scholarly journals Factors Influencing Diaper Dermatitis Among Jordanian Children Younger Than 24 Months

Author(s):  
Eman Alsatari ◽  
Nihaya Al-sheyab ◽  
Huda Gharaibeh ◽  
Audai Hayajneh

Background: Diaper dermatitis (DD) is a highly common condition among neonates, infants, and toddlers. The current study aims to explore the factors influencing DD among children aged between 0-24 months in Jordan. Methods: This study utilized a descriptive cross-sectional design with a convenient sample of 140 children diagnosed with DD. Structured face-to face interviews were used to collect data from the parents of the children included in the study. Univariate and multivariate logistic regression analyses were used to test the association between diaper dermatitis and its related medical factors. Results: The prevalence of DD was found to be 98.6% among the participants. The median of the duration of the most recent DD episode in days was 3 days (Inter Quartile Range= 2 to 4 days). The factors influencing DD were the use of barrier cream (OR=.35, 95% CI = .18-.72, p=.004), and bathing frequency of ≤ 1 time per week (OR=1.15, 95% CI = .65-2.10, p=.002). Conclusion: The identified factors should be paid significant attention in order to reduce the prevalence of DD among children aged 24 months or under. Prevention-focused programs which encourage the frequent application of appropriate barrier creams and frequent bathing of more than once a week are needed.

2021 ◽  
Vol 8 (11) ◽  
pp. 3320
Author(s):  
Joe Mathew ◽  
Rajeev S.

Background: Diabetic foot is a very common condition responsible for a major bulk of surgical admissions and out-patient visits. Lack of awareness of many factors influencing the incidence of this disease complex has led to loss of life, limb and quality of life. The site-specific incidence of initial site and initiating factor has not been studied in diabetic foot.Methods: A study has been done over a period of one and a half years which looked into the distribution of initial site of infection in diabetic foot and associated initiating etiologies. The study was cross sectional. History, general inspection of foot, dermatological, neuropathic and vascular assessments were done, in addition to making careful notes about the site and cause of infection.Results:60.7% of patients were >60 years old, 55.3% were male patients. 63.3% of patients had diabetes for more than 10 years. In 29.3% the initial site of infection was the big toe, 22% in the ball of foot, 18% in the other 4 toes together, 14.7% in the interdigital spaces, 10.7% in the heel and 5.3% in the mid foot. In most of the cases the etiology is multifactorial, trauma in 56%, musculoskeletal deformities in 47.3%, callosities in 41.3%, cracks and fissures in 16.7%, fungal infection in 7.3%, nail infection in 6%, no initiating introduction of infection identified in 10.7%.Conclusions: Awareness of and thus particular stress being place on identification of specific site and cause of infection should help in care of the foot in diabetics.


2021 ◽  
Author(s):  
Rabbanie Tariq Wani ◽  
Imrose Rashid

Abstract Background: Gaming disorders have increased over time due to easy availability of online gaming. The aim of this study is to determine the factors influencing the gaming disorders. Methods: An online questionnaire was circulated on gaming platforms for the assessment as per IGD20 & DSM5 criteria. Results: A significant correlation was found between duration of play and gaming disorders (r= 0.131, p<0.05). The scores were concurrent as per IGD20 and DSM5 criteria. Conclusion: Undiagnosed gaming disorder among gamers needs to be addressed. Duration of playing of games also needs to be checked inorder to reduce the prevalence of gaming disorders.


2016 ◽  
Vol 76 (3) ◽  
pp. 293-301 ◽  
Author(s):  
Page Daniel Dobbs ◽  
Bart Hammig ◽  
Leah Jean Henry

Objective: Between 2013 and 2014, past 30-day use of e-cigarettes increased from 4.5% to 13.4% among US high school students aged 9–19 years. We sought to examine the influence of perceived addiction and harm of e-cigarettes on e-cigarette use among adolescents. Design: Self-reported use and perception of harm of e-cigarettes were assessed using a cross-sectional design. Setting: Data were collected from the 2014 National Youth Tobacco Survey. Method: Multivariate logistic regression models were employed regressing lifetime e-cigarette use and past 30-day use on established covariate factors. Results: Perceiving e-cigarettes as less harmful than conventional cigarettes increased students’ odds of lifetime use (odds ratio [ OR] = 2.40, 95% confidence interval [ CI] = 1.98–2.90) and past 30-day use ( OR = 2.18, 95% CI = 1.63–2.92) of e-cigarettes. Perceiving e-cigarettes as less addictive than conventional cigarettes also increased students’ odds of lifetime use ( OR = 2.11, 95% CI = 1.82–2.45) and past 30-day use ( OR = 1.93, 95% CI = 1.57–2.38) of e-cigarettes; however, perceiving e-cigarettes as more addictive than conventional cigarettes also increased students’ odds of lifetime use ( OR = 1.85, 95% CI = 1.37–2.49) and past 30-day use ( OR = 2.68, 95% CI = 1.84–3.90) of e-cigarettes. Other influencing factors of e-cigarette use among youth included race, grade level, living with a smoker and lifetime use of regular cigarettes. Conclusion: The perception that e-cigarettes are less addictive and harmful than their conventional counterparts may be an important risk factor for the use of e-cigarettes. Factors influencing young people’s perceptions need to be examined further.


