Identification of factors associated with hypothyroidism due to radiotherapy in patients with nasopharyngeal cancer (Case study of nasopharyngeal cancer in one of the hospitals in Jakarta)

<p>This study analyzes the degree of crop diversification and factors associated with crop diversification among 479 smallholder farmers in Manicaland and Masvingo provinces of Zimbabwe. The Herfindahl index used to estimate diversification, while the Tobit model evaluated factors associated with crop diversification. The mean crop diversity index is 0.54. On average households in Nyanga and Bikita are the most diversified with indices of 0.48 and 0.49 respectively. The most specialized households are in Mutasa and Chiredzi with indices of 0.62. An analysis by gender shows that male headed households are slightly more diversified than female headed households. The Tobit model indicates that gender of head of household, education, number of livestock units, access to irrigation, membership to a farmers group, access to markets, farming experience, farms on flat terrain, farmer to farm extension, routine extension, agro-ecological zone and household income are significant contributors to increasing crop diversification. In turn, crop specialization is significantly associated with off-farm employment, soil fertility, farmers who are happy with extension contacts per year, farmers trained using the farmer field school approach and farmers who receive NGO extension support.</p>

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Childhood trauma, attachment style, and a couple's experience of terminal cancer: Case study

Palliative & Supportive Care ◽

10.1017/s1478951509990976 ◽

2010 ◽

Vol 8 (2) ◽

pp. 227-233 ◽

Cited By ~ 9

Author(s):

Linda M. McLean ◽

Sarah Hales

Keyword(s):

End Of Life ◽

Childhood Trauma ◽

Attachment Style ◽

Multidisciplinary Team ◽

Marital Distress ◽

Empirical Literature ◽

Cancer Case ◽

Terminal Cancer ◽

Team Approach

AbstractObjective:The primary objective of this article is to elucidate the significance of psychosocial distress and risk in a sub-population of end-stage cancer patients and their spouse caregivers who present with an especially challenging attachment style and histories of childhood trauma. The case study presented highlights the need to both identify and offer an empirically validated couple–based intervention, along with a multi-disciplinary team approach over the trajectory of the illness and at end of life.Method:A validated marital protocol (emotionally focused couple therapy [EFT]) is modified for this population and conducted by an EFT-trained psychologist as part of a pilot investigation as to the feasibility and effectiveness of EFT for the terminal cancer population. Measures of marital distress, depression, hopelessness, and attachment security are completed at baseline and subsequent intervals, as reported in another publication. Attachment insecurity and the exquisitely intimate relationship with caregiving and care receiving are underscored, given the couple's traumatic childhood history.Results:The couple described herein, followed from diagnosis of metastatic disease to end of life illuminates the potential effectiveness of a modified EFT protocol, and underscores the need to both identify and intervene with a population potentially at significantly high risk for marital distress, suicidality, depression, and hopelessness.Significance of Results:The benefits of a multidisciplinary team is evident as the patient's symptoms of physical distress increased toward end of life and she returned to earlier behaviors, namely suicidal ideation and an attempt to alleviate her experience of suffering. The strength of the marital bond, possibly as a result of the intervention, and the efforts of the multidisciplinary team approach, demonstrate potential to mitigate a catastrophic end of life and a complicated spousal bereavement. This case study adds to the current empirical literature in an area that is currently under-studied and under-reported.

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Privacy Preserving Association Rule Mining on Distributed Healthcare Data: COVID-19 and Breast Cancer Case Study

SN Computer Science ◽

10.1007/s42979-021-00801-7 ◽

2021 ◽

Vol 2 (6) ◽

Author(s):

Nikunj Domadiya ◽

Udai Pratap Rao

Keyword(s):

Breast Cancer ◽

Association Rule ◽

Association Rule Mining ◽

Breast Cancer Case ◽

Privacy Preserving ◽

Cancer Case ◽

Rule Mining ◽

Healthcare Data

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Demand Side Factors Associated With Quality Antenatal Care Services: A Case Study of Lusaka District, Zambia

Frontiers in Public Health ◽

10.3389/fpubh.2018.00285 ◽

2018 ◽

Vol 6 ◽

Cited By ~ 1

Author(s):

Brave M. Katemba ◽

Phoebe Bwembya ◽

Twaambo E. Hamoonga ◽

Mumbi Chola ◽

Choolwe Jacobs

Keyword(s):

Antenatal Care ◽

Demand Side ◽

Factors Associated ◽

Care Services

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Factors Associated With Domestic Violence among the 50 Years and above Living with Hiv/Aids - A Case Study of Mukono Hospital Patients

Nursing and Health Care ◽

10.33805/2573-3877.104 ◽

2017 ◽

pp. 1-17

Author(s):

Ndazima Donny Silus

Keyword(s):

Domestic Violence ◽

Alcohol Consumption ◽

Secondary Data ◽

Group Discussions ◽

Factors Associated ◽

Treatment Regimens ◽

Hospital Patients ◽

Living With Hiv ◽

Hiv Aids

Domestic violence cuts cross all age groups and globally, between 10% and 69% of women report of having been physically assaulted by their sexual partner at least once in their life. Furthermore, between 6% and 47% of adult women report of having been sexually assaulted by their sexual partners while between 7% and 48% of girls and young women at least reported their first sexual episode to have been forced. Understanding of domestic violence issues and integrating them in the current treatment regimens is critical for success of treatment regimens of the above 50 years PLWH as domestic violence is blamed to hamper adherence to ARVS and ART, condom use among others. Hence the main objective of the study was to find out factors associated with domestic violence among the 50 years and above population living with HIV/AIDS, making a case study of Mukono hospital patients. Specifically the study intended to establish the individual/background factors associated with domestic violence among the above 50 years population living with HIV/AIDS, define the socio-economic factors associated with domestic violence and find the influence of substance abuse associated with domestic violence among the 50 years and above population living with HIV/AIDS. The study adopted a descriptive cross sectional survey that employed both qualitative and quantitative data collection techniques that was supported by both primary and secondary data. Primary data was collected from the 50 years and above PLWH attending CoU Mukono hospital and from CoU Mukono hospital selected key informants, while secondary data was captured from CoU Mukono hospital records. The study used focus group discussions to capture qualitative data were different focus group discussions for male and female respondents were organized. Quantitative data was captured through use of questionnaires which were interviewer administered. The study targeted a sample of 263 respondents which was calculated using a Kish and Leslie formula and generated by use of simple random numbers that were assigned to study units following the inclusion and exclusion criteria that held that study participants had to be above 50 years, on ART and able to speak Luganda or English fluently. Only 196 respondents were studied as 67 questionnaires had errors. Domestic violence was measured on a standard HITS scale and a score greater than 10 was positive and indicated domestic violence while a score less than 10 was negative and indicated that a participant had not suffered domestic violence hence domestic violence was measured as a binary outcome. The study held domestic violence as a dependent variable and predictors of domestic violence like individual/ background factors, social economic factors like occupation and alcohol abuse as independent factors. A binary logistic regression was fitted against variables to test for their associations with domestic violence at both bivariate and multivariate level that a backward elimination method was used to determine variables that were significantly associated with domestic violence at multivariate level using a 95% CI. The study found that alcohol consumption was a risk factor to domestic violence and findings are in line with Canadian Panel on violence against women, 1993. Study findings associate domestic violence with having arguments over sex which is in line with Rani et al., 2004; World’s women and Girl’s data sheet 2011. The study recommended that there is need to promote interventions that limit alcohol consumption among patients as heavy alcohol consumption is associated with domestic violence that affects the treatment regimens of the 50 years and above.

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