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1.
Arch. Clin. Psychiatry (Impr.) ; 46(4): 97-102, July-Aug. 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1019347

RESUMO

Abstract Background Mental health disparity in sexual minorities is a crucial clinical and public health issue worldwide. A total of 500 homosexual or bisexual men aged between 20 and 25 years participated in this study. Objectives The aims of the study were to examine the relationships of victimization of traditional and cyber homophobic bullying during childhood and adolescence with problematic internet and smartphone use and activities during early adulthood among sexual minority men in Taiwan. Methods The seveirities of problematic internet and smartphone use and activities in early adulthood were compared between victims and non-victims of bullying. The severities of problematic internet and smartphone use were also compared among the groups of various types of bullying as well as among the groups of various persistence durations of being bullied. Results Victims of traditional and cyber homophobic bullying had more severe problematic internet and smartphone use than non-victims. Victims of multi-type bullying had more severe problematic internet use than victims of single-type bullying. Prolonged victimization was significantly associated with problematic internet and smartphone use. Discussion: Victimization of traditional and cyber homophobic bullying during childhood and adolescence predicts problematic internet and smartphone use during early adulthood among sexual minority men.


Assuntos
Humanos , Masculino , Adulto , Bullying , Homofobia , Taiwan , Índice de Gravidade de Doença , Bissexualidade , Homossexualidade , Inquéritos e Questionários , Comportamento Aditivo/prevenção & controle , Vítimas de Crime , Internet , Smartphone
4.
An. bras. dermatol ; 93(5): 659-664, Sept.-Oct. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-949956

RESUMO

Abstract: Background: Facial threading involves the removal of hairs to restore facial skin smoothness. However, its effectiveness has not been rigorously evaluated. Objective: To evaluate effects of facial threading on skin roughness, hydration, melanin index, and vellus hair on the face, complemented by a subjective evaluation of the tactile feel of the skin and improvement in skin color. Method: Participants who had not used exfoliators for two weeks before the experiment were included. Each participant underwent one session of facial threading every 21 days, for a total of 3 sessions. A three-dimensional skin roughness instrument and a multifunctional skin testing system were used to evaluate changes in roughness, hydration, and pigmentation on the forehead, cheeks, and corners of the mouth. A photomicrographic camera was used to record changes in vellus hair. Subjective reports of skin smoothness and color were recorded. Result: Eighteen participants completed the study. Facial threading produced a significant decrease in skin roughness on the forehead (22.42%, p = .013), right cheek (77%, p = .02), and left corner of the mouth (33.02%, p = .001). Subjective improvement in tactile feel of the skin and coloring were reported. Study Limitations: The study did not include randomization, with further limitations of a small sample size and a single site. Conclusion: Facial threading reduced skin roughness by 26.74% after three threading sessions, with improved subjective assessment of tactile feel and coloring. Future research should include a comparison with other cosmetic products with similar beautifying effects or a control group.


Assuntos
Humanos , Feminino , Adulto , Adulto Jovem , Fenômenos Fisiológicos da Pele , Higiene da Pele/métodos , Cosméticos , Face , Remoção de Cabelo/métodos , Pele/anatomia & histologia , Taiwan , Beleza , Pigmentação da Pele/fisiologia , Remoção de Cabelo/efeitos adversos
5.
Rev. habanera cienc. méd ; 16(6): 857-867, nov.-dic. 2017. ilus
Artigo em Espanhol | LILACS, CUMED | ID: biblio-901778

RESUMO

Introducción: La llegada a Cuba en el siglo XIX de los culíes contratados para realizar los trabajos agrícolas, conllevó la llegada de médicos chinos, practicantes de la medicina herbolaria. Objetivo: Caracterizar la vida y obra de dos médicos inmigrantes chinos del siglo XIX desde sus historias, quienes alcanzaron notoriedad en su época por sus comportamientos profesional y humano en la práctica de la Medicina, lejanos uno del otro en la Isla. Material y Métodos: Se presenta una revisión bibliográfica de las publicaciones periódicas indexadas en las bases de datos SciELO y Google Académico; libros, artículos periodísticos y publicaciones periódicas de la época que se encuentran como fondos de la Biblioteca Nacional de Cuba José Martí. Se consultaron como fuentes básicas Emilio Roig, Chouffat Latour, Delgado García y Portel Vilá. Desarrollo: Se obtuvo que los médicos herbolarios Siam y Juan Chambombiá permitieron lograr salvar a enfermos desahuciados en esa época, y ganar por ello notoriedad; mostraron cualidades humanas de desinterés y ayuda a los humildes. Las disputas referidas a la paternidad de la frase A ese no lo salva ni el médico chino, que ha quedado en el hablar popular cubano, finalmente fue conferida a Juan Chambombiá. Conclusiones: Siam y Chambombiá se caracterizaron por ser hombres cultos, dedicados a la profesión médica con desinterés y humanismo. Ambos sufrieron persecución e incomprensiones; prejuicios y celos, consecuencia del éxito en el tratamiento a pacientes incurables. Sus huellas han quedado en Cuba por sus comportamientos profesionales y humanos(AU)


