Temat: risk factor - Prolib Integro

Skocz do pozycji: 1.

Tytuł:: Risk and prognostic factors of post-catheterization pseudoaneurysm
Autorzy:: Morooka, Satoru
Enoki, Keitaro
Michimoto, Kenkichi
Matsui, Yo
Higuchi, Takahiro
Sakamoto, Hiroshi
Nozawa, Yosuke
Noda, Yasuto
Takenaga, Shinsuke
Opis:: Purpose: To evaluate the risk and prognostic factors of post-catheterization pseudoaneurysm (PPA). Material and methods: To identify the risk factors for PPA occurrence, clinical findings were compared between 22 consecutive patients with radiologically confirmed PPAs (PPA group) and 300 randomly extracted patients without PPA, who underwent transarterial angiography or intervention (sample group) between 1 January 2015 and 31 March 2020. The PPA group was further divided into those treated successfully with mechanical compression (group A) and those requiring ultrasound-guided thrombin injection after compression failed (group B). Univariate and multivariate analyses were used to compare patient demographics, preoperative laboratory findings, procedure details, PPA diameter, and time interval between the procedure and compression between groups A and B to evaluate the prognostic factors of PPA. Results: The PPA group demonstrated significantly elevated prothrombin time international normalized ratios (PT/INR) (odds ratio [OR]: 6.27, 95% confidence interval [CI]: 2.020-19.5; p = 0.00151) and more frequent popliteal access (OR: 14.2, 95% CI: 1.040-195.0; p = 0.0467) compared to the sample group, and radial access decreased the risk of PPA (OR: 0.382, 95% CI: 0.0148-0.987; p = 0.0468). One of the 22 PPAs resolved spontaneously, and 11 others (52.4%) were successfully treated by mechanical compression. An interval exceeding 24 hours between the procedure and compression was the only significant prognostic factor (p = 0.0281) between groups A and B. Conclusions: Elevated PT/INR and popliteal access may predispose patients to PPA; close consideration of the site of access may lower the risk of refractory PPA.
Dostawca treści:: Repozytorium Uniwersytetu Jagiellońskiego

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Skocz do pozycji: 2.

Tytuł:: Risk Factors, Processes and Risk Management within a Public Health Context
Czynniki ryzyka, procesów i zarządzania ryzykiem w obrębie zdrowia publicznego
Autorzy:: Szentes, Tamás
Tematy:: "chronic state of disease"
"indirect risk factor"
"primary
"primary risk factor"
"public health"
"risk management"
"secondary risk factor"
secondary and tertiary prevention"; Pokaż więcej
Wydawca:: Instytut Medycyny Wsi
Powiązania:: https://bibliotekanauki.pl/articles/1035562.pdf Link otwiera się w nowym oknie
Opis:: Besides clinical medicine, which is in the process of constant and fast development, the focus is increasingly on public health services, which should be well prepared for reducing or keeping under control the dangers induced by the growing social burden of disease. Continuous risk management is represented by these services that are specially designed to prevent diseases and health damages. The grounds for the planning and implementation of public health services are constituted by risk factor management and assessment by means of adopting a unified approach. The organisation as well as the cost-effective implementation of services – providing primary, secondary and tertiary prevention – on community and individual levels will be of utmost importance in the future, and will mean, besides risk equalisation, adopting a unified approach as to the provision of public health services.
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 3.

Tytuł:: Risk factors for obesity development in school children from South-Eastern Poland
Autorzy:: Mazur, A
Klimek, K.
Telega, G.
Hejda, G.
Wdowiak, L.
Malecka-Tendera, E.
Tematy:: girl
risk factor
obesity
school child
human disease
boy
biological risk factor
child; Pokaż więcej
Wydawca:: Instytut Medycyny Wsi
Powiązania:: https://bibliotekanauki.pl/articles/50530.pdf Link otwiera się w nowym oknie
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 4.

