scholarly journals Analysis of Clinical Parameters, Drug Consumption and Use of Health Resources in a Southern European Population with Alcohol Abuse Disorder During COVID-19 Pandemic

2021 ◽  
Author(s):  
Ana Lear-Claveras ◽  
Beatriz González-Álvarez ◽  
Sabela Couso-Varela ◽  
Ana Clavería ◽  
Bárbara Oliván-Blázquez
Keyword(s):  
Blood Pressure ◽  
Alcohol Abuse ◽  
Social Services ◽  
Negative Impact ◽  
Health Resources ◽  
European Population ◽  
T Test ◽  
Addictive Disorders ◽  
Specialized Care ◽  
The Impact

The disruption in healthcare attention to people with alcohol dependence, along with psychological decompensation consequence of lockdown derived from COVID-19 pandemic, could have a negative impact on people who suffers from alcohol abuse disorder. Retrospective observational study of 9,966 men aged ˃16 years registered as having diagnosis of alcohol abuse disorder in the electronic medical records (EMR) of the Aragon Regional Health Service (Spain). Of those who were not infected during the study period (9,576), clinical (Glutamate-oxaloacetate -GOT-, Glutamate pyruvate -GPT-, creatinine, glomerular filtration, systolic blood pressure -SBP-, diastolic blood pressure -DBP-, total cholesterol, LDL, HDL, triglycerides, and body mass index -BMI-), pharmacological (dose per inhabitant per day -DHD- of drugs used in addictive disorders, benzodiazepines and antidepressants) and health resource use variables (primary and specialized care) were considered. Student´s T-test for matched samples was performed. After carrying out the Levene´s test, the Student´s T-test was used to analyze the changes in clinical variables between alcohol abuse disorder patients with and without COVID-19. Only creatinine and LDL show a significant but clinically irrelevant changes just after and 6 months after the end of strict lockdown. The total number of DHDs for all drugs included in the study (except for Benzodiazepines), decreased. In the same way, the use of health services by these patients also decreased. The impact of COVID-19 among this group of patients has been moderate. The reorganization of health and social services after the declaration of the state of alarm in our country, made possible the maintenance of care for this vulnerable patients.

Modern approach to the treatment of arterial hypertension

2021 ◽  
pp. 28-34
Author(s):  
Dmitriy Sergeevich Kovalev
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Arterial Hypertension ◽  
Pathological Condition ◽  
Cardiovascular Complications ◽  
European Population ◽  
Modern Approach ◽  
Appropriate Treatment ◽  
Literary Sources ◽  
The Impact

Arterial hypertension (AH) refers to an increase in blood pressure above the level of 140/90 mm Hg; the risk of cardiovascular complications increases significantly with this pathological condition. Thus, arterial hypertension is an independent risk factor for the development of prediabetes / type 2 diabetes mellitus, heart failure, coronary heart disease, chronic kidney damage, and multifocal atherosclerosis. The frequency of arterial hypertension occurrence varies in different countries: in particular, it is from 23 to 36% for the European population, according to various literary sources. The main goal of treatment is to minimize the overall risk of developing cardiovascular complications. This involves the impact on all identified reversible risk factors, such as smoking and high cholesterol levels, and most importantly, appropriate treatment of concomitant diseases (diabetes mellitus, thyroid gland pathology, kidney disease, etc.), as well as the correction of high blood pressure.

STUDY OF CLINICALAND HAEMATOLOGICAL PROFILE OF ANEMIA IN GERIATRIC PATIENTS AT A TERTIARY LEVEL CENTRE IN HARYANA

2021 ◽  
pp. 17-19
Author(s):  
Priya Dalal ◽  
Atindra Narayan ◽  
Auditi Narayan ◽  
D.K. Sharma
Keyword(s):  
Chronic Disease ◽  
Elderly Patients ◽  
Social Services ◽  
Negative Impact ◽  
Health Resources ◽  
The Elderly ◽  
Differential Count ◽  
Anemia Of Chronic Disease ◽  
Haematological Profile ◽  
Rbc Indices

Background: The demographic transition with ageing of population is a global phenomenon and in recent years there has been an increasing international awareness of health issues relating to aging population. Anemia represents an emerging global health problem producing a negative impact in the quality of life among the elderly and requiring greater allocation of health resources. Aims: To identify elderly patients with anemia and study the etiology, clinical parameters, laboratory parameters in these patients. Methods: A total of 100 patients were enrolled in this study. The entire medical history were obtained from each of the cases including previous medical reports and imaging studies. Complete blood counts , RBC indices,total WBC count, differential count, platelet count, haematocrit, ESR, peripheral smears ,reticulocyte count, ferritin, iron and TIBC were recorded for each patient. The data was compiled and analyzed using Statistical Package for social services (SPSS vs 20). Results: Among the etiologies, iron deciency anemia was seen in 43% of patients, anemia of chronic disease in 32%, anemia of chronic kidney disease and unexplained anemia in 11 % patients. Among clinical features the commonest symptom was easy fatiguability and commonest sign was pallor. Peripheral smear study showed that normocytic normochromic anemia was commonest type. Conclusion: This study showed that the commonest cause for anemia among elderly patients is iron deciency anemia followed by anemia due to chronic disease. Geriatric anemia is a disease that often goes unreported hence every effort should be made to identify the disease and evaluate the cause.

