Abstract P841: The Impact of a Dedicated Pediatric Stroke Discharge Plan Upon Parent Preparedness for Clinic: Before and After the Start of Covid-19

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Cindy Nederveld ◽  
Vivian Thompson ◽  
Jacqueline Murray ◽  
Jennifer L Armstrong ◽  
Megan Barry ◽  
...  
Keyword(s):  
Multidisciplinary Care ◽  
Clinic Visit ◽  
Outpatient Setting ◽  
Pediatric Stroke ◽  
Chi Square ◽  
Discharge Plan ◽  
Before And After ◽  
Appointment Time ◽  
Chi Square Analysis ◽  
The Impact

Background: The Colorado Pediatric Stroke Program provides comprehensive, multidisciplinary care for pediatric stroke patients and their families. The team, which includes dedicated inpatient and outpatient nurse coordinators, instituted a plan to support the transition from the inpatient to outpatient setting. Purpose: A survey was used to determine family preparedness for clinic and ease of scheduling their appointment. The data were collected before and after enacting remote scheduling and telehealth visits due to the COVID-19 pandemic. Methods: Our team provided educational materials and an outpatient appointment time to families at time of discharge starting in 2019. In January 2020, the stroke clinic staff surveyed parents and guardians about their preparedness for clinic. Telehealth encounters were initiated due to COVID-19 in March 2020, with staff conducting RedCAP surveys by telephone. The survey measured several components of visit preparedness and satisfaction including: understanding of diagnosis, reason for referral prior to clinic visit, familiarity with the stroke team prior to clinic visit, and ease in appointment scheduling. We compared results before and after March 2020 via two-tailed chi-square analysis or two-tailed Fischer’s test. Results: Prior to telehealth, families favorably reported responses with 92% (47/52) knowing the reason for referral, 86% (42/49) receiving educational material prior to clinic, and 84% (42/50) reporting familiarity with our team. All patients (50/50) reported that scheduling was easy. Only scheduling ease had a significant change during the pandemic, with 11% (2/11) of patients reporting difficulties with scheduling after starting telehealth ( P=0.03 ). Conclusion: Childhood stroke is a disease with significant morbidity and mortality, requiring close follow-up care. Families report robust preparedness for clinic after the implementation of a comprehensive discharge plan. Although small numbers, remote scheduling and telehealth transition may present previously unseen barriers to scheduling during the pandemic. During abrupt changes in clinical operations additional scheduling resources may be needed to ensure continuity of care.

Sampling bias created by ampicillin in isolation media forAeromonas

2007 ◽  
Vol 53 (1) ◽  
pp. 39-44 ◽  
Author(s):  
Jennifer R Huddleston ◽  
John C Zak ◽  
Randall M Jeter
Keyword(s):  
Sampling Bias ◽  
Aeromonas Species ◽  
Aquatic Environments ◽  
Selective Agent ◽  
Opportunistic Pathogens ◽  
Chi Square ◽  
Isolation Medium ◽  
Ability To Act ◽  
Chi Square Analysis ◽  
The Impact

Members of the bacterial genus Aeromonas are widely isolated from aquatic environments and studied in part for their ability to act as opportunistic pathogens in a variety of animals. All aeromonads, with the exception of Aeromonas trota, are generally thought to be resistant to ampicillin, so the antibiotic is frequently added to isolation medium as a selective agent. In this study, 282 aeromonads from environmental sources were isolated on a medium without ampicillin and their resistance to ampicillin determined. Of the 104 of these isolates that were judged to be independent (nonredundant), 18 (17.3%) were susceptible to ampicillin. A chi-square analysis was performed to determine the impact of ampicillin use on enumerating Aeromonas species from environmental samples. Our results indicate that, when ampicillin is used as a selective agent, a significant portion of the aeromonad population in at least some environ ments can be omitted from isolation.Key words: Aeromonas, ampicillin, selective media.

Palliative Radiotherapy Within the Veterans Health Administration: Barriers to Referral and Timeliness of Treatment

2021 ◽  
pp. OP.20.00981
Author(s):  
Ruchika Gutt ◽  
Sheetal Malhotra ◽  
Michael P. Hagan ◽  
Steve P. Lee ◽  
Katherine Faricy-Anderson ◽  
...  
Keyword(s):  
Palliative Radiotherapy ◽  
Veterans Health Administration ◽  
Cord Compression ◽  
Veterans Health ◽  
Radiation Oncologist ◽  
Health Administration ◽  
Chi Square ◽  
Palliative Radiation Therapy ◽  
Chi Square Analysis ◽  
The Impact

