scholarly journals DINÁMICA FAMILIAR EN LA ADOLESCENTE EMBARAZADA DE LA COMUNIDAD DE LASSO-ECUADOR.

Author(s):  
Corayma Lisette Vizcaino Salvador ◽  
Nadihezka Amanda Cusme Torres

Introducción: el embarazo en la adolescencia es un problema de salud pública, que genera graves consecuencias personales, sociales y económicas. Objetivo: Determinar la dinámica familiar en la adolescente embarazada de la Comunidad de Lasso-Ecuador. Métodos: Estudio cuantitativo-cualitativo, transversal y descriptivo en una muestra no pirobalística por conveniencia de 12 adolescentes embarazadas, con sus respectivos padres, pertenecientes a la Comunidad de Lasso, de la Parroquia Tan cuchi, Cantón Latacunga, Provincia de Cotopaxi, Ecuador. Los datos se recolectaron mediante una entrevista semiestructurada y la aplicación de un test FF-SIL diseñado para evaluar la funcionalidad familiar en los adolescentes. Resultados Las adolescentes embarazadas no pertenecen a una familia funcional debido a la falta de afectividad y cohesión entre sus miembros, el (58.33%) de las adolescentes viven con sus padres forjando así vínculos afectivos de tal manera que conciernen a una familia moderadamente funcional, seguido del (33.33%) perteneciente a una familia disfuncional y en un (8.33%) no reflejan ningún vínculo familiar, por lo que se considera que su núcleo familiar es severamente disfuncional. De esta manera la falta de cohesión y comunicación de los padres se asocia a una conducta de riesgo alta en el desarrollo de las adolescentes. Conclusiones: Se evidenció que las adolescentes no cuentan con el suficiente apoyo familiar, desencadenando así una serie de conflictos, desconfianza y separación con los miembros de la familia. Por lo cual es muy importante mencionar que durante la adolescencia la comunicación y atención por parte de los padres adquiere relevancia en la dinámica familiar.   Palabras Clave: Sexualidad; embarazo en adolescentes; dinámica familiar, padres.   ABSTRACT Introduction: teenage pregnancy is a public health problem, which generates serious personal, social and economic consequences. Objective: To determine the family dynamics in the pregnant adolescent of the Community of Lasso-Ecuador. Methods: Quantitative-qualitative, cross-sectional and descriptive study in a non-pyro-ballistic convenience sample of 12 pregnant adolescents, with their respective parents, belonging to the Lasso Community, Tan Cuchi Parish, Latacunga Canton, Cotopaxi Province, Ecuador. Data were collected through a semi-structured interview and the application of an FF-SIL test designed to assess family functionality in adolescents. Results: The pregnant adolescents do not belong to a functional family due to the lack of affectivity and cohesion among its members, (58.33%) of the adolescents live with their parents, thus forging affective bonds in such a way that they concern a moderately functional family, followed of the (33.33%) belonging to a dysfunctional family and in a (8.33%) they do not reflect any family bond, for which it is considered that their family nucleus is severely dysfunctional. In this way, the lack of cohesion and communication of the parents is associated with a high risk behavior in the development of adolescents. Conclusions: It was evidenced that adolescents do not have sufficient family support, thus triggering a series of conflicts, distrust and separation with family members. Therefore, it is very important to mention that during adolescence, communication and attention by parents acquires relevance in family dynamics.     Keywords: Sexuality; pregnancy in adolescence; family dinamics, parents.

Author(s):  
Marta Cezar-Vaz ◽  
Clarice Bonow ◽  
Daiani Xavier ◽  
Joana Vaz ◽  
Letícia Cardoso ◽  
...  

This study’s aim was to analyse the relationship between musculoskeletal disorders (low back pain and dorsalgia) and sociodemographic characteristics, workload and occupational hazards among casual dockworkers. This cross-sectional study addressed casual dockworkers from the state of Rio Grande do Sul, Brazil. The convenience sample was composed of 232 casual dockworkers. Data were collected using a structured interview and observation. Poisson regression analysis was used. Association between low back pain and physiological occupational risk (p = 0.006), total exertion levels (p = 0.014) and frustration (p = 0.020) remained statistically significant, while the use of illicit drugs (p = 0.023), being a quayside worker (p = 0.021) and physiological occupational risk (p = 0.040) remained associated with dorsalgia. Decreasing these variables in the workplace may also reduce the prevalence of musculoskeletal disorders such as low back pain and dorsalgia.


