Relationship between non-cardiac chest pain and internalizing problems in pre-school aged children

2020 ◽  
Vol 30 (9) ◽  
pp. 1261-1265
Author(s):  
Tamer Yoldaş ◽  
Tuba Çelen Yoldaş ◽  
Meryem Beyazal ◽  
Ufuk İ. Sayıcı ◽  
Utku A. Örün
Keyword(s):  
Chest Pain ◽  
School Children ◽  
Internalizing Problems ◽  
Maternal Employment ◽  
Maternal Education ◽  
Univariate Analysis ◽  
Behavioural Problems ◽  
Control Group ◽  
Behaviour Problem ◽  
Persistent Problem

AbstractObjective:Non-cardiac chest pain is a common and persistent problem for children; yet, typically, there is no clear medical cause. To date, no behavioural and/or psychological factors have been studied to explain chest pain in a pre-school paediatric sample. We hypothesized that pre-school children with medically unexplained chest pain would have higher rates of behavioural problems compared to healthy controls.Methods:We assessed 41 pre-school children with non-cardiac chest pain and 68 age matched children with benign heart murmurs as the control group using the Child Behaviour Check List-1 1/2–5 to evaluate emotional and behavioural problems.Results:Internalizing problem scores comprising emotionally reactive, anxiety/depression, and somatic complaints were higher in children with non-cardiac chest pain than in the control group. Among the possible factors, the factor that is related to behaviour problem scores, in univariate analysis, was a significant and inverse correlation between maternal education and behaviour problem scores. Also, maternal employment status was associated with behavioural problems. Children with a housewife mother were more susceptible to having such behavioural problems. Based on multiple regression analyses, being in the non-cardiac chest pain group was found to be significantly related to internalizing problems in our total sample.Conclusions:These results suggest that pre-school children with non-cardiac chest pain may experience increased levels of certain behavioural comorbidities. Systematic behavioural screening could increase the detection of behavioural problems and improve care for this population. Future studies of non-cardiac chest pain in pre-school children should include larger samples and comprehensive diagnostic assessments as well as long-term follow-up evaluations.

Factors associated with the development of paediatric chronic otitis media by age nine: a prospective longitudinal cohort study of 6560 children

2020 ◽  
pp. 1-12
Author(s):  
P J Clamp ◽  
K De-Loyde ◽  
A R Maw ◽  
S Gregory ◽  
J Golding ◽  
...  
Keyword(s):  
Cohort Study ◽  
Otitis Media ◽  
Maternal Education ◽  
Univariate Analysis ◽  
Chronic Otitis Media ◽  
Birth Cohort Study ◽  
Control Group ◽  
Factors Associated ◽  
Prospective Longitudinal

Abstract Objective This study aimed to analyse social, health and environmental factors associated with the development of chronic otitis media by age nine. Method This was a prospective, longitudinal, birth cohort study of 6560 children, reviewed at age nine. Chronic otitis media defined as previous surgical history or video-otoscopic changes of tympanic membrane retraction, perforation or cholesteatoma. Non-affected children were used as the control group. Results Univariate analysis demonstrated an association between chronic otitis media and otorrhoea, snoring, grommet insertion, adenoidectomy, tonsillectomy, hearing loss, abnormal tympanograms and preterm birth. Multivariate analysis suggests many of these factors may be interrelated. Conclusion The association between chronic otitis media and otorrhoea, abnormal tympanograms and grommets supports the role of the Eustachian tube and otitis media (with effusion or acute) in the pathogenesis of chronic otitis media. The role of snoring, adenoidectomy and tonsillectomy is unclear. Associations suggested by previous studies (sex, socioeconomic group, parental smoking, maternal education, childcare, crowding and siblings) were not found to be significant predictors in this analysis.

scholarly journals Behavioural Problems and Parental Over-protectiveness in Children with Asthma

