Σάββατο, 12 Νοεμβρίου 2016

EXCESSIVE DAYTIME SLEEPINESS AND RELATED FACTORS IN ADULTS

2016-11-12T16-43-05Z
Source: Journal of Behavioral Health
GÜLAY YILMAZEL, Melis NAÇAR, Zeynep BAYKAN, Fevziye ÇETİNKAYA.
Objective: This study was aimed to determine excessive daytime sleepiness and related factors in adults. Materials and Methods: This cross-sectional study was conducted in Çorum an inland province in the Black Sea Region of Turkey, with 575 adults between the ages of 18-64 who registered at a Family Health Center. In this study, a self-administered 37-item questionnaire and the Turkish version of The Epworth Sleepiness Scale were used. Results: In our study, overall prevalence of excessive day-time sleepiness was 11.3%. It was significantly prevalent among adults under the age of 25 years of age with the increased risk being 1.18 fold. Also it was more prevalent among women. Increased risk of excessive day-time sleepiness was 3.05 fold higher in adults with chronic disease and 1.78 fold higher with adults having a stressful life. Among the sleep-related habits, it was more often in adults with sleep speaking, restless sleep, breathing pauses, subjective sense of having a problem related with sleep, waking up feeling unrefreshed. Conclusion: The results of our study showed that nearly one in ten adults were suffering from excessive daytime sleepiness. It is suggested that to improve sleep hygiene and to manage chronic disease for people with daytime sleepiness should be a priority for public health and preventive medicine practices.


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The Beck Hopelessness Scale: Factor structure, validity and reliability in a non-clinical sample of student nurses in South-western Nigeria

2016-11-12T16-43-05Z
Source: Journal of Behavioral Health
Olutayo Aloba, Oluwaseyi Olabisi, Olayinka Ajao, Tolulope Aloba.
ABSTRACT Background: The Beck Hopelessness Scale (BHS), as the most globally utilized measure of hopelessness, has been recognized to be very useful in the prediction of suicide. Its psychometric properties in terms of its factor structure, validity and reliability has not been examined among Nigerian student nurses. The rate of suicide has previously been reported to be high among nurses and student nurses. Objective: The purpose of this study, is to explore the psychometric properties of the BHS in a non-clinical sample of student nurses (438), selected from 4 tertiary health care affiliated training institutions in South-western Nigeria. The student nurses completed the BHS, in addition to the Rosenberg Self-Esteem Scale (RSES), the Patient Health Questionnaire-9 (PHQ-9), the General Health Questionnaire-12 (GHQ-12) and a sociodemographic questionnaire. Results: The BHS exhibited satisfactory reliability (Cronbachs alpha 0.89), while its convergent validity was supported via significant correlations with the GHQ-12 (r = 0.724, p


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Active Science pilot study: promoting physical activity and science learning among children

2016-11-12T16-43-05Z
Source: Journal of Behavioral Health
Kevin Finn, Zi Yan, Edward Martin, Kyle McInnis.
We would like to thank you for consideration of our manuscript in the Journal of Behavioral Health. Our study showed that an innovative active education strategy was able to promote physical activity and improve science learning among children in the afterschool environment. The results are well aligned with national recommendations that endorse strategies to incorporate movement and activity into diverse afterschool curricular programs.


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Predictors of a Successful Outcome among Adult Smokers using Smoking Cessation Medication

2016-11-12T16-43-05Z
Source: Journal of Behavioral Health
Xin Wang, Hua Chen, Ekere James Essien, Mo Yang, Susan Abughsoh.
This study evaluated prescribing rate of each type of smoking cessation medication and identified predictors of a successful cessation outcome among adult smokers newly prescribed each type of smoking cessation medication. The results showed that varenicline was the most commonly prescribed smoking cessation medication followed by NRT then bupropion. The different types of cessation medication may be particularly beneficial to certain sub-populations in real world.


