scholarly journals Early Gender Differences in Pain and Functional Recovery Following Thoracolumbar Spinal Arthrodesis

2021 ◽  
Vol 10 (16) ◽  
pp. 3654
Author(s):  
Matthew T. Gulbrandsen ◽  
Nina Lara ◽  
James A. Beauchamp ◽  
Andrew Chung ◽  
Michael Chang ◽  
...  
Keyword(s):  
Gender Differences ◽  
Deformity Correction ◽  
Minimum Clinically Important Difference ◽  
Chi Square ◽  
Patient Reported ◽  
Spinal Arthrodesis ◽  
Males And Females ◽  
Gender Based ◽  
Student’S T ◽  
And Function

Background: To analyze gender differences regarding the recovery experience (pain, function, complications) after spinal arthrodesis surgery. Methods: Pre-operative and post-operative gender-based differences in patient-reported outcomes for open posterior spinal arthrodesis at 6 weeks, 3 months, 6 months, and 1 year were studied, including age, comorbidities, body mass index (BMI), diagnosis, number of vertebrae fused, type of surgery, primary vs. revision surgery, and complications. Statistical analysis included the use of Student’s t-test, Chi square, linear regression, Mann–Whitney U test, and Spearman’s rho. Results: Primary or revision posterior arthrodesis was performed on 1931 consecutive adults (1219 females, 712 males) for deformity and degenerative pathologies. At surgery, females were older than males (61.7 years vs. 59.7 years, p < 0.01), had slightly more comorbidities (1.75 vs. 1.5, p < 0.01), and were more likely to undergo deformity correction (38% vs. 22%, p < 0.01). Females described more pre-op pain (female VAS = 6.54 vs. male VAS = 6.41, p < 0.01) and lower pre-op function (female ODI = 49.73 vs. male ODI = 46.52, p < 0.01). By 3 months post-op, there was no significant gender difference in VAS or ODI scores. Similar pain and function scores between males and females continued through 6 months and 12 months. Conclusion: Although females have more pain and dysfunction before undergoing spinal surgery, the differences in these values do not reach the Minimum Clinically Important Difference (MCID). Post-operatively, there is no difference in pain and function scores among males and females at 3, 6, and 12 months.

Gender Differences in Pain and Function During Recovery from Spinal Arthrodesis Surgery

2017 ◽  
Vol 17 (10) ◽  
pp. S173
Author(s):  
Dennis G. Crandall ◽  
Nina Lara ◽  
Andrew S. Chung ◽  
Jan Revella ◽  
Michael S. Chang ◽  
...  
Keyword(s):  
Gender Differences ◽  
Spinal Arthrodesis ◽  
And Function

scholarly journals Gender Differences in the Perception of and Willingness to Participate in Organ Donation - Experiences of Immigrants From Bosnia and Herzegovina Living in Sweden

2020 ◽  
Author(s):  
Ferid Krupic ◽  
Kemal Grbic ◽  
Olof Westin ◽  
Eleonor Svantesson ◽  
Eric Hamrin Senorski
Keyword(s):  
Gender Differences ◽  
Organ Donation ◽  
Bosnia And Herzegovina ◽  
Statistical Significance ◽  
Cultural Beliefs ◽  
Willingness To Participate ◽  
Chi Square ◽  
Positive Attitudes ◽  
Organ Donations ◽  
Student’S T

