The needs of people with mental health problems and their carers’ burden - polish study

2011 ◽  
Vol 26 (S2) ◽  
pp. 523-523
Author(s):  
M. Ciałkowska-Kuźmińska ◽  
P. Piotrowski ◽  
A. Kiejna

IntroductionWorld studies show associations between social consequences of carers’ involvement and level of individuals’ met and unmet needs.ObjectivesIn Poland not much interest has been put to studies of psychiatric patients’ needs and carers’ burden. Due to this fact most of care programmes have been developed on the basis of authors’ personal experiences or academic knowledge.AimsTo obtain data regarding met and unmet patients’ needs and the impact on carers’ burden in Polish socioeconomic reality.Methods60 psychotic inpatients were examined with CSHI, BPRS and CANSAS. Their 60 direct carers’ personally completed IEQ, GHQ-12 and assessed own opinions about patients’ needs with CANSAS questionnaire. Patients unable to give informed consent, alcohol/drug dependent, mentally retarded/demented or with personality disorder were excluded along with patients below 18 and over 65 years of age.Statistics includedThe Pearson correlation coefficient, the Spearman’s rank correlation coefficient, Kendall’s tau coefficient.ResultsResults show significant relation between duration of the disorder and number of unmet needs assessed by individuals. Patients’ met needs are positively associated with carers IEQ results - subscales tension and worrying. Carers evaluation of patients’ unmet needs correlates with their IEQ results - subscales tension, worrying and urging. Overall number of patients’ needs indicated by carers correlates positively with carers’ results of IEQ subscale - urging.ConclusionsThe higher rate of patients’ unmet needs the higher burden they are imposed to. Results of the study are important in planning of interventions towards psychiatric patients and their direct carers.

Avalanche forecasting is an important measure required for the safety of the people residing in hilly regions. Snow avalanches are caused due to the changes that occur in the snow and weather conditions. The prominent changes, that cause the variations which further culminate into an avalanche, can be given higher significance in the forecasting model by application of appropriate weights. These weights are decided based on the relation of each weather parameter to snow avalanche occurrence by the forecaster with the help of historical data. A method is proposed in the current work that can help in removing this subjectivity by using correlation coefficients. Present work explores the use of Pearson correlation coefficient, Spearman rank correlation coefficient and Kendall Tau correlation coefficient to obtain the weighting factors for each parameter used for avalanche forecasting. These parameters are further used in the cosine similarity based nearest neighbour model for avalanche forecasting. Bias and Peirce’s Skill Score are performance measures used to evaluate the outcome of the experimental work.


POPULATION ◽  
2021 ◽  
Vol 24 (1) ◽  
pp. 44-53
Author(s):  
Elena Budilova ◽  
Mikhail Lagutin ◽  
Lyudmila Migranova

The article was prepared on the results of a study of the impact of urban environment quality (UEQ) on the demographic characteristics of city dwellers (birth and death rates, ageing index, birth-death ratio). These demographic indicators, in the authors' opinion, can reflect to a certain extent the state of population health. More comprehensive data on the Russian urban population health (life expectancy at birth, primary disease incidence by main disease classes, disability, etc.) are not published by Rosstat. This article is the first to set the task of assessing the impact of urban environment quality on city dwellers health through the urban environment quality index developed by specialists from the RF Ministry of Construction and other organizations in 2018. The study was carried out in 174 cities of the Russian Federation with a population of over 100 thousand people. The cities were grouped according to the following criteria: UEQ index, population size, belonging to Federal Districts. The strength of relationship was estimated by Spearmen rank correlation coefficient, the reliability of the obtained results was checked by scatterplot and Pearson correlation coefficient. Comparison of the city groups was made using nonparametric analysis of variance. To check the differences between the groups of cities, the Kruskal-Wallis test by ranks was implemented.


