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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

A Survey of perceived disability and contributing risk factors to work-related low back pain amongst nurses in Rwanda

Ndagijimana, Pierre Claver January 2011 (has links)
<p>Nursing is worldwide regarded as a high risk occupation for the development of work-related low back pain (WRLBP). LBP is one of the most common causes of disability, creating an important socio-economic problem in modern society. Studies report that more than 80% of&nbsp / workers suffer from WRLBP once in their occupational lives. Among nurses, the lifetime prevalence has been found to be higher, varying up to 90% of a nursing population. The current study aimed at determining the prevalence, perceived disability and contributing/risk factors to WRLBP among nurses in Rwanda, identifying the perceived contributing risk factors of WRLBP and intervention strategies received by those nurses. A descriptive quantitative cross-sectional survey using convenience sampling was used to gather data with a self-administered questionnaire on a sample of 226 nurses. The study population included all registered nurses of Kabgayi District Hospital and Nyanza District Hospitals and their respective health centers. To be included, the nurses had to have suffered from WRLBP during the previous 6 months before data collection. The Nordic Back Pain Questionnaire, the Oswestry Disability Index and an open-ended questionnaire regarding perceived risk factors have been used. Descriptive statistics to summarize data and inferential statistics such as chisquare test to test the relationship between different variables of the study have been studied at 5% levels. Correlation coefficients in terms of cross-tabulation were also studied at 1% level of significance. The current study highlights one-month prevalent rates of 70.4%, and one-week prevalent rates of 54.4%. WRLBP among nurses has been found to be significantly associated with gender according to the p-value of 0.007 among the studied variables, and good correlation coefficients between disability scores, together with the length of WRLBP and BMI with 0.0001, 0.0030 respectively. Nurses in the current study reported WRLBP as a result of a wide range of factors related to their work, manual handling being the major physical work activity exposing them to WRLBP. The perceived risk factors for WRLBP reported in this study were classified into 4 categories. The first category included work positional factors such as standing, sitting, bending, and awkward work postures. The second group included work-related nursing tasks such as lifting patients and items at work, repositioning and transferring patients, bed making, washing patients, and many others. In the third group, psychosocial factors like poor relationship with colleagues, work pressure and reduced job satisfaction have been listed. Finally, some non-occupational factors such as aging, pregnancy, menstruation, history of back pain, being female and body built have also been perceived as contributing factors to WRLBP. The Oswestry Disability Index demonstrated a mild to moderate disability due to WRLBP in this group of nurses. WRLBP has a negative impact in health services due to activity limitation, lost time and lowered productivity. The study concludes that nurses must be protected from ergonomic work stressors, and improvement of awareness of&nbsp / urses with regards to ergonomic stressors seems to be crucial. However, an effort by different parties concerned with the problem at all levels in Rwanda is needed. The government of Rwanda, through the Ministry of Health in particular, will be recommended to put strategies in place for the management, reduction and prevention of WRLBP amongst health workers, especially in the nursing population.</p>
2

A Survey of perceived disability and contributing risk factors to work-related low back pain amongst nurses in Rwanda

