scholarly journals Behavioural Problems and Parental Over-protectiveness in Children with Asthma

2017 ◽  
Vol 36 (3) ◽  
pp. 232-237
Author(s):  
Neena Sanjiv Sawant ◽  
Juhi Bhargava ◽  
Chandrahas T. Deshmukh
Keyword(s):  
Demographic Variables ◽  
Behavioural Problems ◽  
Control Group ◽  
Behaviour Problem ◽  
Early Referral ◽  
Parental Awareness ◽  
Children With Asthma ◽  
Minor Ailments ◽  
And Control ◽  
Asthma Group

Introduction: Asthma in children often leads to behavioural problems due to the chronic nature of the disease. Parents also tend to be overprotective and many may not even consult a doctor for the same. The objectives were to study the various behavioural problems seen in children having asthma as compared to those with minor ailments, parental awareness about the same and their parenting styles.Material and Methods: 75 parents of children of bronchial asthma and 75 parents of children having short term minor ailments formed the asthma and control groups respectively. The Behaviour Problem Index was used to assess the behavioural problems in children as documented by parents and parental overprotectivenesswas assessed using the Vulnerable Child/ Overprotecting Parent Scale.Results:The demographic variables were comparable in both the groups. Behavioural problems on all domains and parental over protectiveness in the asthma group were found to be statistically significant as compared to control group. However there was no significant correlation between the parental over-protectivenessand the behavioural problems in both the groups.Conclusions: Early referral to the psychiatrist with parental counselling will result in better outcomes for the child.J Nepal Paediatr Soc 2016;36(3):232-237

Non Emergency Calls-Depression Coupling in Call Handlers of Rescue 1122 Punjab, Pakistan

2019 ◽  
Vol 34 (Spring 2019) ◽  
pp. 43-55
Author(s):  
Syed Kamal Abid ◽  
Mujahid Hussain ◽  
Muhammad Raza ◽  
Rizwan-ul Haq ◽  
Rizwan Naseer ◽  
...  
Keyword(s):  
Occupational Stress ◽  
Independent Predictor ◽  
Depression Score ◽  
Demographic Variables ◽  
Workplace Stress ◽  
Control Group ◽  
Control Room ◽  
Emergency Calls ◽  
And Control ◽  
Evening Shift

The study was conducted to know whether bulk inflow of Non Emergency Calls (NECs) acts as an independent predictor for depression in call handlers of Rescue 1122, Punjab, Pakistan. Forty five (45) call handlers were recruited from evening shift of 9 districts. Similarly, same-sized control group was made out of field rescuers. The groups were compared for rate and severity level of depression using Beck’s Depression Inventory-II (BDI-II; Beck, Steer, & Brown, 1996). Probable predictors (except workplace stress) for depression in call handlers were evaluated through risk estimates. For workplace stress, a purposefully developed close- ended Workplace Stress Questionnaire including two subscales i.e. Non Emergency call and Control Room Environment of 30 items each was administrated. Twenty nine (64.4%) subjects of study group reported depression on BDI. Consequently, the same group had significantly higher mean depression score than control (18.2 vs. 12.6; p = .00). The scores also showed insignificant association with any of the probable predictors (demographic variables) of the call attendees. The respondents perceived more occupational stress against NECs. The findings attract the attention of authorities towards the severity of the concern.

scholarly journals Evaluation of oral functions of the stomatognathic system according to the levels of asthma severity

2012 ◽  
Vol 24 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Mariana San Jorge de Castro ◽  
Adyléia Aparecida Dalbo Contrera Toro ◽  
Eulália Sakano ◽  
José Dirceu Ribeiro
Keyword(s):  
Persistent Asthma ◽  
Asthma Severity ◽  
Control Group ◽  
Healthy Children ◽  
Structural Part ◽  
Assessment Protocol ◽  
Group I ◽  
Study Results ◽  
Children With Asthma ◽  
Asthma Group

