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Cardiovascular Diseases (CVDs) Risk Attitude and Knowledge Level of Major Risk Factors for Cardiovascular Diseases among 15-19 Years Eleventh and Twelfth-Grade Students of Lekhnath Municipality 勒克纳特市15-19年级十一、十二年级学生心血管疾病危险态度及主要危险因素知识水平
Pub Date : 2018-01-29 DOI: 10.4172/2161-0711.1000584
N. Adhikari, Sapakota Kp, S. Adhikari
Introduction: Cardiovascular diseases (CVDs) becoming a major public health problem in developing countries. Both developed and developing countries witnesses the increase in a number of lifestyle-related risk factors such as excessive smoking, tobacco, and alcohol consumption, a poor dietary habit among adult and adolescent. The social and economic burden of CVDS in developing countries is more intensifying compare to developed countries because of higher prevalence of these diseases among economically active or working age population.Objective: The aim of this study is to assess and identify the level of knowledge and cardiovascular disease risk attitude among 15-19 years age students of grade 11th and 12th in Lekhnath Municipality.Methodology: The institution base quantitative cross-sectional study was adopted where Proportionate multistage cluster sampling technique was used to recurit study respondents.Result: Only small percentages (11%) of the respondent have a good level of knowledge regarding CVD risk factors. On the other hand, approximately there a quarter of the respondents (71.9%) have a cardiovascular riskseeking attitude.Conclusion: Majority of adolescents in this study does not have sufficient knowledge about major cardiovascular diseases risk factors. Respondents’ cardiovascular risk adverse attitude was closely connected with knowledge of various cardiovascular risk factors. Thus it is necessary to increase adolescents’ knowledge about various risk factors to interruption the extensive social and economic impacts
引言:心血管疾病正在成为发展中国家的一个主要公共卫生问题。发达国家和发展中国家都见证了许多与生活方式相关的风险因素的增加,如过度吸烟、吸烟和饮酒,这是成年人和青少年的不良饮食习惯。与发达国家相比,发展中国家的CVDS的社会和经济负担更加加重,因为这些疾病在经济活动或劳动年龄人群中的流行率更高。目的:本研究旨在评估和确定Lekhnath市11年级和12年级15-19岁学生的知识水平和心血管疾病风险态度。方法:采用基于机构的定量横断面研究,采用比例多级整群抽样技术对研究对象进行重复抽样。结果:只有一小部分(11%)的受访者对心血管疾病的危险因素有很好的了解。另一方面,大约有四分之一的受访者(71.9%)有寻求心血管风险的态度。结论:本研究中的大多数青少年对主要心血管疾病的危险因素没有足够的了解。受访者的心血管风险不良态度与对各种心血管风险因素的了解密切相关。因此,有必要增加青少年对各种风险因素的了解,以阻断广泛的社会和经济影响
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引用次数: 3
Long Acting and Permanent Contraceptive Use in Arada Sub City, Addis Ababa, Ethiopia, 2017 2017年埃塞俄比亚亚的斯亚贝巴阿拉达分城长效和永久性避孕药具使用情况
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000618
Teshome Gs, Woldeyohanis Fw, N. Deyessa
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引用次数: 2
Sexual Minority Youth and the Juvenile Justice System: A Poignant Need Group 性少数青年和少年司法系统:一个迫切需要的群体
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000625
R. Dembo, J. Faber, Jennifer Wareham, Julie M. Krupa, R. DiClemente, J. Schmeidler
Lesbian, gay, bisexual, transgender, and queer or questions (LGBTQ) youth are overrepresented in the U.S. juvenile justice system. These youth experience a variety of personal, social and systemic harms and difficulties that place them at greater risk of involvement in the juvenile justice system. Understanding the prevalence of risk factors experienced by LGBTQ youth can lead to improved intervention efforts. Using data from a Health Coach Service project implemented at a juvenile intake facility, n=1.619 newly arrested youth were included in the current study (8.3% self-identified as sexual minority). The current study sought to determine prevalence rates of minority sexual orientation, whether LBGTQ youth differed in regard to key demographic and risk factors, and whether these differences varied by gender. Findings revealed sexual minority, justice-involved adolescents suffered disproportionate juvenile justice placement, family problems, risky sexual behavior (including STD positivity), depression, and victimization. Gender differences among sexual minority youth were reported for family problems, sexual risk behavior, depression, sexual assault, bullying, and drug use severity. The results suggest a need to advocate for LGBTQ youth to ensure policies and procedures are sensitive to the rights of LGBTQ youth.
