scholarly journals Exploratory Factor Analysis for Identifying Comorbidities as Risk Factors Among Patients with Cied

2021 ◽  
Vol 18 (1) ◽  
pp. 47-51
Author(s):  
Bernadett-Miriam Dobai ◽  
Laszlo Barna Iantovics ◽  
Andreea Paiu

Abstract The emergence of SARS-CoV-2 affected care both for acute and chronic health conditions. Majority of the patients with cardiac implantable electronic devices (CIEDs) have multiple comorbidities, which can influence their response to COVID-19. An online survey consisting of 45 multiple-choice question was designed for CIED patients assessing comorbidities and overall health condition during September -December 2020. A multivariate analysis based on principal axis factoring (PAF) was performed on the eligible 184 survey response. Three factors were identified. Ten-year survival rates were calculated with Charlson Comorbidity Index. The extracted factors explained 66.1% of the cumulative variance and were consistent with medical literature data.

Author(s):  
Huiyang Dai ◽  
Stephen X. Zhang ◽  
Kim Hoe Looi ◽  
Rui Su ◽  
Jizhen Li

Research identifying adults’ mental health during the coronavirus disease 2019 (COVID-19) pandemic relies solely on demographic predictors without examining adults’ health condition as a potential predictor. This study aims to examine individuals’ perception of health conditions and test availability as potential predictors of mental health—insomnia, anxiety, depression, and distress—during the COVID-19 pandemic. An online survey of 669 adults in Malaysia was conducted during 2–8 May 2020, six weeks after the Movement Control Order (MCO) was issued. We found adults’ perception of health conditions had curvilinear relationships (horizontally reversed J-shaped) with insomnia, anxiety, depression, and distress. Perceived test availability for COVID-19 also had curvilinear relationships (horizontally reversed J-shaped) with anxiety and depression. Younger adults reported worse mental health, but people from various religions and ethnic groups did not differ significantly in reported mental health. The results indicated that adults with worse health conditions had more mental health problems, and the worse degree deepened for unhealthy people. Perceived test availability negatively predicted anxiety and depression, especially for adults perceiving COVID-19 test unavailability. The significant predictions of perceived health condition and perceived COVID-19 test availability suggest a new direction for the literature to identify the psychiatric risk factors directly from health-related variables during a pandemic.


2021 ◽  
Vol 12 ◽  
Author(s):  
Caitlyn J. Grubb ◽  
Cecilia L. Bergeria ◽  
Andrew S. Huhn ◽  
Kelly E. Dunn

Background: Increases in opioid-related overdose and death have led to increases in the number of organs available for donation and transplant, however persons who have a substance use disorder (SUD) may be disadvantaged relative to other health conditions with regard to receiving an organ for transplant.Objective: This study aimed to evaluate perceptions regarding acceptability and priority for organ donation vs. a control condition (resuscitation) for hypothetical persons with nine target health conditions including a substance use disorder, among persons recruited as part of an online survey.Methods: Respondents (N = 285; male = 172, female = 113) recruited from Amazon Mechanical Turk rated acceptability and priority that hypothetical persons representing nine target health conditions expected to influence transplant success (including a SUD) receive an organ transplant and resuscitation via a survey hosted by Qualtrics. Primary outcomes of stigma ratings and priority ranking of persons as a function of the hypothetical target health condition were analyzed using Repeated Measures Analyses of Variance and Bonferroni-corrected t-tests. Demographic information was presented descriptively for all respondents.Results: Ratings for acceptability and priority for persons who had a SUD were generally lower than ratings for other conditions for both organ for transplant and resuscitation, though respondents reported less stigma toward resuscitation, F(8) = 22.35, p <0.001 overall. Respondents were least supportive of persons who smoked cigarettes receiving an organ, p's < 0.001. Priority rankings favored persons who were young or had a history of heart disease. Multivariable models determined that target health condition, F(8) = 33.64, p < 0.001, was a better and more consistent predictor of response than demographic variables that were examined.Conclusions: Data suggest that general perception of acceptability and priority ranking for receipt of life-saving interventions was lower for persons who have a SUD relative to other clinically-relevant health conditions. Research to examine this effect among persons working in the donation system are warranted and efforts to reduce stigma toward persons who have a SUD should be continued.


