scholarly journals Do breastfeeding practices correlate with childhood diarrhoea? Multiple data analyses using national surveys in Ghana

2021 ◽  
Author(s):  
Anthony Mwinilanaa Tampah-Naah
Keyword(s):  
Logistic Regression ◽  
Protective Effect ◽  
Regression Analyses ◽  
Early Introduction ◽  
Explanatory Variables ◽  
Childhood Diarrhoea ◽  
National Surveys ◽  
Data Analyses ◽  
Breastfeeding Practices ◽  
Multiple Data

Abstract Background: Breastfeeding is a natural intervention that tends to have a protective effect on the occurrence of diarrhoea in children. In environments where breastfeeding is suboptimal coupled with the early introduction of complementary foods, children are at a higher risk of experiencing diarrhoea. This study examined whether breastfeeding practices are associated with childhood diarrhoea in Ghana using multiple secondary datasets. Methods: The study used Ghana Demographic and Health Survey (GDHS) 2003, 2008 and 2014 datasets. These datasets contain data on women and issues related to children who were two years of age (0-23 months). An appended weighted sample of 4,675 mother-child pairs was used for the analyses. Logistic regression analyses were performed to assess the association between breastfeeding practices (including other explanatory variables) and childhood diarrhoea.Results: Children who were not exclusively breastfed had higher odds of experiencing diarrhoea. These categories of children most likely to be exposed to diarrhoea included those who were not breastfeeding (OR = 3.382, 95% CI = 2.019, 4.820), predominantly breastfeeding (OR = 1.824, 95% CI = 1.198, 2.777), and partially breastfeeding (OR = 2.795, 95% CI = 1.931, 4.047).Conclusions: Findings for this study further affirms to the protective effect breastfeeding has against childhood diarrhoea. Exclusive breastfeeding and at times predominant breastfeeding could prevent or minimize diarrhoea compare to non-practice of breastfeeding or partial breastfeeding.

scholarly journals Do breastfeeding practices correlate with childhood diarrhoea? Multiple data analyses using national surveys in Ghana

2020 ◽  
Author(s):  
Anthony Mwinilanaa Tampah-Naah
Keyword(s):  
Protective Effect ◽  
Univariate Analysis ◽  
Regression Analyses ◽  
Early Introduction ◽  
Explanatory Variables ◽  
Childhood Diarrhoea ◽  
National Surveys ◽  
Logistic Analysis ◽  
Breastfeeding Practices ◽  
Multiple Data

Abstract Background: Breastfeeding as a natural intervention tends to have a protective effect on the occurrence of diarrhoea in children. In environments where breastfeeding is suboptimal coupled with the early introduction of complementary foods, children are at a higher risk of experiencing diarrhoea. This study examined whether breastfeeding practices are associated with childhood diarrhoea in Ghana using multiple secondary datasets. Methods: The study used data from Ghana Demographic and Health Survey (GDHS) 2003, 2008 and 2014 individual datasets. These datasets contain data on women and issues related to children who were two years of age (0-23 months). An appended weighted sample of 4,675 mother-child pairs was used for the analyses. Thus, logistic regression analyses were performed to assess the effect of explanatory variables that were considered as potential confounders on the association between breastfeeding practices and childhood diarrhoea.Results: Univariate analysis revealed that children who were not exclusively breastfeeding had higher odds of experiencing diarrhoea. With the multilevel logistic analysis, breastfeeding practices and risks of diarrhoea among children revealed significant associations.Conclusions: Findings for this study further affirms to the protective effect breastfeeding has against childhood diarrhoea. Exclusive breastfeeding and at times predominant breastfeeding could prevent or minimize diarrhoea compare to non-practice of breastfeeding or partial breastfeeding.

scholarly journals Do breastfeeding practices correlate with childhood diarrhoea? Multiple data analyses using national surveys in Ghana

2020 ◽  
Author(s):  
Anthony Mwinilanaa Tampah-Naah
Keyword(s):  
Protective Effect ◽  
Univariate Analysis ◽  
Regression Analyses ◽  
Early Introduction ◽  
Explanatory Variables ◽  
Childhood Diarrhoea ◽  
National Surveys ◽  
Logistic Analysis ◽  
Breastfeeding Practices ◽  
Multiple Data

