Outcomes of late Kasai portoenterostomy in biliary atresia: a single-center experience

Objectives To describe the clinical, histopathologic, and outcomes data for a cohort of patients with biliary atresia (BA), and to identify the factors affecting survival. Methods This was a cross-sectional study of all BA patients diagnosed between 1999 and 2017. Clinical, biochemical, imaging, and histopathologic data were analyzed, and Kaplan–Meier survival rates were compared to identify potential prognostic factors. Results We evaluated 23 patients. The median age at the Kasai procedure was 77 ± 34 days, and the median overall survival was 12.5 ± 65 months. Thirteen (56%) patients survived with their native livers, 3 (13%) received a transplant, and 6 died (26%) while awaiting a transplant. Cholangitis and the use of ursodeoxycholic acid were associated with longer survival, while impaired synthetic function was associated with shorter survival. Conclusions Most patients presented late for the Kasai procedure. The survival rate with the native liver was comparable to other cohorts. Therefore, clinicians are encouraged to refer for the Kasai procedure even with late presentation (between 60 and 90 days), provided there is no hepatic decompensation.

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Probability of Survival in Patients with Gastric Cancer

International Journal of Diabetes & Metabolic Disorders ◽

10.33140/ijdmd.05.02.02 ◽

2020 ◽

Vol 5 (2) ◽

Keyword(s):

Gastric Cancer ◽

Survival Rate ◽

Cox Model ◽

Cross Sectional Study ◽

Cross Sectional ◽

Special Effects ◽

Factors Affecting ◽

Probability Of Survival ◽

Kaplan Meier ◽

Age Of Diagnosis

Background: Gastric cancer is the most common cancer and currently, the prevalence of gastric cancer is 10 percent among all cancers in the world. There are more than 870 thousand new cases worldwide each year and it causes the death of more than 650 thousand patients. This study was performed to estimate the life table survival in patients with gastric cancer in province Qazvin of Iran at 2010-2020. Methods: This is cross – sectional study whit analytical type method which has been conducted using the process of longitudinal and survival study. The study population includes all patients diagnosed with gastric cancer in Qazvin province between the years 2010 to 2020. The samples size (600 patient) selected by the random systematic simple sample method than all the patients diagnosed with gastric cancer referred to Qazvin hospitals for treatments including surgery, radiotherapy and chemotherapy that were in the same group from the time aspect, which was recorded from 2010 until 2020. The most important factors affecting survival rate were marked and analyzed with the Kaplan-Meier and cox model. Results: 68 % of 600 patients, were male with a mean age of (48.23± 8 years), and 32% of patients were female with a mean age of (46±9) and median survival rate were 36 and 40 months, and the survival rate of 1 to 5-year of patients were 16,22,28,34,52 respectively. In cox model, factors including sex, age of diagnosis, lead-time and type of treatment have significant correlation with survival rate (p ≤0.05). Conclusion: Early diagnosis and treatment of disease in the early stages with suitable surgery increase the survival of patients. However, it does not have special effects on life length of patient but it will increase the quality of life for patients.

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The Effects of the Civility, Respect, and Engagement in the Workplace (CREW) Program on Social Climate and Work Engagement in a Psychiatric Ward in Japan: A Pilot Study

Nursing Reports ◽

10.3390/nursrep11020031 ◽

2021 ◽

Vol 11 (2) ◽

pp. 320-330

Author(s):

Utako Sawada ◽

Akihito Shimazu ◽

Norito Kawakami ◽

Yuki Miyamoto ◽

Lisa Speigel ◽

...

Keyword(s):

