scholarly journals Symptoms of Poststroke Depression among Stroke Survivors: An Appraisal of Psychiatry Needs and Care during Physiotherapy Rehabilitation

Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Sam Chidi Ibeneme ◽  
Canice Chukwudi Anyachukwu ◽  
Akachukwu Nwosu ◽  
Georgian Chiaka Ibeneme ◽  
Muideen Bakare ◽  
...  

Purpose. To identify stroke survivors with symptoms of poststroke depression and the extent of psychiatry needs and care they have received while on physiotherapy rehabilitation.Participants. Fifty stroke survivors (22 females and 28 males) at the outpatient unit of Physiotherapy Department, University of Nigeria Teaching Hospital, Enugu, who gave their informed consent, were randomly selected. Their age range and mean age were 26–66 years and54.76±8.79years, respectively.Method. A multiple case study of 50 stroke survivors for symptoms of poststroke depression was done with Beck’s Depression Inventory, mini mental status examination tool, and Modified Motor Assessment Scale. The tests were performed independently by the participants except otherwise stated and scored on a scale of 0–6. Data were analyzed usingZ-test for proportional significance and chi-square test for determining relationship between variables, atp<0.05.Results. Twenty-one (42.0%) stroke survivors had symptoms of PSD, which was significantly dependent on duration of stroke (χ2= 21.680, df = 6, andp=0.001), yet none of the participants had a psychiatry review.Conclusions. Symptoms of PSD may be common in cold compared to new cases of stroke and may need psychiatry care while on physiotherapy rehabilitation.

2021 ◽  
pp. 030157422110448
Author(s):  
Ankita Singh ◽  
Pradeep Tandon ◽  
Dipti Shastri

Objective: To estimate the maximum voluntary molar biting force (MBF) and incisor biting force (IBF) and their relationship to morphological variables in subjects with different vertical skeletal patterns. Materials and Methods: Maximum voluntary MBF, IBF, and morphological variables were recorded in 120 subjects (60 males and 60 females) with skeletal class I pattern in the age range of 14 to 24 years. All subjects were divided into 3 groups: Normodivergent, hypodivergent, and hyperdivergent, according to the maxillomandibular plane angle and Jarabak ratio. Bite force measurements were undertaken using a custom-made portable digital gnathodynamometer on the left and the right sides of the jaw in the molar and incisor regions during maximal clenching. Statistical analysis was performed using independent t-test, chi-square test, and ANOVA test using SPSS version 22.0.0.0 software. Results: MBF and IBF are influenced by gender with higher values obtained for male subjects in all groups in the following order: hypodivergent > normodivergent > hyperdivergent. No significant changes were seen with morphological variables in different groups. Conclusion: Molar and incisor biting forces are highest in hypodivergent subjects and least in hyperdivergent subjects as a reflection of jaw morphology and muscular efficiency. In all groups, males exhibit higher force values than females, underlining a strong gender influence on biting force and facial pattern.


2020 ◽  
pp. 9-11
Author(s):  
Madhu Kumari ◽  
Kumari Bibha ◽  
Abha Sinha ◽  
Debarshi Jana

Objective: The objective of this study is to find out association between scar thickness, assessed sonographically, and intraoperative findings (IOF). Study Design: Descriptive study. Place and Duration of Study: Department of Obstetrics and Gynecology, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar from June 2019 to May 2020. Methodology: A total of 70 pregnant patients were included in this study. Transabdominal ultrasound was done for scarred uteri. Sonographic findings were co-related with introperative findings. All the given data were entered on SPSS version 23. Age was expressed as mean ± SD. Parity, gestational age, and interval between cesarean sections were expressed as frequencies with percentages. Statistical analysis was done by using Chi-square test for categorical data for association between sonographic scar thickness and intraoperative findings. The statistical significance was set at p-value <0.05. Results: The age range of the patients was 20- 36 years with a mean of 27.91 ±3.690 years. Gestational age at the time of cesarean section was between 27-40 weeks of gestation with a mean of 37 ±2.126 weeks. The interval from previous cesarean was 10 months at the minimum, and 6 years at the maximum with a mean of 2.29 ±1.0 months. Mean scar thickness was 2.5 mm. Association between scar thickness (<1-3 mm) and intaoperative findings of dehiscence and rupture showed a p-value of <0.001. Conclusion: Sonographic assessment of a uterine scar has a practical application to determine the thickness of previous scar, and assess its integrity.


