{"title":"Exploring the Influencing Factors for Infant Mortality: A Mixed-Method Study of 24 Developing Countries Based on Demographic and Health Survey data","authors":"M. Islam, T. Tabassum, M. Moni","doi":"10.22541/AU.161339107.78630272/V1","DOIUrl":"https://doi.org/10.22541/AU.161339107.78630272/V1","url":null,"abstract":"Objective: This study aimed to discover the prevalence of infant\u0000mortality and to assess how different factors influence infant mortality\u0000in 24 developing countries by utilizing the latest DHS data. Methods:\u0000This study used a mixed-method design to assemble cross-sectional\u0000studies to integrate data from 24 other countries due to a widening\u0000perspective of infant mortality. Most recent available DHS data of 24\u0000different developing countries from the year 2013 to 2019 was used to\u0000conduct the study. Descriptive analysis, binary logistic regression\u0000model, random-effect meta-analysis, and forest plot have been used for\u0000the final analyses. Results: Binary logistic regression model revealed\u0000for Bangladesh that, higher education level of fathers (OR: 0.344, 95%\u0000CI: 0.147; 0.807), being 2nd born or above order infant (OR: 0.362, 95%\u0000CI: 0.248, 0.527), taking ANC (OR: 0.271, 95% CI: 0.192; 0.382 for 1-4\u0000visits), taking PNC (OR: 0.303, 95% CI: 0.216; 0.425) were\u0000statistically significant determinants of lowering infant death. While\u0000carrying multiple fetus (OR: 6.634, 95% CI: 3.247; 13.555) was exposed\u0000as a risk factor of infant mortality. Most significant factors\u0000influencing infant mortality for all 24 developing countries were number\u0000of fetus (OR: 0.193, 95% CI: 0.176; 0.213), taking ANC (OR: 0.356, 95%\u0000CI: 0.311; 0.407) and taking PNC (OR: 0.302, 95% CI: 0.243; 0.375).\u0000Conclusion In this study, the number of the fetus, taking ANC and PNC,\u0000was the most significant factor affecting the risk of infant mortality\u0000in developing countries. So, anticipation and control projects ought to\u0000be taken in the field in regard to these hazard factors.","PeriodicalId":305591,"journal":{"name":"Family Medicine & Primary Care Review","volume":"6 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116742665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Samter’s Triad: pathogenesis, clinical picture, diagnosis, comparison of biological and surgical treatment and the role of aspirin desensitisation","authors":"Bianka Nowińska, J. Piotrowski, Karolina Dorobisz","doi":"10.5114/fmpcr.2022.120862","DOIUrl":"https://doi.org/10.5114/fmpcr.2022.120862","url":null,"abstract":"samter’s triad (st), also known as aspirin-exacerbated respiratory disease (aErD), is defined as the correlation of asthma, aspirin intolerance (ai) and nasal polyps (nP). the combination of these symptoms poses a challenge in clinical practice, i.e. difficulties in making diagnosis and managing treatment. the prevalence is estimated at 0.3–0.9% of the general population in the Usa, with a slight female predominance, whereas among asthmatic patients, the prevalence is estimated at 10–11%. the most common symptoms of st are nasal congestion, rhinorrhoea, sneezing, anosmia and sinus opacification with symptoms from the lower respiratory tract due to disease progression. less common aErD manifestations are cutaneous and gastrointestinal symptoms. the diagnostics is based on a clinical picture, Ct findings and provocative aspirin challenge. the treatment strategy is a combination of surgical treatment, aspirin desensitisation and biological treatment, such as omalizumab or Dupilumab. among the treatment options, the most beneficial strategy is aspirin desensitisation combined with FEss. the results of omalizumab and Dupilumab treatment are promising, though they need to be confirmed by further studies. our aim was to review the latest literature and compare the treatment options and their efficacy. we discussed pathogenesis, diagnosis, clinical picture, surgical and biological treatment options and aspirin desensitisation.","PeriodicalId":305591,"journal":{"name":"Family Medicine & Primary Care Review","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125216752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Batool, Z. Saleem, H. Saeed, S. Yasmeen, Rabia Anwar, Faheem Ahmad, Fatima Tauqeer, M. Mahboob
{"title":"Factors affecting health-related quality of life (HRQoL) in Pakistani children with thalassemia","authors":"N. Batool, Z. Saleem, H. Saeed, S. Yasmeen, Rabia Anwar, Faheem Ahmad, Fatima Tauqeer, M. Mahboob","doi":"10.5114/fmpcr.2022.113012","DOIUrl":"https://doi.org/10.5114/fmpcr.2022.113012","url":null,"abstract":"","PeriodicalId":305591,"journal":{"name":"Family Medicine & Primary Care Review","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116874040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Á. González, Elena Casellas Martí, S. Arroyo Bote, Pere Riutord Sbert, H. M. González San Miguel, J. R. Ramírez Manent
