scholarly journals COVID-19 Preventive Practices among Bus Station Workers in Ethiopia

2021 ◽  
Author(s):  
Mebrahtu Eyasu ◽  
Yoseph Worku ◽  
Berhan Ababaw ◽  
Yifru Berhan
Keyword(s):  
Logistic Regression ◽  
Binary Logistic Regression ◽  
Good Knowledge ◽  
Multivariable Logistic Regression Analysis ◽  
African Countries ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
Preventive Practices ◽  
Bus Station ◽  
Cross Sectional Design

As of May 19, 2021, Ethiopia was among the five African countries most affected by COVID-19. A cross-sectional design was used to assess the level of knowledge, perceptions, and practices of bus station workers about COVID-19 between August 25 and September 17, 2020. Face-to-face interviewer-administered questionnaires were used. To identify the factors associated with the dependent variables, simple and multiple binary logistic regression analyses were used. A P value < 0.05 was considered significant. Data were analyzed using SPSS version 20 software. In this study, 427 workers from three bus stations participated. Approximately 84.5%, 84.8%, and 81.3% of the workers had good knowledge, positive perceptions, and good practices, respectively. Multivariable logistic regression analysis showed that workers with a monthly income of 3,001 to 4,000 birr were about four times more likely to have poor knowledge compared with higher income workers. Those workers with poor knowledge were 2.4 times, and security workers were 3.7 times, more likely to have poor practices compared with workers with good knowledge and drivers, respectively. In conclusion, workers used in security and those who had poor knowledge regarding COVID-19 failed to exhibit effective preventative practices against the virus.

scholarly journals ANALISIS REGRESI LOGISTIK FAKTOR-FAKTOR YANG MEMENGARUHI PENGGUNAAN ROKOK ELEKTRONIK PADA REMAJA USIA 18-25 TAHUN DI KOTA DENPASAR TAHUN 2020

2021 ◽  
Vol 8 (2) ◽  
pp. 237
Author(s):  
Putu Pirda Puspitawati ◽  
Desak Nyoman Widyanthini
Keyword(s):  
Logistic Regression ◽  
Significant Relationship ◽  
Electronic Cigarettes ◽  
Smoking Behavior ◽  
Binary Logistic Regression ◽  
Electronic Cigarette ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
Total Participation

