Prevalence of Psoriasis Vulgaris and Its Associated Risk Factors in Pakistan

Aim: To find out the prevalence of psoriasis vulgaris and its associated risk factors. Study Design: Descriptive cross-sectional. Place and Duration of Study: Study was conducted at Rawalpindi Leprosy Hospital during January 2019 to December 2019. Methodology: The diagnosed cases of Psoriasis Vulgaris (PsV) were included in the study. All the patients were investigated on the basis of an in depth Performa. The Performa include all the relevant clinical and family history of the patient along with the personal details. Data was analyzed by using Statistical Package for the Social Sciences (SPSS) version 20. All the numerical variables were presented as mean with standard deviation while categorical data as frequency and percentages. The association of risk factors with the Psoriasis was calculated by using the Chi-square test. p-value less than 0.05 was considered as significant. Results: Mean age with standard deviation of patients was 34.7±14. Most of the diagnosed patients were male and below 40 years of age, only 4.2% cases were having positive family history of Psoriasis and found significant correlation. The frequency of onset of symptoms in adolescent was more as compared to childhood i.e. 95.3% and 4.7% respectively. Majority of psoriasis cases (65.3%) were from non-smoker group and having strong association with smoking. The frequency of arthritis among psoriasis patients was 23.7% and majority of the patients, who developed arthritis were those having age <40 year and were suffering from psoriasis since 5-10 years. Conclusion: Current study concluded that Psoriasis vulgar is having higher prevalence rate among male and below 40 years of age group. The results also suggested a strong association of severity of psoriasis with certain risk factors including family history, age of onset of symptoms, smoking and arthritis.

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PRE-DIABETES;

The Professional Medical Journal ◽

10.29309/tpmj/2017.24.12.618 ◽

2017 ◽

Vol 24 (12) ◽

pp. 1860-1866

Author(s):

Rizwana Kitchlew ◽

Aijaz Zeeshan Khan Chachar ◽

Miqdad Haider ◽

Abdul Rehman Saleem ◽

Muhammad Shahjehan Mirza ◽

...

Keyword(s):

Family History ◽

Strong Association ◽

Positive Family History ◽

Test Material ◽

P Value ◽

Cvd Risk ◽

Family History Of Diabetes ◽

Global Epidemic ◽

History Of ◽

Associated Risk Factors

Introduction: Early intervention among patients with prediabetes can prevent ordelay diabetes. Moreover, regression from prediabetes to normal glucose regulation has beenassociated with reduction in cardiovascular disease (CVD) risk. Estimate of prevalence of thiscondition is vital as diabetes is now a global epidemic requiring steps towards its prevention.Study Design: Descriptive study. Setting: Fatima Memorial Hospital & Medical & Dental CollegeLahore. Period: 1st February 2016 till 1st February 2017. Objective: To determine the prevalenceof pre-diabetes and associated risk factors and demographic features in our local populationusing HbA1c as a screening test. Material and Methods: The study population includes adults18 years and above who reported in hospital outdoor as well as employees, faculty membersand students. Subjects were included in the study after taking written consent. The statisticalanalysis was performed on SPSS version 23. Results: The number of subjects included was400. 138(34%) had HbA1c value in prediabetic range (5.7-6.4%) and 56 (14%) in diabetic range(>6.4%). Mean age of prediabetics was 41± 13, 34% were males and 66% were females, 27%were in age group less than 30 years. Their mean HbA1c was 5.9%. Above normal body massindex (BMI) was reported in 128 (93%) and positive family history of diabetes mellitus (DM) in135 (98 %) subjects (P value: 0.00). All females with history of Polycystic Ovarian Syndromeand Gestational Diabetes showed prediabetes. Conclusion: The prevalence of prediabetes issignificant in our studied population. It has strong association with family history of diabetes andabove normal BMI values. There are also a significant number of undiagnosed asymptomaticdiabetics in our population.

