422 research outputs found
Migraine, Fibromyalgia, and Depression among People with IBS: A Prevalence Study
BACKGROUND. Case descriptions suggest IBS patients are more likely to have other disorders, including migraine, fibromyalgia, and depression. We sought to examine the prevalence of these conditions in cohorts of people with and without IBS. METHODS. The source of data was a large U.S. health plan from January 1, 1996 though June 30, 2002. We identified all people with a medical claim associated with an ICD-9 code for IBS. A non-IBS cohort was a random sample of people with an ICD-9 code for routine medical care. In the cohorts, we identified all claims for migraine, depression, and fibromyalgia. We estimated the prevalence odds ratios (PORs) of each of the three conditions using the Mantel-Haenszel method. We conducted quantitative sensitivity analyses to quantify the impact of residual confounding and in differential outcome identification. RESULTS. We identified 97,593 people in the IBS cohort, and a random sample of 27,402 people to compose the non-IBS comparison cohort. With adjustment, there was a 60% higher odds in the IBS cohort of having any one of the three disorders relative to the comparison cohort (POR 1.6, 95% CI 1.5 – 1.7). There was a 40% higher odds of depression in the IBS cohort (POR 1.4, 95% CI 1.3 – 1.4). The PORs for fibromyalgia and migraine were similar (POR for fibromyalgia 1.8, 95% CI 1.7 – 1.9; POR for migraine 1.6, 95% CI 1.4 – 1.7). Differential prevalence of an unmeasured confounder, or imperfect sensitivity or specificity of outcome detection would have impacted the observed results. CONCLUSION. People in the IBS cohort had a 40% to 80% higher prevalence odds of migraine, fibromyalgia, and depression
Media consumption and creation in attitudes toward and knowledge of inflammatory bowel disease: web-based survey
BACKGROUND: Inflammatory bowel disease (IBD) is a chronic gastrointestinal condition affecting over 5 million people globally and 1.6 million in the United States but currently lacks a precisely determined cause or cure. The range of symptoms IBD patients experience are often debilitating, and the societal stigmas associated with some such symptoms can further degrade their quality of life. Better understanding the nature of this public reproach then is a critical component for improving awareness campaigns and, ultimately, the experiences of IBD patients. OBJECTIVE: The objective of this study was to explore and assess the public's awareness and knowledge of IBD, as well as what relationship, if any, exists between the social stigma surrounding IBD, knowledge of the disease, and various media usage, including social media. METHODS: Utilizing a Web-based opt-in platform, we surveyed a nationally representative sample (n=1200) with demographics mirroring those of the US Census figures across baseline parameters. Using constructed indices based on factor analysis, we were able to build reliable measures of personal characteristics, media behaviors, and perceptions and knowledge of IBD. RESULTS: Among the American public, IBD is the most stigmatized of seven diseases, including genital herpes and human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). Additionally, IBD knowledge is generally low with 11.08% (133/1200) of the sample indicating no familiarity with the disease and 85.50% (1026/1200) of participants inaccurately answering two-thirds of the IBD index questions with which their knowledge was assessed. Increased knowledge of IBD is associated with lower levels of stigma. However, social media use is currently related to lower levels of IBD knowledge (P<.05). Furthermore, findings indicate that participants who most frequently engaged in producing social media content are less knowledgeable about IBD (P<.10), highlighting the potential for a dangerous cycle should they be contributing to a Web-based IBD dialogue. CONCLUSIONS: Greater efforts must be taken to stymie IBD misinformation across all media, but especially in social media channels, to increase IBD knowledge and reduce stigma surrounding IBD. These findings pave the way for further research qualitatively examining the pervasiveness of specific IBD messages found in today's social media landscape and their impact on enacted stigmas so as to better equip providers and patient advocacy organizations with impactful communication solutions
Aplicación de conceptos de marca ciudad en la Parroquia San Miguel de Nono, Quito-Ecuador Campaña "Nono, Tu Escape a un Paso!"
