scholarly journals Mood Status in Patients with Gastrointestinal Tract Cancer Undergoing Radiotherapy: A Randomized Cross-sectional Study

Author(s):  
tohid tayefeh
BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042006
Author(s):  
Xiang Feng ◽  
Zhao-Lai Hua ◽  
Qin Zhou ◽  
Ai-Wu Shi ◽  
Tong-Qiu Song ◽  
...  

ObjectivesTo describe the prevalence of modifiable risk factors for upper digestive tract cancer (UDTC) and its coprevalence, and investigate relevant influencing factors of modifiable UDTC risk factors coprevalence among residents aged 40–69 years in Yangzhong city, China.DesignCross-sectional study.ParticipantsA total of 21 175 participants aged 40–69 years were enrolled in the study. 1962 subjects were excluded due to missing age, marital status or some other selected information. Eventually, 19 213 participants were available for the present analysis.Main outcomes measuresPrevalence and coprevalence of eight modifiable UDTC risk factors (overweight or obesity, current smoking, excessive alcohol consumption, insufficient vegetables intake, insufficient fruit intake and the consumption of pickled, fried and hot food) were analysed.ResultsThe prevalence of overweight/obesity, current smoking, excessive alcohol consumption, insufficient vegetables intake, insufficient fruit intake and the consumption of pickled, fried and hot food in this study was 45.3%, 24.1%, 16.2%, 66.1%, 94.5%, 68.1%, 36.0% and 88.4%, respectively. Nearly all (99.9%) participants showed one or more UDTC risk factors, 98.6% of the participants showed at least two risk factors, 92.2% of the participants had at least three risk factors and 69.7% of the participants had four or more risk factors. Multivariate logistic regression analysis revealed that men, younger age, single, higher education, higher annual family income and smaller household size were more likely to present modifiable UDTC risk factors coprevalence.ConclusionsThe prevalence and coprevalence of modifiable UDTC risk factors are high among participants in Yangzhong city. Extra attention must be paid to these groups who are susceptible to risk factors coprevalence during screening progress. Relative departments also need to make significant public health programmes that aim to decrease modifiable UDTC risk factors coprevalence among residents aged 40–69 years from high-risk areas of UDTC.


2020 ◽  
Vol 27 (3) ◽  
pp. 469-475
Author(s):  
Monika Berbecka ◽  
Małgorzata Kolasińska-Bzoma ◽  
Ewa Kolasińska-Gliwa ◽  
Wojciech Polkowski ◽  
G. Johan A. Offerhaus ◽  
...  

2017 ◽  
Vol 5 (1) ◽  
pp. 18-21
Author(s):  
R.G. Joshi ◽  
D.R. Shakya ◽  
P.M. Shyangwa ◽  
B. Pradhan

Introduction: Women with ADS may have psychiatric comorbidites along with physical comorbidities. Societal attitudes towards women and alcohol are barriers to the detection and treatment of their alcohol related problems.Objective: To explore the magnitude of co-morbidity among women with ADS in Eastern Nepal.Method: This is a hospital based cross-sectional study of women with ADS. Those who scored two or more than two in T-ACE questionnaire were enrolled. The diagnosis was made according to ICD-10 criteria. Consultation with concerned physician was done to assess physical condition.Result: Fifty one patients with ADS were enrolled. Among them, 21.6% had no comorbidity, 52.9% had single co-morbidity (psychiatric or physical) and 25.5% had both psychiatric and physical co-morbidity. In psychiatric comorbidity, mood disorder in 35.29% was the commonest followed by nicotine use in 26.47%. Among mood disorders 83.3% had depression. In physical comorbidity, disease of gastrointestinal tract and hepatobiliary system in 50.9% was the commonest followed by hypertension in 11.5%.Conclusion: : Psychiatric as well as physical co-morbidities are common in women with ADS. The finding points to the importance of exploring comorbidities and their optimal treatment.


Author(s):  
Leticia ROSEVICS ◽  
Luiz Roberto KOTZE ◽  
Odery RAMOS JÚNIOR

ABSTRACT BACKGROUND: Ileitis is defined as an inflammation of the ileum, which is evaluated during colonoscopy. Biopsies should be performed on altered ileus, aiding to the diagnosis. OBJECTIVE: Evaluate the correlation of anatomopathological findings on ileitis between pathologists and endoscopists. METHODS: A retrospective, cross-sectional study, between 2013 and 2017. Examination report, indications for colonoscopy, and medical records were evaluated to identify whether the colonoscopic findings were clinically significant. Anatomopathological samples were reviewed by a pathologist expert in gastrointestinal tract. Patients over 18 years of age who had undergone ileoscopy were included, whereas patients below 18 years of age and those with previous intestinal resections were excluded. The correlation was assessed using the kappa coefficient index. RESULTS: A total of 5833 colonoscopies were conducted in the study period and 3880 cases were included. Ileal alterations were observed in 206 cases, with 2.94% being clinically significant. A hundred and sixty three biopsies were evaluated using the kappa index, resulting in agreement among pathologists of 0.067 and among pathologist and endoscopist of 0.141. CONCLUSION: It was observed that despite the low concordance between pathologists and endoscopists, there was no change in patient outcomes. This study confirms the importance of knowledge of the main anatomopathological changes related to ileitis by pathologists and endoscopists, making the best diagnosis and follow-up.


