scholarly journals Exploration of risk factors by applying respectful model among drug addicts of malay ethnic

2021 ◽  
Vol 2 (1) ◽  
pp. 19
Author(s):  
Merikan Aren ◽  
Fatin Farhanah Matjelan
Keyword(s):  
Risk Factors ◽  
Drug Addiction ◽  
Family Background ◽  
Peer Pressure ◽  
Drug Addicts ◽  
Group Counselling ◽  
Factors Affecting ◽  
Qualitative Research Methodology ◽  
Psychological Maturity ◽  
Specific Factors

The purpose of this research is to explore the risk factors by applying respectful Model among drug addicts of Malay ethnic in Sarawak, Malaysia. Data and information were gathered from 3 participants from CCSC, Kuching. Qualitative research methodology is used in this research and the data were collected by using group counselling sessions and audio recorded. The data were analyzed using content analysis from the group counselling sessions and applying <em>respectful</em> Model to achieve final results. The findings have shown that there were risk factors that affect the drug addicts based on domain from <em>respectful</em> Model, Psychological maturity and personal style (P), location of residences (L) and family background (F). Another factor that affects drug addiction is peer pressure. The study contributes to the existing pool of knowledge to the pattern of drug addictions in Malaysia. In addition, it will be useful towards the authorities in identifying the specific factors affecting the drug addicts to reduce the number of relapse and drug addicts. On the other hand, the result of this study could help counsellor to understand the clients that are involved in drug addiction in depth.

scholarly journals Evaluation of rehabilitation services provided to drug addicts in district Peshawar

2020 ◽  
pp. 73-78
Author(s):  
Ramsha Hamid ◽  
Naveeda Sarwar ◽  
Adnan sarwar ◽  
Saira Gul ◽  
Saman Saman ◽  
...  
Keyword(s):  
Marital Status ◽  
Drug Addiction ◽  
Peer Influence ◽  
Effective Interaction ◽  
Peer Pressure ◽  
Rehabilitation Services ◽  
Drug Addicts ◽  
Drug Rehabilitation ◽  
Rehabilitation Centers ◽  
History Of

Rehabilitation is an integrated program of interventions that empower individuals with disabilities and chronic health conditions to achieve “personally fulfilling, socially meaningful, and functionally effective interaction” in their daily contexts. To assessing the rehabilitation services provided to the drug addicts in Peshawar. To assess the role of government sector rehabilitation centers and the private sector rehabilitation centers in reducing the sufferings of the drug addicts.Methodology is a cross sectional analytical study was conducted in 4 rehabilitation centers of Peshawar city i.e. KTH, LRH, DWF Hayatabad and DWF Shahibala, selected by convenient sampling technique. A closed ended questionnaire was planned with a checklist of services provided in the drug rehabilitation centers. This was filled by the staff members of the rehabilitation centers. Also 131 drug addicts who were present in rehabilitation centers on the day of interview and were willing to participate in the study were included in the study population. Data was analyzed through Spss v.22 and different statistical test were applied. The resaerch is obtained the Results by Drug addiction was found to be 54% among the younger age group of 21-30 years. A significant (p=0.029) association was found between marital status and relapse of drug addiction. History of imprisonment had a significant relationship (p=0.003) with relapse. Another significant association (p=0.01) was found to exist between peer pressure and relapse. The results of the study explain that the services available for rehabilitation of drug addicts are not sufficient and the relapse rate more in public sector rehabilitation centers and the possible risk factors for relapse are peer influence, marital status and a history of imprisonment.Conclusionof this resarch is on the basis of the results and statistical analysis of our research study it can be concluded that the services available for the rehabilitation of drug addicts in Peshawar are not sufficient. The number of drug rehabilitation centers and the treatment slots available in those centers are few in number. Also most of the drug rehabilitation centers are providing the inpatient type of treatment setting which makes it impossible for a large number of drug addicts to get the benefits of rehabilitation programs. The rehabilitation services are not free of cost and a large number of drug addicts cannot afford the service charges as disallowance mechanism is not effective in the centers.

