Duration of confinement and pen-type affect health-related measures of welfare in lactating sows

2020 ◽  
Vol 29 (3) ◽  
pp. 339-352
Author(s):  
K Maschat ◽  
M Dolezal ◽  
C Leeb ◽  
B Heidinger ◽  
C Winckler ◽  
...  

Temporary crating is considered as a step towards improved welfare in lactating sows. Therefore, the aim of this study was to investigate effects of confinement period (CP) and farrowing pen-type (PT) on health-related measures. Four hundred and thirteen sows were kept in five PT with four CP each: CP 0-sows were not confined; CP 3-sows were crated postpartum for three days; CP 4- and CP 6-sows were crated from a day prior to expected farrowing until day 4 and 6 postpartum, respectively. Alterations in different body regions were recorded when sows were moved to the pens and in weeks 1, 3 and 4 postpartum. CP 6-sows displayed significantly more lesions on their back than CP 0- and CP 3-sows. Odds ratios of teat lesions were markedly higher in CP 4-sows than in all other CP. Pen-type P (Pro Dromi) resulted in more neck/back/body side injuries, claw horn changes and lame sows compared to all other PT. High odds ratios were also found for neck injuries in PT K (Knick), shoulder sores in PT K and T (Trapez), injured teats in PT F (Flügel) and body side injuries in PT S (SWAP). The types of lesions found in the present study are similar to those reported for crates caused by pen structures. While an overall assessment of pig (S) production husbandry systems must also take piglet welfare into account, this study showed that keeping confinement periods as short as possible improves sow welfare and systems should be adapted to also cater for the needs of sows.

Author(s):  
Bujar Gashi ◽  
Vesa Osmani ◽  
Rrezart Halili ◽  
Teuta Hoxha ◽  
Agron Kamberi ◽  
...  

Background: Some studies have assessed the seroprevalence of anti-SARS-CoV-2 antibodies in different populations. Very few studies have explored seroprevalence in municipal workers, an important and potentially high-risk population. This study aims to determine the prevalence of anti-SARS-CoV-2 antibodies in municipal workers, with the additional examination of the association of prevalence with various demographic, health-related, and epidemiological factors. Methods: We surveyed and tested for seroprevalence 418 public servants from the municipality of Prishtina, the capital of Kosovo. The primary prespecified outcome was the seroprevalence of anti-SARS-CoV-2 antibodies, IgG, and IgM. Additional outcomes were crude and adjusted odds ratios of seroprevalence by different factors. Results: 21.1% of municipal workers tested positive for either IgM or IgG. Of these, 9.6% were positive for IgM and 19.4% for IgG. Data showed high levels of adherence to protective measures, e.g., social distancing in the office, but calculation of ORs did not show a significant difference between those reporting adherence to such measures and those reporting nonadherence. Of other examined factors, significantly lower odds were observed for smokers (0.52, 95% CI 0.28, 0.97), while municipal workers with infected family members had elevated odds of seropositivity according to both crude (2.19, 95% CI 1.34, 3.59) and adjusted (2.00, 95% CI 1.17, 3.41) ORs. Conclusions: Most answers from public servants demonstrated compliance to social-distancing policies in the workplace, but analysis of crude and adjusted odds ratios did not suggest a significant effect between municipal workers who followed these guidelines and those who did not. Results from this study help Kosovo policy makers in understanding the level of prevalence of COVID-19 in municipal workers and the effect of different factors on such prevalence. Results from the study could inform future decisions on the design and application of protective measures for municipal workers. Our findings should encourage further research to assess the extent of the spread of COVID-19 to other essential workers in Kosovo, including retail workers.


Crisis ◽  
2016 ◽  
Vol 37 (6) ◽  
pp. 438-444 ◽  
Author(s):  
Shotaro Doki ◽  
Hidetoshi Kaneko ◽  
Yuichi Oi ◽  
Kazuya Usami ◽  
Shinichiro Sasahara ◽  
...  

