A Survey of Iranian Primiparous Women’s Perceptions of Vaginal Examination During Labor

Objective: To assess perceptions about vaginal examinations (VEs) during labor among women referred to the Akbarabadi Hospital in Tehran, Iran. Methods: This was a cross-sectional study conducted from December 2015 to May 2016. It included 200 primiparous women. Convenience sampling was used to select participants. The data collection tool was a questionnaire that collected both demographic and obstetric data from participants, as well as data in relation to women’s experiences according to a designated and validated scale, 24 hours after childbirth. Higher scores were indicative of a more positive perception in relation to a participant’s experience of VE. Results: The mean ± SD score for the perception of the VE and number of examinations in the active phase of labor was 62.9 ± 26.2 and 7.4 ± 2.44, respectively. Multiple linear regression analysis showed a significant relationship between perceived duration of examination (short, average [B = −1.03], long [B = 3.84]), feeling of comfort with the examiner (B = 2.73), and number of examiners (B = −0.81) with the mean scores of their perceptions ( P < .05). These 3 variables accounted for 8% of the changes in the women’s perceptions score of VE. Conclusion: The majority of participants in this study underwent excessive VEs during labor. If obstetrically safe, a reduction in the number of examinations during labor along with decreased duration based on women’s perceptions could improve women’s perceptions of VE overall. Additionally, should each VE be performed by the same clinician, women’s perceptions in relation to VEs may also improve.

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Stigma Among Patients with HIV/AIDS: A Cross Sectional Study in Malaysia

International Journal of Human and Health Sciences (IJHHS) ◽

10.31344/ijhhs.v4i1.116 ◽

2019 ◽

Vol 4 (1) ◽

pp. 26

Author(s):

Azreen Abdullah ◽

Adibah Hanim Ismail ◽

Ching Siew Mooi

Keyword(s):

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Cross Sectional Study ◽

Hiv Stigma ◽

People Living With Hiv ◽

Sectional Study ◽

Cross Sectional ◽

The Mean ◽

Living With Hiv ◽

Hiv Aids

Introduction:HIV stigma refers to negative beliefs, feelings and attitudes towards people living with HIV (PLWH), groups associated with PLWH and other key populations at higher risk of HIV infection, such as people who inject drugs, sex workers, men who have sex with men and transgender people. Despite the advancement made in the knowledge and treatment of HIV, PLWH continues to be stigmatized.Objective: To determine the level of HIV stigma and its predictors among people living with HIV/AIDS in a tertiary hospital in Malaysia.Methods: A cross sectional study was conducted among HIV/AIDS patients aged 18 and above at infectious disease clinic in Hospital Sungai Buloh, Gombak, Malaysia. HIV stigma was assessed using Berger’s HIV stigma scale, which is available in Bahasa Malaysia and English.A self-administered questionnaire was used to determine their demographic and clinical characteristics. Multiple linear regression analysis was used to identify the predictors.Results: 526 subjects participated in this study. The mean age of the study population was 33.5± 8.4 years. The majority of the participants were male (90.9%) and contracted HIV through sexual activities (87.8%). The mean score of HIV stigma was 104.7 ± 19.5. Based on multiple linear regression analysis, patients who were unemployed (B = -8.00, 95% confidence interval (CI) = -12.12,-3.88, p = < 0.001) and being on antiretroviral treatment (B = 4.95, 95% (CI) = 0.30, 9.60, p = < 0.037) had higher level of HIV stigma.Conclusions: The level of HIV stigma was high (mean score =104.7 ± 19.5). HIV/AIDS patients who are unemployed and on antiretroviral agents were at risks of having higher level of HIV stigma. Future study is needed urgently to implement intervention that can minimize the stigmatization among patients with HIV/AIDS.International Journal of Human and Health Sciences Vol. 04 No. 01 January’20 Page : 26-35

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Insight and Associated Factors among Patients with Schizophrenia in Mental Specialized Hospital, Ethiopia, 2018

