scholarly journals Concordance for curve type in idiopathic scoliosis among family members

2017 ◽  
Vol 25 (3) ◽  
pp. 90-94 ◽  
Author(s):  
Clarissa Miranda Carneiro de Albuquerque olbertz ◽  
Jérôme Sales de Gauzy ◽  
Paulo Cezar Vidal Carneiro de Albuquerque ◽  
Frank Accadbled ◽  
Paula Eduarda Miranda Carneiro de Albuquerque ◽  
...  

ABSTRACT OBJECTIVE: To evaluate the concordance for the curve pattern, side and levels of the superior apical vertebrae, apex and inferior apical vertebrae of curves in patients and their relatives with idiopathic scoliosis. METHODS: Concordance according to the Lenke classification for curve pattern, side and levels of the superior apical vertebrae, apex and inferior apical vertebrae were evaluated comparative and prospectively in 243 pairs of patients and respective relatives with idiopathic scoliosis. RESULTS: The family concordance for the curve pattern and side was 51.4% (125 pairs). Among these pairs, the concordance of the levels of the vertebrae was 91.2% (114 pairs). The concordance rate for the curve pattern and side between parents/children was 51.6% and between siblings was 50.0% (p-value= 0.411). The concordance rates of the levels of vertebrae were 86.8% and 95.1%, respectively (p-value = 0.219). CONCLUSION: Curve shape in idiopathic scoliosis is related to family and degree of kinship, since the data showed a high concordance for the curve pattern, side and levels of the apical vertebrae and apex between patients and relatives with this deformity. The concordance was higher in those with a closer degree of kinship. Level of Evidence II, Lesser Quality Prospective Study.

2018 ◽  
Vol 2 (2) ◽  
pp. 19
Author(s):  
Dhesi Ari Astuti ◽  
Nurul Kurniati

Background: As the part of sexual orientation varieties and gender identities, until now the existence of Lesbian, Gay, Bisexual, and Transgender (LGBT) still becomes a social, theological, and psychological problem. Similar to trauma, low self acceptance, low self esteem, and anxiety, if it is not handled properly, the condition will be getting worse. Aims: The aim of the study is to increase prevention efforts toward growing phenomena of TGBT on teenagers. Methods: This is a quantitative study with one group pretest and posttest design. The work involved a total of 41 teenagers at at Ngaran Village, Balecatur, Gamping, Sleman, Indonesia. A set of questionnaires was given to the respondents to measure knowledge, attitude, perception, service access, and also peer’s attitude to LGBT. Counseling was given once together with material content about LGBT awareness in family. Statistical analysis was employed to process and analyze the data. Results: The result showed factors correlated to stigma about LGBT on teenagers namely knowledge, attitude, perception, access to any service, and peer’s attitude. The most influential factor was knowledge factor with p value 0.00 and peer’s attitude with p value 0.02.Conclusion: After being participated in the study, it is expected that teenagers can give information to the family members, so the family members and the society will have appropriate knowledge and attitude related LGBT stigma. Keywords       : Teenagers, LGBT, Stigma, Indonesia


Health Scope ◽  
2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Zahra Hashemi ◽  
Seyed Alireza Haj Seyed Javadi ◽  
Seyed Mohsen Zamir

Background: Schizophrenia is one of the most serious psychiatric diseases that affects the patient’s family members in addition to the patient himself. This disease can lead to depression and anxiety in the family members of the patient and even affect their functioning. Objectives: The present study was conducted to investigate the effect of a short-term family psychoeducation course on the depression and anxiety family functioning in caregivers Methods: In this before-after clinical trial, 163 first-degree family members of patients with schizophrenia were invited to participate in a short-term FPE course. A total of 65 of this group attended the first training session. Prior to the first session, the beck depression inventory (BDI), the beck anxiety inventory (BAI), and the family assessment device (FAD) were completed for the participants based on a family functioning model. Six months after the end of the FPE course, the 36 subjects who had completed the initial questionnaires and fully attended the sessions were invited to complete the questionnaires again. A total of 31 subjects completed the questionnaires again at this stage. The data were analyzed by SPSS-20 software using Mann–Whitney and Wilcoxon rank tests. Results: The mean age of the participants in both stages of questionnaire completion was 48.64 ± 11.85 years. Among them, 16 (51.6%) were female, and 15 (48.4%) were male. Also, six (19.4%) subjects had an education above high school, and mothers were the most frequent participating family members with a frequency of 11 (35.5%). The anxiety and depression scores of these subjects were 10.8 ± 5.14 and 6.9 ± 2.45 at baseline, respectively. These scores decreased significantly after six months to 5.03 ± 2.48 and 4.40 ± 1.9, respectively. In addition, among family functioning, Role and Behavioral control was significantly improved (P-value < 0.05). Conclusions: The results of this study showed that depression and anxiety levels decreased in the family members of the examined patients six months after an FPE course. This effect can be further investigated through studies conducted with control groups. These findings suggest that the integration and institutionalization of FPE programs in the healthcare system are essential for improving the status of patient caregivers with severe psychiatric illnesses and their families.


