scholarly journals Impacto da dor, estado antropométrico e fatores associados em pacientes com enxaqueca

2020 ◽  
Vol 34 (4) ◽  
pp. 396-401
Author(s):  
Luana de Oliveira Leite ◽  
Lorraine Lacerda Brasil Souza ◽  
Júlia Canto e Sousa ◽  
Sara Factum Dutra
Keyword(s):  
Waist Circumference ◽  
Physical Inactivity ◽  
Pain Scale ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
High Waist Circumference ◽  
Female Sex ◽  
Clinical Pain ◽  
The Impact ◽  
Anthropometric Status

Introduction: Migraine is a chronic neurological disease which has various etiological factors. It is important to highlight the importance of studies involving patients with migraine, as it generates significant limitations in quality of life. Objectives: To evaluate the association among pain impact, anthropometric status and others factors in migraine patients. Methods: Quantitative and descriptive, cross-sectional and secondary-based study, developed in a Clinical School of Pharmacy of the city of Salvador-BA, with patients treated with migraine diagnosis, from April 2018 to March 2019, of 20 years old or more. Information was gathered about demographic, socioeconomic, anthropometric, lifestyle, clinical, pain impact [by Migraine Disability Assessment (MIDAS) and Headache Impact Test-6 questionnaires (HIT-6)] and pain intensity (visual pain scale). Logistic regression models were used to evaluate the factors associated with the pain impact with a value of p≤0.05. Results: Of the 40 patients evaluated, 87.5% were female, the average age detected was 40.35 ± 12.6 years. There was a prevalence of sedentary (87.5%), overweight (55%), high waist circumference (68.4%), intestinal constipation (35%) and lactose intolerance (28.2%); high impact on daily activities: 62.5% (HIT-6) and 69.6% (MIDAS). Higher body mass index (BMI) and waist circumference (WC) averages were identified in patients with substantial/severe pain impact (p = 0.03 and p = 0.06, respectively) compared to those with no/some impact. The chances of greater impact of pain through HIT-6 seem to be associated with overweight (p = 0.04), female sex (p = 0.62) and physical inactivity (p = 0.89). Conclusion: Anthropometric status was associated with the impact of migraine. Overweight and female sex are related to migraine occurrence, and together with physical inactivity seem to influence the pain impact.

Do Hospitals with a Higher Level of Maternal Care Designation Have Better Maternal Outcomes?

2018 ◽  
Vol 36 (06) ◽  
pp. 653-658 ◽  
Author(s):  
Sindhu Srinivas ◽  
Katy Kozhimannil ◽  
Peiyin Hung ◽  
Laura Attanasio ◽  
Judy Jou ◽  
...  
Keyword(s):  
High Risk ◽  
Maternal Care ◽  
Maternal Morbidity ◽  
Cross Sectional Study ◽  
Severe Maternal Morbidity ◽  
Maternal Outcomes ◽  
Cross Sectional ◽  
Discharge Data ◽  
Logistic Regression Models ◽  
The Impact

Background A recent document by the American Congress of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine introduced the concept of uniform levels of maternal care (LMCs). Objective We assessed LMC across hospitals and measured their association with maternal morbidity, focusing on women with high-risk conditions. Study Design We collected data from hospitals from May to November 2015 and linked survey responses to Statewide Inpatient Databases (SID) hospital discharge data in a retrospective cross-sectional study of 247,383 births admitted to 236 hospitals. Generalized logistic regression models were used to examine the associations between hospitals' LMC and the risk of severe maternal morbidity. Stratified analyses were conducted among women with high-risk conditions. Results High-risk pregnancies were more likely to be managed in hospitals with higher LMC (p < 0.001). Women with cardiac conditions had lower odds of maternal morbidity when delivered in level I compared with level IV units (adjusted odds ratio: 0.29; 95% confidence interval: 0.08–0.99; p = 0.049). There were no other significant associations between the LMC and severe maternal morbidity. Conclusion A higher proportion of high-risk pregnancies were managed within level IV units, although there was no overall evidence that these births had superior outcomes. Further prospective evaluation of LMC designation with patient outcomes is necessary to determine the impact of regionalization on maternal outcomes.