Tytuł:: Stress as an environmnetal risk factor for autoimmune diseases
Stres jako środowiskowy czynnik ryzyka chorób autoimmunologicznych
Autorzy:: Kawalec, Anna
Chowaniec, Małgorzata
Pawlas, Krystyna
Tematy:: "autoimmune diseases"
"psychological stress"
"risk factor"; Pokaż więcej
Wydawca:: Instytut Medycyny Wsi
Powiązania:: https://bibliotekanauki.pl/articles/1035352.pdf Link otwiera się w nowym oknie
Opis:: Stress is considered to be both a trigger of autoimmune diseases and a factor which contributes to disease exacerbation. Emotional stress before the disease onset is reported by up to 80% of patients suffering from autoaggressive diseases. A significant increase in the prevalence of autoimmune diseases in recent years and the growing number of stressors in our daily lives, including the work environment, raise a question about a link between psychological stress and autoimmune disorders. Therefore, the objective of this paper is to highlight the potential role of stress in both development and exacerbation of autoimmune diseases. The potential mechanisms by which stress can affect autoimmunity are characterised. In particular, the focus is on rheumatic diseases, autoimmune endocrine disorders, multiple sclerosis, and psoriasis. In addition, the role of post-traumatic stress disorder is underlined, as well as the possible association between stress present in the work environment and the development of autoimmune diseases among employees.
Stres jest uważany zarówno za czynnik spustowy dla chorób autoimmunologicznych jak i przyczyniający się do ich zaostrzenia. Stres emocjonalny, występujący przed pojawieniem się choroby, zgłasza nawet do 80% pacjentów cierpiących na choroby z autoagresji. Znaczący wzrost zachorowalności na choroby autoimmunologiczne oraz rosnąca liczba czynników stresogennych w naszym codziennym życiu, w tym w środowisku pracy, stawia pytanie o związek pomiędzy stresem psychicznym a chorobami autoimmunologicznymi. Dlatego też celem artykułu jest naświetlenie możliwej roli stresu w rozwoju i zaostrzeniach chorób autoimmunologicznych. Scharakteryzowano potencjalne mechanizmy, za pomocą których stres może oddziaływać na autoimmunizację. W szczególności skupiono się na chorobach reumatologicznych, zaburzeniach endokrynologicznych, stwardnieniu rozsianym oraz łuszczycy. Dodatkowo podkreślono rolę stresu pourazowego jak i możliwych związków pomiędzy stresem w środowisku pracy a rozwojem chorób autoimmunologicznych wśród pracowników.
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 5.

Tytuł:: Environmental risk factors of burns in children – review
Czynniki środowiskowe oparzeń u dzieci – przegląd piśmiennictwa
Autorzy:: Kawalec, Agata
Tematy:: "burns"
"children"
"environment"
"family"
"risk factor"; Pokaż więcej
Wydawca:: Instytut Medycyny Wsi
Powiązania:: https://bibliotekanauki.pl/articles/1177561.pdf Link otwiera się w nowym oknie
Opis:: The problem of burns is relatively a common issue in many developing and developed countries. Most burns occur at home, so the home environment plays an important role in these injuries. Considerable attention has been recently paid to environmental factors such as socioeconomic including family, living conditions and their influence on frequency of burns. This manuscript reviews papers published in the last few years to show if environmental factors influence the risk of burns in children. The researchers point to the relationship between age, education of parents, number of siblings, home environment and the frequency of burns in children. Identification of risk factors plays an important role in planning preventable measures.
Tematyka oparzeń u dzieci wciąż jest aktualna zarówno w krajach rozwijających się, jak i rozwiniętych. Do większości tego typu urazów dochodzi w domu, więc środowisko domowe może odgrywać istotną rolę w ich powstaniu. Ostatnio znaczną uwagę zwrócono na czynniki środowiskowe, takie jak czynniki socjoekonomiczne, w tym rodzinne, oraz warunki życia i ich wpływ na częstość oparzeń. W pracy dokonano analizy piśmiennictwa z kilku ostatnich lat poruszającego temat wpływu czynników środowiskowych na ryzyko oparzeń u dzieci. Przeprowadzone badania wskazują na związek pomiędzy wiekiem, wykształceniem rodziców, liczbą rodzeństwa oraz warunkami mieszkaniowymi a częstością oparzeń u dzieci. Zidentyfikowanie tych czynników ma istotne znaczenia dla planowania działań profilaktycznych.
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 6.

Tytuł:: Substance use and misuse in the Croatian Army Special Forces: prevalence and influencing factors
Autorzy:: Sekulic, Damir
Milanovic, Ivan
Bok, Daniel
Matika, Dario
Tematy:: risk factor
smoking
binging
predictors
physical readiness; Pokaż więcej
Wydawca:: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Powiązania:: https://bibliotekanauki.pl/articles/2178803.pdf Link otwiera się w nowym oknie
Opis:: Objectives: In addition to being a serious health-hazard, substance-use-and-misuse (SUM) in military forces negatively infl uences physical fi tness and army readiness. The aim of this study was to defi ne the prevalence of SUM, which includes cigarette smoking, alcohol consumption, and multiple SUM (i.e. practice of daily smoking and harmful alcohol drinking), and factors infl uencing SUM in the Croatian Special Army Forces (SAF). Materials and Methods: We studied 73 SAF members. A self-administered validated questionnaire was used to gather socio-demographic and military-professionrelated data, and SUM factors. The associations between studied variables were established by the Chi² test, and forward conditional logistic regression (FCLR). Results: With less than 40% of daily smokers, smoking was within expected values. Almost 80% of the examinees reported no binge drinking, while 54% reported harmful drinking according to the Alcohol Use Disorders Identifi cation Test scale. Paternity and education level were negatively associated with daily smoking, while higher incidence of daily smoking was found for privates and those who practiced harmful drinking (all at p < 0.05). The FCLR demonstrated a higher risk of harmful alcohol consumption for younger commissioned offi cers (OR for military rank = 5.54, 95% CI: 2.19-13.99; OR for age = 0.85, 95% CI: 0.76-0.95). Conclusion: Although SUM incidence was not alarming compared to the overall population and the previously reported military data, additional efforts are necessary in order to decrease cigarette consumption. The study showed that protective/risk structure of the substance misuse in the military should be investigated specifi cally with regard to particular military services, corps, and socio-cultural environment.
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 7.