PURPOSE: Most Veterans Health Administration hospitals do not have radiation oncology (RO) departments on-site. The purpose of this study is to determine the impact of on-site RO on referral patterns and timeliness of palliative radiation therapy (PRT). MATERIALS AND METHODS: A survey was sent to medical directors at 149 Veterans Health Administration centers. Questions evaluated frequency of referral for PRT, timeliness of RO consults and treatment, and barriers to referral for PRT. Chi-square analysis was used to evaluate differences between centers that have on-site RO and centers that refer to outside facilities. RESULTS: Of 108 respondents, 33 (31%) have on-site RO. Chi-square analysis revealed that RO consult within 1 week is more likely at centers with on-site RO (68% v 31%; P = .01). Centers with on-site RO more frequently deliver PRT for spinal cord compression within 24 hours (94% v 70%; P = .01). Those without on-site RO were more likely to want increased radiation oncologist involvement (64% v 26%; P < .001). Barriers to referral for PRT included patient ability to travel (81%), patient noncompliance (31%), delays in consult and/or treatment (31%), difficulty contacting a radiation oncologist (14%), and concern regarding excessive number of treatments (13%). Respondents with on-site RO less frequently reported delays in consult and/or treatment (6% v 41%; P < .0001) and difficulty contacting a radiation oncologist (0% v 20%; P = .0056) as barriers. CONCLUSION: Respondents with on-site RO reported improved communication with radiation oncologists and more timely consultation and treatment initiation. Methods to improve timeliness of PRT for veterans at centers without on-site RO should be considered.

scholarly journals The Impact of Nongovernmental Organizations (NGOs) on Sustainable Development Projects in Katsina Metropolis

2019 ◽  
pp. 1-8
Author(s):  
Naseer Babangida Muazu ◽  
Abubakar Abdullahi
Keyword(s):  
Sustainable Development ◽  
Health Care Services ◽  
Development Projects ◽  
Skills Acquisition ◽  
Chi Square ◽  
Grass Root Level ◽  
The Government ◽  
Chi Square Analysis ◽  
The Impact ◽  
Structured Questionnaire

Nigeria is facing profound social, economic and environmental impact of population growth, development and environmental constraints. It is apparent that government alone has limited capacity to deal with all these problems. NGOs being one of the most effective partners have been playing supportive roles with the government, in some cases, they are considered more effective to get attached with the grass root level developmental initiatives. However, despite the role NGOs played, their presence and impact is not fully evaluated, recognized and appreciated by many governments and community members. It is for this reason this article attempts to examine whether projects executed by NGOs have any impact on sustainable development in Katsina Metropolis, given special emphasis on projects that dealt with environmental protection, poverty alleviation and health care services. The study further look at whether efficiency of NGOs officials has any impact on success of sustainable development projects execution.  A structured questionnaire was used to collect data from 150 NGOs beneficiaries in five (5) selected political wards of twelve (12) in Katsina metropolis. Interviews was used to collect relevant data using a structured questionnaire from NGOs officials which include; development officers and facilitators in five (5) selected NGO offices operating in Katsina Metropolis namely; Save the Children, Service to Humanity Foundation, Murna Foundation, Katsina Friends of Environment and Makudawa Skills Acquisition. Frequency and chi-square analysis was used to present the results. The findings revealed that NGOs are complementing government efforts towards achieving sustainable development through their projects, and efficiency of NGOs officials has significant impact on success of sustainable development projects executed in the area. The findings of the study can benefit government and NGOs in creating more areas of collaboration in order to achieve sustainable development.

scholarly journals EARLY RESULTS OF AN INJURY-PREVENTION PROGRAM IN HIGH SCHOOL TRACK ATHLETES

2019 ◽  
Vol 7 (3_suppl) ◽  
pp. 2325967119S0014
Author(s):  
Celeste Quitiquit Dickason ◽  
Whitney Marois ◽  
Hannah Santos ◽  
Sadie Grace ◽  
Brian Krabak ◽  
...  
Keyword(s):  
High School ◽  
Injury Prevention ◽  
Prevention Program ◽  
Prevention Programs ◽  
Years Of Experience ◽  
Chi Square ◽  
Injury Rates ◽  
Injury Prevention Program ◽  
Chi Square Analysis ◽  
The Impact