Ndagijimana, Pierre Claver January 2011 (has links)
<p>Nursing is worldwide regarded as a high risk occupation for the development of work-related low back pain (WRLBP). LBP is one of the most common causes of disability, creating an important socio-economic problem in modern society. Studies report that more than 80% of&nbsp / workers suffer from WRLBP once in their occupational lives. Among nurses, the lifetime prevalence has been found to be higher, varying up to 90% of a nursing population. The current study aimed at determining the prevalence, perceived disability and contributing/risk factors to WRLBP among nurses in Rwanda, identifying the perceived contributing risk factors of WRLBP and intervention strategies received by those nurses. A descriptive quantitative cross-sectional survey using convenience sampling was used to gather data with a self-administered questionnaire on a sample of 226 nurses. The study population included all registered nurses of Kabgayi District Hospital and Nyanza District Hospitals and their respective health centers. To be included, the nurses had to have suffered from WRLBP during the previous 6 months before data collection. The Nordic Back Pain Questionnaire, the Oswestry Disability Index and an open-ended questionnaire regarding perceived risk factors have been used. Descriptive statistics to summarize data and inferential statistics such as chisquare test to test the relationship between different variables of the study have been studied at 5% levels. Correlation coefficients in terms of cross-tabulation were also studied at 1% level of significance. The current study highlights one-month prevalent rates of 70.4%, and one-week prevalent rates of 54.4%. WRLBP among nurses has been found to be significantly associated with gender according to the p-value of 0.007 among the studied variables, and good correlation coefficients between disability scores, together with the length of WRLBP and BMI with 0.0001, 0.0030 respectively. Nurses in the current study reported WRLBP as a result of a wide range of factors related to their work, manual handling being the major physical work activity exposing them to WRLBP. The perceived risk factors for WRLBP reported in this study were classified into 4 categories. The first category included work positional factors such as standing, sitting, bending, and awkward work postures. The second group included work-related nursing tasks such as lifting patients and items at work, repositioning and transferring patients, bed making, washing patients, and many others. In the third group, psychosocial factors like poor relationship with colleagues, work pressure and reduced job satisfaction have been listed. Finally, some non-occupational factors such as aging, pregnancy, menstruation, history of back pain, being female and body built have also been perceived as contributing factors to WRLBP. The Oswestry Disability Index demonstrated a mild to moderate disability due to WRLBP in this group of nurses. WRLBP has a negative impact in health services due to activity limitation, lost time and lowered productivity. The study concludes that nurses must be protected from ergonomic work stressors, and improvement of awareness of&nbsp / urses with regards to ergonomic stressors seems to be crucial. However, an effort by different parties concerned with the problem at all levels in Rwanda is needed. The government of Rwanda, through the Ministry of Health in particular, will be recommended to put strategies in place for the management, reduction and prevention of WRLBP amongst health workers, especially in the nursing population.</p>
3

Kontaktna senzibilizacija kod obolelih od hronične venske insuficijencije / Contact Sensitization in Patients with Chronic Venous Insufficiency

