Cross-Modality Diagnostic Agreement in Canine Medial Coronoid Disease in a Screening Population: Radiographs vs. CT in 424 Elbow Joints

Diagnostic imaging is a crucial non-invasive tool for evaluating canine elbow joints, particularly for screening and treatment planning of medial coronoid disease (MCD). Radiography remains the most accessible and widely used screening modality, but its diagnostic accuracy varies significantly. Sensitivity values reported in previous studies vary depending on factors such as study population, imaging technique, and interpretation criteria. This study compared four measures (sensitivity, specificity, positive and negative predictive value) of radiography with a more advanced imaging method, computed tomography (CT), which provides more detailed images of bones. The results showed that radiography correctly identified 65% of the cases (17/26), while missing some of the affected joints. Furthermore, 7% of the healthy joints (29/398) were misdiagnosed as diseased, leading to a specificity of 93% (369/398). For a disease prevalence of 6% (26/424), the positive and negative predictive value of radiography were 37% (17/46) and 98% (369/378), respectively. Overall, when CT is available, it is the preferred technique for screening. In cases where it is not available, it is important to have an idea of the sensitivity and specificity, but also of the positive and negative predictive value, especially at low prevalences. These results help veterinarians make better decisions when screening for elbow problems in dogs

Diabetes care quality according to facility setting: A cross-sectional analysis in six Peruvian regions

Objective: To characterize diabetes care across healthcare facilities in six Peruvian regions. Methods: Cross-sectional study of patients with type 2 diabetes mellitus (T2DM), ranging from primary care facilities to hospital-based facilities, in six Peruvian regions. Data was collected by health staff trained between 2012 and 2016. We studied six diabetes care outcomes and four adequate diabetes care outcomes considering the healthcare facility as the exposure of interest. We estimated prevalence ratios (PR) and their 95% confidence intervals (95% CI) using Poisson regression with robust variance. Results: Data from 8879 patients with T2DM, mean age 59.1 years (SD ± 12.2), 53.6% males, was analyzed. Of these, 8096 (91.2%) were treated at primary care facilities. The proportions of patients who had HbA1c, LDL-c, and creatinine/microalbumin test performed increased with the setting of the healthcare facility. Overall, 39%–56% of patients had an adequate HbA1c control, being higher in hospital-based facilities with specialists in comparison to primary care facilities. Conclusions: We observed that the higher the setting of the facility, the higher the rate of the assessed diabetes care outcomes and adequate diabetes care for four of the six targets (fasting glucose, HbA1c, LDL-c and creatinine or microalbumin) and for three of the four targets (glucose≤130 mg/dL, HbA1c ≤7%(53 mmol/mol) and LDL-c <100 mg/dL), respectively. Substantial gaps were observed at the primary care facilities, calling for the strengthening of diabetes care. © 2020 Primary Care Diabetes Europ

The Beauty of the Seoul: Determinants of Korean Cosmetic Usage Among Young Filipina University Students

The global ascendancy of Korean cosmetic products, propelled by the Korean Wave phenomenon, has fundamentally reshaped beauty standards and consumer behaviors worldwide. This study aimed to determine the factors influencing the use of Korean cosmetics among female university students in the Philippines, focusing on perceived authenticity, aesthetic appeal, and facial perception. A structured questionnaire was administered to 175 respondents from a private university in Metro Manila. Data were analyzed using descriptive and inferential statistics, including Spearman's rank correlation coefficient and regression analysis. Results indicated a statistically significant positive correlation between the perceived aesthetic appeal of packaging (β = .211, p &lt; .006) and the usage of Korean cosmetics. Regression analysis confirmed that perceived aesthetic appeal was a determinant of product usage (R2 = 0.176, P ≤ 0.05). Facial attractiveness (β = .107, p = .165) were found to be statistically significantly correlated with usage, however, found to be not statistically significant determinant. Perceived authenticity (β = .005, p = .950) showed no correlation with product usage and not a determinant as well. These findings underscore the importance of visual aesthetics in consumer behavior among young Filipino consumers, providing strategic insights for brands in the competitive beauty market of the Philippines

