Do Stressed Women Have Abnormal Glucose Level?

Stress is a physical, mental and emotional response to a challenging event and is a normal part of everyone\u27s life. It has been linked to suppression of the immune system and could increase the risk of getting ill or alter the course of existing illness. Studies show that stress is associated with increased HBA1c, especially in females. Therefore the purpose of this study was to determine the prevalence of stress with abnormal glucose value among the women community. A cross-sectional study was conducted among 168 residents of Mukim Sg. Pelek, Sepang, Selangor. Participants were selected through a simple random sampling and were asked to answer questionnaires provided. The Depression, Stress and Anxiety (DASS-21) scale was used to determine the prevalence of stress and random blood sugar (RBS) for measurement of the glucose level. Data was analyzed using Statistical Package Social Sciences (SPSS) version 20 and Chi-square analyses for determining the association between variables. The study found that 58.3% of the stressed women in the community have abnormal blood glucose level, which indicated that the risk of getting diabetes is slightly high. This finding has important implication for designing strategic plans for intervention program on awareness towards coping with stress positively

Do Stressed Women have Abnormal Glucose Level?

Stress is a physical, mental and emotional response to a challenging event and is a normal part of everyone's life.  It has been linked to suppression of the immune system and could increase the risk of getting ill or alter the course of existing illness.  Studies show that stress is associated with increased HBA1c, especially in females.  Therefore the purpose of this study was to determine the prevalence of stress with abnormal glucose value among the women community.  A cross-sectional study was conducted among 168 residents of Mukim Sg. Pelek, Sepang, Selangor.  Participants were selected through a simple random sampling and were asked to answer questionnaires provided.  The Depression, Stress and Anxiety (DASS-21) scale was used to determine the prevalence of stress and random blood sugar (RBS) for measurement of the glucose level.  Data was analyzed using Statistical Package Social Sciences (SPSS) version 20 and Chi-square analyses for determining the association between variables.  The study found that 58.3% of the stressed women in the community have abnormal blood glucose level, which indicated that the risk of getting diabetes is slightly high.  This finding has important implication for designing strategic plans for intervention program on awareness towards coping with stress positively

Barriers to a healthy lifestyle among patients attending primary care clinics at a university hospital in Riyadh

<b>Background And Objectives: </b> The occurrence and progress of chronic non-communicable diseases (NCDs) is associated with unhealthy lifestyles and behaviors. Modification of barriers to healthy lifestyle can produce great benefits. The objective of this study was to identify barriers to physical activity and healthy eating among patients attending primary health care clinics in Riyadh city. <b> Patients and Methods: </b> A cross-sectional study was conducted at King Khalid University Hospital (KKUH) in Riyadh city. Four hundred and fifty participants attending primary health care clinics (PHCC) from 1 March to 30 April 2007 were randomly selected. A questionnaire about barriers to physical activity and healthy eating was adapted from the CDC web site. <b> Results: </b> The prevalence of physical inactivity among the Saudi population in the study was 82.4&#x0025; (371/450). Females were more physically inactive (87.6&#x0025;, 268/306) compared to males (71.5&#x0025;, 103/144) (P&#60; .001). The most common barrier to physical activity was lack of resources (80.5&#x0025;, 326/405), which was significantly higher among females than males and among the lower income versus the higher income group. The most common barrier to healthy diet was lack of willpower. More than four-fifths (80.3&#x0025;, 354/441) of the study group stated that they did not have enough will to stick to a diet. <b> Conclusion: </b> Lack of resources was the most important barrier for physical activity, while lack of willpower and social support were both barriers for adherence to physical activity and a healthy diet

Neonatal sepsis: a systematic review of core outcomes from randomised clinical trials

Abstract Background The lack of a consensus definition of neonatal sepsis and a core outcome set (COS) proves a substantial impediment to research that influences policy and practice relevant to key stakeholders, patients and parents. Methods A systematic review of the literature was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. In the included studies, the described outcomes were extracted in accordance with the provisions of the Core Outcome Measures in Effectiveness Trials (COMET) handbook and registered. Results Among 884 abstracts identified, 90 randomised controlled trials (RCTs) were included in this review. Only 30 manuscripts explicitly stated the primary and/or secondary outcomes. A total of 88 distinct outcomes were recorded across all 90 studies included. These were then assigned to seven different domains in line with the taxonomy for classification proposed by the COMET initiative. The most frequently reported outcome was survival with 74% (n = 67) of the studies reporting an outcome within this domain. Conclusions This systematic review constitutes one of the initial phases in the protocol for developing a COS in neonatal sepsis. The paucity of standardised outcome reporting in neonatal sepsis hinders comparison and synthesis of data. The final phase will involve a Delphi Survey to generate a COS in neonatal sepsis by consensus recommendation. Impact This systematic review identified a wide variation of outcomes reported among published RCTs on the management of neonatal sepsis. The paucity of standardised outcome reporting hinders comparison and synthesis of data and future meta-analyses with conclusive recommendations on the management of neonatal sepsis are unlikely. The final phase will involve a Delphi Survey to determine a COS by consensus recommendation with input from all relevant stakeholders. </jats:sec