女同性恋、男同性恋、双性恋、变性人和同性恋问题(LGBTQ)青少年在美国少年司法系统中比例过高。这些青少年经历了各种个人、社会和系统的伤害和困难,使他们更有可能卷入少年司法系统。了解LGBTQ青年所经历的风险因素的普遍性可以改善干预措施。利用在青少年收容机构实施的健康教练服务项目的数据,n=1.619名新被捕的青少年被纳入当前的研究(8.3%的人自认为是性少数群体)。目前的研究试图确定少数性取向的患病率,LBGTQ青年是否在关键人口统计学和风险因素方面存在差异,以及这些差异是否因性别而异。调查结果显示,性少数、涉司法青少年在青少年司法安置、家庭问题、危险性行为(包括性传播疾病阳性)、抑郁和受害方面存在不成比例的问题。性少数青少年在家庭问题、性危险行为、抑郁、性侵犯、欺凌和吸毒严重程度等方面存在性别差异。研究结果表明,有必要为LGBTQ青年倡导,以确保政策和程序对LGBTQ青年的权利敏感。
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引用次数: 2
Bilateral Optic Neuritis Treated with Intravenous Corticosteroid 静脉注射皮质类固醇治疗双侧视神经炎
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000631
H. Muhammad
Introduction: Optic neuritis is a term used to refer an inflammation of the optic nerve. Bilateral optic neuritis in adults has been considered rare particularly in individuals without known systemic inflammatory or autoimmune disorders. Purpose: To describe cases of acute bilateral optic neuritis in adult treated with intravenous corticosteroid in M. Djamil Hospital, Padang, Indonesia. Method: We performed a retrospective study review of medical records from patients referred to neuro‐ ophthalmology clinic in M. Djamil Hospital with acute bilateral optic neuritis from January 2016 to April 2017. Exclusion criteria included previous multiple sclerosis or myelopathy, known systemic disorders or medications associated with optic neuropathy, uveitis, or neoplasm. Patients received intravenous methylprednisolone followed by tappering oral metilprednisolone. Visual acuity, visual fields, ophthalmoscopy finding, and neurological evaluation were recorded at baseline and at 1 month or 3 months. Result: Nine patients of 4 men and 5 women, with an age range of 21-45 years old, had bilateral decreased vision, 6 with pain on eye movement. All patients had normal neurological evaluations, with visual acuity ranging from finger counting to hand movement and variety of visual field pattern. Both optic nerves showed abnormal ophthalmoscopy finding. After corticosteroid therapy for average 2 weeks, all patients show improvement in visual acuity, visual field, and ophthalmoscopy finding. No patient developed a neurological problem during the follow up with a mean of 3 months. Conclusion: Idiopathic acute bilateral optic neuritis rarely occurs in adults. Corticosteroid therapy shows good visual outcome.
