scholarly journals Associated indicator factors among inappropriate malfunctions’ development for the 9-month-old-baby

2021 ◽  
Vol 4 (1) ◽  
pp. 084-092
Author(s):  
Rattana-Umpa Narida ◽  
Tanwatthanakul Jirawon ◽  
Santiboon Toansakul Tony

To investigate the associated an inappropriate development of the 9-month-old-baby with the Matched Case-Control Study on five categories and three factors including predisposing, contributing, and complementary through the babies’ malfunction development with the Analysis Research Method was analyzed. The babies’ developing crisis was enhanced as the guidelines for promoting healthy babies’ development via the DSPM in the future of Thailand. Creative the Interview Factor Questionnaire analyzed the 130-child caregivers’ parenting matching 65-pairs-case-control group into 5 parts: the Predisposing Factor Questionnaire, the Positive Interview Form; the Baby-Self-Efficacy Form; the Inappropriate Contributing Interview Form; the Inappropriate Development Interview Form for assessing the motor skills, self-efficacy, predisposing, contributing, and complementary factors of the 9-month-old-baby, respectively. Highest, Middle, and Lowest means levels are indicated. The child caregivers’ are presenting responses, overall on the Predisposing Factor Questionnaire on five categories’ motor skills, and the Inappropriate Development Interview Form showed off at the Middle Levels. The Positive Interview Form, the Baby-Self-Efficacy Form, and the Inappropriate Contributing Interview Form comprised at the Highest Levels for the predisposing, self-efficacy, and contributing factors for developing the 9-month-old-baby, respectively. To help professionals assess the factors affecting a child’s development into environmental factors, biological factors, interpersonal relationships, and early environments and experiences that identified in contributing to growth, brain, emotional, social developments at early childhood are the GM, FM, RL, EL, and PS motor skills practices with the DSPM for Thai’s children are also more likely to have health problems all child ages with the knowledge and skills.

Author(s):  
Julie A Rizzo ◽  
Mahdi Haq ◽  
Ryan A McMahon ◽  
James K Aden ◽  
Daniel B Brillhart ◽  
...  

Abstract Extubation failure is associated with negative outcomes making the identification of risk factors for failure paramount. Burn patients experience a high incidence of respiratory failure requiring mechanical ventilation. There is no consensus on the acceptable rate of extubation failure and many conventional indices do not accurately predict extubation outcomes in burn patients. The purpose of this study was to examine the rate of extubation failure in the burned population and to examine the impact of factors on extubation outcomes. Burn patients from a single center over 9 years were examined and included if they were intubated prior to arrival or within 48 hours of admission and underwent a planned extubation. From this cohort, a matched case–control analysis based on age, TBSA, and sex was performed of patients who succeeded after extubation, defined as not requiring reintubation within 72 hours, to those who failed. Characteristics and clinical parameters were compared to determine whether any factors could predict extubation failure. There was a 12.3% incidence of extubation failure. In the matched case–control analysis, the presence of inhalation injury was associated with extubation success. Higher heart rate and lower serum pH were associated with extubation failure. ANCOVA analysis demonstrated that a sodium trending higher before extubation was associated with more successes, possibly indicative of a lower volume status. Classic extubation criteria do not accurately predict extubation outcomes in burn patients; analysis of other parameters may be able to provide better predictions. A constellation of these parameters needs to be studied prospectively.


2020 ◽  
Author(s):  
So Yeon Park ◽  
JIN SEO LEE ◽  
Jihyu Oh ◽  
Ji-Young Park

Abstract Background: Delayed antifungal therapy for candidemia leads to increased mortality. Discriminating bacterial infection from candidemia in systemic inflammatory response syndrome (SIRS) patients is very complex and difficult. Delta Neutrophil Index (DNI) is recently considered as a new factor which can distinguish infections from non-infections and reflect the severity of sepsis. We aimed to assess whether DNI can predict and provide a prognosis for candidemia in SIRS patients.Methods: A matched case-control study was conducted from July 2016 to June 2017 at Kangdong Sacred Heart Hospital. Among patients with comorbidity of SIRS, those with candidemia were classified as the case group, while those with negative blood culture results were classified as the control group. The matching conditions included age, blood culture date, and SIRS onset location. To evaluate DNI as a predictive and prognostic factor for candidemia, multivariate logistic regression was performed.Results: The 140 included patients were assigned to each group in a 1:1 ratio. DNI-D1 values measured on the blood culture date were higher in the case group ( p <0.001). In the multivariate analyses, DNI_D1 (Odds ration〔ORs〕2.138, 95% confidential interval 〔CI〕1.421-3.217, P <0.001) and Candida colonization were confirmed as predictive factors for candidemia. The cutoff value of DNI for predicting candidemia was 2.75%. The area under the curve for DNI value was 0.804 (95% CI, 0.719-0.890, p<0.001), with a sensitivity and specificity of 72.9% and 78.6%, respectively. Analysis of 14-day mortality was conducted for patients with candidemia. DNI_D1 and DNI_48, measured 2 days after the onset of candidemia, were both significantly high in the non-survivor group.Conclusion: DNI was identified to be a predictive factor for candidemia in patients wit SIRS and a prognostic factor that predicts 14-day mortality in candidemia patients. DNI, along with clinical characteristics of patients, were useful in determining the occurrence of candidemia in patients with SIRS.


Author(s):  
Özer Akgül ◽  
Ömer Faruk Demirel ◽  
Cana Poyraz Aksoy ◽  
Ezgi Tanrıöver Aydın ◽  
Nuray Uysal ◽  
...  