Introduction: The arrival of coolies to Cuba in the 19th century, hired to carry out plantation labor, involved the arrival of Chinese doctors who were practicing members of the herbalist medicine. Objective:To characterize the life and work of two Chinese immigrant doctors of the XIX century who became well-known in their epoch because of their human and professional behaviors in the medical practice, even living away from each other in the island. Material and Methods:A bibliographic review of the periodical publications index-linked in SciELO database, and Google Scholar is presented. Books, journalistic articles, and periodical publications of the epoch that are part of the stock of José Martí National Library were reviewed. Basic sources such as Emilio Roig, Chouffat Latour, Delgado García, and Portel Vilá were also consulted. Development:It was known that the herbalist doctors Siam and Juan Chambombiá could cure sick people who were given up all hope of saving in that epoch, thus becoming well-known doctors; they both showed human qualities of lack of interest, and help to the humbles. The arguments referred to the authorship of the phrase: Not even the Chinese doctor can save him, which has remained in the Cuban collection of proverbs, was finally conferred to Juan Chambombiá. Conclusions:Siam and Chambombiá were characterized by being cultured men, dedicated to the medical profession with unselfishness and humanism. Both of them suffered for persecutions, and lack of understanding; prejudices, and jealousy as a consequence of their success in the treatment to incurable patients. Their traces have remained in Cuba because of their professional and human behaviors(AU)


Assuntos
Humanos , Masculino , História do Século XIX , Médicos , Taiwan , Cuba , Emigração e Imigração/história
6.
Clinics ; 72(1): 44-50, Jan. 2017. tab
Artigo em Inglês | LILACS | ID: biblio-840035

RESUMO

OBJECTIVE: Previous studies have reported that depression may play a crucial role in the occurrence of vertebral fractures. However, a clear correlation between depressive disorders and osteoporotic fractures has not been established. We explored the association between depressive disorders and subsequent new-onset vertebral fractures. Additionally, we aimed to identify the potential risk factors for vertebral fracture in patients with a depressive disorder. METHODS: We studied patients listed in the Taiwan National Health Insurance Research Database who were diagnosed with a depressive disorder by a psychiatrist. The comparison cohort consisted of age- and sex-matched patients without a depressive disorder. The incidence rate and hazard ratios of subsequent vertebral fracture were evaluated. We used Cox regression analysis to evaluate the risk of vertebral fracture among patients with a depressive disorder. RESULTS: The total number of patients with and without a depressive disorder was 44,812. The incidence risk ratio (IRR) between these 2 cohorts indicated that depressive disorder patients had a higher risk of developing a subsequent vertebral fracture (IRR=1.41, 95% confidence interval [CI]=1.26-1.57, p<0.001). In the multivariate analysis, the depressive disorder cohort showed a higher risk of vertebral fracture than the comparison cohort (adjusted hazard ratio=1.24, 95% CI=1.11-1.38, p<0.001). Being older than 50 years, having a lower monthly income, and having hypertension, diabetes mellitus, cerebrovascular disease, chronic obstructive pulmonary disease, autoimmune disease, or osteoporosis were considered predictive factors for vertebral fracture in patients with depressive disorders. CONCLUSIONS: Depressive disorders may increase the risk of a subsequent new-onset vertebral fracture.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Transtorno Depressivo/complicações , Fraturas por Osteoporose/etiologia , Fraturas da Coluna Vertebral/etiologia , Estudos de Coortes , Transtorno Depressivo/epidemiologia , Fraturas por Osteoporose/epidemiologia , Fatores de Risco , Fraturas da Coluna Vertebral/epidemiologia , Taiwan/epidemiologia
7.
Clinics ; 71(7): 399-403, tab, graf
Artigo em Inglês | LILACS | ID: lil-787439

