scholarly journals Determinants and risk factors of gastroenteritis in the general population, a web-based cohort between 2014 and 2017 in France

2020 ◽  
Author(s):  
Marie Ecollan ◽  
Caroline Guerrisi ◽  
Cécile Souty ◽  
Louise Rossignol ◽  
Clément Turbelin ◽  
...  
Keyword(s):  
General Population ◽  
Conditional Logistic Regression ◽  
Winter Season ◽  
Developed Countries ◽  
Living Alone ◽  
Conditional Logistic Regression Model ◽  
Web Based ◽  
Factors Associated ◽  
Prevention Messages ◽  
A Prospective Study

Abstract Background: Although it is rarely fatal in developed countries, acute gastroenteritis (AGE) still induces significant morbidity and economic costs. The objective of this study was to identify factors associated with winter AGE in the general population. Methods: A prospective study was performed during winter seasons from 2014-2015 to 2016-2017. Participants filled an inclusion survey and reported weekly data on acute symptoms. Factors associated with having at least one AGE episode per winter season were analyzed using a conditional logistic regression model. Results: On average, 8.1% of participants declared at least one AGE episode during a winter season. People over 60 declared fewer AGE episodes (OR=0.76, 95% CI [0.64; 0.89]) compared to individuals between 15 and 60 years old, as well as children between 10 and 15 (OR=0.60 [0.37; 0.98]). Overweight (OR= 1.25 [1.07; 1.45]) and obese (OR= 1.47 [1.19; 1.81]) individuals, those having frequent cold (OR=1.63 [1.37; 1.94]) and those with at least one chronic condition (OR=1.35 [1.16; 1.58]) had more AGE episodes. Living alone was associated with a higher AGE episode rate (OR=1.31 [1.09; 1.59]), as well as having pets at home (OR=1.23 [1.08; 1.41]). Conclusions: Having a better knowledge of AGE determinants will be useful to adapt public health prevention messages.

scholarly journals Determinants and risk factors of gastroenteritis in the general population, a web-based cohort between 2014 and 2017 in France

2020 ◽  
Author(s):  
Marie Ecollan ◽  
Caroline Guerrisi ◽  
Cécile Souty ◽  
Louise Rossignol ◽  
Clément Turbelin ◽  
...  
Keyword(s):  
General Population ◽  
Winter Season ◽  
Developed Countries ◽  
Living Alone ◽  
Health Prevention ◽  
Economic Costs ◽  
Web Based ◽  
Factors Associated ◽  
Prevention Messages ◽  
A Prospective Study

Abstract Background: Although it is rarely fatal in developed countries, acute gastroenteritis (AGE) still induces significant morbidity and economic costs. The objective of this study was to identify factors associated with AGE in winter in the general population.Methods: A prospective study was performed during winter seasons from 2014-2015 to 2016-2017. Participants filled an inclusion survey and reported weekly data on acute symptoms. Factors associated with having at least one AGE episode per winter season were analyzed using the generalized estimating equations (GEE) approach. Results: They were 13,974 participants included in the study over the three seasons. On average, 8.1% of participants declared at least one AGE episode during a winter season. People over 60 declared fewer AGE episodes (adjusted OR (aOR)=0.76, 95% CI [0.64; 0.89]) compared to individuals between 15 and 60 years old, as well as children between 10 and 15 (aOR=0.60 [0.37; 0.98]). Overweight (aOR=1.25 [1.07; 1.45]) and obese (aOR=1.47 [1.19; 1.81]) individuals, those having frequent cold (aOR=1.63 [1.37; 1.94]) and those with at least one chronic condition (aOR=1.35 [1.16; 1.58]) had more AGE episodes. Living alone was associated with a higher AGE episode rate (aOR=1.31 [1.09; 1.59]), as well as having pets at home (aOR=1.23 [1.08; 1.41]). Conclusions: Having a better knowledge of AGE determinants will be useful to adapt public health prevention messages.

