scholarly journals Prevalence and factors associated to dysphonia and laryngeal lesions: a study among teachers in a region of the Brazilian Legal Amazon

2021 ◽  
Vol 20 (1) ◽  
pp. 61
Author(s):  
Fernanda Aguiar da Cruz ◽  
Adriana Sousa Rêgo ◽  
Wellyson Da Cunha Araújo Firmo ◽  
Daniela Bassi-Dibai ◽  
Flor de Maria Araujo Mendonça Silva ◽  
...  
Keyword(s):  
Basic Education ◽  
External Noise ◽  
Easy Access ◽  
Protection Factor ◽  
Vocal Health ◽  
Respiratory Problems ◽  
Factors Associated ◽  
Room Size ◽  
Laryngeal Lesions ◽  
Access To Water

<p><strong>Objective</strong>: to investigate the prevalence and factors associated with dysphonia and laryngeal lesions in teachers of basic education in a region of the Amazonian region. <strong>Methods: c</strong>ross-sectional study with collection of sociodemographic variables, occupational, environmental and clinics. Laryngeal lesions were evaluated by laryngoscopy. Was used a logistic regression to determine factors associated. <strong>Results</strong>: the prevalence of dysphonia and laryngeal lesions was 68.9% and 53.3%, respectively. There was association between self-reported dysphonia and respiratory problems (OR=3.00; CI95%=1.25-7.22), use of drugs (OR= 2.31, CI95%= 1.19-4.49) and noise in the internal environment (OR= 2.43; CI95%=1.24-4.73). Easy access to water was a protection factor against self-reported dysphonia (OR=0.09; CI95%: 0.01-0.79).  We found a significant association between dysphonia diagnosed and digestive problems (OR= 6.09; CI95%=2.79-13.30), external noise (OR=5.20, CI95%=1.99-13.57) and inadequate ventilation (OR=3.24; CI95%=1.36-7.74). The variables associated with higher chance of laryngeal lesions in dysphonic teachers were lighting (OR=3.74; CI95%=1.15-12.14%), acoustics (OR= 4.14; CI95%=1.32-12.95) and inadequate room size (OR= 3.76; CI95%=1.29-10.91). The use of drugs (OR=0.34; CI95%=0.12-0.92), respiratory problems (OR=0.21; CI95%=0.06-0.76) and easy access to water (OR= 0.12; CI95%=0.04-0.38) were protection factors for laryngeal lesions. <strong>Conclusion:</strong> occupational environmental factors aggravated the vocal health of this professional category. Access to water in the work impacted positively.</p>

scholarly journals Urinary Incontinence in Physically Active Older Women of Northeast Brazil

2021 ◽  
Vol 18 (11) ◽  
pp. 5878
Author(s):  
Thais Sousa Rodrigues Guedes ◽  
Marcello Barbosa Otoni Gonçalves Guedes ◽  
Hévila Kilvia Miguel de Oliveira ◽  
Rodrigo Lopes Soares ◽  
Vitor Leandro da Cunha ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Older Women ◽  
Short Form ◽  
Prevalence Ratio ◽  
Protection Factor ◽  
Cross Sectional ◽  
Physically Active ◽  
Factors Associated ◽  
International Consultation ◽  
Loss Of Balance

Low- and moderate-impact physical activity (PA) is associated with the prevention of urinary incontinence (UI). The objective of the cross-sectional study presented herein is to analyze the factors associated with UI in physically older active women who participate in senior community groups. The variable UI was measured by the International Consultation Incontinence Questionnaire Short Form (ICIQ-SF). Socioeconomic variables were also collected, along with data on life habits and clinical history. The multivariate analysis employed Poisson’s Regression with robust variance for factors associated with UI. Of the 106 participants evaluated, 54.7% presented UI, of which stress incontinence was more frequent, with 40.6%. UI presented a statistically significant association with dizziness/loss of balance during Activities of Daily Living (ADL) (prevalence ratio-PR 1.48; 95% CI 1.06–2.07) and nocturia (PR 1.63; 95% CI 1.05–2.55). Despite PA being a protection factor, UI presented an elevated prevalence in the older population, and therefore, other biological, social, and cultural aspects could also contribute to the occurrence of UI in this age group. Moreover, physically active older women with UI presented nocturia and dizziness/loss of balance during ADL, regardless of education levels and the number of births. These findings can help improve multi-professional programs aimed at promoting, preventing, and managing UI in the public.

