scholarly journals Gastrointestinal Problems and Their Risk Factors Among Arba Minch Town Male Super League Football Club Players

2021 ◽  
1996 ◽  
Vol 5 (2) ◽  
pp. 109-118 ◽  
Author(s):  
MA Halm

Gastrointestinal problems, with an incidence of about 1%, may complicate the postoperative period after cardiovascular surgery, increasing morbidity, length of stay, and mortality. Several risk factors for the development of these complications, including preexisting conditions; advancing age; surgical procedure, especially valve, combined bypass/valve, emergency, reoperative, and aortic dissection repair; iatrogenic conditions; stress; ischemia; and postpump complications, have been identified in multiple research studies. Ischemia is the most significant of these risk factors after cardiovascular surgery. Mechanisms that have been implicated include longer cardiopulmonary bypass and aortic cross-clamp times and hypoperfusion states, especially if inotropic or intra-aortic balloon pump support is required. These risk factors have been linked to upper and lower gastrointestinal bleeding, paralytic ileus, intestinal ischemia, acute diverticulitis, acute cholecystitis, hepatic dysfunction, hyperamylasemia, and acute pancreatitis. Gastrointestinal bleeding accounts for almost half of all complications, followed by hepatic dysfunction, intestinal ischemia, and acute cholecystitis. Identification of these gastrointestinal complications may be difficult because manifestations may be masked by postoperative analgesia or not reported by patients because they are sedated or require prolonged mechanical ventilation. Furthermore, clinical manifestations may be nonspecific and not follow the "classic" clinical picture. Therefore, astute assessment skills are needed to recognize these problems in high-risk patients early in their clinical course. Such early recognition will prompt aggressive medical and/or surgical management and therefore improve patient outcomes for the cardiovascular surgical population.


2020 ◽  
Author(s):  
Hanyu Dong ◽  
Junyan Feng ◽  
Honghua Li ◽  
Xiaojing Yue ◽  
Fei-Yong Jia

Abstract Background: The prevalence of autism spectrum disorder (ASD) has increased rapidly in recent years. Environmental factors may play an important role in the pathogenesis of ASD. These factors may include socioeconomic factors, nutritional factors, heavy metal exposure, air pollution, etc. Our aim is to analyze possible environmental risk factors associated with the severity of ASD.Methods: All participating children were divided into two groups (mild and severe) according to the severity of their symptoms, as determined by their Childhood Autism Rating Scale (CARS) scores. The socioeconomic and demographic factors that may affect the severity of ASD and the nutritional factors that were correlated with ASD symptoms were included in the logistic regression to analyze whether they were risk factors that affected the severity of ASD.Results: Logistic regression showed that maternal education (P=0.038, OR=1.694, 95% CI: 1.029-2.789), gastrointestinal problems (P=0.045, OR=1.770, 95% CI: 1.012-3.097) and a high serum concentration of lead (P=0.001, OR=1.038, 95% CI: 1.016-1.060) were statistically significantly associated with ASD severity.Conclusion: Many environmental factors affect the severity of ASD. We concluded that maternal education, gastrointestinal problems and serum concentration of lead were risk factors that affected the severity of ASD in northeast China.


Author(s):  
Sreesupria P. Ravichandran ◽  
Pankaj B. Shah

Background: Garment workers are susceptible to various health problems by virtue of their workplace and working conditions. The present study was conducted to estimate the prevalence of certain health problems and to assess association between socio demographic factors, occupational factors and certain health problems among garment workers.Methods: A cross sectional study was conducted among garment industry workers, at Tirupur. Interview was conducted using a structured pretested questionnaire including information on visual problems, hypertension, diabetes, gastrointestinal symptom rating scale, American thoracic society, and division of lung disease –78 adult respiratory questionnaires. Clinical examination was done to assess body mass index and blood pressure was recorded. Visual acuity for distant and near vision was tested. Haemoglobin estimation was performed. Data entry and analysis was done using SPSS version 15 software. Chi-square test was used as a test of significance.Results: In this study, 87.4% of the workers reported any one health problem. The common problems reported were musculoskeletal problems (77.6%) followed by anaemia (57%), visual problems (51.6%), symptoms of respiratory problems (31.3%), hypertension (12.9%), diabetes (6.6%) and obesity (2.1%). 49.7% of the workers had any one symptoms of gastrointestinal problems in the last 7 days. The study has shown a possibility of older age, sewing work, sitting posture, and increased work experience as potential risk factors in the development of various health problems.Conclusions: Garment workers probably need long term on site awareness programs, continuous motivation and health education to prevent and treat these problems at an earlier stage. 


