scholarly journals Predicting the Importance of Hospital Chaplain Care in a Trauma Population

2012 ◽  
Vol 5 (2) ◽  
pp. 44-50
Author(s):  
Gina M Berg ◽  
Robin E Crowe ◽  
Shannon Borchert ◽  
Jane Siebert ◽  
Felecia Lee
Keyword(s):  
Logistic Regression ◽  
Exploratory Study ◽  
Telephone Survey ◽  
Religious Affiliation ◽  
Patient Characteristics ◽  
Trauma Patients ◽  
Regression Analyses ◽  
Hospital Chaplain ◽  
Injury Characteristics ◽  
Trauma Population

Background. The purpose of this exploratory study was to determine if the importance of chaplain care is associated with and could be predicted by patient or injury characteristics. Methods. A telephone survey of recently discharged trauma patients was conducted. Logistic regression analyses were conducted to determine what factors are associated with the importance of chaplain care and satisfaction with chaplain care. Results. Self-reported religious affiliation was associated with the importance of chaplain care and importance of chaplain care was associated with satisfaction with chaplain care. Conclusions. The value of chaplain care cannot be measured by patient characteristics, therefore, chaplain care should be offered to all patients and families.

Bullets, Blades, and Being Afraid in Hispanic High Schools: An Exploratory Study of the Presence of Weapons and Fear of Weapon-Associated Victimization Among High School Students in a Border Town

2004 ◽  
Vol 50 (3) ◽  
pp. 372-394 ◽  
Author(s):  
Ben Brown ◽  
Wm. Reed Benedict
Keyword(s):  
High School ◽  
Logistic Regression ◽  
High School Students ◽  
High Schools ◽  
Exploratory Study ◽  
Policy Implications ◽  
Regression Analyses ◽  
School Students ◽  
Border Town ◽  
Language Spoken At Home

This article presents data obtained from a survey of high school students in Brownsville, Texas. Almost half of the students reported having seen other students carry knives at school, roughly 1 in 10 reported having seen other students carry guns at school, and more than 1 in 5 reported being fearful of weapon-associated victimization at school. Logistic regression analyses indicate that age, gender, seeing other students carry weapons, and involvement with student clubs/organizations significantly affect fear of weapon-associated victimization. Using language spoken at home as a measure of acculturation, it was also determined that immigrant juveniles are more fearful of weaponassociated victimization than nonimmigrant juveniles. The theoretical and policy implications of the findings are discussed.

Blood Transfusion is an Independent Predictor of Mortality after Blunt Trauma

2007 ◽  
Vol 73 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Anthony Charles ◽  
Almaasa Shaikh ◽  
Madonna Walters ◽  
Susan Huehl ◽  
Richard Pomerantz
Keyword(s):  
Logistic Regression ◽  
Blood Transfusion ◽  
Blunt Trauma ◽  
Injury Severity ◽  
Trauma Registry ◽  
Blunt Injury ◽  
Trauma Patients ◽  
Trauma Population ◽  
Transfusion Requirements ◽  
Level 2

Allogeneic blood transfusion is associated with increased morbidity and mortality. The authors evaluated the affect of blood transfusion, independent of injury severity on mortality. The authors conducted a retrospective review of all patients, age ≥18 years with blunt injury admitted to their Level 2 trauma center from 1994 to 2004 by query of the NTRACS trauma registry. Initial systolic blood pressure and heart rate determined the shock index. Logistic regression was used to model the affect of blood transfusion on mortality. Transfusion requirements were categorized as follows: A, 0 U; B, 1 to 2 U; C, 3 to 5 U; D, ≥6 U blood. In this sample of 8215 blunt trauma patients, 324 patients received blood transfusion. Mortality rates between the transfused and nontransfused groups were 15.12 per cent and 1.84 per cent ( P < 0.000) respectively. In the logistic regression model, transfusion category B did not have a significant affect on the odds of death ( P = 0.176); the affect of transfusing 3 to 5 U and ≥6 U had a mortality odds ratio of 3.22 ( P = 0.002) and 4.87 ( P = 0.000) respectively. Transfusing ≥2U blood was strongly associated with mortality in this blunt trauma population. There must be a continuous attempt to limit blood transfusion when feasible and physiologically appropriate.

scholarly journals Incidence of Elevated Procalcitonin and Presepsin Levels after Severe Trauma: A Pilot Cohort Study