{"title":"Comparison of different overweight and obesity indexes in young adult Spanish workers","authors":"Á. González, Elena Casellas Martí, S. Arroyo Bote, Pere Riutord Sbert, H. M. González San Miguel, J. R. Ramírez Manent","doi":"10.5114/fmpcr.2022.115876","DOIUrl":"https://doi.org/10.5114/fmpcr.2022.115876","url":null,"abstract":"Background. obesity is a major public health problem in both developed and underdeveloped countries due to its high prevalence and the complications it causes, such as type 2 diabetes, cardiovascular diseases, musculoskeletal and psychological disor ders and avoidable lost life years. Objectives. The aim of this study was to determine the prevalence of overweight and obesity in young Spanish adults using different scales. Material and methods. Retrospective and cross-sectional study in 136,821 Spanish workers 18 to 34 years of age from different labour sectors. In this group, different scales related to overweight and obesity, such as BMI, waist-to-height ratio, and body fat estimators, such as CUNBAE, ECORE-BF, relative fat mass, Deuremberg formula and Palafolls formula, among others, were evaluated. Results. 12.03% of women and 12.15% of men were obese according to BMI. The prevalence of obesity due to excess body fat with the gold standard CUN BAE scale was 28.09% in women and 27.11% in men. Most overweight and obesity scales using anthropometric parameters show a higher prevalence in men, while scales using body fat show a higher prevalence of obesity in women. Conclusions. The prevalence of medium and high values of the different scales used to assess overweight and obesity can be consid ered high in the active population between 18 and 34 years of age, which implies secondary pathologies, loss of quality of life and premature death.","PeriodicalId":305591,"journal":{"name":"Family Medicine & Primary Care Review","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124946245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Nykytyuk, S. Klymnyuk, Volodymyr Panichev, Olha Marchuk, I. Klishch
{"title":"Experience of PCR research on Lyme borreliosis in children from the Ternopil Region","authors":"S. Nykytyuk, S. Klymnyuk, Volodymyr Panichev, Olha Marchuk, I. Klishch","doi":"10.5114/fmpcr.2022.120857","DOIUrl":"https://doi.org/10.5114/fmpcr.2022.120857","url":null,"abstract":"A – Study design","PeriodicalId":305591,"journal":{"name":"Family Medicine & Primary Care Review","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116739335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samuel Bungaran Partahi Saud Manalu, Elcha Leonard, Carennia Paramita, Marshell Tendean
{"title":"Factors affecting the disease severity of COVID-19 patients in an emergency setting","authors":"Samuel Bungaran Partahi Saud Manalu, Elcha Leonard, Carennia Paramita, Marshell Tendean","doi":"10.5114/fmpcr.2022.113014","DOIUrl":"https://doi.org/10.5114/fmpcr.2022.113014","url":null,"abstract":"Background. Coronavirus disease 2019 (COVID-19) is a highly contagious disease with a fast rate of spread. A present issue concerns a new variant of the virus with a more robust transmission ability and infection power than the original variant. Objectives. The aim of this study was to analyse factors affecting the disease severity of COVID-19 patients in an emergency setting. Material and methods. This study was conducted in UKRIDA Hospital. A total of 262 patients were included based on inclusion and exclusion criteria using non-probability consecutive sampling. The dependent variable was the severity of COVID-19 based on the New Early Warning Score 2 (NEWS2). The independent variables were age, gender, hypertension, diabetes mellitus, atherosclerosis, onset to admission interval, haemoglobin concentration, renal function and liver function. The data was collected from medical record and was analysed using the Chi-square or Mann-Whitney test and multinomial logistic regression. Results. The results showed mild severity of COVID-19 (84.4%) followed by moderate (9.9%) and severe COVID-19 (5.7%). We also found that age (p = 0.003), hypertension (p = 0.095), diabetes mellitus (p = 0.191), atherosclerosis (p = 0.004), onset to admission interval (p = 0.016), renal function (p = 0.048) and liver function (p = 0.007) were eligible for multivariate analysis. Further analysis showed that age (p = 0.038) and diabetes mellitus (p = 0.034) are the most significant factors related to the severity of the disease. Conclusions. Age and diabetes mellitus are significant factors contributing to the severity of COVID-19 in an emergency setting.","PeriodicalId":305591,"journal":{"name":"Family Medicine & Primary Care Review","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128769569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Have the number of pulmonary embolism cases increased during the COVID-19 pandemic?","authors":"Emine Afşin, Emine Özsarı, Suat Konuk, Derya Kocadağ, Emre Bacaksiz","doi":"10.5114/fmpcr.2022.115868","DOIUrl":"https://doi.org/10.5114/fmpcr.2022.115868","url":null,"abstract":"Background. Coagulation disorders, endothelial dysfunction, immobility and dehydration contribute to deep vein throm-bosis (DVT) and pulmonary embolism (PE) in COVID-19 patients. While the prevalence of PE accompanying COVID-19 is high, the number of studies on its long-term effects is limited in literature. Objectives. We expanded this process and aimed to evaluate a one-year period before and during the pandemic. We sought an answer to the question: \"Is there a change in the frequency and clinical course of PE?