2017 ◽  
Vol 36 (3) ◽  
pp. 232-237
Author(s):  
Neena Sanjiv Sawant ◽  
Juhi Bhargava ◽  
Chandrahas T. Deshmukh
Keyword(s):  
Demographic Variables ◽  
Behavioural Problems ◽  
Control Group ◽  
Behaviour Problem ◽  
Early Referral ◽  
Parental Awareness ◽  
Children With Asthma ◽  
Minor Ailments ◽  
And Control ◽  
Asthma Group

Introduction: Asthma in children often leads to behavioural problems due to the chronic nature of the disease. Parents also tend to be overprotective and many may not even consult a doctor for the same. The objectives were to study the various behavioural problems seen in children having asthma as compared to those with minor ailments, parental awareness about the same and their parenting styles.Material and Methods: 75 parents of children of bronchial asthma and 75 parents of children having short term minor ailments formed the asthma and control groups respectively. The Behaviour Problem Index was used to assess the behavioural problems in children as documented by parents and parental overprotectivenesswas assessed using the Vulnerable Child/ Overprotecting Parent Scale.Results:The demographic variables were comparable in both the groups. Behavioural problems on all domains and parental over protectiveness in the asthma group were found to be statistically significant as compared to control group. However there was no significant correlation between the parental over-protectivenessand the behavioural problems in both the groups.Conclusions: Early referral to the psychiatrist with parental counselling will result in better outcomes for the child.J Nepal Paediatr Soc 2016;36(3):232-237

scholarly journals Chest Pain Characteristics in Cardiac Syndrome X Compared to Coronary Artery Disease

2019 ◽  
Vol 7 (14) ◽  
pp. 2282-2286 ◽  
Author(s):  
Ramaze Farouke Elhakeem ◽  
Mohamed Faisal Lutfi ◽  
Ahmed Babicer Mohamed Ali ◽  
Mohamed Yusif Sukkar
Keyword(s):  
Chest Pain ◽  
Coronary Angiography ◽  
Medical History ◽  
Univariate Analysis ◽  
Test Group ◽  
Control Group ◽  
Positive Finding ◽  
Past Medical History ◽  
History Of ◽  
Pain Characteristics

AIM: This study aimed to assess if clinical remarks gained by analysis of the present and past medical history of patients undergoing elective coronary angiography (ECA) due to typical chest pain can help to predict the outcome of ECA. MATERIAL AND METHODS: One hundred and fifty-four ECA candidates with a history of typical chest were seen on the same day intended for ECA in the cardiac centre of AlShaab Teaching Hospital, Khartoum, Sudan. The details of the present complaints, characteristics of chest pain, past medical and socioeconomic history were recorded from each subject guided by a questionnaire. ECA confirmed CAD in 112 of the studied patients and were considered as the test group. The remaining patients (N = 42) were diagnosed as CSX after exclusion of significant narrowing of the coronary vessels and were considered as the control group. RESULTS: Univariate analysis of pain characteristics among patients undergoing coronary angiography revealed that pain is less likely to radiate to the neck (OR = 0.44, 95% CI = 0.21 – 0.91, P = 0.027) and the back (OR = 0.48, 95% CI = 0.23 – 1.00, P = 0.049) in patients with CAD. Presence of shortness of breathing and/or dizziness significantly decrease the odds of having abnormal coronary angiography (OR = 0.30 and 0.48, 95% CI = 0.12 – 0.77 and 0.22 – 0.92, P = 0.013 and 0.030 respectively). Past history of diabetes mellitus significantly increases the odds of having abnormal coronary angiography (OR = 3.96, 95% CI = 1.68 – 9.30, P = 0.002). In contrast, past medical history of migraine decreases the odds of having positive finding in ECA (OR = 0.31, 95% CI = 0.13 – 0.72, P = 0.006). CONCLUSION: Characteristics of chest pain are comparable in CAD and CSX. However, pain is less likely to radiate to the neck and/or the back in the first group. Presence of dyspnea and dizziness during angina attacks as well as the history of migraine significantly decreases the odds of having abnormal coronary angiography.

scholarly journals Mothers’ employment and child behaviour: new evidence for Scotland