Vujanović Ljuba 07 November 2014 (has links)
<p>Pojava alergijskog kontatnog dermatitisa koji nastaje kao komplikacija tokom lečenja hronične venske insuficijencije je dobro poznata. Cilj istraživanja je bio da se kod obolelih od hronične venske insuficijencije utvrdi učestalost kontaktne senzibilizacije ekcemskog tipa, potom da li postoji rizik za nastanak kontaktne senzibilizacije kao i postojanje korelacije između dužine trajanja bolesti i kontaktne senzibilizacije. Hipoteza rada je da osobe sa hroničnom venskom insuficijencijom značajno če&scaron;će razvijaju kontaktnu senzibilizaciju nego osobe bez hronične venske insuficijencije, da imaju veći rizik za nastanak kontaktne senzibilizacije kao i da je učestalost kontaktne senzibilizacije u pozitivnoj korelaciji sa dužinom trajanja bolesti. Istraživanje je sprovedeno nad 266 ispitanika. Formirane su dve grupe. Eksperimentalnu grupu su činili oboleli od hronične venske insuficijencije upućeni na alergolo&scaron;ko testiranje pod sumnjom na postojanje kontaktnog dermatitisa, a kontrolnu grupu su činili bolesnici bez hronične venske insuficijencije epikutano testirani pod sumnjom na postojanje kontaktnog dermatitisa. Obolelima od hronične venske insuficijencije je procenjena težina bolesti na osnovu CEAP klasifikacije. Potom je svaki ispitanik podvrgnut alergolo&scaron;kom epikutanom testiranju pač testom. Istraživanje je pokazalo da je učestalost kontaktne senzibilizacije među obolelima od hronične venske insuficijencije iznosila 49,3%. Učestalost kontaktne senzibilizacije kod osoba sa hroničnom venskom insuficijencijom na alergene: iz sastava Evropske standardne baterije je iznosila 31,55%; baterije specifične za hroničnu vensku insuficijenciju je iznosila 28,45%; komercijalno dostupne baterije alergena ubikvitarnih korovskih biljaka iz porodice Compositae je iznosila 6,69%; originalno spravljene ekstrakte ubikvitarnih korovskih biljaka Vojvodine je iznosila 6,11%. Ne postoji statistički značajna razlika u odnosu na pol. Prevalencija kontaktne senzibilizacije kod osoba sa hroničnom venskom insuficijencijom se nije statistički značajno razlikovala od osoba koje nisu imale hroničnu vensku insuficijenciju. Pozitivnost epikutanog alergolo&scaron;kog testa kojim se potvrđuje postojanje kontaktne senzibilizacije je bila statistički značajno vi&scaron;a kod osoba sa hroničnom venskom insuficijencijom. Osobe sa hroničnom venskom insuficijencijom su imale 2,45 puta vi&scaron;i rizik za nastajanje kontaktne senzibilizacije na dva i vi&scaron;e alergena, a 3,69 puta vi&scaron;i rizik za nastajanje kontaktne senzibilizacije na pet i vi&scaron;e alergena u odnosu na one bez hronične venske insuficijencije. Učestalost kontaktne senzibilizacije je u pozitivnoj korelaciji sa dužinom trajanja bolesti.</p> / <p>Development of allergic contact dermatitis as a complication of treatment of chronic venous insufficiency is well known. The aim of this study was to determine the incidence of eczematous contact sensitization in patients with chronic venous insufficiency, possible risks for the development of contact sensitization, and the correlation between disease duration and contact sensitization. The working hypothesis was that the incidence of contact sensitivity is significantly higher in individuals with chronic venous insufficiency than in those without chronic venous insufficiency, that they are at greater risk of developing contact sensitization, and that there is a positive correlation between the incidence of contact sensitization and the disease duration. The study included 266 patients. They were divided into two groups: the study group included patients with chronic venous insufficiency referred for allergy testing due to suspected contact dermatitis, and the control group included patients without chronic venous insufficiency patch tested for suspected contact dermatitis. The severity of chronic venous insufficiency was assessed by CEAP classification. Thereafter, each patient underwent patch testing. The research has shown that the incidence of contact sensitization among patients with chronic venous insufficiency was 49.3%. In these patients, the incidence of contact sensitization to the European standard battery of allergens was 31.55%; to the battery specific for chronic venous insufficiency it was 28.45%; to commercially available batteries of allergens of ubiquitous plants from the Compositae family it was 6.69%; and to originally prepared extracts of ubiquitous plants found in Vojvodina it was 6.11%. There was no statistically significant difference in relation to sex. The prevalence of contact sensitization in patients with chronic venous insufficiency was not significantly different from those without chronic venous insufficiency. Positive patch test reaction rates, confirming the existence of contact sensitization, were significantly higher in patients with chronic venous insufficiency. Patients with chronic venous insufficiency had a 2.45-fold higher risk for developing contact sensitization to two or more allergens, and a 3.69-fold higher risk for developing contact sensitization to five or more allergens compared to those without chronic venous insufficiency. There was a positive correlation between the incidence of contact sensitization and the duration of the disease.</p>
4

Posttraumatic stress after childbirth /

Söderquist, Johan, January 2002 (has links) (PDF)
Diss. (sammanfattning) Linköping : Univ., 2002. / Härtill 5 uppsatser.
5

Prevalência e fatores de risco de anticorpos anti-Neospora Caninum em fêmeas bovinas leiteiras da agricultura familiar no município de Ji-Paraná, Rondônia