PURPOSE: To compare the orofacial functions (chewing, swallowing and speech) in children with asthma and healthy children. METHODS: A cross sectional study including 54 children of both genders with ages between 7 and 10 years was conducted. Twenty-seven of these subjects composed the experimental group, and were subdivided into two severity levels of asthma: Group I - mild intermittent and persistent asthma; Group II - persistent moderate to severe asthma. Twenty-seven healthy children were included in the control group (Group III). Speech-language pathology evaluation used the adapted Orofacial Myofunctional Assessment Protocol. Adaptation consisted in the exclusion of the structural part of the test, since this was not the aim of the study. The structural part was excluded because it was not the aim of this study. RESULTS: It was found alterations in oral functions, with significant differences between the three groups. These alterations showed no correlation with asthma severity, since the highest rate of alterations was found in Group I (mild asthma). CONCLUSION: Regardless of the severity level, children with asthma have altered patterns of chewing, swallowing and speech.

scholarly journals Quality of Life in Children with Asthma versus Healthy Children

2018 ◽  
Vol 6 (8) ◽  
pp. 1413-1418 ◽  
Author(s):  
Samaneh Kouzegaran ◽  
Parisa Samimi ◽  
Hamid Ahanchian ◽  
Maryam Khoshkhui ◽  
Fatemeh Behmanesh
Keyword(s):  
Quality Of Life ◽  
Physical Performance ◽  
Control Group ◽  
P Value ◽  
Healthy Children ◽  
Significant Difference ◽  
Children With Asthma ◽  
And Performance ◽  
Asthma Group

BACKGROUND: Asthma is the most prevalent chronic disease in the pediatric age group. The disease affects different aspects of the children's lives, such as physical, emotional, social and educational aspects. Thus, more focus has been on the quality of life in these patients rather than the duration of their illness in recent years.AIM: This study examined the different aspects of quality of life in asthmatic children for the first time in this geographic area.METHODS: The study was cross-sectional conducted in 2015-2016. The asthmatic group was 100 patients aged 8 to 12 admitted to the Asthma and Allergy Clinic of Ghaem Hospital (as) in Mashhad with the control group composed of 100 healthy children of the same age and gender. The standard questionnaire pedsQLTM was used for comparing the quality of life of children in the two groups. Statistical analysis was SPSS23 with P-value less than 0.05, which was statistically significant.RESULTS: In each group, 58 patients were boys, and 42 were girls. In a comparison of the quality of life of children, the asthma group with a mean total score of Peds QL 20.99 ± 12.54 compared to the healthy children with a mean total score of Peds QL of 8.8 ± 5.41 had a lower quality of life (P < 0.001). Moreover, regarding various aspects of quality of life asthma group had a lower quality of life in physical performance, emotional performance and performance in school (P < 0.001). Nonetheless, there was no significant difference between the two groups considering social function (P = 0.267). Examining the relationship between Peds QL score of patients with asthma with various variables was indicative of the fact that Peds QL scores were significantly correlated with the gender of the patients, showing better quality of life in the girls (P = 0.001).CONCLUSION: The results indicated that children with asthma have a significantly lower quality of life compared with healthy children of the same age. Also, in examining the different aspects of quality of life, these children had a lower quality of life in physical performance, emotional performance, and performance at school, and were at the level as that of healthy children only in social performance.

Relationship between non-cardiac chest pain and internalizing problems in pre-school aged children

2020 ◽  
Vol 30 (9) ◽  
pp. 1261-1265
Author(s):  
Tamer Yoldaş ◽  
Tuba Çelen Yoldaş ◽  
Meryem Beyazal ◽  
Ufuk İ. Sayıcı ◽  
Utku A. Örün
Keyword(s):  
Chest Pain ◽  
School Children ◽  
Internalizing Problems ◽  
Maternal Employment ◽  
Maternal Education ◽  
Univariate Analysis ◽  
Behavioural Problems ◽  
Control Group ◽  
Behaviour Problem ◽  
Persistent Problem

AbstractObjective:Non-cardiac chest pain is a common and persistent problem for children; yet, typically, there is no clear medical cause. To date, no behavioural and/or psychological factors have been studied to explain chest pain in a pre-school paediatric sample. We hypothesized that pre-school children with medically unexplained chest pain would have higher rates of behavioural problems compared to healthy controls.Methods:We assessed 41 pre-school children with non-cardiac chest pain and 68 age matched children with benign heart murmurs as the control group using the Child Behaviour Check List-1 1/2–5 to evaluate emotional and behavioural problems.Results:Internalizing problem scores comprising emotionally reactive, anxiety/depression, and somatic complaints were higher in children with non-cardiac chest pain than in the control group. Among the possible factors, the factor that is related to behaviour problem scores, in univariate analysis, was a significant and inverse correlation between maternal education and behaviour problem scores. Also, maternal employment status was associated with behavioural problems. Children with a housewife mother were more susceptible to having such behavioural problems. Based on multiple regression analyses, being in the non-cardiac chest pain group was found to be significantly related to internalizing problems in our total sample.Conclusions:These results suggest that pre-school children with non-cardiac chest pain may experience increased levels of certain behavioural comorbidities. Systematic behavioural screening could increase the detection of behavioural problems and improve care for this population. Future studies of non-cardiac chest pain in pre-school children should include larger samples and comprehensive diagnostic assessments as well as long-term follow-up evaluations.