2021 ◽  
Author(s):  
Mingming He ◽  
Lihong Chen ◽  
Yu Wang ◽  
Haijun Ma

Abstract Background: Controlled attenuation parameter (CAP) is a kind of widespread popular parameter to evaluate various types of hepatic steatosis by liver ultrasound transient elastography. We investigated the relationship between serum uric acid (SUA) and CAP without hepatitis B and C virus-infected in the United States adults, data from National Health and Nutrition Examination Survey (NHANES).Methods: The present study was cross-sectional research. 4319 American men and women participants ≥18 years old, without B and C hepatitis, were included in our analysis. There are some measures to evaluate the association between SUA and CAP by multivariate logistic regression analyses, fit smoothing curves, generalized additive models, two-piecewise linear regression model and subgroup analyses.Results: There was a positive association between the value of SUA and CAP by multivariate logistic regression analyses after adjusting for various confounders. Besides, the inflection point of non-linear curve relationship was identified as 4.3 mg/dL, for SUA <4.3 mg/dL, the effect size is 10.6 (P< 0.01); Correspondingly, SUA≥ 4.3 mg/dL, the effect size is 4.3 (P< 0.01).Finally, SUA was positively associated with glycohemoglobin less than 6.5% individuals (β =7.3, P< 0.01) and Fasting glucose less than 7.0 mmol/L individuals (β = 6.8, P< 0.01) in the subgroup analysis. Conclusions: Our research found the relationship between SUA and CAP is non-linear. Subgroup analysis indicated that the positive association between SUA and CAP were showed in non-diabetic patients but not in diabetic.


2021 ◽  
Author(s):  
Yun-Jeong Kim ◽  
Jae-Young Lee ◽  
Young Ku ◽  
Hyun-Jae Cho

Abstract BackgroundAlthough the presence of prosthetic restorations has been associated with plaque accumulation, gingivitis, and periodontitis, there is a lack of large epidemiological investigations providing credible evidence on the association of prosthetic crowns with periodontitis. The purpose of the study was to analyze the association between the number of prosthetic crowns and the presence of periodontitis.MethodsThis study was based on the Seventh Korea National Health and Nutrition Examination Survey (2016-2018). A total of 12,689 participants over the age of 19 years were surveyed. Multivariate logistic regression analyses were used to identify the association between the number of prosthetic crowns and periodontitis after adjusting for potential confounders, including demographic variables, socio-economic characteristics, oral health-related variables, and oral and systemic clinical variables. ResultsThe odds ratio of periodontitis showed statistically significant differences in the anterior and posterior regions, and the prevalence of periodontal disease increased as the number of crown prostheses increased. Participants with 6–10 and 11 prosthetic crowns had 1.24 and 1.28 times higher prevalence of periodontitis, respectively, than patients with no prosthetic crown.ConclusionsThe results of this study show that the number of prosthetic crowns present in adults is related to the prevalence of periodontitis.


Rural development in general, is much associated with its economic growth backed up with the maximum utilization of rural resources and the government’s support through welfare schemes and other provisions. The transmission of urbanization in the way of rural development, has been at the pace of developing economy. Though the resources of rural environment is confined with agricultural and some other professional sectors, certain destinations amalgamated with spiritual confidence, unique ambience, coastal beauty and historical tracks have been popularly known by a limited people which is found to be focused for the economic development of rural India. As the specific objectives of identifying particular destinations with their core competencies and evaluating its marketing opportunities and assessing the tourists behavior, this study proceeded with a method mix of descriptive, cross-sectional design with convince sampling of non-probability. A standard questionnaire targeted to the population of tourists with the determined size backed up with all measurement tests were executed. The results with the establishment of interpretation on the required practices of rural tourism development were exposed with multiple regression analysis. Specific recommendations with the management implication have been offered at the stand point of government policy modification, destination marketing practices, infrastructural requirement and tourism delight


F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1471
Author(s):  
Rattaphol Seangrung ◽  
Mallika Ahuja ◽  
Koravee Pasutharnchat ◽  
Rungwipha Mahawan

