Browsing by Subject "severity"
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Item Interexaminer Reliability of Somatic Palpatory Findings Associated with Chronic Low Back Pain(2002-05-01) Russo, David P.; Scott Stoll; John C. Licciardone; Russell GamberRusso, David P., Interexaminer Reliability of Somatic Palpatory Findings Associated with Chronic Low Back Pain. Master of Science, May 2002, 15 pp., 1 table, 1 figure, bibliography, 26 titles. Osteopathic physicians rely on specific clinical palpatory tests to diagnose somatic dysfunction of the neuromusculoskeletal system. The purpose of this study is to compare the interexaminer reliability of six common osteopathic clinical tests to severity ratings of somatic dysfunction in six body regions. Ten trained and clinically supervised predoctoral osteopathic manipulative medicine fellows collected palpatory data using the Standardized Outpatient Osteopathic Soap Note Form (SNF) and recorded findings for six pre-selected osteopathic clinical diagnostic tests as part of a randomized controlled trial of osteopathic manipulative treatment for chronic low back pain. Kappa coefficients were used to assess overall examiner agreement for the osteopathic clinical tests. Intraclass correlational coefficients (ICC) and Chronbach’s alpha were used to assess examiner agreement for the severity ratings. Kappa values for the six clinical tests ranged from 0 to 0.32. The single item ICC was 0.32, average item ICC was .74, and the coefficient alpha for internal consistency of the six body region scores was 0.80. These results indicate that diagnostic impressions of somatic dysfunction severity may be more reliable than outcomes from isolated osteopathic clinical tests.Item Moderation effects of serotype on dengue severity across pregnancy status in Mexico(BioMed Central Ltd., 2023-03-11) Annan, Esther; Nguyen, Uyen-Sa D. T.; Trevino, Jesus; Wan Yaacob, Wan F.; Mangla, Sherry; Pathak, Ashok K.; Nandy, Rajesh; Haque, UbydulBACKGROUND: Pregnancy increases a woman's risk of severe dengue. To the best of our knowledge, the moderation effect of the dengue serotype among pregnant women has not been studied in Mexico. This study explores how pregnancy interacted with the dengue serotype from 2012 to 2020 in Mexico. METHOD: Information from 2469 notifying health units in Mexican municipalities was used for this cross-sectional analysis. Multiple logistic regression with interaction effects was chosen as the final model and sensitivity analysis was done to assess potential exposure misclassification of pregnancy status. RESULTS: Pregnant women were found to have higher odds of severe dengue [1.50 (95% CI 1.41, 1.59)]. The odds of dengue severity varied for pregnant women with DENV-1 [1.45, (95% CI 1.21, 1.74)], DENV-2 [1.33, (95% CI 1.18, 1.53)] and DENV-4 [3.78, (95% CI 1.14, 12.59)]. While the odds of severe dengue were generally higher for pregnant women compared with non-pregnant women with DENV-1 and DENV-2, the odds of disease severity were much higher for those infected with the DENV-4 serotype. CONCLUSION: The effect of pregnancy on severe dengue is moderated by the dengue serotype. Future studies on genetic diversification may potentially elucidate this serotype-specific effect among pregnant women in Mexico.Item Predictors for the Severity of Asthma in the Hospital Setting. An Epidemiologic Study Based on Hospital Records from the Texas Health Care Information Council(2005-04-01) Marruffo, MarcoMarruffo, Marco, Predictors for the Severity of Asthma in the Hospital Setting. An Epidemiologic Study Based on Hospital Records from the Texas Health Care Information Council. Doctor of Public Health (Epidemiology), May 2005, 118 pp., 40 tables, 3 figures, bibliography, 62 titles. The purpose of this research was to identify and assess prognostic factors for severity and risk of death among 27,383 hospitalized asthma patients in the state of Texas during 2002, by using the public available Texas Hospital Inpatient data, collected by The Texas Health Care Information Council (TCHIC)(TCHIC, 2002). Data was analyzed by means of multinomial logistic regression using minor risk as the reference group. Among other results severe asthma cases were 20% more likely to be females, 20% more probability to have HIV/AIDS, 5.5 times more chance to be obese, 4.2 times more likely to have esophageal reflux, 1.7 times more likely to be hypertensive, and 11.8 times more likely to have diabetes as compared to those without severe asthma (p [less than] 0.001). Obese were 2.8, diabetics 3.3, those with urinary tract infection 2.3, those with fever 3.1 and those with congestive heart failure 7.5 times more likely to have major risk of death due to asthma (p [less than] 0.001). The results of this study can be used to identify high risk groups to plan and applied control measures for tertiary prevention of severity and death due to asthma.