ABSTRAK Pengguna rokok tembakau di Kota Denpasar belum menurun dengan signifikan namun sudah muncul produk baru yaitu rokok elektronik. Proporsi pengguna rokok elektronik di Kota Denpasar saat ini  6.81%.  Tujuan penelitian ini untuk mengetahui faktor-faktor yang memengaruhi penggunaan rokok elektronik pada remaja usia 18-25 tahun di Kota Denpasar 2020. Penelitian ini merupakan analitik kuantitatif dengan rancangan crossectional study menggunakan metode convinience sampling. Sampel penelitian ini yaitu remaja berusia 18-25 tahun minimal tinggal 6 bulan di Kota Denpasar. Besar sampel minimal adalah 149 dengan jumlah partisipasi yaitu 201 responden. Penelitian ini mengumpulkan data karakteristik responden, perilaku merokok elektrik, faktor predisposisi, faktor penguat dan faktor pemungkin menggunakan kuesioner online kobotoolbox. Data dianalisis secara deskriptif dan hubungan antar variabel diuji dengan regresi logistic binary. Hasil penelitian ini menunjukan  proporsi pengguna rokok elektronik pada remaja di Kota Denpasar sebesar 22.89%. Variabel yang terbukti secara signifikan memiliki hubungan terhadap penggunaan rokok elektronik adalah paparan iklan rokok elektronik (OR=7.15; 95% CI: 2.6119.59;p<0.001), persepsi positif (OR=6.46; 95% CI: 2.45-17.06;p<0.001), jenis kelamin laki-laki (OR=6.25; 95% CI: 2.418.22:p=0.001), keluarga menggunakan rokok elektronik (OR=4.17;95%CI: 1.71-10.11;p<0.005), keterjangkauan (OR=4.38; 95% CI 1.72-11.13;p=<0.005), teman sebaya menggunakan rokok elektronik (OR=477; 95%CI:1.614.14;p<0.005) dan uang saku tinggi (OR=6.85; 95% 1.97-23.72;p<0.005). Penggunaan rokok elektronik di Kota Denpasar tergolong masih tinggi untuk itu diperlukan edukasi tentang bahaya rokok elektronik serta regulasi yang jelas terkait peredaran rokok elektronik. Kata kunci: Rokok Elektronik, Remaja, Perilaku Merokok, Regresi Logistik  ABSTRACT Tobacco cigarette users in Denpasar City have not decreased significantly, but there is the emergence of new products, which is electronic cigarettes. The proportion of electronic cigarette users in Bali Province is 6,81%. This study aimed to determine the factors that influence the use of electronic cigarettes in adolescents aged 18-25 years in Denpasar City 2020.This study is a quantitative analytic study with a cross-sectional design using conviniece sampling method. The sample of this study is adolescents aged 18-25 years living for a minimum of 6 months in Denpasar City. The minimum sample size is 149 respondents with a total participation of 201 respondents. This study collected data on the characteristics of respondents, electric smoking behavior,  predisposing factors, amplifier factors, supporting factors using the online questionnaire (kobotoolbox). Data were analyzed descriptively and the relationship between variables was tested by binary logistic regression. The variables that have been shown to have a significant relationship to the use of electronic cigarettes in Denpasar City is 22,89%. The variable are exposure have  significant relationship among the use of electronic cigarettes is electronic cigarette advertisements  (OR = 7.15; 95% CI: 2.61-19.59; p <0.001), positive perception (OR = 6.46; 95% CI: 2.45-17.06; p <0.001), male gender (OR = 6.25; 95% CI: 2.41-8.22: p = 0.001), families using electronic cigarettes (OR = 4.17; 95% CI: 1.71-10.11; p <0.005), affordability (OR = 4.38; 95% CI 1.72-11.13; p = <0.005), peers use electronic cigarettes (OR = 477; 95% CI: 1.6-14.14; p <0.005) and high allowance (OR = 6.85; 95 % 1.97-23.72; p <0.005). The use of electronic cigarettes in Denpasar has high, so education about the dangers of electronic cigarettes is needed as well as clear regulations related to electronic cigarettes. Keywords: Electronic Cigarette, Adolescent, Behaviour, Logistic Regression.

scholarly journals Knowledge towards standard precautions among healthcare providers of hospitals in Amhara region, Ethiopia, 2017: a cross sectional study

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Ayele Semachew Kasa ◽  
Worku Animaw Temesgen ◽  
Yinager Workineh ◽  
Tadesse Dagget Tesfaye ◽  
Sitotaw Kerie ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
Multivariable Logistic Regression Analysis ◽  
Sectional Study ◽  
Amhara Region ◽  
Standard Precautions ◽  
Cross Sectional ◽  
Study Participants

Abstract Background Literatures revealed that healthcare-associated infections are still a great concern in many developing countries including in Ethiopia. Despite the development of detailed guidelines for infection control, they remain as a critical challenge for the public health sectors and the knowledge of standard precautions among healthcare workers in many developing countries is low and not properly applied. Hence, the present study tried to determine the level of knowledge about standard precautions among healthcare workers of Amhara region, Ethiopia. Methods Institutional based cross-sectional study was conducted on a randomly selected public hospitals of Amhara region, Northwest Ethiopia from March 01–April 01/2017. A multistage sampling strategy was utilized to select 795 sampled healthcare workers. Data were collected using pretested self-administered questionnaire. The collected data entered using EpiData Version 3.1 statistical software and analyzed using SPSS version 20 statistical package. After using binary logistic regression, multivariable logistic regression analysis used to form the model. Variables which had statistically significant association with the outcome variable (P < 0.05) were identified as significant in the multivariable logistic regression analysis. Results Almost half (49.2%) of the study participants were female healthcare workers. Three-fourth (74.3%) of the healthcare workers involved in the current study had good knowledge towards standard precautions. Good knowledge towards standard precautions refers to scoring correct responses to > 60% of knowledge items from the survey. Year of service (AOR: 0.27, 95% CI: 0.16 to 0.44), educational status (AOR: 1.7, 95% CI: 1.13 to 2.56) were among the predictor variables. In addition, physicians were 6.97 times more likely to be knowledgeable (AOR: 6.97, 95% CI 2.42 to 20.12) than laboratory technician/technology counterparts. Study participants working in medical, Gyn/obs, pediatrics wards, and OPD were about 2.23, 4.27, 2.81 and 2.52 times more likely to be knowledgeable than study participants working in surgical ward. Conclusions Overall, the majority of healthcare workers had good knowledge of standard precautions. But variation in knowledge was detected across healthcare workers by hospital type and ward/units. This may help to design a solution by prioritizing the problem.