Background Injury prevention programs have been shown to be effective for adolescent soccer, basketball, and handball athletes. Though injuries are common in high school runners, injury prevention programs have not been described for this population. Our objective was to trial an injury-prevention program styled after those found to be successful in other running and jumping sports to see if a group of running athletes sustained fewer and or less serious injuries during the course of a single high school track season. Methods Two suburban high school track coaches volunteered to participate in a program consisting of either injury-prevention exercises or no additional exercises as a part of pre-and in-season practice programs. All runners at each school were invited to participate, with informed consent obtained. The injury prevention program consisted of five jumping and plyometric exercises taught by a physical therapist, with a video of the exercises made available to the coach and team members throughout the season. Surveys pre- and post-season were collected which included demographic information, running history, diet, and injuries. Injuries were reported to coach and trainer at each school. Days of missed practice constituted an injured day, tallied for each runner and each team. A Chi-square analysis compared injury rates by team, and hence by intervention; injury rates by years of experience running; and injury rates by dietary preference. Results 24 runners, 13 from the intervention school and 11 from the control school participated. There was no significant difference in the number of running injuries reported when comparing the intervention group (4/13 runners) to the control group (3/11 runners, Chi-square = 0.035, p = 0.9). Runners with a greater number of years of competitive running experience trended towards having fewer injuries (p = 0.06). Those describing their diet as vegetarian (3/24) were significantly more likely to sustain an injury (p = 0.002). Conclusions / Significance With this limited comparison study examining the impact of an injury-prevention pre-season and in-season training program for running athletes participating on their high school track team, there was no evidence that the addition of a program of jumping and plyometric exercises had an impact on injury rates. However, combining the data from the two schools, we found a trend towards decreased injury likelihood in those with more years of experience running, and a significantly greater incidence of injuries in those who described their diet as vegetarian. These results suggest that novice runners should perhaps have a different set of expectations regarding the pre- and in-season training regimen, and that those whose diet is vegetarian consider review of their nutrition to optimize their energy level and reparative capacity with the increased activity of a high school track running program.

scholarly journals Segmentation of Nature-Based Tourists in a Rural Area (2008–2009): A Single-Item Approach

2019 ◽  
Vol 11 (7) ◽  
pp. 2052 ◽  
Author(s):  
Jinyang Deng ◽  
Jian Li
Keyword(s):  
Rural Area ◽  
National Parks ◽  
Rural Areas ◽  
Natural Areas ◽  
Observation Study ◽  
Chi Square ◽  
Single Item ◽  
Managerial Implications ◽  
Chi Square Analysis ◽  
The Impact

Although much research on nature-based tourism (NBT) has been conducted in natural areas, such as national parks and other protected areas, studies on NBT in rural areas have been limited. Moreover, few NBT studies, if any, have examined the impact of seasons and/or locations on visitors’ perceptions of NBT. This comes as little surprise, given that naturalness, the fundamental core of NBT, is likely to vary with seasons and locations. To this end, this study examines NBT in a rural area in the Appalachian Region, USA, with a focus on market segmentation, based on data collected from a four-season on-site survey of 2692 visitors. Different from many other tourism market studies where multiple-item measures are used, this study uses a single-item measure on natural observation/study to identify NBT segments. Analysis of variance, Chi-square analysis, and discriminant analysis are used to confirm NBT segments and determine the effectiveness of the use of the single-item approach for segmentation. The results show that the single-item approach is effective to differentiate visitors by their socio-demographics and trip characteristics, with findings being consistent with NBT studies in natural areas. It is worth noting that people’s responses to questions on natural observation/study vary with seasons and locations, suggesting that different perceptions of natural affinity may arise from the differences in seasons and locations with different levels of natural elements. Theoretical, methodological, and managerial implications are discussed.

scholarly journals THE THE IMPACT OF ANTIRETROVIRAL THERAPY ON HEMOGLOBIN LEVELS OF HIV/AIDS PATIENTS AT MERPATI CLINIC, WANGAYA HOSPITAL, DENPASAR, BALI, INDONESIA

2020 ◽  
pp. 13-16
Author(s):  
PUTU DEWINTA DARMADA ◽  
KETUT SURYANA
Keyword(s):  
Antiretroviral Therapy ◽  
Total Sample ◽  
Hemoglobin Level ◽  
P Value ◽  
Aids Patients ◽  
Chi Square ◽  
Art Initiation ◽  
Chi Square Analysis ◽  
The Impact ◽  
Hiv Aids

