Trends in the prevalence of diagnosed temporomandibular disorder from 2004 to 2013 using a Nationwide health insurance database in Taiwan
روند شیوع اختلال تمپوروماندیبولار تشخیصی از سال 2004 تا 2013 با استفاده از پایگاه داده بیمه در سراسر کشور در تایوان-2017
Background/purpose: Temporomandibular disorder (TMD) is defined as various clinical signs and symptoms involving the masticatory muscles, the temporomandibular joint and associated structures. The aim of this study was to investigate the prevalence of diagnosed TMD in Taiwan using a National Health Insurance Research Database from 2004 to 2013. Materials and methods: A retrospective study was conducted to analyze the registered database compiled by the National Health Insurance from 2004 to 2013. The diagnosis of TMDs was identified in accordance with the International Classification of Disease, Ninth revision (ICD-9- CM 524.6). The relative risk of TMD from 2004 to 2013 after adjusting for year, age, and gender was evaluated by logistic regression analysis. Results: The prevalence of TMD increased significantly from 14 (per 104) to 26 (per 104) over the past 10 year period [odds ratio (OR), 1.07; 95% confidence interval (CI), 1.04e1.09]. The mean age with TMD from 2004 to 2013 was 52.31 17.15 years and 45.12 17.32 years, respectively. The female group had a higher risk of TMD than the male group (OR, 1.70; 95% CI, 1.49e1.94). Conclusion: Taken together, the estimated prevalence of TMD significantly increased from 2004 to 2013 in Taiwan. In addition, the risk for TMD was higher among women than among men.
KEYWORDS: health insurance | database | nationwide | population | prevalence | temporomandibular | disorder
Electroconvulsive therapy clinical database: Influence of age and gender on the electrical charge
پایگاه داده بالینی درمانی الکتروشوک: تاثیر سن و جنس بر بار الکتریکی-2017
Introduction: The influence of age and gender in the electrical charge delivered in a given population was analysed using an electroconvulsive therapy (ECT) clinical database. Material and method: An observational, prospective, longitudinal study with descriptive anal ysis was performed using data from a database that included total bilateral frontotemporal ECT carried out with a Mecta spECTrum 5000Q® in our hospital over 6 years. From 2006 to 2012, a total of 4337 ECT were performed on 187 patients. Linear regression using mixed effects anal ysis was weighted by the inverse of the number of ECT performed on each patient per year of treatment. Results: The results indicate that age is related with changes in the required charge (P = .031), as such that the older the age a higher charge is needed. Gender is also associated with changes in charge (P = .014), with women requiring less charge than men, a mean of 87.3 mC less. When the effects of age and gender are included in the same model, both are significant (P = .0080 and P = .0041). Thus, for the same age, women require 99.0 mC less charge than men, and in both genders the charge increases by 2.3 mC per year.
KEYWORDS : Clinical database | Gender | Age | Electroconvulsive | therapy | Electrical charge
Outcomes and mortality in parturient and non-parturient patients with peripartum cardiomyopathy: a national readmission database study
خروجی ها و میرایی در والدین بچه آور و غیر بچه آور دارای بیماری قلبی پریپارتوم: یک مطالعه روی پذیرش مجدد پایگاه داده ای ملّی -2017
BACKGROUND: Peripartum cardiomyopathy (PPCM) affects young females and mortality occurs after the peripartum period. Hospital readmissions for patients discharged with PPCM are poorly understood. The aim of this study was to evaluate differences in readmission rates, risk factors, and mortality in women with PPCM. METHODS: We conducted a retrospective cohort analysis using the Healthcare Cost and Utilization Project 2013 National Readmissions Database. From the database, we selected patients with PPCM to include patients discharged between January and November 2013. Readmission rate, mortality rate and risk factors were analyzed. In our cohort of 3800 patients, we found a readmission rate of 15.1% and a mortality rate of 1.6%. Comorbidities associated with readmission were pulmonary hypertension, obesity, renal failure, and drug abuse. Mortality on initial admission was associated with coagulation disorders and respiratory failure. Women who delivered on initial admission had a statistically lower rate of readmission than women who did not deliver on initial admission. CONCLUSIONS: In a large retrospective nationwide analysis of PPCM patients, we found associated conditions that may help predict which patients will have a higher risk for readmission and mortality.