Physicians' preparedness for pre-exposure prophylaxis: results of an online survey in Belgium

Sexual Health ◽  
2018 ◽  
Vol 15 (6) ◽  
pp. 606 ◽  
Author(s):  
Thijs Reyniers ◽  
Bea Vuylsteke ◽  
Benoit Pirotte ◽  
Elske Hoornenborg ◽  
Janneke P. Bil ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Scale Up ◽  
Binary Logistic Regression ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional ◽  
Exposure Prophylaxis ◽  
Knowledge And Acceptance

Background Physicians have a crucial role in the implementation and scale up of pre-exposure prophylaxis (PrEP). The objective of this study is to examine Belgian physicians’ PrEP knowledge, concerns, acceptance and their willingness to prescribe PrEP. Methods: A cross-sectional online survey was conducted between March and June 2016. Dissemination targeted Belgian primary care physicians (PCPs) and HIV specialists. Sociodemographic characteristics, experience with HIV and PrEP, self-assessed PrEP knowledge, concerns about PrEP, and PrEP acceptance were stratified according to professional background. Associations with willingness to prescribe PrEP were examined using univariable and multivariable binary logistic regression analyses. Results: In total, 333 completed surveys were included in the analysis. Sixty-two physicians (18.6%) scored their knowledge of PrEP to be good, 263 (79.0%) had an accepting attitude towards PrEP and 198 (59.5%) were willing to prescribe PrEP if approved in Belgium. HIV specialists consistently reported having better knowledge of PrEP, less concerns and a more accepting attitude towards PrEP than PCPs. In multivariable logistic regression analysis, higher PrEP knowledge (OR 2.4; 95%CI: 1.0–5.7) and higher PrEP acceptance (OR: 3.8; 95%CI: 2.1–6.8) remained significantly associated with the willingness to prescribe PrEP. Conclusions: HIV specialists are better prepared to provide PrEP than PCPs in Belgium. Interventions to improve PrEP knowledge and acceptance among all providers are needed. The role of PCPs could be very important in optimising the rollout of PrEP, but additional training and guidelines will be needed.

scholarly journals HUBUNGAN TINGKAT PENGETAHUAN TENTANG KEPUTIHAN DENGAN PERILAKU PENCEGAHAN KEPUTIHAN PADA REMAJA PUTRI

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Menthari H. Mokodongan ◽  
John Wantania ◽  
Freddy Wagey
Keyword(s):  
High School ◽  
Good Knowledge ◽  
Knowledge Level ◽  
Chi Square ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
Cross Sectional Design

Abstract: Leucorrhoea in teenagers can be caused by bad behavior of leucorrhoea precaution. Knowledge is a factor to build behavior in teenager. Method: observational analytic research with cross sectional design with using 200 samples from 4 Senoir high school at Manado and Kotamobagu city purposely. Data is collected by using questionnaire and be analysed by using chi-square. Result: more teenager at Manado and Kotamobagu city have good knowledge of leucorrhoea. More teenager with good knowledge of leucorrhoea have good behavior in leucorrhoea precaution (53,7%), while more teenager with poor knowledge of leucorrhoea have poor behavior of leucorrhoea precaution (66,1%). There is a relationship between knowledge level of leucorrhoea with behavior of leucorrhoea precaution (p=0,023). Teenager with good knowledge of leucorrhoea is 1,5 times to have good behavior of leucorrhoea precaution (PR=1,5; 95% CI=1,1-2,2). Conclusion: Knowledge of leucorrhoea is related significantly to behavior of leucorrhoea precaution in teenager.Keywords: leucorrhoea, knowledge, behavior.Abstrak: Keputihan pada remaja dapat disebabkan karena perilaku pencegahan keputihan yang kurang baik. Pengetahuan adalah salah satu faktor terbentuknya perilaku pada remaja. Metode: penelitian analitik observasional dengan rancangan potong lintang menggunakan 200 sampel dari 4 SMA di Manado dan Kotamobagu yang diambil secara tidak acak. Data dikumpulkan dengan menggunakan kuesioner dan dianalisa dengan chi-square. Hasil: remaja di kota Manado dan Kotamobagu lebih banyak memiliki pengetahuan yang baik tentang keputihan. Remaja dengan pengetahuan yang baik tentang keputihan lebih banyak memiliki perilaku yang baik dalam pencegahan keputihan (53,7%), sementara itu remaja dengan pengetahuan yang buruk tentang keputihan lebih banyak memiliki perilaku yang buruk dalam pencegahan keputihan (66,1%). Ada hubungan antara tingkat pengetahuan tentang keputihan dengan perilaku pencegahan keputihan pada remaja (p=0,023). Remaja dengan tingkat pengetahuan yang baik tentang keputihan memiliki kecenderungan 1,5 kali memiliki perilaku pencegahan yang baik (PR=1,5; 95% CI=1,1-2,2). Simpulan: pengetahuan tentang keputihan berhubungan secara bermakna dengan perilaku pencegahan keputihan pada remaja.Kata kunci: keputihan, pengetahuan, perilaku