Studying the Birth Outcome in Tikrit Teaching Hospital

2018 ◽  
Vol 1 (1) ◽  
pp. 55-57
Author(s):  
Areej Noaman
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Teaching Hospital ◽  
Birth Outcome ◽  
Morbidity And Mortality ◽  
Healthy Baby ◽  
Factors Affecting ◽  
Neonatal Deaths ◽  
Healthy Mother

  Background : A successful birth outcome is defined as the birth of a healthy baby to a healthy mother. While relatively low in industrialized world, maternal and fetal morbidity and mortality and neonatal deaths occur disproportionately in developing countries. Aim of the Study: To assess birth outcome and identify some risk factors affecting it for achieving favorable birth outcome in Tikrit Teaching Hospital

THE FUNCTIONS OF THE CRIMINAL-EXECUTIVE INSPECTION FOR THE MONITORING OF PRISONERS SUFFERING FROM DRUG ADDICTION

2020 ◽  
Vol 10 (2) ◽  
pp. 210-212
Author(s):  
TATYANA TIMOFEEVA ◽  
Keyword(s):  
Drug Addiction ◽  
Legal Regulation ◽  
Drug Addicts ◽  
Legislative Regulation

The article is devoted to the functions of the criminal Executive inspections of the Federal penitentiary service in monitoring convicted drug addicts. The statistical number of this category of convicts is analyzed, problematic issues are considered, contradictions and shortcomings in the legal regulation of the procedure for monitoring convicts suffering from drug addiction, and proposals are made to improve the legislative regulation of the procedure for monitoring convicted drug addicts.

Does HbA1cc Play a Role in the Development of Cardiovascular Diseases?

2018 ◽  
Vol 24 (24) ◽  
pp. 2876-2882 ◽  
Author(s):  
Kailash Prasad
Keyword(s):  
Risk Factors ◽  
Cardiovascular Diseases ◽  
Cardiovascular System ◽  
Half Life ◽  
Serum Levels ◽  
Serum Glucose ◽  
Cvd Risk ◽  
Factors Affecting ◽  
Diagnosis And Management ◽  
Coronary Artery Atherosclerosis

Cardiovascular diseases (CVD) may be mediated through increases in the cardiovascular risk factors. Hemoglobin A1c (HbA1c) also called glycated hemoglobin is presently used for the diagnosis and management of diabetes. It has adverse effects on cardiovascular system. This review deals with its synthesis and effects on the cardiovascular system. The serum levels of HbA1c have been reported to be affected by various factors including, the lifespan of erythrocytes, factors affecting erythropoiesis, agents interfering glycation of Hb, destruction of erythrocytes, drugs that shift the formation of Hb, statins, and drugs interfering the HbA1c assay. Levels of HbA1c are positively correlated with serum glucose and advanced glycation end products ( AGE), but no correlation between AGE and serum glucose. AGE cannot replace HbA1c for the diagnosis and management of diabetes because there is no correlation of AGE with serum glucose, and because the half-life of protein with which glucose combines is only 14-20 days as compared to erythrocytes which have a half-life of 90-120 days. HbA1c is positively associated with CVD such as the carotid and coronary artery atherosclerosis, ischemic heart disease, ischemic stroke and hypertension.HbA1c induces dyslipidemia, hyperhomocysteinemia, and hypertension, and increases C-reactive protein, oxidative stress and blood viscosity that would contribute to the development of cardiovascular diseases. In conclusion, HbA1c serves as a useful marker for the diagnosis and management of diabetes. AGE cannot replace HbA1c in the diagnosis and management of diabetes. There is an association of HbA1c with CVD which be mediated through modulation of CVD risk factors.

scholarly journals The Assessment of Early Complications and Risk Factors Affecting Their Occurrence in Breast Reconstructive Procedures

2021 ◽  
Author(s):  
Justyna Jończyk ◽  
Jerzy Jankau
Keyword(s):  
Risk Factors ◽  
Postoperative Complications ◽  
Breast Reconstruction ◽  
Complication Rate ◽  
Clinical Factors ◽  
Early Complications ◽  
Reconstructive Procedures ◽  
Factors Affecting ◽  
Rehospitalization Rate ◽  
Early Postoperative Complications

AbstractThe presence of postoperative complications may have a significant impact on the outcome of the breast reconstruction. The aim of this study was to investigate early postoperative complications and the risk factors for their occurrence. A prospective analysis was carried out to evaluate surgical outcomes after breast reconstructive surgeries performed over a 2-year period. Procedures included expander/implant (TE/IMP), pedicle transverse rectus abdominis musculocutaneous (pTRAM), and latissimus dorsi (LD) techniques. All adverse events which occurred within 6 weeks of surgery were ranked according to severity based on the contracted Accordion grading system. Outcomes were assessed for their association with surgical, demographic, and clinical variables. Sixty-one consecutive breast reconstruction procedures were analyzed. The overall complication rate was 60.7% (n = 37), and 8 patients (13.1%) required reoperation. The lowest complication rate was observed in implant-based reconstructions (TE/IMP, 18.8%; pTRAM, 72.7%; LD, 78.3%; p = 0.008). Mild complications occurred significantly more often after LD reconstructions (LD, 60.9%; pTRAM, 22.7%; TE/IMP, 12.5%; p = 0.031), while severe complications were significantly more frequent after the pTRAM procedures (pTRAM, 27.3%; TE/IMP, 6.2%; LD, 8.7%; p = 0.047). Severe complications were associated with higher rehospitalization rate (p = 0.010) and longer hospital stay. Study revealed a significant impact of the operative method on the incidence and severity of early complications after breast reconstruction procedures with little effect from other demographic and clinical factors.