2018 ◽  
Vol 12 (2) ◽  
pp. 181-186 ◽  
Author(s):  
S. I. Shiran ◽  
L. Shabtai ◽  
L. Ben-Sira ◽  
D. Ovadia ◽  
S. Wientroub

Purpose Distinct normal physiological patterns of fat conversion in vertebrae were described both for children and adults. Our aim was to evaluate the T1-weighted bone marrow pattern of the vertebral bodies in various sites along the scoliotic spine of children with adolescent idiopathic scoliosis (AIS). Methods We retrospectively evaluated spine MRI studies of children with AIS. Scoliosis radiographs were assessed for type of curvature according to the Lenke classification. A paediatric neuroradiologist assessed the T1-weighted signal of vertebral bodies in comparison with the adjacent disc and distinct patterns of fatty conversion within the apical and stable vertebral bodies. Statistical assessment was performed. Results MRI study of the spines of 75 children with AIS were assessed, 59 (79%) of whom were female, with an age range of nine to 19 years. The relative overall T1-weighted signal intensity of the vertebral body bone marrow relative to the intervertebral disc was hyperintense in 76% and isointense in 24%. Fatty conversion grade of the stable vertebra was higher than the apex vertebra (p = 0.0001). A significant tendency to have more advanced fat conversion patterns in the apex vertebra up to age 13.5 years old compared with adolescents above that (p = 0.015) was seen. Conclusion This preliminary study suggests a different pattern of bone marrow conversion in AIS from the normal physiologic pattern described in the literature. Whether these changes are secondary to the biomechanics of the curved spine or may suggest that bone marrow maturation rate and content have a role in the pathogenesis of AIS remains to be further researched. Level of Evidence Level III (Diagnostic Study)


Author(s):  
Noripansyah Noripansyah ◽  
Lily Nabila Amar

There are 5,197 positive confirmed cases of COVID-19 in Banjarbaru. It is known that the COVID-19 pandemic causes essential problems related to basic needs such as economic, social, shelter and nutrition, as well as the physical effects of the disease. Not only health workers but also families of health workers experience psychological pressure. In a preliminary study, it was found that the family feel worried and anxious about their families members who work in a hospital to take care of patients. This research aims to investigate the correlation between anxiety levels and insomnia in family members of health workers at Idaman Hospital, Banjarbaru, during the COVID-19 pandemic. This research uses a Cross-Sectional approach using social media with the google form platform taking 125 correspondence as a sample. The research instrument used the DASS-21 and Insomnia Severity Index. The data were analyzed using the SPSS program, with the Spearman rank correlation test working by testing the associative hypothesis of two ordinal scale variables (ranking). A total of 70.4% of family members of health workers at Idaman Hospital Banjarbaru have a very severe level of anxiety. In addition, 46.4% of the families of health workers at Idaman Hospital Banjarbaru experienced severe insomnia. The correlation for state anxiety-insomnia is 0.846 with a p-value = 0.000 (p < 0.05). This indicates that the two variables have a significant relationship with moderate correlation strength. The direction of the positive correlation indicates that these two variables move in the same direction, meaning that the higher the anxiety, the higher insomnia is experienced. Due to the COVID-19 pandemic, the population was limited. It is necessary to conduct further and comprehensive research on the psychological impact on family members of health workers. It is very limited to find research that examines the psychological condition of the family of health workers because, as we know, that not only affects the health workers themselves, but the family also experiences psychological impacts.


2021 ◽  
Author(s):  
Gökhan Karademir ◽  
Kerim Sarıyılmaz ◽  
Okan Özkunt ◽  
Mehmet Demirel ◽  
Fatih Dikici ◽  
...  