Keywords: risk factors | pregnancy | women | peripartum cardiomyopathy | readmission | mortality
Clinical and Psychosocial Predictors of Urologic Chronic Pelvic Pain Symptom Change Over One Year: A Prospective Study from the MAPP Research Network
پیش بینی های بالینی و روانی اجتماعی علائم درد مزمن لگن اورولوژیک بیش از یک سال: مطالعه آینده ای از شبکه تحقیقاتی MAPP-2017
OBJECTIVE: To examine baseline clinical and psychosocial characteristics that predict 12- month symptom change in men and women with urologic chronic pelvic pain syndromes (UCPPS). METHODS: 221 female and 176 male UCPPS patients were recruited from 6 academic medica centers in the United States and evaluated at baseline with a comprehensive battery of symptom psychosocial, and illness-impact measures. Based on biweekly symptom reports, a functional clustering procedure classified participant’s outcome as worse, stable, or improved on pain and urinary symptom severity. Cumulative logistic modeling was used to examine individual predictors associated with symptom change as well as multiple predictor combinations and interactions. RESULTS: About 60% of participants had stable symptoms with smaller numbers (13% to 22% showing clear symptom worsening or improvement. For both pain and urinary outcomes the extent of widespread pain, amount of non-urological symptoms and poorer overall health were predictive of worsening outcomes. Anxiety, depression and general mental health were not significant predictors of outcomes, but pain catastrophizing and self-reported stress were associated with pain outcome. Prediction models did not differ between men and women and for the most part were independent of symptom duration and age. CONCLUSION: These results demonstrate for the first time in a large multisite prospective study that presence of widespread pain, non-urological symptoms and poorer general health are risk factors for poorer pain and urinary outcomes in both men and women. The results point to the importance of broad based assessment in UCPPS and future studies of mechanisms that underlie these findings.
Key words: nterstitial cystitis | chronic prostatitis | chronic overlapping pain conditions | quality of life
Social isolation, survey nonresponse, and nonresponse bias: An empirical evaluation using social network data within an organization
انزوای اجتماعی، مرور بی پاسخ و تعصب بدون واکنش : ارزیابی تجربی با استفاده از داده های شبکه های اجتماعی در یک سازمان-2017
Survey researchers have long hypothesized that social isolation negatively affects the probability of survey participation and biases survey estimates. Previous research, how ever, has relied on proxy measures of isolation, such as being a marginalized group member within a population. We re-examine the relationship between social isolation and survey participation using direct measures of social isolation derived from social network data; specifically, instrumental research and expressive friendship connections among faculty within academic departments. Using a reconceptualization of social isolation, we find that social network isolation is negatively associated with unit response. Among women (a numerical minority group within the organization), we further find that social group isolation (i.e., lacking instrumental network connections to men, the majority group in the organization) is negatively associated with survey participation. Finally, we show that some survey estimates are systematically biased due to nonparticipation from socially isolated people.
Keywords: Survey nonresponse | Nonresponse bias | Social isolation | Network analysis | Organization
Social Networks Across Common Cancer Types: The Evidence, Gaps, and Areas of Potential Impact
انواع سرطان رایج در سرتاسر شبکه های اجتماعی : شواهد، شکاف ها و حوزه های تاثیر بالقوه-2017
Although the association between social context and health has been demonstrated previously, much less is known about network interactions by gender, race/ethnicity, and sociodemographic characteristics. Given the variability in cancer outcomes among groups, research on these relationships may have important implications for addressing cancer health disparities. We examined the literature on social networks and cancer across the cancer continuum among adults. Relevant studies (N¼ 16) were identified using two common databases: PubMed and Google Scholar. Most studies used a pro spective cohort study design (n¼ 9), included women only (n¼ 11), and were located in the United States (n¼ 14). Seventy-five percent of the studies reviewed used a validated scale or validated items to measure social networks (n¼ 12). Only one study examined social network differences by race, 57.1% (n¼ 8) focused on breast cancer alone, 14.3% (n¼ 2) explored colorectal cancer or multiple cancers simultaneously, and 7.1% (n¼ 1) only prostate cancer. More than half of the studies included multiple ethnicities in the sample, while one study included only low-income subjects. Despite findings of asso ciations between social networks and cancer survival, risk, and screening, none of the studies utilized social networks as a mechanism for reducing health disparities; however, such an approach has been utilized for infectious disease control. Social networks and the support provided within these networks have important implications for health behaviors and ultimately cancer disparities. This review serves as the first step toward dialog on social networks as a missing component in the social determinants of cancer disparities literature that could move the needle upstream to target adverse cancer out comes among vulnerable populations.