scholarly journals Effects of fenofibrate therapy on renal function in primary gout patients

Rheumatology ◽  
2021 ◽  
Author(s):  
Xinde Li ◽  
Wenyan Sun ◽  
Jie Lu ◽  
Yuwei He ◽  
Ying Chen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Treatment Period ◽  
Mixed Model ◽  
Interaction Analysis ◽  
Serum Urate ◽  
Factors Affecting ◽  
Primary Gout ◽  
Potential Risk Factors ◽  
Multivariable Regression ◽  
Risk Predictors

Abstract Objective To investigate the incidence and potential risk factors for development of fenofibrate-associated nephrotoxicity in gout patients. Methods A total of 983 gout patients on fenofibrate treatment who visited the dedicated Gout Clinic at the Affiliated Hospital of Qingdao University between September 2016 and June 2020 were retrospectively enrolled from the electronic records system. Fenofibrate-associated nephrotoxicity was defined as an increase in serum creatinine (SCr) ≥0.3 mg/dl within 6 months of fenofibrate initiation. The change trend of SCr and uric acid levels during the treatment period were assessed by a generalised additive mixed model (GAMM). Multivariate analysis was performed for risk factors affecting elevated SCr. Results A total of 100 (10.2%) patients experienced an increase in SCr ≥0.3 mg/dl within 6 months after fenofibrate initiation. The median change of SCr in the whole cohort was 0.11 mg/dl [interquartile range (IQR) 0.03–0.20], whereas it was 0.36 (0.33–0.45) in the fenofibrate-associated nephrotoxicity group. In a multivariable regression model, chronic kidney disease (CKD) [odds ratio (OR) 2.39 (95% CI 1.48, 3.86)] and tophus [OR 2.29 (95% CI 1.39, 3.78)] were identified to be risk predictors, independent of measured covariates, of fenofibrate-associated nephrotoxicity. During the treatment period, although SCr temporarily increased, serum urate and triglyceride concentrations decreased using the interaction analysis of GAMM. Of those with fenofibrate withdrawal records, the SCr increase in 65% of patients was reversed after an average of 49 days off the drug. Conclusions This observational study implied that fenofibrate-associated nephrotoxicity occurs frequently in gout patients, especially in patients with tophi or CKD. The potential renal risks of fenofibrate usage in gout needs additional research.

First-Ray Radiographic Changes After Flexible Adult Acquired Flatfoot Deformity Correction

2021 ◽  
pp. 107110072110345
Author(s):  
Chien-Shun Wang ◽  
Yun-Hsuan Tzeng ◽  
Tzu-Cheng Yang ◽  
Chun-Cheng Lin ◽  
Ming-Chau Chang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hallux Valgus ◽  
Reconstructive Surgery ◽  
Case Series ◽  
Deformity Correction ◽  
Level Of Evidence ◽  
Factors Affecting ◽  
Radiographic Parameters ◽  
Case Series Study ◽  
Adult Acquired Flatfoot Deformity

Background: Adult acquired flatfoot deformity (AAFD) and hallux valgus (HV) are common foot and ankle deformities. Few studies have reported the changes in radiographic parameters of HV after reconstructive surgery for AAFD. This study aimed to evaluate the changes in radiographic parameters of HV and analyze the risk factors for increased HV after correction of AAFD. Methods: Adult patients with flexible AAFD who underwent similar bony procedures including medializing calcaneal osteotomy and Cotton osteotomy were included. Radiographic parameters were measured on weightbearing radiographs preoperatively, postoperatively, and at the final follow-up. Patients were divided into hallux valgus angle (HVA) increased and HVA nonincreased groups; logistic regression analysis was performed to identify risk factors affecting increased HV. Results: Forty-six feet of 43 patients were included. After AAFD reconstructive surgery, the tibial sesamoid position improved by 1 grade, but the HVA increased 4 degrees in average. Further, 21 of 46 feet (46%) showed an HVA increase ≥5 degrees immediately after AAFD correction surgery. Preoperative talonavicular coverage angle <21.6 degrees was a risk factor associated with HV increase immediately after the surgery. Conclusion: In this case series, using plain radiographs to measure standard parameters of foot alignment, we found the association between AAFD correction and HV deformity measures somewhat paradoxical. Correction of overpronation of the hindfoot and midfoot appears to improve the first metatarsal rotational deformity but may also increase HVA. A lower preoperative talonavicular coverage angle was associated with an increase of the HVA after surgery. Level of Evidence: Level IV, case series study.

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