinfection of malaria and COVID-19 is highly limited especially in Africa due to the novel nature of the pandemic COVID-19. Malaria and COVID-19 share striking similarities in their symptoms. A cross-sectional randomized study was conducted to investigate the role of sex in the coinfection of malaria and COVID-19 as well as some associated factors in Rivers State, Nigeria. Methods. Ethical approval was obtained from the Rivers State Health and Ethics Committee before the commencement of this study, and the study was conducted at the COVID-19 Treatment Center Medical Laboratory, Rivers State, Nigeria. Intravenous blood samples from three hundred randomly selected consenting study participants were examined for Plasmodium species using Giemsa microscopy, while pretested questionnaires were used to obtain data on sex, risk factors, and symptoms. All data generated were analyzed statistically using the Chi-square test with a P < 0.05 value considered significant. Results. All study participants had Plasmodium species (100% prevalence) with varying parasite loads, and P. falciparum was the only species observed. Study participants (irrespective of sex) with low and high parasitaemia had the highest and least prevalence, respectively ( P > 0.05 ). Male study participants experienced more symptoms than females ( P > 0.05 ) except for sore throat which had an equal value among males and females. Travel history was the only risk factor that showed significant association with sex, and males had a higher value than females ( P < 0.05 ). Conclusion. Malaria and COVID-19 are major public health issues in Nigeria; more researches on these diseases especially in epidemiology, pathology, diagnosis, treatment, and vaccine production are vital.

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A Chinese Cross-Sectional Study on Symptoms in Aging Males: Prevalence and Associated Factors

American Journal of Men s Health ◽

10.1177/1557988319838113 ◽

2019 ◽

Vol 13 (2) ◽

pp. 155798831983811 ◽

Cited By ~ 1

Author(s):

Hongjun Li ◽

Xinyu Zhang ◽

Haibo Wang ◽

Bin Yang ◽

Ni Li ◽

...

Keyword(s):

Low Income ◽

Associated Factors ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Logistic Regression Models ◽

Factors Associated ◽

Related Quality ◽

Nationally Representative ◽

Major Factors

The Aging Male Symptoms (AMS) scale is a questionnaire designed for assessing health-related quality of life and aging-related symptoms in men. Additional knowledge of the severity of aging symptoms in males revealed by high AMS scores and the factors associated with it in the Chinese population is required. A nationally representative prevalence and risk factor estimate of AMS scores was performed to identify the associated factors for AMS severity in China. Men aged between 35 and 70 years were recruited at 33 study centers in 21 provinces, 4 municipalities, and 4 autonomous regions. The prevalence of high AMS scores and its association with demographic, anatomical, lifestyle, and clinical variables were evaluated. Chi-square tests and logistic regression models were used for analysis. Odds ratios (ORs) and 95% confidence intervals were calculated. In this study, 918 of 9,164 (10%, p < .001) men aged between 35 and 70 years, had AMS scores ≥50. Univariate and multivariable analyses showed that an age of >40 years, poor marital relations, type 2 diabetes mellitus (T2DM), history of fracture, and smoking ≥25 cigarettes per day were the major factors that were associated with the severity of AMS (OR ≥2; p < .05). Hypertension, low income, a low education level, alcohol consumption, lack of exercise, and a waist-to-hip ratio ≥0.9 were also moderately associated with AMS severity (OR 1–2; p < .05). The current study revealed the nationally representative prevalence of severe AMS scores in Chinese men and the factors associated with severe AMS. Antiaging intervention studies should target men with specific associated factors.

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Self-inflicted injuries among adolescents: Prevalence and associated factors, Espírito Santo, Brazil

Aquichan ◽

10.5294/aqui.2021.21.3.3 ◽

2021 ◽

Vol 21 (3) ◽

pp. 1-15

Author(s):

Mayara Alves Luis ◽

Nataly Adriana Jiménez Monroy ◽

Luciana Graziela de Godoi ◽

Franciéle Marabotti Costa Leite

Keyword(s):

Associated Factors ◽

Analytical Study ◽

Prevalence Ratio ◽

Female Gender ◽

Chi Square ◽

Cross Sectional ◽

Espírito Santo ◽

High Prevalence ◽

Collective Housing ◽

Espirito Santo

Objective: To identify the prevalence of notified self-inflicted injuries among adolescents in Espírito Santo and to analyze the associated factors. Materials and methods: A cross-sectional and analytical study, with the notified data of self-inflicted violence among adolescents in Espírito Santo registered in the Notifiable Diseases Information System from 2011 to 2018. The bivariate analyses considered the Chi-square (χ²) and Fisher’s Exact tests. The multivariate analysis considered the log-binomial model, and the adjustment results were presented as prevalence ratio. Results: The prevalence of notified self-inflicted injuries was 33 % and, of this total, 79.8 % occurred among female adolescents. Prevalence was higher among adolescents aged from 13 to 17 years old (female gender) and from 18 to 19 years old (male gender), as well as among those with some disability or disorder. Higher prevalence values were found in the residence and in collective housing, as well as among those who did not consume alcohol at the event in question. In the female gender, there was also an association with the urban area (p < 0.05). Conclusions: High prevalence of notified self-inflicted injuries is perceived among adolescents in Espírito Santo, as well as of the factors associated to this phenomenon. The importance of adopting promotion, prevention and recovery measures for the problem is verified.