Author(s):  
I. А. Rodello ◽  
V. Dândolo ◽  
M. M. Grande

Relevance of the study: Based on data collection and analysis, present research made it possible to identify how the activities devised by a group-buying website on Facebook may exert influence on the KPIs for success.Purpose: The main task of present research is to answer the following question: can a digital social network be considered an effective tool for the improvement of key performance indicators (KPI) of a group-buying website?Findings: The research was conducted by considering data collected via mechanical observation using the computational tools Facebook Dashboard and Google Analytics. Data were analyzed using the means of comparison and a Pearson correlation coefficient, which demonstrated positive results of the campaign. When compared, the key performance indicators of the web site relating to Facebook displayed a larger dynamics than the general performance indicators of this web site. By the correlation coefficient, it was found that a higher power range of the Facebook Enterprise´s fan page could result in the increased traffic page hits of the examined web site, and an increase, mainly, in the number of new visitors.Originality / value: This paper analyzes some key performance indicators of a promotional campaign on Facebook for an online group-buying website in the city of Ribeirão Preto, São Paulo State, Brazil.Practical implications: Based on the collected data and performed analysis, it was found that the promotional activities on Facebook can increase the flow of new visitors and attract potential buyers to a group-buying website.Future research: It is recommended to perform further research for other social networks and in other countries.


Author(s):  
Alexandre Barbieri Mestriner ◽  
Jakob Ackermann ◽  
Gergo Merkely ◽  
Takahiro Ogura ◽  
Juan Pablo Zicaro ◽  
...  

ObjectivesTo assess the impact of a biplanar ascending opening-wedge high tibial osteotomy (OWHTO) on the alignment of the knee extensor mechanism and patellar height using preoperative and postoperative MRI.MethodsMedical records of all patients submitted to ascending biplanar OWHTO between July 2008 and March 2017 were retrospectively assessed. Five parameters of the patellofemoral joint—tibial tubercle–trochlear groove distance (TT-TG), patellofemoral (PF) axial engagement index, lateral patellar tilt, Blackburne-Peel index (BPI) and Caton-Deschamps index (CDI)—were measured by two blinded independent observers on both preoperative and postoperative MRIs. Interobserver reliability was assessed with the intraclass correlation coefficient (ICC). Paired t-test was performed to compare preoperative and postoperative measurements. The association of the amount of HTO opening and the assessed PF joint parameters was also investigated with Pearson correlation coefficient.Results26 patients who underwent ascending biplanar OWHTO were enrolled in this imaging analysis (63.4%) with a mean follow-up of 16.3 months (SD, 16.9). ICC for all measurements ranged between 73.3% and 89.3%. Postoperatively, TT-TG distance significantly increased by 2.0 mm±2.3 mm (p<0.001). Patellar height significantly decreased when evaluated by the BPI (p<0.001) and CDI (p=0.001). The amount of osteotomy opening significantly correlates with the postoperative BPI (p=0.023) and CDI (p=0.013).ConclusionThis study comprehensively reports significant increase on TT-TG distance after an ascending biplanar OWHTO using MRI. Small but significant decreases in patellar height were also observed and are correlated to the amount of axis correction.Level of evidenceLevel IV, retrospective case study.


2019 ◽  
Vol 3 (3) ◽  
pp. 670-677 ◽  
Author(s):  
Susan R Davis ◽  
Adina F Turcu ◽  
Penelope J Robinson ◽  
Robin J Bell

Abstract Context 11β-Hydroxyandrostenedione (11OHA4), 11β-hydroxytestosterone (11OHT), and their respective peripheral derivatives, 11-ketoandrostenedione (11KA4) and 11-ketotesosterone (11KT), have been implicated in androgen-related physiopathology. Little is known of these steroids in postmenopausal women or whether exogenous testosterone therapy influences their levels. Objective The impact of exogenous testosterone on serum levels of 11-oxygenated steroids was determined in healthy postmenopausal women. Participants and Methods Levels of 19-carbon (C19) steroids were measured by liquid chromatography–tandem mass spectrometry in serum obtained at baseline and at 12 and 26 weeks from 73 healthy postmenopausal women, aged 55 to 65 years, who participated in a randomized, double-blind, placebo-controlled clinical trial assessing the effects of transdermal testosterone on cognitive performance. Results Of the 11-oxygenated androgens, 11OHA4 was the most abundant (median, 6.46 nmol/L; range, 1.51 to 23.82 nmol/L), with concentrations several fold greater than its precursor androstenedione (median, 1.38 nmol/L; range, 0.52 to 2.92 nmol/L). Baseline median (range) testosterone and 11KT levels were similar [0.56 (0.23 to 1.48) nmol/L; 0.85 (0.25 to 2.86) nmol/L, respectively). 11OHT was closely correlated with 11KT (Spearman rank correlation coefficient, 0.79; P &lt; 0.001) and 11OHA4 correlated with 11KA4 (Spearman rank correlation coefficient, 0.73; P &lt; 0.001). Testosterone therapy resulted in an increase in serum testosterone level, whereas all 11-oxygenated androgens remained unchanged throughout the 26 weeks of treatment. Conclusion After menopause, the adrenal production of 11-oxygenated derivatives of androstenedione and testosterone contributes importantly to the total circulating androgen pool. Exogenous testosterone does not influence the circulating levels 11-oxygenated C19 steroids.