scholarly journals Knowledge, attitude, and preventive practices towards COVID-19 and associated factors among adult hospital visitors in South Gondar Zone Hospitals, Northwest Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0250145
Author(s):  
Zebader Walle Belete ◽  
Gete Berihun ◽  
Awoke Keleb ◽  
Ayechew Ademas ◽  
Leykun Berhanu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Positive Attitude ◽  
Northwest Ethiopia ◽  
Good Knowledge ◽  
Multivariable Logistic Regression Analysis ◽  
Preventive Practice ◽  
Preventive Practices ◽  
Use Of Social Media ◽  
Adult Hospital ◽  
South Gondar

Background Coronavirus disease 2019 (COVID-19) is currently the critical health problem of the globe, including Ethiopia. Visitors of healthcare facilities are the high-risk groups due to the presence of suspected and confirmed cases of COVID-19 in the healthcare setting. Increasing the knowledge, attitude, and practices towards COVID-19 prevention among hospital visitors are very important to prevent transmissions of the pandemic despite the lack of evidence remains a challenge in Ethiopia. Therefore, this study was designed to investigate the status of knowledge, attitude, and preventive practice towards COVID-19 and associated factors among hospital visitors in South Gondar Zone Hospitals, Northwest Ethiopia. Methods A facility-based cross-sectional study design was employed during August 1 to 30, 2020 from randomly selected 404 adult hospital visitors in South Gondar Zone Hospitals, Northwest Ethiopia. The data was collected using interviewer-administered questionnaire. The outcome of this study was good or poor knowledge, positive or negative attitude and good or poor preventive practice towards COVID-19. Three different binary logistic regression models with 95% CI (Confidence interval) was used for data analysis. For each mode, bivariable analysis (crude odds ratio [COR]) and multivariable analysis (adjusted odds ratio [AOR]) was used during data analysis. From the bivariable analysis, variables with a p-value <0.25 were retained into the multivariable logistic regression analysis. From the multivariable logistic regression analysis, variables with a significance level of p-value <0.05 were taken as factors independently associated with knowledge, attitude and preventive practices towards COVID-19. Main findings About 69.3% of the respondents had good knowledge, 62.6% had a positive attitude, and 49.3% had good preventive practice towards the prevention of COVID-19. We found that factors significantly associated with good knowledge about COVID-19 were educational status who can read and write (AOR = 2.78; 95%CI: 1.18–6.56) and college and above (AOR = 6.15; 95%CI: 2.18–17.40), and use of social media (AOR = 2.96; 95%CI: 1.46–6.01). Furthermore, factors significantly associated with a positive attitude towards COVID-19 includes the presence of chronic illnesses (AOR = 5.00; 95%CI; 1.71–14.67), training on COVID-19 (AOR = 3.91; 95%CI: 1.96–7.70), and peer/family as a source of information (AOR = 2.45; 95%CI: 1.06–5.63). Being a student (AOR = 7.70; 95%CI: 1.15–15.86) and participants who had a good knowledge on COVID-19 (AOR = 4.49; 95%CI: 2.41–8.39) were factors significantly associated with good practice towards COVID-19. Conclusion We found that knowledge, attitude, and preventive practices towards prevention of COVID-19 among adult hospital visitors were low. Therefore, we recommended that different intervention strategies for knowledge, attitude and preventive practices are urgently needed to control the transmission of COVID-19 among adult hospital visitors. Health education of those who could not read and write about COVID-19 knowledge issues and advocating use of social media that transmit messages about COVID-19 are highly encouraged to increase the good knowledge status of adult hospital visitors. Furthermore, providing training about COVID-19 prevention methods and using various sources of information about COVID-19 will help for improving positive attitude towards COVID-19 prevention, whereas for increasing the status of good preventive practices towards COVID-19, improving the good knowledge about COVID-19 of adult hospital visitors are essential.