RESUMO

OBJECTIVE: To estimate the incidence and prevalence of thromboangiitis obliterans in Taiwan in the period spanning from 2002 to 2011. METHODS: We identified all incident and prevalent cases with a diagnosis of thromboangiitis obliterans (International Classification of Diseases, Ninth Revision code 443.1) in the period spanning from 2002 to 2011 using Taiwan’s National Health Insurance Research Database. We calculated the age- and sex-specific incidence and prevalence rates of thromboangiitis obliterans during the study period. RESULTS: From 2002 to 2011, 158 patients were diagnosed with thromboangiitis obliterans; of these, 76% were men. Most (63%) of the patients were <50 years old when they were first diagnosed. After reaching 20 years of age, the incidence rate increased with age and peaked among those aged ≥60 years. The average incidence rate of thromboangiitis obliterans during the 2002–2011 period was 0.068 per 105 years. The incidence of thromboangiitis obliterans decreased with time, from 0.10 per 105 years in 2002 to 0.04 per 105 years in 2011. The prevalence increased from 0.26 × 10−5 in 2002 to 0.65 × 10−5 in 2011. CONCLUSION: This is the first epidemiologic study of thromboangiitis obliterans using claims data from a general population in Taiwan. This nationwide, population-based study found that the incidence and prevalence of thromboangiitis obliterans in Taiwan in the 2002–2011 period were lower than those in other countries before 2000. This study also revealed a trend of decreasing incidence with simultaneous increasing prevalence of thromboangiitis obliterans in Taiwan from 2002 to 2011.


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Tromboangiite Obliterante/epidemiologia , Distribuição por Idade , Fatores Etários , Doença Catastrófica/epidemiologia , Incidência , Prevalência , Estudos Retrospectivos , Distribuição por Sexo , Taiwan/epidemiologia , Fatores de Tempo
9.
J. appl. oral sci ; 23(2): 129-134, Mar-Apr/2015. tab, graf
Artigo em Inglês | LILACS | ID: lil-746545

RESUMO

OBJECTIVES: This cross-sectional study aimed to evaluate the influence of Primary Headache (PH) on efficacy of a Temporomandibular Disorders (TMD) conservative therapy and its association with the presence of self-reported parafunctional habits. SAMPLE AND METHODS: Sample was composed of 400 medical records, divided into four groups: I) Muscular TMD (n=64); II) Muscular TMD+PH (n=48); III) Muscular TMD+Articular TMD (n=173); IV) Muscular TMD+Articular TMD+PH (n=115). All groups had undergone a TMD therapy for three months with a stabilization appliance and counseling for habits and behavioral changes, with no specific headache management. Current pain intensity and existence or not of self-reported bruxism were assessed. Repeated measures ANOVA and Chi-Square test followed by Odds were used for statistical analysis, with a significance level of 5%. RESULTS: results of this study showed that: (1) A conservative therapy with stabilization appliance and counseling for habits and behavioral changes was effective in the TMD pain relief; (2) Groups with an additional diagnosis of PH had worsened the pain improvement significantly; and (3) no association between the presence of self-reported bruxism and PH was found. CONCLUSIONS: this study could elucidate the important effect that headache may have on the TMD management. .


Assuntos
Animais , Feminino , Humanos , Gravidez , Contaminação de Alimentos/análise , Mercúrio/análise , Alimentos Marinhos/análise , Selênio/análise , Dieta , Peixes , Mercúrio/sangue , Compostos de Metilmercúrio/análise , Controle de Qualidade , Fatores de Risco , Tubarões , Taiwan , Estados Unidos
10.
Rev. gastroenterol. Perú ; 35(1): 15-24, ene. 2015. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-746990