Objective: Anemia is responsible for poor outcomes in HIV/AIDS patients. It’s related to disease progression, morbidity, and mortality. Antiretroviral therapy (ART) agent, zidovudine (ZDV) is also known to trigger anemia in the early initiation. However, studies found improved hemoglobin (Hb) levels of HIV/AIDS patients several months after ART routinely taken. This study aims to find the impact and correlation of ART on the hemoglobin level of HIV/AIDS patients. Methods: A retrospective cohort study was done at Merpati Clinic, Wangaya Hospital, Denpasar-Bali, Indonesia. Data were collected from medical records and laboratory results. A total sample of 64 HIV/AIDS patients with at least 6 mo on ART was included in this study. Results: Anemia was found in 34 (53.1%) of patients before ART initiation. After taking ART for 6 mo, we observed a significant improvement in patients’ hemoglobin levels, 48 (75%) shows increased hemoglobin levels. The paired t-test revealed a correlation between ART and Hb level (p<0.001). Fourteen (43.8%) patient taking ZDV shows no improvement, even declining of Hb level. Chi-square analysis performed with p = 0.001 to ZDV and lower or no improvement of hemoglobin level. Both results considered statistically significant (p-value less than 0.05) with a confidence interval (CI) of 95%. Relative risk (RR) of no improvement or decline in Hb level is 7 folds higher in the ZDV group than the non-ZDV group. Conclusion: This study concludes that ART affects hemoglobin levels in HIV/AIDS patients. Zidovudine regimen is more prone to lower or no increase of Hb.

The Impact of Public Assistance on the Rehabilitation Process of Handicapped Women

1980 ◽  
Vol 11 (4) ◽  
pp. 192-195 ◽  
Author(s):  
David K. Hollingsworth ◽  
Lesley A. Pease
Keyword(s):  
Public Assistance ◽  
Work Behavior ◽  
Chi Square ◽  
Rehabilitation Process ◽  
Gainful Employment ◽  
The Will ◽  
Transfer Income ◽  
Chi Square Analysis ◽  
The Impact ◽  
Service Recipient

Public Assistance has been described as a free lunch for the service recipient. However, nothing can be further from the fact. Transfer dollars operateas a strong vocational disincentive, not by destroying the will or desire to work, but more by adding to the environmental barriers of seeking gainful employment. This current study investigates the impact of transfer income upon the work behavior of handicapped women. Correlational analysis, contingency (chi-square) analysis and Analysis of Variance were used to test the strength and direction of the relationships between work behavior and disability, family size, educational attainment, and transfer income from various sources.

scholarly journals Hubungan lamanya hemodialisis dengan tingkat depresi pada pasangan hidup pasien gagal ginjal kronik di RSUP Prof. Dr. R. D. Kandou Manado

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Vicka V. A. Tartum ◽  
Theresia M. D. Kaunang ◽  
Christofel Elim ◽  
Neni Ekawardani
Keyword(s):  
Rating Scale ◽  
Chronic Renal Disease ◽  
Chronic Kidney Failure ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Loved One ◽  
Hamilton Depression Rating Scale ◽  
Chi Square Analysis ◽  
The Impact

Abstract: Depression is a disturbance in the function of human nature associated with feelings of sadness and accompanying symptoms, including changes in sleep patterns and appetite, anhedonia, concentration, psychomotor, fatigue, despair and helplessness. Depression can be obtained by any person, including a person suffering from chronic diseases such as chronic renal disease requiring hemodialysis therapy for life. However, the impact of depression was not only felt by the patient, but also the patient's family, especially spouses of patients would be very easy to get depressed as a result of seeing a loved one suffer, so will affect the support and motivation given to patients, especially in patients undergoing hemodialysis should undergo dialysis for life, so a lot of depression in patients and their families, especially spouses of patients. This study aimed to determine the relationship of the length of hemodialysis with the level of depression in spouses of hemodialysis patients in Prof. Dr. R. D. Kandou Hospital Manado. This was an observational analystical study with a cross sectional design. This study used Hamilton Depression Rating Scale questionaire (HDRS). Data were processed by using SPSS 20.0. The chi-square analysis test showed a p value of 0.105 (p > 0.05). Conclusion: There was no correlation between the duration of hemodialysis with the degree of depression of chronic kidney failure patient’s live spouses.Keywords: depression, chronic kidney disease, hemodialysis, spouse.Abstrak: Depresi adalah terganggunya fungsi manusia yang berkaitan dengan alam perasaan yang sedih dan gejala penyertanya, termasuk perubahan pada pola tidur dan nafsu makan, anhedonia, konsentrasi, psikomotor, kelelahan rasa putus asa dan tidak berdaya. Depresi bisa didapatkan oleh setiap orang termasuk seseorang yang menderita penyakit kronik seperti penyakit ginjal kronik yang membutuhkan terapi hemodialisis seumur hidup. Dampak depresi pun tidak hanya dirasakan oleh pasien, keluarga pasien terutama pasangan hidup pasien akan sangat mudah mendapatkan depresi akibat melihat orang yang dicintai menderita, sehingga akan memengaruhi dukungan dan motivasi yang akan diberikan kepada pasien, terutama pada pasien yang menjalani hemodialisis yang harus menjalani proses cuci darah seumur hidup, sehingga banyak terjadi depresi pada pasien dan keluarganya terutama pasangan hidup pasien. Penelitian ini bertujuan untuk mengetahui hubungan lamanya hemodialisis dengan tingkat depresi pada pasangan hidup pasien hemodialisis di RSUP Prof. Dr. R. D. Kandou Manado. Metode penelitian yang digunakan ialah analitik observasional dengan pendekatan potong lintang. Penelitian ini menggunakan kuesioner Hamilton Depression Rating Scale (HDRS) dan data diolah menggunakan SPSS 20.0. Uji analisis chi-square mendapatkan nilai p sebesar 0,105 (p >0,05). Simpulan: Tidak terdapat hubungan antara lama hemodialisis dengan tingkat depresi pasangan hidup pasien penyakit ginjal kronik.Kata kunci: depresi, penyakit ginjal kronik, hemodialisis, pasangan hidup

