scholarly journals Satisfaction of Telehealth in Patients With Established Neuromuscular Disorders

2021 ◽  
Vol 12 ◽  
Author(s):  
Sara Hooshmand ◽  
Junsang Cho ◽  
Shivangi Singh ◽  
Raghav Govindarajan

Introduction/aims: Determine established neuromuscular disease patients' satisfaction with telehealth during the COVID-19 pandemic.Methods: We received 50 completed Utah telehealth satisfaction surveys from a cohort of 90 from April 2020 to June 2020. Returning neuromuscular disease patients rated seven aspects from 1 (strongly disagree) to 5 (strongly agree): Communication, timeliness of physician, picture quality, sound quality, protection of privacy, the comfort of the physical exam, the ease of healthcare, and whether patients would prefer “in-person” visits despite safety precaution. A favorable response was defined as a response of “Agree” or “Strongly Agree” to the survey questions. An independent t-test, Fisher's or chi-square test were used to compare demographic factors on outcomes for each survey question.Results: The average age was 47.54 ± 20.63, 54% were female, 70% from rural areas, 60% had family present “webside,” and 14% had family present remotely. The majority of patients reported “Agree” or “Strongly Agree” to each survey question assessing their telehealth satisfaction, except for whether patients preferred in-person appointments. Demographic factors, including location and clinical diagnosis, did not influence survey responses.Discussion: The vast majority of established neuromuscular disease patients responded favorably to their telehealth experience during the COVID-19 pandemic.

Author(s):  
Farindira Vesti Rahmasari ◽  
Winny Setyonugroho ◽  
I Ketut Swarjana ◽  
Desto Arisandi ◽  
Tri Wulandari Kesetyaningsih

Abstract Malaria is one of the global health problems that is faced by many countries, including Indonesia. This study aimed to examine the association between demographic and attitude factors with malaria prevention in the rural areas of Purworejo District, Indonesia. A community survey was conducted in Purworejo District that involved 147 respondents by using simple random sampling to select the respondents. A questionnaire interview was used to collect data about demographic factors, attitudes, and malaria prevention practices. A Chi-square test was performed to examine the association between demographic and attitude factors with the practice of malaria prevention in the community. Among 147 respondents, 80 (54.4%) respondents conducted malaria prevention practice using bed mosquito net in their own houses. Demographic factors such as education level (p<0.001), occupation (p=0.016), and attitude factor (p=0.006) were significantly associated with the use of bed mosquito net for malaria prevention practice. Meanwhile, 63 (42.9%) respondents used ventilation mosquito net for malaria prevention practice. Demographic factors such as education level (p<0.001), age groups (p=0.005), occupation (p=0.002), and attitude factor (p=0.001) were associated significantly with the use of ventilation mosquito net for malaria prevention practice. Overall, malaria prevention by using both bed and ventilation mosquito nets were very low percentages. Keywords             : Malaria, prevention practice, mosquito net, IndonesiaCorrespondence   : [email protected]


Author(s):  
Abdul Bashiru Jibril ◽  
Michael Adu Kwarteng ◽  
Miloslava Chovancova

Purpose – the aim of this research is to understand and present the outcomes of the strength of association between consumers and the use of the green (herbal) product from a demographic viewpoint. By extension, it measures the magnitude of dependents among demographic factors influencing the use of the green product in a developing country. Research methodology – to evaluate consumer’s demographics on the use of the green (herbal) product, 207 participants took part in the survey through a structured questionnaire. Data were obtained from users of green products (specifically herbs) in Ghana. A nonparametric test precisely chi-square test (x2) and Spearman's correlation rs were employed for our empirical analysis. Findings – the paper indicated the youthful population as the highest number of users of the green product in the herbal market. Results from the nonparametric test (Spearman’s rho) revealed that demographic factors (gender, age, education, and occupation) have an inverse relationship on the use of the green product. Whiles the chi-square test also discloses insignificant relationships among the observed attributes. This suggests that there is no empirical evidence to support the claim that use of green product depends on demographic factors of consumers. Research limitations – the limitation of this study considered the research scope, taking into account a smaller sample size for the study hence, future researchers should expand the sample size as well the other demographic variables necessary for a similar study. Practical implications – the practical implication of this study gives insights to practitioners and marketers in the herbal industry on how best they can progress in their quest to sustain in the business. Originality/Value – the present study aided in widening the scope of consumer behaviour towards the green product in the marketing discipline taken into consideration the widespread competition in the business nowadays especially in the herbal (green product) market