RESUMO

Objetivo: Valorar los puntajes BISAP y APACHE II en predecir severidad según la clasificación Atlanta 2012 y determinar si el factor obesidad añadido a dichos puntajes mejora su predicción. Material y métodos: Se realizó un estudio prospectivo entre enero de 2013 y abril de 2014 de todos los pacientes con pancreatitis aguda según la nueva clasificación Atlanta 2012. Se confeccionó curvas ROC para los puntajes BISAP, BISAP-O, APACHE-II y APACHE-O y se seleccionó puntos de corte apropiados con los que se calculó la sensibilidad, especificidad, VPP, VPN, RPP y la RPN. Resultados: Se estudió a 334 pacientes. El 65,27% presentó sobrepeso u obesidad. La etiología fue biliar en el 86,53%. Sólo 8,38% presentó pancreatitis severa y 1,5% falleció. Las áreas bajo la curva ROC y puntos de corte seleccionados fueron: BISAP: 0,8725, 2; BISAP-O: 0,8246, 3; APACHE-II: 0,8547, 5; APACHE-O: 0,8531, 6. Con dichos puntos de corte la sensibilidad, especificidad, VPP, VPN, RPP y la RPN fueron: BISAP: 60,71%, 91,83%, 40,48%, 96,23%, 7,43, 0,43; BISAP-O: 60,71%, 86,93%, 29,82%, 96,03%, 4,76, 0,45; APACHE-II: 85,71%, 76,14%, 24,74%, 98,31%, 3,6, 0,19; APACHE-O: 82,14%, 79,41%, 26,74%, 97,98%, 4, 0,22. Conclusiones: Los sistemas BISAP, BISAP-O, APACHE-II, y APACHE-O pueden usarse para identificar a los pacientes con bajo riesgo de severidad en razón de su alto VPN, sin embargo su uso debe ser prudente considerando que la RPP y RPN no alcanza niveles óptimos, indicando que su valor en la predicción de severidad es limitado. Por otro lado el añadir el factor obesidad no mejoró su capacidad predictiva.


Objective: To assess the BISAP and APACHE II scores in predicting severity according to the 2012 Atlanta classification and whether the obesity factor added to these scores improves prediction. Material and methods: A prospective study between January 2013 and April 2014 including all patients with acute pancreatitis was performed according to the new Atlanta 2012 classification. ROC curves were fabricated for BISAP, BISAP-O, APACHE-II scores and Apache O and appropriate cutoffs were selected to the sensitivity, specificity, PPV, NPV, RPP and RPN. Results: We studied 334 patients. 65.27% were overweighted or obese. The biliar etiology was 86.53%. Only 8.38% had severe pancreatitis and 1.5% died. Areas under the ROC curve and cut points selected were: BISAP: 0.8725, 2; BISAP-O: 0.8246, 3; APACHE-II: 0.8547, 5; APACHE-O: 0.8531, 6. Using these cutoffs the sensitivity, specificity, PPV, NPV, RPP and RPN were BISAP: 60.71%, 91.83%, 40.48%, 96.23 %, 7.43, 0.43; BISAP-O: 60.71%, 86.93%, 29.82%, 96.03%, 4.76, 0.45; APACHE-II: 85.71%, 76.14%, 24.74%, 98.31%, 3.6, 0.19; APACHE-O: 82.14%, 79.41%, 26.74%, 97.98%, 4, 0.22. Conclusions: BISAP, BISAP-O, APACHE-II and APACHE-O systems can be used to identify patients at low risk of severity because of its high NPV, however their use should be cautious considering that the RPP and RPN do not reach optimal levels indicating that their value in predicting severity is limited. On the other hand adding the obesity factor did not improve their predictive ability.


Assuntos
Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Embolia Pulmonar/epidemiologia , Traumatismos da Medula Espinal/epidemiologia , Trombose Venosa/epidemiologia , Estudos de Coortes , Incidência , Estudos Prospectivos , Embolia Pulmonar/sangue , Embolia Pulmonar/etiologia , Fatores de Risco , Traumatismos da Medula Espinal/sangue , Traumatismos da Medula Espinal/complicações , Taiwan/epidemiologia , Trombose Venosa/sangue , Trombose Venosa/etiologia
11.
Braz. j. infect. dis ; 18(2): 137-143, Mar-Apr/2014. tab
Artigo em Inglês | LILACS | ID: lil-709414