scholarly journals Declining trends in smokeless tobacco use among Indian women: findings from global adult tobacco survey I and II

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shishirendu Ghosal ◽  
Abhinav Sinha ◽  
Srikanta Kanungo ◽  
Sanghamitra Pati
Keyword(s):  
Logistic Regression ◽  
Tobacco Control ◽  
Smokeless Tobacco ◽  
Control Strategies ◽  
Significant Risk ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional ◽  
Women In India

Abstract Background Smokeless Tobacco (SLT) use is culturally rooted and more acceptable among women in India. SLT is a significant risk for oral cancers and has other adverse health outcomes on women’s general as well as reproductive health. This study aimed to estimate and compare the prevalence and correlates of SLT among adult females in India using Global Adult Tobacco Survey (GATS), 2009–2010 (GATS 1) and 2016–2017 (GATS 2). Methods Data from a nationally representative cross-sectional study GATS 1 (n = 35,529) and GATS 2 (n = 40,265) were analysed for adult female smokeless tobacco users. Correlates of SLT exposure were assessed separately using binary logistic regression. Multivariable logistic regression analysis was done for the variables which computed p < 0.1. The association was expressed as Adjusted Odds ratio with 95% confidence intervals. Results There was a reduction in prevalence of SLT use among women in India between GATS 1 (18.4%) and GATS 2 (12.8%). SLT use was highest among the North-Eastern women in both rounds [AOR: 4.567 (3.942–5.292) during GATS-1 and 9.149 (7.722–10.839) during GATS-2]. Odisha had highest prevalence of 56.53% while Himachal Pradesh had lowest 0.14% during the recent GATS 2 survey. 33.3% vs. 34.80% of the participants were willing to quit tobacco in Central region across both rounds of survey. Conclusions Although, smokeless tobacco prevalence among females has reduced between 2009 and 2016 in India, yet tobacco control strategies need further pace. Hence, more focused gender-based tobacco control programs and policies are the need of time.

MO376CLINICAL OUTCOMES OF ACUTE KIDNEY INJURY FOLLOWING SNAKE BITE INJURIES

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Weerakit Naweera ◽  
Thapat Wannarong
Keyword(s):  
Acute Kidney Injury ◽  
Logistic Regression ◽  
Kidney Injury ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Renal Recovery ◽  
Binary Logistic Regression Analysis ◽  
Cross Sectional ◽  
Hospital Arrival ◽  
Russell’S Viper

