scholarly journals Exploring the factors influencing adherence to oral anticancer drugs in patients with digestive cancer: a qualitative study

2021 ◽  
Author(s):  
Pierre Nizet ◽  
Yann Touchefeu ◽  
Solange Pecout ◽  
Estelle Cauchin ◽  
Eva Beaudouin ◽  
...  
Keyword(s):  
Anticancer Drugs ◽  
Gastrointestinal Stromal Tumour ◽  
Digestive Cancer ◽  
Health History ◽  
Factors Influencing ◽  
Negative Beliefs ◽  
The Family ◽  
Interview Guide ◽  
Pancreatic Tumour ◽  
Improve Patient

Abstract Purpose The aim of this study was to explore the beliefs, perceptions and representations of patients in order to identify the determinants of oral anticancer drugs adherence and to take action in current practice to improve patient support in digestive oncology. Methods We constructed a semi-directed interview guide which aimed to explore the patient’s relationship with medication, their health history, their experiences at the time of the announcement of treatment, their confidence, their fears, their motivations to adhere to their treatment and the constraints linked to their treatment. The data were analysed and discussed using a thematic approach. Results Seventeen patients agreed to participate in the study. The median age was 60 years. Ten patients had colorectal cancer, 3 patients had hepatocellular carcinoma, 3 patients had gastrointestinal stromal tumour and 1 patient had neuroendocrine pancreatic tumour. We identified five categories of factors influencing adherence: demographic and socioeconomic, disease-related, treatment-related, care system-related, and patient representation and pathways’ factors. A majority of patients emphasised the importance of family support in the adherence process and the convenience of per os treatment compared to other intravenous treatments. However, several negative determinants emerged such as the toxicity of the treatment, fears of forgetting to take the medication, difficulties with the galenic formulation and negative beliefs of the family. Conclusion This study demonstrates the need to address the different dimensions of the patient in order to understand his or her behaviour with regard to adherence and to identify the levers for improvement.

scholarly journals Family Life Experiences and the Abusive Consumption of Tramadol by Adolescents

2019 ◽  
Vol 3 (4) ◽  
pp. 01-07
Author(s):  
NDJE NDJE MIREILLE ◽  
LONGCHI Gladys NAHLELA
Keyword(s):  
Family Life ◽  
Sequential Analysis ◽  
Life Experiences ◽  
Structured Interview ◽  
Major Influence ◽  
Emotional Needs ◽  
The Family ◽  
Interview Guide ◽  
Practical Information ◽  
Harmful Effects

There are increasing worries in many countries worldwide especially in Cameroon as concern the abusive consumption of tramadol and its addictive effects. Experiences within the family have a major influence on the wellbeing of its members, be it child, adolescent or adult. This is what spurred us to question other factors which have harmful effects on those abusing tramadol. This article aims to find how adolescents who have the necessary requirements for an adapted development seek satisfaction in abusive tramadol consumption. The objective was to understand the meaning adolescents who abusively consumes tramadol associate to their family life experiences and also bring out practical information on how adolescent’s emotional needs are met. We conducted a clinical study on three adolescents who abusively consume tramadol at the Psychiatric unit of Jamot Hospital Yaounde. Data was collected using semi- structured interview guide. Data collected was analyzed using thematic content and sequential analysis. The results were interpreted mainly based on the attachment theory which has shown that family life experiences are the association and negative interpretations of events experienced by these adolescents. These experiences have engendered a lacking state which the adolescents try to overcome by abusively consuming tramadol. Finding also indicated that family life experiences lead to the difficulties in managing negative counter-transference reactions which interferes with their ability to provide secured based. Perspectives for this research highlighted the lack of research exploring the rate of tramadol abusive consumption in the rural area and the end comparing their prevalence rates.

scholarly journals Kajian Kriminologi Terhadap Kekerasan Yang Dilakukan Oleh Perempuan di Kota Ambon

JURNAL BELO ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 57-73
Author(s):  
Denny Latumaerissa
Keyword(s):  
Violent Crime ◽  
Sexual Disorder ◽  
Violent Crimes ◽  
Sexual Perversion ◽  
Factors Influencing ◽  
The Family ◽  
The City