2020 ◽  
Vol 9 (9) ◽  
pp. 2714 ◽  
Author(s):  
Alexandra Kilian ◽  
Giuseppe Latino ◽  
Andrew White ◽  
Dewi Clark ◽  
Murali Chakinala ◽  
...  

Hereditary hemorrhagic telangiectasia (HHT), a rare autosomal dominant disease mostly caused by mutations in three known genes (ENG, ACVRL1, and SMAD4), is characterized by the development of vascular malformations (VMs). Patients with HHT may present with mucocutaneous telangiectasia, as well as organ arteriovenous malformations (AVMs) of the central nervous system, lungs, and liver. Genotype–phenotype correlations have been well described in adults with HHT. We aimed to investigate genotype–phenotype correlations among pediatric HHT patients. Demographic, clinical, and genetic data were collected and analyzed in 205 children enrolled in the multicenter Brain Vascular Malformation Consortium HHT Project. A chi-square test was used to determine the association between phenotypic presentations and genotype. Among 205 patients (age range: 0–18 years; mean: 11 years), ENG mutation was associated with the presence of pulmonary AVMs (p < 0.001) and brain VM (p < 0.001). The presence of a combined phenotype—defined as both pulmonary AVMs and brain VMs—was also associated with ENG mutation. Gastrointestinal bleeding was rare (4.4%), but was associated with SMAD4 genotype (p < 0.001). We conclude that genotype–phenotype correlations among pediatric HHT patients are similar to those described among adults. Specifically, pediatric patients with ENG mutation have a greater prevalence of pulmonary AVMs, brain VMs, and a combined phenotype.


2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Soheila Nikakhlagh ◽  
Shohreh Norouzi ◽  
Nader Saki ◽  
Mohammad Bagher Bakhshipour

Background: Allergic diseases are among the most common chronic conditions in pediatrics. Objectives: This study aimed to evaluate the relative frequency of allergic rhinitis (AR) in children with adenotonsillar hypertrophy. Methods: In this descriptive study, 175 patients with adenotonsillar hypertrophy referred to the Imam Khomeini hospital of Ahvaz from March 2019 to March 2020 were enrolled. Allergic rhinitis was diagnosed based on the Score for AR (SFAR) questionnaire. The questionnaire, including the expert-designed SFAR, has eight main components that evaluate eight quantitative features of AR, and each was designated with a specific weighted score based on previous clinical studies. The total score could vary from 0 to 16. Frequency and percentage were used to describe the data. The chi-square test and Fisher's exact test were used to analyze the data. Results: One hundred seventy-five patients with adenotonsillar hypertrophy in the age range of 1 to 17 years were studied. Ninety-one patients (52%) were male, and 84 patients (48%) were female. Based on the score obtained from the questionnaire, 146 patients (83.4%) had a score of less than seven, indicating susceptibility to AR. Twenty-nine patients (16.6%) had a score equal to or higher than 7, confirming the diagnosis of AR. The Chi-square test showed that AR was significantly associated with all the components of the questionnaire, except for cigarette smoking (P-value < 0.001). Conclusions: This study showed the strong association of AR with some demographic factors. Allergic rhinitis could potentially increase the risk of adenotonsillar hypertrophy in children.