Tytuł:: Potrzeba stymulacji a ekspozycja na zdarzenia traumatyczne
Seeking of stimulation and exposure to traumatic events
Autorzy:: Dudek, Bohdan
Wojtecka, Katarzyna
Tematy:: posttraumatic stress
traumatic event
risk factor
resources; Pokaż więcej
Wydawca:: Uniwersytet Łódzki. Wydawnictwo Uniwersytetu Łódzkiego
Powiązania:: https://bibliotekanauki.pl/articles/2139318.pdf Link otwiera się w nowym oknie
Opis:: Problem. Prevalence of traumatic stress in general population is not so often but in some vocations it is a serious risk factor for employees’ health. A traumatic event is a main reason for PTSD and other mental disorders. There are multiple risk factors for PTSD development but the exposure to traumatic event is a main cause, included in a definition of PTSD. A need of stimulation, strongly connected to reactivity, may be treated as an individual resource because it let diminishing a chance of PTSD development but it may be treated as the risk factor of this disorder also. Hypothesis. Number of exposures to traumatic events is correlated to power of stimulation need. Subjects. 109 soldiers. Methods. Sensation Seeking Scale (SSS) by M. Zuckerman and Stressful Life Events Questionnaire (experimental version by M. Lis-Turlejska). Results. Relationships between results obtained in the particular dimension of the stimulation need and the number of traumatic events experienced by subjects are as follow: a dimension of thrill and adventure seeking (TAS) – rho = 0.30 (p < 0.008); an experience seeking dimension (ES) – rho = 0.20 (p < 0.060); a disinhibition dimension (DIS) – rho = 0.30 (p < 0.008) a boredom susceptibility dimension (BS) – rho = 0.20 (p < 0.060); a general dimension of stimulation seeking (G) – rho = 0.10 (p < 0.210). Rank correlation between a total results of SSS (a sum of subscales results) and the number of traumatic events experienced by the subjects is 0,25 (p < 0,008).
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 8.

Tytuł:: Preoperative ultrasonographic examination of the radial artery and the cephalic vein and risks of dialysis arterio-venous fistula dysfunction
Przedoperacyjna ultrasonograficzna ocena tętnicy promieniowej i żyły odpromieniowej a ryzyko wystąpienia zaburzeń funkcjonowania przetok tętniczo-żylnych wytworzonych dla celów dializoterapii
Autorzy:: Szatkowski, Maciej
Walecki, Jerzy
Gorczyca-Wiśniewska, Ewa
Bojakowski, Krzysztof
Andziak, Piotr
Opis:: Background: Hemodialysis used as renal replacement therapy requires a well-functioning vascular access. Arterio-venous fistula (AVF) created on the forearm is the best vascular access, but it also reveals numerous complications such as: lack of fistula maturation and hemodynamically significant stenoses. Many risk factors of fistula dysfunction are still not identified. Material/Methods: Radial artery and cephalic vein diameter and patency were ultrasonographically examined before forearm AVF creation. Intima-media complex width, blood flow and peak systolic velocity in distal part of radial artery were measured. Presence of thrombosis and post-inflammatory changes in cephalic vein were also checked. Forearm AVF was created in 66 patients. Fistula US examination was performed 3 and 12 months after operation with measurement of vessel diameter and blood flow. Fistula patency was observed in 24 months after creation. Comparison of pre- and postoperative US examinations between groups with well functioning and thrombosed fistulas was performed. Results: Primary patency of forearm AVF after 12 and 24 months was 65.2% and 53.0%, respectively. Patients with well functioning forearm AVF have significantly bigger cephalic vein diameter and peak systolic velocity in radial artery. We did not observe significant influence of radial artery intima-media complex width and radial artery diameter on AVF function. In postoperative examination, fistula diameter and flow significantly influenced the risk of AVF thrombosis. Conclusions: US examination of radial artery and cephalic vein performed before forearm AVF creation enables identification of patients with greater risk of fistula dysfunction. Cephalic vein diameter and peak systolic velocity are prognostic factors of fistula function. Control postoperative US examination of forearm fistula enables detection of AVF at risk of thrombosis.
Dostawca treści:: Repozytorium Uniwersytetu Jagiellońskiego

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Skocz do pozycji: 9.