Introduction: The opinion that latent T. gondii infection is having a broadly asymptomatic projection has now been interrogated, in specific due to the echoed association between the latent infection and an elevated incidence of schizophrenia or even suicide attempts. Notwithstanding conducted studies aimed to understand this feasible link are restricted. Methods: In the present case-control study, we focused to illuminate the relationship between the serological and molecular presence of T. gondii and schizophrenia with or without the suicide attempts by comparing it with healthy individuals. A total of 237 participants (117 in schizophrenia; 120 in healthy control) were included in this study. Results: Overall, latent T. gondii infections were found statistically higher in 63 (53.8%) of the 117 patients with schizophrenia and in 33 (27.5%) of the 120 controls (p < 0.001). In schizophrenia patients, seroprevalence T. gondii was again found to be statistically higher in suicide attempters (59.6%), compared to no history of suicide attempts (48.3%) (p < 0.05). The molecular positivity rate of T. gondii DNA was higher in the schizophrenia group, compared to the healthy control group (p < 0.05), whereas the history of suicide attempts was not statistically associated (p = 0.831) with T. gondii DNA positivity by PCR. Conclusion: This case-control study enlightens additional demonstration to the belief that T. gondii infection would be an underlying component for the pathophysiology of schizophrenia. Regardless of the clarity results of this study, this supposition warrants further endorsement.


2021 ◽  
Vol 6 ◽  
Author(s):  
Jasper S. Y. Lok ◽  
Xin Qi ◽  
Carol K. S. To

This study investigated the effectiveness of the Hanen More Than Words® (HMTW) program amongst parents of children with autism spectrum disorder (ASD) in Hong Kong. In this prospective cohort study, 31 Cantonese-speaking young children with ASD and their parents were divided into either the HMTW group (n = 26) or a control group (n = 5). The HMTW intervention was provided over 11 weeks. The children’s communication abilities were measured prior to the intervention (Time 1) and 1 month after the end of the intervention (Time 2), and the results were compared between the two groups. The parents’ attributes and demographic information were measured at Time 1. The results showed a significant increase in children’s communication and social skills in the HMTW group compared with the control group. Children of parents with lower levels of Time 1 parenting self-efficacy exhibited facilitated growth in communication and social skills. These findings provide evidence of the effectiveness of the HMTW program in a Chinese cultural setting and demonstrate an important link between parenting self-efficacy and the effectiveness of the HMTW program.


2020 ◽  
Author(s):  
Mostafa Sadeghi ◽  
Peyman Saberian ◽  
Parisa Hasani-Sharamin ◽  
Fatemeh Dadashi ◽  
Sepideh Babaniamansour ◽  
...  

Abstract Background: Emergency medical technicians (EMTs) are at the highest risk of coronavirus disease-19 (COVID-19). Adequate access and knowledge about donning and doffing of personal protective equipment (PPE) can decrease the risk of transmission. The aim of this study was to assess the possible factors associated with increasing risk of COVID-19 among EMTs.Methods: This study was a case-control study conducted in Tehran, Iran during 18th February to 20th April 2020. Case group was consisted of confirmed COVID-19 EMTs based on the results of reverse transcriptase polymerase chain reaction and/or lung computed tomography scan. Healthy EMTs were randomly selected as control group. Patients were asked to fill out a checklist including demographic data, data related to the work situation (such as number of missions and type of mask and cloth) and PPE precautions.Results: Sixty-eight patients and 148 healthy persons took part in this study as case and control group, respectively. Having two EMTs involved directly in taking care of patients (p < 0.001) and working with a confirmed case teammate (p < 0.001), considering the precautions such as seal check after wearing the mask (p=0.015), covering the hair with a medical hat (p<0.001), not using personal items despite protective clothing (p<0.001), and avoiding contact with the outer surface of clothing while removing (p<0.001) had significant difference in two groups.Conclusion: We found that the type of used face masks (the surgical mask) and the type of used cloths (using NW (disposable, one-piece, non-waterproof protective cloth)) are correlated with the higher risk of COVID-19 in EMTs.


2014 ◽  
Vol 94 (6) ◽  
pp. 818-826 ◽  
Author(s):  
Ricardo Becerro-de-Bengoa-Vallejo ◽  
Marta E. Losa-Iglesias ◽  
David Rodriguez-Sanz

Background Calcaneal apophysitis (Sever disease) has been reported to be the most common cause of heel pain in athletic children. Objective The study aim was to compare plantar pressure, plantar surface contact area, distribution of body weight across the lower extremities, and prevalence of gastrocnemius ankle equinus and gastrocnemius-soleus ankle equinus (which can cause decreases in ankle dorsiflexion range of motion) in children with and without Sever disease. Design This was a case-control study. Methods Participants were 56 male students enrolled in a soccer academy. Twenty-eight participants had Sever disease (Sever disease group), and 28 participants were healthy (control group). Dynamic and static peak plantar pressures, plantar surface contact area, and body weight distribution were assessed with pedobarography. A goniometer was used to assess gastrocnemius and gastrocnemius-soleus ankle dorsiflexion range of motion. Results Both maximum and average peak pressures and percentages of body weight supported by each heel were significantly higher in the symptomatic feet of participants in the Sever disease group than in the control group. Twenty-six participants with Sever disease but only 8 participants in the control group exhibited bilateral gastrocnemius ankle equinus. Limitations A limitation of the study is that measurements were obtained from participants who were symptomatic. Conclusions Higher heel plantar pressures under dynamic and static conditions appear to be associated with Sever disease. It is unclear, however, whether these higher pressures are a predisposing factor contributing to the disease or a result of the condition. Gastrocnemius ankle equinus also may be a predisposing factor for Sever disease. Further research is needed to identify other biomechanical factors associated with the disease to enhance prevention and treatment strategies.


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