Factors Associated With the Limitation at Work Because of the Voice: Study With Teachers of Basic Education In Brazil

2020 ◽  
Author(s):  
Bárbara Antunes Rezende ◽  
Mery Natali Silva Abreu ◽  
Ada Ávila Assunção ◽  
Adriane Mesquita de Medeiros
Keyword(s):  
Basic Education ◽  
Factors Associated ◽  
The Voice ◽  
Education In Brazil

scholarly journals Economic losses associated with Wooden Breast and White Striping in broilers

2018 ◽  
Vol 39 (2) ◽  
pp. 887 ◽  
Author(s):  
Marcelo Augusto Zanetti ◽  
Denise Cristina Tedesco ◽  
Tatiele Schneider ◽  
Sabrina Tolotti Fraga Teixeira ◽  
Luciane Daroit ◽  
...  
Keyword(s):  
Weight Gain ◽  
Stocking Density ◽  
Economic Losses ◽  
Firm Level ◽  
Factors Associated ◽  
Condemnation Rate ◽  
White Striping ◽  
Access To Water ◽  
Accelerated Growth ◽  
Wooden Breast

Currently, two defects in poultry breasts termed Wooden Breast (WB) and White Striping (WS) have been reported in slaughterhouses. These defects may be associated with the accelerated growth of the birds, management, density in the aviary, and both weight and age at slaughter. Although the health of the affected birds is not impaired, these myopathies cause carcass condemnation and economic losses to slaughterhouses, since the breasts of these chickens, considered to be prime cuts in the poultry industry, have to be discarded. This paper reports on the economic losses and factors associated with carcass condemnation caused by white striping (WS) and wooden breast (WB) in broilers from a federally inspected slaughterhouse. Twelve flocks, totaling 207,000 slaughtered broilers, were assessed as to weight and age at slaughter, and stocking density and carcass condemnations due to these two myopathies were also evaluated. Economic losses were estimated by the price of poultry breast at the firm level, around U$ 19,12 per kilo, amounting to daily losses of up to U$ 70,632.00, given that approximately 0.8% of the chicken breasts were condemned. Heavier broilers had a larger condemnation rate due to WS and WB, and so did those reared at a smaller density, due probably to their better access to water and feed, which contributed to weight gain and consequent condemnation, resulting in losses that could affect the entire poultry sector.

scholarly journals Open adrenalectomy for medium sized adrenocortical tumour: How I do it?

2015 ◽  
Vol 9 (5-6) ◽  
pp. 291 ◽  
Author(s):  
Wael M. Sameh ◽  
Ahmed Fouad Kotb
Keyword(s):  
Adrenocortical Carcinoma ◽  
Tumour Volume ◽  
Lateral Approach ◽  
Easy Access ◽  
Surgical Removal ◽  
Residual Tumour ◽  
Respiratory Problems ◽  
Adrenal Masses ◽  
The Mean ◽  
Adrenocortical Tumour

Introduction: The aim of our work was to report our experience in managing cases with medium-sized adrenocortical carcinoma by the high retroperitoneal extra pleural approach.Methods: During the past 2 years, 10 patients with suspected adrenocortical carcinoma were managed by our technique: the high supra 10th rib, retroperitoneal extra pleural approach. We included cases with 5 to 10 cm adrenal masses, suspected as adrenocortical carcinoma.Results: The mean patient age was 38 years (range: 26–44), the median tumour volume was 7 cm (range: 5–8). Of the 10 patients, 7 were female. Of the patients, 6 had right- and 4 had left-sided tumours. Intraoperatively, all cases had proper surgical removal, with no apparent residual tumour tissue. No single patient required a chest tube or developed respiratory problems. There were no major vascular injuries during surgery. We did not compare our findings to the standard lateral or subcostal approaches, as in our institution we adopt this high lateral approach for medium-sized tumours, while managing larger tumours with transperitoneal subcostal approach and smaller tumours laparoscopically.Conclusion: The high supra 10th lateral retroperitoneal, extra pleural approach is a safe, doable technique, allowing easy access to medium-sized suprarenal tumours and its vasculature, for cases suspected to be adrenocortical carcinoma.