Background: Strong opioids are mainly utilized to attenuate pain in cancer patients. Adherence to analgesic drugs significantly promotes adequate pain management and improves quality of life. We aimed to identify the factors influencing non-adherence to strong opioids in cancer patients. Methods: A descriptive, cross-sectional, two-phased, mixed methods design was conducted prospectively to evaluate a cohort of 101 cancer patients who are currently prescribed strong opioids from a pain clinic in Thailand between January and March 2018. Participants were asked to complete a questionnaire that included the following sections: general characteristics; the Medication Taking Behavior in Thai (MTB-Thai) for assessing adherence to medications; and factors influencing nonadherence, which were analyzed using multivariate logistic regression. In addition, face-to-face in depth interviews were conducted with patients showing non-adherence to strong opioids (MTB-Thai score ≤21) and analyzed using thematic content analysis.  Results: Of 101 cancer pain patients that completed the questionnaire, 39.6% showed non-adherence to strong opioids. Illness understanding (P=0.047) and the use of more than three types of pain medication (P=0.032) were significant factors influencing non-adherence. Qualitative analysis indicated that fear of long-term outcomes, opioid side effects, ineffective pain control, attempts to make the regimen more acceptable, poor understanding, and non-acceptance of disease related to non-adherence. Conclusion: Non-adherence to opioids for cancer patients is a common problem. Awareness of patient factors, medication-related factors, and illness-related factors will provide the knowledge and adequate advice that may enhance adherence to medications.


2019 ◽  
Author(s):  
Peicong Ge ◽  
Qian Zhang ◽  
Xun Ye ◽  
Xingju Liu ◽  
Xiaofeng Deng ◽  
...  

Abstract Background: The research on postoperative collateral formation for hemorrhagic moyamoya disease (MMD) evaluated by using digital subtraction angiography (DSA) is limited. Our study objective was to investigate the postoperative collateral formation after indirect bypass for hemorrhagic MMD. Methods: All consecutive inpatients with hemorrhagic MMD who received indirect bypass at Beijing Tiantan Hospital, Capital Medical University from January 2010 through December 2018 were screened. The site of the hemorrhage was classified as either anterior or posterior. Postoperative collateral formation was evaluated on lateral views using the Matsushima scale. Univariate and multivariate logistic regression analyses were carried out to determine the factors influencing postoperative collateral formation. Results: Six-four patients (64 hemispheres) were included in this study. After a median 8.5 months DSA follow-up, 14 (21.9%) hemispheres had grade A collateral circulation, 13 (20.3%) had grade B, and 37 (57.8%) had grade C. Twenty-seven (43.2%) hemispheres had good postoperative collateral formation and 37 (57.8%) had poor postoperative collateral formation. The univariate logistic regression analyses showed that age at operation (OR, 0.954; 95% CI, 0.908–1.003; p=0.066), hemorrhagic site (OR, 4.694; 95% CI, 1.582–13.923; p=0.005), and PCA involvement (OR, 3.474; 95% CI, 0.922–13.086; p=0.066) may effect postoperative collateral formation. The multivariate logistic regression analyses showed that only anterior hemorrhage (OR, 5.222; 95% CI, 1.605–16.987; p=0.006) was significantly related to good postoperative collateral formation. Conclusion: Anterior hemorrhage was significantly related to good postoperative collateral formation after indirect bypass.


2021 ◽  
pp. 175045892110640
Author(s):  
Awube Menlah ◽  
Evans OseiAppiah ◽  
Isabella Garti ◽  
Dorcas Frempomaa Agyare

Background: Poorly managed postoperative pain is linked to numerous postoperative complications worldwide and in Ghana. This is due to the myriad of physical and psychological problems, such as lifelong chronic pain syndromes, impaired functionality and death. Purpose: The aim of this study was to assess the barriers and factors influencing postoperative pain management by Ghanaian nurses working in four hospitals. Methods: A quantitative descriptive cross-sectional design was employed for this study. Participants were recruited using a multistage sampling technique by which 146 returned their questionnaires out of 194 participants. The statistical analysis of data was done with the Statistical Package of Social Sciences (SPSS) 20.0 version. Results: Findings revealed that some verbal and non-verbal cues from patients such as facial grimacing, restlessness, irritability and distress, lack of concentration and moaning or crying (verbalisation) influenced how nurses controlled postoperative pain with analgesia. The participants also identified several barriers to influence postoperative pain management by nurses. Conclusion: In conclusion, postoperative pain control by nurses is influenced by several factors, and hence, nurses need to manage patients’ pain effectively in Ghana and abroad using multiple approaches.


2021 ◽  
Vol 11 (1) ◽  
pp. 51-66
Author(s):  
Mahasti Khakpour ◽  
Azar Khorshahi ◽  
Mohammad Reza Pakravan Charvadeh ◽  
Nasrin Omidvar ◽  
Rachel Engler-Stringer ◽  
...  

Afghan refugees are one of the most vulnerable migrant groups in terms of food insecurity status around the world. We aimed to investigate the association between Afghan protracted refugees' food insecurity and its socio– economic determinants in Mashhad, Iran. In a cross– sectional design, information was gathered through face– to– face interviews with 299 Afghan main income earners or his/her representative in Golshar district, Mashhad, Iran. In a quantitative approach, the association of socio– economic factors with food insecurity was assessed. The results showed that less than 1% of all the households were food secure, 69.2% of those with children and 47.5% of those with no child faced severe food insecurity. Class of households' income, residency status and personal dwelling were significantly associated with severe food insecurity of Afghan refugees. Determining effective socio– economic factors to formulate appropriate policies and practices is not only necessary but also inevitable to assure sustainable food security for refugees.


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