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Life style effects on hypertension and obesity in adolescents

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20200113 ◽

2020 ◽

Vol 7 (2) ◽

pp. 377

Author(s):

Sonia Bhatt ◽

Shehraz Firoz

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Family History ◽

Fast Food ◽

Positive Family History ◽

Age Group ◽

Lifestyle Modifications ◽

Dietary Practices ◽

History Of ◽

Associated Risk Factors

Background: Studies based on effects of lifestyle on hypertension and obesity in adolescent age group are lacking in India. The present study was conducted to evaluate the prevalence of lifestyle associated risk factors in school going adolescents of Kendriya Vidyalaya in district Firozabad and their effects on hypertension and obesity.Methods: The study was carried out among 200 students of classes 9th and 11th in the age group of 13 to 17 years. Students were given a pre-designed questionnaire and feedback was taken about dietary practices and physical activity along with family history of hypertension and obesity. Height, weight, waist circumference, hip circumference, blood pressure was measured in all children. Effects of lifestyle associated risk factors were determined on obesity and hypertension.Results: The study documents that inappropriate dietary practices (fast food consumption, low fruit intake) and less physical activity were strongly associated with high prevalence of obesity and hypertension in the adolescents. The study also showed that adolescents with positive family history of obesity and/or hypertension are also at higher risk. There was a positive correlation between high BMI and hypertension.Conclusions: School based interventions are required to educate the adolescent children about lifestyle modifications to reduce the morbidity associated with non-communicable diseases.

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Risk Factors of Stuttering

QJM ◽

10.1093/qjmed/hcab094.024 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Mahmoud Youssef Abou El-Ella ◽

Ayman Mohamed Shawky ◽

Ahmed Nabil Yehia ◽

Yasser Mohamed Mohamed Tolba

Keyword(s):

Risk Factors ◽

Family History ◽

Rural Areas ◽

Age Of Onset ◽

Positive Family History ◽

Social Reaction ◽

Wide Range ◽

Significant Difference ◽

History Of ◽

Developmental Stuttering

Abstract Background Stuttering is a multifactorial and complex disorder that results from the influence of many factors, which include genetic predisposition, motor speech skills, linguistic skills and cognitive, emotional and environmental factors. A wide range of possible risk factors has been proposed in the literature, including age; gender; type and manner of onset; duration of the disfluency; type of disfluency; associated communicative and qualitative factors; physical and emotional stress; family history of stuttering; personal, familial and social reaction; and family attitudes. Objectives The aim of this work is to study the different risk factors of stuttering in children in order to understand more about its nature, etiology and to help to decrease its incidence if possible. Patients and Methods For this purpose; 96 patients complained from stuttering were evaluated. All data were collected after completing the assessment of patients and their parents. They were 60 (62.5%) male patients and 36 (37.5%) female patients, they showed a statistically significant difference. The age of the patients ranged from 4 to 18 years with mean ± SD of 7.75 ± 4.78 years. The age of onset of the studied patients ranged from 3 to 12 years with mean ± SD of 4.25 ± 2.31 years. Most of the patients were resident in rural areas; 64 patients (66.67%), while the urban resident was 32 patients (33.33%), they were statistically significant. Results The present study showed the etiology of stuttering in the studied patients. The most prominent cause was the developmental stuttering (86.45%) followed by neurological stuttering (13.55%). The dysfluency distribution of the studied patients. The most prominent was the Syllables and words repetition 65 (67.7%) of patients followed by IPDs 22 (22.9%) of the patients, 6 (6.25%) of the patients had prolongation and 3 (3.125%) of the patients had tonic blocks. Our study observed that family history of stuttering was found in 54 (56.25%) of patients, consanguinity was found in 30 (31.25%) of the patients, first degree relatives was found in 15 (15.625%) of the patients and second-degree relatives was present in 6 (6.25%) of the patients. Conclusion The data of the present study concluded that the presence of stuttering or defects in speech quality and communication. Risk factors include multifactorial dynamic pathways that include: positive family history, being male (as boys are more likely than girls to keep stuttering), the onset (as children who start to stutter before age 3½ are more likely to outgrow it than children who start to stutter at an older age), the amount of time that it's lasted.