2021 ◽  
pp. 86-89
Author(s):  
Matej Babić ◽  
Dražen Čular ◽  
Igor Jelaska

Aim of this research was to identify and analyse relative age effect (RAE) on sample composed of young Croatian taekwondo competitors. In order with aim of research, for medal winners (n1=72) and other competitors (n2=187) who competed at Croatian taekwondo cadet championship 2015, date of birth, weight category and sport success were extracted. By conducting of Chi-square test on all competitors (n=259) it is proven there is non-significant difference (χ2=12.28; p=0.34) between expected and observed frequencies according to month of birth. Furthermore, significant difference between observed and expected frequencies according to year of birth of medal winners (χ2=45.31; p<0.01) is confirmed. Results of this research are pointing on presence of RAE which could lead to mistakes in selection of young athletes. Authors are suggesting to minimize allowed age range for competition, or to separate competitors in more age categories, which would enable more equal competitions and reduce effect of age on sport success.


Author(s):  
Saima Nauman

The aim of this study was to determine the relationship between tolerance for disagreement and conflict management styles. It was hypothesized that there would be a significant relationship between levels of tolerance for disagreement and conflict management style. Another assumption was that there would be a significant difference between tolerance for disagreement of males and females. The sample comprised of 170 employed young adults within the age range of 19 to 40 years out of which 54.71 % were males and 45.29% were females. Convenience sampling was used to obtain the data from employees that fulfilled the criteria. Responses were recorded through online form and manually on paper. Measures used to assess the participants were following: consent form, demographic form, Tolerance for disagreement Scale and Rahim’s organizational conflict inventory-II. Statistical analysis through Chi-square test of association revealed that tolerance for disagreement was significantly associated with collaborating, accommodating and avoiding style of conflict management. Independent samples t- test showed that males had a higher tolerance for disagreement than women. Implications for organizational settings have been discussed.


2021 ◽  
Vol 20 ◽  
pp. e211359
Author(s):  
Vinícius Aguiar Lages ◽  
Maria Paula Rando Meirelles ◽  
Marília Jesus Batista ◽  
Carolina Matteussi Lino ◽  
Andréa Moscardini da Costa ◽  
...  

Aim: To evaluate the effects of an intervention for the prevention of obesity on the prevalence of dental caries disease in Spanish children. Methods: Two cities participated intervention study nested in a cohort IDEFICS (Identification and prevention of dietary and lifestyle induced health effects in children and infants): Huesca, where there was a 2-year intervention, which encouraged less sugar consumption; and Zaragoza (control). The prevalence of caries was evaluated by examining the 1st permanent molars in the 7-11 age range, using the ICDAS (International Caries Detection and Assessment System). These teeth erupt at 6 years of age and at the baseline (2007-2008) were free of caries because they were not present in the oral cavity. As outcomes, white spots were selected, combining the ICDAS criteria 1 and 2, and untreated caries, combining criteria 4, 5 and 6. Their association with socioeconomic variables, BMI (Body Mass Index), frequency of sugar intake, sex and parents’ perceptions of their children, was investigated. To do so, the chi-square test was applied (p<0.05). Results: The sample consisted of 281 children. The prevalence of white spots and untreated caries was higher in Huesca, despite the intervention. There was no association between the outcomes and the variables studied (p>0.05). Conclusion: The intervention for the prevention of obesity did not exert any association with the prevalence of caries in Spanish children.


2021 ◽  
Vol 12 (5) ◽  
pp. 47-54
Author(s):  
J. Babecka ◽  
M. Popovicova ◽  
M. Belovicova ◽  
P. Snopek

Objective: To identify preferred solutions – therapy - for over- weight and obesity in older adults and seniors Participants: Atotal of 110 respondents were contacted, out of which 14 refused to cooperate or filled in the questionnaire incor- rectly. The return of questionnaires was 96, i.e. 100%. The group of respondents consisted of individuals of both sexes, aged 50 and over, living in anatural social environment or in one of the se- lected institutions. Due to the fact that - in our opinion - arela- tively large amount of attention is paid to the senior age group while the group of people in the age range of 50-64 is forgotten, we have not chosen the senior age respondents exclusively. Methods: The data obtained by the processing of the question- naires were analytically evaluated. For statistical processing apro- gram StatisticaCz version 9 was chosen, adescriptive analysis of the data was performed, followed by analysis by comparing av- erages and particular tests of statistical significance (Chi-square test, Kruskal Wallis, KendalovoTau). Results: An adjustment of the diet as apart of the solution of the overweight and obesity therapy would be chosen by the most re- spondents, 75 (46.5%) of them. 44 (27.0%) respondents would choose sport or other physical activity. 11 (6.7%) respondents would deal with overweight and obesity pharmacologically - with the help of medications, and only 25 (15.3%) respondents would choose surgery as away of dealing with overweight and obesity. On the contrary, only 8 (4.9%) respondents were not interested in dealing with the weight gain. 24 (25.0%) respondents would choose the surgical way of solving obesity. Ananswer“possibly yes”was chosen by13 (13.5%) respondents. 21 (21.9%) individu- als inclined to the “rather not” variant. 33 (34.4%) respondents chose the “certainly not”answer. An answer“I don't know” was chosen by 5 (5.2%) respondents. Conclusion:Obesity is aglobal social problem which is not to be solved just in healthcare and it is certainly not an issue of an individual.