Sexy online self-presentation on social network sites and the willingness to engage in sexting: A comparison of gender and age
خودنمایی آنلاین سکسی در سایت های شبکه های اجتماعی و تمایل به دخالت در جنسیت: مقایسه جنسیت و سن-2017
The present study investigated whether engaging in sexy self-presentations on social network sites (SNSs) or exposure to sexy self-presentations on SNSs predicts the will ingness to engage in sexting. A second aim of the present study was to investigate whether adolescent girls demonstrate stronger relationships between (exposure to) sexy online self-presentations on SNSs and willingness to sext than adolescent boys and young adult men and women. A two-wave panel survey among 953 Dutch adolescents (13e17 years old, 50.7% male) and 899 Dutch young adults (18e25 years old, 43.9% male) showed that engaging in sexy self-presentations on SNSs increased the willingness to engage in sexting, but only among adolescent girls. Exposure to sexy self-presentations of others did not predict the willingness to engage in sexting. The findings call for more research on the role of gender and age in the link between sexy self-presentation and sexting.
Keywords: Social media | Sexting | Adolescents | Young adults | Self-presentation | Self-perception
Exposure to the drug company marketing in Greece: Interactions and attitudes in a non-regulated environment for medical students
قرار گرفتن در معرض بازاریابی شرکت دارو در یونان: تعاملات و نگرش ها در محیط غیر تنظیم شده برای دانشجویان پزشکی-2017
Background: Medical students are targeted by the pharmaceutical industry and are exposed to their marketing strategies even in the preclinical years of study. The marketing strategies used by pharma ceutical companies with physicians are also applied to students, affecting their future prescribing behaviour, and include low-cost non-educational gifts, travel expenses and conferences registration fees. In Greece, there are no national or institutional regulations and guidelines concerning drug company emedical student interactions. This study is the first time this estimate has been made in Greece and assessed a) the interactions between pharmaceutical companies and medical students, and b) students attitudes towards pharmaceutical marketing. Methods: A sampling of undergraduate medical students completed an anonymous, self-administered, web-based survey. The first part of the survey investigated the interaction between the students and pharmaceutical companies; the possible answers were the binomial variables ‘yes’ or ‘no’. The second part assessed the students opinions of pharmaceutical company marketing and the answer options were ‘agree’, ‘dont know/dont answer’ and ‘disagree’. Results: The survey was completed by 412 undergraduate medical students (mean age 22 ± 2.2 years, 52.7% were women); the overall response rate was 58.9%. Although the majority did not consider accepting gifts and meals from drug companies as ethical, most of them (59%) had accepted meals and low-cost non-educational gifts, especially the clinical-level students. Further, 52,6% of the students did not believe that accepting gifts from pharmaceutical companies would affect their own prescription behaviour, whereas surprisingly they held the opposite opinion of their classmates. The vast majority (85.9%) agreed that sponsored lectures were biased in favour of a companys products; however, 47.6% agreed that promotional material is useful for learning about new medications and 34.5% believed that medical schools should allow drug company representatives to interact with students. Conclusion: Our results suggest that medical students in Greece are notably exposed to pharmaceutical industry marketing and their conflicting answers demonstrate that they are inadequately prepared for
Keywords: Drug company | Pharmaceutical industry | Marketing | Medical students | Greece | Gifts
Understanding the effect of personal and social value on attitude and usage behavior of luxury cosmetic brands
درک اثر ارزش فردی و اجتماعی بر نگرش و رفتار مصرف از مارک های لوازم آرایشی لوکس -2017
The growth of the luxury market has been phenomenal in recent years, especially in the emerging markets such as India. This research studied luxury value aspects (personal and social) of luxury cosmetic brands and their impact on consumer attitudes and usage behavior, with a focus on women consumers. Data was collected in the form of a survey from 372 women luxury cosmetic users. Structural equation modeling was used to analyze the framework. Hedonism and status value were found to have high significant relationship towards attitude whereas usage behavior was influenced by materialism and status value. Hence the symbolic and psychological traits among consumer will show their willingness to buy and preferences on luxury cosmetic brands. The findings of this study provide valuable insights to marketers and managers to understand consumer trends, attitudes and behavior in the luxury cosmetic market and develop marketing strategies to successfully market their products.
