Risultati per: Atlante della salute mentale 2011

Iniziativa ‘Amami e basta’, per 100 donne esame alle ossa gratis

Iniziativa ‘Amami e basta’, per 100 donne esame alle ossa gratis

Objectives
This study aimed to identify the prevalence of diabetes mellitus (DM) among patients with tuberculosis (TB) using a nationwide cohort in South Korea.

Design
A retrospective cohort study.

Setting
This study used the Korean Tuberculosis and Post-Tuberculosis cohort, which was constructed by linking the Korean National Tuberculosis Surveillance, National Health Information Database (NHID) and Statistics Korea data for the causes of death.

Participants
During the study period, all notified patients with TB with at least one claim in the NHID were included. Exclusion criteria were age less than 20 years, drug resistance, initiation of TB treatment before the study period and missing values in covariates.

Outcome measures
DM was defined as having at least two claims of the International Classification of Diseases (ICD) code for DM or at least one claim of the ICD code for DM and prescription of any antidiabetic drugs. Newly diagnosed DM (nDM) and previously diagnosed DM (pDM) were defined as DM diagnosed after and before TB diagnosis, respectively.

Results
A total of 26.8% (70 119) of patients were diagnosed with DM. The age-standardised prevalence increased as age increased or income decreased. Patients with DM were more likely to be men, older, had the lowest income group, had more acid-fast bacilli smear and culture positivity, had a higher Charlson Comorbidity Index score and had more comorbidities compared with patients without DM. Approximately 12.5% (8823) patients had nDM and 87.4% (61 296) had pDM among those with TB-DM.

Conclusions
The prevalence of DM among patients with TB was considerably high in Korea. To achieve the goal of TB control and improve the health outcomes of both TB and DM, integrated screening of TB and DM and care delivery in clinical practice are necessary.

A Civitavecchia e Pozzuoli, a fianco delle detenute

Chiediamo di essere parte attiva in commissione inchiesta

Promosso da Associazioni pediatri, Fondazione Carolina e Meta

Promosso da Associazioni pediatri, Fondazione Carolina e Meta

Objectives
This study sought to examine the relationship between seropositivity for toxocariasis and cognitive functioning in a nationally representative sample of US older adults.

Design
A cross-sectional study.

Setting
National Health and Nutrition Examination Survey (NHANES) data collection took place in the US at participants’ homes and mobile examination centres with specialised equipment.

Participants
The study population consisted of 3188 community-dwelling US older adults aged 60 and above from the NHANES 2011 to 2014.

Outcome measures
IgG antibody against Toxocara spp was tested by a Luminex assay using recombinant rTc-CTL-1 antigen. A value >23.1 mean fluorescence intensity (MFI) indicated positive for toxocariasis and a value ≤23.1 MFI as negative for toxocariasis. The Consortium to Establish a Registry for Alzheimer’s Disease Word Learning subtest immediate and delayed memory, the Animal Fluency test and the Digit Symbol Substitution Test (DSST) were used to assess cognitive functioning. Cognitive test-specific and global cognitive z scores were computed using sample means and SD.

Results
The study population consisted of 3188 participants who represented a total of 111 896 309 civilian citizens in the USA. The mean age of the participants was 69.6 years (standard deviation 6.8). The prevalence of toxocariasis in this population was 7.3% (95% confidence interval [CI] 6.1% to 8.5%). The survey-weighted linear regression model showed that compared with participants who were toxocariasis seronegative, those who were seropositive had lower DSST z score (beta [β] = –0.12, 95% CI –0.22 to –0.01) and global cognition z score (β=–0.11, 95% CI –0.22 to –0.01), after controlling for age, sex, race/ethnicity, education, depressive symptoms, smoking status, body mass index, prevalent coronary heart disease, prevalent stroke, and systolic blood pressure, physical activity, and total cholesterol.

Conclusions
In our study, seropositive toxocariasis was independently and significantly associated with worse working memory, sustained attention, processing speed and global cognition in older adults. If this association is causal, public health measures to prevent human toxocariasis might help protect older adults’ cognitive function.

Un libro edito da Erickson racconta l’esperienza sul terreno del dottor Renzo De Stefani

Sostanze prodotte da alcuni funghi, pericolo per il fegato

Processi dannosi iniziano prima della gestazione

Effetto positivo su rapporti famiglia. Stli di vita da migliorare

Pubblicato il documento approvato in Conferenza Stato Regioni

La Nigeria ha appena approvato un testo che riconosce il diritto alla salute della mente. Ma nel paese, e nel Continente, l’accesso alle cure è rarissimo