视神经炎是视神经炎症的一个术语。成人双侧视神经炎被认为是罕见的,特别是在没有已知的全身炎症或自身免疫性疾病的个体中。目的:描述在印度尼西亚巴东M. Djamil医院静脉注射皮质类固醇治疗的成人急性双侧视神经炎病例。方法:我们对2016年1月至2017年4月在M. Djamil医院神经眼科诊所转诊的急性双侧视神经炎患者的医疗记录进行了回顾性研究。排除标准包括既往多发性硬化症或脊髓病、已知全身性疾病或与视神经病变、葡萄膜炎或肿瘤相关的药物。患者接受静脉注射甲强的松龙,随后逐渐减少口服甲强的松龙。在基线、1个月或3个月时记录视力、视野、眼科检查结果和神经学评估。结果:9例患者,男4例,女5例,年龄21 ~ 45岁,双侧视力下降,6例伴有眼动痛。所有患者均有正常的神经系统评估,包括从手指计数到手部运动的视觉敏锐度和各种视野模式。眼底检查发现双侧视神经异常。经皮质类固醇治疗平均2周后,所有患者的视力、视野和眼底检查结果均有改善。在平均3个月的随访期间,没有患者出现神经系统问题。结论:特发性急性双侧视神经炎在成人中少见。皮质类固醇治疗显示良好的视觉效果。
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引用次数: 0
"In Favor of Myself for Athletes": A Controlled Trial to Improve Disordered Eating, Body-Image and Self-Care in Adolescent Female Aesthetic Athletes “为运动员着想”:改善青少年女性审美运动员饮食失调、身体形象和自我照顾的对照试验
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000633
M. Mouallem, M. Golan
Objective: An eating disorder can have devastating effects on an athlete’s health and performance, especially in athletes participating in sports in which low body weight or leanness confers a competitive advantage. The current study aimed to develop and examine the impact of a prevention program focused on positive protective factors, to reduce the risk of development of eating disorders and health-compromising behaviors among aesthetic athletes. Methods: Participants were 49 female figure skaters and dancers aged 10-16 years (13.1 ± 1.6) and 46 age-andbranch-matched controls. The intervention program included ten weekly 45 min structured sessions, focusing on promoting self-care habits and positive body esteem. The program was team-based and included multiple interactive methods. Outcomes were measured at baseline, post-intervention, and 3 months follow-up using the Eating Disorders Inventory-2, the Eating Disorders Examination Questionnaire-8, the Thin-Ideal Internalization and SocioCultural Attitudes towards Appearance Questionnaire-4, the Body Esteem Scale, and the Body Appreciation Scale. Results: Aesthetic athletes in the prevention program "In Favor of Myself for Athletes" demonstrated significant improvements in several outcome measures, many with a large effect size, compared with control athletes. Results revealed significant decreases in drive for thinness (P<0.001; ƞ2=0.170) and eating disorder symptoms (P<0.001; ƞ2=0.243), increased body esteem (P<0.001; ƞ2=0.213), decreased influences on body image by media (P<0.001; ƞ2=0.168), and more. The program had greater impact on athletes aged 10-12 years compared to 13-16-year-olds in terms of thin-ideal internalization (F(2.79, 160.00)= 3.267; p=0.027) and body esteem (F(2.52, 160.00)= 3.095; p=0.038). Conclusion: This study provides an initial indication that "In Favor of Myself for Athletes" may produce an effective impact on promoting a positive body image and self-care in female adolescent athletes.