Abstract BackgroundAlthough Lenke classification analyses the sagittal plane as (+), N, and (-), it does not consider it in the choice of treatment, and it has limitations with overall thoracic kyphosis (TK). To investigate the importance of TK for treatment preference in patients with Lenke 5C adolescent idiopathic scoliosis (AIS) by comparing radiological outcomes of the patients who underwent selective fusion (SF) or nonselective fusion (NSF). MethodsThirty-two patients with Lenke type 5C AIS were included and then divided into two groups as per the fusion procedure used in the surgical treatment. SF group including 17 patients (15 females; mean age = 16 years, age range, 14–21) with normal TK and NSF group including 15 patients (11 females; mean age = 17 years, age range, 13–26) with thoracic hyper-kyphosis. Thorocolumbar/lumbar (TL/L) Cobb, thoracic (T) Cobb, TK and lumbar lordosis (LL) were measured on standing spine radiographs preoperatively and at the final follow-up. The correction rates (CR) of each radiographic parameter were calculated.ResultsNo significant differences were observed in the mean CR of all radiographic parameters, except TK and LL correction rates. The mean CR of TK was significantly higher in NSF group (-17% [range, -100–69]) than in SF group (67% [range, 9–100]) (p = 0.000). Likewise, the mean CR of LL was found significantly higher in NSF group (12.47% [range, -100–51]) than in SF group (-2.41% [range, -75–47]) (p = 0.036).ConclusionIn patients in whom Lenke's sagittal modifier is N, SF can be performed efficiently. NSF should be preferred in those with Lenke's sagittal modifiers (+) as TK can be better controlled with NSF.Level of Evidence: 3


2020 ◽  
Vol 1 (2) ◽  
pp. 97
Author(s):  
Moh Ali

The family as the main social unit that gives influence to the growth and development of adolescents, the family is a place for individuals to learn to socialize, the success of adolescent development is achieved through interaction with family members. Optimal adolescent development will be achieved if they are with their families. Various factors can affect the development of adolescents, one of which is support from family members. This study aims to determine the relationship between perceptions of family social support with adolescent attitudes in dealing with puberty. This research is a correlational quantitative study with cross sectional approach, data were collected using a questionnaire, respondents were taken by simple random sampling technique in grade 1 and grade 2 students in SMP Negeri 1 Kota Bima, amounting to 76 respondents. There is a correlation between perceptions of family social support with adolescent attitudes in dealing with puberty analyzed with X2 = 39,269 and p-value: 0,000. Family social support greatly influences adolescent attitudes in dealing with puberty, forms of social support can be either material or non-material support.


2018 ◽  
Vol 17 (4) ◽  
pp. 286-292
Author(s):  
Enguer Beraldo Garcia ◽  
Liliane Faria Garcia ◽  
Saulo Terror Giesbrecht ◽  
Luis Gustavo Vasconcelos ◽  
Enguer Beraldo Garcia Jr ◽  
...  

ABSTRACT Objective: To create a new comprehensive, three-dimensional, applicable classification for Adolescent Idiopathic Scoliosis and similar conditions. Methods: The Three-Dimensional Classification was created with three components: the first, the quantitative factor, divides into three types according to the number of curves; the second, the locator factor defines the most structured point of the curve; and the third, the sagittal factor, evaluates the overall sagittal plane. To test the new classification, we studied the images of 99 patients comparing the intra- and interobserver agreement and reproducibility index of the Three-Dimensional Classification with that of Lenke. Results: It can be stated that, overall, the agreement between the three evaluators in relation to the Three-Dimensional Classification and that of Lenke in this series was considered very good. Conclusions: The case study showed a significant difference in the percentages between the two Classifications. In the evaluation of thoracic kyphosis, the Three-Dimensional Classification defined 26.6% of the cases as hyperkyphosis and 61.6% as normal, whereas the Lenke Classification defined 6.06% as hyperkyphosis and 84.18% as normal. However, in the global comparative analysis of the methods, the Three-Dimensional and Lenke systems presented statistically the same levels of agreement, since the values of the confidence intervals overlap. Level of Evidence II; Retrospective study.


2022 ◽  
Vol 6 (3) ◽  
pp. 164-172
Author(s):  
Dyah Suryani

Ownership of basic sanitation facilities of the house is one of the conditions of a healthy home. Health problems in the home environment can not be separated from the level of knowledge, attitude, income of the head of the family and the number of dependents of the head of the family. It is seen that there are still people who do not have thoughts about the importance of basic sanitation for their lives and there are still many people who do not have basic sanitation facilities. The purpose of this study is to find out the factors related to the ownership of basic household sanitation facilities in Selumar Water Village, Sijuk Subdistrict, Belitung Regency.This study uses observational analytics method with cross sectional approach. The samples in this study numbered 101 samples, using proportional random sampling method. Research instruments are questionnaires and checklists. Data analysis is performed using Chi square test. Bivariate analysis results show there is a relationship between the level of knowledge and the ownership of basic household sanitation facilities p value=0.000, there is a relationship between attitude with the ownership of basic household sanitation facilities p value=0.005, there is a relationship between the level of income and the ownership of basic household sanitation facilities p value=0.000, there is a relationship between the number of family members and the ownership of basic household sanitation facilities p value=0.016. The level of knowledge, attitude, income level and number of family members relates to the ownership of basic household sanitation facilities in Selumar Water Village, Sijuk Subdistrict, Belitung Regency