scholarly journals Analysis of risk-factors associated with diarrhea prevalence among underfive children in Galkayo District Puntland State, Somalia

2021 ◽  
Author(s):  
Mustaf A. Isack ◽  
Juma J. Nyamai ◽  
Atei Kerochi
Keyword(s):  
Risk Factors ◽  
Water Quality ◽  
Basic Education ◽  
Simple Random Sampling ◽  
Personal Hygiene ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Diarrhea Prevalence

Background: The study analysed risk factors associated with diarrhea prevalence among underfive children in Galkayo District Puntland State, Somalia.Methods: The study used analytical cross-sectional survey conducted in Galkayo, from February to March 2020. The inclusion criteria were caregivers with underfive children, and exclusion criteria were children over five years, caregivers who have no underfive children and children with chronic diarrhea. Sample of 385 was calculated using Yamane formula. Caregivers were randomly selected using simple random sampling after cluster sampling. The researcher administered structured questionnaires, collected data from eligible caregivers using interview guide and elicited on diarrhea perceptions. Quantitative data was analysed using SPSS, qualitative data was identified common and sub-themes.Results: The study found diarrhea was affecting 30% of underfive children. The presence of two under-fives in the household was associated with high diarrhea prevalence [OR=1.93, 95% CI= (1.21, 3.08)]. Low educational level of underfive caregivers were associated with high diarrhea occurrence [OR=1.36, 95% CI= (0.68, 2.66)]. Households headed by non-biological mothers, diarrhea prevalence was high [OR=0.06, 95% CI= (0.00, 0.50) and OR=0.17, 95% CI= (0.03, 0.79)] respectively. Those children under the care of employed caregivers, diarrhea occurrence was high [OR=2.41 (0.99, 5.80)]. Poor personal hygiene (32%), sanitation (28%), and water quality (28%) were attributed to the cause of diarrhea among children.Conclusions: The study recommends, practice of child spacing, improve caregivers’ basic education to better understand risk factors and seek treatment, establish routine water quality surveillance at source and at household level, conduct awareness behaviour change by promotion of handwashing.

scholarly journals Prevalence and associated factors of Tunga penetrans infestation among 5-14-year-olds in rural Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0259411
Author(s):  
Aiggan Tamene
Keyword(s):  
Primary Schools ◽  
Community Education ◽  
Low Cost ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Rural Ethiopia ◽  
Public Health Professionals ◽  
Tunga Penetrans ◽  
Access To Water

Background Tunga penetrans, also known as sand flea, causes Tungiasis in humans and animals. Despite its notoriety as an entomological problem, however, the ectoparasite receives little consideration from public health professionals. It is against this background that this article aims to assess the prevalence of and factors associated with Tunga penetrans infestation among 5-14-year-olds in rural Western Ethiopia. Methods From November to December 2020, 487 children aged 5 to 14 were selected from four primary schools in a cross-sectional study using systematic random sampling. Clinical exams, Interviews with parents/guardians and observations of the housing and classroom environments were used to collect data. Descriptive statistics and multivariable regression were used to characterize the data and identify factors associated with Tunga penetrans infestation. Result Tunga penetrans infestation (Tungiasis) was diagnosed in 138 of the 487 children examined, placing the prevalence at 28.3% (95% CI: 24.2%, 32.2%). Mud plastered walls [AOR: 5.83, % CI (3.44–9.88)], having cats in the house [AOR: 5.91, 95% CI (3.51–10.11)], not having separated sleeping quarters for animals [AOR: 4.60, 95% CI (2.69–7.86)], using self-supplied water [AOR: 6.30, 95% CI (3.33–11.93)], walking>30 minutes to school [AOR: 2.37, 95% CI (1.48–3.80)] were associated with Tungiasis. Conclusion In one way or another, several of the identified factors were linked to poverty. Improved house wall materials, fumigation of mud-plastered houses, dusting or spraying insecticides on domestic animals (such as cats), improved access to water, community education about keeping animals separated from living spaces, and hygiene promotion are all needed, with a focus on locally available, low-cost technologies that the poorest families can afford.

