scholarly journals Perception of attachment security in families with children affected by neurological illness

Psihologija ◽  
2013 ◽  
Vol 46 (2) ◽  
pp. 99-110 ◽  
Author(s):  
Viviana Langher ◽  
Giuseppe Scurci ◽  
Giuseppe Tolve ◽  
Andrea Caputo

This study analyzes inter-family relationships of families with children with neurological problems using Bowlby?s attachment theory as model of reference. The research was conducted in two hospitals in Serbia specialized in neurological diseases: cerebral palsy and epilepsy. It is hypothesized that neurological problems could be associated to a discrepancy of inter-family attachment perceptions. Two groups were selected, a clinical one composed of 25 nuclear families: mother, father and child with a certified diagnosis of either cerebral palsy or epilepsy; and a control group of 25 nuclear families: mother, father and child with no pathology. Kerns, Klepac and Cole?s Security Scale (1996) was used for the investigation, with the addition of two modified version for administration to the parents. Data analysis demonstrated that the clinical group is substantively higher (p=.076) with respect to the discrepancy of attachment perceived by the children and the attribution of meaning that parents give to their child?s attachment perception towards them. Further analyses carried out on parent-child relationships demonstrated a significant difference (p =.017) between the clinical and control groups, with respect to the perception of father-child attachment. We conclude that in the clinical group, there is a discrepancy of attachment perceptions that particularly affects the father-child relationship. It appears that hospitalization and the consequent separation of the nuclear families may influence the formation of secure attachment relationships, in particular between father and child.

1970 ◽  
Vol 10 (1) ◽  
pp. 1-10
Author(s):  
Erna Setiawati

ABSTRACTIntroduction: Kinesiotaping (KT) is one of current method that being used for hands problems in cerebral palsy. The purpose of this study was to evaluate the effect of kinesiotaping at wrist combined with hand motor exercise in fine motor skill for children with cerebral palsy.Methods: The design was simple randomized controlled study pre and post intervention. There were 18 children who divided into kinesiotaping and control group. Subjects in the KT group received hand motor exercise and wrist kinesiotaping. Subjects in control group received only hand motor exercise.Both groups received the exercise for 4 weeks. There were difference in the MACS score which is used to measure fine motor skills in this study. Pre and posttest scores were collected before applying kinesiotaping and after 4 weeks of intervention.Results: Both groups showed an increase in MACS score after 4 weeks intervention. For MACS score, there was statistically significant difference in KT group (p = 0.025), but not statistically significant in control group (p = 0.083).Conclusion: Wrist kinesiotaping can be used for adjunct therapy combined with conventional hand motor exercise for improving manual ability in the hand and fin e motor skill in cerebral palsy.Keywords: Cerebral palsy, fine motor skill, wrist kinesiotaping.


2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Ahmed Mahrous Elsayed ◽  
Elham Elsayed Salem ◽  
Sahar Mohamed Nour Eldin ◽  
Mai Elsayed Abbass

Abstract Background Adaptive seating is commonly used as an intervention method to enhance postural control. The aim of this study is to investigate the effect of using therapy ball as a seat alternative to using typical chair on grasping and visual motor integration in the children with hemiparetic cerebral palsy. For this aim, thirty children with hemiparetic cerebral palsy from both sexes were included in this study. The children ages ranged from 3 to 6 years old. The degree of spasticity was 1 to 1+ according to modified Ashworth scale. The children were able to sit independently and follow instructions. Children were randomly assigned into two groups (experimental group and control group). Each child was evaluated before and after 3 successive months of selected occupational therapy exercises program. All the children of both groups received the same selected occupational therapy exercises program, but the children in the experimental group performed the exercises while sitting on therapy ball, and the children in the control group performed the exercises while sitting on typical chair. Results There was a significant improvement in the measured variables for both groups after treatment. The post-treatment results of the two groups of grasping and visual motor integration for age equivalent scores revealed significant difference (p=0.008 and p=0.011 respectively) in favor of the experimental group. Conclusions Therapy ball could be used as a seat alternative to using typical chair to facilitate visual motor integration and grasping in the children with hemiparetic cerebral palsy.


2021 ◽  
Vol 13 (1) ◽  
pp. 280-289
Author(s):  
Hamidreza Khoshnezhad Ebrahimi ◽  
Delaram Naderi ◽  
Shabahang Jafarnejad ◽  
Motahare Aghajani Delavar ◽  
Seyedeh Mahsa Mahmoudinezhad Dezfouli ◽  
...  

