Association of Hypothyroidism with diabetes mellitus, hypertension, age, and gender - A descriptive study

Author(s):  
Sajitha N
2016 ◽  
Vol 49 (6) ◽  
pp. 376-381 ◽  
Author(s):  
Amanda Nogueira de Sá Gonçalves ◽  
Marco Aurélio Sousa Sala ◽  
Rodrigo Ciotola Bruno ◽  
José Alberto Cunha Xavier ◽  
João Mauricio Canavezi Indiani ◽  
...  

Abstract Objective: The objective of this study was to profile patients who undergo defecography, by age and gender, as well as to describe the main imaging and diagnostic findings in this population. Materials and Methods: This was a retrospective, descriptive study of 39 patients, conducted between January 2012 and February 2014. The patients were evaluated in terms of age, gender, and diagnosis. They were stratified by age, and continuous variables are expressed as mean ± standard deviation. All possible quantitative defecography variables were evaluated, including rectal evacuation, perineal descent, and measures of the anal canal. Results: The majority (95%) of the patients were female. Patient ages ranged from 18 to 82 years (mean age, 52 ± 13 years): 10 patients were under 40 years of age; 18 were between 40 and 60 years of age; and 11 were over 60 years of age. All 39 of the patients evaluated had abnormal radiological findings. The most prevalent diagnoses were rectocele (in 77%) and enterocele (in 38%). Less prevalent diagnoses were vaginal prolapse, uterine prolapse, and Meckel's diverticulum (in 2%, for all). Conclusion: Although defecography is performed more often in women, both genders can benefit from the test. Defecography can be performed in order to detect complex disorders such as uterine and rectal prolapse, as well as to detect basic clinical conditions such as rectocele or enterocele.


2020 ◽  
Vol 12 (2) ◽  
pp. 35-42
Author(s):  
Megan E. Gately ◽  
Linda Tickle-Degnen ◽  
Scott A. Trudeau ◽  
Nathan Ward ◽  
Keren Ladin ◽  
...  

Family caregivers are vital to telehealth-delivered dementia care. The objective of this mixed methods descriptive study conducted in the VA Bedford Healthcare System was to examine caregiver satisfaction with a video telehealth dementia home safety occupational therapy evaluation. Ten caregivers of Veterans with dementia participated. Ratings of caregiver satisfaction, measured by nine Likert scale items including ability to see and hear, were examined in relation to person and visit-related contextual factors extracted from RA field notes, to develop an in-depth understanding of caregiver experience. Person factors included caregiver age and gender and Veteran cognitive status. Visit-related contextual factors included occurrence  of technical glitches. Caregiver visit satisfaction was overall positive, with exceptions related to technological glitches and the presence of the person with dementia during the visit. Veteran cognitive status appeared to influence caregiver satisfaction. Implications of the study are that proactively addressing technical glitches and incorporating dementia stage-specific approaches may optimize caregivers’ telehealth experience. 


PLoS ONE ◽  
2014 ◽  
Vol 9 (4) ◽  
pp. e95308 ◽  
Author(s):  
Arshad Mohamed Channanath ◽  
Bassam Farran ◽  
Kazem Behbehani ◽  
Thangavel Alphonse Thanaraj

2020 ◽  
Vol 16 ◽  
Author(s):  
Abdullah S. Alghamdi ◽  
Abdulaziz Alqadi ◽  
Richard O. Jenkins ◽  
Parvez I. Haris

Background: Glycated haemoglobin (HbA1c) is the gold standard measurement in the screening, diagnosis and monitoring of diabetes mellitus. Saudi Arabia has a high prevalence of diabetes mellitus that is expected to rise, and the HbA1c test is commonly used in the screening, diagnosis and monitoring of diabetes. Objective: his study aims to assess the impact of age and gender on HbA1c levels, and the influence of menopausal status on HbA1c variation in a large group of Saudis. Method: Age, gender, and HbA1c results of 168,614 Saudi adult individuals were obtained from their medical records. Patients’ records were extracted irrespective of their status regarding presence of diabetes and status of glycaemic control. Linear regression models were used for predicting HbA1c from age and gender, and their interaction term. HbA1c levels were compared between genders in different age groups and different HbA1c categories. Results and Discussion: There was a statistically significant positive correlation between age and HbA1c levels, where for each ten years increase in age HbA1c increased by 0.35%. Although the overall mean HbA1c in women was significantly lower than in men (P < 0.001), women show a significant increase in HbA1c with increased age compared to men (B = 0.014, P < 0.001). Furthermore, the mean HbA1c levels in age group > 50 years was significantly higher than before that age (P < 0.001). Thus, HbA1c increased by 1.118% in age > 50 years group compared to age ≤ 50 years, and this increase in HbA1c was significantly higher in women compared to men (B = 0.495, P < 0.001). Conclusion: HbA1c levels are lower in women before the estimated menopausal age, which should be taken into consideration when using HbA1c for screening, diagnosis, and monitoring of diabetes in Saudi adult women. The short lifespan of red blood cells, due to loss of blood through menstruation, in women before menopause age, is a possible reason for these variations.


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