The Relationship between Clinic Visit Accompanied by Family and Dementia Severity in Taiwan

Introduction: This study analyzes the severity of dementia status with clinical dementia rating (CDR) score distribution among patients according to various family functional and sociodemographic issues. Methods: A cross-sectional study was performed in a regional hospital in Central Taiwan. The sample consisted of 318 patients who came to the clinic from May 2018 to April 2019, and who were diagnosed by the physicians with CDR scores ≧ 0.5. The Chi-Square test and binary logistic regression analyses were performed for inferential statistical analysis. Results: The mean age of the sample was 78.7 ± 8.51 years, and 61.6% of the samples’ CDR scores were equal or less than 1.0. Patients visiting the clinic were accompanied by spouses (21.7%), sons or daughters-in-law (40.6%), daughters (23.6%). Of the sample, 142 (44.3%) patients live with sons. Patients with a lower educational level had higher CDR scores. Compared to the patients who went to the clinic by themselves, the higher OR values of CDR scores ≧ 2 are found in patients who were accompanied by other relatives (OR = 18.871, 95% C.I. = 3.117–114.237, p = 0.001), or spouse (OR = 10.783, 95% C.I. = 1.996–58.245, p = 0.006). Conclusion: The family member who accompanied the patient to a clinic visit and the patient’s educational level are both significant issues relating to the severity of dementia.

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Hubungan Budaya Organisasi dengan Intensi Turnover di Rumah Sakit Awal Bros Batam

Jurnal Endurance ◽

10.22216/jen.v4i3.4609 ◽

2019 ◽

Vol 4 (3) ◽

pp. 464

Author(s):

Endang Sulastri ◽

Yulastri Arif ◽

Utari Christhya Wardhani

Keyword(s):

Organizational Culture ◽

Interpersonal Relationships ◽

Turnover Intention ◽

Random Sampling ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Good Communication

Intensi turnover pada institusi pelayanan kesehatan merupakan masalah serius dan harus segera ditindaklanjuti, karena akan berdampak terhadap kualitas sumber daya manusia yang dapat mempengaruhi dalam pemberian pelayanan kesehatan kepada pasien. Intensi turnover di Rumah Sakit Awal Bros Batam sejak lima tahun terakhir diatas standar rata-rata turnover dan Rumah Sakit belum mempunyai stategi yang efektif untuk mencegahnya. Tujuan penelitian ini untuk menganalisis hubungan budaya organisasi dengan risiko intensi turnover di Rumah Sakit Awal Bros Batam. Metode penelitian menggunakan desain kuantitatif dengan cross sectional study. Pengambilan sampel kuantitatif menggunakan kuesioner berdasarkan proposional random sampling, Chi Square dan Uji Regresi Logistic Berganda (Binary Logistic). Hasil penelitian menunjukkan bahwa budaya organisasi di Rumah Sakit Awal Bros Batam mempunyai hubungan yang bermakna dengan intensi turnover dengan nilai pValue 0.005. Saran yang dapat diberikan peneliti adalah menciptakan suasana kerja yang kondusif dengan menjaga hubungan interpersonal dan komunikasi yang baik antar karyawan maupun atasan. The intention of turnover in health care institutions is a serious problem and must be followed up immediately, because it will have an impact on the quality of human resources that can affect the delivery of health services to patients. The intention of the turnover in Batam Awal Bros Hospital since the last five years is above the average turnover standard and the Hospital does not yet have an effective strategy to prevent it. The purpose of this study was to analyze the relationship between organizational culture and risk of turnover intention at Awal Bros Batam Hospital. The research method uses quantitative design with cross sectional study. Quantitative sampling using a questionnaire based on proportional random sampling, data processing using the mean, Chi Square and Binary Logistic Regression Test. The results showed that the organizational culture in Batam Awal Bros Hospital had a significant relationship with turnover intention with a pValue 0.005. Suggestions that can be given by researchers is establish a conducive work atmosphere by maintaining interpersonal relationships and good communication between employees and superiors