Psychiatry Journal ◽

10.1155/2019/2453862 ◽

2019 ◽

Vol 2019 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Mandaras Tariku ◽

Demeke Demilew ◽

Tolesa Fanta ◽

Meskerem Mekonnen ◽

Dessie Abebaw Angaw

Keyword(s):

Associated Factors ◽

Linear Regression Analysis ◽

Prognostic Indicator ◽

Multiple Linear Regression Analysis ◽

Cross Sectional Study ◽

Cross Sectional ◽

Specialized Hospital ◽

First Onset ◽

The Mean ◽

Negative Syndrome

Background. Insight is the degree of the patient’s awareness and understanding of their attributions, feelings, behavior and disturbing symptoms. Majority of the patients with schizophrenia have poor insight and insight is an important prognostic indicator in schizophrenia to enhance treatment compliances and reducing the risks of clinical deterioration. The main objective of this study was to assess insight and its associated factors among patients with schizophrenia at mental specialized hospital in Ethiopia. Methods. Institutional based cross-sectional study was conducted from May to June 2018 Mental Specialized Hospital among 455 patients with schizophrenia. Insight was measured by an abridged version of Scale to assess unawareness of mental disorder. Positive and Negative Syndrome Scale, Calgary depressive scale, Oslo social support scale was used to identify factors associated with insight. Simple and multiple linear regression analysis were used to assess associated factors of insight in the participants. Results. The mean score of insight was 13.66 (95% CI 13.27, 14.04). Age at first onset of illness, duration of treatments, depressive symptoms were inversely associated with mean insight score; whereas unemployed, positive and negative syndrome, previous hospitalization, >=2 episodes were positively associated with mean insight score. Conclusion. Nearly half of the study participants were scored above the mean insight score so, the clinicians and psychotherapists should have to work together to improve insight among patients with schizophrenia.

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ACADEMIC ACHIEVEMENT AND ITS ASSOCIATED FACTORS AMONG THE FIRST AND SECOND YEAR MEDICAL STUDENTS OF THE COURSE 2012-2018 AT HUE UNIVERSITY OF MEDICINE AND PHARMACY

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2016.2.12 ◽

2016 ◽

pp. 85-94

Author(s):

Thi Loi Tran ◽

Duc Lai Tran

Keyword(s):

Academic Achievement ◽

Medical Students ◽

Classroom Management ◽

Associated Factors ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Cross Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

The Mean

Objectives: To investigate the 1st and 2nd year academic achievement (AA) and its associated factors among the first and second years medical students of the course 2012-2018 at Hue University of Medicine and Pharmacy (Hue UMP). Methods: Using a cross-sectional study. Four hundred and eighty students were interviewed using the self-developed questionnaire to track the students’ 1st and 2nd year AA, demographics, daily time use for learning and activities, and their appraisal about the curriculum. Data were analysized using STATA 10.0 and applying multiple linear regression analysis. Results: The mean of students’ GPA of the 1st year (6.95±0.90) was statistically higher than that of the 2nd year (6.83±0.92). The mean of activity achievement of the 1st year (81.40±4.10) was significantly lower than that of the 2nd year (83.96±4.13). Factors associated with 1st year AA included gender, 1st year activity achievement, National examination score upon admission into Hue UMP, National high school graduation examination result, self-study time, disappointment from the 1st year and disorientation after the 1st year. Factors associated with the 2nd year AA were age, 1st year AA, 2nd year activity achievement, time spent for non-academic internet use, time spent for participating in classroom management. Conclusion: Further consultation for students on learning methods and effective strategies for coping withadverse learning environment should be extended to improve students’ academic achievement. Lecturers should be more mindful of subject content and teaching methods to optimizeincrease students’ academic achievement. Key words: academic achievement, associated factors, medical students.