Vilas Boas, Ricardo 28 February 2014 (has links)
Submitted by Simone Souza (simonecgsouza@hotmail.com) on 2017-10-18T13:47:39Z No. of bitstreams: 1 DISS_2014_Ricardo Vilas Boas.pdf: 6795713 bytes, checksum: 1ad10c8b43fdf390a1ec7efe5f9c145d (MD5) / Approved for entry into archive by Jordan (jordanbiblio@gmail.com) on 2017-11-07T15:53:07Z (GMT) No. of bitstreams: 1 DISS_2014_Ricardo Vilas Boas.pdf: 6795713 bytes, checksum: 1ad10c8b43fdf390a1ec7efe5f9c145d (MD5) / Made available in DSpace on 2017-11-07T15:53:07Z (GMT). No. of bitstreams: 1 DISS_2014_Ricardo Vilas Boas.pdf: 6795713 bytes, checksum: 1ad10c8b43fdf390a1ec7efe5f9c145d (MD5) Previous issue date: 2014-02-28 / A neosporose é uma enfermidade parasitária considerada uma das principais causas de abortamento em bovinos em todo o mundo. Objetivou-se pesquisar a prevalência de anticorpos anti-Neospora caninum em fêmeas bovinas e possíveis fatores de risco para a infecção desses animais. Para isso, foram analisados 621 amostras de soro sanguíneo procedentes de 63 propriedades com rebanho leiteiro de agricultura familiar no município de Ji-Paraná, principal bacia leiteria do estado de Rondônia, as quais foram submetidas a Reação de Imunofluorescência Indireta (RIFI), sendo considerados bovinos positivos amostras com titulo 100 para N. caninum. Do total de amostras analisadas(66/621), encontrou-se uma prevalência de 10,61% (IC 95% 8,04-13,86%). Os títulos variaram de 100 a 1600, assim distribuídos: 22 (33,33%) amostras de soro apresentaram título de 100; 21 (31,82%) título de 200; 16 (24,24%) título de 400, três (4,55%) título de 800 e quatro (6,06%) amostras apresentaram título de 1600. A prevalência de anticorpos anti-N. caninum por propriedade foi de 60,31% (38/63), sendo que apenas as variáveis ocorrências de aborto e nascimento de bezerros fracos tiveram associação com a ocorrência de propriedades soropositivas para N. caninum. Conclui-se que as fêmeas bovinas leiteiras na região estão expostas à infecção por N. caninum e que a presença de determinados problemas reprodutivos, como aborto e nascimentos de bezerros fracos, estão associados à ocorrência de neosporose no rebanho da região. / The neosporosis is considered a parasitic disease leading cause of abortion in cattle worldwide. The aim of this study was to investigate the prevalence of antibodies anti- Neospora caninum of dairy cows and associate to possible risk factors infection. 621 serum samples taken from dairy cows on 63 familiar agriculture farms in the county of Ji-Paraná, in the main milk producing region of Rondônia, Brazil, were evaluated by means Immunofluorescence Assay (IFAT). Samples were considered positive with a titer 100. Among all the samples analyzed (66/621), the prevalence was 10.61% (IC 95% 8,04-13,86%). The titers of antibodies ranging between 100 and 1600, distributed as follows: 22 (33.33%) serum samples had titers of 100, 21 (31.82%) title 200; 16 (24.24%) title 400, three (4.55%) title 800 and of four (6.06%) samples had titers of 1600. The prevalence of anti-N. caninum in farms was 60.31% (38/63), It is concluded that the dairy cows in the area studied are exposed to infection by N. caninum and that the presence of reproductive problems, such as abortion, and weak calves born are associated with the occurrence of neosporosis in cattle in the county.
6

The effect of occupational-related low back pain on functional activities among male manual workers in a construction company in Cape Town, South Africa

