scholarly journals A Cross-sectional Study on Infectious Health Risks Regarding Freshwater Sport Practice in Brittany, France

Author(s):  
Fanny Velardo ◽  
Hanifa Bouziri ◽  
Lucie Adélaïde ◽  
Emma Oliosi ◽  
Maylis Layan ◽  
...  

Abstract Background: Freshwater sports can be associated with infections from pathogenic microorganisms. In French Brittany, such infections are a major concern since a leptospirosis outbreak in 2016. Objectives: We aimed to estimate the prevalence of infectious diseases related to the practice of freshwater sports and identify the factors associated with these pathologies in Brittany, France. Methods: We conducted a cross-sectional study from March 18 to May 8, 2019, among freshwater sport licensees (online study) and clubs (phone study). Licensees were 18 years old or more, and practiced at least one freshwater sport, in one of the 79 Brittany clubs. Club presidents and instructors were also surveyed. We used logistic regression models to study the association between our variables of interest and potential risk factors. Results: In total, 551 licensees (20.3% of the total number of licensees) and 38 clubs (48.1%) were surveyed. A diagnosis of leptospirosis was reported by 29 (5.3%) licensees, of which 41.3% occurred in the last five years. The most reported symptoms were skin symptoms (24.3%) and 7.1% of individuals reported at least one hospitalization in their lifetime for a disease related to freshwater sports. The occurrence of leptospirosis was negatively associated with boarding from a pontoon (OR=0.20 [0.06-0.56]), practicing for less than 4 years (OR=0.17 [0.04-0.56]) compared to more than 10 years, and the occurrence of leptospirosis was positively associated with taking a soapy shower after practice (OR=4.38 [1.90-10.51]). Eskimo roll was positively associated with the occurrence of otitis and conjunctivitis (OR=3.22 [1.82-6.03]) and skin irritations (OR=1.66 [0.99-2.84]). Conclusion: This study provides a better understanding of the proportion and factors associated with infectious diseases linked to the practice of freshwater sports in French Brittany. Complementary studies are necessary to better understand the link between these diseases and the practice of freshwater sports.

2020 ◽  
Vol 21 (2) ◽  
pp. 39-47
Author(s):  
Mohamed El-Fateh ◽  
Adel El-Gohary ◽  
Mona Elsayed ◽  
Fatma El-Gohary

Objective: A cross sectional study was conducted between June 2017 and August 2018 in around Dakahlia governorate to identify Methicillin resistant Staphylococcus aureus (MRSA) and to determine risk factors associated with the occurrence of mastitis in dairy cows. Design: Cross sectional study Animals and samples: 130 dairy cattle (744 samples) and 181 environmental samples (36 bedding, 37 bulk tank milk BTM, 27 feed troughs, 27 water troughs, 27 milk linear and 27 worker’s nasal swabs), with a total of 925 samples were studied. Procedures: Three hundred and seventy-two quarters were examined to detect clinical and subclinical mastitis by physical examinations and California mastitis test. In addition, bacteriological isolation and identification of Staphylococcus aureus and MRSA were carried on the above milk samples of above mentioned quarters, teat swabs and environmental samples. Results: The overall prevalence of Staphylococcus aureus and MRSA was 59.4 and 22.4, respectively. The MRSA were more prevalent in mastitic quarter (X2 = 31.146, P-value = 0.000), Holstein Friesian breed (P-value = 0.021), Old aged dairy cattle (>8 years) (P-value = 0.000), Multiparous cows (P-value = 0.000), large herd size (>=2000) (P-value = 0.000). Conclusion and clinical relevance: The present result indicates that MRSA is a major cause of mastitis in dairy farms at northern Egypt, where one of the key elements for controlling its spreading depends mainly on determining its potential risk factors responsible for its existence.