目的:饮食失调会对运动员的健康和表现产生毁灭性的影响,特别是在参加低体重或瘦能带来竞争优势的运动的运动员中。目前的研究旨在发展和检验一项预防计划的影响,该计划侧重于积极的保护因素,以降低审美运动员患饮食失调和损害健康行为的风险。方法:49名年龄在10-16岁(13.1±1.6)的花样滑冰和舞蹈运动员和46名年龄和分支匹配的对照组。干预计划包括每周10次45分钟的结构化会议,重点是促进自我保健习惯和积极的身体自尊。该项目以团队为基础,包括多种互动方法。结果在基线、干预后和3个月的随访中测量,使用饮食失调量表-2、饮食失调检查问卷-8、瘦理想内化和社会文化对外表的态度问卷-4、身体自尊量表和身体欣赏量表。结果:与对照组运动员相比,美学运动员在预防项目“对运动员有利”中的几个结果测量显示出显着改善,其中许多具有较大的效应量。结果显示,瘦的驱动显著降低(P<0.001;ƞ2=0.170)和饮食失调症状(P<0.001;ƞ2=0.243),身体自尊增加(P<0.001;ƞ2=0.213),媒体对身体形象的影响降低(P<0.001;ƞ2=0.168)等等。该方案对10-12岁运动员瘦理想内化的影响大于13-16岁运动员(F(2.79, 160.00)= 3.267;p=0.027),身体自尊(F(2.52, 160.00)= 3.095;p = 0.038)。结论:本研究初步提示“运动员为我着想”对促进青少年女运动员积极的身体形象和自我照顾有有效的影响。
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引用次数: 3
Predictive Factors for Approval and Knowledge Gain of a Massive Open Online Course (MOOC) On Type 2 Diabetes Mellitus in the First Level of Care 2型糖尿病一级护理大规模在线开放课程(MOOC)批准和知识获取的预测因素
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000638
Richardson Vl, Magallanes Cr, Hernández Dl, Martínez, Ixta Zl, Villalba Pr, Salinas Ca, D. Is, Mejia Arias Ma, Valladares Lm
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引用次数: 0
Professional Risk Factors for Burnout among Medical Residents 住院医师职业倦怠的危险因素
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000596
D. F, C. J., Laraqui O, Manar N, Laraqui C, Gregoris M, D. M
Study background: We aimed to identify professional risk factors for burnout among residents in medicine and surgery. Materials and methods: Epidemiological, observational, and cross-sectional study among trainee physicians working in the Champagne-Ardenne region, from 31 March to 3 May 2015. Burnout was assessed using the Maslach Burnout Inventory (MBI). Variables recorded included the location of the residency, the type of unit (hospitalisation ward, emergency department, consultations), workload, and exposure to patients’ suffering. Karasek’s Job Content Questionnaire was also administered. For each component of the MBI, univariate and binary logistic regression was performed to identify risk factors. Results: In total, 191 out of 644 eligible residents (29.7%) completed the survey. The majority were working in conditions likely to pose a risk to their health: 42.4% were exposed to job strain, and 19.9% had iso-strain. Overall, 62.8% of residents presented at least one component of burnout as assessed by the MBI. By multivariate analysis, risk factors for emotional exhaustion were high psychological demands (Odds Ratio (OR) 1.16; 95% confidence interval (95% CI) 1.05-1.29) and iso-strain (OR 3.25; 95% CI 1.29-8.22), while high psychological demands were also a risk factor for depersonalization (OR 1.14; 95% CI 1.07-1.22). Working in a hospitalisation unit (OR 3.66; 95% CI 1.30-10.3) and not meeting patients’ families (OR 11.7; 95% CI 3.08-44.4) were risk factors for a feeling of low personal accomplishment, whereas increased decision latitude had a protective effect (OR 0.95; 95% CI 0.91-0.99). Conclusion: This study identifies occupational risk factors for burnout among residents in training, and provides a useful basis for preventive measures aimed at changing the organisational structure in the hospital setting with a view to improving mental health among trainee physicians.