RESUMO

OBJECTIVES: To describe clinical, laboratory, microbiological features, and outcomes of necrotizing fasciitis. METHODS: From January 1, 2004 to December 31, 2011, 115 patients (79 males, 36 females) diagnosed with necrotizing fasciitis were admitted to Mackay Memorial Hospital in Taitung. Demographic data, clinical features, location of infection, type of comorbidities, microbiology and laboratory results, and outcomes of patients were retrospectively analyzed. RESULTS: Among 115 cases, 91 survived (79.1%) and 24 died (20.9%). There were 67 males (73.6%) and 24 females (26.4%) with a median age of 54 years (inter-quartile ranges, 44.0-68.0 years) in the survival group; and 12 males (50%) and 12 females (50%) with a median age of 61 years (inter-quartile ranges, 55.5-71.5 years) in the non-surviving group. The most common symptoms were local swelling/erythema, fever, pain/tenderness in 92 (80%), 87 (76%) and 84 (73%) patients, respectively. The most common comorbidies were liver cirrhosis in 54 patients (47%) and diabetes mellitus in 45 patients (39%). A single organism was identified in 70 patients (61%), multiple pathogens were isolated in 20 patients (17%), and no microorganism was identified in 30 patients (26%). The significant risk factors were gender, hospital length of stay, and albumin level. DISCUSSION: Necrotizing fasciitis, although not common, can cause notable rates of morbidity and mortality. It is important to have a high index of suspicion and increase awareness in view of the paucity of specific cutaneous findings early in the course of the disease. Prompt diagnosis and early operative debridement with adequate antibiotics are vital. .


Assuntos
Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fasciite Necrosante/mortalidade , Amputação , Desbridamento , Fasciite Necrosante/diagnóstico , Fasciite Necrosante/microbiologia , Fasciite Necrosante/cirurgia , Estudos Retrospectivos , Fatores de Risco , Taiwan/epidemiologia
12.
Clinics ; 68(8): 1109-1114, 2013. tab
Artigo em Inglês | LILACS | ID: lil-685435

RESUMO

OBJECTIVES: We compared the risk of in-hospital mortality and the length of hospital stay between diabetic and non-diabetic patients hospitalized for renal or perinephric abscess. METHOD: The data analyzed in this study were retrieved from Taiwan's National Health Insurance claims. The risk of in-hospital mortality and the length of hospital stay were compared between 1,715 diabetic patients, hospitalized because of renal or perinephric abscess in Taiwan between 1997 and 2007, and a random sample of 477 non-diabetes patients with renal or perinephric abscess. RESULTS: The in-hospital mortality rates from renal or perinephric abscess for the diabetic patients and the non-diabetic patients were not different, at 2.3% and 3.4%, respectively. However, diabetes was significantly associated with a longer length of hospital stay among patients with renal abscess, by 3.38 days (95% confidence interval [CI]: 1.59-5.17). CONCLUSIONS: Diabetes does not increase the risk of in-hospital mortality from renal or perinephric abscess. Nevertheless, appropriate management of patients with diabetes and concurrent renal or perinephric abscess is essential to reduce the length of hospital stay. .


Assuntos
Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Abscesso/mortalidade , Diabetes Mellitus/mortalidade , Mortalidade Hospitalar , Nefropatias/mortalidade , Tempo de Internação/estatística & dados numéricos , Distribuição por Idade , Estudos de Coortes , Modelos de Riscos Proporcionais , Medição de Risco , Fatores de Risco , Distribuição por Sexo , Taiwan
13.
Int. braz. j. urol ; 38(6): 818-824, Nov-Dec/2012. tab
Artigo em Inglês | LILACS | ID: lil-666019

RESUMO

Purpose

To assess the occurrence and the associated risk factors for nocturia among middle-aged and elderly people from public health centers in southern Taiwan. Materials and Methods

Data were part of our previous cross-sectional study which used a self-administered questionnaire for the assessment of lower urinary tract symptoms. A total of 1011 responders who were at least 40 years of age were enrolled from any of four local public health centers for any reason in Pingtung County, Taiwan. Nocturia, as a dependent variable, was defined as two or more episodes per night. Covariables included age, gender, and chronic illnesses (obesity, hypertension, diabetes, cardiovascular disease, and stroke). Multivariate logistic regression was applied to determine the risk factors associated with nocturia. A p-value of less than 0.05 was considered statistically significant. Results

About 38.1% (385/1011) of the participants reported having nocturia ≥ 2 episodes/night, and the occurrence of nocturia increased with advanced age. More than half (51.2%, 197/385) participants with nocturia perceived at least “a bit of a problem” on the sleep quality. The multivariate logistical regression showed that the independent risk factors for nocturia were age (OR:1.06, CI:1.05-1.08), hypertension (OR:1.58, CI:1.16-2.16) and diabetes (OR:1.59, CI:1.03-2.45) and obesity (OR:1.47, CI:1.02-2.10), while a borderline effect on nocturia was produced by cardiovascular disease (OR:1.66, CI: 0.98-2.79) and stroke (OR:2.75, CI:0.88-8.64). Conclusions

Several chronic illnesses coexisted with nocturia. Health care providers need to be aware of an increased risk of nocturia among people with certain chronic illnesses, and provide appropriate health ...


