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Laboratory manifestations of COVID-19 associated with hemostatic abnormalities 与止血异常相关的COVID-19实验室表现
Journal of Ideas in Health Pub Date : 2021-08-18 DOI: 10.47108/jidhealth.vol4.iss3.133
A. Elsadig, M. Ali, Alfatih Aboalbasher Yousif
{"title":"Laboratory manifestations of COVID-19 associated with hemostatic abnormalities","authors":"A. Elsadig, M. Ali, Alfatih Aboalbasher Yousif","doi":"10.47108/jidhealth.vol4.iss3.133","DOIUrl":"https://doi.org/10.47108/jidhealth.vol4.iss3.133","url":null,"abstract":"Hemostatic abnormalities had been reported in COVID-19 patients, which may include disseminated intravascular coagulation (DIC), hypercoagulability, and alterations in platelets parameters. Articles that investigate the alterations of hemostatic abnormalities during the COVID-19 disease (2020-2021) and their predictive value of disease outcome have been thoroughly reviewed. Among the reviewed articles, thrombocytopenia is observed in 5.0-41.7% of COVID-19 patients, which is related to disease severity. Moreover, other platelets parameters, including Platelets/lymphocytes ratio (PLR), Mean platelets volume (MPV), and aggregation, may also be affected. On the other hand, findings of coagulation tests such as D dimer; fibrinogen, Antithrombin (AT), and Fibrin degradation products (FDP) are significantly elevated in COVID-19 patients, while in a single study, most of the patients had positive Lupus anticoagulants (LA) and normal protein C (PC). In the same perspective, these alterations showed significant correlations with disease severity. Overall, hemostatic laboratory markers are significant predictors of COVID-19 disease outcome as indicated by the increased risk of venous and arterial thrombotic events, especially in ICU patients. \u0000 ","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123061366","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}
引用次数: 1
Assumption of heparin-induced thrombocytopenia in mucopolysaccharidoses 粘多糖病中肝素诱导的血小板减少的假设
Journal of Ideas in Health Pub Date : 2021-08-17 DOI: 10.47108/jidhealth.vol4.iss3.129
L. A. Osipova, L. M. Kuzenkova
{"title":"Assumption of heparin-induced thrombocytopenia in mucopolysaccharidoses","authors":"L. A. Osipova, L. M. Kuzenkova","doi":"10.47108/jidhealth.vol4.iss3.129","DOIUrl":"https://doi.org/10.47108/jidhealth.vol4.iss3.129","url":null,"abstract":"Background: Mucopolysaccharidoses (MPSs) are a group of lysosomal storage diseases, resulted from glycosaminoglycans’ breakdown failure (GAGs). The study aims to determine the presence of thrombocytopenia, its prevalence, clinical implication, and correlation with the types of MPSs and with the types of glycosaminoglycans storage. \u0000Methods: A retrospective cross-sectional study of complete blood count data was conducted among 108 children with a confirmed diagnosis of MPS in the National Medical Research Center for Children's Health, Moscow, Russian Federation. STATISTICA 10 (Stat Soft, Inc. 1984-2011) was used for statistical analysis. A p-value of ≤0.05 was considered significant. \u0000Results: The median age of children was 65 [IQR: 41; 102] months, range: 3 – 102 months. The male to female ratio was 3:1. The prevalence of fluctuating or persistent thrombocytopenia in all children with MPS was 19.0%. Thrombocytopenia occurred in patients with MPS I (14.0%), II (19.0%), and III (31.0%). Neither of the patients with MPS IV nor VI demonstrated low platelet count. There was a non-significant predominance (P=0.068) of thrombocytopenia frequency in patients with heparan sulfate storage (22.0%) compared with patients without heparan sulfate burden (0%). \u0000Conclusion: Routine checkups of patients with MPSs must include complete blood count with platelet measurement. Cases of thrombocytopenia that requiring treatment, immunomodulatory/ immunosuppressive therapy should be considered. Further research is needed to look for the laboratory confirmation of autoimmune variants of HIT in patients with MPS I, II, III.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130147898","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}
引用次数: 0
The perception of biopsychosocial impacts of COVID-19 during lockdown restrictions over time in the UK – a mixed methods study 随着时间的推移,英国封锁期间对COVID-19生物心理社会影响的看法——一项混合方法研究
Journal of Ideas in Health Pub Date : 2021-07-20 DOI: 10.47108/JIDHEALTH.VOL4.ISSSPECIAL2.131
Sam Grimwood, K. Stuart, R. Browning, Thea Winn-Reed, E. Bidmead