研究背景:本研究旨在探讨内科和外科住院医师职业倦怠的危险因素。材料和方法:对2015年3月31日至5月3日在香槟-阿登地区工作的实习医生进行流行病学、观察性和横断面研究。使用Maslach职业倦怠量表(MBI)评估职业倦怠。记录的变量包括住院地点、单位类型(住院病房、急诊科、会诊)、工作量和对病人痛苦的暴露程度。Karasek的工作内容问卷也被执行。对于MBI的每个组成部分,进行单变量和二元逻辑回归以确定危险因素。结果:在644名符合条件的居民中,共有191人(29.7%)完成了调查。大多数人在可能对健康构成风险的条件下工作:42.4%的人面临工作压力,19.9%的人面临同样的压力。总体而言,根据MBI评估,62.8%的居民至少表现出一种倦怠成分。经多因素分析,情绪耗竭的危险因素为高心理需求(优势比(OR) 1.16;95%置信区间(95% CI) 1.05-1.29)和等应变(OR 3.25;95% CI 1.29-8.22),而高心理需求也是人格解体的危险因素(OR 1.14;95% ci 1.07-1.22)。在住院病房工作(OR 3.66;95% CI 1.30-10.3)和未会见患者家属(OR 11.7;95% CI 3.08-44.4)是低个人成就感的危险因素,而增加的决策纬度具有保护作用(OR 0.95;95% ci 0.91-0.99)。结论:本研究明确了实习医师职业倦怠的危险因素,为制定预防措施提供了有益的依据,旨在改变医院的组织结构,以改善实习医师的心理健康状况。
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引用次数: 4
Chronic Cough Caused By an Intra-Abdominal Bronchogenic Cyst: A Case Report and Literature Review 腹腔内支气管源性囊肿所致慢性咳嗽1例报告并文献复习
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000611
A. Chandoo, Ruisen Wu, Z. Peng, Liu Xin, Xie Wang-Kai, Huang Xieling, Huangjun He, J. Weiping, Huang Yingpeng, Xiangping Shen
Introduction: Bronchogenic cyst is an extremely rare congenital abnormality that is incidentally found by imaging during health check-up. They can hardly occur in the abdomen with unspecific symptoms or change in laboratory values. Case presentation: Here in, we are going to report a case of a 33 years old male patient who was admitted in our department for an intra-abdominal mass. Pathological result of the resected mass was bronchogenic cyst. Conclusion: In most of the cases, bronchogenic cysts are misdiagnosed. The use of endoscopic ultrasound guided fine needle aspiration, computed tomography guided needle biopsy or intraoperative frozen section biopsy is helpful in confirming their diagnosis and to choose the most appropriate treatment.
支气管源性囊肿是一种极为罕见的先天性异常,在健康检查时偶然通过影像学发现。它们很少发生在腹部,伴有非特异性症状或实验室值改变。病例介绍:在这里,我们将报告一例33岁的男性患者,他因腹部肿块而住进我科。病理结果为支气管源性囊肿。结论:在大多数病例中,支气管源性囊肿被误诊。内镜下超声引导下细针穿刺、计算机断层引导下穿刺活检或术中冷冻切片活检有助于确诊和选择最合适的治疗方法。
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引用次数: 0
Heterogeneity in the Prevalence of Health Risk Factors among Justice- Involved Adolescents: The Intersectionality of Gender and Race/Ethnicity 参与司法的青少年中健康风险因素患病率的异质性:性别和种族/民族的交叉性
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000629
R. Dembo, J. Faber, Jennifer Wareham, Julie M. Krupa, J. Schmeidler, J. Cristiano, Asha Terminello
Research suggests justice-involved adolescents demonstrate higher prevalence rates of mental health, substance use, risky sexual behaviors, and sexually transmitted diseases infection than adolescents in the general population. Yet few studies have examined heterogeneity of these public health problems in justice-involved youths across both gender and race/ethnicity. Using latent class analysis to explore variation in public health problems across gender-race/ethnicity groups, the present study found the sample of n=1,620 justice-involved youth were best described as falling into one of two classes: High Risk vs. Low Risk. The prevalence rates of post-arrest secure detention, depression, marijuana use, sexually transmitted diseases infection, and risky sexual behavior varied within the two latent classes and across the gender-race/ethnicity groups. Findings emphasize the need for holistic and gender-race/ethnicity-specific interventions for delinquent youth.