Essentially violent crime can occur wherever, anytime, and can be done by anyone without any distinction sex. That is guilty can male or female. The reality that occurs suggests that female also often perpetrated a violent crimes. Such as happened in the city of Ambon, which according to the data from Polresta  P.Ambon and P. P lease, suggests that from 2017 until 2019, there are 14 ( fourteen ) violence made by women on jurisdiction. That has been a problem in writing this is what has been factor-factor cause violence carried out by women in the city ambon. Factors influencing the so that a woman committed violence in the city of Ambon is the family, the motivation, / sexual disorder of sexual perversion, and the role of the victim

The Elderly Expectations of the Caregiver’s Sociodemographic Preferences: a Qualitative Approach

2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Sharon Gondodiputro ◽  
Dahlia Santika Hutasoit ◽  
Lina Rahmiati
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Family Members ◽  
The Elderly ◽  
Health Issues ◽  
Inclusion Criteria ◽  
Community Volunteer ◽  
The Family ◽  
Interview Guide ◽  
State Examination

Prevalence of chronic diseases and disability will increase at the advancing age. In the future, the need for the caregiver will increase. Only few studies about the expectations of the elderly towards the sociodemographics status of the caregiver found. Unfulfilled expectations of the elderly towards their caregivers may cause both health and non-health issues. The purpose of this study was to explore the elderly expectations of the caregiver’s sociodemographic preferences. A qualitative study was carried out to 7 elderly aged 64–77 years old from July to August 2018 in Bandung city. These elderly selected from 7 integrated care posts (pos pembinaan terpadu/posbindu) that met the inclusion criteria: aged 60 years old and above; male or female; capable of communicating adeptly, and no dementia by undergoing the mini-mental state examination (MMSE). A one-on-one interview was conducted at the residence of the elderly using an interview guide consisted of several opened questions related to the caregiver’s sociodemographic preferences. A content analysis was carried out. This study discovered that the elderly preferred their family members or relatives whom they can trust to become their caregivers (their children and grandchildren). Most of these elderly also preferred daughters who live with them and has a decent income. If the family members could not become their caregiver then their neighbor or a community volunteer/cadre, they knew well, and trust to be their caregiver. It concluded that the elderly prefer their daughters who live with them and has a decent income to be their caregivers. EKSPEKTASI USIA LANJUT TERHADAP STATUS SOSIODEMOGRAFI CAREGIVER: SUATU PENDEKATAN KUALITATIFPrevalensi penyakit kronis dan disablilitas akan meningkat dengan pertambahan usia. Hal ini berdampak pada kebutuhan terhadap caregiver akan meningkat pula. Penelitian tentang ekspektasi usia lanjut terhadap status sosiodemografi caregiver belum banyak dilakukan. Ekspektasi usia lanjut merupakan faktor penting karena bila ekspektasi tersebut tidak terpenuhi maka akan berisiko timbul masalah kesehatan dan nonkesehatan. Tujuan penelitian ini mengeksplorasi ekspektasi usia lanjut terhadap status sosiodemografi caregiver. Studi kualitatif dilakukan terhadap 7 orang usia lanjut berusia 64–77 tahun pada Juli hingga Agustus 2018 di Kota Bandung. Para usia lanjut berasal dari 7 pos pembinaan terpadu (posbindu) yang memenuhi kriteria inklusi, yaitu usia ≥60 tahun, laki-laki atau perempuan, dapat berkomunikasi dengan baik, dan tidak demensia dengan dilakukan mini-mental state examination (MMSE). Wawancara dilakukan di kediaman informan masing-masing menggunakan panduan wawancara terkait pertanyaan dengan preferensi sosiodemografi caregiver. Analisis konten dilakukan. Studi ini menemukan bahwa usia lanjut lebih memilih anggota keluarga mereka yang dapat dipercaya untuk menjadi caregiver terutama anak dan cucu. Anak perempuan yang tinggal bersama usia lanjut dan memiliki penghasilan layak menjadi pilihan utama. Jika anggota keluarga tidak dapat menjadi caregiver maka tetangga atau kader yang mereka kenal baik dan dipercaya menjadi pilihan. Simpulan, pilihan utama caregiver bagi usia lanjut, yaitu anak perempuan mereka yang tinggal bersama dan memiliki penghasilan layak.

scholarly journals Transmission of Faith in Families: The Influence of Religious Ideology

2020 ◽  
Author(s):  
Jesse Smith
Keyword(s):  
Young Adulthood ◽  
National Study ◽  
Religious Socialization ◽  
Religious Ideology ◽  
Factors Influencing ◽  
The Family ◽  
Primary Finding ◽  
Religious Transmission ◽  
The Relationship ◽  
Parenting Approaches