scholarly journals Relationship between montelukast and behavioral problems in preschool children with asthma

2022 ◽  
Vol 50 (1) ◽  
pp. 85-91
Author(s):  
Eda Özata ◽  
Zülfikar Akelma ◽  
Sacit Günbey
Keyword(s):  
Preschool Children ◽  
Behavioral Problems ◽  
Inhaled Corticosteroids ◽  
Controlled Study ◽  
Control Group ◽  
Healthy Children ◽  
Significant Difference ◽  
Children With Asthma ◽  
Healthy Control ◽  
Asthma Group

Background: There is insufficient clarity regarding whether or not drugs used in asthma cause behavioral problems in children.Methods: A total of 155 individuals, categorized into an asthma group (n = 95) and a control group (n = 60), were enrolled in the current prospective controlled study. The asthma group consisted of patients receiving treatment (inhaled corticosteroids [ICS] or montelukast) for at least 1 month. Check Behavior Checklist (CBCL) for ages 1.5–5 scores for the asthma and controls were compared. The asthma group was divided into two subgroups based on prophylactic therapy received, ICS and montelukast, and these groups’ CBCL scores were also compared. Results: The asthma group consisted of 95 children (ICS subgroup 45, montelukast subgroup 50) and the healthy control group of 60 cases. The mean total CBCL score was higher in the asthma group than in the control group (42 vs 32, respectively, P = 0.001). Internalization and externalization scores were also higher in the asthma group compared to the control group (P = 0.004 and P = 0.005, respectively). No significant difference was determined in terms of CBCL scores between the ICS and montelukast groups (P = 0.3). Montelukast was discontinued in one asthmatic child due to hallucination.Conclusion: This study determined a higher rate of behavioral problems in preschool children with asthma compared to healthy children. In contrast to other studies in the literature, we determined no difference in terms of total CBCL, and internalization and externalization scores of children with asthma who received ICS and montelukast. Nevertheless, it should be kept in mind that montelukast may cause serious neuropsychiatric events such as hallucination.

scholarly journals Effect of Ambulation during First Stage of Labor on Labor Pain and Outcome of Labor among the Primigravida Mothers in a Selected Hospital, Mangalore

2013 ◽  
Vol 5 (1) ◽  
pp. 1-3
Author(s):  
V Savitha ◽  
Sabitha Nayak ◽  
Shynee Paul
Keyword(s):  
Demographic Variables ◽  
Labor Pain ◽  
Normal Vaginal Delivery ◽  
Control Group ◽  
Control Groups ◽  
Significant Difference ◽  
The Mean ◽  
And Control ◽  
Experimental Group ◽  
First Stage Of Labor