The redesign of the branding of a city or country plays a critical role in the economic
and tourism sectors on which modern civilization is based. A brand has the ability to attract
and get the attention of consumers and even hook them unto your products. In the same way
that product brands compete on rack for consumer attention, countries and cities have been
involved in the same scenario. It is necessary to give a brand to any community or city, giving
it an image that people can remember, to thus strengthen consumer-destination relationships in
the long-term; and boost tourism and the economy.
This work was based on the concepts of nation and city branding, for their application
in a smaller community, the parish of San Miguel de Nono, Quito, Ecuador. The parish of
Nono, which is located 30 minutes from the city of Quito, features a large number of tourist
attractions. It offers horseback riding, excursions to waterfalls, excellent food, adventure, bird
watching, crafts and accommodation, all at an affordable price and reasonable distance. For
this reason, it was decided to carry out the practical activities of the thesis within this
community.
To generate a large reach within the population, it was decided to make a global 360º
communications campaign that would promote the image of the parish of Nono in the city of
Quito. The first thing was to design a logo that is very striking and easy to recognize, then, it
was to create social networking profiles to inform the public and the media about the
campaign. Partnering with national assemblywoman Soledad Buendía who sponsored the
project as the spokesperson of the campaign, we had the opportunity to have a broader media
reach. About 15 representatives of the media covered the initiative and to date that number
continues to grow. It was necessary to work hard with the community of the parish, teaching
them things like protocol for customer service and things like the importance of a logo and an
image that goes with their specific business. Also, we have the support of the Government of
the Parish of Nono, who helped and contributed much to this cause.
“Nono, tu escape a un paso!” is the fair that was organized with the motive of
generating a tourism and economic boost in the parish of Nono. In this fair, there were around
30 stands with different products and services for show. The categories that stood out were
crafts, cuisine, music, dance, adventure, hotels and lodging, bird watching, eco routes and
community tourism. To make this fair happen, we had to make a brand design for the parish,
thus, generating a logo that is identifiable with the community. Starting from this point, having
an image, we began to attack with advertising through social networks and traditional media.
In the same way, allying with National Assemblywoman Soledad Buendía who is the official
spokesperson of “Nono, tu escape a un paso!”, we managed for the importance of this
initiative to be recognized. An expectation campaign was also conducted in the city of Quito,
which aroused the curiosity of passers-by who got involved in asking what the campaign was
about.
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The work of creating this identifying image of Nono and positioning it in the city of
Quito, and in this way receiving a boost in tourism and the economy of the area was done
under the guidance of the theories of Nation Branding as such. We believe it is important that
each region, community or city has its own brand, with which its citizens can identify, adding
value and thus attracting the attention of consumers and reel them in. The city branding not
only serves to generate greater economic investment or affluence of people, but it also
strengthens the sense of belonging and national pride in the people, thus achieving a feeling
that every citizen is an ambassador for his city and go where they may go, they carry it with
them in their heart.
The purpose of this campaign is an activism, which calls for the recognition of Nono
for its tourism qualities as a major tourist attraction in the city of Quito, and in the same way,
encourages the replication of this initiative again in the parish of Nono. Likewise, it seeks that
government agencies can take this initiative and replicate it in the remaining 32 parishes
around the city; however, as of this moment nothing has been finalized yet.El rediseño de la marca de una ciudad o país juega un papel fundamental en los ejes
económicos y turísticos en los que se basa la civilización moderna. Una marca tiene la
capacidad de atraer, de llamar la atención de los consumidores y engancharlos. Así como las
marcas de productos compiten en perchas por la atención del consumidor, los países y
ciudades se han visto involucrados en el mismo escenario. Es necesario darle una marca a
cualquier comunidad o ciudad, darle una imagen que las personas puedan recordar, para de
esta manera, afianzar relaciones entre consumidor y destino a largo plazo; e impulsar el
turismo y la economía.