Abstract The family and denominational factors influencing intergenerational religious transmission have been examined in a substantial body of work. Despite research identifying religious ideology as a salient aspect of American religion, however, its role in religious transmission remains unexplored. In this study, I use the National Study of Youth and Religion to test whether children’s worship attendance and centrality of faith in young adulthood differ based on whether their parents identify as religiously liberal, moderate, conservative, or none of these. I further test whether the strength of the relationship between parent and child religiosity differs between ideological groups. The primary finding is that religious transmission is stronger among children of religious conservatives than for any other group, while the other groups do not differ significantly from one another. These differences in transmission are largely explained by religious conservative parenting approaches, congregational involvement, and most importantly, more intensive religious socialization.

scholarly journals Analysis of factors influencing the formation of neurotic disorders in sudents of higher education institutions

2021 ◽  
Vol 25 (3 (99)) ◽  
pp. 157-160
Author(s):  
O. Yurtsenyuk
Keyword(s):  
Higher Education ◽  
Mental Disorders ◽  
Family Relationships ◽  
Living Alone ◽  
Interpersonal Conflicts ◽  
Neurotic Disorders ◽  
Factors Influencing ◽  
The Family ◽  
Married Students ◽  
Psychotherapeutic Care

The article analyzes the factors influencing the formation of non-psychotic mental disorders (NPD) in students of higher education institutions.The purpose of the study is to analyze the factors influencing the formation of non psychotic mental disorders in students of higher education.Material and methods. We analyzed the results of a survey of 1235 students. Methods applied: clinical, clinical, psychopathological, clinical, epidemiological, clinical and medical history, experimental psychological and statistical methods. Results. It has been found that living alone much increases the risk of NPD, namely 2.21 times. Notably, more married students have an NPD of 15.46% versus 3.53% of healthy students (p <0.05). Significantly more students with NPD rated family relationships as "calm, cold" 19.87% versus 4.14% of healthy students (p<0.05). So we can say that cold relationships in the family are factors in the formation of NPD. Significantly more students with NPD recognized interpersonal conflicts in the team as an urgent problem - 96 (30.28%), while only 165 (17.97%) healthy students noted this problem (p <0.05).Conclusions. The identified patterns must be taken into account when building programs for early diagnosis of NPD, as well as when planning individually targeted psychotherapeutic care.

scholarly journals Prescriber Attitudes Toward Implementation of Pharmacogenomic Testing in a Family Medicine Residency Program

PRiMER ◽  
2018 ◽  
Vol 2 ◽  
Author(s):  
Alyssa Gallipani ◽  
Rebecca Cope ◽  
Briann Fischetti ◽  
Sherly Abraham ◽  
Arvind Ankireddypalli
Keyword(s):  
Family Medicine ◽  
Residency Program ◽  
Response Rate ◽  
Positive Attitudes ◽  
Semistructured Interviews ◽  
The Family ◽  
Interview Guide ◽  
Formal Statistical Analysis ◽  
And Training ◽  
Hospital Center

Introduction: Few qualitative studies have explored the attitude of prescribers towards the implementation of pharmacogenomic testing in the family medicine (FM) setting, and none among FM residents. The purpose of this study was to describe the level of engagement and interest in the implementation of pharmacogenomic education and testing in an FM clinic within a residency program. Methods: A qualitative study utilizing semistructured interviews was conducted among prescribers within the FM clinic at The Brooklyn Hospital Center (TBHC). Voluntary prescribers included FM residents and attendings. No prescribers were excluded. Prior to the interview, informational sheets about pharmacogenomics were provided to standardize participant knowledge base. The research team created an interview guide of specific open-ended questions. Interviews were audio recorded and transcribed until a point of saturation was achieved. Transcripts of interviews served as data for analysis. Coding and analysis were performed to develop a hypothesis. No formal statistical analysis was required. Results: Of the total 28 providers eligible for participation, 15 were recruited and interviewed (53% response rate). Based on analysis of interview data, four key conceptual concerns emerged regarding benefits and risks of testing, feasibility, accessibility, and modification of FM residency training curricula. Conclusion: Positive attitudes and perceptions provide support for pharmacogenomic education and testing to be incorporated into FM residency curricula. Addressing practical barriers, such as curricular education and training, will allow for expansion of such initiatives in the future.