Himalowa, Simon January 2010 (has links)
<p>Construction manual workers are at a high risk of suffering from occupational related low back pain because of high-risk activities involved and the nomadic nature of the workforce. Low back pain and its associated disability continue to plague the construction industry. The prevalence of occupational related low back pain among manual workers in construction companies is believed to be due to high exposure to awkward postures for long hours, heavy manual work and exposure to whole-body vibration in the work environment. As a result of these risky exposures, low back pain has consistently been the leading cause of both occupational disability and absenteeism in the construction industry. The purpose of this study was to determine the effect of occupationalrelated low back pain on the functional activities of the manual workers in a construction company in Cape Town. The prevalence and the predisposing factors of low back pain among construction manual workers were established as well as the effect of occupational-related low back pain on the functional activities of the manual workers was also determined. A crosssectional descriptive study using quantitative method was utilized. A convenient sampling method was employed and all the 212 available participants at two construction settings were recruited for the study. The population was categorised into four main occupational groups / &nbsp / masons, handymen, labourers and foremen. Data was collected using a structured questionnaire as a closed ended interview guide. The questionnaire comprised of four parts. Part one was used to determine the demographic data while parts two, three and four utilised three standardizedclose-ended validated questionnaires. These are / the Nordic Musculoskeletal Disorder Questionnaire, the Profile Fitness Mapping questionnaire and the Pain and Disability Questionnaire. Data was captured and analyzed using the statistical package for social sciences (SPSS) version 17.0 spreadsheet for statistical analysis. The study was conducted under the adherence of the ethical considerations. Descriptive and inferential statistical analyses describe the association between the investigated independent variables with the occurrence of occupational related low back pain in the study. Results are presented using tables, charts and graphs. The results revealed a 25% prevalence of low back pain while the one month and one week prevalence rates were 69% and 54% respectively. Masons recorded the highest low back pain prevalence rate (58%). Initial onset of low back pain was mainly attributed to bending (48%) and load lifting (28%). The chi-square test at p&lt / 0.05 was done. The results revealed a lack of association between low back pain and the socio-demographic characteristics. Participants confirmed suffering physical, emotional, financial and functional problems with 41.5% reporting sickness absence and a mean of 4 days being lost during the past year. Further chi-square test for proportion revealed an association between low back pain and participants ‟ability to / lift (p=0.006), bend back forwards (p=0.001) and ability to bend back backwards (p=0.014). To prevent impairment, activity limitation and participation restriction among construction manual workers, a number of factors must be addressed at epidemiological level as highlighted in the recommendations of this study.</p>
7

The effect of occupational-related low back pain on functional activities among male manual workers in a construction company in Cape Town, South Africa

Himalowa, Simon January 2010 (has links)
<p>Construction manual workers are at a high risk of suffering from occupational related low back pain because of high-risk activities involved and the nomadic nature of the workforce. Low back pain and its associated disability continue to plague the construction industry. The prevalence of occupational related low back pain among manual workers in construction companies is believed to be due to high exposure to awkward postures for long hours, heavy manual work and exposure to whole-body vibration in the work environment. As a result of these risky exposures, low back pain has consistently been the leading cause of both occupational disability and absenteeism in the construction industry. The purpose of this study was to determine the effect of occupationalrelated low back pain on the functional activities of the manual workers in a construction company in Cape Town. The prevalence and the predisposing factors of low back pain among construction manual workers were established as well as the effect of occupational-related low back pain on the functional activities of the manual workers was also determined. A crosssectional descriptive study using quantitative method was utilized. A convenient sampling method was employed and all the 212 available participants at two construction settings were recruited for the study. The population was categorised into four main occupational groups / &nbsp / masons, handymen, labourers and foremen. Data was collected using a structured questionnaire as a closed ended interview guide. The questionnaire comprised of four parts. Part one was used to determine the demographic data while parts two, three and four utilised three standardizedclose-ended validated questionnaires. These are / the Nordic Musculoskeletal Disorder Questionnaire, the Profile Fitness Mapping questionnaire and the Pain and Disability Questionnaire. Data was captured and analyzed using the statistical package for social sciences (SPSS) version 17.0 spreadsheet for statistical analysis. The study was conducted under the adherence of the ethical considerations. Descriptive and inferential statistical analyses describe the association between the investigated independent variables with the occurrence of occupational related low back pain in the study. Results are presented using tables, charts and graphs. The results revealed a 25% prevalence of low back pain while the one month and one week prevalence rates were 69% and 54% respectively. Masons recorded the highest low back pain prevalence rate (58%). Initial onset of low back pain was mainly attributed to bending (48%) and load lifting (28%). The chi-square test at p&lt / 0.05 was done. The results revealed a lack of association between low back pain and the socio-demographic characteristics. Participants confirmed suffering physical, emotional, financial and functional problems with 41.5% reporting sickness absence and a mean of 4 days being lost during the past year. Further chi-square test for proportion revealed an association between low back pain and participants ‟ability to / lift (p=0.006), bend back forwards (p=0.001) and ability to bend back backwards (p=0.014). To prevent impairment, activity limitation and participation restriction among construction manual workers, a number of factors must be addressed at epidemiological level as highlighted in the recommendations of this study.</p>
8