2016 ◽  
Vol 27 (1) ◽  
pp. 1-16 ◽  
Author(s):  
Amber Bathke ◽  
Yang-Hyang (Ryoka) Kim

This research set out to discover whether statistics would support the belief in the international education field that the stress of going abroad (adjusting to a new culture, missing home, being away from support network, etc.) can trigger mental health conditions in students participating in learning abroad programs. The study sought to glean on overall picture of student mental health abroad, as well as determine the percentage of students studying abroad who reported experiencing a diagnosed mental health condition while abroad, the nature of these diagnosed mental health conditions, the frequency of relapse/recurrence of existing conditions while abroad, the frequency and type of treatment received, and local attitude toward mental health conditions. The research was conducted by means of an online survey administered by the University of Minnesota’s Office of Measurement Services, which was sent by email to people who had participated in study abroad through the University of Minnesota’s Learning Abroad Center between Summer 2009 and Spring 2012, a total of 7,191 students. As the Learning Abroad Center, while serving University of Minnesota students first and foremost, also acts as a program provider recruiting students nationally, the participants’ home institutions were likely dozens of universities nationwide (though home institution information was not collected). We received 613 responses for a response rate of 8.52%. The data from the survey suggest, surprisingly, that in general, student mental health actually improves while abroad, an in fact, that skills learned during an international experience may contribute to improved mental health upon return.


2015 ◽  
Vol 23 (3) ◽  
pp. 440-448 ◽  
Author(s):  
Ravi Karkar ◽  
Jasmine Zia ◽  
Roger Vilardaga ◽  
Sonali R Mishra ◽  
James Fogarty ◽  
...  

Objective To describe an interdisciplinary and methodological framework for applying single case study designs to self-experimentation in personalized health. The authors examine the framework’s applicability to various health conditions and present an initial case study with irritable bowel syndrome (IBS). Methods and Materials An in-depth literature review was performed to develop the framework and to identify absolute and desired health condition requirements for the application of this framework. The authors developed mobile application prototypes, storyboards, and process flows of the framework using IBS as the case study. The authors conducted three focus groups and an online survey using a human-centered design approach for assessing the framework’s feasibility. Results All 6 focus group participants had a positive view about our framework and volunteered to participate in future studies. Most stated they would trust the results because it was their own data being analyzed. They were most concerned about confounds, nonmeaningful measures, and erroneous assumptions on the timing of trigger effects. Survey respondents (N = 60) were more likely to be adherent to an 8- vs 12-day study length even if it meant lower confidence results. Discussion Implementation of the self-experimentation framework in a mobile application appears to be feasible for people with IBS. This framework can likely be applied to other health conditions. Considerations include the learning curve for teaching self-experimentation to non-experts and the challenges involved in operationalizing and customizing study designs. Conclusion Using mobile technology to guide people through self-experimentation to investigate health questions is a feasible and promising approach to advancing personalized health.


2020 ◽  
pp. 095646242091344
Author(s):  
Rong Xiang Ng ◽  
Thomas E Guadamuz ◽  
Mohd Akbar ◽  
Adeeba Kamarulzaman ◽  
Sin How Lim

In Malaysia, the HIV epidemic is concentrated in a highly stigmatized population, men who have sex with men (MSM). The relationship of multiple psychosocial health conditions and HIV risks have not been investigated. This study aims to assess the association of multiple psychosocial factors with risky sexual behaviour and HIV infection among MSM. Data on demographic characteristics, psychosocial health conditions, condomless anal intercourse (CAI), HIV testing and HIV status were collected via an anonymous online survey. Multivariable logistic regression model was used to determine whether psychosocial health conditions among MSM have a syndemic association with HIV status. Between July 2017 and February 2018, 622 MSM completed the online survey. Overall, 54.3% of participants reported engaging in CAI in the past three months and 46.0% were found to have two or more psychosocial health conditions. Increasing numbers of psychosocial health conditions (1, 2, 3, 4 or more) were significantly associated with HIV infection compared to those without psychosocial health condition (odds ratio [OR] 3.39, 95% confidence interval [CI]: 1.41–8.14; OR 3.51, 95% CI: 1.43–8.61; OR 4.22, 95% CI: 1.68–10.96, and OR 7.58, 95% CI: 2.44–23.55, respectively). Comprehensive HIV prevention programs addressing mental health and substance use are needed for MSM in Malaysia.