Abstract Background and Aims Snakebite is a common animal bite injury in tropical countries. Acute kidney injury (AKI) is an important complication in snakebite patients. This study aimed to comprehensively investigate the clinical profiles and outcomes of patients following hematotoxin-related snakebite associated with kidney impairment. Method We conducted a hospital-based, cross-sectional study of 238 patients with hematotoxin-related snakebite injuries. Data were retrieved from the King Narai Hospital Registry from October 2014 to August 2020. The prevalence of complications associated with snakebite injuries, including acute kidney injury (AKI) and its severity, was determined. Univariate and Multivariate predictors of AKI diagnosis were evaluated using binary logistic regression analysis Results A total of 238 patients, with 63.4% men, median (IQR) age 49.8 (39-61) years and median duration from injury to a hospital arrival of 1 hour (0.5-2) hours, were injured by Green pit viper (85.7%), Russell’s viper (12.6%) and Malayan pit viper (1.7%). AKI mostly occurred in Russell’s viper group 66.7%. An AKI was reported in thirty (12.6%, 95% CI: 8.7 % - 17.5%) patients, with the severity of 66.7% stage one, 6.7% stage two, 26.6% stage three by KDIGO classifications, and 13.3% requiring hemodialysis. Complete renal recovery was seen in twenty-two patients (73.3%), while partial renal recovery was 23.3%. Other complications included 84.4 % limb cellulitis, 4.6% significantly bleeding, 2.5% hypotension, 25.6% prolonged venous clotting time (VCT), 46.7% prolonged prothrombin time (PT), and 14.3% prolonged partial thromboplastin time (PTT). Of total patients, 60.1% were treated with anti-venom. Mortality was relatively low (0.4%). In multivariable logistic regression analyses, AKI was significantly associated with time to hospital arrival more than 3 hours (p = 0.04), Russell’s viper bitten (p = 0.01), clinical bleeding (p = 0.01), and prolonged PT (p &lt; 0.01). Conclusion The prevalence of AKI in patients bitten by hematotoxin snakes was 12.6%, mostly from Russell’s viper. Factors associated with AKI outcomes were time to hospital arrival more than 3 hours, Russell’s viper bitten, clinical bleeding, and prolonged PT. Besides, one-fourth of AKI patients turned to chronic kidney disease.

scholarly journals A predictive model for early diagnosis of keratoconus

2020 ◽  
Author(s):  
GRACIA CASTRO-LUNA ◽  
ANTONIO PÉREZ-RUEDA
Keyword(s):  
Logistic Regression ◽  
Predictive Model ◽  
Early Stage ◽  
Corneal Thickness ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Diagnostic Model ◽  
Binary Logistic Regression Model ◽  
Cross Sectional

Abstract Background: The diagnosis of keratoconus in the early stages of the disease is necessary to initiate an early treatment of keratoconus. Furthermore, to avoid possible refractive surgery that could produce ectasias. This study aims to describe the topographic, pachymetric and aberrometry characteristics in patients with keratoconus, subclinical keratoconus and normal corneas. Additionally to propose a diagnostic model of subclinical keratoconus based in binary logistic regression models Methods: The design was a cross-sectional study. It included 205 eyes from 205 patients distributed in 82 normal corneas, 40 early-stage keratoconus and 83 established keratoconus. The rotary Scheimpflug camera (Pentacam® type) analyzed the topographic, pachymetric and aberrometry variables. It performed a descriptive and bivariate analysis of the recorded data. A diagnostic and predictive model of early-stage keratoconus was calculated with the statistically significant variables Results: Statistically significant differences were observed when comparing normal corneas with early-stage keratoconus/ in variables of the vertical asymmetry to 90º and the central corneal thickness. The binary logistic regression model included the minimal corneal thickness, the anterior coma to 90º and posterior coma to 90º. The model properly diagnosed 92% of cases with a sensitivity of 97.59%, specificity 98.78%, accuracy 98.18% and precision 98.78%Conclusions: The differential diagnosis between normal cases and subclinical keratoconus depends on the mínimum corneal thickness, the anterior coma to 90º and the posterior coma to 90º.

scholarly journals Association between the non-HDL-cholesterol to HDL-cholesterol ratio and non-alcoholic fatty liver disease in Chinese children and adolescents: a large single-center cross-sectional study

2020 ◽  
Author(s):  
Shouxing Yang ◽  
Jinwei Zhong ◽  
Mengsi Ye ◽  
Lei Miao ◽  
Guangrong Lu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Children And Adolescents ◽  
Binary Logistic Regression ◽  
Hdl Cholesterol ◽  
Chinese Children ◽  
Binary Logistic Regression Analysis ◽  
Cross Sectional ◽  
Alcoholic Fatty Liver ◽  
Chinese Children And Adolescents