Abstract BackgroundOrgan donation is a personal choice and many ethical, legal, medical, organisational and social factors are involved. It is possible to transplant some organs from live donors and others only from deceased donors. Nevertheless, the shortage of organs worldwide is a problem. Gender differences may cause decission and willingnes to organ donation. Methods A total of 60 informants (30 men and 30 women), born in Bosnia and Herzegovina and living in Sweden were available for follow-up. Data was collected by a questionnaire and statisticaly analysed according to the chi-square test, the D’Agostino-Pearson test for checking normality of continuous data distribution and, based on the distribution of results, Student’s t test or the Mann-Whitney test. Statistical significance was defined as p < 0.05.Results The result showed that significant differences between men and women was highest in the question about definition of transplantation (p<0.0001), information about organ donation (p<0.0001), knowledge about OD (p<0.0001), importance about OD (p<0.003), religious permitting to OD (p=0.0001), religious opposite to OD (p=0.0007), donate to a special person or not (p=0.0062), religion as factor to donate (p=0.0007). It was not better in question about having the donor card (p<0.0001). ConclusionsWomen were found to have more positive attitudes toward organ donation than men. Different socioeconomic factors, cultural beliefs, a higher level of religiousness, a higher level of information and knowledge about organ donation, as well as the ownership of donor cards, may result in a better perception of and willingness to participate organ donation. More knowledge of the religious understanding of organ donations and the reduction in prejudice among respondents would make the awareness and desire for organ donation even greater.

Abstract TMP74: Telepresence and Provider Communication Predict Satisfaction With Telestroke

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Griffin T Selch ◽  
Michael J Lyerly ◽  
Holly Martin ◽  
Glenn Graham ◽  
Sharyl Martini ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Patient Experience ◽  
Stroke Severity ◽  
Provider Communication ◽  
Veterans Health ◽  
Health Administration ◽  
Chi Square ◽  
High Satisfaction ◽  
Patient Reported ◽  
Student’S T

Background: In 2016 the Veterans Health Administration implemented the first nationwide Telestroke program; 800 consults were completed in the first 18 months. Preliminary analysis showed Veterans reported high satisfaction and acceptance of the program. This study sought to understand patient, provider, and hospital-level factors associated with patient satisfaction. Methods: Patients who received a Telestroke consultation were eligible for a phone interview two weeks later, including standard questions about technology quality, telepresence (how much the encounter felt like face-to-face), Telestroke provider communication, and overall satisfaction. Satisfaction scores ranged from 1-7, (higher = more satisfied), and for analyses were dichotomized as 6-7 indicating high satisfaction vs. < 6. Patient variables including stroke severity (NIH Stroke Scale) were obtained from study records. We used Student’s t-tests and Chi-square tests to compare variables related to patient-reported satisfaction, and used a logistic regression model to determine factors independently associated with high satisfaction. Results: Over 18 months, 208 interviews were completed and 156 (75%) reported high satisfaction with Telestroke. Patients with more severe stroke were less likely to recall the consultation (p = 0.01). Factors significantly associated with patient satisfaction were higher ratings of the technology (p < 0.0001), telepresence (p < 0.0001), provider communication ratings (p < 0.0001) and overall VA satisfaction (p = 0.01). Among 13 providers with at least 10 consultations, there was no difference in mean patient satisfaction scores. In the multivariate model, telepresence (OR 3.10, 95% CI 1.81-5.31) and provider communication scores (OR 2.37, 95% CI 1.20-4.68) were independently associated with satisfaction. Conclusion and Potential Impact: Provider qualities, including telepresence and provider ratings, were associated with overall Veteran satisfaction with Telestroke. Technology quality may be necessary but not sufficient to impact patient experience. Training providers to improve telepresence and communication skills could improve patient experience with Telestroke consultation.

scholarly journals Gender Differences In The Fear Of Crime Victimization And Precautionary Behaviours

2016 ◽  
Vol 12 (1) ◽  
pp. 165-178
Author(s):  
Taskeen Mansoor ◽  
Rukhsana Hasan
Keyword(s):  
Gender Differences ◽  
Fear Of Crime ◽  
Cultural Norms ◽  
Crime Victimization ◽  
Public And Private ◽  
Significant Difference ◽  
Males And Females ◽  
Risk Takers ◽  
Gender Based ◽  
And Gender

