近日,《柳叶刀》发布了全球195个国家和地区在1990-2016年间医疗可及性和质量的变迁情况和最新排行榜。研究人员综合分析了这些国家的＂医疗可及性和质量（Healthcare Access and Quality,HAQ）＂指数,及HAQ指数与各国社会人口发展指数...近日,《柳叶刀》发布了全球195个国家和地区在1990-2016年间医疗可及性和质量的变迁情况和最新排行榜。研究人员综合分析了这些国家的＂医疗可及性和质量（Healthcare Access and Quality,HAQ）＂指数,及HAQ指数与各国社会人口发展指数（SDI）的相关性。从2000年至2016年间,全世界总体HAQ指数有所改善,部分原因是撒哈拉以南非洲和东南亚的许多中低收入国家,医疗可及性和质量进步较大。展开更多
Objective: 1) To analyze the prevalence of Work Disability (WD) in RA Argentinian patients who are attending at the National Rehabilitation Service (NRS);2) To measure general, socioeconomics and disease characteristi...Objective: 1) To analyze the prevalence of Work Disability (WD) in RA Argentinian patients who are attending at the National Rehabilitation Service (NRS);2) To measure general, socioeconomics and disease characteristics in this population;3) To characterize the associated factors of work disability in this group. Methods: Design: cross section observational study. RA patients attending the NRS were included in consecutive form. Clinical, demographic and ra-diological data were collected. All patients answered about their employment status. WD was defined if the work status was unemployed due to RA, retirement prior to the normal age, or disabled pension. Comparing analysis among pa-tients with and without paid work was done. Housewives, retired patients and students were excluded from the compar-ing analysis. Results: Three hundred and eleven patients were included (n = 311). The prevalence of WD was 44.05% (n = 137). During the study eighty 5 (27.3%) patients were in paid employment, 48 (15.3%) were retired, 39 (12.5%) were housewives, and 2 (0.6%) patients were students. Factor associated to WD were female sex, more than 5 years of disease duration, have health insurance, education beyond high school, and greater functional limitation : HAQ > 1 and function class 3 - 4. In the multivariable logistic regression model female sex was a significant and independent predictor of WD. Have health insurance;and more than high school education were protector factors of WD in this model. Conclusion: WD prevalence in this sample was higher than other countries. Socioeconomics factors more than diseases factors were significant predictors of productivity loss in this sample.展开更多
Background:Soft tissue rheumatism arises from the pathology of periarticular structures.They are marked by pain and disability.Epidemiological studies in sub‐Saharan Africa are sparse.This study aimed to determine th...Background:Soft tissue rheumatism arises from the pathology of periarticular structures.They are marked by pain and disability.Epidemiological studies in sub‐Saharan Africa are sparse.This study aimed to determine the epidemiology of soft‐tissue rheumatism in a rural community in South‐South Nigeria.Methods:This was a community‐based,cross‐sectional study conducted from February to July 2017 in South‐South Nigeria among 319 participants using the Community Oriented Program for the Control of Rheumatic Diseases(COPCORD)methodology.Participants aged 18 years and older were included in the study.Subjects reporting positive musculoskeletal pain were examined for specific soft tissue rheumatism.The diagnosis was based on established criteria.Results:The mean age of the study population was 48.87±19.58 years.The prevalence of soft‐tissue rheumatism was 11.0%(35/319).Soft tissue rheumatism was more prevalent in females(24,68.6%)than in males(11,31.4%).The most common form of soft‐tissue rheumatism diagnosed was adhesive capsulitis(20.0%),closely followed by rotator cuff tendinitis(14.3%),carpal tunnel syndrome(14.3%),and plantar fasciitis(14.3%).Age(p=0.06),body mass index(p=0.034),and dyslipidemia(p=0.028)were significantly associated with the prevalence of soft‐tissue rheumatism.A significant disability index(HAQ‐DI≥1)was recorded in 40.0%of participants with soft tissue rheumatism.Twelve(34.3%)participants with soft‐tissue rheumatism attributed the disorder to their work,and 74.3%used hospital‐prescribed medications for treatment.Conclusion:Soft‐tissue rheumatism is associated with a significant disability affecting activities of daily living.Factors associated with its prevalence include increasing age and obesity.展开更多