Abstract Background: The non-HDL-cholesterol to HDL-cholesterol (NHDLC/HDLC) ratio is closely related to a variety of dyslipidemia-related diseases. This study aimed to inspect the relationship between the NHDLC/HDLC ratio and non-alcoholic fatty liver (NAFLD) in children and adolescents.Methods: In this cross-sectional survey, a total of 7,759 eligible Chinese children and adolescents (5,692 boys and 2,067 girls) received routine medical examinations. The anthropometric and laboratory data of the subjects were collected. NAFLD was diagnosed by liver ultrasonography. Binary logistic regression analysis was performed on the NHDLC/HDLC ratio, NHDLC, HDLC and NAFLD. Receiver operating characteristic (ROC) curve analysis was exploited to compare the diagnostic significance of the above parameters for NAFLD.Results: The total prevalence of NAFLD was 4.36%, and the prevalence in boys was higher than that in girls (5.61% vs. 1.9%, P < 0.001). The prevalence of NAFLD was positively correlated with the NHDLC/HDLC ratio (P < 0.001). The binary logistic regression analysis demonstrated that the OR was 8.61 (95% CI, 5.90-12.57, P < 0.001) in tertile 3 (highest NHDLC/HDLC ratio) compared with tertile 1 (lowest NHDLC/HDLC ratio). After adjustment for age, sex, body mass index (BMI), alanine aminotransferase (ALT), uric acid (UA), total bilirubin (TB), fasting plasma glucose (FPG) and Homeostasis Model Assessment of Insulin Resistance (HOMA-IR), the OR for tertile 3 (OR=1.83, 95% CI, 1.04-3.22, P = 0.035) was still significantly higher than that of tertile 1. The area under the curve (AUC) of the NHDLC/HDLC ratio of boys was 0.787, which was significantly greater than that of NHDLC and HDLC (0.719 and 0.726, P < 0.001). For girls, the AUC of the NHDLC/HDLC ratio was 0.763, which was also significantly greater than that of NHDLC (0.661, P < 0.001). Furthermore, the cutoff point of the NHDLC/HDLC ratio was 2.475 in boys and 2.695 in girls. In addition, the AUC of the NHDLC/HDLC ratio was 0.761 in subjects with normal ALT levels (ALT ≤ 40 U/L), which was significantly higher than that of NHDLC (0.680, P < 0.001) and HDLC (0.724, P = 0.007). For subjects with elevated ALT levels (ALT > 40 U/L), the AUC of the NHDLC/HDLC ratio (0.746) was also significantly greater than that of NHDLC (0.646, P < 0.001)Conclusions: The NHDLC/HDLC ratio was positively correlated with NAFLD in Chinese children and adolescents. It may serve as an effective indicator to help identify NAFLD in children and adolescents.

scholarly journals Knowledge, Attitude and Prevention Practice of COVID-19 in South-West Nigeria

2021 ◽  
pp. 32-39
Author(s):  
Olanrewaju D. Eniade ◽  
Dolapo E. Agbana ◽  
Bridget O. Afam
Keyword(s):  
Positive Attitude ◽  
Tertiary Education ◽  
Good Practice ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Older Age ◽  
Good Knowledge ◽  
Cross Sectional ◽  
Good Practices ◽  
Southwest Nigeria

Introduction: To assess knowledge, attitude and prevention practice of coronavirus disease 2019 (COVID-19) in Southwest, Nigeria. This was an online cross-sectional study among dwellers of southwest Nigeria. Methods: Data were collected online with kobo toolbox and analyzed using the Statistical package for social sciences (SPSS, 2018) and the descriptive statistics, test of independence and binary logistic regression were presented. Results: Of the 286 study participants, 96.1% had good knowledge, 99.3% had positive attitude towards control of COVID-19, while 77.3% had good practices for prevention of the virus. Majority of the participants (86.9%) had tertiary education, 11.3% were 40 years or older. Age and education were independently associated with COVID-19 prevention practice. After adjustment for some selected socio-demographic factors, only age of 10 – 19 years (OR: 3.83, CI: 1.05, 14), age 20-29 years (OR: 2.99, CI: 1.18 -7.55), and 30 -39 years (OR: 4.35, CI: 1.49-12.67) were more likely to have good practice of COVID-19 prevention compared to age >=40 years. Conclusion: The result revealed a high prevalence of good practices, and the majority had good knowledge of COVID-19 and positive attitude towards control of COVID-19. Age and education were identified to be associated with practice of COVID-19 prevention. Further exploration revealed that elders (>=40years) were not likely to have good practice of COVID-19 prevention. We deduced that good practice of COVID-19 prevention was high in southwest Nigeria but notably low among elders and those who attained below tertiary education in southwest Nigeria. However, people of older age and poor education should be given much attention for proper enlightening and prevention strategies in this pandemic.

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