Factors Associated with Pathological Dissociation in the General Population

2005 ◽  
Vol 39 (5) ◽  
pp. 387-394 ◽  
Author(s):  
Päivi Maaranen ◽  
Antti Tanskanen ◽  
Kirsi Honkalampi ◽  
Kaisa Haatainen ◽  
Jukka Hintikka ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
General Population ◽  
Prospective Study ◽  
Population Sample ◽  
Dissociative Experiences Scale ◽  
Factors Associated ◽  
Dissociative Experiences ◽  
A Prospective Study ◽  
Prospective Study Design ◽  
The Relationship

Objective: This study assessed the prevalence of pathological dissociation in the general population, and the relationship between pathological dissociation and sociodemographic and several psychiatric variables. Method: The stratified population sample consisted of 2001 subjects. The study questionnaires included the Dissociative Experiences Scale, the Dissociative Experiences Scale-Taxon, the Toronto Alexithymia Scale, the Beck Depression Inventory, and sociodemographic background. Results: The prevalence of pathological dissociation (DES-T ≥ 20) was 3.4% in the general population and did not differ significantly between genders. Men scored higher than women in the amnesia subscale, and women in the absorption and imaginative involvement subscale. The relationship between pathological dissociation, alexithymia, depression and suicidality was strong. The likelihood of pathological dissociation was nearly nine-fold higher among depressive subjects, more than seven-fold higher among alexithymic subjects, and more than four-fold higher among suicidal subjects than among the others. Frequent alcohol consumption also associated significantly with pathological dissociation. Conclusions: A significant relationship between pathological dissociation, depression, alexithymia, and suicidality was found in the general population. The importance of these factors should be examined in a prospective study design to determine causality.

scholarly journals Frailty predicts failure to discharge patients home from a subacute-care unit: a 3-year Italian experience

2021 ◽  
Author(s):  
Paolo Mazzola ◽  
Valeria Buttò ◽  
Simona Elli ◽  
Riccardo Galluccio ◽  
Giulia Domenici ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Conditional Logistic Regression ◽  
Hospital Setting ◽  
Clinical Frailty Scale ◽  
Conditional Logistic Regression Model ◽  
Factors Associated ◽  
Subacute Care ◽  
Italian Experience ◽  
Poor Nutritional Status ◽  
Hospital Wards

Abstract Background The primary purpose of Subacute Care Units (SCU) is to decongest acute hospital wards and facilitate the return of older patients to home. Aims We analyzed the clinical characteristics and outcomes of patients admitted to an Italian SCU, and we explored factors associated with discharge to locations other than home (outcome). Methods This retrospective observational cohort study was conducted at a medium-sized suburban hospital, enrolling all patients consecutively admitted to one SCU from October 2017 to February 2020. We collected demographics, cause of admission, comorbidities, cognition, Barthel Index (BI), nutritional status, Clinical Frailty Scale (CFS), length of stay, and discharge destination. Delirium was screened with the 4AT score. We adopted a multivariable conditional logistic regression model to identify the factors associated with the outcome. Results Frail subjects accounted for 58.6% of 406 patients (mean age 78.2 years, SD 11.6), while 61% were classified as functionally dependent. More than half of patients had relevant comorbidity, approximately 80% had a poor nutritional status, and 25% had pre-existing dementia. The overall prevalence of delirium was 14.5%. Most patients came from a hospital setting; recurrent reasons for admission were infections (70.5%) and heart failure (12.7%). Having a urinary bladder catheter at discharge, being overtly frail (CFS > 8), and low BI score were factors independently associated with not being discharged home. Discussion and conclusion The routine assessment of frailty, as expressed by the CFS, may help redirecting the patients eligible for SCU admission.

scholarly journals A survey of Italian cat owners’ attitudes towards cat vaccination through a web-based questionnaire

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Joel Fernando Soares Filipe ◽  
Stefania Lauzi ◽  
Lucrezia Pina ◽  
Paola Dall’Ara
Keyword(s):  
Social Networks ◽  
General Population ◽  
Infectious Diseases ◽  
Household Income ◽  
Annual Household Income ◽  
Web Based ◽  
Effective Measure ◽  
Factors Associated ◽  
Main Factors ◽  
Source Of Information