2021 ◽  
Vol 11 (4) ◽  
pp. 1120-1133
Author(s):  
José Magano ◽  
Diogo Guedes Vidal ◽  
Hélder Fernando Pedrosa e Sousa ◽  
Maria Alzira Pimenta Dinis ◽  
Ângela Leite

This cross-sectional study aims to determine the psychological factors that contribute to the perceived impact of COVID-19 on travel using a convenience sample (N = 1122) from the general population to whom instruments assessing the perception of the COVID-19 pandemic’s impact on travel, anxiety, fear, phobia, risk perception, and stress were applied. The participants were mainly female (65.6%), had not attended university, and who were professionally active, with a mean age of around 30-years-old (M = 31.91, SD = 13.76, Min = 18, Max = 81). The perceived impact of COVID-19 on travel correlates with all of the psychological variables, mainly in terms of the emotional fear of COVID-19. Together with the perceived risk of COVID-19, social phobia due to COVID-19, and COVID-19 stress contamination, these variables explain 20% of the perceived impact of COVID-19 on travel variance. The relationship between COVID-19 stress socio-economic consequences and the perception of the pandemic’s impact on travel is moderated by the emotional perceived risk of COVID-19. Fear and perception of this risk explain the impact of the COVID-19 on travel in pandemic times, suggesting that the psychological impact of fear and anxiety induced by the pandemic needs to be handled as a public health priority.


2021 ◽  
Vol 9 (1) ◽  
pp. 33-40
Author(s):  
Poonam Rai ◽  
Punam Kumari Mandal ◽  
Namita Yangden ◽  
Munawatee Rai ◽  
Sabitra Subedi

Background and Objectives: Oral cancer is one of the highly prevalent cancers worldwide and a leading cause of mortality in certain regions like South-Central Asia and a major public health problem. According to National Health Policy, oral cancer is the most common form of cancer in men and the third most common cancer in females in Nepal. Several studies have shown that public is not well aware of risk factors associated with oral cancer. The objective of this study was to assess the awareness of oral cancer among people of Tarahara-20. Material and Methods: A cross-sectional descriptive study was conducted among people of age group 18-65 years in 2019. Data were collected from 128 respondents through face to face interview using Semi – structured interview schedule with non-probability purposive sampling method. Data entry and analysis was done in SPSS version 17. Descriptive statistics i.e. frequency, percentage, mean and standard deviation was used to assess the level of knowledge and inferential statistics i.e. chi square was used to find the association between awareness of oral cancer and selected demographic variables. Results: Total findings of the study showed that More than half (52.3%) of respondents were known about treatment modalities of Oral cancer whereas two third, 78.9% of respondents stated out movement is best for physical rehabilitation. Likewise, more than half (65.6%) had moderate level of awareness and 28.1% of the respondents had inadequate level of awareness regarding oral cancer. The result showed there was no association between level of awareness of oral cancer and selected demographic variables. Conclusion: The study concluded that awareness regarding oral cancer is moderate among community people of Tarhara. It reflects that efforts should be made to increase the awareness regarding oral cancer. Health education regarding oral cancer and its risk factors with periodic reinforcement will play an important role in creating awareness.


2020 ◽  
Vol 16 (4) ◽  
pp. 239-246
Author(s):  
Maryann Mazer-Amirshahi, PharmD, MD, MPH, PhD ◽  
Christie Sun, MD ◽  
Lydia Koroshetz, BS ◽  
Rui W. Soares Jr, BS ◽  
Anagha Kumar, MS, MA, MBA ◽  
...  

Introduction: Emergency department (ED) providers are on the forefront of the prescription drug crisis and understanding patient’s perceptions of opioids may allow physicians to better address misconceptions. The aim was to determine the perceptions of ED patients regarding the efficacy and safety of opioid analgesics.Methods: Cross-sectional study of a convenience sample of adults at a single urban academic ED. Patients completed a tablet-based survey regarding the efficacy and safety of opioid analgesics.Results: Of the 715 subjects, the sample was predominantly black (80.4 percent), female (59.2 percent), and aged 18-59 years (76.8 percent). The majority (70.1 percent) of respondents reported pain as the reason for visit. Seventy-two percent had previously taken an opioid primarily for acute pain, found them effective for pain (88.2 percent), and would be willing to do so again (62.7 percent). Adverse effects made patients less likely to use them again (OR 0.703, [0.659-0.751]). Gender and age did not affect perceptions of efficacy and safety, but certain racial groups did (OR 1.08, [1.02 to 1.14], p 0.05). Knowing someone who used opioids in a nonmedical manner did not impact willingness to use opioids. Many (54 percent) believed opioids to be as safe as nonopioid alternatives. The majority (78 percent) considered prescription opioid abuse a public health problem, however underestimated the number of annual opioid-related deaths.Conclusion: The majority of ED patients had used opioids and considered the prescription drug crisis a public health problem. Through personal use or media coverage, the majority of participants considered opioids safe, even compared to nonopioid alternatives. Better understanding these viewpoints may improve patient–physician communication about analgesic treatment.