Abstract. Background: Telephone hotlines are a widely used type of suicide prevention program. Aims: The aim of this study was to clarify the risk factors for suicidal ideation by investigating its association with a number of characteristics among telephone hotline callers. Method: Data were collected over a 10-year period from a total of 246,595 calls to Inochi No Denwa, a telephone crisis hotline in Ibaraki, Japan, and subsequently analyzed. Odds ratios for suicidal compared with nonsuicidal ideation were also calculated. Results: About 6% of the calls to the hotline were suicide related, and about 2% of the callers had attempted suicide in the past. Odds ratios for suicidal ideation increased during winter, but no daily tendencies were evident. Those whose problems were related to their way of life were at the highest risk of suicidal ideation, followed by those with health-related concerns. Conclusion: We were able to identify risk factors for suicidal ideation based on an analysis of enormous amounts of data from a telephone crisis hotline in Japan. Knowledge of these risk factors is expected to lead to improvements in suicide prevention programs.


2019 ◽  
Vol 7 (2) ◽  
pp. 18
Author(s):  
Lawrence Mundia

Background: Numerous studies show that employees tend to have anxiety and other psychological problems at places of work. The present investigation explored the prevalence of work-related general anxiety in 860 randomly chosen Brunei public and private sector employees.Methods: A quantitative field survey design was used to reach many participants and employed binary logistic regression procedure with backward elimination in analyzing the data.Results: Males were far less likely to have work-related general anxiety compared to females. Employees who sought help from prayer / religion were nearly 1.7 times more likely to have work-related general anxiety compared to those who do not get such help. Workers who regularly got help from family members on problems had also high likelihood of possessing a great amount of work-related general anxiety compared to those who did not often get help from family members. Employees with a low educational background had high odds ratios for possessing work-related general anxiety compared to those with high education.Compared to high scorers: (1) low scorers on peace and security variable were less likely to have work-related general anxiety; (2) low scorers on personal wellbeing and happiness were also less likely to experience work-related general anxiety; (3) low scorers on self-regulation and self-direction were as well less likely to have work-related general anxiety; and (4) low scorers on employer-employee relationships were equally less likely to have work-related general anxiety issues. However, (5) low scorers on moral obligations were 1.6 times more likely to have work-related general anxiety problems; (6) low scorers on satisfaction with work-related achievements were 1.9 times more likely to have work-related general anxiety; (7) low scorers on interpersonal trust variable had high odds ratios for having work-related general anxiety problems; and (8) low scorers on work stress problems were surprisingly also highly likely to have work-related general anxiety problems.Conclusions: Sociodemographic variables and social work values presented above had different effects on work-related anxiety in employees. These are the variables to which attention and priority should be directed and accorded when counselling workers.


CNS Spectrums ◽  
2020 ◽  
Vol 25 (2) ◽  
pp. 268-269
Author(s):  
Andrew J. Cutler ◽  
Stanley N. Caroff ◽  
Huda Shalhoub ◽  
William R. Lenderking ◽  
Ericha Franey ◽  
...  