Este trabajo se basó en los conceptos acerca de marca país y ciudad, para aplicarlos en
una comunidad más pequeña, en la parroquia de San Miguel de Nono, Quito – Ecuador. La
parroquia de Nono, la cual está localizada a 30 minutos de la ciudad de Quito, cuenta con un
gran número de atractivos turísticos. Ofrece cabalgatas, cascadas, gastronomía, aventura,
avistamiento de aves, artesanías y hospedaje, todo a un cómodo precio y razonable distancia.
Por esta razón, se decidió realizar las actividades practicas de la tesis en esta comunidad.
Para generar un gran alcance en la población, se decidió hacer una campaña
comunicacional global 360º que impulsara la imagen de la parroquia de Nono en la ciudad de
Quito. Lo primero fue diseñar un logotipo que sea fácil de reconocer y muy llamativo,
después, fue crear los perfiles de redes sociales de la campaña para informar a la población y
medios de comunicación de que se trataba. Aliándonos son la Asambleísta Soledad Buendía
como vocera de la campaña, tuvimos la oportunidad de tener un alcance mayor en medios de
comunicación. La iniciativa fue cubierta por alrededor de 15 medios de comunicación y hasta
la fecha seguimos contando. Se tuvo que realizar un arduo labor con la comunidad de la
parroquia, enseñarles desde protocolo de atención al cliente, hasta el porque de la importancia
de contar con un logotipo y una imagen alineada a su negocio. También, contamos con el
apoyo del Gobierno Parroquial de Nono, quien ayudó y aportó mucho para esta causa.
“Nono, tu escape a un paso!” , es la feria que se organizó con motivo de generar un
impulso turístico y económico en la parroquia de Nono. En esta feria, se pudo contar con al
rededor de 30 stands con diferentes productos y servicios para mostrar. Las categorías que se
destacaron fueron artesanías, gastronomía, música, danza, aventura, hotelería y hospedaje,
avistamiento de aves, eco rutas y turismo comunitario. Para realizar esta feria, tuvimos que
realizar un diseño de marca de la parroquia, para así, generar un logotipo que sea identificable
con la misma. Partiendo de este punto, teniendo una imagen, comenzamos por atacar con
publicidad mediante redes sociales y medios de comunicación tradicionales. De la misma
manera, aliándonos con la Asambleísta Soledad Buendía quien es la vocera oficial de la
campaña “Nono, tu escape a un paso!”, logramos que se reconociera lo importante de esta
iniciativa. Se realizó una campaña de expectativa en la ciudad de Quito, la cual despertaba la
curiosidad de los transeúntes y se involucraban en preguntar de que se trataba.
La labor de crear esta imagen que identifique a Nono y posicionarla en la ciudad de
Quito, para de esta forma conseguir un impulso en el turismo de la zona y su economía se
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realizó bajo los lineamientos de las teorías de la Marca País como tal. Creemos que es
importante que cada región, comunidad o ciudad tenga su marca, con la que sus ciudadanos se
identifiquen, darle un valor agregado y de esta manera llamar la atención de los consumidores
y engancharlos. La marca ciudad no solamente sirve para generar mayor inversión económica
o afluencia de personas, también afianza el orgullo de pertenencia y el orgullo nacional en los
habitantes, logrando de esta manera, que cada ciudadano sea un embajador de su ciudad y
vaya a donde vaya, la lleve en el corazón.
La finalidad de esta campaña, es un activismo en el cual se pide que se reconozca a
Nono por su cualidades turísticas como un atractivo turístico importante dentro de la ciudad de
Quito, y de la misma manera, incentivar la replica de esta iniciativa nuevamente en la
parroquia de Nono. De la misma manera, se busca por parte de organismos gubernamentales,
que esta iniciativa sea replicada en las 32 parroquias restantes de los alrededores de la ciudad,
sin embargo, no se ha concretado nada todavía
Burrowing of urinary bladder wall by the tip of a size 22 Fr silicone foley catheter in an adult male patient with multiple sclerosis and suprapubic cystostomy: should caution be exercised in using a size 22 Fr silicone foley catheter for long-term drainage of neuropathic bladder?