Abstract BACKGROUND Breastfeeding as a natural intervention tends to have a protective effect on the occurrence of diarrhoea in children. In environments where breastfeeding is suboptimal coupled with the early introduction of complementary foods, children are at a higher risk of experiencing diarrhoea. This study examined whether breastfeeding practices are associated with childhood diarrhoea in Ghana using multiple secondary datasets. METHODS The study used data from GDHS 2003, 2008 and 2014 individual datasets. These datasets contain data on women and issues related to children who were two years of age (0-23 months). An appended weighted sample of 4,675 mother-child pairs was used for the analyses. Thus, logistic regression analyses were performed to assess the effect of explanatory variables that were considered as potential confounders on the association between breastfeeding practices and childhood diarrhoea. RESULTS Univariate analysis revealed that children who were not exclusively breastfeeding had higher odds of experiencing diarrhoea. With the multilevel logistic analysis, breastfeeding practices and risks of diarrhoea among children revealed significant associations. CONCLUSIONS Findings for this study further affirms to the protective effect breastfeeding has against childhood diarrhoea in relation to the Ghanaian context. Exclusive breastfeeding and at times predominant breastfeeding could prevent or minimize diarrhoea compare to non-practice of breastfeeding or partial breastfeeding.

scholarly journals Regression analyses of questionnaires in bedside teaching

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Wolf Ramackers ◽  
Julia Victoria Stupak ◽  
Indra Louisa Marcheel ◽  
Annette Tuffs ◽  
Harald Schrem ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Linear Regression ◽  
Survey Data ◽  
Organizational Structures ◽  
Bedside Teaching ◽  
Regression Analyses ◽  
Negative Perception ◽  
Data Analyses ◽  
Main Target ◽  
Relevant Factors

Abstract Background Students’ ratings of bedside teaching courses are difficult to evaluate and to comprehend. Validated systematic analyses of influences on students’ perception and valuation of bedside teaching can serve as the basis for targeted improvements. Methods Six hundred seventy-two observations were conducted in different surgical departments. Survey items covered the categories teacher’s performance, student’s self-perception and organizational structures. Relevant factors for the student overall rating were identified by multivariable linear regression after exclusion of variable correlations > 0.500. The main target for intervention was identified by the 15% worst overall ratings via multivariable logistic regression. Results According to the students the success of bedside teaching depended on their active participation and the teacher’s explanations of pathophysiology. Further items are both relevant to the overall rating and a possible negative perception of the session. In comparison, negative perception of courses (worst 15%) is influenced by fewer variables than overall rating. Variables that appear in both calculations show slight differences in their weighing for their respective endpoints. Conclusion Relevant factors for overall rating and negative perception in bedside teaching can be identified by regression analyses of survey data. Analyses provide the basis for targeted improvement.

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.

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 >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= <.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=<.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.

scholarly journals Prediction of 11-year incidence of psychophysically dependent status or death among community-dwelling younger elderlies: from an age-specified community-based cohort study (the NISSIN project)

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Satoe Okabayashi ◽  
Takashi Kawamura ◽  
Hisashi Noma ◽  
Kenji Wakai ◽  
Masahiko Ando ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Cohort Study ◽  
Prediction Model ◽  
Nursing Care ◽  
Family Members ◽  
Limited Resource ◽  
Community Dwelling ◽  
Older Individuals ◽  
Regression Analyses

Abstract Background Predicting adverse health events and implementing preventative measures are a necessary challenge. It is important for healthcare planners and policymakers to allocate the limited resource to high-risk persons. Prediction is also important for older individuals, their family members, and clinicians to prepare mentally and financially. The aim of this study is to develop a prediction model for within 11-year dependent status requiring long-term nursing care or death in older adults for each sex. Methods We carried out age-specified cohort study of community dwellers in Nisshin City, Japan. The older adults aged 64 years who underwent medical check-up between 1996 and 2005 were included in the study. The primary outcome was the incidence of the psychophysically dependent status or death or by the end of the year of age 75 years. Univariable logistic regression analyses were performed to assess the associations between candidate predictors and the outcome. Using the variables with p-values less than 0.1, multivariable logistic regression analyses were then performed with backward stepwise elimination to determine the final predictors for the model. Results Of the 1525 female participants at baseline, 105 had an incidence of the study outcome. The final prediction model consisted of 15 variables, and the c-statistics for predicting the outcome was 0.763 (95% confidence interval [CI] 0.714–0.813). Of the 1548 male participants at baseline, 211 had incidence of the study outcome. The final prediction model consisted of 16 variables, and the c-statistics for predicting the outcome was 0.735 (95% CI 0.699–0.771). Conclusions We developed a prediction model for older adults to forecast 11-year incidence of dependent status requiring nursing care or death in each sex. The predictability was fair, but we could not evaluate the external validity of this model. It could be of some help for healthcare planners, policy makers, clinicians, older individuals, and their family members to weigh the priority of support.

scholarly journals Non-association between low vitamin d levels and aeroallergen-positivity evaluated using multiple allergen simultaneous test in Korean adults