Work Engagement ◽

Cross Sectional Study ◽

Social Climate ◽

Psychiatric Ward ◽

Medical Doctors ◽

Cross Sectional ◽

Factors Affecting ◽

Staff Members ◽

Utrecht Work Engagement Scale ◽

Healthcare Settings

Background: Good social climate and high work engagement are important factors affecting outcomes in healthcare settings. This study observed the effects of a program called Civility, Respect, and Engagement in the Workplace (CREW) on social climate and staff work engagement in a psychiatric ward of a Japanese hospital. Methods: The program comprised 18 sessions installed over six months, with each session lasting 30-min. Participation in the program was recommended to all staff members at the ward, including nurses, medical doctors, and others, but it was not mandatory. A serial cross-sectional study collected data at four time-points. Nurses (n = 17 to 22), medical doctors (n = 9 to 13), and others (n = 6 to 10) participated in each survey. The analysis of variance was used to evaluate the changes in the following dependent variables, the Essen climate evaluation schema (EssenCES), the CREW civility scale, and the Utrecht work engagement scale (UWES) over time. Result: We found no significant effects. The effect size (Cohen’s d) for EssenCES was 0.35 from baseline to post-installation for all staff members. Effect sizes for EssenCES for medical doctors and UWES for nurses were 0.79 and 0.56, respectively, from baseline to post-program. Conclusions: Differences in social climate and work engagement among Japanese healthcare workers between the baseline and post-installation of the CREW program were non-significant.

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Knowledge and perceptions of cardiopulmonary resuscitation amongst New Zealand podiatrists: a web-based survey

Journal of Foot and Ankle Research ◽

10.1186/s13047-021-00481-9 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Angela Brenton-Rule ◽

Daniel Harvey ◽

Kevin Moran ◽

Daniel O’Brien ◽

Jonathon Webber

Keyword(s):

New Zealand ◽

Cardiopulmonary Resuscitation ◽

Life Support ◽

Survival Rates ◽

Sudden Cardiac Arrest ◽

Cross Sectional Study ◽

Trial Registration ◽

Cross Sectional ◽

Web Based ◽

The Past

Abstract Background Podiatrists in New Zealand have a duty of care to assist patients in an emergency, and current cardiopulmonary resuscitation (CPR) certification is a requirement for registration. However, it is unknown how competent and confident podiatrists are in administering CPR and how they would respond in an emergency. Having a health professional who has a competent knowledge of CPR and skills in basic life support, can improve survival rates from sudden cardiac arrest. Therefore, the aim of this study was to survey New Zealand podiatrists to determine their CPR knowledge and qualifications; beliefs about the application of CPR; and perceptions of their competency in CPR. Methods This cross-sectional study used a web-based survey. Participants were New Zealand registered podiatrists with a current annual practising certificate. The 31-item survey included questions to elicit demographic information, CPR practice and attitudes, and CPR knowledge. Responses were collected between March and August 2020. Results 171 podiatrists responded to the survey. 16 % of the podiatrists (n = 28) had performed CPR in an emergency, with a 50 % success rate. Participants were predominantly female (n = 127, 74 %) and working in private practice (n = 140,82 %). Nearly half of respondents were younger than 40 years (n = 75,44 %) and had less than 10 years of clinical experience (n = 73, 43 %). Nearly all (n = 169,97 %) participants had received formal CPR training in the past two years, with 60 % (n = 105) receiving training in the past 12 months. Most respondents (n = 167,98 %) self-estimated their CPR ability as being effective, very effective, or extremely effective. Participants’ knowledge of CPR was variable, with the percentage of correct answers for CPR protocol statements ranging between 20 and 90 %. Conclusions This study provides the first insight into New Zealand podiatrists’ CPR knowledge and perceptions. Podiatrists were found to have high levels of CPR confidence but demonstrated gaps in CPR knowledge. Currently, New Zealand registered podiatrists require biennial CPR re-certification. However, resuscitation authorities in New Zealand and overseas recommend an annual update of CPR skills. Based on this study’s findings, and in line with Australia and the United Kingdom, the authors recommend a change from biennial to annual CPR re-certification for podiatrists in New Zealand. Trial registration The study was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12620001144909).

