scholarly journals Allergic Rhinitis and Its Epidemiological Distribution in Syria: A High Prevalence and Additional Risks in War Time

2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
Ameer Kakaje ◽  
Mohammad Marwan Alhalabi ◽  
Ayham Alyousbashi ◽  
Aya Hamid ◽  
Osama Hosam Aldeen

Background. Allergic rhinitis (AR) is a global disease that affects a huge proportion of people around the world especially in the Middle East, where multiple allergy-promoting factors can be found. Although AR is not fatal, it severely affects the quality of life. However, it is usually overlooked in developing countries due to resource scarcity. Methods. An online questionnaire on social media was used which included demographics, smoking, socioeconomic-status (SES), war-related questions, and the score for allergic rhinitis (SFAR), a simple self-reporting tool with the cut-off point at 7. Findings. This study included 968 subjects with 721 (74.5%) females. The mean age was 24.69 years with AR prevalence at 47.9%. AR was associated with male gender [P=0.001 (OR, 1.677; 95% CI 1.249-2.253)], having a job [P=0.049 (OR, 1.309; 95% CI 1.001-1.713)], the having a chronic medical condition (P<0.0001) mainly other allergies [P<0.0001 (OR, 9.199; 95% CI 3.836-22.063)] and asthma [P=0.006 (OR, 5.060; 95% CI 1.396-18.342)], using medications (P<0.0001) and living in particular provinces (P=0.010). However, no significant correlation was found with type of work and war factors except being distressed by war sounds [P=0.027 (OR, 1.348; 95% CI 1.034-1.757)]. Finally, no associations were found with age, consanguinity, SES, educational level, and cigarette or/and shisha smoking (P>0.05). Interpretation. Approximately half of the sample displayed AR symptoms, indicating a potentially high burden of AR in the community. A correlation to being distressed from war noises was found with AR which could reflect a psychological aspect. In addition, in war harmful allergens are released which can be an additional AR risk factor which adds to the environment in the Middle East that is associated with AR. However, we need further studies to discover and minimize this huge prevalence of AR.

2011 ◽  
Vol 3 ◽  
pp. CMT.S6375
Author(s):  
Mohsen Nasir ◽  
J. Andrew Grant

Allergic rhinitis is a common, chronic medical condition affecting millions of people worldwide. Uncontrolled disease has been associated with impairments in quality of life and decreased economic productivity. Proper identification and control of relevant co-morbid conditions is essential for optimal rhinitis control. Management of allergic rhinitis includes identification of relevant allergens, education on avoidance measures, medications and immunotherapy. First-line therapy includes the use on an intranasal steroid. Other treatment options include oral or intranasal antihistamines, decongestants, leukotriene receptor antagonists, mast cell stabilizers or anticholinergic agents. Immunotherapy is an effective treatment option for refractory disease.


2021 ◽  
Vol 6 (2) ◽  
pp. 299-301
Author(s):  
Radha Parekh ◽  
Hardini Prajapati

Aim: To check the knowledge of hypertension amongst undergraduate physiotherapy students. Background: Hypertension is considered to be a serious medical condition that significantly increases the risk of heart, brain, kidney and other diseases. It is also called the “silent killer”. Sedentary lifestyle, obesity, excessive salt intake, consumption of tobacco are risk factors of hypertension. Hypertension is present in the curriculum of the 4 year long bachelor of physiotherapy course where main emphasis on this topic is usually in the last year of the course. Methodology: 125 students filled a hypertension knowledge assessment questionnaire. The mean result obtained was 12.8 from an 18 point questionnaire. Conclusion: The study concludes that there is moderate knowledge of hypertension amongst undergraduate physiotherapy students. Clinical Significance: Knowledge of hypertension is needed in physiotherapy students to help prescribe a proper exercise regime for patients suffering from hypertension and also help them improve their quality of life. Physiotherapist can also play a major role in preventing hypertension. Keywords: Hypertension, knowledge, undergraduate physiotherapy students.


2019 ◽  
Vol 13 (1) ◽  
pp. 23
Author(s):  
Yolazenia Yolazenia ◽  
Harianto Harianto ◽  
Iqbal Teguh Riady

Allergic rhinitis should be considered as a serious condition because it can affect the quality of life of patients. In manycases, the most common allergen is house dust mites (HDM). The purpose of this study was to describe the density ofhouse dust mites as triggers of allergic rhinitis in Pekanbaru orphanage children. This is a descriptive study with across sectional approach. Data obtained from interviews using the modified International Study of Asthma and Allergiesof Childhood (ISAAC) questionnaire to know the allergic rhinitis status and examination of house dust samples toidentify HDM in the parasitology laboratory. Sampling was carried out in 4 orphanages Pekanbaru. Allergic rhinitissymptoms were experienced by 81.2% of children in the orphanages and HDM was found with the mean density 9.11/g of dust. HDM was found in all four orphanages and was found to have a high incidence of allergic rhinitis.


