15 research outputs found
Intelligent Travelling System
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Understanding psychological distress among mothers in rural Nepal: a qualitative grounded theory exploration
Rehabilitation of complicated crown-root fracture by invisible approach
Dental trauma is one of the most common and significant problems met in all dental offices almost every day. In particular, injury to the anterior teeth is more vulnerable as it may affect the psychosocial behavior, severe emotional complications can occur leading to disturbances in their mental attitude. Cosmetic (lingual) orthodontics is the recent development in the field of dentistry in the last few decades. Patients are more concerned about their appearance during the treatment and are affected by psychosocial issues because of labially placed brackets, thus leading to the evolution of lingual orthodontic appliances. In this article, we are sharing our clinical experience treating a complicated crown-root fracture using the lingual orthodontic technique
Measurement of natural radioactivity in river sediments of Thamirabarani, Tamilnadu, India using gamma ray spectroscopic technique
Functional, composite polythioether nanoparticles via thiolâalkyne photopolymerization in miniemulsion
Factors associated with successful dietary changes in an energy-reduced Mediterranean diet intervention: a longitudinal analysis in the PREDIMED-Plus trial.
Long-term nutrition trials may fail to respond to their original hypotheses if participants do not comply with the intended dietary intervention. We aimed to identify baseline factors associated with successful dietary changes towards an energy-reduced Mediterranean diet (MedDiet) in the PREDIMED-Plus randomized trial. Longitudinal analysis of 2985 participants (Spanish overweight/obese older adults with metabolic syndrome) randomized to the active intervention arm of the PREDIMED-Plus trial. Dietary changes were assessed with a 17-item energy-reduced MedDiet questionnaire after 6 and 12Â months of follow-up. Successful compliance was defined as dietary changes from baseline ofââ„â5 points for participants with baseline scoresâ Consistent factors independently associated with successful dietary change at both 6 and 12Â months were high baseline perceived self-efficacy in modifying diet (OR6-month: 1.51, 95% CI 1.25-1.83; OR12-month: 1.66, 95% CI 1.37-2.01), higher baseline fiber intake (OR6-month: 1.62, 95% CI 1.07-2.46; OR12-month: 1.62, 95% CI 1.07-2.45), havingâ>â3 chronic conditions (OR6-month: 0.65, 95% CI 0.53-0.79; OR12-month: 0.76, 95% CI 0.62-0.93), and suffering depression (OR6-month: 0.80, 95% CI 0.64-0.99; OR12-month: 0.71, 95% CI 0.57-0.88). Our results suggested that recruitment of individuals with high perceived self-efficacy to dietary change, and those who initially follow diets relatively richer in fiber may lead to greater changes in nutritional recommendations. Participants with multiple chronic conditions, specifically depression, should receive specific tailored interventions. ISRCTN registry 89898870, 24th July 2014 retrospectively registered http://www.isrctn.com/ISRCTN89898870
Factors associated with successful dietary changes in an energy-reduced Mediterranean diet intervention: a longitudinal analysis in the PREDIMED-plus trial
Purpose Long-term nutrition trials may fail to respond to their original hypotheses if participants do not comply with the
intended dietary intervention. We aimed to identify baseline factors associated with successful dietary changes towards an energy-reduced Mediterranean diet (MedDiet) in the PREDIMED-Plus randomized trial.
Methods Longitudinal analysis of 2985 participants (Spanish overweight/obese older adults with metabolic syndrome) randomized to the active intervention arm of the PREDIMED-Plus trial. Dietary changes were assessed with a 17-item energyreduced MedDiet questionnaire after 6 and 12 months of follow-up. Successful compliance was defned as dietary changes from baseline ofâ„5 points for participants with baseline scores<13 points or any increase if baseline score wasâ„13 points. We conducted crude and adjusted multivariable logistic regression models to identify baseline factors related to compliance.
Results Consistent factors independently associated with successful dietary change at both 6 and 12 months were high baseline perceived self-efcacy in modifying diet (OR6-month: 1.51, 95% CI 1.25â1.83; OR12-month: 1.66, 95% CI 1.37â2.01), higher baseline fber intake (OR6-month: 1.62, 95% CI 1.07â2.46; OR12-month: 1.62, 95% CI 1.07â2.45), having>3 chronic conditions (OR6-month: 0.65, 95% CI 0.53â0.79; OR12-month: 0.76, 95% CI 0.62â0.93), and sufering depression (OR6-month: 0.80, 95% CI 0.64â0.99; OR12-month: 0.71, 95% CI 0.57â0.88).