{"title":"The perception of biopsychosocial impacts of COVID-19 during lockdown restrictions over time in the UK – a mixed methods study","authors":"Sam Grimwood, K. Stuart, R. Browning, Thea Winn-Reed, E. Bidmead","doi":"10.47108/JIDHEALTH.VOL4.ISSSPECIAL2.131","DOIUrl":"https://doi.org/10.47108/JIDHEALTH.VOL4.ISSSPECIAL2.131","url":null,"abstract":"Background: The COVID-19 pandemic has profoundly impacted the health of individuals physically, mentally, and socially. This study aims to gain a deeper understanding of this impact across the pandemic from a biopsychosocial stance. \u0000Methods: A survey created by the research team was employed between November 2020 and February 2021 across social media, relevant organizations, and networks. The survey incorporated 5-time points across the different stages of the pandemic, covering biological, psychological, and social. There were 5 items for each survey (Very Positive affect to Very Negative affect), and analysis was undertaken using SPSS version 16. Descriptive statistics and non-parametric Friedman and Wilcoxon Tests, as well as correlations between the three domains, were implemented. \u0000Results: This study included 164 participants (77.0% female and 35.0% male) across 24 out of 38 counties in the UK. The impact of COVID-19 on biological domain was significant across the five data points χ2(4) = 63.99, p < 0.001, psychological χ2(4) = 118.939, p <0.001 and socially χ2(4) = 186.43, p <0.001. Between the 5 data points, 4 out of 5 had a negative impact, however between the first stage of lockdown and the easing of restrictions, findings for biological (Z=-2.35, p <0.05), psychological (Z=-6.61, p < 0.001), and socially (Z = -8.61, p <0.001) were positive. Negative correlations between the three domains across the pandemic are apparent, but in later stages, the biological domain had a positive correlation r = 0.52, p < 0.001. \u0000Conclusion: The data shows a negative impact from the self-reported perception of wellbeing from a biopsychosocial stance over time, as well as perceiving the three domains to interact negatively. To address these biopsychosocial issues, the research implies a place-based integrated recovery effort is needed, addressing biological, psychological, and social issues simultaneously. Further research should investigate biopsychosocial health among a more generalizable population.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129156080","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}
引用次数: 1
Evaluation of health system in Iraq from people's point of view: a comparative study of two different eras 人民视角下的伊拉克卫生系统评价:两个不同时代的比较研究
Journal of Ideas in Health Pub Date : 2021-05-20 DOI: 10.47108/JIDHEALTH.VOL4.ISS2.100
Saad Ahmed Ali Jadoo, A. Alhusseiny, S. M. Yaseen, M. Al-Samarrai, Anmar Shukur Mahmood
{"title":"Evaluation of health system in Iraq from people's point of view: a comparative study of two different eras","authors":"Saad Ahmed Ali Jadoo, A. Alhusseiny, S. M. Yaseen, M. Al-Samarrai, Anmar Shukur Mahmood","doi":"10.47108/JIDHEALTH.VOL4.ISS2.100","DOIUrl":"https://doi.org/10.47108/JIDHEALTH.VOL4.ISS2.100","url":null,"abstract":"Background: Since the 2003 United States–British Coalition military invasion, Iraq has been in a state of continuous deterioration at all levels, including the health sector. This study aimed to elicit the viewpoints of the Iraqi people on the current health system, focusing on many provided health services and assessing whether the public prefers the current health system or that was provided before the invasion. \u0000Methods: A cross-sectional survey designed to explore the Iraqi people’s opinions on their health system. A self-administered questionnaire using a multi-stage sampling technique was distributed in five geographical regions in Iraq to collect the data from the head of household between 1st October and 31st of December 2019. Multiple logistic regressions were recruited to determine the significant contributing variables in this study. \u0000Results: A total of 365 heads of households (response rate: 71.7%) with the mean age of 48.36 + 11.92 years (ranged 35-78) included in the study. Most of the respondents (61.4%) complained of healthcare inaccessibility, 59.7% believed that health resources were not available, 53.7% claimed a deterioration in the quality of care, and 62.2% believed that the political / media position did not contribute to positive changes during the past two decades. Indeed, most respondents (66.0%) believe that the current healthcare system is worse than before. In the multivariate analysis, there was a statistically significant relationship between the characteristics and opinions of the respondents. Young age group (p = 0.003), men (p = < 0.001), unmarried (p = 0.001), high educated (p = < 0.001), rural resident (p = < 0.001), unemployed (p = 0.003), monthly income of less than USD 400 (p = < 0.001), consider themselves to be unhealthy (p = 0.001),  and those who think that people are unhappy now than two decades ago (p = 0.012) have a more negative opinion of the health system. \u0000Conclusions: Most Iraqis surveyed expressed disappointment from the health system after the 2003 US-led invasion. The current health system is faltering at all levels and does not meet the citizens' basic needs. Health Transformation Program (HTP) has become inevitable to develop an accessible, affordable, high-quality, efficient, and effective health system.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129489302","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}