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Interlukin-10 gene polymorphisms (-819T/C and -1082A/G) and Type 2 diabetes mellitus in North Indian population

2016-11-12T09-48-37Z
Source: Disease and Molecular Medicine
SUSHMA VERMA, HONEY CHANDRA, MONISHA BANERJEE.
Diabetes is a metabolic disorder characterized by chronic hyperglycemia and impaired cytokine levels leading to inflammation. Interlukin-10 (IL-10) is an anti-inflammatory cytokine which acts as macrophage deactivator affecting the synthesis of TNF-a, IL-1, IL-6, IL-8 and GM-CSF. Single-nucleotide polymorphisms (SNPs) viz. -592A/C, -819T/C and -1082A/G in IL-10 promoter are associated with IL-10 production. Low IL-10 levels in T2DM cases may be regulated by such gene variants. The present study was undertaken to evaluate the association of two genetic polymorphisms viz. IL-10 -819T/C and -1082A/G with T2DM in a North Indian population. Blood samples from 402 subjects (201 each of controls and T2DM cases) were collected after ethical approval and individual written consent. All subjects were genotyped by polymerase chain reaction-restriction length polymorphism (PCR-RFLP) using specific primers and restriction enzymes. Genotypic, allelic, carriage rate frequencies were calculated and haplotypic analysis performed by SPSS (version 21.0) and SHEsis (online version). All biochemical parameters except WHR and TG showed significant association with T2DM (P


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Association of Crohn’s Disease and Celiac Disease: Causal link or only coincidence?

2016-11-12T09-12-54Z
Source: Disease and Molecular Medicine
Tolga Duzenli, Mustafa Kaplan, Alpaslan Tanoglu, Demet Altun, Hakan Cermik.
Crohns disease (CD) is a chronic inflammatory bowel disease that affects any part of the gastrointestinal tract, most commonly terminal ileum and proximal colon; and Celiac Disease (CeD) is immuno-mediated systemic disease caused by gluten and similar prolamins in genetically susceptible individuals. Concomitant occurrence of CD and CeD is rare and there are limited literature data regarding the association of CeD to CD. Although, recent findings propose shared mechanisms, genetics and functional pathways. Herein, we report a case that has co-occurrence of CD and CeD and rewiew the literature of the association between these two diseases.


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World’s Heaviest Spleen Removed

2016-11-12T07-28-51Z
Source: The Southeast Asian Journal of Case Report and Review
Arjun Goel, Brahm Dutt Pathak, Vikrant Singh Chauhan, Laxmi Goel.
A 33 yr old man with hepatosplenomegaly, presented with abdominal pain and distension. After establishing the diagnosis of type I Gauchers disease, splenectomy was done which weighed a massive 14.96 kilograms. The heaviest spleen reported till date. A case report of splenectomy for massive splenomegaly with comparison of other reports is presented. Splenectomy in gaucherss disease have been reported in the past for hypersplenism and splenomegaly. Splenomegaly and hypersplenism causes poor quality of life with abdominal distension and discomfort, recurrent blood transfusions, increased risk of bleeding, pancytopenia. The main indication in our case was massive splenomegaly extending well below the umbilicus and reaching upto the opposite iliac fossa (Hacketts grade V). Such massive sized spleens have never been reported in the past as patients present before reaching this level. Performing splenectomy in this case was in itself an arduous task. Our patient was operated by conventional midline laparotomy and recovered well after surgery.


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A cross-sectional study of morbidity and social profile of geriatric population in Singanodi sub centre, Raichur, Karnataka, India

2016-11-12T04-58-10Z
Source: International Journal of Community Medicine and Public Health
Pavan S. Kalasker, Brunda N. K., Bhaskar Kurre.
Background: India has around 100 million elderly populations which constitute about 8% of countrys population. They form a vulnerable group not only from the point of view of health problems but also from other aspects namely economic, social, nutritional and others. Hence a study was conducted to know the socio-demographic profile, morbidity pattern and social problems faced by elderly. Methods: A community based cross-sectional study was carried out in six villages of Singanodi sub centre in Raichur Karnataka, India. All elderly population above 60 years were interviewed by house to house visit and clinical examination done. Results: Out of total 513 elderly population, majority were in 60-69 years age group, 94.5% were illiterates and large number of subjects belonged to class IV and V of modified BG Prasad socio-economic classification. Most common morbidity was musculoskeletal disorders and 23.8% of study subjects felt neglected by family. Conclusions: The existing health care services are not sufficient to meet the needs of the geriatric population hence scaling up of existing services is needed as in future more people will be added to geriatric pool.


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