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Neuropsychiatric symptoms and severity of dementia

Dementia & Neuropsychologia ◽

10.1590/s1980-57642013dn70200006 ◽

2013 ◽

Vol 7 (2) ◽

pp. 171-175

Author(s):

Gustavo Henrique de Oliveira Caldas ◽

Sueli Luciano Pires ◽

Milton Luiz Gorzoni

Keyword(s):

Alzheimer’S Disease ◽

Alzheimer's Disease ◽

Motor Behavior ◽

Neuropsychiatric Symptoms ◽

Prevalence Ratio ◽

Cross Sectional Study ◽

Clinical Dementia Rating ◽

Cross Sectional ◽

Specific Stage ◽

Severity Of Dementia

ABSTRACT Neuropsychiatric symptoms (NPS) cause distress, disabilitiy and reduced quality of life for both the patient and their families Objective: To evaluate the prevalence of NPS as a specific stage of dementia status. Methods: A cross-sectional study in patients attending an outpatient clinic for dementia was performed. We applied the Neuropsychiatric Inventory and Clinical Dementia Rating (CDR) scale. Statistical analysis was carried out with SPSS 17 software. Results: The 124 subjects (mean age of 80.4±7.0 years), 88 women (70.9%) had average duration of dementia of 7.1±3.2 years, most common dementias of Alzheimer's disease (35.5%) and mixed (31.5%) and most prevalent NPS of apathy (75%) and irritability (66.9%). Correlation between apathy and a CDR 1 had a PR (prevalence ratio) = 0.289 and p<0.001 while between apathy and CDR 4-5 (PR=8.333, p<0.005). A similar result was found between aberrant motor behavior (AMB) and CDR 1 (PR=0.352, p<0.003) and between AMB and CDR4-5 (PR=2.929, p<0.006). Conclusion: Alzheimer's disease and mixed dementia were predominant, while apathy and AMB were detected in association with the progressive stages of dementia.

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Willingness to Accept COVID-19 Vaccine and Its Determinants among Nigeria Citizens: A Web-based Cross-sectional Study

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2021/v33i830881 ◽

2021 ◽

pp. 13-22

Author(s):

Olanrewaju Davies Eniade ◽

Abayomi Olarinmoye ◽

Agofure Otovwe ◽

Funke E. Akintunde ◽

Omowumi O. Okedare ◽

...

Keyword(s):

Binary Logistic Regression ◽

Cross Sectional Study ◽

Outcome Variable ◽

Willingness To Accept ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Other Information ◽

Level Of Significance ◽

To Receive

Background: The peculiarity in Nigerians’ demographic, socio-economic and cultural pattern necessitated the need to explore potential COVID-19 vaccine acceptance. This study investigated the determinants of willingness to receive COVID-19 vaccine in Nigeria. Methods: An online cross-sectional study among the general population in Nigeria. Data were collected using an electronic questionnaire. A total of 368 individuals participated in the research. The outcome variable was willingness to accept COVID-19 vaccine coded as “Yes=1 and No=0.” Basic socio-demographic information of participants and other information related to COVID-19 were obtained. Stata MP 14 was used for the statistical analysis. Descriptive statistics were presented, test of association were carried out using chi square and a binary logistic regression was used to assess the determinants of willingness to accept COVID-19 vaccine. All analyses were performed at 5% level of significance. Results: The mean age of the respondents was 29.4 + 9.65 years. Majority of the study participants were female (58.9%), Yoruba (74.7%) and dwellers of urban area (68.5%). Also, 85.6% have attained tertiary level of education. Two-fifth (40.5%) of respondent reported their willingness to take the COVID-19 if made available. Majority (69.8%) of those that are willing to take the vaccine would prefer a live attenuated form and 39.6% would prefer the vaccine administered intramuscularly. Age group≥40 years (AOR: 5.20, CI: 1.02- 26.41), currently married (AOR: 2.81, CI: 1.05 – 7.53) and susceptibility to COVID 19 infection (AOR: 2.52, CI: 1.21 – 5.26) were associated with likelihood of willingness to accept COVID-19 vaccine. Conclusion: Despite the fact that majority were at risk of COVID-19 infection, willingness to receive COVID-19 vaccine was low among Nigerians. Level of maturity in terms of age and marriage as well as susceptibility to COVID-19 infection increased the likelihood of accepting COVID-19 infection. In Furtherance, younger ones, unmarried and non-susceptible individual may require more efforts tailored towards enrichment of understanding about the importance of COVID-19 vaccine in other to improve the acceptance of COVID-19 vaccine in Nigeria.