Prevalencija faktora rizika za nastanak raka dojke kod žena koje su obuhvaćene nacionalnim skrining programom na teritoriji Autonomne Pokrajine Vojvodine / Prevalence of risk factors for breast cancer in women covered by the National screening program on the territory of the Autonomous Province of Vojvodina

Rajčević Smiljana 01 November 2019 (has links)
<p>Rak dojke je trenutno po incidenciji vodeća maligna bolest kod žena kako u razvijenim tako i u zemljama u razvoju. Osnovni cilj istraživanja bio je da se defini&scaron;u faktori rizika u populaciji žena uzrasta 50-69 godina koje su obuhvaćene Nacionalnim skrining programom ranog otkrivanja raka dojke mamografijom na teritoriji Autonomne Pokrajine Vojvodine (APV). U istraživanju je kori&scaron;ćena retrospektivno-prospektivna studija. Za potrebe istraživanja formirana je grupa obolelih žena i kontrolna grupa žena na teritoriji APV. Istraživanje je obuhvatilo 510 žena sa teritorije AP Vojvodine, uzrasta od 50 do 69 godina. Rezultati istraživanja pokazali su da su se kao značajni prediktori raka dojke u na&scaron;em istraživanju izdvojili: 1. Hormonska terapija &ndash; one osobe koje su uzimale hormonsku terapiju značajno imaju veću verovatnoću da imaju rak dojke i obrnuto. 2. Prethodna maligna bolest &ndash; osobe koje su prethodno imale neku drugu malignu bolest imaju manju &scaron;ansu da imaju rak dojke&nbsp; 3. One žene koje vr&scaron;e samokontrolu dojke če&scaron;će su u nekliničkom uzorku. 4. Žene koje su u grupi starijih su če&scaron;će u kliničkom uzorku. 5. One osobe koje imaju u porodici nekog ko je oboleo od raka dojke če&scaron;će i same oboljevaju. Ovo je prvo istraživanje o faktorima rizika za rak dojke na populaciji žena AP Vojvodine u okviru Nacionalnog programa ranog otkrivanja raka dojke. Rezultati istraživanja daju osnove za buduća istraživanja iz ove oblasti, takođe mogu da utiču na podizanje svesti žena o značaju redovnih pregleda i ranom otkrivanju raka dojke kao i pružanje podr&scaron;ke programu skrininga.</p> / <p>Breast cancer is currently theleading malignant disease in women both in developed and developing countries. The main goal of the research was to define risk factors in the population of women aged 50-69 years, covered by the National Screening Program for Early Detection of Breast Cancer by Mammography on the territory of the Autonomous Province of Vojvodina. The researchwasconducted asretrospective-prospective study. For the purpose of the research,were formed a group of diseased women and a control group of women in the territory of AP Vojvodina . The research involved 510 women with the territory of AP Vojvodina, aged 50 to 69 years. The results of the study showed that as significant predictors ofbreast cancer in our study. 1.Hormone Therapy -Those who have taken hormone therapy are significantly more likely to have breast cancer and vice versa. 2. Pre-existing malignant disease -people who previously had any other malignant disease have a lowerchance of having breast cancer 3. Women who perform self-control of their breasts are more often in a non-clinical sampl.e 4. Women in the elderly group are more often in the clinical sample. 5. Those who have a family member who has breast cancer are more likely to suffer from their own illness. This is the first study on the risk factors for breast cancer in the population of AP Vojvodina women within the National Breast Cancer Screening Program. The results of the research provide the basics for future research in this area, they can also help raise women&#39;s awareness of the importance of regular screening and early detection of breast cancer, as well as supporting the screening program</p>
9