2007 ◽  
Vol 3 (5) ◽  
pp. 603-611
Author(s):  
Giovanni Passalacqua

Allergic rhinitis is a high-prevalence disease that significantly impairs the quality of life. Its pathogenesis is quite well understood, and involves numerous cells, cytokines and mediators, which result in an inflammatory process. The triggering IgE-mediated reaction does not differ between men and women, but in females some aspects, related mainly to the hormonal frame, must be taken into account. In fact, cyclic hormonal changes can affect the severity of rhinitis, as can pregnancy, which may result in a particular form of ‘pregnancy rhinitis’. The most important and challenging aspect is the management of allergic rhinitis in pregnancy, which require a careful evaluation of the risk:benefit ratio. This review will examine the aforementioned aspects, with particular regard to the pharmacotherapy of rhinitis in pregnancy.


2015 ◽  
Vol 45 (3) ◽  
pp. 377-387
Author(s):  
Anastasia Markaki ◽  
Aspasia Spyridaki ◽  
Vasiliki Chatzi ◽  
Sofie Joossens ◽  
Anne de Looy

Purpose – The purpose of this paper is to evaluate the quality of dietetic practice placements in European higher education institutions (HEIs). Design/methodology/approach – An online questionnaire was used to investigate adherence to the European Dietetic Practice Placement Standards. Supporting documents were assessed against the “Guide to best practice” criteria. Findings – The questionnaire response rate was 39 out of 67 DIETS2 partners, representing 19 European countries. According to the questionnaire, the majority of HEIs have a formal agreement regarding roles and responsibilities on practice placement. They have clear learning outcomes, policies, standards and procedures to test, approve and monitor practice placements. However, less than half HEIs provide support and training for supervisors. Practice placement documentations from 16 European HEIs were assessed against the 15 “Guide to best practice” criteria. Only 1 HEI met all 15 criteria. The range of the rest HEIs fell between 1-14 criteria, the mean being 10 criteria. The least met criterion concerned appropriate support and guidance for supervisors, which was met by 18.8 per cent of HEIs. Practical implications – Promoting high-quality practice placements is crucial for the preparation of the dietetic workforce to meet changing societal needs of the dietetic profession, impacting on European nutritional health and productivity. Originality/value – This study is the first attempt to specifically address quality measures on dietetic practice placements in HEIs across Europe and highlights the issues that need improvement to prepare students for their new roles as dietitians in Europe.


2010 ◽  
Vol 22 (3) ◽  
pp. 25
Author(s):  
V. Leanza ◽  
S. Dati ◽  
A.A. Cavallaro ◽  
M. Bologna

The primary symptoms of overactive bladder (OAB) include urinary urgency and frequency, with or without urge incontinence. OAB is urodynamically characterised by involuntary contractions of the detrusor muscles of the bladder. Despite the growing awareness of OAB as a chronic medical condition, little is known about the disease&rsquo;s economic burden. Urodynamic diagnoses of detrusor overactivity, mixed incontinence, and stress incontinence with OAB are associated with significantly worse incontinence related bother and health related quality of life (QL) compared to those with stress incontinence without OAB [1,2,3].


1995 ◽  
Vol 58 (2) ◽  
pp. 139-146 ◽  
Author(s):  
A. A. ADESIYUN ◽  
L. WEBB ◽  
S. RAHAMAN

The microbial quality, pH and presence of selected pathogens in milk at eight collection centers in Trinidad were determined. The enterotoxigenicity and susceptibility of Staphylococcus aureus strains to antimicrobial agents and bacteriophages were investigated while the antibiograms and ability of Escherichia coli isolates to agglutinate O157 antiserum were also assessed. Of the 287 milk samples tested, the mean pH was 6.80 ± 0.10 and 207 (72.1%) were California mastitis test (CMT) positive. All (100.0%) milk samples contained S. aureus, and 217 (75.6%) were positive for E. coli. The ranges of mean counts per ml for total aerobic bacteria, S. aureus and E. coli were 3.3 ¥ 106 to 9.8 ¥ 107, 1.4 ¥ 104 to 1.2 ¥ 105 and 4.2 ¥ 104 to 1.6 ¥ 106, respectively. Ninety-three (40.4%) of 230 strains of S. aureus tested were enterotoxigenic producing staphylococcal enterotoxins A, B, C, D or a combination with SEC being predominantly elaborated. Of the 245 strains of S. aureus phage-typed, 123 (50.2%) were susceptible to international phage set (IPS) of bacteriophages. Overall, 49 (49.0%) of 100 strains of S. aureus tested were resistant to 1 or more of the 8 antimicrobial agents with resistance high to penicillin (48.0%), ampicillin (45.0%) and methicillin (21.0%). Among 100 strains of E. coli tested, 98 (98.0%) exhibited resistance to antimicrobial agents with high prevalence of resistance detected for cephalothin (79.0%), ampicillin (73.0%) and streptomycin (47.0%). Thirteen (6.9%) of 188 strains of E. coli agglutinated with O157 antiserum. It was concluded that the presence of some pathogens in milk in fairly high counts coupled with toxigenicity of some strains pose a health hazard to consumers.