This quantitative study was conducted to explore the gender differences in the fear of crime victimization and associated precautionary behaviours. A questionnaire was designed and administered on 180 students of public and private universities in Islamabad and Rawalpindi. Data analyzed in SPSS showed a significant difference in the responses of males and females where females were more worried and felt more unsafe about being a victim of a crime than males. More females observed precautionary behaviours to avoid being a victim of a crime in relation to the males. The females were fearful of crime related to use of public transport, sexual and gender based attack whereas males feared verbal abuse by strangers or acquaintances. It was discussed that females, being members of a marginalized and vulnerable group, may consider themselves as potential victims to crimes, and therefore exhibit a high fear of crime along with higher incidence of precautionary behaviour. Furthermore, in the patriarchal structure of the Pakistani society, the socio-cultural norms and traditional gender role socialization teach the boys to be dominant, risk-takers and fearless and the girls to be submissive, risk avoiding and fearful which tends to restrict the mobility and freedom of females.

Abstract P289: Gender Differences in Rates of Stroke in Patients With Hypertrophic Obstructive Cardiomyopathy With and Without Atrial Fibrillation

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Chaitanya Rojulpote ◽  
Karthik Gonuguntla ◽  
Shivaraj Patil ◽  
Tapan Buch ◽  
Pranav Karambelkar ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Gender Differences ◽  
Ischemic Stroke ◽  
Statistical Analysis ◽  
Acute Care ◽  
Nationwide Inpatient Sample ◽  
Care Facility ◽  
Hypertrophic Obstructive Cardiomyopathy ◽  
Chi Square ◽  
Males And Females

Introduction: Stroke is a known complication of hypertrophic obstructive cardiomyopathy (HOCM) and this complication is more common in patients with accompanying atrial fibrillation (AF). However, data regarding gender related differences with respect to this complication is sparse. Objective: We sought to understand the gender differences in rates of stroke in patients with HOCM with and without AF. Methods: The Nationwide Inpatient Sample was queried from 2010 to 2014 using ICD-9 codes 425.1 and 425.11 for HOCM in all diagnosis fields. AF was identified by ICD-9 code 427.31. We excluded patients with an indicator for transfer to another acute-care facility to reduce the possibility of data duplication. Chi-square was used for statistical analysis. Results: From 2010 to 2014, we identified 73,347 patients with HOCM (Mean age 63.76 ± 16.5 years; females 59% and Caucasians 67.5%). The overall rate of ischemic stroke in this cohort was 2153 (2.9%). Rate of ischemic stroke between males and females was similar (2.9% vs 3%; p <0.001). AF was present in 26,393 (36%), male vs female (39.4% vs 33.7%; p <0.001). Overall, prevalence of stroke in HOCM patients with and without AF was significant 3.5% vs 2.6%; p<0.001. Between males and females, the rates of stroke in HOCM patients with and without AF were not different (3.5% vs 3.5%, p =0.4 and 2.4% vs 2.7%; p =0.9). Conclusion: Although stroke rates were higher in HOCM patients with AF, stroke rates were similar in both genders of HOCM patients with and without AF. It is important to consider anticoagulation in these patients to reduce the risk of stroke.

scholarly journals Gender Does Not Influence Delaying Excuses: An Exploratory Study of the Reasons of Academic Procrastination among College Students

2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Jasmine Vij
Keyword(s):  
Gender Differences ◽  
Undergraduate Students ◽  
Time Management ◽  
Exploratory Study ◽  
Academic Procrastination ◽  
Age Group ◽  
Common Phenomenon ◽  
Chi Square ◽  
Psychological Constructs ◽  
Males And Females

Gender differences in various psychological constructs are a common phenomenon. This study has been designed to investigate the gender differences if any, in the reasons given for academic procrastination in undergraduate students. For this purpose, 200 high academic procrastinators (113 males and 87 females) in the age group 17-19 years were selected by administering PAAS. The frequency of the reasons given by high procrastinators was calculated by using percentage analysis. Laziness and time management were the two most cited explanations for procrastination. The reasons given by both the genders were compared using chi square. Results revealed that gender does not influence the excuses that males and females provide for academic procrastination.