Support for cigarette filter waste policies among US adults

2021 ◽  
pp. tobaccocontrol-2020-056451
Author(s):  
Minal Patel ◽  
Alison F Cuccia ◽  
Shanell Folger ◽  
Adam F Benson ◽  
Donna Vallone ◽  
...  
Keyword(s):  
Smoking Status ◽  
Population Based ◽  
Tobacco Product ◽  
Cross Sectional ◽  
Cigarette Filter ◽  
Logistic Regression Models ◽  
Knowledge And Beliefs ◽  
Cigarette Butts ◽  
Using Data ◽  
The Impact

IntroductionLittle is known on whether cigarette filter-related knowledge or beliefs are associated with support for policies to reduce their environmental impact.MethodsA cross-sectional, population-based sample of US adults aged 18–64 years (n=2979) was used to evaluate filter-related knowledge and beliefs by smoking status using data collected between 24 October 2018 and 17 December 2018. Multivariate logistic regression models explored whether these knowledge and belief items were associated with support for two policies, a US$0.75 litter fee and a ban on sales of filtered cigarettes, controlling for demographic characteristics and smoking status.ResultsRegardless of smoking status, 71% did not know plastic was a cigarette filter component and 20% believed filters were biodegradable. Overall, 23% believed filters reduce health harms and 60% believed filters make it easier to smoke; 90% believed cigarette butts are harmful to the environment. Individuals believing cigarette butts harmed the environment were more likely to support a litter fee (adjusted OR (aOR)=2.33, 95% CI: 1.71 to 3.17). Individuals believing that filters are not biodegradable had higher odds of supporting a litter fee (OR=1.47, 95% CI: 1.15 to 1.88). Respondents believing that filters do not make cigarettes less harmful were more likely to support a litter fee (aOR=1.50, 95% CI: 1.20 to 1.88) and filter ban (aOR=2.03, 95% CI: 1.64 to 2.50). Belief that filters make it easier to smoke was associated with decreased support for a filter ban (aOR=0.69, 95% CI: 0.58 to 0.83).ConclusionsComprehensive efforts are needed to educate the public about the impact of cigarette filters in order to build support for effective tobacco product waste policy.

Abstract 18402: Impact of Obesity on Outcomes After Percutaneous Coronary Intervention in Japanese Population: Obesity Paradox with High Waist Circumference but Not High BMI

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Kenji Sakamoto ◽  
Seiji Hokimoto ◽  
Shuichi Oshima ◽  
Koichi Nakao ◽  
Kazuteru Fujimoto ◽  
...  
Keyword(s):  
Waist Circumference ◽  
Central Obesity ◽  
Japanese Patients ◽  
Coronary Intervention ◽  
Obesity Paradox ◽  
High Waist Circumference ◽  
Significant Difference ◽  
Low Bmi ◽  
The Impact ◽  
High Bmi

Introduction: Although the counterintuitive association between obesity and mortality has been termed the obesity paradox, the evaluation of obesity was inconsistent, and evidence for an obesity paradox among past studies has been also less consistent. Hypothesis: This inconsistency may be due, in part, to a discrepancy between central obesity, estimated by waist circumference (WC), and body mass index (BMI) as patterns of adiposity. Methods: To elucidate the impact of obesity, 2817 subjects with both WC and BMI data were enrolled from the data of Kumamoto Intervention Conference Study (KICS), a multicenter registry, enrolling consecutive patients undergoing PCI in 15 centers from August 2008 to March 2011 in Japan. Subjects were stratified according to patterns of adiposity (WC or BMI), utilizing NCEP-ATPIII criteria and WHO classification. Results: Subjects’ mean age was 69.8 years, and 28% were female. There were 68 deaths during 12-month follow up. Although obesity defined by WC (ObWC) was associated with lower mortality compared with non-obesity (no-ObWC, p=0.013), no difference was shown between obesity, defined by BMI (ObBMI), and non-obesity (no-ObBMI) (p=0.201). When dividing into 4 categories based on high/low of WC and BMI, subjects with high WC and high BMI had the lowest mortality (1.6%) compared to other 3 categories (high WC low BMI; 1.7%, low WC high BMI; 2.4%, or low WC and low BMI; 3.1%). Kaplan-Meier analysis for all cause mortality showed a significant difference between ObWC and no-ObWC (Log Rank p=0.010), but comparable in BMI (ObOMI vs no-ObBMI, p=0.295). This discrepancy was also observed in the analysis for cardiac death (Figure). In multivariate analysis, in addition to age and CKD, ObWC was an independent predictor for the low mortality (OR; 0.582, 95% CI; 0.342-0.991, p=0.046). Conclusions: In Japanese patients with known CAD who undergo PCI, central obesity but not BMI is associated with the paradoxical protective effect of obesity.

