The correlation between unhealthy lifestyle, readmission in the vulnerable period and in-hospital mortality and at 1 year in patients with heart failure

Purpose. The present study aim to identify whether an unhealthy lifestyle, defined as active smoking and hyper sodium diet, leads to a higher likelihood of readmission of patients with heart failure (HF) during the vulnerable period or to an increased risk of in-hospital mortality and one year mortality. The vulnerable period for patients with heart failure refers to the first 90 days after discharge. Material and methods. This was a retrospective study conducted in the Cardiology Clinic of the Emergency Clinical Hospital “Bagdasar Arseni” in Bucharest, between October 2018 and October 2019 and enrolled 500 patients with heart failure. After applying the inclusion and exclusion criteria, 198 patients remained eligible for inclusion in this study. Demographic data as well as those related to the presence of complications during hospitalization and in-hospital mortality were collected from the observation sheet and from the database of the “Bagdasar Arseni” hospital. Data on readmission in the first 90 days after the reference discharge and one year mortality were assessed by telephone and using the Hipocrate software. All data obtained were entered into the Microsoft Excel database and were statistically processed using the Python program. Results. An unhealthy lifestyle increase the probability of readmission by 12% and the risk of in-hospital mortality by 17%. Younger patients tends to have an unhealthy lifestyle compared to the elderly (p-value = 0.000). Men have an unhealthy lifestyle (p- value = 0.000). Professionally active people tend to have an unhealthy lifestyle (p-value = 0.02). No statistically significant differences were observed in terms of the unhealthy lifestyle of people from urban or rural areas. Conclusions. The present study highlights the fact that an unhealthy lifestyle increase the mortality rate and readmissions in patients with heart failure. From the analyzed data, our study is the first study that measured the cumulative impact of modifiable risk factors related to lifestyle on readmission in the vulnerable period. We believe that these results could be the basis of a future study that would include a larger number of a patients and more modifiable factors.

O stresie w różnorodnych przestrzeniach życiowych nastolatków w kontekście ich seksualności

Bearing in mind the meaning of sexuality for the quality of human life, adolescence as a vulnerable period and the attendant risks, the main issue of interest in this text is stress in various areas of life of adolescents in the context of their sexuality. The first part of the article focuses on young people’s sexuality on the basis of relevant literature, while the further part of the study presents methodological assumptions. The third part of the work is dedicated to the analysis of the examination results. The article ends with the conclusions made on the basis of the research results.

The Types of Presupposition in the Jakarta Post's Education Articles

A speaker’s or writer’s presupposition shows a prejudice about a conversation opponent or someone being discussed. In this research, a presupposition analysis was conducted to provide information about the assumptions made by the Minister of Education and Culture Nadiem Makarim on various occasions in his speech to state his programs. It also aims to provide information to the reader that the intention conveyed by the speaker is precise and clear. Therefore, the authors declare in the various utterances that are delivered and explain the purposes. The data was taken randomly from the Jakarta Post online article about Education for a vulnerable period of one month from November 2, 2019, to December 2, 2019. This study used descriptive qualitative methods in answering questions in the problem statement; they are the explanation about what assumptions are often used by the Minister of Education and Culture and also explain the reasons for the use of these assumptions repeatedly. The assumptions found are lexical, non-factive, and counterfactual presupposition. Assumptions that are often used that aim that the use of certain expressions by the speaker is taken to presuppose other concepts (not stated), the use of certain expressions is made to presuppose the truth of the information said afterward.

Neonatal admission from emergency department

Neonatal period is a vulnerable period of life. In Nepal, most common causes of newborn admission in the neonatal intensive care unit (NICU) are birth asphyxia, neonatal sepsis. This study explores the diseases with which 131 neonates were admitted from emergency department. Sepsis was the main cause of admission, followed by pneumonia.

Appendicular lean mass is lower in late compared with early perimenopausal women: potential role of FSH

Our data suggest that the late perimenopausal stage may be a vulnerable period for the loss of skeletal muscle, potentially related to elevations in FSH.