2021 ◽  
Author(s):  
Marita Jacob ◽  
Michael Kühhirt
Keyword(s):  
Maternal Employment ◽  
Maternal Education ◽  
Labour Force ◽  
Family Characteristics ◽  
Behavioural Problems ◽  
Full Time ◽  
Cumulative Impact ◽  
Employment History ◽  
Children's Development ◽  
Children’S Development

Given increasing maternal labour-market participation in many European countries, there is an ongoing scientific and public debate on the potential consequences for children’s development. Previous research has used both cross-sectional measures of maternal employment at a particular age of the child and measures capturing maternal employment history. Whereas the former approach cannot capture the cumulative impact of maternal employment on developmental outcomes, studies following the second approach have so far not accounted for the possibility that mothers may repeatedly change their labour-force participation in response to their children’s development or other dynamic context factors that are themselves affecting developmental outcomes.The present study combines statistical techniques that can account for time-varying confounders with cumulative measurement of maternal employment to investigate its link with children’s behavioural problems around age eight. In addition, our study explores whether the effect of maternal employment history differs by mothers’ education. Using data from the Growing Up in Scotland study, we find that children’s behavioural problems around age eight are the less pronounced the more years their mothers have worked full-time or part-time. However, these associations reduced in size once we adjusted for potential confounders and they do not significantly differ between mothers with and without a tertiary degree. These results suggest that the association between maternal employment history and behavioural problems around age eight is mostly driven by confounding factors such as maternal education, child health and socio-economic status.<br />Key messages<br /><ul><li>The study investigates the link between maternal employment history until age 6 and children’s behaviour around age 8.</li><br /><li>It accounts for interdepedencies with other family characteristics like economic resources, maternal health and family structure.</li><br /><li>The analyses provide no strong evidence either for a substantive positive nor negative effect of maternal employment history.</li></ul>

scholarly journals The Maternal Risk Factors for Preterm Birth in Universitas Airlangga Hospital Surabaya in 2017-2018

2022 ◽  
Vol 13 (1) ◽  
pp. 31
Author(s):  
Almira Maharani ◽  
Aditiawarman Aditiawarman ◽  
Widati Fatmaningrum
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Maternal Education ◽  
Univariate Analysis ◽  
Multiple Pregnancy ◽  
High Rate ◽  
Control Group ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
History Of

Introduction: Preterm birth becomes a global problem due to its high rate of morbidity and mortality. In 2010, it is estimated approximately 15 premature birth cases per 100 lives birth in Indonesia. This study aimed to analyze the maternal risk factors towards preterm birth at Universitas Airlangga Hospital Surabaya in 2017-2018.Methods: This was observational analytic study using case-control approach to observe 178 medical records at Universitas Airlangga Hospital Surabaya. The population of this study was women who had preterm and aterm birth. The sample consisted of case group and control group which were convenient to exclusion and inclusion criteria. Univariate analysis was used to observe the relationship between dependent and independent variable. The significance value was p ≤ 0.05. The data were analysed using SPSS.Results: The research samples consisted of 89 case groups and 89 control groups. The case sample characteristic showed that 36% patients had overweight BMI; 62.9% patients had normal/hypotension; 69.7% patients gave birth to male baby; and 82% patients had no history of disease.There was no patient who used drugs and substance abuse (0%). Mothers aged 20 years old and older than 35 years old had OR = 2.13 (95% CI : 1.106-4.11) to become preterm birth. The primiparous women had risk for preterm birth 2.978 folds (95%, CI : 576-5.625) higher.Conclusion: There was a relationship between maternal age and parity to preterm birth. There was no relationship between maternal education, maternal occupation, hemoglobin levels, history of obstetric complications, and multiple pregnancy to preterm birth.