Gender Differences in Psoriatic Arthritis With Fatigue, Pain, Function, and Work Disability

2019 ◽  
Vol 4 (4) ◽  
pp. 192-197 ◽  
Author(s):  
Tawnie J. Braaten ◽  
Chong Zhang ◽  
Angela P. Presson ◽  
Brian Breviu ◽  
Daniel Clegg ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Gender Differences ◽  
Psoriatic Arthritis ◽  
Work Disability ◽  
Cross Sectional ◽  
Men And Women ◽  
Work Limitations ◽  
Patient Reported ◽  
And Function

Introduction/Objectives: Gender is an important patient characteristic that may be used to predict clinical presentation, disease progression, and therapeutic response. In recent studies, women with psoriatic arthritis (PsA) have reported less favorable function, increased fatigue, and decreased quality of life, compared to men. Less is known about gender differences with other patient-reported outcomes (PROs) such as pain and work limitations. Our purpose was to characterize gender differences in PROs in participants of the Utah Psoriasis Initiative (UPI) Arthritis Registry. Methods: In this cross-sectional study, PROs assessing pain, fatigue, quality of life, and function were compared between men and women enrolled in the UPI Arthritis Registry between January 2010 and November 2014. Work limitations were assessed in the subset of participants working for pay at the time of enrollment. Results: Participants included 115 men and 138 women. Women had less favorable PROs for pain, fatigue, patient-reported joint count, physical demands at work, work output, and function, as measured by both Health Assessment Questionnaire and the Psoriatic Arthritis Screening and Evaluation function subscale. Conclusions: Women experienced PsA differently than men, with higher fatigue, pain, work disability, and functional limitations. The etiology of the gender differences in PsA are unclear, and further research is indicated to better understand the role of hormones, gene expression, and other potential pathophysiologic differences between men and women.

scholarly journals Improved Surgical Outcomes With Endoscopic Carpal Tunnel Release in Patients With Severe Median Neuropathy

Hand ◽  
2016 ◽  
Vol 12 (3) ◽  
pp. 252-257 ◽  
Author(s):  
Nicholas A. Calotta ◽  
Joseph Lopez ◽  
E. Gene Deune
Keyword(s):  
Medical History ◽  
Tobacco Use ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Complication Rates ◽  
Dominant Hand ◽  
Chi Square ◽  
Endoscopic Carpal Tunnel Release ◽  
Patient Reported ◽  
Student’S T

Background: Carpal tunnel syndrome (CTS) can be treated with open carpal tunnel release (OCTR) or endoscopic carpal tunnel release (ECTR). Our goal was to evaluate the safety and efficacy of ECTR versus OCTR in patients with severe CTS. We hypothesized that ECTR would be as safe and effective as OCTR in these patients. Methods: This was a retrospective cohort study of patients with severe CTS who underwent ECTR or OCTR by E. G. Deune between 2001 and 2014. Variables were patient age, sex, relevant medical history, alcohol and tobacco use, and preoperative electromyography and physical examination results. The primary outcome was patient-reported resolution of neuropathic symptoms at last follow-up. Secondary outcomes were surgical complications and need for reoperation. We compared the cohorts using Student’s t tests and chi-square tests. Results: We identified 138 cases of severe CTS in 126 patients who met our inclusion criteria. Thirty-nine cases were treated with ECTR and 99 with OCTR. Mean ages were 59 years (ECTR group) and 56 years (OCTR group). The population was 68% women, and 56% of cases involved the dominant hand. The distributions of age, sex, hand dominance, presence of relevant medical history, and alcohol and tobacco use did not differ significantly between groups. Treatment completely resolved CTS symptoms in 82% of ECTR cases and 39% of OCTR cases. Complication rates (all causes) were similar for both procedures. Recurrence was observed in 2.6% of ECTR cases and 10% of OCTR cases. Conclusions: ECTR is a safe and effective alternative to OCTR for patients with severe CTS.