A multicentre prospective audit of bedside hydration in hospital

2020 ◽  
Vol 29 (1) ◽  
pp. 50-54
Author(s):  
Joseph Davidson ◽  
Samuel Folkard ◽  
Matthew Hinckley ◽  
Elizabeth Uglow ◽  
Oliver Wright ◽  
...  
Keyword(s):  
Patient Care ◽  
Human Dignity ◽  
Patient Population ◽  
Prospective Audit ◽  
Oral Hydration ◽  
Cross Sectional ◽  
Factors Associated ◽  
Medical Inpatients ◽  
Access To Water ◽  
Inpatient Population

Introduction: access to water at the bedside is a cornerstone of patient care. Among bedbound inpatients, water within reach at the bedside is a basic human dignity and one that ought not to be neglected. Aim: the authors sought to identify the extent to which accessible hydration facilities were provided to a bedbound inpatient population. Methods: a cross-sectional, point-prevalent audit of hospitalised medical inpatients across five centres was conducted. Data were collected between meal times and noted baseline demographics and admission details, adequacy of oral hydration provision at the bedside and, where provision was inadequate, factors associated with this. Results: across a total surveyed patient population of 559 we identified 138 patients who were bedbound. Among these bedbound patients, 6% (n=8) had no water provided at the bedside. However, 7 of these were deemed to be unable to swallow safely. In total, 44 (32%) of the 138 bedbound patients were unable to reach the water at their bedside; 18 of these patients would have been able to drink for themselves had the water been in reach. Conclusion: there is significant room for improvement in ensuring patients who are immobile are able to reach drinking apparatus at the bedside. In the five centres surveyed, approximately one in five bedbound patients with no contraindication are unable to reach an essential means of hydration.

An Analysis of Occurrence and Prognosis Related Factors of Renal Dysfunction in Patients with Multiple Myeloma.

Blood ◽  
2007 ◽  
Vol 110 (11) ◽  
pp. 4732-4732
Author(s):  
Rong Fu ◽  
Ting Wang ◽  
Zonghong Shao
Keyword(s):  
Risk Factors ◽  
Multiple Myeloma ◽  
Renal Function ◽  
Renal Dysfunction ◽  
Tumor Burden ◽  
Protection Factor ◽  
Related Factors ◽  
Factors Associated ◽  
Renal Function Recovery ◽  
Function Recovery

Abstract Objective To analysis the occurrence and prognosis related factors in renal dysfunction with multiple myeloma(MM). Methods Seventy-four cases with MM were enrolled in this study. The risk factors of occurrence and prognosis were analyzed. Results The incidence of renal dysfunction (RD) with MM was 56.8%, Age, hypertention, hemoglobin, serum ALB and GLO levels, serum β2MG, serum calcium and phosphonium level, the percentage of myeloma cells in bone marrow, types of MM, Durie-Salmon stage were the single factors associated with the incidence of RD with MM. Hypertention, serum β2MG and ALB levels were the multiple factors associated with the incidence of RD with MM. ALB was the protection factor and the other two were risk factors. The renal function recovered rapidly in the patients who received CR or received blood transfusion. The patients with renal dysfunction survived shorter (28±5months) than those with normal renal function (42±6months). Renal dysfunction caused more MM patients death(84.6%) in 3 months. Conclusion Hypertention and high tumor burden were the risk factors of renal dysfunction in MM, effective chemothemapy and support treatment help renal function recovery.