scholarly journals Effect of family factors on juvenile delinquency

2017 ◽  
Vol 4 (6) ◽  
pp. 2079
Author(s):  
Indiran Rathinabalan ◽  
Sridevi A. Naaraayan
Keyword(s):  
Risk Factors ◽  
Juvenile Delinquency ◽  
Maternal Employment ◽  
Maternal Education ◽  
Univariate Analysis ◽  
Single Parent ◽  
Family Factors ◽  
Paternal Age ◽  
Government School ◽  
Paternal Smoking

Background: Juvenile delinquency is multifactorial with risk factors operating at multiple levels namely individual, micro environment and macro environment levels. The objective of this study was to determine the effect of family factors on juvenile delinquency.Methods: This was a case control study done from January 2009 to December 2009. Adolescents present in the Government run Special observation home were cases, while boys of 10, 11, and 12 standards in a government school served as controls. Data on demographic details, offence committed and family factors were collected using a structured proforma. Univariate and multivariate analyses were performed to determine which of the factors acted as risk factors for juvenile delinquency.Results: Totally sixty juveniles and an equal number of school students were interviewed. Paternal age above 50 years, paternal smoking, alcohol intake, substance abuse and involvement in crime, maternal education and employment, being born as a single child, having separated parents or single parent were significant family factors identified in univariate analysis. Paternal age more than 50 years, paternal smoking, maternal employment and single parent emerged as significant risk factors in regression analysis.Conclusions: Paternal age more than 50 years, paternal smoking, maternal employment and single parent are significant independent risk factors of juvenile delinquency. 

Influence of Maternal Education on Food Consumption and Energy and Nutrient Intake in a Group of Pre-School Children from Madrid

2003 ◽  
Vol 73 (6) ◽  
pp. 439-445 ◽  
Author(s):  
Navia ◽  
Ortega ◽  
Requejo ◽  
Perea ◽  
López-Sobaler ◽  
...  
Keyword(s):  
Food Consumption ◽  
School Children ◽  
Food Habits ◽  
Nutrient Intake ◽  
Maternal Education ◽  
Statistical Significance ◽  
Dietary Adequacy ◽  
Consumption Energy ◽  
Maternal Educational Level ◽  
Energy And Nutrient Intake

A study was conducted on the influence of maternal education level on food consumption, energy and nutrient intake, and dietary adequacy in 110 pre-school children from Madrid, Spain. With increasing maternal education, children consumed more sugar (p < 0.05), fruit (p < 0.05), and fish (p < 0.05). Snacking was more frequent with decreasing maternal education (p < 0.05). Though statistical significance was not reached, the consumption of pre-cooked foods was greater among children of mothers educated to a higher level, a phenomenon probably related to the work situation of these women. With respect to dietary composition, no significant differences were found between groups for macronutrient, fiber and energy intakes, except for energy supplied by polyunsaturated fatty acids (PUFA), which was greater in the children of less educated women (p < 0.01). This is probably due to their greater consumption of sunflower seed oil. The diets of children belonging to well-educated mothers came closer to meeting the recommended intakes for folate, vitamin C, and iodine. It would seem that maternal educational level influences the food habits of children. Mothers with less education may require special advice in this area.

Predictors of Problematic Video Game Usage in Childhood and Adolescence

2013 ◽  
Vol 59 (3) ◽  
pp. 153-164 ◽  
Author(s):  
Thomas Mößle ◽  
Florian Rehbein
Keyword(s):  
Social Environment ◽  
School Children ◽  
Video Game ◽  
Video Gaming ◽  
Control Group ◽  
Childhood And Adolescence ◽  
Longitudinal Control ◽  
Peer Problems ◽  
Media Usage ◽  
Usage Patterns

Aim: The aim of this article is to work out the differential significance of risk factors of media usage, personality and social environment in order to explain problematic video game usage in childhood and adolescence. Method: Data are drawn from the Berlin Longitudinal Study Media, a four-year longitudinal control group study with 1 207 school children. Data from 739 school children who participated at 5th and 6th grade were available for analysis. Result: To explain the development of problematic video game usage, all three areas, i. e. specific media usage patterns, certain aspects of personality and certain factors pertaining to social environment, must be taken into consideration. Video game genre, video gaming in reaction to failure in the real world (media usage), the children’s/adolescents’ academic self-concept (personality), peer problems and parental care (social environment) are of particular significance. Conclusion: The results of the study emphasize that in future – and above all also longitudinal – studies different factors regarding social environment must also be taken into account with the recorded variables of media usage and personality in order to be able to explain the construct of problematic video game usage. Furthermore, this will open up possibilities for prevention.

