scholarly journals Primary Infertility secondary to Testicular Microlithiasis

2017 ◽  
Vol 16 (1) ◽  
pp. 178-180
Author(s):  
Imtiaz Shah ◽  
Fayaz Khan ◽  
Mohammad Zaieem ◽  
Farhan Khan ◽  
Suhail Khan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Ultrasound Examination ◽  
Medical Science ◽  
Chromosomal Anomalies ◽  
Conservative Approach ◽  
Adult Males ◽  
Testicular Microlithiasis ◽  
Testicular Tumors ◽  
The Past ◽  
High Risk Factors

Testicular microlithiasis is an uncommon entity among adult males, resulting from tubular calcification. Reported incidence of testicular microlithiasis has been highly variable in the past decade due to increasing frequency of ultrasound examination of scrotal and testicular conditions. Testicular microlithiasis is associated with many benign and malignant conditions of testes. It is believed that in patients with Testicular microlithiasis conservative approach is warranted in absence of high risk factors, like contralateral testicular tumors, chromosomal anomalies and gonadal dysgenesis.Bangladesh Journal of Medical Science Vol.16(1) 2017 p.178-180

Left Ventricular Hypertrophy

2014 ◽  
Vol 19 (2) ◽  
pp. 11-15
Author(s):  
Steven L. Demeter
Keyword(s):  
Risk Factors ◽  
Left Ventricular Hypertrophy ◽  
Ventricular Hypertrophy ◽  
Left Ventricular Mass Index ◽  
Medical Science ◽  
Careful Analysis ◽  
Left Ventricular ◽  
Hypertensive Disease ◽  
Accurate Analysis ◽  
Clear Explanation

Abstract The fourth, fifth, and sixth editions of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) use left ventricular hypertrophy (LVH) as a variable to determine impairment caused by hypertensive disease. The issue of LVH, as assessed echocardiographically, is a prime example of medical science being at odds with legal jurisprudence. Some legislatures have allowed any cause of LVH in a hypertensive individual to be an allowed manifestation of hypertensive changes. This situation has arisen because a physician can never say that no component of LVH was not caused by the hypertension, even in an individual with a cardiomyopathy or valvular disorder. This article recommends that evaluators consider three points: if the cause of the LVH is hypertension, is the examinee at maximum medical improvement; is the LVH caused by hypertension or another factor; and, if apportionment is allowed, then a careful analysis of the risk factors for other disorders associated with LVH is necessary. The left ventricular mass index should be present in the echocardiogram report and can guide the interpretation of the alleged LVH; if not present, it should be requested because it facilitates a more accurate analysis. Further, if the cause of the LVH is more likely independent of the hypertension, then careful reasoning and an explanation should be included in the impairment report. If hypertension is only a partial cause, a reasoned analysis and clear explanation of the apportionment are required.

Prevention of Preterm Birth

2018 ◽  
Vol 11 (2) ◽  
pp. 95-104
Author(s):  
Ivan D. Ivanov ◽  
Stefan A. Buzalov ◽  
Nadezhda H. Hinkova
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
High Risk ◽  
Medical Science ◽  
Secondary Prophylaxis ◽  
High Risk Group ◽  
Screening Methods ◽  
Perinatal Complications ◽  
Social Significance ◽  
Neonatal Deaths

Summary Preterm birth (PTB) is a worldwide problem with great social significance because it is a leading cause of perinatal complications and perinatal mortality. PTB is responsible for more than a half of neonatal deaths. The rate of preterm delivery varies between 5-18% worldwide and has not decreased in recent years, regardless of the development of medical science. One of the leading causes for that is the failure to identify the high-risk group in prenatal care. PTB is a heterogeneous syndrome in which many different factors interfere at different levels of the pathogenesis of the initiation of delivery, finally resulting in delivery before 37 weeks of gestation (wg). The various specificities of risk factors and the unclear mechanism of initiation of labour make it difficult to elaborate standard, unified and effective screening to diagnose pregnant women at high-risk for PTB correctly. Furthermore, they make primary and secondary prophylaxis less effective and render diagnostic and therapeutic measures ineffective and inappropriate. Reliable and accessible screening methods are necessary for antenatal care, and risk factors for PTB should be studied and clarified in search of useful tools to solve issues of risk pregnancies to decrease PTB rates and associated complications.

Cardiovascular Risk in Rheumatoid Arthritis and Mechanistic Links: From Pathophysiology to Treatment

2020 ◽  
Vol 18 (5) ◽  
pp. 431-446 ◽  
Author(s):  
George E. Fragoulis ◽  
Ismini Panayotidis ◽  
Elena Nikiphorou
Keyword(s):  
Rheumatoid Arthritis ◽  
Risk Factors ◽  
Current Evidence ◽  
Pharmacological Intervention ◽  
Cvd Risk ◽  
The Past ◽  
Increased Risk ◽  
Cv Disease ◽  
Obesity Hypertension ◽  
Inflammatory Burden

Rheumatoid arthritis (RA) is an autoimmune inflammatory arthritis. Inflammation, however, can spread beyond the joints to involve other organs. During the past few years, it has been well recognized that RA associates with increased risk for cardiovascular (CV) disease (CVD) compared with the general population. This seems to be due not only to the increased occurrence in RA of classical CVD risk factors and comorbidities like smoking, obesity, hypertension, diabetes, metabolic syndrome, and others but also to the inflammatory burden that RA itself carries. This is not unexpected given the strong links between inflammation and atherosclerosis and CVD. It has been shown that inflammatory cytokines which are present in abundance in RA play a significant role in every step of plaque formation and rupture. Most of the therapeutic regimes used in RA treatment seem to offer significant benefits to that end. However, more studies are needed to clarify the effect of these drugs on various parameters, including the lipid profile. Of note, although pharmacological intervention significantly helps reduce the inflammatory burden and therefore the CVD risk, control of the so-called classical risk factors is equally important. Herein, we review the current evidence for the underlying pathogenic mechanisms linking inflammation with CVD in the context of RA and reflect on the possible impact of treatments used in RA.