引用次数: 4
Knowledge, attitude, and practice towards COVID-19 among Syrian people resident in Turkey 居住在土耳其的叙利亚人对COVID-19的知识、态度和做法
Journal of Ideas in Health Pub Date : 2020-12-29 DOI: 10.47108/jidhealth.vol3.issspecial2.61
Saad Ahmed Ali Jadoo, Ilker Dastan, M. Al-Samarrai, S. Mahmood, Yaseen, Asiyeh Abbasi, Hassan Alkhdar, M. A. Saad, Omar Mohamed Danfour
{"title":"Knowledge, attitude, and practice towards COVID-19 among Syrian people resident in Turkey","authors":"Saad Ahmed Ali Jadoo, Ilker Dastan, M. Al-Samarrai, S. Mahmood, Yaseen, Asiyeh Abbasi, Hassan Alkhdar, M. A. Saad, Omar Mohamed Danfour","doi":"10.47108/jidhealth.vol3.issspecial2.61","DOIUrl":"https://doi.org/10.47108/jidhealth.vol3.issspecial2.61","url":null,"abstract":"Background: Measuring knowledge, attitude, and practice towards COVID-19 helps policymakers observe knowledge gaps and provide key messages to people to act better against the pandemic. This study aims to assess the knowledge, attitude, and practice towards COVID-19 among Syrian people resident in Turkey.  \u0000Methods: A cross-sectional study designed to assess the knowledge, attitude, and practice towards COVID-19 among the Syrian people resident in Turkey. The data were collected via a web-based and self-administered questionnaire of 313 participants from 17-31 July 2020. SPSS version 16.0 was recruited to analyze the data using univariate and multivariable regression data analyses. \u0000Results: Our finding as the first study among Syrian people resident in Turkey found a high rate of good knowledge, attitude, and practice towards COVID-19 accordingly with 83.0%, 72.0%, 84.0%. Regression analysis showed that age-group of 45 years and more years, marital status of being married, female gender, living in urban area were significantly associated with upper knowledge score. Age-group of 45 years and more significantly associated with positive attitude score but inversely being married and unemployed statues significantly associated with a negative attitude. Regarding practice score, married and female people had better practice, but poor-rated health status was significantly associated with the weak practice. \u0000Conclusion: Although our finding showed a good rate for knowledge, attitude, and practice towards COVID-19, but it needs to improve cause of many barriers on Syrian people resident in Turkey, such as living in a crowded place, distant from health care services, losing whole or part of their income due to COVID-19 as an economic crisis, different language barriers. Some groups like men, people living in a rural area, and those unemployed or lost their job should be exposed by timely and accurate knowledge.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"262 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123108930","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}
引用次数: 10
What is going wrong in health research investment? post-pandemic lessons and the need for change 卫生研究投资出了什么问题?大流行后的教训和变革的必要性
Journal of Ideas in Health Pub Date : 2020-12-24 DOI: 10.47108/jidhealth.vol3.issspecial2.86
R. Bouzidi
{"title":"What is going wrong in health research investment? post-pandemic lessons and the need for change","authors":"R. Bouzidi","doi":"10.47108/jidhealth.vol3.issspecial2.86","DOIUrl":"https://doi.org/10.47108/jidhealth.vol3.issspecial2.86","url":null,"abstract":"The emergence of a new dimension of consciousness after the COVID-19 pandemic might provide an opportunity to highlight gaps and inequalities in health research investment and to mobilize scientific and public opinion to change the way things are done. This analysis considers some lessons learned from the pandemic crisis concerning the priority of global health research, research in prevention and well-being, and international research cooperation. The question raised by these issues concerns the unfairness of health research funding, mainly dominated by the pharmaceutical and device industries. However, evidence shows that these companies shifted funding to late-phase clinical trials and away from innovation activity and global health priorities. On the other hand, public institutions continue to invest in basic science, with the majority of funds still focused on basic research and innovation. This direct relationship between industry and biomedical research disrupts the reliability of findings and biases the evidence. Several initiatives and efforts are shaping pathways towards health research independence from industry funding. We can propose the idea of industry funding without a direct relationship with researchers through a common pot managed by an independent international agency. Nevertheless, to promote publicly funded research, the scientific community must strengthen its position compared to industry-funded research through transparency and the scientific value of publications. ","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128942896","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}
