Prevalence of Depression and its Associated Factors among Medical Students in International Islamic University Malaysia (IIUM)

Introduction: Globally, depression is one of the serious problems reported among medical students. Various studies reported that the prevalence of depression among medical students was high due to multiple risk factors. Therefore, this study aimed to measure the prevalence of depression and its associated factors among medical students in International Islamic University Malaysia (IIUM). Materials and Methods: A cross-sectional study was conducted among 500 medical students in IIUM Kuantan. A validated self-reported questionnaire using Depression Anxiety Stress Score 21 was distributed during the second semester of the 2018/2019 session. Descriptive statistics were used to measure the prevalence of depression. Chi-square test, Fisher’s exact test, independent sample T-test, and multiple logistic regression were used to determine the association between risk factors and depression. Result: The prevalence of depression was 39% with 10.5% of them were having severe and extremely severe level of depression. Multiple logistic regression analysis showed regular physical activity (AOR=0.64, 95% CI: 0.42-0.98) and Tahajjud prayer practice (AOR: 0.76, 95% CI 0.66-0.88) are two protective factors against depression among medical students. Conclusion: About two out of every five IIUM medical students had depression. Regular physical activity and Tahajjud prayer practised may reduce the risk of depression and should be encouraged.

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Prevalence of postural deviations and associated factors in children and adolescents: a cross-sectional study

Fisioterapia em Movimento ◽

10.1590/1980-5918.029.004.ao14 ◽

2016 ◽

Vol 29 (4) ◽

pp. 777-786 ◽

Cited By ~ 4

Author(s):

Mariana Vieira Batistão ◽

Roberta de Fátima Carreira Moreira ◽

Helenice Jane Cote Gil Coury ◽

Luis Ernesto Bueno Salasar ◽

Tatiana de Oliveira Sato

Keyword(s):

Physical Activity ◽

Logistic Regression ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Associated Factors ◽

Multiple Logistic Regression Analysis ◽

Extrinsic Factors ◽

Cross Sectional ◽

Postural Changes ◽

Intrinsic And Extrinsic Factors

Abstract Introduction: Postural deviations are frequent in childhood and may cause pain and functional impairment. Previously, only a few studies have examined the association between body posture and intrinsic and extrinsic factors. Objective: To assess the prevalence of postural changes in school children, and to determine, using multiple logistic regression analysis, whether factors such as age, gender, BMI, handedness and physical activity might explain these deviations. Methods: The posture of 288 students was assessed by observation. Subjects were aged between 6 and 15 years, 59.4% (n = 171) of which were female. The mean age was 10.6 (± 2.4) years. Mean body weight was 38.6 (± 12.7) kg and mean height was 1.5 (± 0.1) m. A digital scale, a tapeline, a plumb line and standardized forms were used to collect data. The data were analyzed descriptively using the chi-square test and logistic regression analysis (significance level of 5%). Results: We found the following deviations to be prevalent among schoolchildren: forward head posture, 53.5%, shoulder elevation, 74.3%, asymmetry of the iliac crests, 51.7%, valgus knees, 43.1%, thoracic hyperkyphosis, 30.2%, lumbar hyperlordosis, 37.2% and winged shoulder blades, 66.3%. The associated factors were age, gender, BMI and physical activity. Discussion: There was a high prevalence of postural deviations and the intrinsic and extrinsic factors partially explain the postural deviations. Conclusion: These findings contribute to the understanding of how and why these deviations develop, and to the implementation of preventive and rehabilitation programs, given that some of the associated factors are modifiable.

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Poor Sleep Quality among Medical Students in International Islamic University Malaysia (IIUM) and Its Association with Mental Health and other Factors

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v19i2.1564 ◽

2020 ◽

Vol 19 (2) ◽

Author(s):

Said AH ◽

Yusof MZ ◽

Mohd FN ◽

Azmi MANH ◽

Mohd Hanapiah H ◽

...

