Adiposity and the risk of thyroid nodules with a high-suspicion sonographic pattern: a large cross-sectional epidemiological study

Objectives: To identify the access to health care services and associated factors in adults living in the city of Ribeirão Preto, São Paulo, Brazil, in 2007. Methods: A cross-sectional population-based epidemiological study with a sample developed in three stages. The variability introduced in the third sampling fraction was corrected by the attribution of weights, resulting in a sample of 2,471 participants. The outcome prevalence was estimated according to socio-demographic, behavioral and health-related variables. In order to identify associated factors, the regression of Poisson was used, obtaining crude and adjusted prevalence ratios. All estimates were calculated taking into account the effect of the sampling design. Results: The outcome prevalence increased according to the age, being higher in female individuals. A different set of variables remained in the final models, considering each gender separately. Among men, the monthly income > R$ 1,400.00; scores > 823.6 to the Economic Indicator of Ribeirão Preto (IERP) and daily average of sitting down time (154.4 - 240 min/day) constituted themselves into protective factors, whereas the increase of age and scholarship, hospitalization, diabetes and hypertension constituted risk factors for the use of the services. Among women, health self-reported as regular, hospitalization, diabetes and hypertension characterized factors positively associated to the outcome at matter. Conclusions: The results indicate the need for planning actions aimed at capturing male individuals, as well as the revaluation of detection and control of diabetes and hypertension programs, aimed at the primary prevention of terminal cardiovascular events.

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"The assessment of odontophobia among Syrian refugees at the Moroccan military medical and surgical hospital in the Zaatari camp in Jordan and its influence by post-traumatic stress disorder : about an epidemiological investigation".

Journal of Medical Research and Health Sciences ◽

10.15520/jmrhs.v3i7.225 ◽

2020 ◽

Vol 3 (7) ◽

Author(s):

Hariri El Mehdi ◽

Sellouti Mohamed ◽

Nguadi Jaouad ◽

Chhoul Hakima

Keyword(s):

Epidemiological Study ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Stress Disorder ◽

Severe Form ◽

Syrian Refugees ◽

Post Traumatic Stress ◽

Cross Sectional ◽

Dental Office ◽

Post Traumatic

Introduction : Odontophobia is a complex anxiety disorder related to excessive fear of dental care. Of multifactorial origin, it affects more females than males at all ages. Odontophobia can also be associated with other disorders, namely post-traumatic stress disorder (PTSD), which is recognized in refugees from civil wars. Materials and methods : Descriptive and analytical cross-sectional epidemiological study, carried out during February 2020 at the Syrian refugee camp in Zaatari, Jordan, involving 200 consultants at the dental office to assess their degree of odontophobia and to determine the risk factors associated with this disorder, particularly post-traumatic stress disorder (PTSD). Results : The authors collated 200 subjects of which 125 (62.5%) were phobic with a corah score (> or = to 13) and 75 (37.5%) were non-phobic with a corah score (< to 13). The sex ratio was statistically different between the two populations with a predominance of female sex (p=0.025). odontophobia is also related to the length of time spent in Syria during the civil war, it is observed more in 96 (48%) patients who spent between (13 and 24 months) (p=0.017). Similarly, odontophobia is influenced by post-traumatic stress disorder in its severe form (p=0.011). Conclusion: Descriptive and analytical observational epidemiological study showing the high prevalence of odontophobia among Syrian refugees consulting at the dental office of the Moroccan military medical-surgical hospital in Zaatari camp in Jordan and its influence by post-traumatic stress disorder (PTSD).