引用次数: 0
Monsoon vicissitude in COVID-19 and the vulnerable Indian health care system: an urgent call to circumvent the impending doom 2019冠状病毒病季风的变迁和脆弱的印度卫生保健系统:紧急呼吁规避即将到来的厄运
Journal of Ideas in Health Pub Date : 2020-12-20 DOI: 10.47108/JIDHEALTH.VOL3.ISSSPECIAL2.83
P. Gondode, Abhinav Lambe, O. Asai
{"title":"Monsoon vicissitude in COVID-19 and the vulnerable Indian health care system: an urgent call to circumvent the impending doom","authors":"P. Gondode, Abhinav Lambe, O. Asai","doi":"10.47108/JIDHEALTH.VOL3.ISSSPECIAL2.83","DOIUrl":"https://doi.org/10.47108/JIDHEALTH.VOL3.ISSSPECIAL2.83","url":null,"abstract":"With the escalating number of covid-19 positive cases and amidst the glooming shadows of an anticipated second wave of the covid-19 pandemic, the health care system of a developing country like India is already under pressure. With the encroachment of monsoon season, the ghosts of the past haunt India. Monsoon brings along endemic diseases like dengue, malaria, swine flu, Japanese encephalitis, chikungunya, etc. Every year there is significant morbidity and mortality. These diseases have clinical features of fever, sore throat, and body aches in common, which also happens to be the common manifestations of covid-19. The growing stigma related to COVID-19, the fake news, and fear related to hospitalization and isolation may lead to low reporting cases to the hospitals. Lockdown and non-availability of beds may perplex the situation further. There is an urgent need of the hour to address this grave issue to prevent a major mishappening. A comprehensive evaluation of the health-care systems is desperately needed, especially on the fronts of governance, decision making, scientific and technical advice, and operational capacity. ","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"6 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131892902","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}
引用次数: 0
Knowledge, attitude, and practice toward COVID-19 among Iraqi people: a web-based cross-sectional study 伊拉克民众对COVID-19的知识、态度和做法:基于网络的横断面研究
Journal of Ideas in Health Pub Date : 2020-12-19 DOI: 10.47108/jidhealth.vol3.issspecial2.59
Saad Ahmed Ali Jadoo, A. Alhusseiny, S. M. Yaseen, Mustafa Mustafa, al-Samarrai, Ru’ya Abdulhadi Al-Rawi, A. Al-Delaimy, Mohammed Waheeb Abed, Hanan, Raheem Hassooni
{"title":"Knowledge, attitude, and practice toward COVID-19 among Iraqi people: a web-based cross-sectional study","authors":"Saad Ahmed Ali Jadoo, A. Alhusseiny, S. M. Yaseen, Mustafa Mustafa, al-Samarrai, Ru’ya Abdulhadi Al-Rawi, A. Al-Delaimy, Mohammed Waheeb Abed, Hanan, Raheem Hassooni","doi":"10.47108/jidhealth.vol3.issspecial2.59","DOIUrl":"https://doi.org/10.47108/jidhealth.vol3.issspecial2.59","url":null,"abstract":"Background: Iraq was among the first countries invaded by the novel human coronavirus (SARS-COV-2) after China. This study aimed to assess the Iraqi people's knowledge, attitudes, and practices toward COVID-19 during the pandemic.  \u0000Methods: A cross-sectional study recruiting an online self-reported survey conducted from 17-31 July 2020. Data of 877 participants have undergone descriptive, univariate, and multivariable regression analyses, respectively, to assess the differences in mean scores and identify factors associated with knowledge, attitudes, and practices (KAP) toward COVID-19. \u0000Results: Most of the respondents (78.8%) from the urban region, highly educated (69.7%), aged less than 45 years (61.2%), females (58.3%), married (51.9%), and 74.0% self-ranked health as good. Less than half (45.4%) were employed; however, the average monthly income was USD 400 or more in about 66.8% of them. The mean knowledge, attitude and practice score was 15.57 ± 2.46 (range: 0-20), 38.88 (SD = 3.57, (range: 11-55), and 5.13 (SD = 1.14, range: 0–6), respectively. Findings of regression analysis showed that higher educated (p< 0.001), urban residents (P <0.001), employed (P =0.040), and having an income level of USD 400 or more (P <0.001) were significantly associated with upper knowledge score. Female gender and employed respondents are significantly associated with positive attitude scores, but inversely respondents with an income of USD 400 or more are significantly associated with a negative attitude. Regarding practice score, the female gender and those living in an urban region had better practice, but the young age group (0-44 years) was significantly associated with the weak practice. \u0000Conclusion: Although Iraq has adopted a preventive and precautionary plan to control the spread of coronavirus. However, the public's knowledge and attitude toward COVID-19, coupled with the unstable political and security situation, have greatly affected the commitment to preventive measures.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"327 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134224167","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}