2019 ◽  
Vol 10 (2) ◽  
pp. 809-819
Author(s):  
Ririn Nasriati ◽  
Rona Riasma Oktobriani

Latar Belakang: Gangguan jiwa merupakan masalah kesehatan yang serius karena jumlahnya yang terus mengalami peningkatan serta merupakan penyakit kronis yang membutuhkan proses panjang dalam penyembuhannya. Terdapat perbedaan dalam perilaku pencarian pengobatan penderita gangguan jiwa yang dilakukan oleh keluarga. Faktor pendidikan, informasi, pendapatan dan stigma yang dialami keluarga dapat menghambat perilaku pencarian pengobatan yang dilakukan oleh keluarga sehingga berdampak pada terlambatnya pengobatan yang diberikan kepada penderita gangguan jiwa.Tujuan: Tujuan penelitian ini adalah menganalisis faktor yang mempengaruhi perilaku keluarga dalam pencarian pengobatan gangguan jiwa.Metode: Rancangan penelitian adalah korelasi dengan pendekatan crossectional. Populasinya adalah seluruh keluarga yang mempunyai anggota keluarga gangguan jiwa dengan jumlah 47  yang diambil dengan total sampling. Pengumpulan data menggunakan kuesioner yang diberikan kepada keluarga orang dengan dengan gangguan Jiwa kemudian data dianalisis dengan menggunakan Chi Square.Hasil: Hasil penelitian menunjukkan bahwa faktor pendidikan dan informasi berpengaruh signifikan terhadap perilaku keluarga dalam pencarian pengobatan gangguan jiwa dengan p value 0,05.Kesimpulan: Faktor pendidikan dan informasi gangguan jiwa menentukan perilaku keluarga dalam pencarian pengobatan gangguan jiwa untuk itu diperlukan upaya lebih lanjut untuk memberikan informasi dan edukasi tentang gangguan jiwa yang adekuat kepada keluarga sehingga keluarga tidak keliru dalam mencari bantuan pengobatan bagi anggota keluarganya yang gangguan jiwa.Kata Kunci: faktor pendidikan, stigma, pendapatan, informasi gangguan jiwa Background: Mental disorders are a serious health problem because the number continues to increase and is a chronic disease that requires a long process of healing. There is a difference in the behavior of seeking treatment for patients with mental disorders carried out by the family. Factors of education, information, income and stigma experienced by families can hinder the behavior of seeking treatment carried out by the family so that the impact on the delay of treatment given to people with mental disorders.Objective: The purpose of this study is to analyze the factors that influence family behavior in seeking treatment for mental disorders.Method: The study design was correlated with a cross-sectional approach. The population is all families who have mental illness family members with a total of 47 taken with total sampling. Data collection using a questionnaire given to families of people with mental disorders then the data were analyzed using Chi Square.Results: The results showed that education and information factors had a significant effect on family behavior in seeking mental health treatment with a p value 0.05.Conclusion: The factor of education and information on mental disorders determines family behavior in seeking treatment for mental disorders. Therefore, further efforts are needed to provide adequate information and education about mental disorders to families so that families are not mistaken in seeking treatment for family members with mental disorders.Keywords: education factors, stigma, income, information on mental disorders


2019 ◽  
Vol 6 (2) ◽  
pp. 64-69
Author(s):  
Rama Kumari Lamichhane

Introductions: Stigma and unfavorable view of people towards mental illness is prevailing in Nepal due to lack of awareness. Stigma among family members of people with mental illness has a serious impact on the outcome. This study aims to identify the level of perceived stigma by family members and association with selected demographical variables. Methods: A cross-sectional research design was used to assess the stigma perceived by family members of patients visiting psychiatry outpatient department of Patan Hospital, Patan Academy of Health Sciences during 12 August to Sep 7, 2018. Questionnaire on socio-demographic variables and self-stigma of mental illness scale was used to interview the family members to assess the level of perceived stigma. Chi-square was used to examine the association between demographic variables and stigma, p < 0.05 was considered significant. Results: Out of 180 family interviewed 94 (52.2%) had perceived high level of stigma and 86 (47.8%) low level of stigma. There was significant association between age and perceived stigma (p value=0.030) at 95% of significance. Conclusions: More than half of the family members of psychiatric patients had perceived high level of stigma and was associated with the age.


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