2020 ◽  
Vol 8 (02) ◽  
pp. 68-72
Author(s):  
Pragya Shrestha ◽  
Neelam Shrestha ◽  
Ikshaya Rana

INTRODUCTION Chronic kidney disease (CKD) is a major public health problem in Nepal. Adherence is the crucial factor in determining the morbidity and mortality of hemodialysis patients. MATERIAL AND METHODS A cross-sectional study was conducted to find out the hemodialysis adherence among 125 hemodialysis patients of Universal College of Medical Sciences-Teaching Hospital and Crimson Hospital, Rupandehi. The data was collected by enumerative sampling using semi-structured interview schedule. The duration of the study was from June 16, 2019 to August 2, 2019. The data was analyzed by using descriptive and inferential statistics with SPSS software version 16.0. RESULTS The study revealed 56.8% were adherent to haemodialysis in general. Likewise 62.7%, 77.1%, 74.6% and 48.3% were adherent to haemodialysis schedule, diet restriction, fluid restriction and medication respectively. There was statistically significant association between level of adherence to haemodialysis and education level (p=0.020), adequacy of family monthly income for haemodialysis (p=0.007), presence of care taker to haemodialysis centre (p=0.057) and haemodialysis hours in a session (p=0.002). CONCLUSION It is concluded that the haemodialysis adherence among patients is good in general but poor adherence to medicine. The adherence is influenced by education, family monthly income, presence of care taker and haemodialysis hours in a session. Hence it emphasizes on need for educating patients to enhance adherence to haemodialysis.  


Author(s):  
Cinthia Raquel Ferreira Nascimento ◽  
Juliana Fonsêca de Queiroz Marcelino ◽  
Mariana Lima da Silva Lousada ◽  
Vera Lucia Dutra Facundes