Abstract Background Vaccination plays an important role in feline healthcare as it is the most effective measure for prevention against feline infectious diseases. Therefore, it is important to know owners’ opinion towards cats’ vaccination and current veterinary practices in order to advice owners on the use of the correct vaccination protocol. This study aimed to investigate the proportion of cats regularly vaccinated and identify the main factors motivating cat owners’ decisions related to vaccination in Italy. A questionnaire was disseminated online (mainly via social networks) to collect data regarding Italian cat owners’ demographics, information about cats, factors regarding cats’ vaccination, and veterinary-owner relationship. Results A total of 1264 owners participated in the survey and 1247 questionnaires were completed and statistically analyzed. The majority (91%; n = 1131) of cats were vaccinated and 80% (n = 998) had been vaccinated within the last 3 years. Age of 2–4 years old cats and the acquisition from a breeder or cat shop were significantly associated with vaccination within the last 3 years. Cats vaccinated but not within the last 3 years were significantly associated with cat’s indoor lifestyle, cats’ age ≥ 5 years old and low annual household income. Importance of vaccination cost, low annual household income and owners’ job not related to healthcare was statistically associated with the lack of cat’s vaccination. In addition, 86% of the owners took their cat regularly to veterinary clinics. Veterinarians play a significant role in owners’ decision, and they are considered the most useful source of information about vaccination by 97% of owners. Conclusions The high number of recently vaccinated cats suggests owner’s attention towards feline vaccination and cat’s health. The importance of veterinarian’s advice along with the knowledge of factors associated to the unvaccinated status of cats may help veterinarians to grow owner’s confidence and increase prevention of feline infectious diseases. However further investigations based on a more comprehensive sample of the general population are needed to confirm the results of this survey.

scholarly journals Peritraumatic Reactions Related to the COVID-19 Pandemic Among the Tunisian General Population

2021 ◽  
pp. 002190962199585
Author(s):  
Mariem Turki ◽  
Wiem Bouattour ◽  
Sahar Ellouze ◽  
Fadoua Charfeddine ◽  
Neila Messedi ◽  
...  
Keyword(s):  
General Population ◽  
Medical History ◽  
Psychological Interventions ◽  
Web Based ◽  
Factors Associated ◽  
Dissociative Experiences ◽  
Peritraumatic Reactions ◽  
National Programs ◽  
Peritraumatic Distress

This is the first study to explore factors associated with peritraumatic reactions experienced during the COVID-19 pandemic among the Tunisian general population. A web-based survey was conducted between 23 March and 5 May 2020, so that 1615 responses were included. We used the Peritraumatic Distress Inventory and Peritraumatic Dissociative Experiences Questionnaire. Participants with a medical history, those undergoing compulsory quarantine and those having relatives affected by or dying from COVID-19 were significantly more likely to present higher Peritraumatic Distress Inventory and Peritraumatic Dissociative Experiences Questionnaire scores. Factors associated with higher levels of peritraumatic reactions should be targeted by national programs to prioritize assistance through early psychological interventions.

scholarly journals Healthcare-seeking behaviour in case of influenza-like illness in the French general population and factors associated with a GP consultation: an observational prospective study

BJGP Open ◽  
2017 ◽  
Vol 1 (4) ◽  
pp. bjgpopen17X101253 ◽  
Author(s):  
Matthieu Ariza ◽  
Caroline Guerrisi ◽  
Cécile Souty ◽  
Louise Rossignol ◽  
Clément Turbelin ◽  
...  
Keyword(s):  
At Risk ◽  
Health Status ◽  
Access To Health Care ◽  
Conditional Logistic Regression ◽  
Web Based ◽  
Information Campaigns ◽  
Influenza Like Illness ◽  
Healthcare Seeking ◽  
Factors Associated ◽  
Access To Health

