Assessment of Physiological Health Status in Relations to Different Anthropometric and Cardio-Respiratory Measures of Head-Supported Load Carrying Male Porters of Sikkim, India

2017 ◽  
Vol 9 (2) ◽  
Author(s):  
Koushik Bhattacharya ◽  
Mahuya Patra Budiati
Keyword(s):  
Health Status ◽  
Intervention Strategy ◽  
Physiological Status ◽  
Hand Grip ◽  
Effective Intervention Strategy ◽  
Hilly Region ◽  
Significant Difference ◽  
Load Carrying ◽  
Seeking Behavior ◽  
Heavy Loads

Background: Carrying heavy loads in the hilly region, porters face extreme ranges in terrain condition, sloped path that is very steep and lack of oxygen due to altitude. The porters in Sikkim, India, routinely carry head-supported loads, which often exceed their body weight, over long distances up and down the steep mountain footpaths which prompted us to assess occupational health status of these head supported load carrying porters. Objective: We aimed our study to evaluate physical and physiological status of male porters of Gangtok, Sikkim. Methods: Seventeen male porters and twenty one healthy as well as age matched (Age: 37 – 52 years) control subjects were selected for the study. Different physical, anthropometric and physiological parameters were studied. Students “t” test was performed to find out the significant difference (P less than 0.05), if any, between the selected variables. Results: Results of this study on male porters suggest that they are physically healthy but having spinal shrinkage along with lower hand grip strength and PEFR. Conclusion: This study supports the hypothesis that the male porters are associated with decreased lung function and increased spinal shrinkage. To develop an effective intervention strategy, the treatment seeking behavior of individuals would also need to be improved through awareness program

Parent’s Experiences from the Treatment of their Children at the Physic Children’s Surgery Clinic in Skopje.

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
M. Trajchevska ◽  
A. Lleshi ◽  
S. Gjoshev ◽  
A. Trajchevski
Keyword(s):  
Health Care ◽  
Health Status ◽  
Independent Predictor ◽  
Demographic Data ◽  
Parental Satisfaction ◽  
Pediatric Care ◽  
Simple Random Sample ◽  
Significant Independent Predictor ◽  
Cross Sectional ◽  
Significant Difference

Background: The respect of the needs and wishes of the patients is in the focus of the human health system. The experience of the parents in terms of child’s health care may be used as an indicator of quality of the health care. Material and methods: The research is a quantitative analytical cross-sectional study. In accordance with the inclusion and exclusion criteria, simple random sample of 207 parents / guardians is covered, whose children in the period of three months, had been hospitalized in the hospital department JZUU Pediatric Surgery Clinic in Skopje.It was used a two parted questionnaire. The first part is a standardized questionnaire (Parent Experience of Pediatric Care - PECP), and the second part concerns the general socio-demographic data of the parent/guardian. Statistical evaluation was performed using appropriate statistical programs (Statistics for Windows 7,0 and SPSS 17.0). Results: In accordance with the age of the parents, the survey respondents were divided into two groups: a) age ≤ 33 years - 107 (51.69%) and b) age> 33 years - 100 (48.31%).Significant independent predictor of parental satisfaction from the receipt of their child to the clinic research confirms the age of the parent under / over 33 years due to 4.1% of the change in satisfaction (R2 = 0,041). Parents generally believe that their children's room of the clinic is "good", without significant difference between parental satisfaction from both age groups (Mann-Whitney U Test Z = -0,9613 p = 0,3364). Significant independent predictor of parental satisfaction from the room of their child improves the health status after treatment due to 6% of the change in satisfaction (R2 = 0,060). Parents generally believe that testing and treatment of their children in the clinic was "very good" and an independent significant predictor is to improve the health status after the treatment - 7,8% (R2 = 0,078). Conclusions: Regardless of the generally good parental satisfaction about health care for their children, it is necessary to continuously monitor the status of the clinic in order to consider the possible deficiencies and needs of intervention.

scholarly journals Reported and unreported potentially important incidental findings in urgent nonenhanced abdominal CT for renal colic