Assuntos
Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Centros Comunitários de Saúde , Noctúria/epidemiologia , Distribuição por Idade , Fatores Etários , Métodos Epidemiológicos , Noctúria/etiologia , Distribuição por Sexo , Transtornos do Sono-Vigília/etiologia , Taiwan/epidemiologia
14.
Clinics ; 67(7): 749-755, July 2012. tab
Artigo em Inglês | LILACS | ID: lil-645446

RESUMO

OBJECTIVES: To investigate the trends and characteristics of pethidine prescriptions and users in Taiwan from 2002 to 2007. METHOD: All pethidine users (n = 3,301,136) in Taiwan from 2002 to 2007 were linked to National Health Insurance claims to identify pethidine prescriptions. We examined the trends in pethidine user prevalence and the proportion of pethidine prescriptions according to health care characteristics. A logistic regression model was used to compare patient demographics and health care characteristics associated with pethidine prescriptions between 2002 and 2007. RESULTS: Despite the decline in the number of pethidine users and prescriptions over the six-year period, more than half a million people were prescribed pethidine annually. In fact, an increasing proportion of pethidine prescriptions were observed in clinics, outpatient settings, and patients who had both operations and cancer diagnoses. Pethidine prescriptions were mostly associated with a non-operation status without a cancer diagnosis (>60%). However, approximately 10% of the total pethidine prescriptions were found in patients with a cancer diagnosis but no operation. Compared to those in 2002, pethidine prescriptions in 2007 were more likely to be found in people 80 years or older, rural residents, patients from clinics, outpatient settings and operation patients with cancer diagnoses. CONCLUSIONS: A population-based survey in Taiwan demonstrated decreasing consumption of pethidine from 2002 to 2007; however, an increased proportion of prescriptions in certain health care settings was observed. In addition, 10% of the pethidine prescriptions were for cancer patients without operations. These cases need further evaluation for the determination of appropriate pethidine use.


Assuntos
Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Analgésicos Opioides/uso terapêutico , Prescrições de Medicamentos/estatística & dados numéricos , Meperidina/uso terapêutico , Programas Nacionais de Saúde , Vigilância da População , Taiwan
15.
Clinics ; 66(2): 251-254, 2011. tab
Artigo em Inglês | LILACS | ID: lil-581510

RESUMO

BACKGROUND: Ankylosing spondylitis (AS) is one of the most common rheumatic diseases with gender differences in prevalence and clinical presentation. This study aimed to examine whether such gender differences are correlated with cumulative healthcare utilization in Taiwan. METHODS: The National Health Insurance Research Database supplied claim records of one million individuals from 1996 to 2007. Selected cases included patients aged >16 years. Certified rheumatologists diagnosed the patients in three or more visits and gave prescriptions for AS. Multivariate adjusted logistic regression analyses were used to calculate the influence of gender on cumulative healthcare utilization associated with AS. RESULTS: The study included 228 women and 636 men. After adjustment for potential confounding factors, men had more cumulative outpatient visits associated with AS (odds ratio, 1.59; 95 percent confidence interval, 1.13 -2.23; p = 0.008). Men also exhibited a trend for higher frequency of AS-related hospitalization (p = 0.054). CONCLUSION: Men are more likely to have high cumulative AS-associated healthcare utilization than women. Further investigation of the causal factors is warranted.