Unmet needs in the diagnosis and treatment of dyslipidemia in the primary care setting in Germany

Böhler, Steffen, Scharnagl, Hubert, Freisinger, F., Stojakovic, T., Glaesmer, Heide, Klotsche, Jens, Pieper, Lars, Pittrow, David, Kirch, Wilhelm, Schneider, Harald Jörn, Stalla, Günter Karl, Lehnert, Hendrik, Zeiher, Andreas M., Silber, Sigmund, Koch, Uwe, Ruf, Günther, März, Winfried, Wittchen, Hans-Ulrich January 2007 (has links)
Objectives and methods: DETECT is a cross-sectional study of 55,518 unselected consecutive patients in 3188 representative primary care offices in Germany. In a random subset of 7519 patients, an extensive standardized laboratory program was undertaken. The study investigated the prevalence of cardiovascular disease, known risk factors (such as diabetes, hypertension and dyslipidemia and their co-morbid manifestation), as well as treatment patterns. The present analysis of the DETECT laboratory dataset focused on the prevalence and treatment of dyslipidemia in primary medical care in Germany. Coronary artery disease (CAD), risk categories and LDL-C target achievement rates were determined in the subset of 6815 patients according to the National Cholesterol Education Program (NCEP) ATP III Guidelines. Results: Of all patients, 54.3% had dyslipidemia. Only 54.4% of the NCEP-classified dyslipidemic patients were diagnosed as ‘dyslipidemic’ by their physicians. Only 27% of all dyslipidemic patients (and 40.7% of the recognized dyslipidemic patients) were treated with lipid-lowering medications, and 11.1% of all dyslipidemic patients (41.4% of the patients treated with lipid-lowering drugs) achieved their LDL-C treatment goals. In conclusion, 80.3% of patients in the sample with dyslipidemia went undiagnosed, un-treated or under-treated.
10

Socijalno-medicinski aspekti depresivnih poremećaja u Vojvodini / Socio-medical aspects of depressive disorders in Vojvodina

