Predictors of maternal state anxiety on arrival at a Japanese hospital outpatient clinic: a cross-sectional study

2015 ◽  
Vol 24 (17-18) ◽  
pp. 2383-2391 ◽  
Author(s):  
Shingo Ueki ◽  
Kazuteru Niinomi ◽  
Yuko Takashima ◽  
Ryoko Kimura ◽  
Kazuyo Komai ◽  
...  
Contraception ◽  
2018 ◽  
Vol 98 (6) ◽  
pp. 492-497 ◽  
Author(s):  
K.M. Tote ◽  
V.T. Raziano ◽  
K.M. Wall ◽  
S. Cordes ◽  
I. Ofotokun ◽  
...  

2019 ◽  
Vol 9 ◽  
pp. 2235042X1983190 ◽  
Author(s):  
Donna Lykke Wolff ◽  
Christian Von Plessen ◽  
Frans Boch Waldorff ◽  
Thomas Lund Sørensen ◽  
Søren Bie Bogh ◽  
...  

Background: The increasing prevalence of patients with multimorbidity in the general population affects the health-care system. There is a lack of knowledge of the proportion of patients attending multiple hospital outpatient specialty clinics simultaneously. Objective: This study describes the development in the proportion of patients managed simultaneously in multiple hospital outpatient specialty clinics. Design: We obtained three cross-sectional samples from all of the hospitals in Denmark. The data set consists of adults (age 18+) in long-term outpatient care on January 1 in 2004, 2009, and 2014 with one or more of 50 consensus-selected chronic diseases. Descriptive statistics were used to examine and compare the proportion of patients treated simultaneously in multiple outpatient specialty clinics. We also investigated the most common combinations of outpatient specialty clinics. Results: In 2004, 176,786 patients with chronic diseases were registered as receiving outpatient care in Denmark. This figure increased to 246,542 patients in 2009 and 341,015 in 2014. The proportion of patients managed simultaneously in multiple outpatient specialty clinics was 4.0% in 2004, 5.5% in 2009, and 7.7% in 2014. The most common specialty clinic combination was endocrinology and cardiology, accounting for 12.1% in 2004, 11.5% in 2009, and 9.6% in 2014. Conclusions: The proportion of patients in multiple clinics nearly doubled over a 10-year period. While there were some common specialty clinic combinations in which patients were treated most often, there was also considerable variation. Further studies are needed to identify generic and disease-specific initiatives.


2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Kyle Dalrymple ◽  
Erin K. Saito ◽  
Natalie Diaz ◽  
Julia Morrow ◽  
Beau Nakamoto ◽  
...  

Background. Patients with progressive dementing disorders associated with cortical cholinergic dysfunction gradually develop cholinergic deficits many years before symptom onset and may begin to smoke cigarettes during midlife as a form of self-medication. The aim of this study was to compare self-reported past smoking rates between those with and without cholinergic dementias, to determine if those who developed cholinergic dementias were more likely to smoke during midlife than those who did not.Methods. Retrospective cross-sectional study of past smoking status among patients treated at an outpatient clinic during a three-year period.Results. A total of 440 patients were evaluated during the study period, including 224 with cholinergic dementias and 216 with noncholinergic dementias and controls. Past smoking rates were greater among those with cholinergic dementias compared to those without cholinergic dementias (43.92% versus 26.96%,P=0.012). Additionally, smokers with cholinergic dementias reported significantly greater mean pack-years of smoking (P=0.038).Conclusions. Greater midlife smoking rates and greater pack-years of smoking were associated with cholinergic dementias. These results suggest midlife smoking may be an early indicator for those developing brain cholinergic deficits related to progressive dementing disorders and support initiating treatment prior to symptom onset in cholinergic dementias.


2020 ◽  
Vol 38 ◽  
Author(s):  
Kamilla Tavares de Sousa ◽  
Gabrielle Bemfica Ferreira ◽  
Amanda Torido Santos ◽  
Quintiliano Siqueira Schroden Nomelini ◽  
Luciana Oliveira de Almeida Minussi ◽  
...  

ABSTRACT Objective: To correlate the nutritional status with variables associated to the type of diet and feeding route of children and adolescents with spastic quadriplegic cerebral palsy (CP). Methods: This cross-sectional study included 28 patients aged ≤13 years old who presented a diagnosis of spastic quadriplegic CP and were followed by the nutrition team of the Outpatient Clinic for Special Patients of Hospital de Clínicas de Uberlândia - Universidade Federal de Uberlândia (HC-UFU), between July/2016 and January/2017. Consent forms were signed by the legal guardians. The nutritional status was evaluated and data on dietary complications food route and type of diet were collected. For the description of data, average and median values were used. Correlation was tested with Spearman’s index. Significance was set at p<0.05. Results: 75% of patients used alternative feeding routes (nasoenteral, catheter or gastrostomy), 57% were eutrophic. The most frequent complications were oropharyngeal dysphagia, reflux and intestinal constipation. No correlation was found between the occurrence of complications and the nutritional status. There was a positive correlation between the diet received and the patient’s nutritional status (0.48; p=0.01), i.e. individuals with adequate caloric and macronutrients intake had a better nutritional status. Conclusions: The results reinforce the need for continued nutritional guidance for the children’s parents/caregivers, as well as the choice of an adequate rout of feeding to each child by the multi-professional team, in order to contribute to improved nutritional status and adequate dietary intake.


RMD Open ◽  
2018 ◽  
Vol 4 (1) ◽  
pp. e000631 ◽  
Author(s):  
Agnete Malm Gulati ◽  
Brigitte Michelsen ◽  
Andreas Diamantopoulos ◽  
Berit Grandaunet ◽  
Øyvind Salvesen ◽  
...  

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