Introdução: A gestação na adolescência é considerada um problema de saúde pública. Neste contexto, o terapeuta ocupacional pode desenvolver sua abordagem com foco no desempenho ocupacional desta população, que se depara com um novo papel e na modificação de suas ocupações. Objetivo: Descrever as ações de terapia ocupacional com adolescentes gestantes sobre o desempenho em ocupações na rotina diária. Métodos: Estudo do tipo pesquisa-ação com abordagem qualitativa. Foi desenvolvido no ambulatório da Saúde da Mulher de um Hospital Universitário da cidade do Recife -- PE, entre março e julho de 2016, com 10 adolescentes gestantes. Os dados foram obtidos por meio de entrevista semiestruturada, consulta a prontuários e observação participante dos grupos, que gerou registros em diário de campo e gravações. Os princípios éticos da Resolução 466/12 do Conselho Nacional de Saúde, foram respeitados. Resultados: As ações foram iniciadas com o levantamento, junto às gestantes, de dificuldades no desempenho ocupacional, problematização esta que favoreceu as discussões posteriores, em direção à construção compartilhada de estratégias. As ocupações indicadas como problemáticas foram: calçar o sapato, depilar-se, atividade sexual, descanso e sono e mobilidade funcional. A partir daí, o grupo elaborou estratégias para melhorar sua performance nestas atividades, bem como qualidade de vida, respaldadas por orientações da terapeuta ocupacional.  Conclusões: No estudo, foi possível identificar as dificuldades no desempenho ocupacional na rotina diária das gestantes, bem como favorecer a reflexão das mesmas sobre as estratégias de enfrentamento, para contribuir com a redução de agravos à saúde, promoção da autonomia e independência funcional.  Abstract Introduction: Gestation in adolescence is considered a public health problem. In this context, the occupational therapist can develop his approach focusing on the occupational performance of this population, which faces a new role and on the modification of their occupations. Objective: To describe the actions of occupational therapy with pregnant adolescents, on the performance in occupations in the daily routine. Methods: A research-action study with a qualitative approach. It was developed at the Women's Health outpatient clinic of a University Hospital of the city of Recife - PE, between March and July 2016, with 10 pregnant adolescents. The data were obtained through a semi-structured interview, consultation of medical records and participant observation of the groups, which generated records in field diaries and recordings. The ethical principles of Resolution 466/12 have been respected. Results: The actions were initiated with the survey, along with pregnant adolescents, of difficulties in occupational performance, problematization that favored the later discussions, towards the shared construction of strategies. The occupations indicated as problematic were: wear shoes, depilation, sexual activity, rest and sleep, and functional mobility. From there, the group developed strategies to improve their performance in these activities, as well as quality of life, backed by occupational therapist guidelines. Conclusions: In the study, it was possible to identify the difficulties in occupational performance in the daily routine of pregnant women, as well as to favor their reflection on coping strategies, to contribute to the reduction of health problems, promotion of autonomy and functional independence.Key words: occupational therapy, pregnancy in adolescence, role playing, activities of daily living.  Resumen Este artículo tiene como proposito analizar y debater lasposibilidades de laactuación de la terapia ocupacional enel âmbito de la Cultura, desde las reflexiones docentes generado por losestudiantes graduados enla Terapia Ocupacional enel centro de enseñanza superior (IES) publica. Hoy, laspoliticapublicasbrasileñaspresentanla cultura como derecho. Cultura, en neste caso, no sólo entendida como manifestaciones artísticas y estéticas, sino como uma cuestión de la identidade, protegiendotambiénsu diversidade. Para esta investigación, elegimosel enfoque cualitativo a partir de un enfoque analítico descriptivo, teniendo como base el método documentaldeldiario de campo de lasclases de los dos semestres consecutivos de la disciplina de Terapia Ocupacional Social de uncurso de una Universidad Publica. Los resultados obtenidos se dividieranentres categorias de análisis: (1) Cultura atravesandolapráctica, (2) Cultura como recurso y (3) Cultura como um campo de acción de la Terapia Ocupacional. Se entiende que la Cultura puede definir como campo específico de acción, con una finalidade determinada, lo que apunta para lanecesidad de los estúdios y uma formacción dirigida enparticular  aaquellas políticas, servicios y prácticas. Los datos de este estudio especialmente sumado a las diversas experienciasde la Terapia Ocupacional enelámbito de la Cultura han demonstrado lanecesidad de replantearlaformaciónprofesional. Una pista importante llevaría a uma revisión de lasdirectrices curriculares nacionales, teniendo em cuentaelámbito de la Cultura como locus de produccióndelconociento y laintervencióndel terapeuta ocupacional. Se apunta que és necesarioinvertiren neste tipo de formación para laconsolidación de lasprácticas de el terapeuta ocupacional enelámbito de la Cultura.Palalvras claves: Terapia Ocupacional, Cultura, Ciudadanía Cultural, Formación Profesional. 


2021 ◽  
Vol 4 (3) ◽  
pp. 22-31
Author(s):  
Sarmila Pradhan ◽  
Deepika Khadgi ◽  
Namita Yengden ◽  
Karishma Khadgi

Dental caries is a major public health problem globally and is one of the most chronic diseases in children. Children are susceptible to caries as soon as the first teeth appear. Parents are the primary decision-makers in matters of children's healthcare. If the parents are knowledgeable about the child's oral health care then childhood dental caries can be prevented. The objective of this study was to identify the knowledge on childhood dental caries among parents of under five children. A descriptive, cross-sectional study was carried out among parents of under five children in a community of Biratnagar 12. Sample was selected using non probability purposive sampling method and data was collected by face-to-face interview using a self-developed, semi-structured interview guideline. Descriptive statistics i.e. frequency, percentage, mean and standard deviation was used to assess the level of knowledge and inferential statistics i.e chi square was used to find the association between dependent and independent variables. About three fourths (71%) of the parents were of age group 20-30 years and 88% of them were mothers. Most of the parents (90%) were aware that dental caries can occur in under five children and excessive sugar intake was the most common cause as reported by all of them. Only 40% knew that dental caries is transmissible and among them 97.6% responded by sharing of toothbrush. Regarding good brushing habit, most of the parents were aware. Almost all (95%) knew that proper tooth brushing helps to prevent dental caries whereas only 19% were aware about use of fluoridated tooth paste as preventive measures. Meanwhile, only 12% of the parents were aware that first dental visit should be done when first tooth erupts or within 1 year of age More than half (79%) had good knowledge on childhood dental caries but there was no association of knowledge with socio-demographic variables. The study concluded that more than half of the respondents had good knowledge on childhood dental caries and none of the socio-demographic variables were associated with the level of knowledge of parents on dental caries. Despite good knowledge, prevalence of childhood dental caries is high in our society thus reflecting the need to assess the practice of dental care.