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A Retrospective study on the dynamics of the clinical and Demographical evolution of Cutaneous Leishmaniasis in the Yazd province, Iran

Chinese Journal of Medical Research ◽

10.37515/cjmr.091x.3305 ◽

2020 ◽

Vol 3 (3) ◽

pp. 80-83

Author(s):

Ali Fattahi Bafghi ◽

◽

Elham Rezaee ◽

Keyword(s):

Cutaneous Leishmaniasis ◽

Epidemiological Study ◽

Age Groups ◽

Epidemiological Data ◽

Educational Status ◽

Cross Sectional Study ◽

Personal Hygiene ◽

Chi Square ◽

Cross Sectional ◽

The Past

Leishmaniasis is considered as an important health problem in the world. Cutaneous Leishmaniasis is epidemic in all of places of Iran, this disease begins as small swells and then they gradually grow and turn into wounds. Since the epidemiological study of this problem is effective in preventing and controlling it. The current research was conducted to study the epidemiological study of Cutaneous Leishmaniasis in Yazd province during the past 5(2014-2018) years. This cross-sectional study has been conducted on registered information and documents of the patients having problem in Yazd province remedial and health care centers over the past 5 years. First, the registered demographic and epidemiological data of the patients were extracted and then they were analyzed by using SPSS 18 software with chi-square test and descriptive statistics.897 patients included 457 males (51.06%) and 439 females (48.94%). The majority of the patients were between nine 20-29 years old and the minority of them were over the range of 5-9 years old. Most lesions were on the hand and leg of the patients. It was also found that there was a significant relationship between age groups and types of Leishmaniasis (P<0.05) as well as gender and type Leishmaniasis (P<0.05). According to our study, there has been an ascending trend in disease frequency in Yazd province from 2014 to 2018. This increase in diseases due to lack of health and educational status of the people-is also a lack of personal hygiene.

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Diagnostic Value of CK19, HBME-1 and TROP2 Biomarkers in Identification of Different Types of Thyroid Follicular Neoplasms

ACTA MEDICA IRANICA ◽

10.18502/acta.v59i1.5397 ◽

2021 ◽

Author(s):

Shohreh Vojuhi ◽

Masoud Mohebbi ◽

Zohreh Mousavi ◽

Mohammadali Yaghoubi ◽

Reza Ziaolhagh

Keyword(s):

Positive Predictive Value ◽

Papillary Carcinoma ◽

Predictive Value ◽

Thyroid Nodules ◽

Follicular Adenoma ◽

Thyroid Neoplasms ◽

Diagnostic Value ◽

Cross Sectional ◽

Predictive Values ◽

Different Types

Thyroid malignancies are found in 7% to 15% of all thyroid nodules. Immunohistochemical markers, including CK19, HBME-1and TROP2, have shown an effective role in identifying these malignancies. Hence, due to the lack of appropriate diagnostic tests for the identification of thyroid neoplasms, in this study, we aimed to determine the diagnostic value of these biomarkers in the identification of different types of follicular thyroid neoplasms. In this cross-sectional study, paraffin-embedded tissue blocks from the surgical resection of patients with thyroid nodules, referring to Imam Reza and Razavi Hospitals of Mashhad in 2017, were studied. Sensitivity, specificity, and positive and negative predictive values of these biomarkers for the identification of different types of follicular thyroid neoplasms were also studied. 129 patients with a mean age of 44.65±12.59 years participated in this study, of whom 101 (78.29%) were women. The most common type of follicular thyroid neoplasm was papillary carcinoma (60.47%). The highest sensitivity (94.87%) and positive predictive value (68.51%) in the detection of follicular neoplasms was observed by CK19 in papillary carcinoma. The sensitivity and positive predictive value of TROP2 in the detection of papillary neoplasms was 93.58% and 75.25%, respectively. In addition, HBME-1 had the highest specificity (72.54 %) and positive predictive value (81.57%) in identifying this neoplasm. The results of this study showed that CK19, HBME-1, and TROP2 had high diagnostic value in the detection of papillary thyroid neoplasms. Although these biomarkers had low diagnostic value in identifying follicular adenoma and carcinoma, given the high negative predictive value, they can be considered as powerful markers in identifying negative cases.