Harhaji Sanja 28 October 2016 (has links)
<p>Depresija je jedan od najče&scaron;ćih mentalnih poremećaja u op&scaron;toj populaciji &scaron;irom sveta i prema podacima Svetske zdravstvene organizacije se nalazi na trećem mestu globalnog opterećenja bolestima. Cilj ovog istraživanja je bio da se utvrdi prevalencija depresije u populaciji odraslog stanovni&scaron;tva Vojvodine, da se identifikuju kategorije stanovni&scaron;tva pod najvećim rizikom i da se utvrdi povezanost depresije sa determinantama zdravlja, zdravstvenim stanjem i kori&scaron;ćenjem zdravstvene za&scaron;tite. Istraživanje je sprovedeno kao studija preseka na reprezentativnom uzorku stanovni&scaron;tva Vojvodine starosti 15 i vi&scaron;e godina, kao deo nacionalne studije &bdquo;Istraživanje zdravlja stanovni&scaron;tva Srbije&ldquo; koju je sprovelo Ministarstvo zdravlja Republike Srbije 2013. godine. Kao instrument istraživanja su kori&scaron;ćeni upitnici konstruisani u skladu sa upitnikom Evropskog istraživanja zdravlja. Prisustvo depresivnih simptoma je analizirano primenom PHQ-8 upitnika (Patient Health Questionnaire-8) a vrednost PHQ-8 skora 10 i vi&scaron;e je ukazivala na prisustvo depresivne epizode (depresije). Istraživanjem je obuhvaćeno 3550 ispitanika prosečne starosti 50,2 godine. Prevalencija depresije je iznosila 4,8%. Primenom multivarijantne regresije je utvrđeno da žene imaju za 40% veću &scaron;ansu za depresiju u odnosu na mu&scaron;karce (OR=1,4), a kao prediktori depresije su se pokazali i starija životna dob, razvod/razlaz ili udovstvo, niži nivo obrazovanja, nezaposlenost, ekonomska neaktivnost i niži materijalni status. Osobe koje su u mesecu koji je prethodio istraživanju bile izložene stresu su imale oko sedam puta veću &scaron;ansu za depresiju (OR=6,8), a kod ispitanika sa lo&scaron;om socijalnom podr&scaron;kom &scaron;ansa za depresiju je bila oko četiri puta veća nego kod ispitanika sa jakom socijalnom podr&scaron;kom (OR=3,7). Multimorbiditet je bio značajno prisutniji među ispitanicima sa depresijom, a &scaron;ansa za prisustvo dve ili vi&scaron;e hroničnih bolesti je kod njih bila skoro pet puta veća (OR=4,6) u odnosu na ispitanike koji nisu imali depresivne simptome. Depresija se pokazala i kao značajan prediktor če&scaron;ćeg kori&scaron;ćenja usluga zdravstvene za&scaron;tite. Dobijeni rezultati su potvrdili javnozdravstveni značaj depresije i istovremeno obezbedili podatke koji se mogu koristiti kao osnova za buduća prospektivna istraživanja, kao i za kreiranje programa za prevenciju i kontrolu depresivnih poremećaja i unapređenje mentalnog zdravlja.</p> / <p>Depression is one of the most common mental disorders in the general population worldwide and according to the World Health Organization it is the third leading cause of the global burden of disease. The aim of this study was to determine the prevalence of depression in the adult population of Vojvodina, to identify groups at the greatest risk of depression and to determine the relationship of depression with health determinants, health status and use of health care services. The research was carried out as a cross-sectional study on a representative sample of the population of Vojvodina, aged 15 and over as part of the National Health Survey of Serbia which was conducted by the Ministry of Health of the Republic of Serbia in 2013. Data was gathered by using questionnaires designed in accordance to the European Health Interview Survey. The presence of depressive symptoms was analyzed using the PHQ-8 questionnaire (Patient Health Questionnaire-8) and the score of 10 or above indicated a presence of a depressive episode (depression). The study included 3550 examinees with an average age of 50.2 years. The prevalence of depression was 4.8%. Multivariate regression showed that women had a 40% greater chance to suffer from depression as compared to men (OR=1.4). Also, factors such as older age, divorce/separation or widowhood, lower level of education, economic inactivity and poor financial situation were predictors of depression. People who were exposed to stress in the month prior to the survey had about seven times greater odds of depression (OR=6.8), and in patients with poor social support the chance of depression was about four times higher than among those with a strong social support (OR=3.7). Multimorbidity was significantly more prevalent among respondents with depression and they had five times higher odds of the presence of two or more chronic diseases (OR=4.6) in comparison with those who did not show depressive symptoms. Depression has been revealed as a significant predictor of more frequent use of health care services. The results confirmed the importance of depression to public health and also provided the data that can be used as a basis for future prospective studies, as well as for the development of the programs for the prevention and control of depressive disorders and mental health improvement.</p>

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