2017 ◽  
Vol 45 (5) ◽  
pp. 600-604 ◽  
Author(s):  
K. Hoshino ◽  
Y. Irie ◽  
M. Mizunuma ◽  
K. Kawano ◽  
T. Kitamura ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Risk Factor ◽  
Independent Risk Factor ◽  
Injury Severity ◽  
Severe Trauma ◽  
Trauma Patients ◽  
Regression Analyses ◽  
Multivariate Logistic Regression ◽  
Traumatic Injuries ◽  
Early Phases

Procalcitonin (PCT) and presepsin (PSEP) are useful biomarkers for diagnosing sepsis; however, elevated PCT and PSEP levels may be observed in conditions other than sepsis. We hypothesised that PCT and PSEP levels could increase after severe traumatic injuries. Trauma patients with an Injury Severity Score of ≥16 from October 2013 to September 2015 were enrolled in our study. We examined PCT and PSEP levels and their positive rates on days 0 and 1. PCT and PSEP levels on days 0 and 1 were compared. Risk factors for increasing sepsis biomarker levels were identified by multivariate logistic regression analyses. In this study, 75 patients were included. PCT levels on days 0 and 1 were 0.1±0.4 and 1.8±6.3 ng/ml, respectively (P=0.02). PSEP levels on days 0 and 1 were 221±261 and 222±207 pg/ml, respectively (P=0.98). As per multivariate logistic regression analyses, packed red blood cell (PRBC) transfusion was the only independent risk factor for higher PCT levels on day 1 (P=0.04). Using PCT to diagnose sepsis in trauma patients on day 1 requires caution. PRBC transfusion was found to be a risk factor for increasing PCT levels. On the other hand, PSEP levels were not affected by trauma during the early phases.

scholarly journals Reasons for Surgery Cancellation in a General Hospital: A 10-year Study

2018 ◽  
Vol 16 (1) ◽  
pp. 7 ◽  
Author(s):  
Hyun-Sun Cho ◽  
Ye Lee ◽  
Sang Lee ◽  
Ji Kim ◽  
Tae Kim
Keyword(s):  
Logistic Regression ◽  
Odds Ratio ◽  
High Probability ◽  
Patient Characteristics ◽  
University Hospital ◽  
Regression Analyses ◽  
Multivariate Logistic Regression ◽  
Chi Square ◽  
Factors Associated ◽  
Cancellation Rate

Background: This study researched related causes that make scheduled surgeries canceled not to be conducted and based on the research it is to derive issues in order to reduce surgery cancellation. Methods: We analyzed the association of surgery cancellation with patient characteristics, surgical characteristics and surgery schedule related characteristics, using electronic medical record (EMR) data on surgeries conducted at a university hospital in Korea over 10 years. Additionally, we examined the reasons for surgery cancellation based on patient and hospital characteristics. We used chi-square tests to analyze the distribution of various characteristics according to reasons for surgery cancellation. Multivariate logistic regression analyses were conducted to evaluate the factors associated with surgery cancellation. Results: Among 60,333 cases, surgery cancellation rate was 8.0%. The results of the logistic regression indicated a high probability of surgery cancellation when the patient was too old (odds ratio [OR]: 1.35, 95% confidence interval [CI]: 1.14–1.59), when it was a neurosurgery case (OR: 1.39, 95% CI: 1.21–1.59), when local anesthesia was used (OR: 1.15, 95% CI: 1.07–1.24) or when it was a planned surgery (OR: 2.45, 95% CI: 2.21–2.73). The surgery cancellation rate was lower when the patient was female (OR: 0.87, 95% CI: 0.82–0.93) or when the surgery was related to Obstetrics & Gynecology (OR: 0.53, 95% CI: 0.46–0.60) or Ophthalmology (OR: 0.66, 95% CI: 0.56–0.79). Among the canceled 4834 cases, the surgery cancellation rate for the reasons of patients was 93.2% and the surgery cancellation rate for the reasons of a hospital was 6.8%. Conclusions: This study found that there are related various causes to cancel operations, including patient characteristics, surgery related characteristics and surgery schedule related characteristics and it means that it would be possible for some reasons to be prevented. Every medical institution should consider the operation cancellation as an important issue and systematic monitoring should be needed.