ABSTRACT Objectives • To assess the intensity of labor pain and outcome of labor among the control group. • To assess the effectiveness of ambulation on intensity of labor pain and outcome of labor among the experimental group. • To assess the usefulness of ambulation by opinionnaire among experimental group. • To compare the effectiveness of ambulation on the intensity of labor pain and outcome of labor among experimental and control groups. • To find an association between the intensity of labor pain with selected demographic variables. Materials and methods An experimental research approach was used for the study. Random sampling technique was used to allocate the subjects into experimental and control groups. Visual analog scale was used to assess the intensity of pain and observational check list was used to assess the outcome of labor. The study comprised of 40 primigravida mothers and they were grouped as experimental and control through randomization. One group received ambulation treatment, the other did not. The researcher then observed the groups to determine the effect of the treatment. Results The collected data was analyzed by descriptive and inferential statistics. The intensity of pain revealed that 40% in the experimental and 55% in the control groups experienced severe pain. The labor augmentation revealed that both oxytocin and cerviprime gel was used for 30% in the experimental and 35% in the control groups. On the mode of delivery, majority of mothers (60%) had normal vaginal delivery both in experimental and control groups. On the duration of the first stage of labor revealed that 50% in the experimental and 20% in the control groups were between 10 to 12 hours. Second stage of labor revealed that majority were between 1 and 2 hours in both the control and experimental groups. The opinion of experimental group mothers on ambulation revealed that half of the mothers (50%) agreed for recommending the ambulation for their neighbors and friends and less than half (35%) of them have agreed for comfort during first stage of labor and 40% of them have agreed for ambulation should be made as a routine in labor room. In the experimental group, mean pain score (6.8) is less than the control group (7.5). The calculated Mann-Whitney Z-value (2.045) is greater than the Z α-value of 1.960 at 0.05 level of significance. In the experimental group, the mean duration of first stage of labor score (3.95) is significantly higher than the control group mean score (3.00). The mean outcome of labor in experimental group (13.95) is greater than the control group. Conclusion There was a significant difference in the duration of first stage of labor between the experimental and control groups. But, there was no significant difference in the overall outcome of labor between experimental and control groups. There was no significant association between intensity of labor pain with selected demographic variables. This may be because of small sample size. How to cite this article Savitha V, Nayak S, Paul S. Effect of Ambulation during First Stage of Labor on Labor Pain and Outcome of Labor among the Primigravida Mothers in a Selected Hospital, Mangalore. J South Asian Feder Obst Gynae 2013;5(1):1-3.

scholarly journals A QUASI-EXPERIMENTAL PRE-TEST-POST TEST GROUP DESIGN TO ASSESS THE EFFECTIVENESS OF JACOBSON’S PROGRESSIVE MUSCLE RELAXATION EXERCISE ON BLOOD PRESSURE AMONG PATIENT WITH HYPERTENSION IN SACRED HEART HOSPITAL AT THOOTHUKUDI

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Mr. Israel Jeba Prabu prabhu ◽  
Dr. C.P Sharma sharma
Keyword(s):  
Blood Pressure ◽  
Muscle Relaxation ◽  
Demographic Variables ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Post Test ◽  
Relaxation Exercise ◽  
And Control ◽  
Experimental Group ◽  
Test Level

The objectives of the study were to 1. determine the pre-test and post-test level of blood pressure among patients with Hypertension in experimental and control group.2. assess the efficacy of Jacobson’s progressive muscle relaxation exercise on blood pressure among patients with Hypertension in experimental group.3. Associate the selected socio demographic variables with the level of blood pressure in experimental group. Hypothesis H0: There will not be a significant difference between pre and post test level of blood pressure after Jacobson’s progressive muscle relaxation exercise among patient with Hypertension in experimental and control group. H1: There will be a significant decrease in the level of blood pressure after Jacobson’s progressive muscle relaxation exercise among patient with Hypertension in experimental group. H2:There will be significant association between post test levels of blood pressure with selected demographic variables in experimental group. H01: There will not be significant association between post test levels of blood pressure with selected demographic variables in experimental group. Review of literature was organised based on review related to Jacobson’s progressive muscle relaxation and Jacobson’s progressive muscle relaxation on blood pressure. The tool was validated by experts and found to be valid for the study. Sampling Technique: Sample was selected by using non probability convenience sampling method. Results: the data was tabulated, analyzed and interpreted by using descriptive and inferential statistics. After the detailed analysis this study leads to following conclusions, longer day of intervention shows significant decrease in the level of blood pressure. Major findings show that there is significant decrease in the level of blood pressure after Jacobson’s progressive muscle relaxation exercise among patient with Hypertension in experimental group. It was statistically significant at (P<0.001). Hence the sta

scholarly journals A STUDY ON THE EFFECT OF PLACENTAL CORD DRAINAGE ON THE DURATION OF THIRD STAGE OF LABOUR AMONG INTRANATAL WOMEN IN A SELECTED HOSPITAL AT MANGALORE

2013 ◽  
Vol 03 (03) ◽  
pp. 031-033
Author(s):  
Taniya Joseph ◽  
Sabitha Nayak
Keyword(s):  
Study Finding ◽  
Demographic Variables ◽  
Control Group ◽  
Base Line ◽  
Group Data ◽  
Significant Difference ◽  
Third Stage ◽  
Post Test ◽  
And Control ◽  
Experimental Group

AbstractThe study was conducted to assess the effect of placental cord drainage on the duration of third stage of labour among intra natal women. The study design adopted was true experimental approach with two group post-test only research design. The base line clinical Proforma were used to collect the data from the womem in control and experimental group. Data obtained in these areas were analysed rd by descriptive and inferential statistics. The study finding also revealed that there is a significant difference between the duration of 3rd stage of labour among experimental group and control group. & there is no significant association between the duration of third stage of labour and selected demographic variables among experimental group and control group.