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The Clinical Investigation of Disparity of Utility Values Associated with Gallstone Disease: A Pilot Study

Gastroenterology Research and Practice ◽

10.1155/2013/216957 ◽

2013 ◽

Vol 2013 ◽

pp. 1-7 ◽

Cited By ~ 2

Author(s):

Chung-Te Hsu ◽

Yi Liao ◽

Jorn-Hon Liu ◽

Tao-Hsin Tung

Keyword(s):

Clinical Investigation ◽

Gallstone Disease ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Cross Sectional Study ◽

Older Age ◽

Outpatient Clinics ◽

Cross Sectional ◽

Utility Values ◽

Utility Evaluation

Purpose. The utility evaluation was an effective method to incorporate all of the contributing variables for multiple diseases into one outcome measure. A cross-sectional study was conducted to assess the utility values associated with varying states of gallstone disease among outpatient clinics participants at a teaching hospital in Taipei, Taiwan.Methods. The utility values were measured by using time trade-off method. A total of 120 outpatient clinics participants (30 subjects with no gallstone disease, 30 subjects with single stone, 30 subjects with multiple stones, and 30 subjects with cholecystectomy) evaluated utility values from January 1, 2006 to December 31, 2006. The diagnosis of gallstone disease was performed by a panel of specialists using ultrasound sonography.Results. The overall mean utility value was0.89±0.13(95% CI: 0.87–0.91) indicating that study participants were willing to trade about 11% (95% CI: 9–13%) of their remaining life in return for being free of gallstone disease perpetually. The significant associated factors of utility values based on the multiple linear regression analysis were older age and different degrees of gallstone disease.Conclusion. Our results found that in addition to older age, multiple stones and cholecystectomy could influence utility values from the patient’s preference-based viewpoint.

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Child-Free Lifestyle and the Need for Parenthood and Relationship with Marital Satisfaction among Infertile Couples

Iranian Journal of Psychiatry ◽

10.18502/ijps.v16i3.6249 ◽

2021 ◽

Author(s):

Razhan Chehreh ◽

Giti Ozgoli ◽

Khadijeh Abolmaali ◽

Malihe Nasiri ◽

Zolaykha Karamelahi

Keyword(s):

Marital Satisfaction ◽

Sampling Method ◽

Statistical Tests ◽

Pearson Correlation ◽

Cross Sectional Study ◽

Satisfaction Scale ◽

Cross Sectional ◽

The Mean ◽

Convenience Sampling ◽

Infertile Couples

Objective: Marital satisfaction is considered as satisfaction with a marital relationship on which the presence of a child has different effects. Concerns about a childfree life and its effect on marital satisfaction in infertile couples are very critical. Therefore, this study was intended to characterize and compare concerns about a childfree lifestyle and the need for parenthood and their relationship with marital satisfaction in infertile couples. Method: A total of 200 men and 200 women who referred to fertility centers in Tehran participated in this cross-sectional study. Convenience sampling method was used for sampling. Demographic survey, ENRICH Marital Satisfaction Scale, and Fertility Problem Inventory were used for data collection. The resulting data were analyzed using descriptive and analytical statistical tests (Pearson Correlation Coefficient and Stepwise Regression). Results: The mean scores for concern about a childfree lifestyle and the need for parenthood in women were significantly higher than in men. The variables rejection of a childfree lifestyle and the need for parenthood were respectively predictors of marital satisfaction in women and men. Conclusion: Since marital satisfaction in infertile couples is affected by their feelings about having a child and becoming a parent, it is therefore suggested that appropriate counseling be provided in supportive healthcare programs for infertile couples to promote their marital satisfaction.

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Physical therapy students’ perceptions of the educational environment at physical therapy institutes in Pakistan

Journal of Educational Evaluation for Health Professions ◽

10.3352/jeehp.2020.17.7 ◽

2020 ◽

Vol 17 ◽

pp. 7

Author(s):

Muhammad Adeel ◽

Asad Chaudhry

Keyword(s):