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Metabolic Risk Factors and Outcomes in Acute Coronary Syndrome

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2020/v32i130349 ◽

2020 ◽

pp. 46-50

Author(s):

Ritu Attri ◽

Harsimran Kaur ◽

Raminderpal Singh Sibia ◽

Mandip Singh Bhatia

Keyword(s):

Risk Factors ◽

Acute Coronary Syndrome ◽

Positive Family History ◽

Developed Countries ◽

P Value ◽

Health Crisis ◽

Female Ratio ◽

Medical College ◽

Coronary Syndrome ◽

History Of

Introduction: CAD is the most common cause of mortality in India. It is a common multifarious public health crisis today and a leading cause of morbidity and mortality in both developing and developed countries. Hence, understanding the predominant risk factors among the Indian population is important. Materials and Methods: This was a hospital based age and sex matched case control study, carried out at Government Medical College and Rajindra Hospital Patiala. A total of 100 patients of Acute coronary syndrome were studied. Patients and controls were enquired about the presence of cardiometabolic risk factors and the significance of association of these risk factors with the occurrence of Acute coronary syndrome was given by p value of <0.05. Results: Majority of the cases were in the age group 61-70 years (32%) with male to female ratio of 1.25:1. Significant association was found between ACS and risk factors like smoking, positive family history of IHD, hypertension, diabetes, dyslipidemia, waist hip ratio and body mass index. Overall, most common outcome of ACS in the present study was NSTEMI (45%) followed by STEMI (35%) followed by Unstable angina (20%). Conclusion: Significant association was found between smoking and occurrence of STEMI and significant association was found between Hypertension and occurrence of NSTEMI.

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Study of risk factors and its correlation with constraint induced movement therapy for atherosclerosis in patients of coronary artery disease and their offspring

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20200656 ◽

2020 ◽

Vol 7 (3) ◽

pp. 446

Author(s):

Venugopal Margekar ◽

Shweta Thakur ◽

O. P. Jatav ◽

Pankaj Yadav

Keyword(s):

Risk Factors ◽

Family History ◽

Positive Family History ◽

Surrogate Marker ◽

Control Group ◽

Medical College ◽

Constraint Induced Movement Therapy ◽

Group Data ◽

History Of ◽

Artery Disease

Background: A significant percent of cardiovascular event occurs without well-known modifiable risk. A new tool for early identification for atherosclerosis is required for early intervention. Aims and objectives of the study was to study the risk factors for CAD and its correlation with CIMT.Methods: One hundred and forty subjects were studied for the risk factors of CAD in Department of Medicine of G.R. Medical College, Gwalior from 2012 to 2013. Out of 140 subjects, 100 were patients having CAD and 40 age matched subjects were included as control group. Data was also recorded from their offspring. High resolution B mode ultrasonography was performed to assess CIMT of carotid arteries. The maximum CIMT of any one side of carotid artery was taken for study.Results: CAD was more prevalent among males (78%). Majority of the offspring of cases had age between 28-42 years and majority were male (73%). Most common risk factors for CAD was dyslipidemia (48%), hypertension (24%), diabetes (12%) and smoking (21%), whereas in offspring’s of CAD patients, dyslipidemia was seen in 28%, hypertension in 3%, diabetes and tobacco smoking in 12% and 24% respectively. The CIMT of CAD patients was significantly increased with increasing the number of risk factors and the same pattern was also seen in controls. The CIMT of asymptomatic offspring’s having positive family history was significantly more than the asymptomatic offspring without positive family history of CAD.Conclusions: CIMT measurements can be used as a surrogate marker of atherosclerosis as it has showed a direct link with number of risk factors of CAD.