2020 ◽  
pp. 222-234
Author(s):  
Anis ur Rehman

The Regional Rural Banks are government-owned, regionally based and rurally oriented financial institutions specialized in catering to the credit needs of the neglected and weaker sections of the society. In the recent past, RRBs have become a potent mediator for financial inclusion in rural areas. This paper summarizes the innovative methods used by the employees of these banks in deposit mobilizations, credit expansion and recovery of the loan. The primary purpose of the research is to find the problems faced by officials of these banks in marketing their services to the rural customer. The opinions of these bank officials regarding the above factors and the functioning of these banks and their impact on society have also been studied. For this purpose, a sample of 96 bank officials of Aryavart bank and Purvanchal Bank have been taken from the rural areas of Uttar Pradesh. Methodological tools of the research methods were Frequency and Chi-square test of independence which have been used to test the hypotheses developed in the study. The research empirically confirms and theoretically proves that the employees and staff of these two regional rural banks in the state are making their earnest effort to channelize the savings of rural people by mobilization of deposits by motivating them to deposit their surplus money in the regional rural banks. The bank officials are making efforts to extend credit facilities in rural areas to uplift the people economically. The bank officials are facing problems in deposit mobilization, and credit expansion in the rural areas of the state and they are managing these problems very efficiently. Some political interference was found in the functioning of these banks. In the opinion of these bank officials, the overall working of these regional rural banks is proper. The results of the research can be useful for policymakers in the government to understand the hurdles faced by regional rural banks in reaching to the poor and needy sections of the society. The insights from this paper can help the policymakers to craft innovative schemes which enable these banks to reach the most inaccessible customers in rural areas. Keywords Regional Rural Banks, deposit mobilizations, credit expansion, financial inclusion, loan recovery.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e036162
Author(s):  
Md Mostaured Ali Khan ◽  
Md Golam Mustagir ◽  
Md Rafiqul Islam ◽  
Md Sharif Kaikobad ◽  
Hafiz TA Khan

ObjectiveThis study is concerned with helping to improve the health and care of newborn babies in Bangladesh by exploring adverse maternal circumstances and assessing whether these are contributing towards low birth weight (LBW) in neonates.Study designs and settingsData were drawn and analysed from the Bangladesh Demographic and Health Survey, 2014. Any association between LBW and adverse maternal circumstances were assessed using a Chi-square test with determinants of LBW identified by multivariate logistic regression analysis.ParticipantsThe study is based on 4728 children aged below 5 years and born to women from selected households.ResultsThe rate of LBW was around 19.9% (199 per 1000 live births) with the highest level found in the Sylhet region (26.2%). The rate was even higher in rural areas (20.8%) and among illiterate mothers (26.6%). Several adverse maternal circumstances of the women included in the survey were found to be significant for increasing the likelihood of giving birth to LBW babies. These circumstances included the women being underweight (adjusted odds ratio (AOR) 1.26, 95% CI 1.06 to 1.49); having unwanted births (AOR 1.22, 95% CI 1.03 to 1.44); had previous pregnancies terminated (AOR 1.28, 95% CI 1.05 to 1.57); were victims of intimate partner violence (AOR 1.23, 95% CI 1.05 to 1.45) and taking antenatal care <4 times (AOR 1.23, 95% CI 1.03 to 1.48). Other important risk factors that were revealed included age at birth <18 years (AOR 1.42, 95% CI 1.11 to 1.83) and intervals between the number of births <24 months (AOR 1.25, 95% CI 1.01 to 1.55). When taking multiple fertility behaviours together such as, the ages of the women at birth (<18 years with interval <24 months (AOR 1.26, 95% CI 1.02 to 1.57) and birth order (>3 with interval <24 months (AOR 1.68, 95% CI 1.18 to 2.37), then the risk of having LBW babies significantly increased.ConclusionThis study finds that adverse maternal circumstances combined with high-risk fertility behaviours are significantly associated with LBW in neonates. This situation could severely impede progress in Bangladesh towards achieving the sustainable development goal concerned with the healthcare of newborns.