BackgroundGP consultation rates for influenza-like illness (ILI) are poorly known in France and there is a paucity of literature on this topic. In the few articles that have been published, the results are heterogeneous.AimThe aim of the present study was to estimate the proportion of ILI inducing a GP consultation, and to assess its determinants.Design & settingParticipants of a French web-based cohort study who reported ≥1 ILI episode between 2012 and 2015 were included. Sociodemographic characteristics, access to health care, and health status variables were collected.MethodHealthcare-seeking behaviour was analysed and factors associated with a GP consultation identified using a conditional logistic regression.ResultsOf the 6023 ILI episodes reported, 1961 (32.6%) led to a GP consultation, with no difference between those at risk of influenza complications and those not (P = 0.42). A GP consultation was more frequent for individuals living in a rural area (odds ratio [OR] = 1.21, 95% confidence interval [CI] = 1.02 to 1.43); those with a lower educational level (OR = 1.43, 95% CI = 1.18 to 1.74); those using the internet to find information about influenza (OR = 1.63, 95% CI = 1.30 to 2.03); patients presenting with worrying symptoms (fever, cough, dyspnoea, sputum, or asthenia); patients having a negative perception of their own health status (OR = 1.51, 95% CI = 1.07 to 2.13; and those having declared a personal doctor (OR = 2.86, 95% CI = 1.72 to 4.76). A GP consultation was less frequent for individuals using alternative medicine (OR = 0.68, 95% CI = 0.58 to 0.78).ConclusionThis study allows the identification of specific factors associated with GP consultation for an ILI episode. These findings may help to coordinate health information campaigns and to raise awareness, especially among individuals at risk of influenza complications.

P3352Telemedicine transcends national boundaries in quest of creating a behemoth ami program

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
S Mehta ◽  
R Botelho ◽  
F Fernandez ◽  
F Feres ◽  
A Abizaid ◽  
...  
Keyword(s):  
Community Health Centers ◽  
Developed Countries ◽  
Population Based ◽  
Primary Pci ◽  
Small Community ◽  
Hub And Spoke ◽  
Web Based ◽  
National Boundaries ◽  
Intelligent Tools ◽  
Time Of Presentation

Abstract Background The Latin America Telemedicine Infarct Network (LATIN) has exploited the remarkable competence of telemedicine for remote guidance. In doing so, LATIN created a mammoth population-based AMI network that employed experts located several hundred miles away to guide the reperfusion strategies for almost 800,000 screened patients. In this pioneering project, telemedicine was initially utilized to guide AMI management within national confines. We speculated whether LATIN telemedicine navigation could outstrip countrywide borders. Purpose To maximally harness the vast possibilities of telemedicine for improving AMI care. Methods During its pilot phase, LATIN began as a hub and spoke, AMI system in Colombia where 20 spokes (small community health centers and rural clinics) were configured with 3 hubs that could perform Primary PCI. These sites were linked through web-based connectivity. Expert cardiologists, located 50–250 miles away in Bogota, Colombia, used sophisticated telemedicine platforms for urgent EKG diagnosis and teleconsultation of the entire AMI process. Based upon the duration of chest pain and travel time to the hub, these experts guided patients through guideline-based strategies of thrombolysis, pharmaco invasive management or primary PCI. Efficiency of the telemedicine process was measured with the new metric of time to telemedicine diagnosis (TTD). Cloud computing, GPS navigation, and numerous business intelligent tools were gradually incorporated into LATIN telemedicine. As systems became more scalable, the program was expanded to Brazil, where LATIN flourished. Over the last 18 months, LATIN telemedicine capabilities have been pressed across national boundaries. Presently, all 82 LATIN centers in Mexico are guided by experts located in Bogota, Colombia and the 7 Argentina centers channeled through Santiago, Chile. Results 784,947 patients were screened for AMI at 350 LATIN centers (Brazil 143, Colombia 118, Mexico 82, Argentina 7). Navigation pathways are depicted in the attached figure. TTD remains extremely low in all four countries, and comparable efficiency and tele-accuracy have been achieved. With expanded geographic reach, 8,448 (1.08%) patients were diagnosed with STEMI and 3,911 (46.3%) urgently reperfused, including 3,049 (78%) with Primary PCI. Time to TTD ranged between 2.8 to 5.8 minutes, with a mean of 3.5 min. Tele-accuracy was 98.5%, D2B 51 min, and in-hospital mortality 5.2%. Various other comparative metrics for the 4 countries are being gathered and will be available at the time of presentation. Conclusions LATIN demonstrates the robust ability of telemedicine to transcend national boundaries to guide AMI management. This strategy can be adopted in under-developed countries in Asia and Africa to provide an umbrella of AMI care for the millions of disadvantaged patients.

Sign in / Sign up

Export Citation Format

Share Document