Badra lebanese fast food and drinks
The following study is based on the project Gastrochallenge First Edition of the Universidad San Francisco de Quito that took part for the completion of the career. The menu is based on Lebanese food that transmitted the Lebanese culinary culture: During the study there is a chapter that corresponds to the menu by Javier Farraye and Valeria Crespo. The dishes were served in tasting portions and as well there is included a dessert.
The Lebanese menu was made with the purpose of publicizing those culinary traditions of an exotic country, showing rich products. In this case we chose the cuisine of Lebanon, which was prepared with traditional products and procedures of the country. The dishes were put on sale for the date of April 21 to May 7, 2014. Those dishes were; Tomato confit with sesame and honey, borek meat , cheese borek , vegetable dumpling , hummus, eggplant cream , falafel , chickpea dumpling , dumpling potatoes, saffron potatoes , Turkish pizza and tabulate . For dessert baklava was sold and equally natural fruit juices of various flavors were served.La siguiente tesis está basada en el proyecto Gastrochallenge Primera Edición de la Universidad San Francisco de Quito que formo parte para la culminación de la carrera. Durante la tesis se expone un capitulo que corresponde al menú realizado por Javier Farraye y Valeria Crespo: el menú es basado en comida libanesa, este consto de varios platos que transmitían la cultura gastronómica libanesa. Los platos fueron servidos en porciones degustación y de igual manera se contó con un postre.
El menú libanes se lo realizó con la finalidad de dar a conocer aquellas tradiciones culinarias de un país exótico, mostrando riqueza de productos. En este caso escogimos la cocina del Líbano, gastronomía que fue elaborada con productos y procedimientos propios del país. Los platos que se pusieron a la venta durante la fecha del 21 de abril a mayo 7 fueron; tomate confitado con ajonjolí y miel, borek de carne, borek de queso, empanadilla de vegetales, hummus, crema de berenjena, falafel, albóndiga de garbanzo, albóndiga de papa, patatas al azafrán, pizza turca y tabule. Como postre se vendió baklava y de igual manera se sirvieron jugos de frutas naturales de varios sabores
Impact of Holding Immunosuppressive Therapy in Patients with Inflammatory Bowel Disease Around mRNA COVID-19 Vaccine Administration on Humoral Immune Response and Development of COVID-19 Infection
BACKGROUND AND AIMS: The BNT162b2 and mRNA-1273 COVID-19 vaccines are efficacious in patients with inflammatory bowel disease; but there is a lack of data examining if holding immunosuppressive therapy around vaccination improves immune response. We studied the effect of holding IBD medications around the time of vaccination on antibody response and breakthrough COVID-19 infection.
METHODS: Partnership to Report Effectiveness of Vaccination in populations Excluded from iNitial Trials of COVID is a prospective cohort of individuals with IBD receiving COVID-19 vaccination. Quantitative measurement of anti-receptor binding domain IgG antibodies to SARS-CoV-2 was performed 8 weeks after completing a vaccination series.
RESULTS: A total of 1854 patients were included; 59% were on anti-tumour necrosis factor [TNF] [10% of these on combination therapy], 11% on vedolizumab, and 14% on ustekinumab; 11% of participants held therapy before or after vaccine administration for at least 2 weeks. Antibody levels were similar in participants continuing versus holding anti-TNF monotherapy before or after the second vaccine [BNT162b2: 10 μg/mL vs 8.9 μg/mL; mRNA-1273: 17.5 μg/mL vs 14.5 μg/mL]. Comparable results were seen in those on combination therapy. Antibody titres in those on ustekinumab or vedolizumab were higher compared with anti-TNF users, but there was no significant difference if the drug was held or continued [BNT162b2: 22.5 μg/mL vs 23 μg/mL; mRNA-1273: 88 μg/mL vs 51 μg/mL]. Holding therapy was not associated with decreased rate of COVID-19 infection compared with those not holding therapy [BNT162b2: 28% vs 29%; mRNA-1273: 19% vs 31%].
