scholarly journals Lifestyle and health-care adherence in infertile women of late reproductive age

2019 ◽  
Vol 4 (2) ◽  
pp. 58-61
Author(s):  
Tyumina OV ◽  
Kuzmichev KA ◽  
Chertuhina OB
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Optimal Level ◽  
Reproductive Age ◽  
Control Group ◽  
Inclusion Criteria ◽  
Infertile Women ◽  
Care Activity ◽  
Experimental Group ◽  
Health Care Activity

Objectives–to evaluate the health-care activity and lifestyle in infertile women of late reproductive age. Material and methods.The study concentrated on the representative group which included 650 women of the Samara region, aged 35–44 years (mean age 37.01±1.74) suffering from infertility. The control group included 300 women of the average age of 37.04±2.09 year, who have given birth to a child in the age over 35 years; that was the main inclusion criteria for the control group. Results. The most influential risk factors in women in the experimental group are weak health-care adherence (Q=0.576, p<0.05); body weight deviation from its optimal level (Q=0.542, p<0.05); low-level physical activity (Q=0.454, p<0.01); smoking (Q=0.448, p<0.05); malnutrition (Q=0.398, p<0.01). Conclusion. The study proved that infertile women of late reproductive age have unfavorable socio-hygienic status. It results in their poor health and requires a complex medical and social aid for its improvement.

scholarly journals Risk factors for development of prenosological and nosological forms of health care-associated infections in puerperas

2019 ◽  
Vol 36 (5) ◽  
pp. 76-82
Author(s):  
Aleksey E. Agarev ◽  
Tat'yana D. Zdol'nik ◽  
Maksim S. Kovalenko
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Antenatal Clinic ◽  
Sexual Life ◽  
Control Group ◽  
Vaginal Mucosa ◽  
Health Care Associated Infections ◽  
Group 2 ◽  
And Control ◽  
Experimental Group

Aim. To reveal the risk factors for the development of prenosological and nosological forms of health care-associated infections in puerperas. Materials and methods. To reveal the factors of risk, experimental and control groups were formed: the experimental group 1 154 puerperas with nosological forms; the experimental group 2 181 puerperas with prenosological forms; the control group 303 puerperas. It was a retrospective study of case control type. Results. According to the results of the study, the following risk factors for the development of nosological forms were stated: pregnancy-caused hypertension, prenatal hospitalization longer than 1 day, first labor, disturbances of labor activity, minor obstetric operations, cervical rupture, deep vaginal mucosa rupture, 24 degree perineal rupture, anhydrous period longer than 4 hours, separate stay; risk factors for the development of prenosological forms: unregistered marriage, irregular observation at antenatal clinic during pregnancy, onset of sexual life before 18, absence of education, extragenital pathology, prenatal hospitalization longer than 1 day, preeclampsia and placental disturbances during pregnancy, first labor, preeclampsia in labor, hydramnios, disturbances of labor activity, anhydrous period longer than 4 hours, augmentation of labor, cesarean section, especially urgent, deep vaginal mucosa rupture, postnatal anemia, separate stay. Conclusions. Most factors, elevating the risk for the development of both nosological and prenosological forms, are connected with the period of labor. Risk factors for the development of prenosological forms are characterized by a great variety and enclose a vast majority of risk factors for the development of nosological forms.

Rising patients" adherence to CVD preventive treatment via medical and psychological counseling using remote technologies

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
OV Kopylova ◽  
NA Sirota ◽  
VM Yaltonsky
Keyword(s):  
Risk Factors ◽  
Medical Treatment ◽  
Healthy Lifestyle ◽  
Preventive Treatment ◽  
Control Group ◽  
Psychological Counselling ◽  
Funding Sources ◽  
Item Questionnaire ◽  
Experimental Group ◽  
Funding Acknowledgements

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Low adherence to healthy lifestyle and CVD preventive medical treatment is a seriouse problem in lowering of CVD morbidity and mortality. Using modern medical, psychological and remote technologies may help to increase patients" adherence. Purpose To study the efficacy of medical and psychological counselling using remote technologies in rising patients" adherence to CVD preventive treatment. Methods The study included 140 patients with risk factors for cardiovascular disease (RF CVD), who were divided into two comparable groups: group of medical and psychological counselling with the use of remote technologies (n = 70) and group of control (n = 70).  The study lastet 12 months. Level of adherence was measured via standard Morisky-Green"s 4-item questionnaire as well as via additional questionnaire developed by authors for this study. Results Comparative analysis of the level of adherence in the two groups did not reveal statistically significant differences at baseline. After 12 months, the experimental group showed a statistically significant increase in adherence to preventive treatment compared with the control group (р=0,001) Conclusion(s) Medical and psychological counselling using remote technologies is an effective method for rising patients" adherence to CVD preventive medical treatment

scholarly journals Children with deficit in executive abilities have risk for emerging weakness in grammar understanding

