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Crude Birth Rate and Crude Mortality Rate in India: A Case of Application of Regression in Healthcare 印度粗出生率和粗死亡率:回归在医疗保健中的应用案例
Pub Date : 2020-02-20 DOI: 10.5772/intechopen.90840
Prisilla Jayanthi, M. Iyyanki
India’s demographic transition in 1950 has led to decline of high birth and mortality rate to 6.5%, a drop of 0.6% in 2016–2017, as per the economic survey (2017–2018). The crude birth rate and crude mortality rate decreases with the occupation. In this study, the statistical parameter, confidence interval indicates the true range of the mean of the crude birth rate and crude mortality rate computed from the observed data in the study. Location and precision of a measure are made available with the confidence interval. In the study, the results for crude birth rate in 1984 were highest, 95% CI = 32.08–39.22, and in 2011, were lowest, 95% CI = 20.68–25.24, and the results for crude mortality rate in 1984 were highest, 95% CI = 32.08–39.22, and in 2011 were lowest, 95% CI = 20.68–25.24. A small standard error implies that the sample mean is a more accurate reflection of the actual population mean. The smallest standard error of crude birth rate is 1.08, and the smallest standard error of crude mortality rate is 0.50.
根据经济调查(2017-2018),1950年印度的人口转型导致高出生率和死亡率下降至6.5%,2016-2017年下降0.6%。粗出生率和粗死亡率随职业的不同而降低。在本研究中,统计参数置信区间表示根据本研究观测数据计算出的粗出生率和粗死亡率均值的真实范围。测量的位置和精度可通过置信区间获得。1984年粗出生率最高,95% CI = 32.08 ~ 39.22, 2011年最低,95% CI = 20.68 ~ 25.24; 1984年粗死亡率最高,95% CI = 32.08 ~ 39.22, 2011年最低,95% CI = 20.68 ~ 25.24。较小的标准误差意味着样本均值更准确地反映了实际总体均值。粗出生率的最小标准误差为1.08,粗死亡率的最小标准误差为0.50。
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引用次数: 2
Epidemiology and Management of Intracerebral Hemorrhage in Chile 智利脑出血的流行病学和治疗
Pub Date : 2019-06-24 DOI: 10.5772/intechopen.86312
Á. Soto, Marcelo Peldoza, D. Pollak
Intracerebral hemorrhage (ICH) is the second cause of stroke in Chile (23% of all strokes). The Araucanía Region has double the mortality rate by stroke compared with most regions in Chile. In developing countries like Chile, it is difficult to admit patients with ICH to the intensive care unit (ICU) for general neuroprotec-tion and an aggressive lowering of blood pressure. The aim is to report the experience in the treatment of patients with ICH in a regional public hospital in Temuco, Chile. A convenience sample of the ICH consultations made during shift # 1 in the emergency room (ER) of the Hospital Dr. Hernán Henríquez Aravena between January 2016 and December 2018 was analyzed. There were 108 consultations for ICH in the period. The average age of the patients was 66.0 years (SD = 14.1). About 56.5% of the patients were male. Regarding the etiology, 70.4% were hyper-tensive, 18.5% were due to amyloid angiopathy, and 11.1% were for other causes. The implementation of 24/7 neurology shifts in the ER allowed us to reduce the evaluation time and improve the management of ICH patients. On the other hand, our hospital lacks a stroke unit, so ICH patients do not receive the standard care.
脑出血是智利中风的第二大原因(占所有中风的23%)。Araucanía地区的中风死亡率是智利大多数地区的两倍。在智利等发展中国家,很难将脑出血患者送入重症监护病房(ICU)进行一般神经保护和积极降低血压。目的是报告智利特穆科一所区域公立医院治疗脑出血患者的经验。分析了2016年1月至2018年12月期间Hernán Henríquez Aravena医院急诊室(ER) 1班期间进行的ICH咨询的便利样本。在此期间,就非物质精神疾病进行了108次咨询。患者平均年龄66.0岁(SD = 14.1)。男性占56.5%。病因方面,高血压占70.4%,淀粉样血管病占18.5%,其他病因占11.1%。在急诊室实施24/7神经学轮班使我们减少了评估时间,改善了对脑出血患者的管理。另一方面,我们医院缺乏卒中单元,因此脑出血患者没有得到标准的治疗。
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引用次数: 1
Evidence for the Effectiveness of Soy in Aging and Improving Quality of Life 大豆延缓衰老和改善生活质量的证据
Pub Date : 2019-06-20 DOI: 10.5772/INTECHOPEN.85664
B. Arjmandi, Elizabeth M Foley
Soy is a highly nutritious yet widely underutilized food. Because of the con-troversy surrounding soy, individuals with chronic disease states that may benefit from soy or soy isoflavone consumption may avoid this food. The relationship of soy to estrogen, breast cancer, osteoarthritis, and other chronic disease states is discussed. Osteoarthritis is a specific focus, as the immobility brought about by this disease state may lead to other chronic diseases that are also positively affected by soy consumption, and because there is no clear etiology or cure for this debilitating disease. Conclusions and future directions for soy research as it relates to healthy aging are also discussed.