2021 ◽  
Vol 15 (9) ◽  
pp. 3037-3039
Author(s):  
Nasrullah Aamer ◽  
Waseem Raja Memon ◽  
Shahzad Memon ◽  
Muhammad Zarrar ◽  
Nazia Arain ◽  
...  

Objective: This study was conducted to assess the level of knowledge of Pakistani GPs regarding various aspects of H. pylori. Methodology: This cross-sectional survey was carried out all over Pakistan from July to December 2019. Close-ended questionnaires were distributed to a convenience sample of 150 GPs and were requested to answer questions on demographics, importance, diagnosis, treatment and complications of H. pylori. The analysis of the data was done by SPSS version 20.0. Results: The mean age of all GPs was 42.6±8.2 years and females were in majority 53.8%. Most of the respondents 73.1% were graduates, 56.3% worked in clinics and 43.7% in Hospitals. Regarding the knowledge of various aspects of H. pylori, 45.4% to 58% positive responses were obtained to different questions. lowest score 45.4% was obtained regarding the question of whether H. pylori constitutes an important public health problem and highest score 58% on the question regarding the infectious nature of peptic ulcer disease. There was little correlation between demographic and professional features of GPs and knowledge about H. pylori. Conclusion: It was observed that the knowledge of most Pakistani GPs is only modest about H. pylori. There is a need of increasing awareness and educating GPs about this important pathogen. Key Words: general practitioners, H. pylori, questionnaire, survey, knowledge.


Author(s):  
Radha Kumari Paladugu ◽  
Pavan Chand Donipudi ◽  
Divya Chimata ◽  
Manasa Jasti

Background: Teenage or adolescent pregnancy is a major public health problem worldwide. Studies show that teenage mothers are more likely to experience pregnancy-related complications and maternal death compared to adult mothers. Hence, this study was conducted to study the socio-demographic profile and the maternal and fetal outcomes associated with teenage pregnancy and compare it with those of mothers aged 20-30 years.Methods: A cross-sectional comparative study was conducted in Government General Hospital, Guntur from April 2016 to October 2016. 50 adolescent mothers aged <19 years and 50 mothers aged 20-30 years were respectively selected as cases and controls. Data on socio-demographic profile, obstetric complications and fetal outcome was collected using a pre-designed, pre-tested, semi-structured questionnaire by face-to-face interview. Data was analysed by entering it in MS Excel worksheet.Results: Mean age was 18.2 years in adolescent mothers and 23.2 years in controls. Mean age at marriage was 17.3 years in adolescent mothers and 19.9 years in adults. Among teenage mothers 48% were Hindus, 72% upper lower socio-economic class, 88% from rural areas, 32% illiterates, 72% housewives and 32% had consanguineous marriages. Prevalence of under-nutrition (36% vs 14%, p<0.05), PROM (20% vs 4%, p<0.05), PPH (20% vs 4%, p<0.05) was significantly higher in adolescent mothers compared to adults. Prevalence of PIH was significantly lower in adolescent mothers compared to adults (8% vs 28%, p<0.05).Conclusions: Complications like maternal under-nutrition, PROM, PPH, preterm delivery and low birth weight babies were higher in teenage mothers compared to adult mothers. PIH was higher in adult mothers compared to adolescent mothers.


Author(s):  
Murti Devi ◽  
Vinod Chayal

Background: Intestinal parasitic infestation is one of the commonest causes of chronic infection in humans in developing countries and is responsible for considerable morbidity and mortality. Despite the improved socio-economic conditions and elevated living standards, surprisingly it is still a public health problem even in developed countries, like the United States. Objectives of the study were to determine the association of factors associated with parasitic infestation among children of 6-12 years age.Methods:  A cross sectional survey approach was adopted to collect the data and 200 children (6-12 years) and their parents were finally included as per research criteria. Data was collected by interviewing the parents and children using structured interview schedule. Microscopic examinations of stool samples were also done for detection of ova and cysts of intestinal parasites.Results:  Out of 200 study subjects 65 (32.5%) were found to be positive for parasitic infestation namely Giardia lamblia (18.0%) E. histolytica (8.5%), Taenia (4.5%) and H. nana (1.5%). Majority of parasitic infestation i.e. (58.7%) was found among the children of illiterate mothers, (44.6%) in case of joint families and (44.8%) belonging to families having a monthly income less than Rs. 5,000.Conclusions: In this study, it was found that mother’s education, family income, type of family are significantly associated factors with parasitic infestation. The present study opens an area for the further planning such as improving the low socio-economic status, regular deworming of the children, promotion of usages of toilets and up gradation of water supply system as preventive measures in this setting.


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