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Major clinical risk factors for seizures in febrile children aged 6 to 60 months.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.05.3397 ◽

2020 ◽

Vol 27 (05) ◽

pp. 891-894

Author(s):

Shahid Ishaq ◽

Ejaz Mazari ◽

Fazal ur Rehman

Keyword(s):

Risk Factors ◽

Family History ◽

Febrile Seizures ◽

Study Groups ◽

Clinical Risk Factors ◽

P Value ◽

Chi Square ◽

Clinical Risk ◽

Significant Difference ◽

History Of

Objectives: Febrile seizures (FS) are the most common type of seizures and typically transpire in children with ages from 6 to 60 months. This study was planned to find out major clinical risk factors for seizures in febrile children who were aged 6 to 60 months. A total of 100 febrile children aged 6 to 60. Study Design: Analytical Study. Setting: Department of Neurology, Children’s Hospital and the Institute of Child Health, Multan. Period: From 1st April 2018 to 31st December 2018. Material & Methods: Group A had 40 children with febrile seizures while group B had 60 febrile children but without seizures. Demographic features along with family history of (H/O) epilepsy as well as family history of febrile seizure, types of seizure and infection diseases were noted and analyzed using SPSS version 20. Odds ratio was calculated for various risk factors. Chi square test was applied and P value < 0.05 was considered as significant. Results: Out of a total of 100 children, there were 54 (54.0%) male and 46 (46.0%) female. There was no statistical difference in terms of gender between the two groups (p value = 0.566). Overall, mean age of the children was 26.02 months with standard deviation of 13.4 months. There were 28 (70.0%) children who reported with simple seizures while complex seizures were found in 12 (30.0%) cases. Statistically significant difference (p value = 0.001) was seen in terms of types of infections between the two study groups. When risk of seizures for various risk factors was calculated, family H/O FS, family H/O epilepsy, and upper RTI were as 14, 7 and 3 times respectively and turned out to be the major risk factors for seizures in febrile children. Conclusions: Family H/O FS, family H/O epilepsy and upper RTIs are the major risk factors related with seizures in febrile children. Measures to prevent these risk factors can decrease the burden of FS in our population.

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Clinical, epidemiological and autoimmune associations in childhood vitiligo in Qatar

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20200594 ◽

2020 ◽

Vol 6 (2) ◽

pp. 151

Author(s):

Haya Al Mannai ◽

Mohamed Allam ◽

Hassan Riad

Keyword(s):

Family History ◽

Autoimmune Diseases ◽

Age Of Onset ◽

Positive Family History ◽

Thyroid Peroxidase ◽

Base Line ◽

Adult Onset ◽

Prognostic Features ◽

History Of ◽

The Mean

Background: Childhood vitiligo although clinically similar to adult onset vitiligo but it has distinct clinical, epidemiological and prognostic features compared to adult onset vitiligo.Methods: This is a retrospective study that was carried out on 85 pediatric patients up to age of 18 years old with the diagnosis of vitiligo, where the clinical and epidemiological data including clinical type of vitiligo, family history of autoimmune diseases like thyroid disorders and diabetes mellitus and laboratory results including anti-thyroid peroxidase antibodies (anti-TPO antibodies), anti-parietal cell antibodies, antinuclear antibodies (ANA), Vitamin D and Vitamin B12 were retrieved from the files of these patients.Results: The mean age of the children affected by vitiligo was 10.4 years, the mean age of onset of vitiligo was 5.4 years, 54 (63.5%) percent were girls and 31 (36.5%) were boys. A positive family history of vitiligo was found in 44.7% of the participants, family history of DM was found in 64.7% of patients and family history of thyroid disease was found in 32.9% of the participants. The prevalence of thyroid autoimmunity was found to be in 22.4% of total participants.Conclusions: Childhood vitiligo has distinct clinical features, more common family history for autoimmune diseases and thyroid autoantibodies rather than overt clinical diseases, which raise the necessity to perform a routine initial immunological and thyroid screening in children with vitiligo and to repeat them at annual bases if there were abnormal values at base line or strong family history.