Seizure is one of the most common chronic neurological diseases. Occurrence of a chronic disease in family member is an important event for the whole family. Seizure is often associated with social, cognitive, emotional and physical challenges. It can have negative effects on family dynamics. Reduce the quality of life for both caregivers and the patient. Methods: First, through the necessary permits, the experimental and control groups are randomly selected. In each group, 29 people were selected. The training items included 3*30-minute sessions, performed in four consecutive weeks (one session per week). Parents were adjusted to the meeting time and the sessions were taught according to their circumstances, the researcher using face-to-face training talked to parents about childhood seizure, common signs and symptoms, diagnostic methods and treatment programs, according to the stage and condition of the child's illness. These parents were given basic training in this area. Results: Using paired t-test, we found that the level of anxiety before the intervention in the experimental and control groups was not significantly different from sig = 0.11. If we notice a significant difference in the level of anxiety after the intervention in the experimental and control groups sig = 0.000 and we find that the training has been effective. At the level of pre-intervention care burden with sig = 0.211 in the experimental and control groups, we find that there is no significant difference however after the intervention the probability value reaches 0.011 and makes a significant difference at this level and indicates that training has been effective. Conclusion: The results of the present study showed that after training caregivers 'anxiety in the intervention group has been decreased compared to the control group, information support of patients' families will help them to adopt better in encountering stressful situations. In fact, educating the patient and family will increase the level of information and will reduces the anxiety of the patient and family and reduces the problems in encounter the disease. Measures such as familiarizing caregivers to the hospital and illness information, stress management and patient care as well as follow-up care through Telephones and social networks can be effective. Patients' caregivers have an important role in supporting the patient, the need for attention and give importance to them by the health care system is important because supporting them means continuing to care for the patient.


Psihologija ◽  
2012 ◽  
Vol 45 (3) ◽  
pp. 311-325
Author(s):  
Darko Hinic

The main aim of this study is to evaluate the Internet Use Disorder Scale administered to the sample of Internet users in Serbia, as well as to confirm its factorial structure and correlate it with some parameters of Internet use. The total sample included 280 participants, divided into the clinical (70) and control group (210), age (M=26.73, SD=7.830). The control group was randomly formed out of the total number of the participants (327) who voluntarily responded to the test battery and fulfilled the entry criteria. The clinical group comprised the subjects who had sought professional help due to the symptoms of dysfunctional Internet use in some of the institutions or private psychiatric and psycho-therapeutic practices in Serbia, all of whom met the classification criteria of Internet use disorder. The internal consistency of the scale is ?=.944, and through factor analysis three factors were extracted, together explaining 67.23% of the total variance: Inability to control behaviour and the consequences, Internet preoccupation and responses to deprivation, Social consequences of Internet use disorder. A statistically significant difference between the total scores of the clinical and control group on the scale was reported (t(278)=20.434; p<.000), and all individual items showed significant discriminative values with 89.6% of the participants regularly classified into appropriate categories. In addition, a significant positive correlation between the PUI score and the amount of hours spent online was found (r=.524; p<.001), however the analysis did not show any correlation with the work experience and age variables, nor significant differences by the sex, education and place of residence criterion in the clinical group. These results are similar to the ones with the control group accept for a low correlation between the PUI score and age (r=-0.253; p=.001).


2016 ◽  
Vol 1 (1) ◽  
pp. 22
Author(s):  
Nazli Zainuddin ◽  
Nurul Azira Mohd Shah ◽  
Rosdan Salim

Introduction: The role of virgin coconut oil in the treatment of allergic rhinitis is controversial. Thus, the aim of the present study is to determine the effects of virgin coconut oil ingestion, in addition to standard medications, on allergic rhinitis. We also studied the side effects of consumption of virgin coconut oil. Methods: Fifty two subjects were equally divided into test and control groups. All subjects received a daily dose of 10mg of loratadine for 28 days. The test group was given 10ml of virgin coconut oil three times a day in addition to loratadine. The symptoms of allergic rhinitis were scored at the beginning and end of the study. Results:, the symptom score were divided into nasal and non-nasal symptom scores. Sneezing score showed a significant difference, however the score was more in control group than test group, indicating that improvement in symptom was more in control group. The rest of the nasal symptom and non-nasal symptom score showed no significant difference between test and control groups. Approximately 58% of the test subjects developed side effects from consumption of virgin coconut oil, mainly gastrointestinal side effects. Conclusion: In the present study, ingestion of virgin coconut oil does not improve the overall and individual symptoms of allergic rhinitis, furthermore it has side effects.