Physical Therapy ◽

Cross Sectional Study ◽

Educational Environment ◽

Physical Therapy Students ◽

Cross Sectional ◽

Public And Private ◽

Student Centered ◽

Doctor Of Physical Therapy ◽

The Mean ◽

Convenience Sampling

This study assessed doctor of physical therapy (DPT) students’ perceptions of the educational environment at public and private physical therapy institutes in Pakistan. This cross-sectional study was conducted at 6 physical therapy institutions in Punjab, Pakistan from April 2018 to December 2019. In total, 500 Dundee Ready Educational Environment Measure (DREEM) questionnaires were distributed among DPT students identified through convenience sampling (response rate, 86.4%). The correlations between each item of the DREEM score were analyzed. The mean overall DREEM score was 128±19.63 for all 5 subscales (range, 33 to 166; standard error of the mean, 0.954). The correlations of atmosphere, learning, and self-perception with the overall educational environment were r=0.896, r=0.853, and r=0.846, respectively. Student-centered approaches were found to be more effective than teacher-centered approaches for promoting a positive educational environment.

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Analysis of Corneal Spherical Aberrations in Chinese Bilateral Ectopia Lentis Patients

Frontiers in Medicine ◽

10.3389/fmed.2021.736686 ◽

2021 ◽

Vol 8 ◽

Author(s):

Jiahui Chen ◽

Yating Tang ◽

Qinghe Jing ◽

Yi Lu ◽

Yongxiang Jiang

Keyword(s):

Spherical Aberration ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Cross Sectional Study ◽

Cross Sectional ◽

Individual Measurement ◽

Ectopia Lentis ◽

Corneal Asphericity ◽

Optical Zone ◽

Anterior Posterior

Purpose: To analyze the anterior, posterior, and total corneal spherical aberrations (ASA, PSA, and TSA) in patients with Chinese bilateral ectopia lentis (EL).Methods: A cross-sectional study was conducted to evaluate corneal spherical aberration (CSA) using a Pentacam system at the 6-mm optical zone. Axial length, keratometry, astigmatism, and corneal asphericity were also determined.Results: This study included 247 patients (420 eyes) with a mean age of 18.1 years. The values of ASA, PSA, and TSA were 0.136 ± 0.100 μm, −0.118 ± 0.030 μm, and 0.095 ± 0.095 μm, respectively. In the EL patients with Marfan syndrome (MFS), ASA and TSA were significantly lower than in the non-MFS patients (0.126 ± 0.094 μm vs. 0.155 ± 0.107 μm, P = 0.004 for ASA; 0.085 ± 0.091 μm vs. 0.114 ± 0.099 μm, P = 0.003 for TSA), whereas PSA was not significantly different (P = 0.061). The values of ASA and TSA were significantly higher in the patients with EL aged ≥ 40 years old than in younger patients, whereas ASA and PSA were lower in patients aged <10 years old than in older patients (all P < 0.05). In the multiple linear regression analysis, age, keratometry, astigmatism, anterior asphericity, higher-order aberration (HOA), and lower-order aberration (LOA) were positively or negatively correlated with TSA in the patients with EL (r = 0.681, P < 0.001).Conclusions: Corneal spherical aberration was low in the patients with EL especially for MFS and tended to increase with aging. Preoperatively, individual measurement of CSA was necessary for bilateral EL patients with MFS.

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Association of Salivary Statherin, Calcium, and Proline-Rich Proteins on Oral Hygiene: A Cross-Sectional Study

International Journal of Dentistry ◽

10.1155/2021/1982083 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Deepak Gowda Sadashivappa Pateel ◽

Shilpa Gunjal ◽

Liew Fong Fong ◽

Nur Sulwana Mohd Hanapi

Keyword(s):

Oral Health ◽

Negative Correlation ◽

Oral Hygiene ◽

Linear Regression Analysis ◽

Rank Correlation ◽

Multiple Linear Regression Analysis ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