scholarly journals Analisis Dampak Struktur Modal Terhadap Profitabilitas

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Dwi Setiarini ◽  
Sujiono Sujiono ◽  
Hadi Sumarsono
Keyword(s):  
Capital Structure ◽  
Negative Impact ◽  
Secondary Data ◽  
T Test ◽  
Return On Assets ◽  
Credit Cooperatives ◽  
Equity Ratio ◽  
Data Source ◽  
The Impact ◽  
The Capital Structure

Funding is an important issue that is taken into account by the company, both for the establishment and expansion of the business. Capital structure has an impact on profitability, with the improvement in capital structure, the company gives profits. The purpose of this study was to determine the impact of the capital structure measured by Debt to Equity Ratio (DER) on profitability as measured by Return on Assets (ROA) partially in Sharia Savings and Credit Cooperatives Cooperatives or KSK Komment Year 2016 - 2019. This researcher uses regression analysis simple linear and t test. The data source used in this study is secondary data. The results of the study concluded that the capital structure measured by Debt to Equity Ratio (DER) partially had a negative impact on Return on Assets (ROA). While the t test on the variable Debt to Equity Ratio (DER) partially proved to have no significant impact on Return on Assets (ROA).

scholarly journals KNOWLEDGE AND PRACTICE TOWARDS QUALITY USE OF MEDICINE AMONG UNDERGRADUATE STUDENTS

2020 ◽  
Vol 20 (3) ◽  
pp. 49-56
Author(s):  
Wardah Mustafa Din ◽  
Noor Ashikeen Zainal Abidin
Keyword(s):  
Undergraduate Students ◽  
Health Resources ◽  
Knowledge Score ◽  
T Test ◽  
Test Analysis ◽  
Post Test ◽  
Elective Course ◽  
Knowledge And Practice ◽  
Effective Use ◽  
The Impact

Quality use of medicine is crucial not only to optimize health resources, but to safeguard consumers from unsafe use of medicine. Knowing Your Medicine (KYM) Campaign was launched by the Ministry of Health (MOH) Malaysia as an initiative to raise awareness to consumers on quality use of medicines in ensuring wise, safe and effective use of medicines. Materials of the campaign which is the KYM Module, is integrated in one of the elective course in UKM which is offered to undergraduate students across different faculties to increase knowledge and practice on quality use of medicine. This study aims to identify the impact of the KYM Module towards knowledge and practice of the undergraduates enrolled into the course. A one group pre and post-test research design was employed to students using purposive sampling (n=62). The questionnaire consists of three sections which are i) demographic profile, ii) knowledge assessment (14 items) and iii) practice assessment (15 items). Frequency analysis and paired sample T-test were used to measure the impact of the module. Knowledge of the undergraduates increased from fair/good to good/excellent, as knowledge score of 64.5% students reached excellent post-test compared to 35.5% pre-test. In terms of practice, a paired T-test analysis shows that there is a statistically significant increase in practice scores from pre-test (M = 4.2, SD = .472) to post-test (M = 4.57, SD = .341), t (61) =-3.859, p<.05 (two tailed). In summary, both knowledge and practice improved significantly among undergraduates after completing the module. This research serves as an important data to support the effectiveness of MOH initiative in disseminating important information regarding quality use of medicine to the public.

scholarly journals Vliv změny pravidel v roce 2010 na střelbu hráčů Národní basketbalové ligy

2015 ◽  
Vol 9 (2) ◽  
pp. 77-84
Author(s):  
Václav Svoboda ◽  
Emil Řepka
Keyword(s):  
Czech Republic ◽  
Negative Impact ◽  
Male Competition ◽  
T Test ◽  
F Test ◽  
The Czech Republic ◽  
Rules Changes ◽  
The Impact ◽  
Paired T Test

The aim of our study is to identify and evaluate the impact of rules changes in 2010 on success of two-point shooting and three-point shooting between selected Czech and foreign players taking part in National Basketball League- top male competition in the Czech Republic who have met with our specifi ed conditions in examined seasons 2009/10 and 2010/11. There are following methods used in the very research in the empirical part: Student’s paired t-test, Two-sample F-test, Student’s unpaired t-test of equality of variances and Size of eff ect. The results of these tests has statistically confi rmed our hypotheses H1 and H2 – it means decreasing of two-point shooting success in season 2010/11 for all examined players and reducing of success at three-point throws between players with Czech nationality. On the contrary, it has not confi rmed the hypothesis H3, thus increasing of three-point shooting success in season 2010/11 between foreign players. Substantively, we consider as an essential result the 20.1% negative impact of the rules changes on success of three-point shooting for players of Czech nationality.