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Amira Mohamed Elhassan ◽  
Mohamed Abdalla Fadol ◽  
Abdel Rahim Mohamed El Hussein

The objectives of this cross-sectional study were to determine the seroprevalence of blue tongue virus (BTV) and assess potential risk factors associated with BTV infection in dairy cattle with reproductive problems in Sudan. Serum samples were collected from a total of 784 animals from 37 herds and tested for antibodies against BTV using cELISA. A total of 663 out of 784 (84.57%) sera tested proved positive for BTV antibodies in all farms tested in Khartoum and Gazira States. The prevalence of antibodies was high in both areas being 94.32% in Gazira State and 76.62% in Khartoum State. BTV antibodies prevalence were significantly higher (P<0.000) in older animals than in younger ones. These rates were also significantly higher in the rainy season (P<0.000) and in Gazira State compared to Khartoum State. Sex also showed significant (P<0.000) differences in the seroprevalence, whereby females (74.7%) had higher level than males (9.8%). However, no significant (P>0.09) variations for BTV seroprevalence were observed between breeds. The BTV antibodies prevalence in infertility cases (86.6%) was not significantly different from that found in abortion (74.3%) or neonatal death (66.7%) cases. The high seroprevalence of BTV recorded herein calls for control strategy to be implemented.


2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Thales Philipe Rodrigues da Silva ◽  
Erica Dumont-Pena ◽  
Alexandra Dias Moreira ◽  
Bárbara Araujo Camargos ◽  
Marivania Queiroz Meireles ◽  
...  

ABSTRACT Objectives: to investigate the factors associated with the mode of delivery in pregnant women in the city of Belo Horizonte. Methods: cross-sectional study developed with data from the study “Being born in Belo Horizonte: survey on childbirth and birth” carried out in seven maternity hospitals in Belo Horizonte - Minas Gerais. The final sample consisted of 1088 pregnant/postpartum women. In this study, to verify the magnitude of the association between the outcome variable and its possible determinants (exposure variables) logistic regression models were constructed to estimate the Odds Ratio. Results: increasing age, the lack of companionship, the hospital’s private financing for performing delivery and being a first-time pregnant woman increased the chance of delivery by cesarean section. Final Considerations: the knowledge of factors associated with the prevalence of cesarean sections can support reflections among health professionals about this surgical procedure in certain situations, especially when there are no precise clinical indications.


Author(s):  
Zielinska ◽  
Rust ◽  
Masztalerz-Kozubek ◽  
Bichler ◽  
Hamułka

The timing of introducing complementary feeding affects nutritional status and children’s health. The aim of this study was to determine sociodemographic and birth-related factors associated with the age of introducing complementary foods. This cross-sectional study investigated parents (n = 5815) of children aged 12–36 months from Poland (n = 4065) and Austria (n = 1750) using a single online questionnaire. During the study, detailed data about sociodemographic characteristics, variables related to pregnancy, and early feeding practices were collected. Univariate and multivariate logistic regression models were used to investigate factors associated with the introduction of complementary feeding before 4 completed months, between 4 and 6 months, and after 6 completed months separately for both countries. Complementary foods were introduced before 4 months in 3.0% of infants (2.4% in Poland and 4.3% in Austria), between 4 and 6 months in 65.0% (60.5% in Poland and 75.3% in Austria), and after 6 completed months in 32.1% of infants (37.1% in Poland and 20.4% in Austria). The factors related to earlier introduction of complementary feeding were lower maternal age (in Austria 25–29 years: aOR 2.21 (95% CI 1.06–4.65)) and education level (in Poland and Austria primary and vocational: aOR 14.49 (95% CI 3.73–56.35), aOR 2.13 (95% CI 1.10–4.11), respectively), preterm birth (in Poland and Austria: aOR 10.21 (95% CI 5.73–18.20); aOR 4.45 (95% CI 2.42–8.18), respectively), never breastfeeding (Poland: aOR 2.73 (95% CI 1.29 – 5.76)) and receiving an infant formula after hospital discharge (in both countries: aOR 3.73 (95% CI 2.06–6.75); aOR 3.65 (95% CI 1.87–7.12), respectively). These factors should be taken into account by health professionals in identifying mothers who are least likely to follow nutritional recommendations.