The Relationship

Background. Saliva, as a complex biofluid, plays a pivotal role in maintaining oral health and tooth integrity. There has been inconsistent data available on the relationship between salivary parameters and oral health. This study aims to investigate the association between salivary statherin, acidic proline-rich proteins (aPRP), and calcium with oral hygiene status. Methods. One hundred and eighty-eight healthy subjects aged between 18 and 50 years with varying oral hygiene status who gave consent to participate were included in this cross-sectional study. The subjects were recruited from primary oral health care of MAHSA University. Oral hygiene of all the participants was measured using Oral Hygiene Index–Simplified (OHI-S). Stimulated saliva collected using paraffin wax was analyzed for salivary statherin, aPRP, and calcium. The relationship between salivary statherin, aPRP, and calcium levels with OHI-S was assessed using Spearman’s Rank correlation coefficient; the strength of relationship was assessed by multiple linear regression analysis. Results. The study found a weak positive correlation (r = 0.179, p = 0.014) between salivary statherin and OHI-S; weak negative correlation (r = −0.187, p = 0.010) between salivary aPRP and OHI-S; and moderate negative correlation between salivary statherin and salivary aPRP levels (r = −0.50, p < 0.001) which were statistically significant. Conclusion. Poor oral hygiene is associated with increased statherin and reduced aPRP levels in saliva. Thus, these salivary components may have a role in predicting oral hygiene status.

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Difficulties Imposed on the Parent–Child Relationship Due to the COVID-19 Pandemic

Journal of Family Issues ◽

10.1177/0192513x211067527 ◽

2021 ◽

pp. 0192513X2110675

Author(s):

Iraklis Grigoropoulos

Keyword(s):

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Cross Sectional Study ◽

Predictor Variables ◽

Sectional Study ◽

Parent Child Relationship ◽

Cross Sectional ◽

Child Relationship ◽

Family Level ◽

Parent Child

The present study tested whether emotionally burdened parents due to the COVID-19 pandemic might appraise their relationship with their children more negatively. The current cross-sectional study was circulated through social media. A total of 265 respondents took part in the study. Multiple linear regression analysis was used to examine the association between predictor variables and the parent–child relationship. This study’s results report that older fathers with higher levels of COVID-19 related fear are more likely to appraise negatively their relationship with their children. Therefore, this study suggests the need for family-level strategies to address better the psychological aspects related to the pandemic outbreak.

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Use of 2D and multislice transperineal ultrasonography to describe the degree of perineal laceration following vaginal delivery

Medical Journal of Indonesia ◽

10.13181/mji.v27i2.1908 ◽

2018 ◽

Vol 27 (2) ◽

Author(s):

Budi I. Santoso ◽

Suskhan Djusad ◽

Surahman Hakim ◽

Fernandi Moegni ◽

Alfa P. Meutia ◽

...

Keyword(s):

Vaginal Delivery ◽

Clinical Examination ◽

Evaluation Method ◽

Cross Sectional Study ◽

Perineal Laceration ◽

Perineal Tear ◽

Cross Sectional ◽

Measurement Variation ◽

The Mean ◽

Primiparous Women

Background: Perineal tear is the most common complication after vaginal delivery. Pill-rolling test is a widely used clinical evaluation method to determine the degree of perineal tear. However, the evaluation results of anal sphincter complex (ASC) differ between clinical examination and 2D/multislice transperineal ultrasonography (TPUS). This study aims to describe measurement variation between these modalities.Methods: This cross-sectional study was conducted at Cipto Mangunkusumo Hospital from November 2015 to May 2016. Subjects were primiparous women after vaginal delivery. Clinical examination using pill-rolling test was performed to determine the degree of perineal laceration. Suture was conducted accordingly. The subjects were subjected to 2D/multislice TPUS 72 hours after delivery to evaluate the integrity of internal and external anal sphincters. Data were collected and analyzed to determine compatibility between these examinations.Results: Among 70 prospective primiparous women, five were excluded due to unavailability to undergo 2D/multislice TPUS 72 hours after delivery. The mean duration to perform 2D/multislice TPUS was 4.5 minutes, and pain was tolerable during the examination. The compatibility values of clinical examination with 2D and multislice TPUS were 0.98 and 0.93, respectively, with Cohen’s kappa of 0.92 (95% CI 0.81–1.00) and 0.79 (95% CI 0.58–0.99), respectively.Conclusion: Clinical examination is compatible with 2D/multislice TPUS for determining the degree of perineal tear after vaginal delivery.

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