文摘近日,《柳叶刀》发布了全球195个国家和地区在1990-2016年间医疗可及性和质量的变迁情况和最新排行榜。研究人员综合分析了这些国家的＂医疗可及性和质量（Healthcare Access and Quality,HAQ）＂指数,及HAQ指数与各国社会人口发展指数（SDI）的相关性。从2000年至2016年间,全世界总体HAQ指数有所改善,部分原因是撒哈拉以南非洲和东南亚的许多中低收入国家,医疗可及性和质量进步较大。
文摘Objective: 1) To analyze the prevalence of Work Disability (WD) in RA Argentinian patients who are attending at the National Rehabilitation Service (NRS);2) To measure general, socioeconomics and disease characteristics in this population;3) To characterize the associated factors of work disability in this group. Methods: Design: cross section observational study. RA patients attending the NRS were included in consecutive form. Clinical, demographic and ra-diological data were collected. All patients answered about their employment status. WD was defined if the work status was unemployed due to RA, retirement prior to the normal age, or disabled pension. Comparing analysis among pa-tients with and without paid work was done. Housewives, retired patients and students were excluded from the compar-ing analysis. Results: Three hundred and eleven patients were included (n = 311). The prevalence of WD was 44.05% (n = 137). During the study eighty 5 (27.3%) patients were in paid employment, 48 (15.3%) were retired, 39 (12.5%) were housewives, and 2 (0.6%) patients were students. Factor associated to WD were female sex, more than 5 years of disease duration, have health insurance, education beyond high school, and greater functional limitation : HAQ > 1 and function class 3 - 4. In the multivariable logistic regression model female sex was a significant and independent predictor of WD. Have health insurance;and more than high school education were protector factors of WD in this model. Conclusion: WD prevalence in this sample was higher than other countries. Socioeconomics factors more than diseases factors were significant predictors of productivity loss in this sample.
文摘Background:Soft tissue rheumatism arises from the pathology of periarticular structures.They are marked by pain and disability.Epidemiological studies in sub‐Saharan Africa are sparse.This study aimed to determine the epidemiology of soft‐tissue rheumatism in a rural community in South‐South Nigeria.Methods:This was a community‐based,cross‐sectional study conducted from February to July 2017 in South‐South Nigeria among 319 participants using the Community Oriented Program for the Control of Rheumatic Diseases(COPCORD)methodology.Participants aged 18 years and older were included in the study.Subjects reporting positive musculoskeletal pain were examined for specific soft tissue rheumatism.The diagnosis was based on established criteria.Results:The mean age of the study population was 48.87±19.58 years.The prevalence of soft‐tissue rheumatism was 11.0%(35/319).Soft tissue rheumatism was more prevalent in females(24,68.6%)than in males(11,31.4%).The most common form of soft‐tissue rheumatism diagnosed was adhesive capsulitis(20.0%),closely followed by rotator cuff tendinitis(14.3%),carpal tunnel syndrome(14.3%),and plantar fasciitis(14.3%).Age(p=0.06),body mass index(p=0.034),and dyslipidemia(p=0.028)were significantly associated with the prevalence of soft‐tissue rheumatism.A significant disability index(HAQ‐DI≥1)was recorded in 40.0%of participants with soft tissue rheumatism.Twelve(34.3%)participants with soft‐tissue rheumatism attributed the disorder to their work,and 74.3%used hospital‐prescribed medications for treatment.Conclusion:Soft‐tissue rheumatism is associated with a significant disability affecting activities of daily living.Factors associated with its prevalence include increasing age and obesity.