2012 ◽  
Vol 24 (11) ◽  
pp. 1805-1815 ◽  
Author(s):  
Maria Gómez-Gallego ◽  
Jesus Gómez-Amor ◽  
Juan Gómez-García

AbstractBackground: Alzheimer's disease (AD) is a chronic medical condition with symptoms that compromise patients’ quality of life (QoL). The identification of the factor predicting QoL in AD is essential to develop more effective interventions. Recent research suggests that these factors could be different for the distinct informants. This study explores the QoL predictors considering three different sources of information: patients, caregivers, and healthcare staff.Methods: In this cross-sectional study, a sample of 102 patients, their primary caregivers, and 15 members of the healthcare staff evaluated patients’ QoL (QoL-AD Scale). Patients’ and caregivers’ demographic and clinical data (cognitive function, neuropsychiatric symptoms, depression, and caregivers’ burden) were considered as QoL predictors.Results: In multivariate-adjusted linear regression analyses, we observed that patients’ ratings were mainly affected by their mood whereas caregivers’ ratings were also negatively influenced by patients’ irritability and burden. According to staff ratings, both psychotic symptoms and neuroleptics were associated with lower QoL.Conclusions: Our findings suggest that depression is the main variable related to patients’ QoL and that more careful management of neuropsychiatric disorders is necessary. Both proxies’ ratings are not equivalent to patients’ reports in terms of predictors but they are complementary. Thus, a thorough QoL assessment should consider separately the perspective of the different informants.


2021 ◽  
Vol 16 (1) ◽  
pp. 207-222
Author(s):  
Hatta Sidi ◽  

Diabetes mellitus (DM) is a chronic medical condition associated with psychological sequelae like depression and linked with specific personality traits. This study researched on quality of life (QoL) among patients with DM and its association with mood symptoms and personality traits. 291 diabetic respondents were recruited, where their socio-demographic data and other relevant profile were collected using the Beck Depression Inventory II (BDI-II), Generalized Anxiety Disorder scale (GAD-7), Big Five Inventory (BFI) and World Health Organization Quality of Life Instrument-Short Form questionnaire (WHOQoL-BREF). The mean age of the respondents was 60.43 years with approximately half of the respondents being males and married. Most respondents have been diagnosed with type 2 diabetes (N = 261, 89.7%) and the median duration of diabetes diagnosis was 14.17 years (SD = 9.72). The association between personality traits, psychological complications, and QoL after adjusting for demographic, personal, and clinical characteristics were studied. Based on the multiple linear regression models, after adjusting for age, employment, education status, monthly income, perceived social support, duration of DM and other variables, we found that the neuroticism (BFI) and mean BDI score was associated with poorer QoL, respectively. 1-unit increase in these two variables leading to 3.5- and 0.6-point decrease in QoL, (-3.465 (95% confidence interval, CI -5.788 to -1.143) and -0.560 (95% CI -0.779 to -0.341)) with p<0.001, respectively. An intervention focusing on the neuroticism and elevating the depressive psychopathology would help in the psychological management of patients with DM.


2021 ◽  
Vol 30 (03) ◽  
pp. 170-177
Author(s):  
Fasiha Moin Kazi ◽  
◽  
Shoaib Ahmed ◽  
Shama Asghar

OBJECTIVE: This study aimed to assess burnout and sense of coherence levels in dentistry students of Karachi. METHODOLOGY: A cross-sectional study involving 361 students from four renowned dental colleges in Karachi was carried out. The students were distributed a questionnaire derived from the Mayo Clinic Well-being Index (WBI) and a modified 13-item Antonovsky's Sense of Coherence Scale (SOC scale). They were stratified on the basis of gender, age, professional year, institution, relationship status, history of chronic medical condition and history of chronic psychiatric condition. Scores for the WBI and SOC scale were calculated. For the WBI, a score of >4 was a sign that an individual was at risk of developing burnout or other severe outcomes. A high or low total score on the SOC scale demonstrated whether the individual was able to cope with his environment or not. MS Excel and SPSS version 23 were used for data compilation and statistical analysis. Descriptive statistics were calculated. Chi-square test of independence was applied to gauge any association between the strata and outcome variables. After determination of statistical difference, Mann Whitney-U Test and Kruskal Wallis Test were applied to compare the means where a significant association was found. A p-value of 0.05 or less was considered significant. RESULTS: The mean WBI score was found to be 4.07. Around 64% respondents were at-risk of burnout (score > 4). A greater percentage of females was at risk (66%) as compared to males (50%). Third professional students were found to be the most affected (77% with WBI score > 4 and 9% in the low coherence category). The mean SOC score was found to be 36.39 (moderate levels of coherence). Overall, around 4-9% of each professional year students exhibited a low sense of coherence. Age, relationship status, institution and a history of chronic medical and/or psychiatric condition were not found to have a significant association with the outcome variables (p>0.05). CONCLUSION: A significant number of dentistry students are at risk of burn-out and suffer from a low sense of coherence. The risk factors need to be evaluated and solutions need to be found to create a healthy and conducive environment for the growth and learning of the students. More research needs to be focused on gathering data related to the well-being of dentistry students. KEYWORDS: Burnout, sense of coherence, well-being index, dentistry.


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