AIM： To investigate the prevalence and risk factors of gastroesophageal reflux disease （GERD） symptoms in Qashqai migrating nomads with a different life style in Fars province, southern Iran. METHODS： In summer 20...AIM： To investigate the prevalence and risk factors of gastroesophageal reflux disease （GERD） symptoms in Qashqai migrating nomads with a different life style in Fars province, southern Iran. METHODS： In summer 2006, 748 Qashqai migrating nomads aged 25 years or more were enrolled using a multiple-stage stratified cluster random sampling method. A questionnaire consisting of demographic characteristics, lifestyle and GERD symptoms （heartburn, regurgitation, chest pain, dysphagia, hoarseness and cough） as completed for each subject. RESULTS： The questionnaire was completed in 717 subjects. The prevalence rate of GERD, defined as reflux occurring at least one time per week in the preceding year, was 33% （237 subjects）. The prevalence was higher in older individuals （36.0% vs 28.9%, P 〈 0.05） and in those with other gastrointestinal complaints （51.0% vs 27.8%, P 〈 0.001）, but not different in obese and non-obese subjects. It was also higher in those consuming fruits and vegetables more than once a week （36.2% vs 17.3%, P 〈 0.001）. GERD had a positive correlation with smoking （42.1% vs 27.8%, P 〈 0.001）, but a negative relation with non-alcoholic beverages. The association between GERD and non-steroidal antiinflammatory drugs （NSAIDs） consumption was also significant （40.2% vs 25.4%, P 〈 0.001）. CONCLUSION： The prevalence of GERD （33%） is very high in Qashqai migrating nomads which may be due to a lower socioeconomic and educational level of these people and difference in the life style. Older age, frequent consumption of fruits and vegetables, smoking and NSAIDs are risk factors for GERD in this population.展开更多
The Roma represents one of the major ethnolinguistic minorities in Serbia. According to the last census, 108,193 Roma citizens live in the Republic of Serbia, and they represent 1.44% of the total population. Because ...The Roma represents one of the major ethnolinguistic minorities in Serbia. According to the last census, 108,193 Roma citizens live in the Republic of Serbia, and they represent 1.44% of the total population. Because of the frequent migrations and unreported places of residence, it may be considered that this data do not demonstrate the real situation. According to the unofficial data of the Ministry for Human and Minority Rights, it is considered that there are between 400 to 500 thousand Roma citizens in Serbia. Due to a number of economic and social reasons less than 40% of Roma children become part of the overall formal education system. Even though many Non-Governmental Organization （NGO） programs try to include Roma children into educational system, segregation and discrimination are still present. The causes tbr exclusion of the Roma children from the Serbian educational system are numerous： poor economic situation of Roma families, complicated bureaucracy, and low level of competence in language of education, etc.. This paper examines the main reasons for exclusion of the Roma children from the Serbian educational system, and offers some ideas for programs that could change the present situation and help Roma children integrate in educational system and society.展开更多
基金Supported by Office of Vice Chancellor for Research, Shiraz University of Medical Sciences, Shiraz, Iran
文摘AIM： To investigate the prevalence and risk factors of gastroesophageal reflux disease （GERD） symptoms in Qashqai migrating nomads with a different life style in Fars province, southern Iran. METHODS： In summer 2006, 748 Qashqai migrating nomads aged 25 years or more were enrolled using a multiple-stage stratified cluster random sampling method. A questionnaire consisting of demographic characteristics, lifestyle and GERD symptoms （heartburn, regurgitation, chest pain, dysphagia, hoarseness and cough） as completed for each subject. RESULTS： The questionnaire was completed in 717 subjects. The prevalence rate of GERD, defined as reflux occurring at least one time per week in the preceding year, was 33% （237 subjects）. The prevalence was higher in older individuals （36.0% vs 28.9%, P 〈 0.05） and in those with other gastrointestinal complaints （51.0% vs 27.8%, P 〈 0.001）, but not different in obese and non-obese subjects. It was also higher in those consuming fruits and vegetables more than once a week （36.2% vs 17.3%, P 〈 0.001）. GERD had a positive correlation with smoking （42.1% vs 27.8%, P 〈 0.001）, but a negative relation with non-alcoholic beverages. The association between GERD and non-steroidal antiinflammatory drugs （NSAIDs） consumption was also significant （40.2% vs 25.4%, P 〈 0.001）. CONCLUSION： The prevalence of GERD （33%） is very high in Qashqai migrating nomads which may be due to a lower socioeconomic and educational level of these people and difference in the life style. Older age, frequent consumption of fruits and vegetables, smoking and NSAIDs are risk factors for GERD in this population.
文摘The Roma represents one of the major ethnolinguistic minorities in Serbia. According to the last census, 108,193 Roma citizens live in the Republic of Serbia, and they represent 1.44% of the total population. Because of the frequent migrations and unreported places of residence, it may be considered that this data do not demonstrate the real situation. According to the unofficial data of the Ministry for Human and Minority Rights, it is considered that there are between 400 to 500 thousand Roma citizens in Serbia. Due to a number of economic and social reasons less than 40% of Roma children become part of the overall formal education system. Even though many Non-Governmental Organization （NGO） programs try to include Roma children into educational system, segregation and discrimination are still present. The causes tbr exclusion of the Roma children from the Serbian educational system are numerous： poor economic situation of Roma families, complicated bureaucracy, and low level of competence in language of education, etc.. This paper examines the main reasons for exclusion of the Roma children from the Serbian educational system, and offers some ideas for programs that could change the present situation and help Roma children integrate in educational system and society.