Falta de respeto y abuso durante el parto en catorce hospitales en nueve ciudades del Perú

evaluar la prevalencia de falta de respeto y abuso durante el parto y sus factores asociados en Perú. Métodos: En un estudio transversal de observación, las mujeres fueron encuestadas dentro de las 48 horas posteriores al parto en vivo en 14 hospitales ubicados en nueve ciudades peruanas entre abril y julio de 2016. La encuesta se basó en siete categorías de falta de respeto y abuso propuestas por Bowser y Hill. Para evaluar los factores asociados con cada categoría, los índices de prevalencia (PR) y los intervalos de confianza (IC) del 95% se calcularon utilizando modelos de Poisson ajustados con variaciones sólidas. Resultados: Entre 1528 participantes, 1488 (97.4%) experimentaron al menos una categoría de falta de respeto y abuso. La frecuencia de abandono de la atención aumentó con el parto por cesárea (RP 1.27, IC 95% 1.03–1.57), pero disminuyó en la región de la selva (PR 0.27, 0.14–0.53). La discriminación se asoció con la región de la selva (PR 5.67, 2.32–13.88). El abuso físico fue menos frecuente con cesárea que con el parto vaginal (RP 0.23, 0.11–0.49). Las prevalencias de abandono de la atención (PR 0.42, 0.29–0.60), atención no consentida (PR 0.70, 0.57–0.85), discriminación (PR 0.40, 0.19–0.85) y atención no confidencial (PR 0.71, 0.55–0.93 ) disminuyeron entre las mujeres que habían sido derivadas. Conclusión: Casi todos los participantes informaron haber experimentado al menos una categoría de falta de respeto y abuso durante la atención del parto, que se asoció con el tipo de parto, la derivación y la región geográfica. © 2017 Federación Internacional de Ginecología y Obstetricia Las prevalencias de abandono de la atención (PR 0.42, 0.29–0.60), atención no consentida (PR 0.70, 0.57–0.85), discriminación (PR 0.40, 0.19–0.85) y atención no confidencial (PR 0.71, 0.55–0.93 ) disminuyeron entre las mujeres que habían sido derivadas

Polis Maker per la qualità del vivere e lo sviluppo urbano sostenibile. Esperienze in ottica di interdisciplinarità

In occasione del diciottesimo anno dalla fondazione del Master “Il Polis Maker per la qualità del vivere e lo sviluppo urbano sostenibile”, promosso dal Politecnico di Milano, nel libro vengono raccolte esperienze di ricerca e professionali di docenti ed ex allievi del master vissute attraverso il ricorso a un approccio interdisciplinare nell’ambito dei processi di trasformazione urbana. Lo scopo è quello di favorire un confronto tra diversi casi di prevalente natura applicativa per quanto riguarda l’approccio olistico del Polis Maker alla valutazione delle scelte nell’ambito della progettazione e gestione di insediamenti urbani intelligenti e sostenibili, di particolare interesse nell’attuale momento emergenziale dovuto alla presenza del Coronavirus. Il termine Polis Maker nasce sulla fine degli anni ’90 da una lunga maturazione di un pensiero olistico rivolto alla lettura dei processi di trasformazione urbana, che ha poi caratterizzato il profilo del master. Lo si deve tale termine in particolare a un gruppo di riflessione costituito da amici animati da un comune sentire, partecipato da uno psichiatra, da un teologo, da un economista delle costruzioni, da un interior designer, da un urbanista, da un giurista, da un esperto di comunicazione e da un project manager. Il testo segue e integra, all’interno dello stesso progetto editoriale, il precedente volume “Polis Maker per la qualità del vivere e lo sviluppo urbano sostenibile. Contributi metodologici in ottica di interdisciplinarità”, che approfondisce prevalentemente gli aspetti metodologici con cui le diverse discipline concorrono a una visione olistica dei processi di trasformazione urbana