A prospective study of postnatal depressive symptoms and associated risk factors in first-time fathers

2019 ◽  
Vol 249 ◽  
pp. 371-377 ◽  
Author(s):  
Deborah Da Costa ◽  
Coraline Danieli ◽  
Michal Abrahamowicz ◽  
Kaberi Dasgupta ◽  
Maida Sewitch ◽  
...  
Keyword(s):  
Risk Factors ◽  
Depressive Symptoms ◽  
Prospective Study ◽  
Postnatal Depressive Symptoms ◽  
Associated Risk Factors ◽  
A Prospective Study ◽  
First Time

scholarly journals Frequency of Peripheral Intravenous Catheter Related Phlebitis and Related Risk Factors: A Prospective Study

2019 ◽  
Vol 20 (1) ◽  
pp. 29-33
Author(s):  
Umma Salma ◽  
Mohammad Abdus Sattar Sarker ◽  
Nahida Zafrin ◽  
Kazi Shamin Ahamed
Keyword(s):  
Risk Factors ◽  
Prospective Study ◽  
Clinical Practices ◽  
Related Complication ◽  
Related Risk ◽  
Peripheral Intravenous Catheter ◽  
Amoxicillin Clavulanic Acid ◽  
Grade 3 ◽  
Associated Risk Factors ◽  
A Prospective Study

Background: Peripheral Intravenous Catheterization (PIVC) related complication is a common and significant problem in clinical practices. The aim of the study was to see the pattern of complication developed by PIVC and to find out the associated risk factors. Materials & methods: A prospective study was conducted amongst 300 patients and 420 PIVCs were observed. Results: 76 (18.09%) patients developed phlebitis and among the phlebitis patients 55.26% were grade 2 and 22.37% grade 3. Hypertonic fluid infusion and some antibiotics were found as risk factors for phlebitis. Amongst the antibiotics flucloxacilin (60%), amikacin (50%), amoxicillin + clavulanic acid were most common antibiotics responsible for development of phlebitis. Conclusions: Catheterization site and use of antibiotics and potassium chloride with associated co-morbidities are predisposing factors for phlebitis. Better insertion technique may be sought to lower the incidence of PIVC related complications. J MEDICINE JUL 2019; 20 (1) : 29-33

scholarly journals PREVALENCE AND RISK FACTORS OF ESSENTIAL HYPERTENSION AND NEW ONSET OF DIABETES IN ESSENTIAL HYPERTENSION IN RURAL POPULATION OF HARYANA

2018 ◽  
Vol 10 (2) ◽  
pp. 142
Author(s):  
Vikas Jhawat ◽  
Sumeet Gupta ◽  
Bimal K. Agarwal ◽  
Partha Roy ◽  
Vipin Saini
Keyword(s):  
Risk Factors ◽  
Essential Hypertension ◽  
Retrospective Study ◽  
Prospective Study ◽  
Anthropometric Parameters ◽  
Prescription Pattern ◽  
Onset Of Diabetes ◽  
Associated Risk Factors ◽  
A Prospective Study ◽  
New Onset

Objective: We conducted a well-designed prevalence study in a rural population of Haryana in Mullana rural area to find out the latest prevalence of essential hypertension, the prescription pattern of antihypertensive drugs and the associated risk of new onset of diabetes.Methods: A retrospective study was carried out on the patient data (2672 patients) from the years 2009 to 2013 at OPD of M. M. University hospital, Mullana to find the previous year’s prevalence of different diseases, including essential hypertension, new onset of diabetes and associated risk factors, prescription pattern of antihypertensive drug therapy. Based on the above results, a prospective study was conducted from January 2015 to December 2016 and total 510 patients (270 essential hypertension and 240 essential hypertension with new onset of diabetes) and 270 normal individuals were recruited in the study.Results: The retrospective study, a total of 2672 patients' data was evaluated which showed 41.21% prevalence of essential hypertension, 11.83% new onset of diabetes in Essential hypertension patients and 15.87% diabetic patients. Antihypertensive monotherapy was prescribed to 59.85% patients and combination therapy to 40.15% patients while that of a prospective study showed 40.37% patients of monotherapy and 59.63% patients of combination therapy. The prospective study also showed that different anthropometric parameters were significantly associated with risk of hypertension and new onset of diabetes except for age and height.Conclusion: An increase in the prevalence of essential hypertension and associated risk factors was observed when compared with previous studies and retrospective study. It is clearly seen by the change in drug therapy pattern and different anthropometric parameters. Implementation of a large scale awareness program is needed to combat these metabolic diseases.

scholarly journals A prospective study of maternal postnatal depressive symptoms with infant-feeding practices in a Chinese birth cohort

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Tingting Sha ◽  
Xiao Gao ◽  
Cheng Chen ◽  
Ling Li ◽  
Gang Cheng ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Prospective Study ◽  
Infant Feeding ◽  
Postnatal Depression ◽  
Feeding Practices ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Infant Feeding Practices ◽  
Postnatal Depressive Symptoms ◽  
A Prospective Study