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Knowledge and attitude of the communities towards COVID-19 and associated factors among Gondar City residents, northwest Ethiopia: A community based cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0248821 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0248821

Author(s):

Asefa Adimasu Taddese ◽

Zelalem Nigussie Azene ◽

Mehari Woldemariam Merid ◽

Atalay Goshu Muluneh ◽

Demiss Mulatu Geberu ◽

...

Keyword(s):

Family Size ◽

Educational Level ◽

Associated Factors ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Knowledge And Attitude ◽

Significant Factors

Background COVID-19 is the novel coronavirus responsible for the ongoing global outbreak of acute respiratory disease and viral pneumonia. In order to tackle the devastating condition of the virus, countries need to attack the virus with aggressive and targeted tactics. Thus, to strengthen the COVID-19 mitigation measures and to give rapid response, there is an urgent need to understand the public’s knowledge and attitude about of the pandemic at this critical moment. Objective This study was aimed to assess the knowledge and attitude of communities about COVID-19 and associated factors among Gondar City residents. Methods A community based cross-sectional study was done among 623 respondents in Gondar city from April 20-27/2020. Data were collected using a structured questionnaire adapted from different literatures. The data were entered using Epi data version 3.1 and then exported into STATA version 14 for analysis. Bi-variable and multivariable binary logistic regression were performed. Adjusted odds ratio with 95% CI was used to declare statistically significant variables on the basis of p value less than 0.05 in the multivariable binary logistic regression model. Results The overall knowledge and attitude of the community towards COVID19 was 51.85% [95% CI (47.91%-55.78%)] and 53.13% [95% CI (49.20, 57.06%)], respectively. In this study, being married [AOR = 0.60 at 95% CI: (0.42, 0.86)], educational level; primary [AOR = 3.14 at 95% CI: (1.78,5.54)], secondary [AOR = 2.81 at 95% CI: (1.70,4.63)], college and above [AOR = 4.49 at 95% CI: 7.92, 13.98)], and family size [AOR = 1.80, at 95% CI: (1.05, 3.08)] were emerged as statistically significant factors impacting the knowledge of the community about COVID-19. Besides, educational level; primary [AOR = 1.76 at 95% CI: (1.03, 3.01)], secondary [AOR = 1.69 at 95% CI: (1.07, 2.68)], and college & above [AOR = 2.38 at 95% CI: (1.50, 3.79)], and family size; four to six members [AOR = 1.84 at 95% CI (1.27, 2.67)], above seven members [AOR = 1.79 at 95% CI (1.08, 2.96)] were factors identified as significantly attribute for positive attitude of the communities towards COVID-19. Conclusion More than half of the respondents had better knowledge and attitude regarding COVID-19. Higher educational level and larger family size were significant factors predominantly affecting the knowledge and attitude of the communities towards COVID-19.