scholarly journals Telepresence And Provider Communication Predict Satisfaction With Telestroke

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Griffin Tyler Selch ◽  
Michael J. Lyerly ◽  
Holly Martin ◽  
Glenn Graham ◽  
Sharyl Martini ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Patient Experience ◽  
Stroke Severity ◽  
Provider Communication ◽  
Veterans Health ◽  
Health Administration ◽  
Chi Square ◽  
High Satisfaction ◽  
Patient Reported ◽  
Student’S T

Background: In 2016 the Veterans Health Administration implemented the first nationwide Telestroke program; 800 consults were completed in the first 18 months. Preliminary analysis showed Veterans reported high satisfaction and acceptance of the program. This study sought to understand patient, provider, and hospital-level factors associated with patient satisfaction. Methods: Patients who received a Telestroke consultation were eligible for a phone interview two weeks later, including standard questions about technology quality, telepresence (how much the encounter felt like face-to-face), Telestroke provider communication, and overall satisfaction. Satisfaction scores ranged from 1-7, (higher = more satisfied), and for analyses were dichotomized as 6-7 indicating high satisfaction vs. < 6. Patient variables including stroke severity (NIH Stroke Scale) were obtained from study records. We used Student’s t-tests and Chi-square tests to compare variables related to patient-reported satisfaction, and used a logistic regression model to determine factors independently associated with high satisfaction. Results: Over 18 months, 208 interviews were completed and 156 (75%) reported high satisfaction with Telestroke. Patients with more severe stroke were less likely to recall the consultation (p = 0.01). Factors significantly associated with patient satisfaction were higher ratings of the technology (p < 0.0001), telepresence (p < 0.0001), provider communication ratings (p < 0.0001) and overall VA satisfaction (p = 0.01). Among 13 providers with at least 10 consultations, there was no difference in mean patient satisfaction scores. In the multivariate model, telepresence (OR 3.10, 95% CI 1.81-5.31) and provider communication scores (OR 2.37, 95% CI 1.20-4.68) were independently associated with satisfaction. Conclusion and Potential Impact: Provider qualities, including telepresence and provider ratings, were associated with overall Veteran satisfaction with Telestroke. Technology quality may be necessary but not sufficient to impact patient experience. Training providers to improve telepresence and communication skills could improve patient experience with Telestroke consultation.

scholarly journals Inter-gender differences in the formation of anteroposterior spinal curvatures in people practicing ballroom dancing

2020 ◽  
Vol 22 (4) ◽  
Author(s):  
Ewa Puszczałowska-Lizis ◽  
Marzena Mól ◽  
Jarosław Omorczyk
Keyword(s):  
Gender Differences ◽  
Lumbar Lordosis ◽  
Body Posture ◽  
Chi Square ◽  
Spinal Curvatures ◽  
Ballroom Dancing ◽  
Compensation Ratio ◽  
Chi Square Test ◽  
And Gender ◽  
Student’S T

Purpose: The study aimed to assess the formation of the spinal anteroposterior curvatures in people practicing ballroom dancing. Methods: The study group comprised 98 people practicing ballroom dancing (58 W, 40 M; aged 35–45 years). Digital inclinometer “Baseline” was used as primary research tool. The data were analyzed based on Student’s t-test, Mann–Whitney U-test and Pearson Chi-square test. Results: Statistically significant inter-gender differences were in the values of angles determining inclination of lumbosacral section of the spine (p < 0.001), the lumbar lordosis curvature (p < 0.001) as well as the compensation ratio (p = 0.002). Statistically significant dependences between the types body posture and gender (p = 0.005) were noted. Conclusions: Women practicing ballroom dancing are distinguished with increased inclination of lumbosacral section of the spine and deeper lumbar lordosis, while men are characterized with shallowed lumbar lordosis. Women are more likely to have lordotic body posture while men are characterized by balanced body posture. The prevalence of body posture subtypes is not dependent on gender.

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