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Bader K. Al-Zarea

Aim. To evaluate tooth surface loss (TSL) severity and associated risk factors in a representative sample of Saudi adults. Materials and Methods. Four hundred TSL patients (200 females and 200 males) participated in this study. Each patient completed a comprehensive questionnaire interview (using a modified Tooth wear Assessment Questionnaire) and then examined for the severity of TSL (using ordinal scale). Results. Seventy-five percent of participants demonstrated attrition, 90% had erosion, 15% had abrasion, and 95% had more than one type of TSL. The most common risk factors were consumption of acidic food/drinks (78%), parafunctional habits (70%), and unilateral chewing (50%). 77% of participants demonstrated grade 2 TSL. Males demonstrated greater TSL severity (). Age, systemic disease, number of remaining teeth, acidic food/drinks, bruxism/parafunction, biting objects, facial pain/tenderness, sour taste, exposure to dust, unilateral chewing, using dental abrasives, and brushing frequency/technique had significant relationship with TSL severity (). Conclusions. TSL has a multifactorial aetiology. Parafunction, gastrointestinal problems, and diet were the most common aetiological factors reflecting changes to stressful modern life-styles, eating/drinking habits, and behaviours. Gender didn’t influence the aetiology of TSL; however males demonstrated more TSL severity. Patients’ age had significant correlation to TSL severity.


Author(s):  
Vida Vakili ◽  
Ali Taghipour ◽  
Ehsan Mosa Farkhani ◽  
Hamid Reza Bahrami ◽  
Behnaz Beygi ◽  
...  

Introduction: Falling is one of the most common problems of the elderly people with a multi factorial nature and frequent cases. This study aimed to determine the risk factors of falls in old people covered by Mashhad University of Medical Sciences. Methods: This retrospective case-control study was conducted on 15,600 elderly participants. Data were extracted from Sina Electronic Health Record System (SinaEHR®, Iran). The obtained data were analyzed using STATA through odds ratio formula. Results: Risk factors of falls in the elderly subjects included age, fear of falling, higher body mass index, diabetes, anemia, gastrointestinal problems, hypothyroidism, use of sedatives, and smoking, after adjusting the potentially confounding effects of other variables. Conclusion: The current study provides evidence that patient-related factor such as diabetes, anemia, hypothyroidism and smoking are associated with falls in the elderly. The results of the present research can be used by health policy-makers to reduce fall-related costs of the old people by focusing on care services and high-risk individuals.


PEDIATRICS ◽  
1985 ◽  
Vol 76 (2) ◽  
pp. 225-231
Author(s):  
Virginia D. Black ◽  
Carol M. Rumack ◽  
Lula O. Lubchenco ◽  
Beverly L. Koops

Necrotizing enterocolitis is uncommon among term infants. In this group, necrotizing enterocolitis has been associated with two risk factors: polycythemia and umbilical catheterization. During a randomized trial of partial plasma exchange transfusion for treatment of polycythemia, an increased risk of gastrointestinal problems was noted. Eight hyperviscous patients treated with partial plasma exchange transfusion, no symptomatically treated patients, and no control infants developed typical necrotizing enterocolitis (blood in the stools, pneumatosis, and systemic signs). The incidence of necrotizing enterocolitis was significantly greater among patients treated with exchange transfusion compared with patients treated symptomatically or control subjects (P < .001).


2019 ◽  
Vol 133 (22) ◽  
pp. 2283-2299
Author(s):  
Apabrita Ayan Das ◽  
Devasmita Chakravarty ◽  
Debmalya Bhunia ◽  
Surajit Ghosh ◽  
Prakash C. Mandal ◽  
...  

Abstract The role of inflammation in all phases of atherosclerotic process is well established and soluble TREM-like transcript 1 (sTLT1) is reported to be associated with chronic inflammation. Yet, no information is available about the involvement of sTLT1 in atherosclerotic cardiovascular disease. Present study was undertaken to determine the pathophysiological significance of sTLT1 in atherosclerosis by employing an observational study on human subjects (n=117) followed by experiments in human macrophages and atherosclerotic apolipoprotein E (apoE)−/− mice. Plasma level of sTLT1 was found to be significantly (P<0.05) higher in clinical (2342 ± 184 pg/ml) and subclinical cases (1773 ± 118 pg/ml) than healthy controls (461 ± 57 pg/ml). Moreover, statistical analyses further indicated that sTLT1 was not only associated with common risk factors for Coronary Artery Disease (CAD) in both clinical and subclinical groups but also strongly correlated with disease severity. Ex vivo studies on macrophages showed that sTLT1 interacts with Fcɣ receptor I (FcɣRI) to activate spleen tyrosine kinase (SYK)-mediated downstream MAP kinase signalling cascade to activate nuclear factor-κ B (NF-kB). Activation of NF-kB induces secretion of tumour necrosis factor-α (TNF-α) from macrophage cells that plays pivotal role in governing the persistence of chronic inflammation. Atherosclerotic apoE−/− mice also showed high levels of sTLT1 and TNF-α in nearly occluded aortic stage indicating the contribution of sTLT1 in inflammation. Our results clearly demonstrate that sTLT1 is clinically related to the risk factors of CAD. We also showed that binding of sTLT1 with macrophage membrane receptor, FcɣR1 initiates inflammatory signals in macrophages suggesting its critical role in thrombus development and atherosclerosis.


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