The role of ICOSL in children with neutrophilic asthma

2020 ◽  
Author(s):  
Heting Dong ◽  
Wujun JIANG ◽  
Li HUANG ◽  
Meijuan WANG ◽  
Yongdong YAN ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Lavage Fluid ◽  
Eosinophil Infiltration ◽  
Control Group ◽  
Hospitalization Time ◽  
Children With Asthma ◽  
Molecular Ligand ◽  
Ligand Expression ◽  
Group A ◽  
Asthma Group

Abstract Background: It has been shown that certain severe and refractory asthma cases are due to neutrophil and not eosinophil infiltration. ICOSL (Inducible costimulatory molecular ligand) expression is closely associated with tumor and autoimmune diseases, while a limited amount of data has been published regarding the significance of ICOSL in children with neutrophilic asthma. The present study aimed to explore the abnormal expression of ICOSL in peripheral blood and bronchoalveolar lavage fluid (BALF) samples of children with neutrophilic asthma and their clinical significance. Methods: The present clinical study selected children who met the diagnostic criteria of asthma from the children's Hospital of Suchow University and excluded the patients with positive etiology. The children who were admitted to the hospital for foreign body inhalation in the same period were collected as the control group. The children with more than 50% (the percentage of neutrophils in BALF was 95% of the percentile in the control group) of neutrophils in BALF samples were assigned to the neutrophilic asthma group (NA group), whereas the remaining subjects comprised the asthma group (A group). The expression levels of ICOSL, IL-4, IL-17, IFN-, neutrophil elastase (NE) and matrix metalloproteinase (MMP)-9 were detected in plasma and BALF samples by enzyme-linked immunosorbent assays in order to analyze the differences in the levels of cytokines and clinical characteristics between children with neutrophilic asthma and non-neutrophilic asthma. Moreover, the potential mechanism of ICOSL in neutrophilic asthma was explored. Results: In strict accordance with the diagnostic criteria of asthma and following exclusion of pathogenic positive children, 32 children were finally enrolled, including 12 children in the NA group and 20 children in the A group. The mean hospitalization time of the NA group was longer than that of the A group (P<0.05). The concentration levels of ICOSL, IL-17, NE and MMP9 of the NA group in plasma and BALF samples were higher than those in the A group, while the levels of IFN-γ exhibited the opposite trend. A significant correlation was evident between ICOSL and IL-17 levels in plasma（r=0.753，P=0.012） and BALF（r=0.774，P=0.009）samples of the NA group. Conclusion: Children with asthma exhibited an immunity imbalance of Th1/Th2/Th17, whereas neutrophilic asthma children were more severely affected. The clinical treatment was considerably difficult and the hospitalization time was longer. ICOSL may regulate the secretion of IL-17 by Th17 and increase the levels of NE and MMP9, which are involved in the development of immune inflammation in neutrophils.

scholarly journals Primary care drug therapy training: the solution for phc nurses?

Curationis ◽  
2000 ◽  
Vol 23 (1) ◽  
Author(s):  
J.C. Rothmann ◽  
J.J. Gerber
Keyword(s):  
Primary Care ◽  
Drug Therapy ◽  
Health System ◽  
National Health System ◽  
Training Programme ◽  
Control Group ◽  
Essential Drugs ◽  
Minor Ailments ◽  
Nursing College ◽  
And Control

The priority of the National Health System in South Africa is primary health care (PHC). The approach involves a health system led by PHC services and includes personal and curative services for acute minor ailments delivered by PHC nurses. The nurses are also responsible for the treatment of these ailments with essential drugs according to protocols as proposed in the Essential Drugs List. A before-after experimental research design was used to evaluate the effect of a competencybased primary care drug therapy (PCDT) training programme for PHC nurses in the treatment of acute minor ailments. An experimental group (n=35) and control group (n=31) consisting of registered nurses undergoing training in PHC at Gold Fields Nursing College were randomly selected. The results showed a significant increase in prescribing outcomes and medicine utilisation.

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