Keyword(s):

Mental Health ◽

Logistic Regression ◽

Medical Students ◽

Sleep Quality ◽

Multiple Logistic Regression Analysis ◽

Cross Sectional Study ◽

Poor Sleep ◽

Multiple Logistic Regression ◽

Poor Sleep Quality ◽

Cross Sectional

INTRODUCTION: Poor sleep quality is a common problem experienced by medical students worldwide. Therefore, this study aimed to measure the prevalence of poor sleep quality among medical students in International Islamic University Malaysia (IIUM) and its association with mental health and other factors. MATERIALS AND METHODS: A cross-sectional study using convenience sampling was conducted among 500 medical students in IIUM Kuantan. A validated self-reported questionnaire including sociodemographic, socioeconomic, lifestyle, Pittsburgh Sleep Quality Index and Depression Anxiety Stress Score 21 was distributed from 15th July to 31st August 2019. Descriptive statistics were used to measure the prevalence of poor sleep quality. Chi- square test, Fisher’s exact test, independent sample T-test, and multiple logistic regression were used to measure the association between risk factors and sleep quality. RESULT: The response rate was 91.2%. The prevalence of poor sleep quality was 59.6%. Multiple logistic regression analysis revealed level of study (clinical year (AOR=0.44, 95% CI: 0.29 - 0.66) and depression (yes (AOR: 1.71, 95% CI 1.03-2.83) contributed independently on poor sleep quality among medical students. There was no significant relationship between tahajjud practice and poor sleep quality. CONCLUSION: More than half of IIUM medical students have poor sleep quality. Those students who were in the pre-clinical year and had depression were independently associated with the occurrence of poor sleep quality. Early intervention is compulsory to overcome this problem among medical students in IIUM.

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Hyperuricemia and Associated Factors in Children with Chronic Kidney Disease: A Cross-Sectional Study

Children ◽

10.3390/children9010006 ◽

2021 ◽

Vol 9 (1) ◽

pp. 6

Author(s):

Jie Xu ◽

Lingxiao Tong ◽

Jianhua Mao

Keyword(s):

Chronic Kidney Disease ◽

Logistic Regression ◽

Regression Analysis ◽

Kidney Disease ◽

Associated Factors ◽

Multiple Logistic Regression Analysis ◽

Cross Sectional Study ◽

Multiple Logistic Regression ◽

Sectional Study ◽

Cross Sectional

Background: Hyperuricemia is increasingly recognized as a risk factor for chronic kidney disease (CKD) just in adults. The purpose of this study was to investigate the clinical characteristics of hyperuricemia and its associated factors in Chinese children with CKD at a single center. Methods: A cross-sectional study of 170 CKD children collected from the Department of Nephrology, The Zhejiang University Children’s Hospital was conducted. The clinical data, including anthropometric data, blood pressure measurements, and biochemical parameters, were recorded and analyzed retrospectively. The factors associated with hyperuricemia in CKD children were evaluated by Pearson and Spearman correlation analysis and multiple logistic regression analysis. Results: The mean age was 9.79 ± 4.10 years, and 72 (42.35%) were girls. Higher blood urea nitrogen (BUN), serum creatinine, cystatin C, D-dimer, lower hemoglobin, albumin, and estimated glomerular filtration rate (eGFR) were significantly associated with higher serum uric acid (SUA). In multiple logistic regression analysis, anemia and higher BUN were both positively associated factors, whereas eGFR ≥ 90 mL/min/1.73 m2 was a negatively associated factor for subjects with SUA ≥ 390 µmol/L (6.5 mg/dL). Conclusions: SUA was significantly associated with kidney risk factors in CKD children. Monitoring and controlling SUA, Hb, BUN, and Scr levels in CKD children may help to prevent the progression of CKD.

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Prevalence and factors associated to depression and suicidal behavior among medical students

Jornal Brasileiro de Psiquiatria ◽

10.1590/0047-2085000000351 ◽

2021 ◽

Vol 70 (4) ◽

pp. 311-320

Author(s):

Bárbara Santos Pereira Neres ◽

Maria Luiza Andrade Aquino ◽

Vinicius Sousa Pietra Pedroso

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Medical Students ◽

Suicidal Behavior ◽

Illicit Drugs ◽

Female Gender ◽

Cross Sectional Study ◽

Cross Sectional ◽

Prevalence Of Depression ◽

Reduced Physical Activity

ABSTRACT Objective: Depression and suicidal behavior have been described as major problems among medical students. The aim of this study was to assess the prevalence of depression and suicidal behavior among medical students of an institution and to investigate possible associated variables. Methods: The authors carried out a cross-sectional study through a self-administered questionnaire, including the Beck Depression Inventory (BDI) and the Beck’s Suicide Intent Scale (BSIS) instruments. The diagnosis of depression was based on an instrument adapted according to the DSM-IV and ICD-10 criteria. Logistic regression was performed to search for depression predictor variables. Results: In a total of 381 students, the prevalence of depression was 27.6%. Suicidal ideation of moderate to severe intensity was observed in 10.5% of the sample. About 6% of students had previously attempted suicide. Consumption of licit and illicit drugs was frequent among the participants, reaching 78% and 24% of the sample, respectively. The demand for specialized treatment was lower than expected among students with depression. Logistic regression revealed that female gender, reduced interpersonal contact with friends, reduced physical activity, difficulty in facing new situations and high perception of personal pressure were risk factors for depression. Conclusion: The prevalence of depression and suicidal behavior among medical students is higher than in the general population. There is a need for further studies to enable a better understanding of the risk factors and variables at play, which is fundamental for the development of early intervention strategies and support for students.