Abstract:Study Objective:Tardive dyskinesia (TD) is a persistent and potentially disabling movement disorder associated with prolonged antipsychotic use. RE KINECT, a real-world screening study of antipsychotic-treated outpatients, included patients with movements that were clinician-confirmed as possible TD (Cohort 2) and patients with no involuntary movements (Cohort 1). Baseline data from the patient rated EuroQoL 5-Dimension 5-Level questionnaire (EQ-5D-5L) and Sheehan Disability Scale (SDS) were analyzed to evaluate health related quality of life (Cohort 2 vs. Cohort 1) and the effects of possible TD on quality of life (Cohort 2).Methods:Assessments included EQ-5D-5L utility score (0=equivalent to death to 1=perfect health); SDS total score (0=no impact to 30=highest impact); patient- and clinician-rated severity of possible TD in 4 body regions (0=none, 1=some, and 2=a lot; summary score, 0 to 8); and patient-rated impact of possible TD in 7 daily activities (0=none, 1=some, and 2=a lot; summary score, 0 to 14). Populations included Cohort 1 (N=450); full Cohort 2 (N=204); and limited Cohort 2 (N=111, patients who self-reported “some” or “a lot” of TD severity in ≥1 body region). Mean differences between Cohort 2 and Cohort 1 in EQ-5D-5L utility and SDS total scores were analyzed using a generalized linear regression model that was adjusted for potentially confounding factors (e.g., age, sex, psychiatric diagnosis). Associations between TD summary scores (severity, impact) and quality of life (EQ-5D-5L utility, SDS total) were analyzed using a regression model.Results:The mean score difference between full Cohort 2 (N=204) and Cohort 1 (N=450) was significant for EQ-5D-5L utility (-0.037; P<0.05 [adjusted analysis]) but not SDS total (0.267; P>0.05). However, when limited to Cohort 2 patients who self-reported “a lot” of TD severity (n=53) or impact (n=33), both EQ 5D 5L utility and SDS total scores were significantly worse than in Cohort 1 (P<0.05). Regression coefficients indicated significant associations between patient-rated impact and EQ 5D-5L utility in the full Cohort 2 (-0.021, P<0.001) and limited Cohort 2 (-0.024, P<0.001). A significant association was also found with patient rated severity in limited Cohort 2 (P<0.05), but not with clinician-rated severity. Similar results were found for SDS total score.Conclusions:RE-KINECT patients were consistent in evaluating the severity and impact of TD, whether based on subjective assessments or standardized patient-reported instruments (EQ-5D-5L, SDS). Clinician-rated severity of TD may not always correlate with patient perceptions of the significance of TD. Patient self-assessments (focused on symptom impact) can be clinically relevant; incorporating such measures into everyday practice may provide a more comprehensive approach to TD assessment and management.Funding Acknowledgements:Supported by Neurocrine Biosciences, Inc.


Open Medicine ◽  
2010 ◽  
Vol 5 (1) ◽  
pp. 97-107
Author(s):  
Linas Šumskas ◽  
Ilona Lenčiauskienė ◽  
Apolinaras Zaborskis

AbstractThe aim of this study was to compare and get a deeper insight into issues of the health and health behavior inequalities among Lithuanian, Polish and Russian school-aged children in national and international contexts. Investigations were carried out in the framework of Health Behavior in School-aged Children (HBSC) study — a WHO collaborative cross-national survey. Five thousand seven hundred and seventy six randomly selected students aged 11, 13, and 15 years of age answered questionnaires in the classroom in 108 schools located in different regions in Lithuania in March–April of 2006. Questions on perceived health and health related behaviors were addressed to the respondent (response rate was 95 %). 5632 questionnaires were selected for further analysis by the international data center in Bergen. SPSS version 11.5 and multilevel analysis program MLwiN 2.0 was applied for statistical analysis of data. Relatively minor inequalities in health and health behavior were established when comparing different health and health behavior indicators in Lithuanian, Polish and Russian school-aged children in Lithuania. These disparities are lower in comparison with differences, which were established among respondents of HBSC international studies. Odds ratios to have negative self-rated health evaluation were higher in girls of Russian (OR-1.71, p<0.05) and Polish (OR-1.62, p<0.05) nationality. Therefore, Russian and Polish students were tending to have higher odds ratios for perception of happiness (p<0.05). Respondents of Russian nationality have expressed less somatic and psychological complaints. Polish boys (OR=1.38, p<0.05) were tending for higher prevalence of headache, but have expressed fewer complaints for depression (OR=0.65, p<0.05), anxiety (OR=0.71, p<0.05). Chances to be involved in risk taking behaviors (alcohol consumption, smoking, drug use) were lower among Polish and Russian respondents. In schools with Lithuanian language based-schoold, health and health behavior indicators were more negative in Polish and Russian respondents in comparisons with their Lithuanian peers However, Lithuanian students, who were enrolled in Russian and Polish schools, tending to have better perceived health evaluation and better health behavior in comparison with their peers of Polish and Russian nationality. Analysis shows, that Polish and Russian students are integrated well into Lithuanian society and being a member of the minority class is not related to poor health or negative lifestyle. Therefore, with few exceptions universal health promotion programs should be provided to school-aged children of all ethnicities and cultural backgrounds.