Tytuł:: Recollection of physician information about risk factor and lifestyle changes in chronic coronary syndrome patients
Autorzy:: Jankowski, Piotr
Czarnecka, Danuta
Jamiolkowski, Jacek
Sowa, Pawel
Pająk, Andrzej
Kosior, Dariusz A.
Haberka, Maciej
Kaminski, Karol
Sawicka-Śmiarowska, Emilia
Sinnadurai, Siamala
Setny, Malgorzata
Gasior, Zbigniew
Opis:: A patient’s compliance to a physician’s lifestyle information is essential in chronic coronary syndrome (CCS) patients. We assessed potential characteristics associated with a patient’s recollection of physician information and lifestyle changes. This study recruited and interviewed patients (aged ≤ 80 years) 6–18 months after hospitalization due to acute coronary syndrome or elective myocardial revascularization. A physician’s information on risk factors was recognized if patients recollected the assessment of their diet, weight management, blood pressure control, cholesterol level, diabetes, and other lifestyle factors by the doctor. Of a total of 946 chronic coronary syndrome patients, 52.9% (501) of them declared the recollection of providing information on more than 80% of the risk factors. A good recollection of risk factor information was associated with the following: a patient’s age (OR per year: 0.97; 95% CI: 0.95 to 0.99), obesity (OR: 4.41; 95% CI: 3.09–6.30), diabetes (OR: 4.16; 95% CI: 2.96–5.84), diuretic therapy (OR: 1.41; 95% CI: 1.03–1.91), calcium channel blockers (OR: 1.47; 95% CI: 1.04–2.09), and ACEI/sartan (OR: 0.65; 95% CI: 0.45–0.94) at hospitalization discharge. In terms of goal attainment, better adherence to antihypertensive drugs (OR: 1.80; 95% CI: 1.07–3.03) was observed in the patients with a good compared to a poor recollection of risk factor information. The recollection of physician risk factor information was significantly associated with more comorbidities. Strategies to tailor the conveying of information to a patient’s perception are needed for optimal patient–doctor communication.
Dostawca treści:: Repozytorium Uniwersytetu Jagiellońskiego

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Skocz do pozycji: 10.

Tytuł:: Identification of hazards in the workplaces of Artisanal mining in Katanga
Autorzy:: Elenge, Myriam M.
De Brouwer, Christophe
Tematy:: artisanal mining
risk factor
risk analysis
occupational health
Katanga; Pokaż więcej
Wydawca:: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Powiązania:: https://bibliotekanauki.pl/articles/2185473.pdf Link otwiera się w nowym oknie
Opis:: Objective: While artisanal mining takes place in casual framework and with total ignorance of good practices, few studies have focused on the origin of hazards specific to each workplace constitutive of this exploitation facility. Nevertheless, this study is a condition of an efficient occupational health and safety control in this sector. Materials and Method: We took the effort to identify different workplaces, as well as hazards specific to each of them, through the observation and analysis of the tasks, tools and the processes related to their use applied in the Ruashi artisanal mine. Results: The investigated exploitation facility consists of five workplaces: diggers (60% – in charge of mineralized gangue recovery); crushers; washers; hand-made furnace workers (in charge of various treatment processes); and loaders (in charge of packing the obtained material). Beside the risks common to these various workplaces and ensuing notably from the lack of hygiene and working in bad positions, operating in underground galleries, in particular, exposes diggers to the risks connected with collapsing parts of the mine, suffocation, dehydration or fine particles in the breathed air. Crushers are especially exposed to traumatism risks, notably ocular, and loaders are exposed to risks related to handling heavy loads. These risks are connected with the mining processes because, in spite of the similarity of tools, they appear less often in other forms of artisanal exploitation described in literature. It is notable in the case of crushing in sawed gas bottles where ocular trauma risk is decreased. It was also shown that humidification of work surface reduces dust particles emission into the air. Conclusions: Hazards identification, through a tools and processes description, has the advantage of providing information on reducing the occurrence of these risks. It shows that this reduction is not necessarily a consequence of the activity mechanization degree.
Dostawca treści:: Biblioteka Nauki

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