scholarly journals Multimorbidity Among Adult Outpatients With Type 1 Diabetes in Germany

2020 ◽  
pp. 193229682096526
Author(s):  
Louisa van den Boom ◽  
Gebhard Buchal ◽  
Marcel Kaiser ◽  
Karel Kostev
Keyword(s):  
Type 1 Diabetes ◽  
Psychiatric Disorders ◽  
Insulin Pump ◽  
Insulin Pump Therapy ◽  
Deficiency Anemia ◽  
Pump Therapy ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Female Sex

Aim: The aim of this cross-sectional retrospective study was to estimate the prevalence of different physical and psychiatric disorders as well as multimorbidity in outpatients with type 1 diabetes (T1D) in Germany. Methods: A total of 6967 adult patients with T1D from 958 general or diabetologist practices in Germany between January 2015 and December 2019 from the Disease Analyzer database (IQVIA) were included. The main outcome of the study was the prevalence of different diabetes-related and nondiabetes-related disorders within 12 months prior to the last outpatient visit. Multivariate logistic regression models were fitted with multimorbidity differently defined as >2, >3, >4, and >5 different disorders as a dependent variable and age, sex, glycated hemoglobin (HbA1c) values, and insulin pump therapy as impact variables. Results: Mean age (SD) was 45.3 (16.7) years; 42.9% were women, the mean HbA1c was 7.9% (SD: 1.4%). The most frequent disorder was arterial hypertension (31.2%), followed by dyslipidemia (26.4%), dorsalgia (20.4%), diabetic neuropathy (17.3%), and depression (14.6%). The proportion of thyroid gland disorders, retinopathy, urethritis, iron deficiency anemia, and psychiatric disorders was higher in women than in men. Hypertension and mental and behavioral disorders due to the use of tobacco were higher in men. On average, each patient was diagnosed with 3.1 different disorders. Age had the strongest association with multimorbidity, followed by HbA1c value and female sex. Conclusion: In summary, patients with T1D are often multimorbid, and the multimorbidity is associated with higher gender, female sex, and high HbA1c values. Understanding all of these factors can help practitioners create a risk profile for every patient.

scholarly journals The Global Impact of COVID-19 on Craniomaxillofacial Surgeons

2020 ◽  
Vol 13 (3) ◽  
pp. 157-167 ◽  
Author(s):  
Justin van der Tas ◽  
Thomas Dodson ◽  
Daniel Buchbinder ◽  
Stefano Fusetti ◽  
Michael Grant ◽  
...  
Keyword(s):  
Virus Disease ◽  
Statistical Significance ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Geographic Region ◽  
Outcome Variable ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Long Term Impact ◽  
The Impact

Study Design: The COrona VIrus Disease-19 (COVID-19) pandemic has disrupted craniomaxillofacial (CMF) surgeons practice worldwide. We implemented a cross-sectional study and enrolled a sample of CMF surgeons who completed a survey. Objective: To measure the impact that COVID-19 has had on CMF surgeons by (1) identifying variations that may exist by geographic region and specialty and (2) measuring access to adequate personal protective equipment (PPE) and identify factors associated with limited access to adequate PPE. Methods: Primary outcome variable was availability of adequate PPE for health-care workers (HCWs) in the front line and surgeons. Descriptive and analytic statistics were computed. Level of statistical significance was set at P < .05. Binary logistic regression models were created to identify variables associated with PPE status (adequate or inadequate). Results: Most of the respondents felt that hospitals did not provide adequate PPE to the HCWs (57.3%) with significant regional differences ( P = .04). Most adequate PPE was available to surgeons in North America with the least offered in Africa. Differences in PPE adequacy per region ( P < .001) and per country ( P < .001) were significant. In Africa and South America, regions reporting previous virus outbreaks, the differences in access to adequate PPE evaporated compared to Europe ( P = .18 and P = .15, respectively). Conclusion: The impact of COVID-19 among CMF surgeons is global and adversely affects both clinical practice and personal lives of CMF surgeons. Future surveys should capture what the mid- and long-term impact of the COVID-19 crisis will look like.