Global redistribution and local migration in semi-discrete host-parasitoid population dynamic models

ABSTRACTHost-parasitoid population dynamics is often probed using a semi-discrete/hybrid modeling framework. Here, the update functions in the discrete-time model connecting year-to-year changes in the population densities are obtained by solving ordinary differential equations that mechanistically describe interactions when hosts become vulnerable to parasitoid attacks. We use this semi-discrete formalism to study two key spatial effects: local movement (migration) of parasitoids between patches during the vulnerable period; and yearly redistribution of populations across patches outside the vulnerable period. Our results show that in the absence of any redistribution, constant density-independent migration and parasitoid attack rates are unable to stabilize an otherwise unstable host-parasitoid population dynamics. Interestingly, inclusion of host redistribution (but not parasitoid redistribution) before the start of the vulnerable period can lead to stable coexistence of both species. Next, we consider a Type-III functional response (parasitoid attack rate increases with host density), where the absence of any spatial effects leads to a neutrally stable host-parasitoid equilibrium. As before, density-independent parasitoid migration by itself is again insufficient to stabilize the population dynamics and host redistribution provides a stabilizing influence. Finally, we show that a Type-III functional response combined with density-dependent parasitoid migration leads to stable coexistence, even in the absence of population redistributions. In summary, we have systematically characterized parameter regimes leading to stable/unstable population dynamics with different forms of spatial heterogeneity coupled to the parasitoid’s functional response using mechanistically formulated semi-discrete models.

THE ROLE OF SPIRITUALITY ON SANTRI COMMUNICATION LEVELS IN ISLAMIC BOARDING SCHOOL OF JAGAD ‘ALIMUSSIRRY SURABAYA SURABAYA

This study aims to explain the role of spirituality on the communicative level of students in the Islamic Boarding School Jagad ‘Alimussirry Surabaya. The research method used is descriptive qualitative. The study was conducted on all students of the Islamic Boarding School Jagad ‘Alimussirry Surabaya and teachers / teachers in a vulnerable period of one semester. Data obtained from questionnaires and observations that have been transcribed, then described in detail according to existing phenomena. The results showed that the role of spirituality on the communicative level of students had a significant influence. Not only for the sake of getting closer to God, but also to improve morals (both to God and His creatures), and to achieve ultimate peace of self and the environment. This is evidenced by the communicative data of students both with fellow students, teachers, and with the natural surroundings.

A Catholic Approach to Adolescent Medicine

Adolescence is an important yet vulnerable period of transition from childhood to adulthood. An increasing number of studies support the traditional Catholic view, which sees teens as prone to making poor decisions when influ­enced by emotions or peer pressure but capable of thriving when guided by parents and religion. However, newer policies of medical societies undermine the traditional supports of family and faith with a permissive approach toward sexual exploration. To counter this unhealthy trend, which seems to be based more on postmodern ideology than robust science, Catholic physicians should become experts in adolescent behavior and sexual health. Physicians should be sensitive to opposing viewpoints but participate only in treatments which are ethical and beneficial for their patients. Specifically, Catholic physicians must avoid contraceptives, abortion, and “gender-affirming” therapies. By using good science and emulating the models of service, Socratic dialogue, and accompaniment, physicians can guide adolescents toward a virtuous, healthy adulthood.

Sociodemographic correlates of eating disorder subtypes among men and women in France, with a focus on age

BackgroundOn the population level, the association of age and other sociodemographic factors with eating disorders (ED) is unclear.MethodsWe used cross-sectional data from the French general population-based NutriNet-Santé e-cohort (n=49 603 adults; 76.3% women; mean age=50.4±14.6 years). ED were evaluated in 2014 with the 5-item SCOFF screening questionnaire and the Expali algorithmic tool. Likely cases of restrictive, bulimic, hyperphagic and other ED were the dependent variables. Age, marital status, education, occupation, physical activity and smoking were the independent variables. Associations were estimated via gender-stratified multivariable polytomous logistic regression.ResultsAmong women, age displayed inverse linear associations with both restrictive and bulimic ED, underscoring 18–25 years as the most vulnerable period (adjusted OR=3.37, 95% CI: 2.24 to 5.08 for restrictive ED; adjusted OR=2.98, 95% CI: 2.37 to 3.74 for bulimic ED, respectively). A similar association was observed in men regarding bulimic ED. In women, age was not associated with hyperphagic ED for which living alone, low education, low physical activity, being a homemaker/disabled/unemployed/retired, a manual worker or a former/current smoker had increased importance. In men, 18–39 years emerged as the least vulnerable period regarding hyperphagic ED (adjusted OR=0.74, 95% CI: 0.56 to 0.99). Across gender, having postsecondary education had significant inverse associations with all except restrictive ED, whereas being a student had a significant positive association with restrictive ED.ConclusionsThe findings support gender-specific associations of age with four ED subtypes and could inform future prevention initiatives targeting specific ED among specific age groups.Trial registration numberNCT03335644; Pre-results.