2021 ◽  
Author(s):  
Elena Belloni ◽  
Stefania Tentoni ◽  
Ilaria Fiorina ◽  
Chandra Bortolotto ◽  
Olivia Bottinelli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Health Status ◽  
Pleural Effusion ◽  
Incidental Findings ◽  
Renal Colic ◽  
Legal Issues ◽  
Abdominal Ct ◽  
Significant Difference ◽  
Original Report ◽  
The Difference

PURPOSE: To retrospectively evaluate the prevalence of reported and unreported potentially important incidental findings in consecutive nonenhanced abdominal CTs performed specifically for renal colic in the urgent setting. METHOD: One radiologist, blinded to the finalized report, retrospectively re-evaluated nonenhanced abdominal CTs performed from January through December 2017 on adult patients from the Emergency Department with the specific request of urgent evaluation for renal colic, searching for potentially important incidental findings. RESULTS: The CTs of 312 patients were included in the study. Thirty-eight findings were reported in 38 different CTs, whereas the re-evaluation added 47 unreported findings in 47 different CTs, adding to total of 85 findings (27%). The difference in the proportion of reported and unreported potentially important incidental findings between the original report and re-evaluation was significant (P<.001). No significant difference was found between the age of patients with and without reported findings. The proportion of potentially important findings did not vary significantly among the three shifts neither in the original report nor in the re-evaluation. The most frequent findings, both reported and unreported, were pleural effusion, lymphadenopaties and liver nodules. CONCLUSIONS: Potentially important additional findings are frequently present in urgent nonenhanced abdominal CTs performed for renal colic, and many are not described in the finalized reports. Radiologists should take care not to under report potentially important incidental findings even in the urgent setting because of the possible consequences on the patient’s health status and in order to avoid legal issues, while satisfying the need for timely and efficient reporting.

A multifaceted stewardship intervention helps curb steroid overprescribing in hospitalized patients with acute exacerbations of COPD

2021 ◽  
Author(s):  
Jennifer L Cole ◽  
Sarah E Smith
Keyword(s):  
Length Of Stay ◽  
Intervention Strategy ◽  
Audit And Feedback ◽  
Face To Face ◽  
Duration Of Therapy ◽  
Significant Difference ◽  
Acute Exacerbations ◽  
Before And After ◽  
Quasi Experimental ◽  
Prospective Audit And Feedback

Abstract Disclaimer In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose Corticosteroid overprescribing is well documented in real-world practice. There is currently no evidence to guide best practices for steroid stewardship. The aim of this study was to assess the effects of a 3-part stewardship intervention strategy on inpatient steroid prescribing in patients with acute exacerbations of COPD (AECOPD). Summary Investigators implemented a 3-part stewardship initiative consisting of (1) an anonymous survey for providers on steroid prescribing in a simplified case of AECOPD, (2) face-to-face education and review of survey results, and (3) prospective audit and feedback from a clinical pharmacist. This was a quasi-experimental before-and-after study evaluating hospitalized adults diagnosed with AECOPD in two 12-month study periods before (April 2019-March 2020) and after (May 2020-April 2021) implementation. The primary outcome was mean inpatient steroid dosing. Secondary outcomes were duration of therapy, length of stay (LOS), 30-day readmissions, 30-day mortality, and incidence of hyperglycemia. Per power analysis, there were 27 patients per cohort. The interventions resulted in a significant reduction in prednisone equivalents during hospitalization: 118 mg vs 53 mg (P = 0.0003). This decrease was similar in ICU (160 mg vs 61 mg, P = 0.008) and non-ICU (102 mg vs 49 mg, P = 0.004) locations. There was no significant difference in duration of therapy (8 days vs 7 days, P = 0.44), length of stay (3.3 days vs 3.9 days, P = 0.21), 30-day mortality (4% vs 7%, P = 0.55), 30-day readmissions (15% vs 7%, P = 0.39), or rate of hyperglycemia (48% vs 44%, P = 0.78). Conclusion A multifaceted stewardship intervention significantly reduced steroid dosing in hospitalized AECOPD patients. This reduction was not associated with known deleterious effects.