Assuntos
Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Espondilite Anquilosante/epidemiologia , Métodos Epidemiológicos , Hospitalização/estatística & dados numéricos , Distribuição por Sexo , Fatores Sexuais , Taiwan/epidemiologia
16.
Clinics ; 66(3): 395-399, 2011. tab
Artigo em Inglês | LILACS | ID: lil-585946

RESUMO

OBJECTIVE: To report the incidence and recurrence of acute otitis media (AOM) in Taiwan's pediatric population. METHODS: Information from children (aged <= 12 years) with a diagnosis of AOM was retrieved from the 2006 National Healthcare Insurance claims database. We calculated the cumulative incidence rate and the incidence density rate of recurrent AOM within one year after the initial diagnosis in 2006. We used a multivariate logistic regression model to assess the predictors for recurrence of AOM. RESULTS: The annual incidence rate of AOM was estimated to be 64.5 cases per 1,000 children. The overall one-year cumulative incidence rate of recurrence was 33.1 percent, and the incidence density rate was 33.5 cases per 100 personyears, with the highest figure (41.2 cases per 100 person-years) noted for children aged 0-2 years. Recurrence was significantly associated with age, gender, place of treatment, and physician specialty. CONCLUSION: AOM remains a major threat to children's health in Taiwan. Male children and very young children require more aggressive preventive strategies to reduce the risk of recurrence.


Assuntos
Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Otite Média/epidemiologia , Otite Média/prevenção & controle , Doença Aguda , Fatores Epidemiológicos , Recidiva , Taiwan/epidemiologia
17.
Clinics ; 66(9): 1531-1535, 2011. tab
Artigo em Inglês | LILACS | ID: lil-604288

RESUMO

OBJECTIVES: In light of the increasing number of high-tech industry workers and the differences in their working conditions compared to those of the general population, the health status of these workers merits serious attention. This study aimed to explore the prevalence of metabolic syndrome and its correlates among Taiwanese high-tech industry workers. METHODS: This cross-sectional study included 4,666 workers who participated in labor health examinations at a hospital in southern Taiwan in 2008. Participants with metabolic syndrome were defined using the criteria proposed by the Taiwan National Department of Health in 2007. Factors associated with metabolic syndrome were determined using multiple logistic regression analysis. RESULTS: The overall prevalence of metabolic syndrome was 8.2 percent, and the prevalence was higher in men than in women (14.0 percent vs. 2.3 percent, p<0.01). Male gender, advanced age, elevated white blood count, and elevated levels of blood biochemistry markers, such as alanine aminotransferase and uric acid, can independently predict metabolic syndrome. CONCLUSIONS: The prevalence of metabolic syndrome among high-tech industry workers is lower than in the general population. Our study's findings may facilitate early health assessments and the provision of proper workplace health promotion programs to reduce the risks faced by high-risk workers.


Assuntos
Adulto , Feminino , Humanos , Masculino , Eletrônica , Síndrome Metabólica/epidemiologia , Doenças Profissionais/epidemiologia , Biomarcadores/sangue , Métodos Epidemiológicos , Síndrome Metabólica/sangue , Síndrome Metabólica/etiologia , Doenças Profissionais/sangue , Doenças Profissionais/etiologia , Fatores de Risco , Distribuição por Sexo , Taiwan/epidemiologia
18.
Clinics ; 66(7): 1177-1182, 2011. ilus, tab
Artigo em Inglês | LILACS | ID: lil-596904

RESUMO

OBJECTIVE: The goal of the present study was to estimate the risk ratio of herpes zoster among systemic lupus erythematosus patients after disease onset compared with a cohort of patients without systemic lupus erythematosus over a three-year period. METHODS: A nationwide population-based cohort study using the National Health Insurance Research Database identified 10,337 new cases of systemic lupus erythematosus as the study cohort. In addition, 62,022 patients without systemic lupus erythematosus, who were matched for age, gender, and date of systemic lupus erythematosus diagnosis, were used as the comparison cohort. These cohorts were followed-up for three years. A Cox proportional hazard regression was performed to estimate the risk ratio of herpes zoster, with adjustments for age, gender, level of insurance, urbanization level, geographic region, comorbid medical conditions, average daily dosage of corticosteroids, and the use of immune-modulation agents. RESULTS: Compared to patients without systemic lupus erythematosus, the crude risk ratio and adjusted risk ratio of herpes zoster among systemic lupus erythematosus patients were 7.37 (95 percent confidence interval 6.75-8.04) and 2.45 (95 percent confidence interval 1.77-3.40), respectively. Stratified by gender, the adjusted risk ratio of herpes zoster was 2.10 (95 percent confidence interval 1.45-2.99) in women and 7.51 (95 percent confidence interval 2.89-19.52) in men. Stratified by age, the adjusted risk ratio peaked in systemic lupus erythematosus patients who were aged 18 to 24 years (risk ratio 8.78, 95 percent confidence interval 3.08-24.97). CONCLUSION: Based on nationwide population-based data, there is an increased risk of herpes zoster in systemic lupus erythematosus patients compared with non-systemic lupus erythematosus patients, particularly among males and patients aged 18 to 24 years. Further research on the associated risk factors for herpes zoster in systemic lupus erythematosus patients is needed.