scholarly journals PELAKSANAAN PERLINDUNGAN ANAK YANG TEREKSPLOITASI SECARA EKONOMI OLEH PEMERINTAH KOTA PADANG

2016 ◽  
Vol 2 (1) ◽  
pp. 37
Author(s):  
Laurensius Arliman Simbolon
Keyword(s):  
Cultural Values ◽  
Training Programs ◽  
Municipal Government ◽  
Community Empowerment ◽  
Practical Skills ◽  
Economic Problems ◽  
Economic Exploitation ◽  
Factors Influencing ◽  
The Social ◽  
The Family

<p><em>Children are our future and in their own time bear the responsibility to develop their own world. To enable them doing so, they should not be forced to work to earn a living or support their family.  Children should be allowed to grow in the safety of a home, at school and at playgrounds.  In this paper the author will explore</em><em> children problems related economic exploitations, </em><em> what policies are developed by the municipal government of Padang to protect children from economic exploitations and what are the obstacles in implementing these policies. One of the finding is that the Social and Manpower Service and the Family Planning, Women and Community Empowerment Board of the Padang municipal government develops training programs aiming to give exploited children practical skills in helping them to cope.  Factors influencing economic exploitation of children are numerous and complex: lack of education, lessening of people’s adherence to religious norms, societal environment, shift in cultural values, economic problems, etc. Based on the above the author suggests that the municipal government should take cognizance of these factors when attempting to deal with the problem. </em></p><p><strong><em> </em></strong></p><p align="right"><strong><em>Keywords:</em></strong><strong> </strong></p><em>child, exploitation, economy, protection</em>

Meeting Increasing Demands for Rural General Surgeons

2015 ◽  
Vol 81 (12) ◽  
pp. 1195-1200 ◽  
Author(s):  
Mary C. Mccarthy ◽  
Howard E. Bowers ◽  
Damon M. Campbell ◽  
Priti P. Parikh ◽  
Randy J. Woods
Keyword(s):  
Community Involvement ◽  
Dynamic Assessment ◽  
Rural Practice ◽  
Rural Living ◽  
Factors Influencing ◽  
Surgical Workforce ◽  
Practice Models ◽  
The Family ◽  
Rural Surgery ◽  
General Surgeons

Dynamic assessment of the effective surgical workforce recommends 27,300 general surgeons in 2030; 2,525 more than are presently being trained. Rural shortages are already critical and there has been insufficient preparation for this need. A literature review of the factors influencing the choice of rural practice was performed. A systematic search was conducted of PubMed and the Web of Science to identify applicable studies in rural practice, surgical training, and rural general surgery. These articles were reviewed to identify the pertinent reports. The articles chosen for review are directed to four main objectives: 1) description of the challenges of rural practice, 2) factors associated with the choice of rural practice, 3) interventions to increase interest and preparation for rural practice, and 4) present successful rural surgical practice models. There is limited research on the factors influencing surgeons in the selection of rural surgery. The family practice literature suggests that physicians are primed for rural living through early experience, with reinforcement during medical school and residency, and retained through community involvement, and personal and professional satisfaction. However, more research into the factors drawing surgeons specifically to rural surgery, and keeping them in the community, is needed.

ACTORS AFFECTING CAREER CHOICE AMONGUNDERGRADUATE STUDENTS IN UNIVERSITY OF ADEN

2017 ◽  
Vol 12 (Number 2) ◽  
pp. 1-6
Author(s):  
Wagdi Abdullah Ba Fayadh ◽  
Maha Mohammed Yusr ◽  
Khaled Mohammed Alqasa ◽  
Jamal Mohammed Esmail Alekam ◽  
Yasmin Mohammed Yusr
Keyword(s):  
Theoretical Model ◽  
Career Choice ◽  
Undergraduate Students ◽  
Self Efficacy ◽  
Career Choices ◽  
Factors Influencing ◽  
The Family ◽  
The Individual ◽  
Economic Considerations ◽  
Critical Aspects

One of the critical aspects of an individual’s life is career choice as this will determine the role pattern needed to be played by the individual in the society in the future,andit is one of the important processes in life. This study aimsto investigate the factors influencing the career choice of the students. This study focusedon undergraduate students in the Universityof Aden. Undergraduate students were chosenbecause right upon graduation, they are the ones who will be decidingon their career choices. The findings of the study largely supported the hypothesizedrelationships proposed in the theoretical model and showed that the family, self-efficacy and economic considerations exerted significant influence on the choice of a career among students. Moreover, the results showed that the influence of family, self-efficacy and economic considerations was positive on career choices. Toinvestigatingstudent’s career choice that isaffected by other important factors, further studies are strongly recommended.

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