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Kiselev
Keyword(s):  
Risk Factors ◽  
Language Impairment ◽  
Specific Language Impairment ◽  
Longitudinal Research ◽  
Control Group ◽  
Specific Language ◽  
Specific Language Impairments ◽  
Design Fluency ◽  
Experimental Group ◽  
Executive Abilities

Abstract Background Children with specific language impairment have difficulties producing and understanding language (Bishop, 1997). Specifically, these children have deficit in grammar understanding. The goal of this research was to examine the hypothesis that children at the age of 5-6 with deficit in executive abilities have a risk for emerging weakness in grammar understanding at the age of 8-9. Methods 136 children at the age of 5-6 were assessed using 5 subtests from NEPSY (Tower, Auditory Attention and Response Set, Visual Attention, Statue, Design Fluency), which are designed to assess executive abilities in children. We have revealed 27 children with deficit in executive abilities. These children were included in the experimental group. The control group included 27 children with no deficit in executive abilities. In the framework of longitudinal research children at the age of 8-9 from both groups were assessed by Grammar Understanding Test from Luria's neuropsychological assessment technique. Results One-way ANOVA has revealed significant differences (p&lt;.05) between groups for scores in Grammar Understanding Test. Children from experimental group had low level of grammar understanding. Conclusions This research has shown that deficit in executive abilities can predict the delay in development of grammar understanding in children. These results provided insight into cognitive mechanisms in typically developing and the underlying nature of specific language impairments, helping to elucidate the nature of impaired mechanism in this disorder. It can be assumed that deficit in executive abilities is one of the risk factors for emerging weakness in grammar understanding in children. Key messages Deficit in executive abilities is one of the risk factors for emerging weakness in grammar understanding in children. There is relationship between grammar understanding and executive abilities in children.

Does Self-reporting Facilitate History Taking in Food Poisoning Mass-casualty Incidents?

2014 ◽  
Vol 29 (4) ◽  
pp. 417-420 ◽  
Author(s):  
Ya-I Hsu ◽  
Ying C. Huang
Keyword(s):  
Health Care ◽  
Medical History ◽  
Food Poisoning ◽  
Mass Casualty ◽  
Mass Casualty Incidents ◽  
Control Group ◽  
History Taking ◽  
Care Providers ◽  
Time Required ◽  
Experimental Group

AbstractIntroductionMedical history is an important contributor to diagnosis and patient management. In mass-casualty incidents (MCIs), health care providers are often overwhelmed by large numbers of casualties. An efficient, reliable, and affordable method of information collection is essential for effective health care response.Hypothesis/ProblemIn some MCIs, self-reporting of symptoms can decrease the time required for history taking, without sacrificing the completeness of triage information.MethodsTwo resident doctors and a number of seventh graders who had previous experience of abdominal discomfort were invited to join this study. A questionnaire was developed to collect information on common symptoms in food poisoning. Each question was scored, and enrolled students were randomly divided into two groups. The experimental group students answered the questionnaire first and then were interviewed to complete the medical history. The control group students were interviewed in the traditional way to collect medical history. Time of all interviews was measured and recorded. The time needed to complete the history taking and completeness of obtained information were compared with students’ t tests, or Mann-Whitney U tests, based on the normality of data. Comprehensibility of each question, scored by enrolled students, was reported by descriptive statistics.ResultsThere were 41 students enrolled: 22 in the experimental group and 19 in the control group. Time to complete history taking in the experimental group (163.0 seconds, SD=52.3) was shorter than that in the control group (198.7 seconds, SD=40.9) (P=.010). There was no difference in the completeness of history obtained between the experimental group and the control group (94.8%, SD=5.0 vs 94.2%, SD=6.1; P=.747). Between the two doctors, no significant difference was found in the time required for history taking (185.2 seconds, SD=42.2 vs 173.1 seconds, SD=58.6; P=.449), or the completeness of information (94.1%, SD=5.9 vs 95.0%, SD=5.0; P=.601). Most of the questions were scored “good” in comprehensibility.ConclusionSelf-reporting of symptoms can shorten the time of history taking during a food poisoning mass-casualty event without sacrificing the completeness of information.HsuY, HuangYC. Does self-reporting facilitate history taking in food poisoning mass-casualty incidents?Prehosp Disaster Med. 2014;29(4):1-4.