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An Epidemiological Study on Factors Influencing Gaming Disorder- an Online Cross- Sectional Design

10.21203/rs.3.rs-1074693/v1 ◽

2021 ◽

Author(s):

Rabbanie Tariq Wani ◽

Imrose Rashid

Keyword(s):

Epidemiological Study ◽

Online Gaming ◽

Gaming Disorder ◽

Online Questionnaire ◽

Cross Sectional ◽

Factors Influencing ◽

Cross Sectional Design ◽

Over Time

Abstract Background: Gaming disorders have increased over time due to easy availability of online gaming. The aim of this study is to determine the factors influencing the gaming disorders. Methods: An online questionnaire was circulated on gaming platforms for the assessment as per IGD20 & DSM5 criteria. Results: A significant correlation was found between duration of play and gaming disorders (r= 0.131, p<0.05). The scores were concurrent as per IGD20 and DSM5 criteria. Conclusion: Undiagnosed gaming disorder among gamers needs to be addressed. Duration of playing of games also needs to be checked inorder to reduce the prevalence of gaming disorders.

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Cross Sectional Epidemiological Study on Cobalt Excretion in Urine of Children in Areas with Different Air Pollution

Environmental Hygiene III ◽

10.1007/978-3-642-77112-5_34 ◽

1992 ◽

pp. 147-150

Author(s):

Th. Eikmann ◽

A. Krönung

Keyword(s):

Air Pollution ◽

Epidemiological Study ◽

Cross Sectional

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Association of adiposity with thyroid nodules: a cross-sectional study of a healthy population in Beijing, China

BMC Endocrine Disorders ◽

10.1186/s12902-019-0430-z ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Hui-xia Yang ◽

Yu Zhong ◽

Wei-hua Lv ◽

Feng Zhang ◽

Hong Yu

Keyword(s):

Visceral Fat ◽

Thyroid Nodules ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Continuous Variable ◽

Overweight And Obesity ◽

Healthy Population ◽

Visceral Fat Area ◽

Cross Sectional ◽

Beijing China

Abstract Background The relationship between thyroid nodules (TNs) and adiposity is controversial. This paper describes a cross-sectional investigation performed to determine the existence of any such relationship. To assess adiposity, body mass index (BMI) and visceral fat area (VFA) were utilized. Methods Between January 1, 2017 and March 3, 2019. Three thousand five hundred thirty four healthy people were examined using thyroid ultrasonography, visceral fat and anthropometric measurements, laboratory tests and questionnaire interview. Binary logistic regression analyses were used. Results Of the 3534 healthy subjects, 58.69% (2074/3534) of the subjects had TNs. A total of 55.91% (1976/3534) had BMI ≥ 25 kg/m2 and 39.67% (1402/3534) had VFA ≥ 100 cm2. After adjustment to address confounders, BMI-based overweight and obesity levels only correlated with higher risk TNs when used as a continuous variable (OR = 1.031, 95% CI: 1.008–1.055, P = 0.008), while VFA was both a continuous variable (OR = 1.003, 95% CI: 1.000–1.005, P = 0.034) and a categorical variable (OR = 1.198, 95% CI: 1.014–1.417, P = 0.034) associated with significantly elevated risk of TNs. Analyzing the subgroups, BMI ≥ 25 kg/m2 (OR = 1.500, 95% CI: 1.110–2.026, P = 0.008) was significantly correlated with TN risk in individuals with TG ≥ 1.7 mmol/L. VFA ≥ 100 cm2 correlated with the TN risk irrespective of age (< 50 years: OR = 1.374, 95% CI: 1.109–1.703, P = 0.004; ≥ 50 years: OR = 1.367, 95% CI: 1.063–1.759, P = 0.015) and in the following subgroups: women (OR = 4.575, 95% CI: 2.558–8.181, P = 0.000), FBG ≥ 6.1 mmol/L (OR = 1.522, 95% CI: 1.048–2.209, P = 0.027), and TG ≥ 1.7 mmol/L (OR = 1.414, 95% CI: 1.088–1.838, P = 0.010). Conclusions Adiposity correlates with TNs. To assess TN risk in Chinese individuals, VFA is better than BMI.

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