Keywords: Luxury | Personal and social value | Attitude | Usage behavior | Consumer behavior | Luxury market | Luxury cosmetic brands | Socio-psychology | Female cosmetic user
دانش، نگرش و شیوه های رژیم غذایی ورزشکاران مرد و زن دو و میدانی کار 18 الی 22 سال
سال انتشار: 2016 - تعداد صفحات فایل pdf انگلیسی: 6 - تعداد صفحات فایل doc فارسی: 15
سابقه (زمینه): ورزش و تغذیه به طور مستقیم با یکدیگر مرتبط هستند. با توجه به این واقعیت که ورزشکاران نیاز به انرژی بیشتری برای انجام فعالیت های ورزشی خود به طور موثر دارند، مراقبت از تغذیه برای عملکرد ورزشکاران، از اهمیت عمده ای برخوردار است. زمانی که صحبت از تغذیه ورزشی ورزشکاران می شود، برنامه ریزی و پیاده سازی دقیقی مورد نیاز است.
هدف: هدف از این مطالعه بررسی این موضوع است که آیا ورزشکاران دو و میدانی دارای دانش، نگرش و روش های مناسب مربوط به تغذیه ورزشی هستند.
طراحی: تجزیه و تحلیل توصیفی آینده نگر از «منابع دانش تغذیه»، نگرش و روش های ورزشکاران با استفاده از یک پرسشنامه ساختاری ایجاد شده توسط پژوهشگر مورد بررسی قرار گرفت. یک مطالعه آزمایشی برای اعتبارسنجی پرسشنامه ایجاد شده، انجام گرفت. در مجموع 178 ورزشکار مرد و زن 18 تا 22 ساله وارد مطالعه شدند. یک محتوای اطلاعاتی از شرکت کنندگان به دست آمد. پرسشنامهKAP شامل ده سوال به ترتیب از دانش، نگرش و روش (عمل) می باشد.
نتایج: میانگین سنی ورزشکاران 3.2 ± 18 سال و منابع تغذیه اصلی ورزشکاران از طرف مربیان بود. میانگین نمره سوالات دانش 1.5 ± 5.26 و 56% از ورزشکاران به سوالات دانش پاسخ درست دادند، در حالی که میانگین نمره نگرش 6.42 ±36.3 و تنها 47 درصد از ورزشکاران نگرش خوبی نسبت به سؤالات نگرش داشتند. میانگین نمره شیوه رژیم غذایی 2.1 ± 5.82 بود و 59 درصد پاسخ درستی به سوالات مربوط به آن دادند. نتایج حاصل ازKAP نشان دهنده دانش، نگرش و روش متوسطی (نسبتا خوبی) در رابطه با تغذیه ورزشی است.
نتیجه گیری: نمره متوسطKAP ، خواستار پیاده سازی آموزش تغذیه ای برای ورزشکاران است تا عملکرد فیزیکی بهتر داشته باشند.
واژه های کلیدی: KAP | دانش ورزشکاران | تغذیه ورزشی.
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