INTRODUCTION Utilization of Skilled Birth Attendants (SBAs) at birth is low (20%) in Bangladesh. Birth attendance by SBAs is considered as the "single most important factor in preventing maternal deaths". This paper examined the practices and determinants of delivery by SBAs in rural Bangladesh. METHODS The data come from the post-intervention survey of a cluster-randomized community controll...

OBJECTIVES To examine the association between self-reported eating rate and metabolic syndrome. DESIGN Cross-sectional study. SETTING Annual health checkup at a health check service centre in Japan. PARTICIPANTS A total of 56,865 participants (41,820 male and 15,045 female) who attended a health checkup in 2011 and reported no history of coronary heart disease or stroke. MAIN OUTCOME ME...

PURPOSE As a follow-up for the validity study of Community Health Surveys (CHSs), the purpose of this study was to evaluate the factors affecting the accuracy of CHSs by investigating subjects' characteristics. MATERIALS AND METHODS We used data from 11,217 participants (aged 19 years or older) who had participated in the CHS, conducted by a local government in 2008 and analyzed the variables...

isolated common hepatic artery branch thrombosis with severe gastric ischemia and duodenojejunal infarction is a rare condition; it usually presents with acute abdomen and may be associated with underlying thrombotic risk factors. we present a 35-year-old man admitted to our hospital with five days history of sudden abdominal pain and deteriorating epigastric pain. he was a driver and had no an...

Abstract We investigate the marginal value of information in context health signals that people receive after checkups. Although underlying status is similar for individuals just below and above a clinical threshold, treatments differ according to checkup they receive. For general population, whereas warnings about diabetes increase healthcare utilization, outcomes do not improve. However, amon...

We determined the prevalence of metabolic syndrome (MS) in Okinawa from cross-sectional results of an annual physical checkup. We also calculated the homeostasis model assessment ratio (HOMA-R) as an index of insulin resistance, and examined the relationship between HOMA-R and MS. We studied 3,839 men (mean age 49.2 years) and 3,146 women (mean age 50.0 years), a total of 6,985 people aged from...

Objective Dietary salt reduction is important for the prevention and treatment of lifestyle-related diseases, including hypertension. Thus, in order to follow a strict low-salt diet, it is necessary to assess one's salt intake and to become aware of the importance of salt reduction. Methods More than 2,000 employees of a company, who received a periodic health checkup, participated in the prese...

BACKGROUND The prevalence of chronic kidney disease (CKD) is increasing dramatically. The aim of the present study is to explore the prevalence of and the factors associated with CKD in subjects without notable chronic disease. METHODS In a cross-sectional study, we analyzed the annual health checkup data of 39,211 residents (11,636 males and 27,575 females) aged 40-74 years (58.6 ± 8.6 years...

BACKGROUND/AIMS The controlled attenuation parameter (CAP) implemented in FibroScan® is reported to be a noninvasive means of detecting steatosis (>10% steatosis). We aimed to evaluate the usefulness of CAP in detecting steatosis among health checkup examinees and to assess its correlation with ultrasonography (US). METHODS Consecutive CAP results were retrospectively collected. A total of 28...