BIBECHANA ◽  
2016 ◽  
Vol 14 ◽  
pp. 103-109 ◽  
Author(s):  
M Bhandari

This study was conducted to assess the association of depression and anxiety with selected variables; low academic performance and poor parent adolescent relationship among the adolescent students at Arniko Higher Secondary school at Biratnagar. Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) tools were used for data collection. Spearman’s Rank Correlation Coefficient and Chi Square test were applied to assess the significant variables. The findings of the study revealed that there was significant correlation between total depression and total anxiety score i.e. Spearman’s rank correlation coefficient value was 0.554 (p = 0.000). The study also found that the depression and anxiety were significantly associated with type of family (p =0.005 & p = 0.015).  The depression was significantly associated with academic performance of adolescent students (p = 0.030) and major accident in the family (p =0.009). Similarly, the anxiety was significantly associated with parental fight (p = 0.007), conflict with father (p = 0.019), and death of family member (p = 0.016). It can be concluded that adolescent anxiety and depression are significant mental health problems so further studies are needed to validate the findings. BIBECHANA 14 (2014) 103-109


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
M S Jamal ◽  
D Hay ◽  
K Al-Tawil ◽  
A Petohazi ◽  
V Gulli ◽  
...  

Abstract Aim Non-injury related factors have been extensively studied in major trauma and shown to have a significant impact on patient outcomes, with mental illness and associated medication use proven to have a negative effect on bone health and fracture healing. We report the epidemiological effect of COVID-19 pandemic on mental health associated Orthopaedic trauma, fractures, and admissions to our centre. Method We collated data retrospectively from the electronic records of Orthopaedic inpatients in an 8-week non-COVID and COVID period analysing demographic data, referral and admission numbers, orthopaedic injuries, surgery performed and patient co-morbidities including psychiatric history. Results here were 824 Orthopaedic referrals and 358 admissions (6/day) in the non-COVID period with 38/358 (10.6%) admissions having a psychiatric diagnosis and 30/358 (8.4%) also having a fracture. This was compared to 473 referrals and 195 admissions (3/day) in the COVID period with 73/195 (37.4%) admissions having a documented psychiatric diagnosis and 47/195 (24.1%) a fracture. 22/38 (57.9%) and 52/73 (71.2%) patients were known to mental health services, respectively. Conclusions Whilst total numbers utilising the Orthopaedic service decreased, the impact of the pandemic and lockdown disproportionately affected those with mental health problems, a group already at higher risk of poorer functional outcomes and non-union. The proportion of patients with both a fracture and a psychiatric diagnosis more than doubled and the number of patients presenting due to a traumatic suicide attempt almost tripled. It is imperative that adequate support is in place for vulnerable mental health patients, particularly as we are currently experiencing the “second wave” of COVID-19.