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Prevalence and Risk Factors of Bovine Tuberculosis in Cattle in Mymensingh Sadar

Bangladesh Journal of Veterinary Medicine ◽

10.3329/bjvm.v12i2.21283 ◽

2014 ◽

Vol 12 (2) ◽

pp. 179-183 ◽

Cited By ~ 1

Author(s):

MAH Mondal ◽

MS Parvin ◽

SC Sarker ◽

AKMA Rahman ◽

MT Islam

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Bovine Tuberculosis ◽

Multiple Logistic Regression Analysis ◽

Herd Size ◽

Cross Sectional Study ◽

Multiple Logistic Regression ◽

Cross Sectional ◽

Test Kit ◽

Associated Risk Factors

Bovine tuberculosis (bTB) is a disease of zoonotic importance as well as high priority all over the world. Risk factors for bovine tuberculosis in cattle are not well investigated in Bangladesh. Therefore, the objective of this study was to identify the associated risk factors for bTB along with determination of prevalence in cattle of Mymensingh Sadar. A cross-sectional study was carried out to elucidate on 101 cattle from 56 households during January to May 2012. The direct interview using a questionnaire and physical examination of cattle was performed to collect farm and animal level data. Besides data collection, blood samples were collected from study cattle and subjected to immunochromatographic assay (ICGA) by using Anigen Rapid Bovine TB Ab test kit for the diagnosis of bTB. Risk factors analysis was done using bivariable followed by multiple logistic regression with stepwise backward elimination method. The results of the study revealed an overall tuberculosis prevalence of 5.9%. Multiple logistic regression analysis revealed significant association of bovine tuberculosis with herd size (more than 4) (Odds Ratio, OR = 5.9, p = 0.03) and history of coughing (OR = 8.9, p = 0.005). The effect of herd size (more than 4) could be minimized by maintaining the cattle in a herd with adequate floor space and better ventilation facilities as it would not be practicable to keep the herd size minimum. Further study should be done to find out more associated risk factors for the occurrence of bTB.DOI: http://dx.doi.org/10.3329/bjvm.v12i2.21283 Bangl. J. Vet. Med. (2014). 12 (2): 179-183

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The Prevalence of Headache and Associated Factors in Al-Kharj, Saudi Arabia: A Cross-Sectional Study

Pain Research and Management ◽

10.1155/2021/6682094 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Daifallah Almalki ◽

Mamdouh M. Shubair ◽

Badr F Al-Khateeb ◽

Rawan Abdullah Obaid Alshammari ◽

Saeed Mastour Alshahrani ◽

...

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Saudi Arabia ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Associated Factors ◽

Multiple Logistic Regression Analysis ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

Background. Only few studies have investigated the prevalence and risk factors of headaches among the Saudi population. The study aimed to estimate the prevalence of headache and to explore its associated risk factors Al-Kharj, Saudi Arabia. Methods. The multistage sampling technique was used to enroll 1200 population-based participants who were asked to complete a self-administered questionnaire about headaches, demographics, and several other parameters such as smoking status and different chronic and psychological illnesses. The chi-square test and multivariate logistic regression analysis were used to test the association. Results. The overall prevalence of headaches in this study was 3%. The multiple logistic regression analysis showed that females were more likely to have headaches than males (odds ratio (OR) 0.735, 95% confidence interval (CI) = 0.612–1.341; P = 0.024 ). Being a current smoker was also significantly associated with higher “odds” of having headache (OR = 1.319, 95% CI = 0.932–2.462; P = 0.037 ). Participants who were overweight had a significantly higher risk of headache (OR = 1.631, 95% CI = 1.48–1.854; P = 0.037 ). Nonmarried people were significantly more likely to have headache pain, compared to married individuals (OR = 0.875, 95% CI = 0.646–2.317; P = 0.047 ). Conclusion. The prevalence of headaches was 3%, and four significant associated factors were identified: females, nonmarried, smoking, and overweight. The temporality of the relationship between these factors and headache cannot be confirmed in this cross-sectional study; so future longitudinal studies are needed to confirm these potential causal relationships.