Companion Animals in Thailand

2015 ◽  
Vol 23 (6) ◽  
pp. 569-593 ◽  
Author(s):  
Samia R. Toukhsati ◽  
Clive J.C. Phillips ◽  
Anthony L. Podberscek ◽  
Grahame J. Coleman
Keyword(s):  
Logistic Regression ◽  
Telephone Survey ◽  
Companion Animals ◽  
Personal Agency ◽  
Regression Analyses ◽  
Negative Attitudes ◽  
Hierarchical Multiple Regression ◽  
Normative Pressure ◽  
Positive Attitudes ◽  
Human Animal

The prevalence of companion animal caregiving was estimated, and demographic and psychosocial factors that predict sterilization behaviors in caregivers in Thailand were identified. Thai nationals (n = 494) were recruited by random for the Culture and Human-Animal Interactions (chai) telephone survey. The results showed 74% of respondents had a cat and/or a dog (60% dogs, 23% cats); 22% of dogs and 19% of cats were sterilized. Logistic Regression analyses revealed positive attitudes toward desexing, and the perception that important others would endorse this practice best predicted sterilization practices. For caregivers with unsterilized companions, Hierarchical Multiple Regression analyses revealed perceived capability to sterilize, positive attitudes toward desexing, and perceived normative pressure to sterilize accounted for 35% and 45% of the variance in intentions to sterilize dogs and cats, respectively. Culturally sensitive initiatives targeting negative attitudes, enhancing normative pressure, and increasing perceived personal agency to sterilize may improve sterilization rates in Thailand.

Perceived Effectiveness of Random Testing for Alcohol and Drugs in the Australian Aviation Community

2012 ◽  
Vol 2 (2) ◽  
pp. 72-81
Author(s):  
Christina M. Rudin-Brown ◽  
Eve Mitsopoulos-Rubens ◽  
Michael G. Lenné
Keyword(s):  
Logistic Regression ◽  
Online Survey ◽  
Random Testing ◽  
Regression Analyses ◽  
Perceived Effectiveness ◽  
Student Pilots ◽  
Alcohol And Drugs ◽  
Positive Attitudes ◽  
One Year ◽  
Alcohol And Other Drugs

Random testing for alcohol and other drugs (AODs) in individuals who perform safety-sensitive activities as part of their aviation role was introduced in Australia in April 2009. One year later, an online survey (N = 2,226) was conducted to investigate attitudes, behaviors, and knowledge regarding random testing and to gauge perceptions regarding its effectiveness. Private, recreational, and student pilots were less likely than industry personnel to report being aware of the requirement (86.5% versus 97.1%), to have undergone testing (76.5% versus 96.1%), and to know of others who had undergone testing (39.9% versus 84.3%), and they had more positive attitudes toward random testing than industry personnel. However, logistic regression analyses indicated that random testing is more effective at deterring AOD use among industry personnel.

Characteristics of Different Types of Childhood Violence and the Risk of Revictimization

2019 ◽  
Vol 25 (14) ◽  
pp. 1696-1716 ◽  
Author(s):  
Ida Frugaard Stroem ◽  
Helene Flood Aakvaag ◽  
Tore Wentzel-Larsen
Keyword(s):  
Childhood Abuse ◽  
Telephone Survey ◽  
Regression Analyses ◽  
Multiple Forms ◽  
Different Types ◽  
Children And Young Adults ◽  
Childhood Violence ◽  
Forms Of Violence ◽  
The Relationship

This study investigates the relationship between the characteristics of different types of childhood violence and adult victimization using two waves of data from a community telephone survey (T1) and a follow-up survey, including 505 cases and 506 controls, aged 17-35 years (T2). The logistic regression analyses showed that exposure to childhood abuse, regardless of type, was associated with adult victimization. Exposure to multiple types of abuse, victimization both in childhood and in young adulthood, and recency of abuse increased these odds. Our findings emphasize the importance of assessing multiple forms of violence when studying revictimization. Practitioners working with children and young adults should be attentive to the number of victimization types experienced and recent victimization to prevent further abuse.

scholarly journals Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: A pragmatic randomized trial

2020 ◽  
Author(s):  
Elaine C Khoong ◽  
Valy Fontil ◽  
Natalie A Rivadeneira ◽  
Mekhala Hoskote ◽  
Shantanu Nundy ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Randomized Trial ◽  
Odds Ratio ◽  
Primary Outcome ◽  
Mixed Effects ◽  
Regression Analyses ◽  
Diagnostic Confidence ◽  
Diagnostic Uncertainty ◽  
Intervention Impact ◽  
High Uncertainty

Abstract Objective The study sought to evaluate if peer input on outpatient cases impacted diagnostic confidence. Materials and Methods This randomized trial of a peer input intervention occurred among 28 clinicians with case-level randomization. Encounters with diagnostic uncertainty were entered onto a digital platform to collect input from ≥5 clinicians. The primary outcome was diagnostic confidence. We used mixed-effects logistic regression analyses to assess for intervention impact on diagnostic confidence. Results Among the 509 cases (255 control; 254 intervention), the intervention did not impact confidence (odds ratio [OR], 1.46; 95% confidence interval [CI], 0.999-2.12), but after adjusting for clinician and case traits, the intervention was associated with higher confidence (OR, 1.53; 95% CI, 1.01-2.32). The intervention impact was greater in cases with high uncertainty (OR, 3.23; 95% CI, 1.09- 9.52). Conclusions Peer input increased diagnostic confidence primarily in high-uncertainty cases, consistent with findings that clinicians desire input primarily in cases with continued uncertainty.