scholarly journals UTILIZATION POSSIBILITIES OF PREBIOTICS AND PROBIOTICS IN PREVENTION AND HEALTH CARE OF CALVES

2013 ◽  
Vol 17 (2) ◽  
pp. 121-127
Author(s):  
Luboš Zábranský ◽  
Miloslav Šoch ◽  
Pavel Novák ◽  
Jan Brouček ◽  
Anna Šimková ◽  
...  
Keyword(s):  
Health Care ◽  
Statistical Significance ◽  
Control Group ◽  
Seaweed Extracts ◽  
Weight Gains ◽  
Positive Effect ◽  
Experimental Group

Abstract the aim of our study was to evaluate influence of probiotic agents (Lactovita) and seaweed extracts (Biopolym) with antidiarrheal effects on the prevention of diarrhoea in calves. In the experiment 22 experimental and 22 control calves were observed. The results of the observed incidence of diarrhoea in the control and experimental groups showed a positive effect of probiotic Lactovita and seaweed extracts Biopolymer. 32% of calves in the experimental group and 45% of calves in the control group became sick. Unfortunately, we could not demonstrate the statistical significance of these differences. The weight gains found in the 4th week after birth were by 37.6% higher in the group with Lactovita and Biopolym than in the control group.

Health care as a tourist resource

1995 ◽  
Vol 1 (2) ◽  
pp. 421-429
Author(s):  
Đurđica Zoričić ◽  
Lorena Mošnja
Keyword(s):  
Health Care ◽  
Research Work ◽  
Health Condition ◽  
Entire Volume ◽  
Institutional Condition ◽  
Tourist Resource ◽  
Care Activity ◽  
Fast Adaptation ◽  
The One ◽  
Health Care Activity

Nowadays it is beyond all doubt that the health care activity in its entire volume, on the one hand, represent parts of the global economic system, developing in a considerable mutual dependence. In the paper, within the scope of the development of tourism, one of its narrower segments is perceived: the health care of the tourist population. The research work has been done in Istria, one of the most outstanding tourist destinations, where scientists and experts have been working intensively on the tourism development forecast up to 2010. In addition to healthy food, clean sea and environment, a tourist has to have certainty that in case of illness he/she will get a service corresponding to the world standards. The concourse of tourism and health care gives answers to the question what should be done to achieve a harmony in the development of both activities, and in this way the general progress of the Croatian State. For the requirements of this paper adaptation possibilities of the health system to the new situation have been researched on the basis of perception of the institutional condition of the health care activity, staff and material supply and equipment for the work in new conditions. In the first part the population health condition is researched on the basis of relevant indicators such as morbidity and mortality of the inhabitants, movement of the number of born and deceased, volume and structure of sick leaves and the like. In the second part an analysis is made and the health care development degree stated for Istria as the tourist resource. On the basis of the entire research work it could be concluded that the health care of Istria has at its disposal staff potential and capital objects that enable a fast adaptation in harmony with the development of tourism.

scholarly journals Whether stoma support rods have application value in loop enterostomy: a systematic review and meta-analysis

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Rui Du ◽  
Jiajie Zhou ◽  
Feng Wang ◽  
Dongliang Li ◽  
Guifan Tong ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Control Group ◽  
Inclusion Criteria ◽  
Randomized Controlled ◽  
Total Incidence ◽  
The Difference ◽  
Effect Of Support ◽  
Experimental Group

Abstract Purpose The purpose of the systematic review and meta-analysis is to analyze the application value of the stoma support rods in loop enterostomy. Methods The studies on the application of stoma rods in loop enterostomy published from January 2000 to January 2020 were searched in the databases of PubMed, Embase, Cochrane library, and Clinical trials. All randomized controlled trials (RCTs) and cohort studies that observed the value of stoma rods were included according to inclusion criteria. The RevMan5.3 software was used for statistical analysis. Results A total of 1131 patients with loop enterostomy in six studies were included in this study; there were 569 cases in the experimental group and 562 cases in the control group. All six studies analyzed the effect of support rods on the incidence of stoma retraction; the meta-analysis showed that in a total of 32 patients, stoma retraction occurred, with a total incidence of about 2.8% in 1131 patients. The incidence of stoma retraction in the rod group was not significantly lower than that in the non-rod group, and the difference was not statistically significant (OR = 0.65, 95% CI 0.32~1.32, I2 = 0%, P = 0.23), and the studies were homogeneous. The incidences of stoma necrosis (OR = 6.41, 95% CI 2.22~18.55, I2 = 0%, P = 0.0006), peristomal dermatitis (OR = 2.93, 95% CI 2.01~4.27, I2 = 0%, P < 0.00001), and mucocutaneous separation (OR = 2.14, 95% CI 1.03~4.47, I2 = 0%, P = 0.04) were significantly increased in the rod group. Conclusions It is not recommended to routinely use stoma support rods in the clinical practice.