Conclusion Our results suggested that recruitment of individuals with high perceived self-efcacy to dietary change, and those who initially follow diets relatively richer in fber may lead to greater changes in nutritional recommendations. Participants with multiple chronic conditions, specifcally depression, should receive specifc tailored interventions
Factors associated with successful dietary changes in an energy-reduced Mediterranean diet intervention: a longitudinal analysis in the PREDIMED-plus trial
Purpose Long-term nutrition trials may fail to respond to their original hypotheses if participants do not comply with the
intended dietary intervention. We aimed to identify baseline factors associated with successful dietary changes towards an energy-reduced Mediterranean diet (MedDiet) in the PREDIMED-Plus randomized trial.
Methods Longitudinal analysis of 2985 participants (Spanish overweight/obese older adults with metabolic syndrome) randomized to the active intervention arm of the PREDIMED-Plus trial. Dietary changes were assessed with a 17-item energyreduced MedDiet questionnaire after 6 and 12 months of follow-up. Successful compliance was defned as dietary changes from baseline ofâ„5 points for participants with baseline scores<13 points or any increase if baseline score wasâ„13 points. We conducted crude and adjusted multivariable logistic regression models to identify baseline factors related to compliance.
Results Consistent factors independently associated with successful dietary change at both 6 and 12 months were high baseline perceived self-efcacy in modifying diet (OR6-month: 1.51, 95% CI 1.25â1.83; OR12-month: 1.66, 95% CI 1.37â2.01), higher baseline fber intake (OR6-month: 1.62, 95% CI 1.07â2.46; OR12-month: 1.62, 95% CI 1.07â2.45), having>3 chronic conditions (OR6-month: 0.65, 95% CI 0.53â0.79; OR12-month: 0.76, 95% CI 0.62â0.93), and sufering depression (OR6-month: 0.80, 95% CI 0.64â0.99; OR12-month: 0.71, 95% CI 0.57â0.88).
Conclusion Our results suggested that recruitment of individuals with high perceived self-efcacy to dietary change, and those who initially follow diets relatively richer in fber may lead to greater changes in nutritional recommendations. Participants with multiple chronic conditions, specifcally depression, should receive specifc tailored interventions
Paediatric COVID-19 mortality: a database analysis of the impact of health resource disparity
Background The impact of the COVID-19 pandemic on paediatric populations varied between high-income countries (HICs) versus low-income to middle-income countries (LMICs). We sought to investigate differences in paediatric clinical outcomes and identify factors contributing to disparity between countries.Methods The International Severe Acute Respiratory and Emerging Infections Consortium (ISARIC) COVID-19 database was queried to include children under 19 years of age admitted to hospital from January 2020 to April 2021 with suspected or confirmed COVID-19 diagnosis. Univariate and multivariable analysis of contributing factors for mortality were assessed by country group (HICs vs LMICs) as defined by the World Bank criteria.Results A total of 12â860 children (3819 from 21 HICs and 9041 from 15 LMICs) participated in this study. Of these, 8961 were laboratory-confirmed and 3899 suspected COVID-19 cases. About 52% of LMICs children were black, and more than 40% were infants and adolescent. Overall in-hospital mortality rate (95% CI) was 3.3% [=(3.0% to 3.6%), higher in LMICs than HICs (4.0% (3.6% to 4.4%) and 1.7% (1.3% to 2.1%), respectively). There were significant differences between country income groups in intervention profile, with higher use of antibiotics, antivirals, corticosteroids, prone positioning, high flow nasal cannula, non-invasive and invasive mechanical ventilation in HICs. Out of the 439 mechanically ventilated children, mortality occurred in 106 (24.1%) subjects, which was higher in LMICs than HICs (89 (43.6%) vs 17 (7.2%) respectively). Pre-existing infectious comorbidities (tuberculosis and HIV) and some complications (bacterial pneumonia, acute respiratory distress syndrome and myocarditis) were significantly higher in LMICs compared with HICs. On multivariable analysis, LMIC as country income group was associated with increased risk of mortality (adjusted HR 4.73 (3.16 to 7.10)).Conclusion Mortality and morbidities were higher in LMICs than HICs, and it may be attributable to differences in patient demographics, complications and access to supportive and treatment modalities