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Factors affecting nurses' intention to accept the COVID‐9 vaccine: A cross‐sectional study

Public Health Nursing ◽

10.1111/phn.12907 ◽

2021 ◽

Author(s):

Razan Rabi ◽

Beesan Maraqa ◽

Zaher Nazzal ◽

Therese Zink

Keyword(s):

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Affecting

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Factors Affecting Dental Attendance of Children of New Immigrant Parents: A Cross-Sectional Study

Journal of Immigrant and Minority Health ◽

10.1007/s10903-016-0441-z ◽

2016 ◽

Vol 19 (6) ◽

pp. 1351-1361 ◽

Cited By ~ 4

Author(s):

Maryam Amin ◽

Mohamed ElSalhy

Keyword(s):

Cross Sectional Study ◽

Immigrant Parents ◽

Sectional Study ◽

Cross Sectional ◽

Factors Affecting ◽

Dental Attendance ◽

New Immigrant

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Clinical and Quality of Life Differences in Patients with COPD With and Without a Background of Hospitalization in the Last Year

Current Respiratory Medicine Reviews ◽

10.2174/1573398x17666210209111111 ◽

2021 ◽

Vol 16 (4) ◽

pp. 228-233

Author(s):

Jhonatan Betancourt-Peña ◽

Juan Carlos Ávila-Valencia ◽

Jorge Karim Assis ◽

David Alejandro Escobar-Vidal

Keyword(s):

Quality Of Life ◽

Survival Rates ◽

Cross Sectional Study ◽

Chronic Obstructive ◽

Upward Trend ◽

Cross Sectional ◽

Obstructive Pulmonary Disease ◽

Lower Socioeconomic ◽

Causes Of Mortality

Introduction: Chronic Obstructive Pulmonary Disease (COPD) is the fourth leading cause of death worldwide. An upward trend is estimated by 2030. One of the causes of mortality is the exacerbations of symptoms that result in hospitalizations. These hospitalizations reduce the quality of life, limit performance in daily life, and increase the costs for the health system and the patient. Objective: This study aimed to determine the differences between hospitalized and non-hospitalized patients with a medical diagnosis of COPD, considering some sociodemographic and clinical variables, and survival rates. Methods: A cross-sectional study was conducted, which included patients diagnosed with COPD who initiated pulmonary rehabilitation (PR) from January to September 2018. The patients were divided into two groups: patients with one or more exacerbations that led to the hospitalization (COPD-H) and patients without hospitalizations in the last year (COPD-NH). Results: There were 128 participants (78 males and 50 females), with a mean age of 71.10±(9.34) in the COPD-H group and 71.30±(8.91) in the COPD-NH group. When comparing both groups, COPD-NH had a higher socioeconomic status (p=0.041), reporting a higher FEV1 44.71± (14.97), p=0.047, and comorbidities according to the COTE index (p<0.001). Conclusion: The patients with the highest number of hospitalizations belonged to a lower socioeconomic stratum and had a higher number of comorbidities. Therefore, it is necessary to identify these factors at the beginning of PR.

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FACTORS AFFECTING THE PROVISION OF SOCIAL WORK SERVICES FOR CANCER PATIENTS AT THE VIETNAM NATIONAL CANCER HOSPITAL

10.18173/2354-1067.2020-0078 ◽

2020 ◽

Vol 65 (11) ◽

pp. 132-143

Author(s):

Nam Pham Tien

Keyword(s):

Social Work ◽

Cancer Patients ◽

Cross Sectional Study ◽

Group Discussions ◽

Cross Sectional ◽

Factors Affecting ◽

Policy Regimes ◽

Financial Factor ◽

Cancer Hospital ◽

Depth Interviews

The provision of social work service for cancer patients is facing many challenges. Therefore, this study aims to explore factors affecting the provision of social work services for cancer patients at the Vietnam National Cancer Hospital. This is a cross-sectional study that used 10 in-depth interviews, and three focus group discussions to collect data. Our findings showed that the factors such as specialized qualifications of social workers, available facilities, the network of social work collaborators, finance, and policy regimes hindered the provision of social work services for cancer patients at the hospital. Meanwhile, the financial factor contributed to promote social work services for cancer patients at the hospital. Besides, the demands for the provision of social work services for cancer patients were one of the factors that should be considered in the coming time. Our study suggested stakeholders pay more attention to these factors.