引用次数: 19
Assessment of obesity and central obesity among patients with knee osteoarthritis in Al-Sadder Hospital, Baghdad, Iraq 伊拉克巴格达Al-Sadder医院膝关节骨关节炎患者肥胖和中心性肥胖的评估
Journal of Ideas in Health Pub Date : 2019-12-20 DOI: 10.47108/JIDHEALTH.VOL2.ISS2.37
B. Al-Yasseri, Ayad Ali Radi, M. Abbas
{"title":"Assessment of obesity and central obesity among patients with knee osteoarthritis in Al-Sadder Hospital, Baghdad, Iraq","authors":"B. Al-Yasseri, Ayad Ali Radi, M. Abbas","doi":"10.47108/JIDHEALTH.VOL2.ISS2.37","DOIUrl":"https://doi.org/10.47108/JIDHEALTH.VOL2.ISS2.37","url":null,"abstract":"Background: Obese individuals are at increased risk for many chronic and life-threating conditions. The most significant burden on the musculoskeletal system resulted from osteoarthritis, mainly knee osteoarthritis. This study aimed to determine the prevalence of obesity and central obesity among a group of patients with knee osteoarthritis, analyze the effect of demographic variables, and examine the relationship between these two types of obesity. \u0000Methods: A cross-sectional study was conducted in Al-Sadder hospital in Baghdad from June through September 2017. A convenience sample of 200 patients with knee osteoarthritis was collected. Those with body mass index (BMI) equal to or more than (30 kg/m2) considered obese. The cutoff point for central obesity was the waist-hip ratio (WHR) above (0.9) for men and above (0.85) for women. The risk ratio and 95% confidence interval (95% CI) calculated to determine the strength of the relationship. P-value ≤ 0.05 was considered statistically significant.  \u0000Results: The number of obese patients, according to BMI, was 163 (81.5%). For central obesity, the men and women with unhealthy WHR were 53 (96.4%) and 131 (10.3%), respectively. No significant difference in the rate of obesity among age groups (p= 0.986). Central obesity is significantly lower in those less than 45 years (p=0.023). In men, the risk of obese to have central obesity is (1.06) with no significant association (95% CI = 0.89 - 1.27, P = 0.481). In women, risk ratio = 1.56 and association is significant (95% CI = 1.03 - 1.36, P = 0.037). \u0000Conclusion: The increasing age was associated with a rise in the rate of central obesity, but not with obesity. The overlap between the two types of obesity was evident and significant only in women.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116966226","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}
引用次数: 1
Neonatal bacterial colonization of the intestine—Implications for the practitioner 新生儿肠道细菌定植-对医生的影响
Journal of Ideas in Health Pub Date : 2019-12-09 DOI: 10.47108/JIDHEALTH.VOL2.ISS2.36
Rebecca McClay, Michael Mileski, J. Naiman
{"title":"Neonatal bacterial colonization of the intestine—Implications for the practitioner","authors":"Rebecca McClay, Michael Mileski, J. Naiman","doi":"10.47108/JIDHEALTH.VOL2.ISS2.36","DOIUrl":"https://doi.org/10.47108/JIDHEALTH.VOL2.ISS2.36","url":null,"abstract":"Background: Neonatal intestinal bacterial colony balance has correlations with positive and negative health situations. The understanding of how neonate colonization occurs is therefore extremely important in providing life-extending and holistic care for infants. Certain medical interventions can impede optimal intestinal colonization. However, with proper screening and identification, side effects can be limited and compensated for, and complications can be minimized in an already compromised population. This study aims to identify influences on neonate microbiomes to create best practices for increased health outcomes.  Develop mitigations for factors leading to intestinal microbiome conditions linked to negative neonate outcomes and increase opportunities for healthy colonization. \u0000Methods: The research team conducted a literature review via PubMed, Cumulative Index of Nursing and Allied Health Literature, and Academic Search Ultimate to collect data regarding neonatal bacterial colonization of the intestine.  \u0000Results: Normal colonization is affected by birth age, birthing method, time spent in direct skin to skin contact with mother and feeding type. Iatrogenic influences include the use of oral and topical antibiotics, proton blockers, and practices that limit direct contact. \u0000Conclusion: The nursing process and policy adaptations can have a positive effect on developing a protective neonate intestinal microbiome. Awareness of risks and early clinical signs can improve positive interventions that may prevent life-threatening complications in susceptible neonates. \u0000 ","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126431539","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}
引用次数: 1
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