scholarly journals Determinants of Good Adherence to Hand Hygiene Among Healthcare Workers Who Have Extensive Exposure to Hand Hygiene Campaigns

2007 ◽  
Vol 28 (11) ◽  
pp. 1267-1274 ◽  
Author(s):  
Hugo Sax ◽  
Ilker Uçkay ◽  
Hervé Richet ◽  
Benedetta Allegranzi ◽  
Didier Pittet
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Peer Pressure ◽  
University Teaching ◽  
Control Beliefs ◽  
Good Adherence ◽  
Cross Sectional ◽  
Behavioral Beliefs ◽  
Female Sex ◽  
The Impact

Objective.To quantify the different behavioral components of healthcare workers' motivation to comply with hand hygiene in a healthcare institution with a 10-year history of hand hygiene campaigning.Design.Cross-sectional study, by use of an anonymous, self-administered questionnaire.Setting.A 2,200-bed university teaching hospital.Participants.A stratified random sample of 2,961 medical and nursing staff.Results.A total of 1,042 questionnaires (35.2%) were returned. Of the respondents, 271 (26.0%) were physicians, 629 (60.4%) were nurses, and 141 (13.5%) were nursing assistants. Overall, 1,008 respondents provided information about sex; 718 (71.2%) of these were women. Respondents provided demographic information and data about various behavioral, normative, and control beliefs that determined their intentions with respect to performing hand hygiene. Among behavioral beliefs, the perception that healthcare-associated infections are severe for patients was highly ranked as a determinant of behavior by 331 (32.1%) of the respondents, and the perception that hand hygiene is effective at preventing these infections was ranked highly by 891 respondents (86.0%). Among normative beliefs, perceived social pressure from patients to perform hand hygiene was ranked highly by 760 respondents (73.7%), pressure from superiors was ranked highly by 687 (66.8%), pressure from colleagues was ranked highly by 596 (57.9%), and pressure from the person perceived to be most influential was ranked highly by 687 (68.8%). Among control beliefs, the perception that hand hygiene is relatively easy to perform was rated highly by 670 respondents (65.1%). High self-reported rates of adherence to hand hygiene (defined as performance of proper hand hygiene during 80% or more of hand hygiene opportunities) was independently associated with female sex, receipt of training in hand hygiene, participation in a previous hand hygiene campaign, peer pressure from colleagues, perceived good adherence by colleagues, and the perception that hand hygiene is relatively easy to perform.Conclusions.In a setting with a long tradition of hand hygiene campaigns, behavioral beliefs are strongly in favor of hand hygiene, but adherence is driven by peer pressure and the perception of high self-efficacy, rather than by reasoning about the impact of hand hygiene on patient safety. Female sex, training, and campaign exposure increased the likelihood of compliance with hand hygiene. This additional insight can help to shape future promotional activity.

scholarly journals The impact of diabetes on multiple avoidable admissions: a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Joana Seringa ◽  
Ana Patrícia Marques ◽  
Bruno Moita ◽  
Cátia Gaspar ◽  
João Filipe Raposo ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Age Groups ◽  
Health Care Expenditures ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Diabetes Diagnosis ◽  
Cross Sectional ◽  
Younger Adults ◽  
Logistic Regression Models ◽  
The Impact