Author(s):  
Emmanuel Stephen N

Taxes<em> have been the bedrock of revenue generation to any government. The administration of tax is very important to any government as it is the body responsible for implementing and governing the tax laws and other tax related to assessment, collection and remittance of tax. This study is aimed at ascertaining the effect of tax administration on revenue generation in Gombe state. The study uses survey research design. The primary source of data collection was adopted, which analysed using descriptive statistics was made up of frequencies and simple percentages. Cronbach's Alpha diagnose was carried out to seek for reliability of the questions contained in the questionnaire Three Hypotheses were presented in this research and were tested using Spearman’s Rank correlation, Pearson correlation and linear regression. Research findings indicated that Tax Administration in the state is not efficient and effective. The study revealed further that revenue generated in the state is low to meet its objectives due to low level of enlightenment of tax payers and incidents of tax evasion and tax avoidance. To this end, the study recommends, among others, that authorities should embark on more enlightenment campaign of citizens on the significance of paying Personal Income Tax, the quality and efficiency of tax workers should be improved so that more effective administration will be achieved and automation of the system.</em>


PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e12367
Author(s):  
Joanna Mencel ◽  
Anna Jaskólska ◽  
Jaroslaw Marusiak ◽  
Katarzyna Kisiel-Sajewicz ◽  
Magdalena Siemiatycka ◽  
...  

Background The aim of the study was to compare the mechanical properties of three human skeletal muscles: biceps brachii (BB), rectus femoris (RF), and tibialis anterior (TA) at rest measured by myoton device in males (n = 16, mean age 21.2 ± 0.6 years) and females (n = 16; 21.2 ± 0.9 years) and to investigate the influence of skin and subcutaneous tissue thickness (skinfold thickness, SFT) and gender on myometric parameters of the three skeletal muscles. Methods We measured the following mechanical and viscoelastic muscle properties using MyotonPRO®: frequency (F [Hz]), decrement (D [log]), stiffness (S [N/m]), relaxation time (R [ms]) and creepability (C [De]). The values of SFT for all selected muscles were assessed by caliper. A mixed-design analysis of variance with gender as between subject comparison was used for assessing the differences between gender and muscles in SFT and each of the myometric parameters separately (F, D, S, R and C). Pearson correlation coefficient or Spearman’s rank correlation coefficient between SFT and myometric parameters was conducted for males, females and males and females together. The level of statistical significance was set at α ≤ 0.05 with Bonferroni correction for multiple comparisons. Results The SFT over the RF, TA, and BB muscles in women was statistically significantly larger compared with that of males. In females and males, the SFT over the RF was larger than over the TA and BB, and the SFT over the TA was larger compared with over the BB. The values of F and S recorded for the TA muscle were the highest among the three muscles, while D, C, and R were lowest in TA but highest in the RF muscle in men and women. The values of F and S were smaller in females than in males. Gender comparison of D, C, and R values showed that only D for the RF was significantly lower in females than in males, and C for the RF and TA was significantly larger in females than in males. Some correlation between SFT and myometric parameters were different between males and females. For example, there was a significant, negative correlation between SFT and F for all muscles in females, and a significant, positive correlation between these parameters for BB and TA (not for RF) in males. For pooled data (males and females together), a negative significant correlation between SFT and F was observed for RF and TA (not significant for BB muscle). Discussion It is concluded that the TA compared with the BB and RF has significantly greater F and S but the smallest D and C and the shortest R. Gender and muscle differences in the SFT may affect the measurements of muscle properties using MyotonPRO®. The relationship between SFT and myometric parameters is different in males and females in the RF, TA, and BB muscles. Therefore, the myometric data should be analyzed in males and females separately.


2013 ◽  
Vol 60 (6) ◽  
pp. 759-773 ◽  
Author(s):  
Sasa Obradovic ◽  
Vladimir Mihajlovic

The synchronization of business cycles represents one of the conditions that countries have to fulfil to become part of an optimum currency area, as well as a condition for the efficient implementation of a common economic policy in these countries. This paper examines the extent to which Serbia and its neighbouring countries fulfil these conditions, taking the euro area as an optimum currency area. By applying the Hodrick-Prescott and the band-pass filters, as well as the Pearson correlation coefficient and the Spearman rank correlation coefficient, this paper examines the synchronization of business cycles in these countries. Taking Serbia as an example, the influence of the foreign trade volume between two countries on the similarity of their business cycles is tested. The results show a lower harmonization of business cycles in Serbia with those in the euro area, when compared with the selected neighbouring countries, and do not confirm the thesis on the influence of the foreign trade volume on the harmonization of business cycles.


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