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Case control study of gastrointestinal complications after cardiopulmonary bypass heart surgery

Perfusion ◽

10.1177/0267659109346665 ◽

2009 ◽

Vol 24 (3) ◽

pp. 173-178 ◽

Cited By ~ 3

Author(s):

Guowei Zhang ◽

Naishi Wu ◽

Hongyu Liu ◽

Hang Lv ◽

Zhifa Yao ◽

...

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Cardiopulmonary Bypass ◽

Heart Surgery ◽

Perfusion Pressure ◽

Multiple Logistic Regression Analysis ◽

Univariate Analysis ◽

Multiple Logistic Regression ◽

Gastrointestinal Complications ◽

Preoperative Serum

Background: Gastrointestinal complications (GIC) after cardiopulmonary bypass (CPB) surgery are rare, but, nevertheless, extremely dangerous.The identification of risks for GIC may be helpful in planning appropriate perioperative management strategies. The aim of the present study was to analyze perioperative factors of GIC in patients undergoing CPB surgery. Methods: We retrospectively analysed 206 patients who underwent GIC after cardiopulmonary bypass surgery from 2000 to 2007 and compared them with 206 matched control patients (matched for surgery, temperature, hemodilution and date). Univariate analysis and multiple logistic regression analysis were performed on 12 risk factors. Result: Sex and types of cardioplegia perfusate did not significantly influence the GIC after CPB surgery. Multiple logistic regression revealed that CPB time, preoperative serum creatinine (PSC) ≥ 179 mg/dL, emergency surgery, perfusion pressure ≤40mmHg, low cardiac output syndrome (LCOS), age ≥ 61, mechanical ventilation ≥96 h, New York Heart Association (NYHA) class III and IV were predictors of the occurrence of GIC after CPB surgery. Perfusion pressure and aprotinin administration were protective factors. Conclusion: Gastrointestinal complications after CPB surgery could be predictive in the presence of the above risk factors. This study suggests that GIC can be reduced by maintenance of higher perfusion pressure and shortening the time on CPB and ventilation.

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Association of the location and initial degree of malignant central airway stenosis with the risk of severe restenosis after interventional bronchoscopy

BMC Pulmonary Medicine ◽

10.1186/s12890-021-01690-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Saibin Wang ◽

Renzhi Zhou ◽

Siyao Zhu ◽

Dan Yan

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Regression Analysis ◽

Main Bronchus ◽

Multiple Logistic Regression Analysis ◽

Left Main Bronchus ◽

Multiple Logistic Regression ◽

Left Main ◽

Initial Degree ◽

Central Airway

Abstract Background Therapeutic bronchoscopy is one of the effective methods in the treatment and management of malignant central airway stenosis (MCAS). However, restenosis after therapeutic bronchoscopy frequently occurs and severe restenosis (SR) can be life-threatening. Therefore, this study aimed at investigating the risk factors for SR after therapeutic bronchoscopy. Methods The data of 233 consecutive cases with MCAS who were subjected to therapeutic bronchoscopy between 2015 and 2020 at a tertiary hospital were collected. Patients were divided into SR group and non-SR during 6 months after therapeutic bronchoscopy. Multiple logistic regression analysis was performed to determine the risk factors for SR. Results SR during 6 months after therapeutic bronchoscopy occurred in 39.5% (92/233) of patients. The location and the initial degree of MCAS were associated with SR, as assessed by multiple logistic regression analysis (P < 0.05). The risk of SR after therapeutic bronchoscopy in the left main bronchus, right main bronchus, and right intermediate bronchus increased, compared to the risk when of MCAS was located in the trachea (OR (95% CI) of 8.821 (1.850-25.148), 6.583 (1.791–24.189), and 3.350 (0.831–13.511), respectively). In addition, the initial degree of MCAS was positively associated with an increased risk of SR (OR 1.020; 95% CI 1.006–1.035). Conclusions MCAS located in the left main bronchus, right main bronchus and right intermediate bronchus, as well as the higher initial degree of MCAS were independent risk factors for SR during 6 months after therapeutic bronchoscopy.