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HUBUNGAN USIA, OBESITAS DAN RIWAYAT PENYAKIT DIABETES MELLITUS DENGAN KEJADIAN BENIGN PROSTATE HYPERPLASIA (BPH) DERAJAT IV DI RSUD DR. M. HAULUSSY AMBON PERIODE 2012-2014

MOLUCCA MEDICA ◽

10.30598/molmed.2017.10.2.141 ◽

2017 ◽

pp. 141-151

Author(s):

Andrew Ruspanah

Keyword(s):

Diabetes Mellitus ◽

Benign Prostate Hyperplasia ◽

Chi Square ◽

Cross Sectional ◽

Prostate Hyperplasia ◽

Benign Prostate

Pendahuluan. Benign Postate Hiperplasia (BPH) adalah penyakit yang umumnya terjadi pada pria lansia yang disebabkan oleh penuaan. Hiperplasia prostat adalah pertumbuhan jaringan nodul fibroadenomatosa pada prostat. Pembesaran prostat jinak merupakan penyakit yang tersering kedua setelah batu saluran kemih didapatkan secara klinis di Indonesia. Tujuan. Penelitian ini bertujuan untuk mengetahui hubungan antara usia, obesitas dan riwayat diabetes mellitus dengan kejadian Benign Prostate Hyperplasia (BPH) grade IV di Rumah Sakit Dr. M. Haulussy Ambon periode 2012-2014. Metode. Jenis penelitian ini adalah penelitian analitik desain Cross-Sectional, dengan menggunakan catatan medis data di ruang operasi di Rumah Sakit Dr. M. Haulussy Ambon Tahun 2012-2014 dan memperoleh jumlah sampel yang memenuhi kriteria inklusi sebanyak 239, yang diambil dengan teknik total sampling. Analisis dilakukan dengan analisis univariat dan bivariat menggunakan uji Chi Square. Hasil yang di temukan dalam penelitian ini bahwa kejadian BPH lebih besar pada mereka yang berusia> 65 tahun dan 56-65 tahun dibandingkan dengan usia 46-55 dan <46 tahun dengan hasil tes menunjukkan adanya hubungan antara usia dengan BPH dengan nilai (p= 0,000), ada hubungan antara obesitas dengan nilai BPH (p=0,019) dan riwayat diabetes mellitus setelah menggunakan uji Chi-Square, hubungan antara riwayat diabetes mellitus dengan BPH dengan nilai (p = 0,000). Kesimpulan. Ada hubungan antara umur, obesitas dan riwayat diabetes mellitus dengan kejadian BPH.

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HUBUNGAN ANTARA PERAWATAN KAKI DENGAN RISIKO ULKUS KAKI DIABETES DI RUANG RAWAT INAP RSU KABUPATEN TANGERANG

Jurnal JKFT ◽

10.31000/jkft.v2i2.14 ◽

2017 ◽

Vol 1 (2) ◽

pp. 8

Author(s):

Imas Yoyoh ◽

Imam Mutaqqijn ◽

Nurjanah Nurjanah

Keyword(s):

Diabetes Mellitus ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Purposive Sampling

Diabetes mellitus (DM) merupakan salah satu penyakit kronik yang terus menerus mengalami peningkatan jumlah yang signifikan dari tahun ke tahun. Komplikasi jangka panjang dari DM baik mikrovaskular dan makrovaskular dapat menyebabkan insufiensi aliran darah ke tungkai, yang dapat berujung pada infeksi, ulkus dan berakhir pada amputasi. Tujuan penelitian adalah mengetahui hubungan perawatan kaki dengan risiko ulkus kaki diabetes di Ruang Rawat Inap RSU Kabupaten Tangerang. Desain penelitian ini adalah analitik korelasi dengan menggunakan pendekatan Cross Sectional dengan jumlah sampel 54 responden, pengambilan sampel menggunakan purposive sampling. Metode pengumpulan data menggunakan kuesioner yang berisi pertanyaan tentang perawatan kaki dan lembar observasi tentang risiko ulkus kaki diabetes. Uji analisis data menggunakan uji Chi-square. Hasil penelitian sebanyak 54 responden didapatkan data kategori perawatan kaki baik dengan risiko ulkus rendah sebanyak 14 responden (58,3%). Sedangkan kategori perawatan kaki kurang baik dengan risiko ulkus tinggi sebanyak 21 responden (70,0%). Hasil analisis diperoleh nilai OR = 3,267 artinya perawatan kaki yang kurang baik mempunyai peluang 3,267 kali untuk risiko tinggi ulkus. Hasil uji statistik menggunakan Chi-Square diperoleh p=0,036 dimana nilai p-value < 0,05, maka Ho ditolak artinya terdapat hubungan antara perawatan kaki dengan risiko ulkus kaki diabetes di Ruang Rawat Inap RSU Kabupaten Tangerang. Pasien DM dengan perawatan kaki yang kurang baik berpeluang untuk terjadinya risiko ulkus tinggi dibandingkan dengan pasien DM yang perawatan kakinya baik.

