Truth-Telling to Terminal Stage Cancer Patients in India: A Study of the General Denial to Disclosure

2021 ◽  
pp. 003022282110327
Author(s):  
Souvik Mondal
Keyword(s):  
Cancer Patients ◽  
Urban Areas ◽  
Family Members ◽  
Public Hospitals ◽  
Truth Telling ◽  
Full Disclosure ◽  
Terminal Stage ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Private And Public

Telling the truth to the terminal-stage cancer patients differs socio-culturally based on the priorities assigned to patients’ autonomy and the principles of beneficence and non-maleficence. After conducting in-depth interviews with 108 terminal-stage adult cancer patients, 306 family members, and 25 physicians, in private and public hospitals in both rural and urban areas, in the state of West Bengal, India it has been found that even though 85.60% of the patients prefer full disclosure, only 22.03% are actually informed. Though demographic characteristics, like age, gender, education etc., have marginal influences over the pattern of truth-telling, the main factor behind non-disclosure is the family members’ preference for principles of beneficence and non-maleficence over patient autonomy. Hence, only 9.32% of those 118 patients’ family members have agreed to full disclosure. Physicians comply with this culture of non-disclosure as family, in India, is the centre of decision-making and acts as the primary unit of care.

Digital Banking Services in Rural India

2019 ◽  
pp. 56-72
Author(s):  
Ashoka M. L. ◽  
Rakesh T. S. ◽  
Madhushree S.
Keyword(s):  
Urban Areas ◽  
Internet Banking ◽  
Rural India ◽  
Banking Services ◽  
Rural And Urban Areas ◽  
Banking Service ◽  
Rural And Urban ◽  
Private And Public ◽  
The Government ◽  
Complete Transformation

Digitization or digitalization of banking services has established a strong network which supports a quick disbursement of banking services across the world. Digital banking service has enabled India to be more operative in reducing the transaction gaps between rural and urban areas. The awareness about cashless transactions has led to the complete transformation in online-banking services. The government initiatives as well as banks (private and public) efforts in implementing digital services such as internet banking, mobile banking, payment of various utility bills, online-ticket booking, digi-lockers for investors (investment), etc. has created a sense of technical significance among rural population. Favorable network condition plays a major role in making digital banking services more triumphant in both rural and urban India. The chapter reveals the ideology of customer's satisfaction towards the digital banking services in Belthangady Taluk, Dakshina Kannada district.

A Six Year Follow-Up Study of Sixty-Five Adolescent Patients: Predictive Value of Presenting Clinical Picture

1969 ◽  
Vol 115 (529) ◽  
pp. 1437-1441 ◽  
Author(s):  
Lucy J. King ◽  
Glen D. Pittman
Keyword(s):  
Urban Areas ◽  
Psychiatric Patients ◽  
Public Hospitals ◽  
Private Hospitals ◽  
State Hospitals ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Adolescent Patients ◽  
History Of

Diagnosis of adolescent psychiatric patients is complicated by the absence of history of function in an adult role and by the assumed presence of psychological turmoil, thought to be normal at this age. Information about prognosis, always a useful part of clinical management, is especially important in counselling adolescent patients and their families about the prospects for education, vocation, and marriage.†Patients came from both rural and urban areas of several neighbouring states. Parents or guardians of approximately one-third were teachers, salesmen, or shopkeepers and of another third, skilled labourers or farmers. The remainder were approximately equally divided between the well-to-do at one extreme and unskilled labourers at the other. That this sample provided a wider distribution among social strata than most private hospitals or most public hospitals is borne out by the fact that some patients who were subsequently hospitalized again were treated in private hospitals while others were admitted to public facilities (state hospitals).

Role of religiosity, optimism, demographic characteristics and mental health problems among cancer patients

2020 ◽  
pp. 1-9
Author(s):  
Qasir Abbas ◽  
Uzma Kanwal ◽  
Muhammad Umar Khan ◽  
Wizra Saeed ◽  
Mafia Shahzadi ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Urban Areas ◽  
Death Anxiety ◽  
Mental Health Problems ◽  
Demographic Characteristics ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Significant Difference ◽  
Insignificant Difference

Abstract Objectives: The present study aims to investigate the role of religiosity, optimism, depression, death anxiety and differences in demographic characteristics among cancer patients. Methodology: The current study was completed in 12 months period from July 2018 to July 2019 in three different hospitals of Lahore and Faisalabad. After getting approval from the Institutional Review Board, a sample of N= 400 participants were collected. Only diagnosed patients of cancer with stage 1 and 2 were taken. In study t-test and one-way analysis of variance were used to investigate the findings. Results: Findings indicate a significant difference between cancer and non-cancer patients on the variables of religiosity, optimism, depression, and death anxiety. Significant gender differences were found on the variables of religiosity, depression and death anxiety and the insignificant difference was found on the construct of optimism among cancer patients. Moreover, cancer patients of rural and urban areas were found significantly different on the variables of religiosity, depression and death anxiety and the insignificant difference was found on optimism scale. Besides, there were found significant differences in death anxiety scale among cancer patients with a different type of cancer. Conclusion: It is concluded that there is a greater role of religiosity and optimism in controlling the level of depression and fear of death among cancer patients. Also, there is a meaningful role of gender, residential area, and types of cancer. Keywords: Religiosity; Optimism; Depression; Death Anxiety; Gender; Rural-Urban; Continuous....