CONCLUSION: We recommend continuing IBD medications while receiving mRNA COVID-19 vaccination without interruption
Increased Risk of Pneumocystis Jiroveci Pneumonia Among Patients with Inflammatory Bowel Disease:
Patients with inflammatory bowel disease (IBD) may be at increased risk for pneumocystis jiroveci pneumonia (PCP). Our aims were 1) to determine the incidence and relative risk of PCP in IBD and 2) to describe medication exposures in IBD patients with PCP
IBD LIVE Case Series—Case 6: Persistent Skin Lesions in a Patient with Crohn's Disease: You Hear Hoof Beats and Discover a Zebra
LEARNING OBJECTIVES
After completing this IBD LIVE-CME activity, physicians
should be better able to:
1. Explain the side effects of medications used to treat IBD,
particularly anti-TNFs.
2. Recognize the various types of skin lesions that may occur
in IBD patients, focusing on those that arise among patients
on immunosuppressants.
3. Be cognizant of the presentation and treatment of pyoderma
gangrenosum in IBD patients.
4. Describe the various types of mycobacterial infections that
may occur among IBD patients, especially those that are on
anti-TNFs.
5. Describe the risk factors for developing a Mycobacterial
marinum infection and how it may present
dermatologically.
6. Explain how to diagnose and treat a Mycobacterial marinum infection
Immunization Rates and Vaccine Beliefs Among Patients with Inflammatory Bowel Disease: An Opportunity for Improvement
Immunosuppressive agents used to treat inflammatory bowel disease (IBD) can increase the risk for infections, several of which are preventable through vaccination. Our study aimed to describe vaccine utilization by immunosuppression status, examine reasons for vaccine refusal, and identify characteristics associated with lack of influenza vaccination in IBD patients
Knowledge, attitudes, and preventive practices about colorectal cancer among adults in an area of Southern Italy
<p>Abstract</p> <p>Background</p> <p>Colorectal cancer (CRC) is the second most commonly diagnosed cancer for both sexes in developed countries. This study assessed the knowledge, attitudes, and preventive practices regarding CRC of adults in Italy.</p> <p>Methods</p> <p>A random sample of 1165 adults received a self-administered questionnaire on socio-demographic characteristics; knowledge regarding definition, risk factors, and screening; attitudes regarding perceived risk of contracting CRC and utility of screening tests; health-related behaviors and health care use; source of information.</p> <p>Results</p> <p>Only 18.5% knew the two main modifiable risk factors (low physical activity, high caloric intake from fat) and this knowledge was significantly associated with higher educational level, performing physical activity, modification of dietary habits and physical activity for fear of contracting CRC, and lower risk perception of contracting CRC. Half of respondents identified fecal occult blood testing (FOBT) as main test for CRC prevention and were more knowledgeable those unmarried, more educated, who knew the main risk factors of CRC, and have received advice by physician of performing FOBT. Personal opinion that screening is useful for CRC prevention was high with a mean score of 8.3 and it was predicted by respondents' lower education, beliefs that CRC can be prevented, higher personal perceived risk of contracting CRC, and information received by physician about CRC. An appropriate behavior of performing FOBT if eligible or not performing if not eligible was significantly higher in female, younger, more educated, in those who have been recommended by physician for undergo or not undergo FOBT, and who have not personal history of precancerous lesions and familial history of precancerous lesions or CRC.</p> <p>Conclusion</p> <p>Linkages between health care and educational systems are needed to improve the levels of knowledge and to raise CRC screening adherence.</p
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