大豆是一种营养丰富但未被充分利用的食物。由于围绕大豆的争议,患有慢性疾病的人可能会从大豆或大豆异黄酮的消费中受益,可能会避免食用这种食物。大豆与雌激素,乳腺癌,骨关节炎和其他慢性疾病状态的关系进行了讨论。骨关节炎是一个特别关注的焦点,因为这种疾病状态带来的行动不便可能导致其他慢性疾病,这些疾病也会受到大豆消费的积极影响,而且因为这种使人衰弱的疾病没有明确的病因或治疗方法。讨论了大豆与健康衰老相关的研究结论和未来发展方向。
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引用次数: 1
Psychotropic Medication Use and Mortality in Long-Term Care Residents 长期护理居民的精神药物使用和死亡率
Pub Date : 2019-04-24 DOI: 10.5772/INTECHOPEN.85971
M. Stones, Sarah Worobetz, Jason M Randle, Carlina Marchese, Shauna Fossum, Dane Ostrom, P. Brink
This chapter examines associations between psychotropic medications and mortality in long-term care home (LTCH) settings. We report new findings with census-level data from all new admissions to long-term care homes in the province of Ontario, Canada (i.e., 20,414 new residents). The data include three linked sets that indicate mortality during the financial years 2010–2011 and 2011–2012. One dataset, the Resident Assessment Instrument 2.0 (RAI 2.0), provides information on demographics, functional capability, clinical conditions, clinical diagnoses, mortality risk, and psychotropic medications. The latter include antipsychotics, antidepressants, analgesics, anxiolytics, and hypnotics. Administration of the RAI 2.0 occurs at resident intake, at quarterly intervals and annually. New analyses reported here examine predictors of daily and pro re nata (i.e., PRN or “as needed”) prescriptions of psychotropic medications. However, the most important analyses concern predictors of mortality within intervals of up to 90 days from the final RAI 2.0 assessment. After control for confounding variables, the findings indicate (1) attenuated mortality with daily prescription of frequently prescribed psychotropics (i.e., antipsychotics, antidepressants, and analgesics), (2) augmented mortality with PRN prescriptions for each type of psychotropic medication, and (3) evidence that PRN prescribing overturns beneficial effects of daily prescriptions, whereas the latter reduces the deleterious effects of PRN prescribing.
本章探讨精神药物与长期护理院(LTCH)环境中死亡率之间的关系。我们报告了加拿大安大略省所有新入院的长期护理院(即20,414名新居民)的普查数据的新发现。这些数据包括三组相互关联的数据,显示了2010-2011财政年度和2011-2012财政年度的死亡率。其中一个数据集,居民评估工具2.0 (RAI 2.0),提供了人口统计、功能能力、临床状况、临床诊断、死亡风险和精神药物方面的信息。后者包括抗精神病药、抗抑郁药、镇痛药、抗焦虑药和催眠药。RAI 2.0在居民入学时、每季度和每年进行一次。本文报道的新分析检查了每日和临时(即PRN或“按需”)精神药物处方的预测因素。然而,最重要的分析涉及从最终RAI 2.0评估开始最长90天内的死亡率预测因子。在控制混杂变量后,研究结果表明:(1)每日服用常用精神药物(即抗精神病药、抗抑郁药和镇痛药)降低了死亡率,(2)每种精神药物的PRN处方增加了死亡率,(3)有证据表明,PRN处方推翻了每日处方的有益作用,而后者减少了PRN处方的有害作用。
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引用次数: 1
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Aging - Life Span and Life Expectancy
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