Alterações vocais decorrentes do trabalho em professores: uma revisão de literatura

2009 ◽  
Vol 3 (3) ◽  
pp. 700 ◽  
Author(s):  
Cristiane Da Conceição Romano ◽  
Liliana Amorim Alves ◽  
Luiz Almeida da Silva ◽  
Maria Helena Palucci Marziale ◽  
Maria Lúcia do Carmo Cruz Robazzi
Keyword(s):  
Health Promotion ◽  
Data Collection ◽  
Literature Review ◽  
Health Worker ◽  
Basic Education ◽  
Voice Disorders ◽  
Virtual Library ◽  
Vocal Fatigue ◽  
Vocal Health ◽  
The Voice

ABSTRACTObjective: to evaluate other studies concerning vocal alterations as consequence of the work based on a literature review. Methodology: data collection was carried out through the search of index-linked articles on virtual library-SciELO published from 1998 to 2008. Results: there were found 15 articles which discussed the theme, teachers’ vocal alterations as a consequence of work. It was identified the transversal observational as the main kind of studying with 33,38%. It was researched 5.910 teachers and from this group  53,33% worked in basic education and 60% were from both sexes. The thematic issues most frequent were: problems identification, knowledge and caring, unappropriated behaviours and vocal health promotion. It was observed as main alterations: chronic larynx, vocal dis phony, vocal fatigue caused by the effort at speaking, hoarseness, among others. Conclusion: there are few articles published in the investigated library related to vocal alterations of the teacher resulting from the use of the voice in the work. Therefore, more studies must be carried out and published in order to increase the knowledge on this issue. Descriptors: voice; voice disorders; health worker; teachers.RESUMO Objetivo: analisar as publicações das alterações vocais decorrentes do trabalho por meio de uma revisão da literatura sobre o tema proposto. Metodologia: a coleta de dados foi realizada buscando-se os artigos de periódicos indexados na biblioteca virtual SciELO, publicados no período de 1998 a 2008. Resultados: foram encontrados 15 artigos que contemplaram as alterações vocais dos professores decorrentes do trabalho. Foi identificado como principal tipo de estudo o observacional transversal com 33,38%. Ao todo foram pesquisados 5.910 professores dos quais 53,33% atuam no ensino fundamental e 60% são de ambos os sexos. Os conjuntos temáticos assinalados com maior freqüência foram: identificação dos problemas, conhecimentos e cuidados, comportamentos inapropriados e promoção de saúde vocal. Foi relatado como principais alterações: laringite crônica, disfonia vocal, cansaço ao falar, rouquidão, dentre outras. Conclusões: existem poucos artigos publicados na biblioteca investigada relacionados às alterações vocais do professor decorrentes do uso da voz no trabalho. Assim, mais pesquisas devem ser realizadas e divulgadas buscando aumentar o conhecimento sobre este tema. Descritores: voz; distúrbio da voz; saúde do trabalhador; docente.RESUMEN Objetivo: analisar las publicaciones de las alteraciones vocales provenientes del trabajo por medio de una revisión de la literatura sobre el tema propuesto. Metodologia: la coleta de datos fue realizada buscándose artículos en periódicos indexados en la biblioteca virtual Scielo, publicado entre 1998 y 2008. Resultados: fueron encontrados 15 artículos que albergaban las alteraciones vocales de los profesores provenientes del trabajo. Fue identificado como principal tipo de estudio el observacional transversal con 33,38%. Al total fueron encuestados 5.910 profesores cuyo 53,33% actuan en la enseñanza fundamental y 60% son de ambos los sexos. Los conjuntos temáticos señalados con mayor frecuencia fueron: identificación de los problemas, conocimientos y cuidados, comportamientos inadecuados y promoción de salud vocal. Fue relatado como principales alteraciones: laringitis crónica, disfonia vocal, cansancio al hablar, ronquera, y otras. Conclusiones: hay pocos artículos publicados en la biblioteca  explorada relacionados a las alteraciones vocales del profesor provenientes del uso de la voz en el trabajo. De esta manera, más búsquedas deben ser realizadas y difundidas con fines de aumentar el conocimiento sobre este tema. Descriptores: voz; disturbio de la voz; salud del trabajador; docente.

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