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Jee Hye Wee ◽  
Sung Woo Cho ◽  
Jeong-Whun Kim ◽  
Chae-Seo Rhee
Keyword(s):  
Vitamin D ◽  
Logistic Regression ◽  
Vitamin D Deficiency ◽  
House Dust Mites ◽  
Regression Analyses ◽  
Allergen Sensitization ◽  
Korean Adults ◽  
Simultaneous Test ◽  
Severe Deficiency ◽  
Vitamin D Levels

Abstract Background Studies on the association between vitamin D levels and allergen sensitization have reported conflicting results. We aimed to evaluate the association between low vitamin D levels and sensitization to 59 aeroallergens in Korean adults. Methods We retrospectively reviewed serum 25-hydroxyvitamin D (25[OH]D) measurements of participants (n = 57,467) in a healthcare center between May 2003 and June 2020. Serum 25(OH)D levels were categorized as follows: severe deficiency (< 10 ng/mL), deficiency (10 to < 20 ng/mL), insufficiency (20 to < 30 ng/mL), and sufficiency (≥ 30 ng/mL). Among all subjects, 1277 simultaneously underwent the multiple allergen simultaneous test. Multiple linear and logistic regression analyses were used to estimate coefficients and odds ratios (ORs) with 95% confidence interval (CI) for the association between serum vitamin D deficiency and aeroallergen sensitization after adjustment for potential confounders. Subgroup analyses were conducted for the types of aeroallergen (house dust mites, pollens, animal dander, foods, cockroach, and fungus). Results Vitamin D deficiency, defined as serum 25(OH)D level < 20 ng/mL, was noted in 56.4% of participants. There were significant differences in serum 25(OH)D levels according to sex, age, season, and bone mineral density (all P < 0.001). In multiple linear regression analyses, serum 25(OH)D levels were significantly lower in young subjects (adjusted coefficient [95% CI], 0.188 [0.101, 0.275]) and during winter (− 4.114 [− 6.528, − 1.699]). However, no significant association was observed between serum 25(OH)D levels and allergen sensitization (adjusted coefficients [95% CI], − 0.211 [− 1.989, 1.567], P = 0.816). In multivariate logistic regression analyses, male sex, young age, and winter season were significant risk factors for vitamin D deficiency. However, allergen sensitization showed no significant association with 25(OD)D levels after adjusting for confounders (adjusted OR [95% CI], 1.037 [0.642, 1.674] in insufficiency; 0.910 [0.573, 1.445] in deficiency; 0.869 [0.298, 2.539] in severe deficiency groups, P for trend = 0.334). There were consistent findings across subgroups regarding type of aeroallergen sensitized. Conclusion Vitamin D deficiency was prevalent but was not significantly associated with aeroallergen sensitization in Korean adults. To the best of our knowledge, this is the first large-scale study to evaluate the association between vitamin D deficiency and sensitization to 59 different aeroallergens.

scholarly journals Relation between body composition and severe diarrhea in patients treated with preoperative chemoradiation with capecitabine for rectal cancer: a single-centre cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
J. M. van Rees ◽  
W. Hartman ◽  
J. J. M. E. Nuyttens ◽  
E. Oomen-de Hoop ◽  
J. L. A. van Vugt ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Body Composition ◽  
Logistic Regression ◽  
Cohort Study ◽  
Preoperative Chemoradiation ◽  
Regression Analyses ◽  
Single Centre ◽  
Severe Diarrhea ◽  
The Impact

Abstract Background Chemoradiation with capecitabine followed by surgery is standard care for locally advanced rectal cancer (LARC). Severe diarrhea is considered a dose-limiting toxicity of adding capecitabine to radiation therapy. The aim of this study was to describe the risk factors and the impact of body composition on severe diarrhea in patients with LARC during preoperative chemoradiation with capecitabine. Methods A single centre retrospective cohort study was conducted in a tertiary referral centre. All patients treated with preoperative chemoradiation with capecitabine for LARC from 2009 to 2015 were included. Patients with locally recurrent rectal cancer who received chemoradiation for the first time were included as well. Logistic regression analyses were performed to identify risk factors for severe diarrhea. Results A total of 746 patients were included. Median age was 64 years (interquartile range 57–71) and 477 patients (64%) were male. All patients received a radiation dosage of 25 × 2 Gy during a period of five weeks with either concomitant capecitabine administered on radiation days or continuously during radiotherapy. In this cohort 70 patients (9%) developed severe diarrhea. In multivariable logistic regression analyses female sex (OR: 4.42, 95% CI 2.54–7.91) and age ≥ 65 (OR: 3.25, 95% CI 1.85–5.87) were the only risk factors for severe diarrhea. Conclusions Female patients and patients aged sixty-five or older had an increased risk of developing severe diarrhea during preoperative chemoradiation therapy with capecitabine. No relation was found between body composition and severe diarrhea.

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