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Determination Of Factors Affecting Father-Baby Attachment

Gevher Nesibe Journal, IESDR ◽

10.46648/gnj.245 ◽

2021 ◽

Vol 6 (14) ◽

pp. 1-7

Author(s):

Emine Serap ÇAĞAN ◽

Birsen KARACA SAYDAM ◽

Sinem GÜLÜMSER ATEŞ ◽

Rabia EKTİ GENÇ ◽

Esin ÇEBER TURFAN

Keyword(s):

Cross Sectional Study ◽

Study Data ◽

Cross Sectional ◽

Infant Attachment ◽

Factors Affecting ◽

Attachment Figure ◽

Gynecology And Obstetrics ◽

Significant Difference ◽

Package Program ◽

The Difference

Introduction: The primary attachment figure is mostly defined as the mother, and studies focus on the mother. However, in many babies, basic attachment is just as good with the father as with the mother. It is seen that there are very few studies in the literature investigating the correlations of father-infant attachment relationships.. The aim of this study is to determine the father-infant attachment status and to determine the factors affecting attachment. Method: The population of the cross-sectional study consisted of the spouses of all puerperant women hospitalized in the Gynecology and Obstetrics Clinic between September 1, 2018 and October 1, 2018. The sample size consisted of 156 fathers who agreed to participate in the study. Father identification form and father-infant attachment scale were used to collect the study data. The analysis of the data obtained from the research was carried out on the computer using the SPSS 16.0 package program. Results: 156 fathers participated in the study. The mean age of the fathers is 33.64±6.49, and 38.5% of them have a bachelor's degree. 91.0% of fathers stated that they felt ready for fatherhood. The fathers' Father-Infant Attachment Scale mean score was 82.60±7.72 In the analysis, the difference between the variables and the total score of the scale was found to be statistically insignificant (p>0.05). Discussion and Conclusion: At the end of the study, the bonding process of fathers participating in the study with their babies and the factors affecting this process were evaluated and it was seen that the father-infant attachment scale mean scores of the fathers participating in the study were high and were similar to other studies. In addition, when the basic factors affecting father-infant attachment were compared with the attachment scale mean score, it was found that there was no statistically significant difference.

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HEMOGLOBIN STATUS OF FEMALE MEDICOS IN URBAN AREA AND FACTORS AFFECTING IT: AN OBSERVATIONAL CROSS-SECTIONAL STUDY

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i3.16440 ◽

2017 ◽

Vol 10 (3) ◽

pp. 439

Author(s):

Drpadmajauday Kumar ◽

Varsha Kalyanpur

Keyword(s):

Statistical Significance ◽

Cross Sectional Study ◽

Leafy Vegetables ◽

Sectional Study ◽

Cross Sectional ◽

Factors Affecting ◽

Green Leafy Vegetables ◽

Nutritional Anemia ◽

Mild Anemia ◽

History Of

ABSTRACTObjectives: Estimating the hemoglobin (Hb) status in female medicos through prospective cross-sectional study and assessment of influencing ofcofactors were objectives.Methods: Women medicos who volunteered, consented and met selection criteria were enrolled. Hb level was estimated to diagnose anemia.Relationship with influencing factors was assessed statistically.Result: A total of 100 eligible students were enrolled. Mean age±standard deviation (SD) age of the participants’ was 20.9±3.1 years (17-25 years).Mean±SD Hb was 12.25±1.0189 g% (9.0-16.0 g%). 33 were anemic, and mild anemia (32%) was frequent. There was a history of worm infestation inthree students (3%), who were treated adequately. Nine were on iron supplements of which five were still anemic and were continuing the treatmentby the end of the study. 28 (84.84%) anemic students were not on any iron or hematinic treatment. There was no association between the anemiaand nature of diet, consumption of green leafy vegetables, consumption of coffee/tea after food, smoking/tobacco or alcohol consumption, mother’seducation, socioeconomic status, menstrual factors, and physical exercise. The prevalence of anemia was found to be higher in underweight andoverweight students in comparison to students with normal body mass index.Asymptomatic participants (n=78) outnumbered symptomatic ones(n=22), but without any statistical significance. Easy fatigability (14%), pallor (7%), breathlessness (6%), weakness (9%), and easy bruising (1%)were frequent complaints.Conclusion: Anemia is frequent among women medicos, often underdiagnosed, under-reported, many remaining asymptomatic. Negligence ofmedical students toward their anemic status despite the awareness of consequences of low Hb level is a serious cause of concern.Keywords: Awareness, Hemoglobin, Nutritional anemia, Women medical students.

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