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Pattern of Physical Activity among Undergraduate Medical Students: A Multicentric Cross-sectional Study Across Bihar, India

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2020/44753.14175 ◽

2020 ◽

Author(s):

Neha Chaudhary ◽

Shradha Mishra ◽

Manish Kumar ◽

Yamini Sharma ◽

Shamshad Ahmad

Keyword(s):

Physical Activity ◽

Medical Students ◽

Physical Exercise ◽

Multiple Logistic Regression Analysis ◽

Cross Sectional Study ◽

Normal Weight ◽

Short Version ◽

Sectional Study ◽

Undergraduate Medical Students ◽

Cross Sectional

Introduction: Inspite of the fact that the medical students have a greater awareness about a healthy lifestyle; their academic stress to perform well may poorly affect their pattern of physical activity and thus, compromise their overall health. Aim: To assess the level of physical activity among undergraduate medical students studying in various institutions across the state of Bihar and to evaluate the Metabolic Equivalent Task (MET) score so as to measure the intensity of physical activity performed by the participants. Materials and Methods: This was a cross-sectional study conducted among the undergraduate students, studying in different medical colleges across Bihar, India. An Online Google Form was created using a short version of the International Physical Activity Questionnaire (IPAQ). The collected data was analysed using Stata (Version 13) software. Results were presented as frequencies, mean and standard deviation. Chi-square test was applied to test for significant association at 0.05 level of significance. To identify the predictors of physical activity, multiple logistic regression analysis of the data was done. Results: A total of 1200 students participated in the study. Among these, 64.3% were males and 35.7% were females. More than half of the participants (57.6%) were aged <21 years. Majority of the participants (67.7%) had normal weight followed by overweight/obese (22.8%). Approximately, half of the participants (54.4%) reported availability of gym in their campus and only 26.7% of the participants were following regular routine of physical exercise. Maximum students under the study were residing in the hostel (89.4%); who were reaching college mainly by walking (74.8%), {OR=17.5 (12.9-23.5)}. On multivariate analysis; Body Mass Index (BMI), age, having an availability of gym in the campus and following a regular routine of physical exercise were found to be significant predictors of physical activity. Conclusion: In present study, the majority were sufficiently physically active. However, the low physical activity was observed among the overweight/obese participants is a distressing fact which may reflect the need to integrate the physical education electives in the curriculum

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Cardiovascular Risk Factors in Pre-dialysis Chronic Kidney Disease patients of Nepal

Journal of Advances in Internal Medicine ◽

10.3126/jaim.v9i2.32813 ◽

2020 ◽

Vol 9 (2) ◽

pp. 47-53

Author(s):

Kashyap Dahal ◽

A. Baral ◽

K.K. Sah ◽

J.R. Shrestha ◽

A. Niraula ◽

...

Keyword(s):

Risk Factors ◽

Chronic Kidney Disease ◽

Logistic Regression ◽

Regression Analysis ◽

Kidney Disease ◽

Multiple Logistic Regression Analysis ◽

Multiple Logistic Regression ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Traditional Risk Factors

Background and Aims: Cardiovascular disease (CVD) is the commonest cause of morbidity and mortality in patients with chronic kidney disease (CKD) due to increased prevalence of traditional and nontraditional CVD risk factors. Our study aimed to evaluate these risk factors in pre-dialysis Nepalese CKD patients. Methods: This was a cross-sectional study conducted in Department of Nephrology, Bir hospital. Total 100 consecutive pre-dialysis CKD patients were enrolled. Ten traditional and six nontraditional CVD risk factors were analyzed and compared between CKD stages. Descriptive statistics was used to illustrate the socio-demographic and clinical characteristics, chi square test for categorical variables and multiple logistic regression analysis was done to determine the risk factors of CVD in CKD patients. p-value<0.05 was considered to be statistically significant. Results: Mean patient age was 52.03}13.64 years with majority (60%) of the patients being male. Comparison of traditional risk factors in different stages depicted similar trend except for old age in Stage 3 CKD (p=0.002). Anemia (p<0.001), hyperphosphatemia (p=0.01), hyperparathyroidism (p<0.01) and cumulative nontraditional risk factors were significantly higher (p=0.01) in stage 5 CKD. The predicted CVD events by Framingham risk score showed high risk in 37% with no significant difference among the stages. Multiple logistic regression analysis showed increased body mass index, low serum albumin and increased serum phosphate as the three significant predictors for left ventricular hypertrophy. Conclusion: Our study shows that the CVD risk factors were prevailing along the various stages of CKD. The occurrence of non-traditional risk factors increased with increasing stage of CKD.

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