scholarly journals Effect of implementation intention on walking in people with diabetes

2020 ◽  
Vol 54 ◽  
pp. 103
Author(s):  
Marco Antonio Vieira da Silva ◽  
Thaís Moreira São-João ◽  
Marilia Estevam Cornelio ◽  
Fábio Luiz Mialhe
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Leisure Time Physical Activity ◽  
Intervention Strategy ◽  
Intervention Group ◽  
Implementation Intention ◽  
Control Group ◽  
Primary Health ◽  
Significant Difference

OBJECTIVE: To evaluate the effect of implementation intentions as an intervention strategy to promote walking in adults with type 2 diabetes mellitus (T2DM). METHODS: We conducted a controlled and randomized trial, with 12 months of follow-up, involving 65 people with T2DM recruited from primary health care units and allocated them in the control group (CG, n = 32) and intervention group (IG, n = 33). The IG received the implementation intention strategy to promote walking and the CG remained in follow-up for conventional treatment in primary health care. The researchers were blinded by anthropometric measurements and the filling of the instruments. RESULTS: After twelve months of follow up, the IG presented a statistically significant increase in the leisure time physical activity when compared with the CG (p = 0.0413) and showed a significant decrease in waist circumference (p = 0.0061). No significant difference was observed regarding body mass index and glycated hemoglobin among groups. CONCLUSIONS: Implementation intention was effective in promoting walking and improving clinical indicators in adults with T2DM.

scholarly journals Bacteriological Findings within Internal Implant Hole Following Flapless Implant Placement

2018 ◽  
Vol 30 (3) ◽  
pp. 13-16
Author(s):  
Khudair A Abd ◽  
Basima G Ali ◽  
Abbas S AL-Mizraqchi
Keyword(s):  
Health Status ◽  
Anaerobic Bacteria ◽  
Bacterial Count ◽  
Oral Health Status ◽  
Viable Count ◽  
Screw Hole ◽  
Implant Placement ◽  
Significant Difference ◽  
Edentulous Patients ◽  
Aerobic And Anaerobic

Back ground: Microbial penetration inside the implant's internal hole creates a bacterial reservoir that is related with an area of inflamed connective tissue opposite the fixture-abutment junction and this can affect the health of the peri-implant tissue. Aims of the study: Evaluate the types aerobic and anaerobic bacterial count-percentage and difference between Aerobic and Anaerobic microflora in the implant screw hole three months after implant placement. Monitor the periodontal health status of all patients, throughout the study. Material and methods: Study methodology; Eight partially edentulous patients received 20 dental implants and these implants done with flapless surgical procedure. All patients examined clinically to determined their oral health status by examination of their plaque index, Gingival index and Bleeding on probing, each two weeks for 90 days (8visits) throughout the study period. Three months after that, the plaque sample collected from the internal hole of fixture and transfer to bacterial investigation and assessment the amount of anaerobic and aerobic bacteria. Results: Although the anaerobic viable count is higher than that of aerobic, but with statistically not significant difference between those counts (P>0.05). Keywords: screw hole, flapless surgical implant placement, bacterial count, Aerobic and Anaerobic bacteria

scholarly journals Preference Reasons for Recreational Areas Which Belongs to the Local Administrations

2017 ◽  
Vol 5 (11) ◽  
pp. 73
Author(s):  
Abdurrahman Kırtepe ◽  
Oguzhan Altungul ◽  
M. Fatıh Karahuseyınoglu
Keyword(s):  
Health Status ◽  
Normal Distribution ◽  
Outdoor Recreation ◽  
Local Governance ◽  
Distribution Data ◽  
Vehicle Ownership ◽  
Private Vehicle ◽  
Recreation Areas ◽  
Significant Difference ◽  
Multiple Groups