2021 ◽  
Author(s):  
David Pettinicchio ◽  
Michelle Lee Maroto ◽  
Martin Lukk

This study examines how people with disabilities and chronic health conditions—members of a large and diverse group often overlooked by Canadian public policy—are making sense of the Canadian federal government's response to COVID-19. Using original national online survey data collected in June 2020 (N=1,027), we investigate how members of this group view the government's overall response. Although survey results show broad support for the federal government's pandemic response, findings also indicate fractures based on disability type and specific health condition, political partisanship, region, and experiences with COVID-19. Among these, identification with the Liberal party and receipt of CERB stand out as associated with more positive views. Further examination of qualitative responses shows that these views are also linked to differing perspectives surrounding government benefits and spending, partisan divisions, as well as other social and cultural cleavages.


2021 ◽  
Author(s):  
Casey Mace Firebaugh ◽  
Brandon Eggleston ◽  
Michelle Beaupre

Introduction: The number of individuals practicing hot yoga across the United States has increased over the past decade, though the risks of hot yoga practice are not yet fully understood. The American population in general has a high prevalence of a number of chronic health conditions including heart disease, asthma, and diabetes. However, the risks for individuals with these pre-existing health conditions have not yet been identified. Methods: A large cross-sectional study (n=700) was conducted via online survey. Results: A Chi-squared analysis was conducted to examine the relationship between various pre-existing health conditions and the incidence of an adverse outcome related to participation in hot yoga practice. Discussion: Every pre-existing health condition recorded in this study was a risk factor for at least one adverse outcome resulting from hot yoga practice. Further study is required to verify populations most at risk and preventing injury or illness resulting from hot yoga participation. Conclusion: Little is known about the risks of hot yoga practice for those with various health conditions. This paper outlines the associations between hot yoga injuries and adverse outcomes and pre-existing health conditions. Keywords: Hot Yoga, Risks, Injuries, Pre-existing Conditions, Safety


2011 ◽  
Vol 3 (1) ◽  
pp. 74
Author(s):  
Kathy L Lee ◽  

Cardiac pacemakers have been the standard therapy for patients with bradyarrhythmias for several decades. The pacing lead is an integral part of the system, serving as a conduit for the delivery of energy pulses to stimulate the myocardium. However, it is also the Achilles’ heel of pacemakers, being the direct cause of most device complications both acutely during implant and chronically years afterwards. Leadless pacing with ultrasound-mediated energy has been demonstrated in animals and humans to be safe and feasible in acute studies. Implantable defibrillators revolutionised the treatment and prevention of sudden cardiac death. Subcutaneous implantable defibrillators have been under development for more than 10 years. A permanent implantable system has been shown to be feasible in treating induced and spontaneous ventricular tachyarrhythmias. These developments and recent advances in pacing and defibrillation will arouse further interest in the research and development of leadless cardiac implantable electronic devices.


SAGE Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 215824402110021
Author(s):  
Makiko Kodama

This study aimed to clarify the role that career resilience plays in preventing inhibition of career development when individuals confront changes during their working life, such as changes in work tasks or health condition. Career resilience consists of five factors: ability to cope with problems, social skills, interest in novelty, optimism about the future, and willingness to help others. In all, 1,000 Japanese company employees completed an online survey. The results showed that optimism about the future and ability to cope with problems exhibited a negative correlation with NPC when confronting changes. The results of simple slope analysis suggested that social skills and ability to cope with problems decreased the negative influence that psychological symptoms caused by changes had on job satisfaction, which was one index of career development. This study underlines the necessity of developing the ability to cope with problems and social skills.


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