785 Reported Restful Sleep Predicting Emotional Distress: Does Exercise (and its modalities) moderate?

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A305-A306
Author(s):  
Jesse Moore ◽  
Ellita Williams ◽  
Collin Popp ◽  
Anthony Briggs ◽  
Judite Blanc ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Aerobic Exercise ◽  
Regression Models ◽  
Regression Analyses ◽  
Logistic Regression Models ◽  
The Past ◽  
Strengthening Exercise ◽  
Waking Up ◽  
The Relationship ◽  
Age And Sex

Abstract Introduction Literature shows that exercise moderates the relationship between sleep and emotional distress (ED.) However, it is unclear whether different types of exercise, such as aerobic and strengthening, affect this relationship differently. We investigated the moderating role of two types of exercise (aerobic and strengthening) regarding the relationship between ED and sleep. Methods Our analysis was based on data from 2018 National Health Interview Survey (NHIS), a nationally representative study in which 2,814 participants provided all data. Participants were asked 1) “how many days they woke up feeling rested over the past week”, 2) the Kessler 6 scale to determine ED (a score &gt;13 indicates ED), and 3) the average frequency of strengthening or aerobic exercise per week. Logistic regression analyses were performed to determine if the reported days of waking up rested predicted level of ED. We then investigated whether strengthening or aerobic exercise differentially moderated this relationship. Covariates such as age and sex were adjusted in the logistic regression models. Logistic regression analyses were performed to determine if subjective reporting of restful sleep predicted level of ED. We investigated whether strengthening exercise or aerobic exercise differentially moderated this relationship. Covariates such as age and sex were adjusted in the logistic regression models. Results On average, participants reported 4.41 restful nights of sleep (SD =2.41), 3.43 strengthening activities (SD = 3.19,) and 8.47 aerobic activities a week (SD=5.91.) We found a significant association between days over the past week reporting waking up feeling rested and ED outcome according to K6, Χ2(1) = -741, p= &lt;.001. The odds ratio signified a decrease of 52% in ED scores for each unit of restful sleep (OR = .48, (95% CI = .33, .65) p=&lt;.001.) In the logistic regression model with moderation, aerobic exercise had a significant moderation effect, Χ2(1) = .03, p=.04, but strengthening exercise did not. Conclusion We found that restful sleep predicted reduction in ED scores. Aerobic exercise moderated this relationship, while strengthening exercise did not. Further research should investigate the longitudinal effects of exercise type on the relationship between restful sleep and ED. Support (if any) NIH (K07AG052685, R01MD007716, K01HL135452, R01HL152453)

Familial Interdependence, Socioeconomic Disadvantage, and the Formation of Familial Mentoring Relationships Within Black Families

2020 ◽  
pp. 074355842097912
Author(s):  
Janelle T. Billingsley ◽  
Ariana J. Rivens ◽  
Noelle M. Hurd
Keyword(s):  
Logistic Regression ◽  
Social Class ◽  
Mixed Method ◽  
Black Families ◽  
Socioeconomic Disadvantage ◽  
Mentoring Relationships ◽  
Regression Analyses ◽  
Disadvantaged Youth ◽  
Mentoring Relationship ◽  
Mixed Method Design

This study used an explanatory sequential mixed-method design to explore the association between familial interdependence and familial mentoring relationship presence within black families. This study also examined how socioeconomic disadvantage may moderate the association between familial interdependence and familial mentoring presence. A sample of 216 black youth (59% girls; 41% boys) were surveyed, and a subsample of 25 participants were interviewed along with one of their parents, and one nonparental familial adult with whom the youth reported feeling emotionally close to learn more about the enactment of familial interdependence and the formation of familial mentoring relationships across social class. Logistic regression analyses revealed that greater valuing of familial interdependence was associated with a greater likelihood of having a familial mentoring relationship, but this association was present only among nonsocioeconomically disadvantaged youth. Data collected from participant interviews were analyzed to better understand this pattern of findings. These analyses provided some preliminary insights into why familial interdependence may predict familial mentor formation only among nonsocioeconomically disadvantaged youth. Implications of study findings for the promotion of familial mentoring relationships within black families are discussed.

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