2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Roghieh Safari ◽  
Seyed Hossein Hoseinifar ◽  
Maryam Dadar ◽  
Hien Van Doan

AbstractThe present study investigated possible effects of dietary malic acid on the expression of immunity, antioxidant and growth related genes expression as well as skin mucus immune parameters in common carp. Common carp (Cyprinus carpio) fingerlings were fed diets supplemented with different levels (0 [control], 0.5%, 1%, 2%) of malic acid (MA) for 60 days. The results revealed highest expression levels of immune-related genes (tnf-alpha, il1b, il8 and lyz) in skin of common carp fed 2% MA (P < 0.05). Regarding 1% MA treatment comparison with control group, significant difference was noticed just in case of lyz (P < 0.05). Evaluation of growth related genes expression revealed no significant difference between treatments (P > 0.05). The study of antioxidant related genes (gsta and gpx) in common carp skin fed with MA, showed significant difference between treated groups and control (P < 0.05). Carps fed with 2% MA had highest alkaline phosphatase activity in skin mucus compared other treated groups and control (P < 0.05). There were no significant difference between 0.5% and 1% and control (P > 0.05). The study of total protein and total immunoglobulin (Ig) in common carp skin musus revealed no alteration following MA treatment (P > 0.05). The present data demonstrated that feeding with MA altered immune and antioxidant genes expression in skin mucus of common carp.


2017 ◽  
Vol 1 (2) ◽  
pp. 138
Author(s):  
Mekar Dwi Anggraeni ◽  
Lutfatul Latifah ◽  
Aprilia Kartikasari ◽  
Ima Rismawati

Background and purpose: The earlier development of the attitude toward exclusive breastfeeding produces the longer exclusive breastfeeding duration. Considering the first marriage age among Indonesian, the attitude toward exclusive breastfeeding should be developed at the adolescence age. The purpose of this study was to examine the effect of the attitude toward breastfeeding concept based comic on the adolescent's attitude toward exclusive breastfeeding. Method: This was a quasy experimental posttest only with control group study. The respondents were provided an comic. The respondent's attitude toward exclusive breastfeeding was measured using The Breastfeeding Attitude Questionnaire. Data were analyzed using independent and dependent t test. Results: The majority of respondents were aged 17 years old in both intervention (70%) and control grup (63%), first child in both intervention (23,3%) and control grup (26,7%), and had a nuclear family in both intervention (80%) and control grup (90%). The independent t test showed that there was a significant difference between post-test scores among the intervention and control groups (t = 5,602, p < 0,01). Conclusion and recommendation: Nurses may use the Attitude Toward Breastfeeding based comic to increase the Adolescence's attitude toward breastfeeding.Keywords: Comic, Attitudes Toward Exclusive Breastfeeding, Adolescence


2021 ◽  
pp. 1-9
Author(s):  
Hiroki Ushirozako ◽  
Tomohiko Hasegawa ◽  
Yu Yamato ◽  
Go Yoshida ◽  
Tatsuya Yasuda ◽  
...  