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Konsumsi Makanan Berisiko Faktor Penyebab Penyakit Tidak Menular

Jurnal Ilmiah Kesehatan ◽

10.35952/jik.v8i2.154 ◽

2019 ◽

Vol 8 (2) ◽

pp. 100-105

Author(s):

Nur Fadhilah

Keyword(s):

Diabetes Mellitus ◽

Chi Square ◽

Cross Sectional ◽

Global Data

Penyakit Tidak Menular (PTM) menjadi penyebab kematian secara global. Data WHO menunjukkan bahwa dari 57 juta kematian di dunia ,sebanyak 36 juta disebabkan oleh PTM. Di Negara – Negara dengan tingkat ekonomi rendah/menengah, dari seluruh kematian yang terjadi pada orang – orang berusia kurang dari 60 tahun, 29% disebabkan oleh PTM. Penyakit cardiovaskular merupakan penyebab terbesar (39%), diikuti kanker (27%), sedangkan penyakit pernafasan kronis, penyakit pencernaan dan PTM yang lain bersama-sama menyebabkan sekitar 30% kematian, serta 4% kematian disebabkan Diabetes Mellitus. Tujuan penelitian ini adalah diketahuinya hubungan konsumsi makanan berisiko dengan kejadian PTM di UPT Puskesmas pringsewu. Penelitian ini menggunkan metode kuantitatif dan pendekatan Cross Sectional, dengan rumus Harry King diperoleh sampel sejumlah 125 orang dimana pemilihan sampel berdasarkan criteria tertentu. Instrument yang digunakan dengan mengadopsi dari Riskesdas 2018. Analisis data dilakukann dengan univariat dan bivariat dan uji sttistik yang digunakana adalah Chi Square. Hasil penelitian menunjukkan bahwa terdapat hubungan antara konsumsi makanan berisiko dengan kejadian penyakit tidak menular. Disarankan kepada masyarakat untuk dapat berperan aktif dalam mengendalikan risiko PTM seperti : konsumsi makana sesuai dengan Pedoman Gizi Seimbang (PSG), aktivitas fisik dan hindari obesitas. Dan kepada pihak puskesmas lebih meningkatkan upaya promotif dengan melibatkan peran serta masyarakat melalui kegiatan posyandu/Posbindu.

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Characteristics and risk factors associated with stroke subtypes among adult patients admitted to stroke unit of JUMC

Current Hypertension Reviews ◽

10.2174/1573402115666191121120228 ◽

2019 ◽

Vol 15 ◽

Author(s):

Bekalu Getachew Gebreegziabher ◽

Tesema Etefa Birhanu ◽

Diriba Dereje Olana ◽

Behailu Terefe Tesfaye

Keyword(s):

Risk Factors ◽

Stroke Unit ◽

Medical Center ◽

Data Entry ◽

Public Health Problem ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Stroke Subtypes

Background: Stroke is a great public health problem in Ethiopia. According to reports, in-hospital stroke mortality was estimated to be 14.7% in Ethiopia. Despite this, in this country researches done on factors associated with stroke sub-types were inadequate. Objective: To assess the Characteristics and risk factors associated with stroke sub-types among patients admitted to JUMC. Methods and materials: A retrospective cross sectional study was conducted from May 2017 to May 2018 in stroke unit of Jimma University Medical Center. A total of 106 medical charts of patients diagnosed with stroke were reviewed. Checklist comprising of relevant variables was used to collect data. SPSS version 21 was employed for data entry and analysis. Chi-square test was used to point-out association and difference among stroke sub-types. The data was presented using text, tables and figures. Result: From a total of 106 patients, 67(63.2%) were men. The mean ± SD of age was 52.67±12.46 years, and no significant association was found. Of all the patients, 59(55.6%) had ischemic strokes and 47(44.4%) had hemorrhagic strokes. The most common risk factor in the patients was alcohol use with a prevalence of 69.9%. Of all the risk factors, only sex, cigarettes smoking and dyslipidemia were significantly associated to sub-types of stroke. Conclusion: Ischemic stroke was the most common subtype of stroke. Sex of patient, cigarette smoking and dyslipidemia are significantly associated with the two stroke subtypes.

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Skull and Face Injuries and Associated Factors in Pedestrian Victims of Traffic Accidents: A Single Trauma Center Analysis

Current Dentistry ◽

10.2174/2542579x02999200608131337 ◽

2020 ◽

Vol 2 (1) ◽

pp. 53-59

Author(s):

Josimara A. de Araújo Varela ◽

Tatiana F.T. Palitot ◽

Smyrna L.X. de Souza ◽

Alidianne F.C. Cavalcanti ◽

Alessandro L. Cavalcanti

Keyword(s):

Medical Records ◽

Associated Factors ◽

Traffic Accidents ◽

Age Group ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

The Face ◽

Chi Square Test ◽

The City

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.

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