Author(s):  
Ulrik Lidwall

Abstract Objective To investigate whether gender-segregated occupations and branches are associated with future medically certified sick leave for women and men. Methods All gainfully employed residents in Sweden in December 31st 2014 aged 16–69 years (n = 4 473 964) were identified in national registers. Subjects working in segregated (61–90%) and extremely segregated (> 90%) occupations and branches were evaluated v/s subjects in gender-integrated occupations and branches (40–60%). Combinations of segregation by occupation and branch were also investigated. Two-year prospective medically certified sick leaves (> 14 days) were evaluated using logistic regression with odds ratios recalculated to relative risks (RR), adjusted for work, demographic and health related factors. Results The sick leave risk was higher for those working in extremely female-dominated occupations (women RR 1.06 and men RR 1.13), and in extremely female-dominated branches (women RR 1.09 and men RR 1.12), and for men in extremely male-dominated branches (RR 1.04). The sick leave risk was also higher for both women and men in female-dominated occupations regardless of the gender segregation in the branch they were working in. However, the differences in sick leave risks associated with gender segregation were considerably smaller than the differences between occupations and branches in general. Conclusions Gender segregation in occupations and branches play a role for sick leave among women and men, especially within extremely female-dominated occupations and branches. However, gender segregation appears to be subordinate to particular occupational hazards faced in diverse occupations and branches.


Author(s):  
Amy Hasselkus

The need for improved communication about health-related topics is evident in statistics about the health literacy of adults living in the United States. The negative impact of poor health communication is huge, resulting in poor health outcomes, health disparities, and high health care costs. The importance of good health communication is relevant to all patient populations, including those from culturally and linguistically diverse backgrounds. Efforts are underway at all levels, from individual professionals to the federal government, to improve the information patients receive so that they can make appropriate health care decisions. This article describes these efforts and discusses how speech-language pathologists and audiologists may be impacted.


Author(s):  
Charles Ellis ◽  
Molly Jacobs

Health disparities have once again moved to the forefront of America's consciousness with the recent significant observation of dramatically higher death rates among African Americans with COVID-19 when compared to White Americans. Health disparities have a long history in the United States, yet little consideration has been given to their impact on the clinical outcomes in the rehabilitative health professions such as speech-language pathology/audiology (SLP/A). Consequently, it is unclear how the absence of a careful examination of health disparities in fields like SLP/A impacts the clinical outcomes desired or achieved. The purpose of this tutorial is to examine the issue of health disparities in relationship to SLP/A. This tutorial includes operational definitions related to health disparities and a review of the social determinants of health that are the underlying cause of such disparities. The tutorial concludes with a discussion of potential directions for the study of health disparities in SLP/A to identify strategies to close the disparity gap in health-related outcomes that currently exists.


2013 ◽  
Vol 23 (3) ◽  
pp. 82-87 ◽  
Author(s):  
Eva van Leer

Mobile tools are increasingly available to help individuals monitor their progress toward health behavior goals. Commonly known commercial products for health and fitness self-monitoring include wearable devices such as the Fitbit© and Nike + Pedometer© that work independently or in conjunction with mobile platforms (e.g., smartphones, media players) as well as web-based interfaces. These tools track and graph exercise behavior, provide motivational messages, offer health-related information, and allow users to share their accomplishments via social media. Approximately 2 million software programs or “apps” have been designed for mobile platforms (Pure Oxygen Mobile, 2013), many of which are health-related. The development of mobile health devices and applications is advancing so quickly that the Food and Drug Administration issued a Guidance statement with the purpose of defining mobile medical applications and describing a tailored approach to their regulation.


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