The purpose of this study was to determine the effective factors of people choosing outdoor recreation areas, which is belonging to local government in Elazıg Province Center, for feel comfortable in social, cultural and physiological aspects where they can evaluate their free time and benefit from different purposes according to different variables.The sample group of the study consisted of 232 persons, 106 male and 126 female, selected randomly using recreational areas of local governance in Elazıg province center. The data were obtained by participation preference factors for use of recreation area survey which consist 24 questions and 5 sub-dimensions that developed by Gümüs H. and Alay Özgül S. (2017) with face to face survey application method.The data obtained from the study were analyzed using the SPSS 22 packet program. The normality test has been done so that analyzes can be done correctly. According to this, Kruskal-wallis was used in multiple groups in the analysis of data which not normal distribution and Mann Whitney-u Test was applied to determine the group which the difference occurred. In the analysis of normal distribution data, anova in multiple groups and independent samples t test in binary groups were applied. Significance level was accepted as p<0.05. There was a statistically significant difference between participants who are married and have children, who perform sports 3-4 days a week and who state their health status as good and good and sport diversity, personnel and activity sub-dimensions of the scale (p<0.05). There was no statistically significant difference between the private vehicle ownership variable and participation preference for recreation areas scale (p>0, 05).It was determined that, for participants who married and with children, it is effective that there is playground for children in the recreational areas, the individuals who are good and very good health status are influenced by the sport diversity, activity and personnel situation in choosing these areas, private vehicle ownership is not that important for choosing these areas.

Perceived Health Status in Rural Manufacturing Workers

2018 ◽  
Vol 67 (2) ◽  
pp. 78-86
Author(s):  
Stacy Logsdon ◽  
M. Laurie Branstetter ◽  
Eve Main
Keyword(s):  
Health Status ◽  
Occupational Health ◽  
Health Care Providers ◽  
Retrospective Chart Review ◽  
Perceived Health ◽  
Care Providers ◽  
Perceived Health Status ◽  
Biometric Data ◽  
Objective Health ◽  
Significant Difference

Manufacturing workers comprise 8.8% of the total U.S. workforce representing a sizable population for disease prevention and health promotion by occupational health nurses within worksite wellness programs. The purpose of this study was to examine the relationship between perceived health status and objective health status including existing chronic disease among rural manufacturing workers. Rural manufacturing workers ( n = 114) completed a general health survey and consented to a retrospective chart review. All were participants in a direct incentive wellness program with biometric data available. The majority of participants were males between the ages of 46 and 60 years, and nearly half of the sample had a college degree. A statistically significant difference was observed between number of chronic diseases and lower perceived health status. These findings have implications for occupational health nurses and other health care providers to identify workers at risk for chronic illness through self-perceived health status assessment.

scholarly journals Study of thyroid volume by ultrasonography in clinically euthyroid patients

1970 ◽  
Vol 32 (2) ◽  
pp. 36-43 ◽  
Author(s):  
P Kayastha ◽  
S Paudel ◽  
DM Shrestha ◽  
RJ Ghimire ◽  
S Pradhan
Keyword(s):  
Surface Area ◽  
Body Surface Area ◽  
Reference Values ◽  
Body Surface ◽  
Pearson Correlation ◽  
Thyroid Volume ◽  
Specific Reference ◽  
Reference Ranges ◽  
Hilly Region ◽  
Significant Difference

Introduction: The purpose of this study was to establish reference ranges of total thyroid volume among clinically euthyroid Nepalese population using Ultrasonography and correlate this volume with age, sex, individual’s built and geographic location. Methods: This was a prospective cross sectional study involving 485 clinically euthyroid individuals. B - mode Ultrasonography was used to measure the total thyroid volume by combining the volume of both the lobes obtained by using formula for prolate ellipsoid. Age specific reference values for thyroid volume were obtained and Pearson correlation test was used to see the relationship with various factors. Results: Among 485 individuals between 1 to 83 years of age, 221(45.57%) were males and 264(54.43%) were females. Maximum [354 individuals (72.99%)] were from hilly region and minimum [16 individual (3.30%)] were from Himalayan region. Mean thyroid volume was 6.629 ± 2.5025 ml. In general, thyroid volume was found to be more in older individuals than in young age group. There was no significant difference of thyroid volume between males and females. Thyroid volume best correlated with body surface area (r=0.444, p<0.0001). The volume had a positive correlation with weight (r=0.443, p<0.0001), body mass index (r=0.371, p<0.0001) and height (r=0.320, p<0.0001) of the individual. Conclusions: This study estimated the reference range of total thyroid volume for Nepalese population. These ranges are significantly lower than the WHO/ICCIDD thyroid volume references and reference values obtained in various other countries. Total thyroid volume best correlated with Body surface area. Keywords: Body surface area; clinically euthyroid; total thyroid volume; ultrasonography DOI: http://dx.doi.org/10.3126/joim.v32i2.4944 Journal of Institute of Medicine, August, 2010; 32: 36-43