Nonsuicidal Self-Injury Among Youth

2018 ◽  
Author(s):  
Adam Bryant Miller ◽  
Maya Massing-Schaffer ◽  
Sarah Owens ◽  
Mitchell J. Prinstein
Keyword(s):  
Risk Factors ◽  
Applied Research ◽  
Evidence Based ◽  
Prevalence Rates ◽  
Evidence Based Treatment ◽  
The Past ◽  
Self Injury ◽  
Assessment Techniques ◽  
Basic And Applied Research ◽  
Nonsuicidal Self Injury

Nonsuicidal self-injury (NSSI) is direct, intentional harm to one’s own body performed without the intent to die. NSSI has a marked developmental onset reaching peak prevalence in adolescence. NSSI is present in the context of multiple psychological disorders and stands alone as a separate phenomenon. Research has accumulated over the past several decades regarding the course of NSSI. While great advances have been made, there remains a distinct need for basic and applied research in the area of NSSI. This chapter reviews prevalence rates, correlates and risk factors, and leading theories of NSSI. Further, it reviews assessment techniques and provides recommendations. Then, it presents the latest evidence-based treatment recommendations and provides a case example. Finally, cutting edge research and the next frontier of research in this area are outlined.

scholarly journals Risk Factors for Interpersonal Violence in Prison: Evidence From Longitudinal Administrative Prison Data in Northern Ireland

2021 ◽  
pp. 088626052110063
Author(s):  
Michelle Butler ◽  
Catherine B. McNamee ◽  
Dominic Kelly
Keyword(s):  
Risk Factors ◽  
Northern Ireland ◽  
Interpersonal Violence ◽  
Cultural Context ◽  
Longitudinal Research ◽  
Adult Males ◽  
Prison Misconduct ◽  
Medical Issues ◽  
Services And Supports ◽  
Prospective Longitudinal

The present study uses a prospective longitudinal research design to examine whether previously identified risk factors for prison interpersonal violence can predict violent prison misconduct in Northern Ireland (NI). Administrative data drawn from the records of 429 adult males imprisoned on November 22, 2017 were used to predict involvement in violent prison misconduct during a 1-year follow-up period. The results revealed that only a small number of previously identified risk factors were found to be significant in the NI context. Nationality, neighborhood deprivation, history of addiction, submission of prison complaints, past involvement in prison misconduct, and number of incarcerations emerged as significant, while religion, head injury/epilepsy, property offences, and prison visits were significant at the marginal level. Given the variation in risk factors identified as significant in the NI context compared to previous research, it is argued that cultural context matters when attempting to generalize the risk factors for prison interpersonal violence from one jurisdiction to another. These results offer some support for the importation theory, although it should be noted that the inclusion of prison environmental factors was limited due to the nature of the data. It is argued that specialist services and supports should be provided to address the factors contributing to interpersonal prison violence, including interventions to improve feelings of fairness, identify and treat underlying medical issues, as well as support visitation.

Elder Abuse and Neglect in China: Prevalence, Co-occurrence, and Intergenerational Risk Factors

2021 ◽  
pp. 088626052098550
Author(s):  
Mengtong Chen ◽  
Ko Ling Chan
Keyword(s):  
Risk Factors ◽  
Childhood Abuse ◽  
Low Socioeconomic Status ◽  
Rural Areas ◽  
Elder Abuse ◽  
Elderly Parents ◽  
Contextual Risk ◽  
Elder Abuse And Neglect ◽  
The Past ◽  
Abuse And Neglect

The prevalence and patterns of elder abuse and neglect in China have been understudied. The objectives of this study were to examine the chronicity and prevalence of different patterns of elder abuse, and the influence of individual and contextual risk factors. We used data from a sample of 7,466 adults randomly recruited from six regions in China. The participants responded to a questionnaire about their demographic characteristics, childhood abuse experiences, and instances of abuse and neglect against their elderly parents. Logistic regression analysis was performed to examine the association of elder abuse and neglect with individual and contextual factors. The results showed that one in 10 participants reported that their elderly parents had experienced abuse or neglect in the past year. The elder victims were reported to have suffered different types of abuse and neglect on multiple occasions, ranging from 3.6 to 11.82 times on average. More than 5% of participants reported that their elderly parents had suffered two or more types of abuse and neglect in the past year, accounting for 40% of the elderly victims. The co-occurrence of elder abuse within elderly couples was also high. Reports of abuse and neglect of elderly parents were related to low socioeconomic status, living in rural areas, and the experience of childhood abuse of the participants. This study supports the model of intergenerational transmission of violence in the Chinese population. The high prevalence, chronicity, and co-occurrence of elder abuse and neglect underline the importance of screening for risk factors, and have implications for preventive practice and policy.

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