研究表明,与一般人群中的青少年相比,参与司法的青少年在精神健康、药物使用、危险性行为和性传播疾病感染方面的患病率更高。然而,很少有研究调查涉及司法的青年在性别和种族/民族方面这些公共卫生问题的异质性。本研究使用潜在阶级分析来探索不同性别、种族/民族群体在公共卫生问题上的差异,发现n=1,620名参与司法的年轻人的样本被最好地描述为两个类别之一:高风险与低风险。逮捕后安全拘留、抑郁、大麻使用、性传播疾病感染和危险性行为的流行率在两个潜在阶层和性别-种族/族裔群体之间有所不同。调查结果强调需要对犯罪青年采取全面的、针对性别、种族/族裔的干预措施。
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引用次数: 0
Mandatory Daily Physical Activity Programs for Grade 10 to 12 Students in British Columbia, Canada 加拿大不列颠哥伦比亚省10至12年级学生的强制性日常体育活动计划
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000632
E. Landolfi
Objective: This investigation examined 10th through 12th grade high school students’ physical activity behaviour patterns as they relate specifically to the Daily Physical Activity (DPA) requirements mandated by the British Columbia Ministry of Education in 2008. Methods: Compliance, as well as non-compliance, to the DPA program was measured through the use of a questionnaire-based survey of 86 10th to 12th grade students which focused not only on adherence to the guidelines, but also on: issues of non-compliance; how to positively influence physical activity; suggestions for improving the DPA program; support systems in place for those who might be struggling with meeting DPA requirements; and what happens (e.g., consequences to students' grades, etc.) when DPA requirements are not met. Results: Results of the study suggest that, for the most part, students are meeting the DPA requirement of 150 min per week. In addition, 89% of respondents believed that school-based programs were adequate. However 7% of survey participants suggested that schools should offer a wider variety of activities, and 3% suggested that home and community-based opportunities for DPA were less than sufficient. More than half of students confirm their parents do not support or encourage physical activity, and 25% of respondents stated that teachers do not urge them to exercise or participate in sports. In both cases, males were encouraged less, with 29% of parents and 71% of teachers promoting physical activity as opposed to 55% and 80% respectively. Lastly, approximately 80% of survey respondents noted the value of exercising with a friend. Conclusions: Although the quality of Physical Education is often under attack, schools are also capable of providing opportunities for increased physical activity in numerous settings outside of regularly scheduled gym class and they are the most logical environment for promoting physical activity. Consequently, the Daily Physical Activity program implemented in schools across British Columbia has the potential to drastically influence the health of students throughout the province. Although this study only provided a tiny snapshot of physical activity patterns, results indicate that, for the most part, students are meeting DPA requirements, and the program has been generally
目的:本调查考察了2008年不列颠哥伦比亚省教育部颁布的每日体育活动(DPA)要求中10至12年级高中生的体育活动行为模式。方法:通过对86名10至12年级学生的问卷调查来衡量遵守和不遵守DPA计划的情况,该调查不仅关注遵守指导方针,而且关注:不遵守的问题;如何积极影响身体活动;改进DPA计划的建议;为那些可能难以满足DPA要求的人提供支持系统;以及当不满足DPA要求时会发生什么(例如,对学生成绩的影响等)。结果:研究结果表明,大多数学生达到了每周150分钟的DPA要求。此外,89%的受访者认为以学校为基础的课程是足够的。然而,7%的调查参与者认为学校应该提供更广泛的活动,3%的人认为家庭和社区的DPA机会是不够的。超过一半的学生确认他们的父母不支持或鼓励体育活动,25%的受访者表示老师没有敦促他们锻炼或参加体育活动。在这两种情况下,男性受到的鼓励都较少,只有29%的家长和71%的老师鼓励他们进行体育锻炼,而这一比例分别为55%和80%。最后,大约80%的受访者指出了与朋友一起锻炼的价值。结论:虽然体育教育的质量经常受到攻击,但学校也有能力在常规体育课之外的许多环境中提供增加体育活动的机会,并且它们是促进体育活动的最合乎逻辑的环境。因此,在不列颠哥伦比亚省各学校实施的每日体育活动方案有可能对全省学生的健康产生巨大影响。虽然这项研究只提供了体育活动模式的一个小快照,但结果表明,在大多数情况下,学生们满足了DPA的要求,并且该计划已经普遍
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引用次数: 0
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Journal of community medicine & health education
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