The impact of bariatric surgery on framingham risk score

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
A.K.H Ho ◽  
C.J O'Boyle ◽  
H Shabana ◽  
K.J Lee
Keyword(s):  
Blood Pressure ◽  
Bariatric Surgery ◽  
Risk Reduction ◽  
Risk Score ◽  
Framingham Risk Score ◽  
Density Lipoprotein ◽  
T Test ◽  
Cvd Risk ◽  
Framingham Risk ◽  
The Impact

Abstract Introduction Although morbid obesity is strongly associated with cardiovascular disease (CVD) risk, relatively little research has been performed to evaluate the long-term effect of bariatric surgery (BS) on CVD risk reduction. Purpose To evaluate the 2-year effects of laparoscopic gastric bypass (LGBYP) & laparoscopic sleeve gastrectomy (LSG) on blood pressure, lipid profile, diabetic profile and Framingham risk score (FRS). Methods It was a retrospective review of patients undergoing BS between January 2009–2017. Body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), lipid & diabetic profile were recorded preoperatively & 2-year postoperatively. Results Of 416 patients, 77% (320) were females, 88% (365) were non-smokers & mean (sd) age was 48 (11) years. 69% (286) underwent LGBYP. 27% (114) were diabetic, 78% (324) were hyperlipidaemic and 65% (269) were hypertensive. The mean SBP & DBP decreased progressively while mean high-density-lipoprotein (HDL) & total-cholesterol (TC) increased progressively (table 1). LGBYP has a greater reduction in DBP than LSG (p&lt;0.001, t-test). 10-year CVD risk reduced by 37% at 2-year, with a greater effect in LGBYP than LSG (40% vs 28%, p&lt;0.001, t-test). Conclusion The 10-year risk of CVD reduced by 37% 2-years after bariatric surgery, with a greater risk reduction in LGBYP compared to LSG. Funding Acknowledgement Type of funding source: None

scholarly journals Exploring the impact of Covid-19 on the care and quality of life of people with dementia and their carers: A scoping review

Dementia ◽  
2021 ◽  
pp. 147130122110539
Author(s):  
Patricia Masterson-Algar ◽  
Maria Cheshire Allen ◽  
Martin Hyde ◽  
Norah Keating ◽  
Gill Windle
Keyword(s):  
Quality Of Life ◽  
Social Services ◽  
Scoping Review ◽  
Negative Impact ◽  
Care Needs ◽  
Health And Social Services ◽  
People With Dementia ◽  
Severity Of Dementia ◽  
The Impact

This article reports on findings of a scoping review aimed to map the published literature concerning the impact of Covid-19 on the care and quality of life of people living with dementia and their carers. Twenty-nine articles were included in the review. Three overarching themes were identified: (1) Impact on people with dementia – unmet and increased care needs; (2) Impact on carers – increased stress and burden and (3) Impact according to demographics. Overall, findings show that Covid-19 has led to a reduction in support from health and social services and to a move towards technology-based support. Furthermore, Covid-19 has had a negative impact on the care and quality of life of people living with dementia and their carers, and that this impact was influenced by the severity of dementia.

scholarly journals The Analysis of Differences in Body Temperature and Blood Pressure Before and After Exposure to Hot Work Climates

2020 ◽  
Vol 9 (3) ◽  
pp. 318
Author(s):  
Sarah Nadhila Rahma ◽  
Mahfiro Risky Safitri ◽  
Abdul Rohim Tualeka
Keyword(s):  
Blood Pressure ◽  
Body Temperature ◽  
Nutritional Status ◽  
Fluid Intake ◽  
Negative Impact ◽  
Work Climate ◽  
Cross Sectional ◽  
Before And After ◽  
Work Climates ◽  
The Impact