Abstract Background Multiple admissions for ambulatory care sensitive conditions (ACSC) are responsible for an important proportion of health care expenditures. Diabetes is one of the conditions consensually classified as an ACSC being considered a major public health concern. The aim of this study was to analyse the impact of diabetes on the occurrence of multiple admissions for ACSC. Methods We analysed inpatient data of all public Portuguese NHS hospitals from 2013 to 2015 on multiple admissions for ACSC among adults aged 18 or older. Multiple ACSC users were identified if they had two or more admissions for any ACSC during the period of analysis. Two logistic regression models were computed. A baseline model where a logistic regression was performed to assess the association between multiple admissions and the presence of diabetes, adjusting for age and sex. A full model to test if diabetes had no constant association with multiple admissions by any ACSC across age groups. Results Among 301,334 ACSC admissions, 144,209 (47.9%) were classified as multiple admissions and from those, 59,436 had diabetes diagnosis, which corresponded to 23,692 patients. Patients with diabetes were 1.49 times (p < 0,001) more likely to be admitted multiple times for any ACSC than patients without diabetes. Younger adults with diabetes (18–39 years old) were more likely to become multiple users. Conclusion Diabetes increases the risk of multiple admissions for ACSC, especially in younger adults. Diabetes presence is associated with a higher resource utilization, which highlights the need for the implementation of adequate management of chronic diseases policies.

scholarly journals Analyses of the anthropometric data from the North/South Ireland Food Consumption Survey

2001 ◽  
Vol 4 (5a) ◽  
pp. 1099-1106 ◽  
Author(s):  
SN McCarthy ◽  
KE Harrington ◽  
M Kiely ◽  
A Flynn ◽  
PJ Robson ◽  
...  
Keyword(s):  
Body Composition ◽  
Waist Circumference ◽  
Irish Population ◽  
Anthropometric Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
High Waist Circumference ◽  
The North ◽  
Increased Risk ◽  
Prevalence Of Obesity

AbstractObjectiveTo obtain measured anthropometric data for weight, height and other parameters not previously measured in the Irish population such as waist and hip circumferences and body composition.DesignA cross-sectional survey. Weight, height, waist circumference, hip circumference and body composition were measured according to standard procedures.SettingNorthern Ireland and the Republic of Ireland, 1997–1999.SubjectsRandom representative sample of 1379 adults aged 18–64 years. Results: With the exception of body fat, all anthropometric values were significantly higher for men than women (P < 0.001). All measurements were significantly higher in the 36–50-year-old age group compared with 18–35 year olds. Height was the exception, which decreased significantly with age (P < 0.05). Weight, height and body mass index (BMI) have increased in Ireland since last measured in 1988 and in 1990. Over the last decade, obesity has increased in men 2.5 fold from 8% to 20% and in women by 1.25 fold from 13% to 16%. Significantly more women have a normal BMI than men (50.4% vs. 33.3%; P < 0.05). Cut-off points for a high waist circumference and high waist-to-hip ratio identified 47% and 33% of the population, respectively, to be at an increased risk for cardiovascular disease. Social class did not have any significant effect on mean BMI. Location of residence influenced BMI but not in any consistent manner. Ex-smokers had a significantly higher BMI than nonsmokers and smokers (P < 0.05).ConclusionsA revision of current recommendations for combating obesity is warranted to improve the health of the Irish population. Further research is needed to identify the factors that have contributed to the dramatic increase in the prevalence of obesity in men over the last decade and have resulted in a higher prevalence of obesity in men than in women.

scholarly journals Anthropometric validity of the lipid profile in patients at the heart clinic RSUD Budhi Asih East Jakarta

2020 ◽  
Vol 5 (1) ◽  
pp. 1-10
Author(s):  
Riva Octarina ◽  
Leni Sri Rahayu ◽  
Luthfiana Nurkusuma Ningtyas
Keyword(s):  
Waist Circumference ◽  
Lipid Profile ◽  
Total Cholesterol ◽  
Lipid Profiles ◽  
Anthropometric Measurements ◽  
Good Sensitivity ◽  
Cross Sectional ◽  
High Waist Circumference ◽  
Quota Sampling ◽  
Sensitivity Specificity