OBJECTIVESurgical site infection (SSI) after posterior spinal surgery is one of the severe complications that may occur despite administration of prophylactic antibiotics and the use of intraoperative aseptic precautions. The use of intrawound vancomycin powder for SSI prevention is still controversial, with a lack of high-quality and large-scale studies. The purpose of this retrospective study using a propensity score–matched analysis was to clarify whether intrawound vancomycin powder prevents SSI occurrence after spinal surgery.METHODSThe authors analyzed 1261 adult patients who underwent posterior spinal surgery between 2010 and 2018 (mean age 62.3 years; 506 men, 755 women; follow-up period at least 1 year). Baseline and surgical data were assessed. After a preliminary analysis, a propensity score model was established with adjustments for age, sex, type of disease, and previously reported risk factors for SSI. The SSI rates were compared between patients with intrawound vancomycin powder treatment (vancomycin group) and those without (control group).RESULTSIn a preliminary analysis of 1261 unmatched patients (623 patients in the vancomycin group and 638 patients in the control group), there were significant differences between the groups in age (p = 0.041), body mass index (p = 0.013), American Society of Anesthesiologists classification (p < 0.001), malnutrition (p = 0.001), revision status (p < 0.001), use of steroids (p = 0.019), use of anticoagulation (p = 0.033), length of surgery (p = 0.003), estimated blood loss (p < 0.001), and use of instrumentation (p < 0.001). There was no significant difference in SSI rates between the vancomycin and control groups (21 SSIs [3.4%] vs 33 SSIs [5.2%]; OR 0.640, 95% CI 0.368–1.111; p = 0.114). Using a one-to-one propensity score–matched analysis, 444 pairs of patients from the vancomycin and control groups were selected. There was no significant difference in the baseline and surgical data, except for height (p = 0.046), between both groups. The C-statistic for the propensity score model was 0.702. In the score-matched analysis, 12 (2.7%) and 24 (5.4%) patients in the vancomycin and control groups, respectively, developed SSIs (OR 0.486, 95% CI 0.243–0.972; p = 0.041). There were no systemic complications related to the use of vancomycin.CONCLUSIONSThe current study showed that intrawound vancomycin powder was useful in reducing the risk of SSI after posterior spinal surgery by half, without adverse events. Intrawound vancomycin powder use is a safe and effective procedure for SSI prevention.


2020 ◽  
Vol 16 (5) ◽  
pp. 743-748
Author(s):  
Ana R.S. de Oliveira ◽  
Kyria J.C. Cruz ◽  
Jennifer B.S. Morais ◽  
Juliana S. Severo ◽  
Jéssica B. Beserra ◽  
...  

Background: The role of minerals in preventing the generation of oxidative stress in obese individuals has been evaluated. Magnesium is an antioxidant nutrient and a cofactor of enzymes involved in the cell membrane stabilization, attenuating the effects of oxidative stress. Objective: To evaluate the association between magnesium and concentrations of thiobarbituric acid reactive substances (TBARS) in patients with obesity and eutrophic women. Methods: A cross-sectional study was conducted with 73 women, divided into two groups: case group (patients with obesity, n=27) and control group (eutrophic women, n=46). Measurements of body mass index and waist circumference were performed. Dietary magnesium intake was assessed by the three-day food record using the NutWin software. Urinary magnesium concentration was measured by atomic absorption spectrophotometry method. Plasma concentrations of thiobarbituric acid reactive substances (TBARS) were also determined. Results: Mean values of dietary magnesium intake were 161.59 ± 60.04 and 158.73 ± 31.96 for patients with obesity and control group, respectively, with no significant difference between the groups studied (p >0.05). The value of urinary excretion of magnesium was lower than the reference values in both groups, with no significant difference between the groups studied (p >0.05). The plasma concentration of thiobarbituric acid reactive substances was significantly higher in patients with obesity compared to the control group (p <0.001). There was no correlation between levels of magnesium biomarkers and the concentration of TBARS (p >0.05). Conclusion: Patients with obesity showed a reduced dietary magnesium intake which seems to induce hypomagnesuria as a compensatory mechanism. The marker of oxidative stress evaluated in this study was not influenced by magnesium.


2021 ◽  
pp. 037957212110254
Author(s):  
Harleen Kaur ◽  
Neerja Singla ◽  
Rohini Jain

Objective: India is the second country after China having the highest population prevalence of diabetes. Several research studies investigating diabetes have been done, but not much work has been done on prediabetes. The purpose of this study was to investigate the effect of nutrition and lifestyle modification on prediabetic females. Methods: A total of 120 prediabetic females from Ludhiana city were divided into 2 matched groups: control group (n = 60) and experimental group (n = 60). Impact of nutrition intervention for dietary and lifestyle modification (for 3 months) was assessed on the anthropometric, dietary, biochemical parameters, and diabetes risk score of the experimental group and control group (no intervention). Results: All the selected 120 subjects completed the study (experimental group = 60; control group = 60). There was significant difference in the changes between the 2 groups throughout the study. The fasting blood glucose and glycated hemoglobin A1c levels of the experimental group subjects reduced significantly ( P ≤ .01). However, no change was observed among the control group subjects. The lipid profile of the experimental group showed a significant improvement ( P ≤ .01). Conclusion: Nutrition counselling of the prediabetics regarding dietary and lifestyle modification is recommended so as to improve their metabolic control, thus preventing them from being diabetics.


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