Introduction: Working in a hot work environment has a negative impact on occupational health and safety. The impact on health due to work at temperatures above a comfortable temperature can affect body temperature and blood pressure of workers. The aim of this study was to analyze the differences in body temperature and blood pressure of workers before and after exposure to hot work climates at PT. Pertamina (Persero) Tanjung Wangi. Method: This research was an observational study with cross sectional approach. The population of this study was all workers at PT. Pertamina (Persero) Tanjung Wangi., with the total of 11 people. The sample in this study was obtained by total sampling method with a sample of 11 workers. The dependent variables in this study were body temperature, blood pressure, age, fluid intake, and nutritional status, while the independent variable was work climate. Results: Most of the grass lathe workers at PT. Pertamina (Persero) Tanjung Wangi has an age between 17-25 years, some of the grass lathe workers had a fluid intake with less categories with normal nutritional status. The measurement results showed that the average ISBB value was 28.8°C, this value still exceeded TLV. In addition, the results showed that there were differences in body temperature before and after work, from 36.04° C to 36.8° C. In addition there were differences in systolic and diastolic blood pressure before work which was 112.7 mm Hg 77.3 mm Hg, and the average after work was 121 mm Hg and 83.6 mm Hg. Conclusion: There is a difference between body temperature and blood pressure before and after exposure to hot work climates.Keywords: blood pressure, body temperature, hot work climate

scholarly journals Coping with intimate partner violence and the COVID-19 lockdown: The perspectives of service professionals in Spain

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258865
Author(s):  
Carmen Vives-Cases ◽  
Daniel La Parra-Casado ◽  
Erica Briones-Vozmediano ◽  
Sebastià March ◽  
Ana María García-Navas ◽  
...  
Keyword(s):  
Social Services ◽  
Partner Violence ◽  
Service Sector ◽  
Negative Impact ◽  
Prevention Measures ◽  
Structured Interviews ◽  
Response Capacity ◽  
Basic Services ◽  
Negative Impacts ◽  
The Impact

Socioeconomic crisis and humanitarian disasters can cause increased stress for women who experience inter-partner violence (IPV). This study analyzed the impact of the COVID-19 lockdown on this important issue, their related health and social services and working conditions from the perspectives of professionals in different sectors. Forty-three semi-structured interviews were carried out with 47 professionals (44 women and 3 men) from 40 different entities (September 2020—April 2021). This content analysis suggests that the pandemic and its associated prevention measures have had a negative impact on women exposed to IPV and their children, which affected their social wellbeing. Professionals described burnout, difficult and slow administrative processes, and problems with coordination and access to information. These negative impacts were mitigated, in part, by the work of professionals, but this suggests that a series of key strategies are needed to improve the response capacity of the service sector to IPV in situations of crisis. These improvements are related to the availability of human and material resources; an efficient coordination network between the professionals from different sectors; existence of informal support networks in the community; protocols/procedures and prior training for better implementation; and greater flexibility and accessibility of basic services that benefit women who experience IPV.

scholarly journals PREVALENCE RATE AND IMPACT OF ADDICTIVE DISORDERS ON THE COURSE OF HIV-INFECTION IN IN-PATIENTS

2017 ◽  
Vol 22 (6) ◽  
pp. 281-288
Author(s):  
A. A Yakovlev ◽  
Andrey G. Diachkov ◽  
V. B Musatov ◽  
E. V Strelyanaya ◽  
E. V Mikitenko ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Alcohol Abuse ◽  
Hiv Infection ◽  
Prevalence Rate ◽  
Chronic Alcoholism ◽  
Hiv Positive ◽  
Opioid Dependency ◽  
Addictive Disorders ◽  
Time Of Admission ◽  
The Impact

Aim of the study. To make an analysis of the prevalence rate and the impact of addictive disorders on the course of HIV-infection and evaluate the efficacy of the antiretroviral therapy. Methods and Materials. The retrospective analysis of medical records of HIV-positive patients, examined by the narcologist in the S.P. Botkin Clinical Infectious Diseases Hospital during the period of from September to November in 2014 and 2016. Results. Half of the patients (576 out of 1164 patients, 49.5%) treated in HIV-infection hospital required consultation of narcologist. In 2014 and 2016 men were more prevalent among such patients (73% and 76% accordingly), with a trend toward the involvement of older patients. Most prevalent narcological pathology among HIV-positive patients was opioid dependence (48% and 45% accordingly). Despite an increase of absolute numbers of narcologist’s consultations in 2016 the only group in which the relative gain from 17% to 26% was observed there was a group of patients suffered both opioid dependency and chronic alcoholism simultaneously. According to our data odds ratio for starting antiretroviral therapy in the hospital were higher in women and in patients with remission of chronic alcoholism. Percentage of patients who started antiretroviral therapy was insufficient - 30% among patients discharged after the complete in-hospital stay. Conclusion. The pattern of HIV epidemic among patients with addictive disorders does not differ from the general HIV-positive population. The gain in percentage of patients with comorbidity such as opioid dependency with alcohol abuse was observed. Patients manifested the alcohol abuse at the time of admission have lower chances to begin to receive ARVT comparing to those who were in remission.

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