Author(s):  
Ahmed E. Arafa ◽  
Rasha S. Elbahrawe ◽  
Sherwet M. Shawky ◽  
Alshimaa M. Mostafa ◽  
Safaa S. Ahmed ◽  
...  

Background: Female sexual dysfunction (FSD) has many psychological and social negative consequences. The aim of this study is to detect the potential risk factors associated with FSD among sexually active women in Beni-Suef, Egypt. Methods: A multi-stage random sampling methodology was used to include 490 premenopausal women, residing in Beni-Suef, in this cross-sectional study. FSD was measured using the Arabic version of the female sexual function index (ArFSFI), throughout an interview. It includes 6 domains; desire, arousal, lubrication, orgasm, satisfaction and pain. The questions in each domain have five to six choices with a score ranging between zero and five. Results: Age, years of marriage and number of pregnancies correlated negatively with ArFSFI total score (p<0.05). Higher body mass index was associated with lower scores of desire, arousal and lubrication (p<0.05). Compared to those with constant job, unemployed women had lower scores of desire and arousal (p<0.05). No statistically significant associations have been detected between circumcision and any of the studied ArFSFI domains (p>0.05). Conclusions: There are many potential risk factors suggested to be associated with FSD. Further studies should focus on understanding the adaptive strategies used by women to get over their FSD problems. Barriers preventing women with FSD from seeking treatment should also be investigated. 


2020 ◽  
Vol 103 (5) ◽  
pp. 465-471

Background: Hyponatremia is associated with unfavorable outcomes in many cases. The mainstay of hyponatremia treatment depends on its symptoms and etiology. However, etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia have been rarely reported. Objective: To analyze and report etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia. Materials and Methods: In the present cross-sectional study, the authors enrolled hospitalized patients with hyponatremia who had consulted a nephrologist between October 1, 2017, and October 31, 2018. Their baseline characteristics and clinical manifestations were recorded. Etiologies were confirmed by the attending nephrology staff. Factors associated with severe symptomatic hyponatremia were evaluated using logistic regression analysis. Results: One hundred patients were included in this study. The syndrome of inappropriate antidiuresis (SIAD), hypovolemia, and hydrochlorothiazide use were the leading hyponatremia etiologies. Hyponatremia etiologies differed between patients with community-acquired hyponatremia (n=50) and those with hospital-associated hyponatremia (n=50). Patients with communityacquired hyponatremia were older, presented with a higher frequency of severe symptomatic hyponatremia, and showed lower SNa-levels. Low SNa-levels were significantly associated with severe symptomatic hyponatremia (p=0.014). Conclusion: Hyponatremia remains an important health problem. SIAD, hypovolemia, and hydrochlorothiazide use are among the leading etiologies of hyponatremia. Low SNa-levels are associated with severe symptomatic hyponatremia; thus, physicians should pay close attention to low SNa-levels in hospitalized patients. Keywords: Hyponatremia, Symptomatic Hyponatremia, Community-acquired hyponatremia, Hospital-associated hyponatremia


2020 ◽  
Vol 5 (15) ◽  
pp. 185-192
Author(s):  
Nor Jannah Nasution Raduan ◽  
Mohd Razali Salleh ◽  
Ghazali Ahmad ◽  
Zaleha Ismail

Depression and cognitive impairment are the most common complications of patients on hemodialysis. The objective of this study is to identify contributing factors to depression and cognitive impairment in hemodialysis patients. This is a cross-sectional study involving 110 hemodialysis patients in Hospital Kuala Lumpur. The samples were recruited through universal sampling. Patients were assessed with the Beck Depression Inventory and Montreal Cognitive Assessment. This study found that 18.2% of patients had depression, and 48.2% had cognitive impairment. Factors associated with depression were unmarried status, low education level, and cognitive impairment. Factors associated with cognitive impairment were low education level, depression, and unemployment. Keywords: hemodialysis, depression, cognitive, ESRD eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v5i15.2468.


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