Abstract Background The first few weeks after childbirth are critical, as women may encounter lactation problems and postpartum depression during this period. However, it is still unclear whether early breastfeeding behaviours are related to the symptoms of postnatal depression (PND) in Chinese populations. Therefore, the current study aimed to investigate the association between symptoms of PND and infant feeding practices based on a large-scale Chinese cohort. Methods A prospective study of the community-based cohort was conducted from January 2015 to December 2016. Infant feeding outcomes, including exclusive/partial breastfeeding and formula feeding, were assessed according to the WHO guidelines. Symptoms of PND were assessed by the Edinburgh Postnatal Depression Scale at 4 weeks postpartum. Multivariate generalized estimating equation models were applied to investigate the associations between depressive symptoms and infant feeding behaviours. Results A total of 956 mother-infant pairs were included. Fifty-six mothers presented screen-positive symptoms of PND with a cut-off ≥10. The percentage of early breastfeeding initiation was 75.8%, while the average duration of exclusive breastfeeding was 3.90 ± 2.33 months. Postnatal depressive symptoms were associated with a shorter breastfeeding duration (8.02 vs. 6.32 months, P < 0.05) and earlier formula introduction (4.98 vs. 3.60 months, P < 0.05). After adjustments were made for covariates, postnatal depressive symptoms were associated with an increased risk of the discontinuation of exclusive and partial breastfeeding (β = − 0.049, P = 0.047 and β = − 0.082, P = 0.006, respectively). Compared to mothers without symptoms of PND, mothers with depressive symptoms were more likely to supplement formula for their infants in the first year of life (β =0.074, P = 0.016). These associations were still significant in the sensitivity analyses, using an EPDS cut-off of ≥13. Conclusions Our findings indicate that depressive symptoms at 4 weeks postpartum are associated with the cessation of exclusive and partial breastfeeding duration and the introduction of formula in the 12 months of delivery. Early psychosocial assessment and social support should be offered to mothers in the early postpartum period to indirectly prevent adverse breastfeeding outcomes.

Adolescent sexual victimization: a prospective study on risk factors for first time sexual assault

2012 ◽  
Vol 21 (9) ◽  
pp. 521-526 ◽  
Author(s):  
Rikke Holm Bramsen ◽  
Mathias Lasgaard ◽  
Mary P. Koss ◽  
Ask Elklit ◽  
Jytte Banner
Keyword(s):  
Risk Factors ◽  
Sexual Assault ◽  
Prospective Study ◽  
Sexual Victimization ◽  
A Prospective Study ◽  
First Time

scholarly journals A prospective study in hepatitis C virus treatment-naïve patients showing rheumatologic extra-hepatic manifestations of hepatitis C with associated risk factors: efficacy and safety using sofosbuvir-based direct antiviral therapy

2020 ◽  
Vol 47 (1) ◽  
Author(s):  
Hanan M. Fathi ◽  
Wafaa Y. Abdel Wahed ◽  
Ahmad A. Gomaa ◽  
Essam A. Hassan ◽  
Hanaa M. Eid ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Peripheral Neuropathy ◽  
Prospective Study ◽  
Viremia Level ◽  
Treatment Naïve ◽  
Associated Risk Factors ◽  
A Prospective Study ◽  
Rheumatologic Manifestations

Abstract Background To study the most common rheumatologic manifestations of hepatitis C viral (HCV) infection in Egyptian patients and associated risk factors with assessment the effect of current therapies on these manifestations. A prospective study was carried out to HCV patients attending the tropical medicine department referred to rheumatology department, over a year. A total of 204 hepatitis C virus treatment-naïve patients aged 21–71 years old suffering from rheumatologic manifestations were recruited, and history taking, general and musculoskeletal examination, laboratory and serological investigations, imaging, and liver fibrosis findings were assessed: baseline, end of treatment, and 12 weeks later, either sofosbuvir/ribavirin or sofosbuvir/simeprevir regimens and through three consecutive visits: joint activity and functional scores were taken. Results Common observed rheumatologic manifestations were fibromyalgia (74.5%), arthralgia (73.5%), Raynaud’s phenomenon (54.9%), peripheral neuropathy (29.4%),chronic fatigue syndrome and purpura (24.5%), arthritis (16.7%), Sicca symptoms and skin ulcers (9.8%), and vasculitic CNS involvement (5.9%), mostly seen in females. VAS and FAS scales have improved across visits (p value < 0.001) with lowered number and percentage of arthralgia (tender joint counts), arthritis (swollen joint counts), improvement of fibromyalgia, purpura, peripheral neuropathy, anemia, and thrombocytopenia (p < 0.001). Common reported risk factors were barber shaving (52 %), dental procedures (44.1%), and surgical interventions (36.3%). Non-reactive cases shown by HCV-PCR response increased at the end of study reaching 62%. The percent of improvement was significantly higher in patients receiving sofosbuvir/simeprevir regimen (100%) versus sofosbuvir/ribavirin (58.2%). Conclusion Direct antiviral drugs seem to improve the rheumatic extra-hepatic manifestations of HCV patients and lowering viremia level especially sofosbuvir/simeprevir regimen in hepatitis C treatment-naïve patients.

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