Effectiveness of Child to Parent Communication Using Information Package on Food Hygiene

2018 ◽  
Vol 3 (07) ◽  
Author(s):  
Ms. Sonam Yangchen Bhutia ◽  
Dr. Sushma Kumari Saini ◽  
Dr. Manmeet Kaur ◽  
Dr. Sandhya Ghai
Keyword(s):  
School Children ◽  
Home Visit ◽  
Controlled Trial ◽  
Family Members ◽  
Sampling Technique ◽  
Control Group ◽  
Food Hygiene ◽  
Parent Communication ◽  
Post Test ◽  
Randomised Controlled

School children can act as change agent not only for families but for community. The study aimed to assess effectiveness of information package on knowledge and practices of parents/family members of school children studying in Govt. Sr. Sec. School on food hygiene in Dhanas and Daddu Majra Colony, UT, Chandigarh. A non-randomised controlled trial was conducted on 201 school children studying in VIIth standard and their parents/family members. Purposive sampling technique was utilised to enrol 101 in case and 100 participants in control group. Interview schedule for knowledge assessment and observation checklist for assessing the practices of parents/ family members was used. Pre assessment of both the groups was done by a home visit. Experimental group school children were educated on food hygiene as per the protocol. Pre and post-test knowledge of school children on food hygiene was assessed and were asked to disseminate the information to their parents/family members.  After 15 days, second time home visit was done to the parents/family members of both the groups for the post assessment of knowledge and practices. Significant improvement in knowledge and practices of parents/family members related to food hygiene was observed. Hence, school children can be an effective tool in health related knowledge dissemination which can further promote healthy practices.

Breastfeeding Training through Role-Play and Effects on Mother-infant Attachment Behaviours: A Randomised Controlled Trial

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Farokh Saljughi ◽  
Mitra Savabi-Esfahani ◽  
Shahnaz Kohan ◽  
Soheila Ehsanpour
Keyword(s):  
Pregnant Women ◽  
Maternal Employment ◽  
Controlled Trial ◽  
Role Play ◽  
Intervention Group ◽  
Control Group ◽  
Maternal Behaviour ◽  
Infant Attachment ◽  
Significant Difference ◽  
History Of

Mother-infant attachment is an intimate, lasting and satisfying relationship that leads to better cognitive, emotional and social growth of the infant. The aim of this study was to determine the effects of breastfeeding training by role-play on mother-infant attachment behaviours. This research was a randomised clinical trial (parallel design). Inclusion criteria were: no history of mental disorders; ability to read and write the Persian language to complete the questionnaire; no history of drug and tobacco intake in primigravida women. The sample comprised 100 pregnant women (in 2 groups), selected through simple random sampling at healthcare centres. The researcher reviewed prenatal care registries of selected healthcare centres and extracted the names of pregnant women in their early third trimester. The data were imported into randomisation software. The control group received routine breastfeeding training, while the intervention group received routine training together with training through role-play. The data collection tool was the Maternal Behaviour Inventory Questionnaire. Consequently 75 samples were analysed in SPSS16. Independent t-tests and chi-square tests were used to examine the difference between the two groups. Results showed that the mean score of mother-infant attachment one week after delivery was significantly higher in the intervention group in comparison to that in the control group (p<0.001). No significant difference was observed between the two groups in maternal age, age of marriage, neonatal gender, maternal employment and education, number of parity, and number of abortions (P>0.05). Since breastfeeding training through role-play could affect mother-infant attachment, it is suggested that this type of training should be provided for pregnant women to promote mother-infant attachment and exclusive breastfeeding.

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