\" Material and methods. Retrospectively, all patients admitted to our pulmonology clinic diagnosed with PE between October 2018-2019 (pre-pandemic) and April 2020-2021 (pandemic period) were included in the study. PE patients hospitalized due to COVID-19 infection were not included in the study. Results. The prevalence of PE cases increased by 43% in the first year of the pandemic, and there was no significant difference in terms of symptoms, localisation and extent of thrombus in the pulmonary artery, DVT frequency, systolic pulmonary artery pressure (PABs) values, right heart load, frequency of thrombolytic therapy and mortality rates. A significant decrease was observed in predisposing factors of pulmonary embolism only in the postoperative period (7 patients (77.8%) before the pandemic;2 patients (22.2%) during the pandemic;p = 0.029). Conclusions. PE cases are encountered more frequently during the pandemic process, and no significant change was seen in patient's clinical findings and mortality.","PeriodicalId":305591,"journal":{"name":"Family Medicine & Primary Care Review","volume":"1984 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130623675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Koziarska-Rościszewska, Karolina Tchórzewska, Jakub Tchórzewski, Piotr Rościszewski, Małgorzata Widawska, Karolina Kopacz, Magdalena Fronczek, J. Rysz
{"title":"Mental well-being among students of selected medical universities in Poland. The role of a family physician","authors":"M. Koziarska-Rościszewska, Karolina Tchórzewska, Jakub Tchórzewski, Piotr Rościszewski, Małgorzata Widawska, Karolina Kopacz, Magdalena Fronczek, J. Rysz","doi":"10.5114/fmpcr.2022.118282","DOIUrl":"https://doi.org/10.5114/fmpcr.2022.118282","url":null,"abstract":"Background. based on available literature and the practices of primary care physicians, it has been observed that young adults have increasing levels of stress and mental health disorders, which worsens their quality of life. Medical students are a special group due to their stressful studies. Objectives. an assessment of the well-being of students at selected medical universities in Poland. Determining the role of a family physician in this respect. increasing awareness of mental health among both students as well as family physicians. Material and methods. students of medical faculties (medicine, nursing, pharmacy, emergency medicine) at selected universities in Poland. Form of the survey – an anonymous online questionnaire. the data collected was statistically analysed using statistica v. 13 (statsoft inc, usa). Results. 20% of the respondents described their mental condition as good. anxiety disorders were reported by 52%, sleep disorders by 75%, eating disorders by 46%, and 15% of the participants have been diagnosed with depression. 86% of the students consumed alcohol, and 73% did not use medical help. Conclusions. students at selected Polish medical universities report high levels of stress. Many of them have developed anxiety disorders, sleep disorders and depression during the course of their studies. Measures should be taken to raise awareness of the prevalence of mental disorders among students by both students and family physicians. Family physicians should pay particular attention to the mental health of medical students.","PeriodicalId":305591,"journal":{"name":"Family Medicine & Primary Care Review","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123196848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bartłomiej Pomorski, Klaudia Wiśniewska, K. Okręglicka
{"title":"Use of dietary management in irritable bowel syndrome by dietitians in Poland","authors":"Bartłomiej Pomorski, Klaudia Wiśniewska, K. Okręglicka","doi":"10.5114/fmpcr.2022.118286","DOIUrl":"https://doi.org/10.5114/fmpcr.2022.118286","url":null,"abstract":"","PeriodicalId":305591,"journal":{"name":"Family Medicine & Primary Care Review","volume":"301 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114062061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roghayeh Eslami, Mahboobeh Khajeh, Ahmad Khosravi, Seyedmohammad Mirhosseini, Hossein Ebrahimi
{"title":"Prevalence and related factors of social isolation in older Iranian adults: a community-based study","authors":"Roghayeh Eslami, Mahboobeh Khajeh, Ahmad Khosravi, Seyedmohammad Mirhosseini, Hossein Ebrahimi","doi":"10.5114/fmpcr.2022.120852","DOIUrl":"https://doi.org/10.5114/fmpcr.2022.120852","url":null,"abstract":"","PeriodicalId":305591,"journal":{"name":"Family Medicine & Primary Care Review","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114355711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}