2019 ◽  
Vol 26 (11) ◽  
pp. 1998-2002
Author(s):  
Muhammad Awais Javed

Epistaxis is defined as hemorrhage from nose where source of bleeding is inside the nose. There are many factors which can precipitate epistaxis. A number of treatment modalities are used for its treatment, conservative measures and nasal packing being the commonest method of treatment. Conservative method is an effective method of treatment and avoids potential complications of nasal packing. Objectives: To assess efficacy of conservative mode of treatment for epistaxis. Study Design: Prospective study. Settings: Department of Otorhinolaryngology, E.N.T. Unit-I, Allied Hospital/ Faisalabad Medical University, Faisalabad. Period: Three months i.e. from 16-10-2018 to 15-01-2019. Sample Size: 60. Material and Method: Procedure: 60 patients were enrolled according to inclusive and exclusive criteria. Conservative measures were applied to patients including cold water gargles, nasal pinching and Trotter’s method. Patients were observed for control of epistaxis and number of patients noted in whom conservative measures were not successful and nasal packing was done. No patient among the sample needed the surgical intervention due to failed conservative measures or nasal packing. Frequency and percentage calculated for data and chi-square test applied and level of <0.05 taken significant. Results: 60 patients enrolled with age range from 5-75 years and mean age as 39.53 years. Out of 60 patients, 38 were male and 22 were females. Out of 60 patients, 42 patients (70%) were treated successfully using conservative measures and 18 patients (30%) were treated with nasal packing. Conclusion: Based upon results of this study, it is concluded that conservative method of treatment of epistaxis is an effective and safe method and avoids potential complications which can occur due to nasal packing.


Author(s):  
Ali Mohamad KARAPOR ◽  
Hojatollah KAKAEI ◽  
Zahra ZARGOSH ◽  
Hoatollah HAJIZADEH ◽  
Hakim BEKRI ZADEH ◽  
...  

Introduction: Musculoskeletal disorders are multifactorial and caused by various factors. In the dental profession, the risk of musculoskeletal disorders is high due to the position of the body. This study aimed to investigate the prevalence of musculoskeletal disorders in dentists in Ilam. Methods: The present study is a descriptive-analytical evaluating the working conditions of dentists working in Ilam health centers by RULA method. The prevalence of musculoskeletal disorders was also collected using the standard Nordic questionnaire. Dentists' postures were recorded while working using a camera, and the most frequent poses were selected and analyzed by RULA method. Data were analyzed using SPSS software version 22 with chi-square test and a significance level of p <0.05. Results: In this study, 18 dentists have participated with a mean age of 39.2 and an age range of 25-47 years, of which 16.7% (3 people) were female, and 83.3% (15 people) were male. The 12-month prevalence of disorders in different areas of the body was mostly the waist (77.8%), the neck and back (66.7%), and the knees (38.9 %). The results of the RULA method showed that 16.7% and 83.3% of the peoples were in the priority level of corrective action 2 and 3, respectively. Conclusion: According to the achieved results, the dentists have missed many days of work and daily activities due to the pain in different body regions. Therefore, designing sports and training programs can be helpful in the prevention of musculoskeletal disorders.


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