scholarly journals Is sobriety from alcohol necessary for evaluation of patients presenting with suicidal ideation?

2021 ◽  
Author(s):  
Daniel Keyes ◽  
Blake Hardin ◽  
Brandon Moore
Keyword(s):  
Suicidal Ideation ◽  
Alcohol Intoxication ◽  
Blood Alcohol Level ◽  
Blood Alcohol ◽  
Chi Square ◽  
Diagnostic Reliability ◽  
Ethanol Level ◽  
Prior Literature ◽  
Chi Square Analysis ◽  
The Impact

BackgroundIt is commonly assumed that patients intoxicated with alcohol are unreliable with respect to their statements of suicidal intent, however no prior literature evaluates the impact of sobriety on suicidal ideation (SI). In typical emergency department (ED) settings, a common practice is to wait until intoxicated suicidal individuals have reached a legally sober limit (ethanol level less than 80 mg/dL) to evaluate safety. We are not aware of any study that establishes the diagnostic reliability of the clinical suicidal ideation evaluation as a function of alcohol intoxication.MethodsThis study is a retrospective review of medical records for patients evaluated in a pre-COVID Midwestern ED for one calendar year. Cases were generated for review based on criteria of having a Psychiatric SW (Social Work) consult and blood alcohol level drawn while in the ED on every Wednesday and Friday of 2017 which produced 1084 cases for review. Chi-square analysis was used for comparison of variables of suicidal ideation with or without alcohol intoxication as defined by blood alcohol level (BAL) ≥80 mg/dL.ResultsIn reference to our initial hypothesis, patients presenting with suicidal ideation and concurrent alcohol intoxication were no longer reporting suicidal ideation at sobriety in 69% of cases, compared to 38% for patients without alcohol levels on presentation. Chi-square analysis demonstrated p=0.000012.ConclusionThe goal of the present study was to demonstrate, with empirical data, a relationship between alcohol intoxication and suicidal ideation. Our data suggests that patients presenting to the ED with complaints related to suicidal behavior who are found to have concurrent alcohol intoxication are more likely to deny suicidal ideation when sober than patients with similar presenting complaints and no alcohol intoxication.

scholarly journals A Case Study of Media Growth and its Impact on Socio-Political Development of Pakistan (1999-2009)

2021 ◽  
Vol VI (I) ◽  
pp. 192-200
Author(s):  
Muhammad Altaf Khan ◽  
Taj Moharram Khan ◽  
Muhammad Nisar
Keyword(s):  
Political Development ◽  
Research Study ◽  
Review Of The Literature ◽  
Chi Square ◽  
Positive Role ◽  
The Social ◽  
The Media ◽  
Chi Square Analysis ◽  
The Impact

The dawn of the 21st Century brings with itself a greater power, "The Media". Media is growing all around and has a major impact on all the spectra of life. The present study is about the impact of media growth on the social and political development of Pakistan during the period 1999 to 2009. This research study is based on the objectives to know about what impact and up to what extent has the media growth put on the different factors of Social and Political Development in Pakistan during the study period. The questionnaire was developed after a thorough review of the literature. It was validated by three concerned field experts, and pilot testing of the research instrument was conducted. One hundred and fifty university faculty and students were selected as a sample from different districts of Khyber Pakhtunkhwa among the respective groups. The findings of Chi-Square analysis suggest that respondents view the impact of media growth on all the indicators of social and political development in Pakistan. It is recommended that media needs to play a more positive role in the development of thinking of people and politics, which can uplift society as a whole.

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