2013 ◽  
Vol 131 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Orlando Milhomem Mota ◽  
Maria Paula Curado ◽  
José Carlos Oliveira ◽  
Edesio Martins ◽  
Daniela Medeiros Milhomem Cardoso

CONTEXT AND OBJECTIVESEsophageal cancer is the eighth commonest type of cancer worldwide, occupying sixth place in terms of mortality. Smoking and alcohol use are known risk factors for this type of cancer. The aim here was to evaluate the risk factors for esophageal cancer in a low-incidence area.DESIGN AND SETTINGCase-control study in Goiânia, with 99 cases of esophageal cancer and 223 controls.METHODSThe variables were sociodemographic, dietary, occupational and lifestyle data. The sample was analyzed using the chi-square test, Mann-Whitney test and Mantel-Haenszel approach for multivariate analysis. Odds ratios (OR) were calculated with 5% significance and 95% confidence intervals.RESULTSThe risk of esophageal cancer was higher in patients ≥ 55 years (OR = 1.95; P < 0.001). Patients from rural areas were at greater risk of esophageal cancer (OR = 4.9; P < 0.001). Smoking was a risk factor among the cases (OR = 3.8; P < 0.001), as was exposure to woodstoves (OR = 4.42; P < 0.001). The practice of oral sex was not a risk factor (OR = 0.45; P = 0.04). Consumption of apples, pears, vegetables, cruciferous vegetables and fruit juices were protective against esophageal cancer.CONCLUSIONIn a region in which the incidence of esophageal cancer is low, the most significant risk factors were exposure to woodstoves, smoking and living in rural areas.


Author(s):  
Justus N. Agumba

The socio-economic and demographic factors have been indicated to predict mathematics success. However, there is paucity of research to verify if these factors correlate with mathematics success at university level in South Africa. Hence, this paper reports on the socio-economic and demographic factors that correlate with mathematics success for civil and built environment students at a comprehensive university in South Africa. The data was obtained through, questionnaire survey from 197 students who were purposive sampled. The data was analysed using Statistical Package for the Social Sciences (SPSS) version 22. The study found that the correlation between the dependant variable and the independent variables that did not violet the assumption of each cell having more than five counts were insignificant. The cross tabulation results on frequencies should be interpreted with caution. The result indicates arithmetic difference in most of the independent variables. Male students performed better than female students in mathematics. However, the differences between the groups are not statistically significant as indicated with the Chi-square test.


2020 ◽  
Vol 8 (2) ◽  
pp. 25-31
Author(s):  
Kshitiz Upadhyay Dhungel ◽  
Agya K.C.

Background and Objectives: Hypertension is one of the leading health problems globally. In developing countries like Nepal, the prevalence of hypertension is increasing yearly. This study aims to find the prevalence of hypertension and associated demographic factors among Chepang people, an indigenous ethnic group also known as one of the isolated tribal groups of Nepal. Material and Methods: It is a descriptive cross-sectional study performed in total of 324 respondent living in chepang community of Majbang-09 of Kalika Municipality. Semi structured questionnaire including socio-demographic, anthropometric measurement, 24 hour diet recall, and food frequency to explore dietary diversity information. Data entry and analysis was done using SPSS 20. Chi-Square test was used to measure the association between variables and was considered significant at p <0.05. Results: According to the study the 35.5% of the respondent were hypertensive and 50.3% of were pre-hypertensive. More than half of the respondent (58.3%) had normal BMI followed by (26.9%) of the respondent were overweight, (9.0%) of the respondent were under nutrition and (5.9%) of the respondent were obese. Among the respondent who had hypertension (60.7%) were above 60 years and the lowest (21.3%) were below 40 years. Conclusion: The socio demographic variables like age, sex, educational status, annual income and marital status were found to be significantly associated with hypertension.


Author(s):  
Maya Ramesh ◽  
Ramesh Krishnan ◽  
Sabarinathan Jaganathan

Introduction: Medical as well as dental professionals are always at an increased risk of contracting infections in pandemics. The novel Coronavirus (nCoV), the causative agent of the COVID-19 pandemic is more contagious than other known members of Coronaviridae family. Aim: This research aims to evaluate the knowledge, psychological, social, and economic aspects of COVID-19 pandemic among dental professionals using a closed-ended questionnaire study. Materials and Methods: A cross-sectional study with close ended questionnaire was planned. The questionnaire form was prepared in the Google platform after receiving ethical clearance, with 39 questions under the headings of General Information, Knowledge, Psychological aspects, and Social and Economic aspects. The questionnaire link was circulated among dental professionals known to the research team through Email, WhatsApp, and Messenger. A total of 504 dental professionals participated in this study in five days. Knowledge score was calculated, and psychological stress was calculated using Likert scale. Economic aspect was measured using yes/no answers. Data were entered in an excel sheet and the data obtained were statistically analysed using the SPSS software, version 11.5. Chi-square test was done to evaluate whether there is an association between knowledge score and demographic factors and p-value was obtained. Results: There was almost equal gender distribution of respondents in the study. p-value obtained from chi-square test results correlating knowledge score with various demographic factors was not significant. A 59.9% of study participants were poorly informed on methods used to diagnose COVID-19 infection. A 44.4% of the respondents were psychologically stressed about infecting their family members and 72.22% were economically affected because of their profession. A 98.61% of the participants reported that they will wash their hands frequently, avoid crowded places and cancel travel plans in the near future. Conclusion: The present study evaluated the knowledge, psychological, social and economic aspects of COVID-19 pandemic among dental professionals. We identified that there is an urgent need to intensify the knowledge on COVID-19 and also to give psychological, social and economic support to dental professionals


PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245114
Author(s):  
Ikenna Onoh ◽  
Oluwatomi Owopetu ◽  
Abdulhakeem Abayomi Olorukooba ◽  
Chukwuma David Umeokonkwo ◽  
Tukur Dahiru ◽  
...  

Introduction The global tobacco epidemic contributes to more than 8 million deaths annually. However, most tobacco control interventions have been driven by an emphasis on smoked tobacco. Globally and more so in Nigeria, less attention has been paid to the similarly harmful smokeless tobacco (SLT) whose use appeals to a different demography. We examined the prevalence, patterns of use and correlates of SLT in Nigerian adults to guide targeted control efforts. Methods We conducted a secondary analysis of the 2012 Global Adult Tobacco Survey (GATS) data. We obtained data on 9,765 non-institutionalised adults aged 15 years and older. Variables included current SLT use, sociodemographic characteristics and perceived harm of SLT use. We used Chi-square test to examine associations and binary logistic regression to assess predictors of current SLT use. All analyses were conducted with sample-weighted data. Results The prevalence of current SLT use was 1.9% of all adults. About 1.4% were daily users. The main types were snuff by nose (1.6%) and snuff by mouth (0.8%). There were higher odds of current SLT use for those in the South-East region (aOR = 13.99; 95% CI: 4.45–43.95), rural area residents (aOR = 1.56; 95% CI: 1.04–2.35), males (aOR = 4.43; 95% CI: 2.75–7.11), the 45–64 years age-group (aOR = 10.00; 95% CI: 4.12–24.29), those with no formal education (aOR = 2.67; 95% CI: 1.01–7.05), and those with no perception of harm from SLT use (aOR = 3.81, 95% CI: 2.61–5.56). Conclusion The prevalence of SLT use among Nigerian adults was low with clearly identified predictors. While a majority were aware of harm from SLT use, an unacceptably high proportion remain unaware. We recommended targeted interventions to increase awareness of the harmful effects of SLT use especially among residents of the South-East, those in rural areas, males, and individuals with no formal education. We also recommended a follow-up survey.


2021 ◽  
Vol 12 (1) ◽  
pp. 60-68
Author(s):  
Rostika Flora ◽  
Ena Juhaina ◽  
Ahmad Fickry Faisya ◽  
Nur Alam Fajar ◽  
Yeni Anna Appulembang ◽  
...  

Children living in rural areas are prone to nutritional deficiencies. Low-income levels impact people’s purchasing power so that the intake of most nutrients comes from plant-based foods and consumes less animal food. Nutritional intake greatly affects the development of children’s cognitive function. Brain-derived neurotrophic factor (BDNF) is a group of neurotrophins that contribute greatly to the learning process and memory. This study aims to analyze the relationship between levels of BDNF with the level of intelligence in elementary school children in rural areas of Seluma Regency. This was a cross-sectional study involving 70 elementary school children aged 9-12 years were taken by multi-stage random sampling, who came from 5 districts of Seluma Regency. Blood was collected for measurement of BDNF levels, and stool samples were examined to detect intestinal parasites. The data on respondent characteristics were derived from questionnaires.  Data analysis were done by using the chi-square test. The results of BDNF measurements found 31 children (44.3%) had BDNF levels below the average (<3342.95ng / mL). The results of measuring intelligence level found that 54 children (77.1%) had a level of intelligence below the average. Chi-Square test results obtained p = 0.012 with a PR value of 7.538. There was a significant  association between the BDNF level and intelligence level in elementary school students in the rural area. Elementary school children in rural areas with BDNF levels below the average risk of 7.538 times have below-average intelligence levels.


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