2021 ◽  
Vol 59 (239) ◽  
Author(s):  
Ramila Shrestha ◽  
Shankhar Baral ◽  
Mukesh Sharma ◽  
Jiwan Thapa ◽  
Dibas Khadka

Introduction: Most ingested foreign bodies pass through the gastrointestinal tract spontaneously. However, some foreign bodies may get impacted in the upper gastrointestinal tract. A variety of endoscopic techniques and instruments are indicated for the removal of such impacted foreign bodies. This study was conducted to find out the prevalence of successful endoscopic removal of foreign bodies. Methods: This descriptive cross-sectional study was conducted among patients who presented at the Department of Gastroenterology with complaints of upper gastrointestinal foreign body ingestion from 2/11/2008 to 23/07/2020 after taking ethical approval of the research proposal was taken from Institutional Review Board (Reference no 13). Convenient sampling was done. The data were entered into Microsoft Excel and analyzed in Statistical Package of Social Sciences version 22. Results: A total of 119 cases were identified with foreign bodies ingestion. In hundred patients, foreign bodies 100 (84 %) (77.41-90.58 at 95% Confidence Interval) were extracted completely. Complete extraction failed in 19 (16%) patients. Six (5%) patients were treated by push technique and 10 (8.4%) patients with failed retrieval, received surgical intervention for foreign body removal. Conclusions: Endoscopic removal technique of foreign bodies in the upper gastrointestinal tract was successful in most of the cases and is associated with few complications.


1997 ◽  
Vol 71 (3) ◽  
pp. 233-240 ◽  
Author(s):  
A. Permin ◽  
H. Magwisha ◽  
A.A. Kassuku ◽  
P. Nansen ◽  
M. Bisgaard ◽  
...  

AbstractA cross-sectional study on the prevalence of helminths in rural scavenging poultry on six hundred adult chickens selected randomly from six villages in the Morogoro Region, Tanzania during the wet and the dry seasons, was conducted. The trachea and gastrointestinal tract of each bird were examined for the presence of parasites. All chickens were infected with one or several species of helminths, the average being 4.8 ±1.7 helminths per chicken during the wet season and 5.1 ± 1.8 during the dry season. A total of 29 different helminth species were shown in the trachea or the gastrointestinal tract. The following species were identified: Syngamus trachea (0.7% (wet season), 2% (dry season)); Gongylonema ingluvicola (6.3%, 17.7%); Tetrameres americana (54.3%, 60.3%); Dispharynx nasuta (0%, 2.7%); Acuaria hamulosa (8.3%, 19.3%); Ascaridia galli (28.3%, 32.3%); Heterakis gallinarum (74.0%, 78.7%); H. isolonche (18.7%, 5.0%); H. dispar (25.7%, 6.3%); Allodapa suctoria (40.0%, 52.0%); Subulura strongylina (3.3%, 1.0%); Strongyloides avium (0.3%, 3.0%); Capillaria annulata (2.0%, 0.0%); C. contorta (9.0%, 1.0%); C. caudinflata (2.0%, 4.3%); C. obsignata (8.7%, 25.0%); C. anatis (4.0%, 9.0%); C. bursata (1.0%, 2.7%); Raillietina echinobothrida (41.3%, 46.3%); R. tetragona (25.3%, 21.3%); R. cesticillus (8.7%, 2.7%); Choanotaenia infundibulum (0.0%, 3.7%); Hymenolepis carioca (9.0%, 18.0%); H. cantaniana (48.0%, 43.0%); Amoebotaenia cuneata (39.3%, 36.0%); Metroliasthes lucida (1.0%, 0.3%); Davainea proglottina (5.7%, 0.3%) and Polymorphus boschadis (0.3%, 0.0%). No trematodes were found. No correlation was found between season and prevalence, or season and mean worm burdens. Twelve helminths of the species recovered represent new local records.


2021 ◽  
Author(s):  
Fariborz Mansour-Ghanaei ◽  
Alireza Gharib Pour ◽  
Farahnaz Joukar ◽  
Alireza Mansour-Ghanaei ◽  
Masood Sepehrimanesh ◽  
...  

Abstract Purpose: Precancerous lesions of the UGI tract are the second major cancer-related deaths and responsible for more than ten percent of cancer-related deaths worldwide. The aim of this study was to evaluate the frequency of precancerous lesions in the upper gastrointestinal tract of patients under patronage of Imam Khomeini Relief Foundation in Guilan province as vulnerable population. Methods: In a cross-sectional study from March 2017 to March 2018, three hundred patients under patronage of Guilan branch of Imam Khomeini Relief Foundation aged more than 40 years were enrolled. All patients were underwent endoscopy and checked for Helicobacter pylori infection. Results: The most frequent lesions in the esophagus, stomach and bulb were grade A mucosal breaking (58.7%), erosions (57.0%), and ulcers (6.3%), respectively. Esophageal lesions were higher in the age more than 60 years (P=0.036). Smokers and patients with familial history of cancers in the 2ndand 3rd grade of relatives had more lesions in the bulb (P=0.005 and P=0.010, respectively). Female patients, those with age lower than 50 years and no-smoker had lower frequency of intestinal metaplasia (IM) (P=0.024, P=0.030, and P=0.003, respectively). Also, there was positive association between gastric atrophy and age (P=0.009). Furthermore, chronic active gastritis were seen more frequently in male patients (P=0.003) and smokers (P=0.010). Significant positive association between consumption of fish meat and occurrence of IM was detected (P=0.010). Conclusions: Male gender, higher age and smoking for IM and male gender, higher BMI and smoking for H. pylori infection were the predictive risk factors. It seems early diagnosis of precancerous lesions help to prevent cancers and to increase the survival rate.


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