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Study on Associated Risk Factors of Hypertension at Sipaghat of Sindhupalchowk District, Nepal

Nepalese Journal of Statistics ◽

10.3126/njs.v1i0.18818 ◽

2017 ◽

Vol 1 ◽

pp. 73-82

Author(s):

Naresh Manandhar

Keyword(s):

Risk Factors ◽

Family History ◽

Alcohol Consumption ◽

Lifestyle Modification ◽

Percent Level ◽

Cross Sectional Study ◽

Cross Sectional ◽

History Of ◽

Family History Of Hypertension ◽

Associated Risk Factors

Background: Hypertension is a progressive cardiovascular syndrome arising from complex and interrelated etiologies. Males have slightly higher prevalence than female in most of countries of Southeast-Asian region.Objective: The objective of study is to find out prevalence and the risk factors of hypertension at Sipaghat, Sindhulchowk, Nepal.Materials and Methods: A cross-sectional study was conducted at Sipaghat of Sindhupalchowk district in May 2016 and 260 persons were selected randomly. Results: The prevalence of hypertension was higher in male (25.4%) than female (17.4%). Mean age of study population was 42.08 years with standard deviation, 15.95 years. Variables namely age group, smoking, alcohol consumption and family history of hypertension were found to be significant at 5 percent level of significance. Alcohol consumption and smokers have more than two times higher chance of getting hypertension compared to alcohol non-consumer and nonsmoker with 95% confidence intervals were 1.08-4.80 and 1.21-6.10, respectively. Persons with family history of hypertension have 3.8 times more chance of getting hypertension compared to no family history of hypertension with 1.89-7.61 of 95% confidence interval.Conclusion: Lifestyle modification reduces blood pressure which prevents or delays the incidence of hypertension. Hypertension can be controlled and prevented by modifying the lifestyle. People should be advised to avoid modifiable risk factors of hypertension like smoking, consumption of alcohol and physical inactivity through health education programs.Nepalese Journal of Statistics, 2017, Vol. 1, 73-82

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Parkinson’s disease determinants, prediction and gene–environment interactions in the UK Biobank

Journal of Neurology Neurosurgery & Psychiatry ◽

10.1136/jnnp-2020-323646 ◽

2020 ◽

Vol 91 (10) ◽

pp. 1046-1054 ◽

Cited By ~ 2

Author(s):

Benjamin Meir Jacobs ◽

Daniel Belete ◽

Jonathan Bestwick ◽

Cornelis Blauwendraat ◽

Sara Bandres-Ciga ◽

...

Keyword(s):

Risk Factors ◽

Parkinson’S Disease ◽

Parkinson's Disease ◽

Family History ◽

Genetic Risk ◽

Positive Family History ◽

Risk Scores ◽

Uk Biobank ◽

Gene Environment ◽

History Of

ObjectiveTo systematically investigate the association of environmental risk factors and prodromal features with incident Parkinson’s disease (PD) diagnosis and the interaction of genetic risk with these factors. To evaluate whether existing risk prediction algorithms are improved by the inclusion of genetic risk scores.MethodsWe identified individuals with an incident diagnosis of PD (n=1276) and controls (n=500 406) in UK Biobank. We determined the association of risk factors with incident PD using adjusted logistic regression models. We constructed polygenic risk scores (PRSs) using external weights and selected the best PRS from a subset of the cohort (30%). The PRS was used in a separate testing set (70%) to examine gene–environment interactions and compare predictive models for PD.ResultsStrong evidence of association (false discovery rate <0.05) was found between PD and a positive family history of PD, a positive family history of dementia, non-smoking, low alcohol consumption, depression, daytime somnolence, epilepsy and earlier menarche. Individuals with the highest 10% of PRSs had increased risk of PD (OR 3.37, 95% CI 2.41 to 4.70) compared with the lowest risk decile. A higher PRS was associated with earlier age at PD diagnosis and inclusion of the PRS in the PREDICT-PD algorithm led to a modest improvement in model performance. We found evidence of an interaction between the PRS and diabetes.InterpretationHere, we used UK Biobank data to reproduce several well-known associations with PD, to demonstrate the validity of a PRS and to demonstrate a novel gene–environment interaction, whereby the effect of diabetes on PD risk appears to depend on background genetic risk for PD.

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