Assuntos
Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Herpes Zoster/etiologia , Lúpus Eritematoso Sistêmico/complicações , Fatores Etários , Idade de Início , Métodos Epidemiológicos , Herpes Zoster/epidemiologia , Fatores Sexuais , Taiwan/epidemiologia
19.
J. appl. oral sci ; 18(1): 5-9, Jan.-Feb. 2010. tab
Artigo em Inglês | LILACS | ID: lil-545020

RESUMO

OBJECTIVE: The aim of this retrospective analysis was to determine the age, gender, frequency and distribution of trauma-associated hard tissue and soft tissue lesions of the oral and maxillofacial region in a population from southern Taiwan. PATIENTS AND METHODS: Approximately 10 percent of the 27,995 biopsy records of patients with history of trauma resulting in lesions who were treated at our institution between 1991 and 2006 were examined for this study. RESULTS: In the included records, there were 2,762 soft tissue and 26 hard tissue lesions. Mucocele was the most frequent trauma-associated soft tissue lesion (955 cases). The youngest patients were those who presented with mucocele (mean age = 27.3 years), while the oldest patients were those with peripheral giant cell granuloma (58 years). The lower lip was the most frequent site of occurrence of mucocele (676, 64.5 percent) and was also the predominant site of occurrence of all soft tissue lesions (815, 29.5 percent), followed by the buccal mucosa (654, 23.4 percent) and the tongue (392, 14.2 percent). Trauma-associated hard tissue lesions included only osteoradionecrosis (24 cases) and traumatic bone cysts (2 cases). CONCLUSION: As little data of this nature have been reported from populations of Asian developing countries, the findings of this retrospective analysis is valuable for epidemiological documentation of type of traumatic oral lesions as well as for informing the professionals and the layman about the importance of this category of oral lesions.


Assuntos
Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Traumatismos Maxilofaciais/epidemiologia , Doenças da Boca/epidemiologia , Fatores Etários , Doenças da Gengiva/epidemiologia , Granuloma de Células Gigantes/epidemiologia , Cistos Maxilomandibulares/epidemiologia , Doenças Maxilomandibulares/epidemiologia , Doenças Labiais/epidemiologia , Neoplasias Bucais/epidemiologia , Mucocele/epidemiologia , Úlceras Orais/epidemiologia , Osteorradionecrose/epidemiologia , Estudos Retrospectivos , Fatores Sexuais , Taiwan/epidemiologia , Doenças da Língua/epidemiologia , Adulto Jovem
20.
Clinics ; 65(5): 481-489, 2010. graf, tab
Artigo em Inglês | LILACS | ID: lil-548628

RESUMO

OBJECTIVES: To explore the risks and rates of readmission and their predictors 14 days, one year, and five years after discharge for the psychiatric population in Taiwan. METHODS: This was a prospective study based on claims from 44,237 first-time hospitalized psychiatric patients discharged in 2000, who were followed for up to five years after discharge. The cumulative incidence and incidence density of readmission were calculated for various follow-up periods after discharge, and Cox proportional hazard models were generated to identify the significant predictors for psychiatric readmission. RESULTS: The less than 14-day, one-year, and five-year cumulative incidences were estimated at 6.1 percent, 22.3 percent, and 37.8 percent, respectively. The corresponding figures for incidence density were 4.58, 1.04, and 0.69 per 1,000 person-days, respectively. Certain factors were significantly associated with increased risk of readmission irrespective of the length of follow-up, including male gender, length of hospital stay >15 days, economic poverty, a leading discharge diagnosis of schizophrenia/affective disorders, and residence in less-urbanized regions. Compared to children/adolescents, young adults (20-39 years) were significantly associated with increased risks of

Assuntos
Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Alta do Paciente/estatística & dados numéricos , Readmissão do Paciente/estatística & dados numéricos , Fatores Etários , Métodos Epidemiológicos , Hospitais Psiquiátricos/estatística & dados numéricos , Fatores Socioeconômicos , Esquizofrenia/reabilitação , Taiwan , Fatores de Tempo
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