Examining Recidivism in a Prostitution Diversion Program

2019 ◽  
Vol 64 (2-3) ◽  
pp. 232-248
Author(s):  
Erica Koegler ◽  
Kathleen M. Preble ◽  
Andrea N. Cimino ◽  
Jordan E. Stevens ◽  
Sue Diehl
Keyword(s):  
Sex Workers ◽  
Intervention Strategy ◽  
Time History ◽  
Future Research ◽  
Control Group ◽  
Diversion Programs ◽  
Supportive Services ◽  
Diversion Program ◽  
Significant Difference ◽  
Quasi Experimental

Street-based sex work is criminalized throughout much of the U.S. Diversion programs have shown mixed results. This study examined the effect a quasi-experimental intervention (prostitution diversion program, n = 149) had on prostitution rearrest compared with a waitlist control group ( n = 77) among N = 226 individuals arrested for prostitution in Baltimore. In both groups, n = 64 (28.32%) were rearrested for prostitution over 30 months. Tests of differences compared groups with a significant difference in gender only. A Cox proportional hazard model examined differences in survival time (to recidivist prostitution arrest) between individuals in the control and intervention groups at 6, 12, 18, 24, and 30 months. Results indicate that participation in the intervention did not have a significant effect on decreasing prostitution arrests over time. History of prior prostitution arrest was a significant predictor (hazard ration [HR] = 1.12, p = .02) of rearrest.Lack of program success suggests that barriers to exiting prostitution are substantial, despite availability of supportive services, and that diversion programs may not be the best intervention strategy for all sex workers. Future research should identify motivators for exiting and how to reduce exiting barriers.

scholarly journals Impact of child labor in stone quarries on his health status in El- Minia city

2016 ◽  
Vol 5 (2) ◽  
pp. 167
Author(s):  
Naglaa Saad Abd EL-Aty ◽  
Nazek Ibrahim Abd EL-Ghany ◽  
Farag Mohammed Moftah ◽  
Shokria Adly Labeeb ◽  
Awatef Abdel-Razak Mohammed
Keyword(s):  
Health Status ◽  
Child Labor ◽  
Family Income ◽  
Developed Countries ◽  
Control Group ◽  
Working Children ◽  
Significant Difference ◽  
Assessment Sheet ◽  
Almost All ◽  
Minia City

Background: Child labor today represents the largest single cause of child abuse across the global. Most of it takes place in economically less developed countries and much is hidden.Objectives: The aims of this study were to found out the nature and impact of child labor in the stone quarries on his health status and assess the work hazards associated with these concern.Methods Design: A descriptive comparative design was used .Setting: at stone quarries in El-Minia city and two Governmental schools (primary and preparatory).Sample: Study consisted sample of two groups: two hundred working children (studied group) and three hundred school children as control group.Tools: Three tools were developed and utilized. Socio-demographic characteristics, assessment sheet, and Observation check list.Results: It was found that the mean age studied group was 13.0± 1.2, compared to 12.0± 1.2for control group. More than half of studied group of studied group were working for the need to money and to share in family income. About two third of studied group exposed to different types of injuries during work in quarry. There was statistical significant difference between studied and control group groups regarding body mass index physical assessment and bad habits. Also the results of this study explored that most of studied group exposed to all items of work hazards.Conclusion: It can be concluded that almost all working children in stone quarries were facing much health complains and working hazards.Recommendations: Quarries owners should provide all working children with appropriate protective measures and trained them on methods of protecting themselves from work hazards.

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