Clinical Value of Ultrasound Fetal Neck Transparent Layer Index in Early Screening of 21-Trisomy Syndrome

2020 ◽  
Vol 10 (4) ◽  
pp. 961-966
Author(s):  
Weibo Fan ◽  
Shuli Zeng ◽  
Qiang Zhang
Keyword(s):  
Pregnant Women ◽  
Early Pregnancy ◽  
Control Group ◽  
Ultrasound Screening ◽  
Analysis Method ◽  
Inclusion Criteria ◽  
Clinical Value ◽  
Early Screening ◽  
Transparent Layer ◽  
Experimental Group

This study used a retrospective analysis method to select 1061 pregnant women from March 2012 to December 2018 to our hospital for obstetrics, and 11–11 weeks +6 days of ultrasound screening for NT values, according to inclusion criteria and exclusion. There were 60 patients who met the criteria of the experimental group and 313 who met the criteria of the control group. All of them were subjected to fetal villus puncture in early pregnancy or amniocentesis in middle pregnancy. The specimens were divided into two parts, one was cultured through cells and the chromosomes were prepared. Analysis and send a copy to a collaborative laboratory for highthroughput sequencing of chromosomes. The aim was to investigate the association between simple cervical thickening (NT) thickening and karyotype and chromosomal microdeletion/microreplication in 11–13 weeks +6 days of gestation. The results of this study show that NT thickening is associated with karyotypic abnormalities, especially with 21-trisomy syndrome; when karyotype is normal, NT thickening is associated with chromosome microdeletions/microduplication; only a single NT increase when thick, the meaning of CNVs detection is not significant.

scholarly journals PROBLEMS AND AIMS OF HEALTH CARE ACTIVITY IN THE EDUCATION SYSTEM AT THE PRESENT STAGE

2014 ◽  
Vol 4 (1) ◽  
pp. 9-17
Author(s):  
Aizman Roman Idelevich ◽  
Kazin Eduard Mihailovich ◽  
Fedorov Andrey Ivanovich ◽  
Shinkarenko Andrey Semenovich
Keyword(s):  
Health Care ◽  
Education System ◽  
Present Stage ◽  
Care Activity ◽  
Health Care Activity

scholarly journals Naprapathy Versus Orthopaedic Standard Care for Common Musculoskeletal Disorders: An 8-year Follow-up of a Pragmatic Randomized Controlled Trial in Sweden

2021 ◽  
Author(s):  
Stina Lilje ◽  
Andreas Eklund ◽  
Anders Wykman ◽  
Tobias Sundberg ◽  
Eva Skillgate
Keyword(s):  
Health Care ◽  
Musculoskeletal Disorders ◽  
Health Care Systems ◽  
Controlled Trial ◽  
Bodily Pain ◽  
Control Group ◽  
National Health Care ◽  
Care Systems ◽  
Experimental Group

Abstract Background: Musculoskeletal pain is among the most common reasons for seeking care, specialist competence for its treatment in primary care limited and waiting lists for orthopaedics often amongst the longest. Many referrals to orthopaedics do not concern disorders that benefit from surgery. Manual therapy is effective, yet not integrated in national health care systems, and there is a lack of research on other than neck and low back pain, and a lack of long-term follow-ups. The present study evaluates the long-term effects of a complementary therapy for common orthopaedic disorders.Methods: An 8-year follow-up (96 months) of a pragmatic randomized controlled trial of naprapathy (experimental group) versus standard orthopaedic care (control group) for non-surgical patients of working age with the most common musculoskeletal disorders on the waiting lists(n=78). Bodily pain, physical function (SF36), Quality of life (QoL; SF6D), and data on health care utilization were collected.Results: N=75 participants in the original study sample completed the 8-year follow-up. The differences in bodily pain (21,7 (95% CI: 9,1-34,3)), physical function (17,6(6,7-28,4)), and QoLs (0,823 (95% CI: 0.785-0.862) compared with 0,713 (95% CI: 0.668-0.758)) were statistically significantly in favor of the experimental group (p-values<0,01). After sensitivity analysis the experimental group had altogether 260 health care visits compared with 1 161 in the control group.Conclusions:Naprapathy is a continuously effective treatment. Together with earlier research our study suggests that specialized manual therapy should be considered when triaging patients with common non-surgical musculoskeletal disorders in national health care systems.Trial registration: Not applicable, as per information given by ClinicalTrials.gov.

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