scholarly journals Stress and Depression in Family Members of Patients with De-mentia in Urban and Rural Communities: Cross-Sectional Sur-veys in Korea

2021 ◽  
Author(s):  
Seok Hwan Kim ◽  
Junga Lee
Keyword(s):  
South Korea ◽  
Marital Status ◽  
Socioeconomic Factors ◽  
Rural Areas ◽  
Urban Areas ◽  
Family Members ◽  
Dementia Patient ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Urban And Rural Areas

Background: We compared the associations of socioeconomic factors with stress and depression among family members living with a dementia patient in urban and rural areas of South Korea. Methods: Data were collected from 9,730 (4,560 urban and 5,170 rural) participants in the Korean Community Health Survey from 2014-17. The variable of interest was the presence of a cohabitating dementia patient, and the dependent variables were stress and depression. Results: Family members living with a dementia patient in rural areas had a significantly lower socioeconomic status (education, household income, marital status, and employment) than those living in urban areas (p<0.001). In addition, family members living with a dementia patient in rural areas reported statistically significantly less stress and depression than did those in urban areas after adjusting for related factors(rural stress OR=0.87, 95% CI=0.80-0.95; rural depression OR=0.75, 95% CI=0.66-0.85). Female gender and a low family income were associated with stress and depression in both rural and urban areas. Age, educational attainment, number of family members, marital status, and employment status differed slightly between urban and rural areas. Conclusion: The socioeconomic factors associated with stress and depression differ slightly in the rural and urban areas of South Korea.

Predictive Analytics for Healthcare

2022 ◽  
pp. 222-244
Author(s):  
Pushpalatha M. N. ◽  
Parkavi A. ◽  
Sini Anna Alex
Keyword(s):  
Urban Areas ◽  
Predictive Analytics ◽  
Healthcare Systems ◽  
Public Healthcare ◽  
Data Sets ◽  
Valuable Insight ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Private And Public ◽  
Future Events

The healthcare scheme in India has a lot of differences between rural and urban areas in terms of quality along with changes in private and public healthcare systems. The healthcare system is massive in India and full of inconsistencies and complexities like the other countries. Predictive analytics will help to improve the healthcare systems by providing valuable insight in healthcare. A huge amount of different data sets is generated because of the digitization of healthcare. This digitization allows us to use predictive analytics for better patient outcomes. Predictive analytics is utilized in decision-making activities and prediction making about the future events which are unknown. In this chapter, a brief overview of the Indian healthcare systems is given, along with data representations, challenges, issues, and risks associated with applying predictive analytics in healthcare and case studies with respect to regression and classification models.

Management of minor ailments in primary schoolchildren in rural and urban areas

1996 ◽  
Vol 22 (3) ◽  
pp. 167-174
Author(s):  
J A Cantrill ◽  
B Johannesson ◽  
M Nicholson ◽  
P R Noyce
Keyword(s):  
Urban Areas ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Primary Schoolchildren ◽  
Minor Ailments

Classroom Management

2016 ◽  
Vol 1 (1) ◽  
pp. 201
Author(s):  
Elida Kurti
Keyword(s):  
Classroom Management ◽  
General Education ◽  
Urban Areas ◽  
Teaching And Learning ◽  
Educational Institutions ◽  
Important Place ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Intellectual Level

This paper aims to reflect an effort to identify the problems associated with the educational learning process, as well as its function to express some inherent considerations to the most effective forms of the classroom management. Mentioned in this discussion are ways of management for various categories of students, not only from an intellectual level, but also by their behavior. Also, in the elaboration of this theme I was considering that in addition to other development directions of the country, an important place is occupied by the education of the younger generation in our school environments and especially in adopting the methods of teaching and learning management with a view to enable this generation to be competitive in the European labor market. This, of course, can be achieved by giving this generation the best values of behavior, cultural level, professional level and ethics one of an European family which we belong to, not just geographically. On such foundations, we have tried to develop this study, always improving the reality of the prolonged transition in the field of children’s education. Likewise, we have considered the factors that have left their mark on the structure, cultural level and general education level of children, such as high demographic turnover associated with migration from rural and urban areas, in the capacity of our educational institutions to cope with new situations etc. In the conclusions of this study is shown that there is required a substantial reform even in the pro-university educational system to ensure a significant improvement in the behavior of children, relations between them and the sound quality of their preparation. Used literature for this purpose has not been lacking, due to the fact that such problems are usually treated by different scholars. Likewise, we found it appropriate to use the ideas and issues discussed by the foreign literature that deals directly with classroom management problems. All the following treatise is intended to reflect the way of an effective classroom management.

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