ABSTRACT                           Dyslipidemia is a major factor in cardiovascular disease which can cause atherosclerosis, ischemic stroke and peripheral arteries. Dyslipidemia can be predicted by anthropometric measurements. The purpose of this study was to determine the anthropometric measurements that have the highest validity in detecting lipid profiles compared to biochemical assessments in poly cardiac patients at Budhi Asih Regional Hospital, East Jakarta. Research conducted in cross sectional method with quota sampling. This study was conducted on 75 cardiac poly patients. Data was collected by anthropometric measurements of body weight, height, waist circumference and hip circumference. Data on lipid levels were obtained from hospital medical record data. The results showed the lipid profile of normal HDL patients (73.30%), Normal LDL (58.70%), Triglycerides normal (65.30%), Total cholesterol was not normal (52%). Anthropometric value of BMI Obesity (44%), high RLPP (85.3%) and high waist circumference (74.7%). The conclusion of the analysis showed that BMI had poor sensitivity and specificity values ​​for all lipid profiles (Se <60%). RLPP has a very good sensitivity value on all lipid profiles (se> 90%) but has an unfavorable specificity value (Sp <60%). Waist circumference has a relatively good sensitivity (Se> 70%) in LDL, Triglycerides and Total Cholesterol, whereas in HDL it is quite good (Se> 60%). But it has poor specificity (Sp <60%). The results of the three anthropometric measurements RLPP is the best measurement in detecting lipid profiles in cardiac poly patients compared with BMI and Waist Circumference. Keywords: Lipid Profile, BMI, RLPP, Waist Circumference, Sensitivity, Specificity  

scholarly journals Evaluating the Impact of Rural Finance on Cocoa Farmers Productivity: A Case Study of Bodi District in Ghana

2020 ◽  
pp. 36-45
Author(s):  
Sonny Gad Attipoe ◽  
Cao Jianmin ◽  
Yaa Opoku-Kwanowaa
Keyword(s):  
Raw Materials ◽  
Community Banks ◽  
Cross Sectional ◽  
Agricultural Finance ◽  
Logistic Regression Models ◽  
Access To Credit ◽  
Yield Increase ◽  
Cocoa Farmers ◽  
The Impact ◽  
Cocoa Yield

Background: Agricultural finance from rural and community banks play a major role in increasing both yield and income of rural farmers in agricultural-dependent economies. These finances are needed for purchasing raw materials, paying labor fees and buying farming equipment, etc. However, substantial evidence about their roles in improving farm productivity is lacking, especially in the cocoa sector in Ghana, where rural and community banks are the forerunners in advancing credit to cocoa farmers in Ghana’s deprived rural cocoa-growing communities. This research, therefore, seeks to determine the impact of rural and community banks’ credit on cocoa farmers' productivity in the Bodi District of Ghana. Methodology: Using random sampling method, a cross-sectional data of 350 cocoa farmers from 5 operational areas (Afere, Bodi, Amoaya, Kama and Suino) located in Bodi District in the Western region. The data were analyzed using descriptive statistics and logistic regression models. Statistical software (SPSS v20 and STATA v14) were used to analyze quantitative data on cocoa productivity. Results: The results revealed that cocoa farmers with access to credit experienced significant yield increase (p<0.05) with a mean of 359.71 kgha-1 as compared to 235.30 kgha-1 for non-credit takers. Further, only 34.3% of farmers accessed credit for farming. With Pseudo R2 value of 0.78, farm tenure system, fertilizer use, access to credit and access to extension services significantly influenced cocoa yield, while the age of cocoa farmer, age of farm trees and vulnerability of farm to natural disaster negatively affected cocoa yield. Tukey HSD results (p<0.00) indicate that rural banks credit allocations to non-agricultural activities such as trade and transport, and social loans had the highest percentage means which suggests that agriculture is treated less favorable in rural banks' credit portfolio. These findings give credence to the assertion that rural banks are deviating from their core mandate of supporting agriculture in Ghana. Conclusion: This study reaffirms the supporting roles played by rural and community banks in increasing cocoa yield in Ghana. However, this research recommends that, the Bank of Ghana should closely monitor the activities of these unit banks to reduce the instances of diverting all their funds to non-agricultural related activities.

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