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Knowledge and Perception of Malaysian Forest Fringe Population towards Zika Infection

Medicine & Health ◽

10.17576/mh.2021.1601.16 ◽

2021 ◽

Vol 16 (1) ◽

pp. 190-206

Author(s):

Chin Mun Wong ◽

Keyword(s):

Risk Perception ◽

Binary Logistic Regression ◽

Knowledge Score ◽

Cross Sectional Study ◽

World Health ◽

Chi Square ◽

Cross Sectional ◽

Poor Knowledge ◽

Validated Questionnaire ◽

Forest Fringe

The World Health Organization (WHO) has declared Zika infection as Public Health Emergency of International Concern in 2016. In this study, we aimed to assess the knowledge and risk perception towards Zika infection among the forest fringe population in Malaysia. A cross-sectional study of with 433 adult respondents in Malaysia completed the assisted-administered validated questionnaire on knowledge and perception to Zika infection. Bidirectional analysis on the person and item abilities were tested using Statistical Package for the Social Sciences (SPSS) and Rasch. The knowledge and perception levels were tested against significant sociodemographic or socioeconomic variables using Pearson’s Chi Square; covariates were then adjusted at multivariate level using binary logistic regression. Both knowledge and perception domains were well-targeted. Complementing results from SPSS and Rasch showed poor knowledge and poor risk perception levels in slightly more than half of the respondents [knowledge score: 50.8% (SPSS), 55.4% (Rasch); perception score: (58.0% (SPSS), 58.2% (Rasch)]. With covariates adjusted, non-bumiputra (non-natives) of higher education level, higher household income and recent jungle visits showed good knowledge level. Adult, menopaused women from Perak state showed better risk perception level towards Zika. Majority of the forest fringe population in Malaysia have poor knowledge and risk perception towards the Zika infection. This questionnaire is a suitable tool to assess knowledge and perception towards Zika infection among the forest fringe populations in Southeast Asia.

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Knowledge, attitudes and practices about Coronavirus disease (COVID-19) among Birzeit University students: A cross-sectional study

10.21203/rs.3.rs-83268/v1 ◽

2020 ◽

Author(s):

Hani A. Naseef ◽

Ni'meh Al-Shami ◽

Lilian S. Abu Hadba ◽

Leen A. Humos ◽

Ruba N. Shaheen ◽

...

Keyword(s):

University Students ◽

Binary Logistic Regression ◽

Health Professions ◽

Cross Sectional Study ◽

Sectional Study ◽

Online Questionnaire ◽

Chi Square ◽

Cross Sectional ◽

Attitudes And Practices ◽

Knowledge Attitudes And Practices

Abstract Aim: COVID-19 the novel corona virus that has been characterized as a pandemic; as it spreads all over the world and has so far infected more than 20 million worldwide. In Palestine, the first seven cases were documented on March 5th, 2020 followed by the declaration of the state of emergency. This study aimed to assess knowledge, attitudes and practices toward COVID-19 among Birzeit University students.Subject and methods: A cross sectional study was carried out, a questionnaire was developed based on the WHO, CDC, ECDC recommendations. The questionnaire was distributed online and filled by Birzeit University students. Chi-square testing was performed to check for significant association between KAP and different sociodemographic variables. Binary logistic regression performed to identify and control the confounding factors. Data were analyzed using SPSS (version 22).Results: A total of 665 students have completed the online questionnaire. The mean age was (20.55±3.069) years. Multivariate analysis revealed that males, students from health professions and scientific faculties and those with highly educated parents had manifested a good knowledge level (GKL) about Covid -19. Regarding students’ practices, less negative practices were prompted by students from health professions faculty and the students living at the middle governorate of Palestine compared to north, south and Jerusalem dwellers. With regards to the practices, the vast majority of the participants held a positive and very cautious practice towards the COVID-19 epidemic.Conclusion: Our results revealed that students had variable knowledge regarding Covid-19 and the vast majority depended on the official media briefs in Palestine as a source of information. With regards to practices, positive and cautious practices towards the COVID-19 epidemic were carried out by the vast majority of participants.

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Frequency of Undiagnosed Diabetes Mellitus among Patients with Stroke

Caspian Journal of Neurological Sciences ◽

10.32598/cjns.5.17.81 ◽

2019 ◽

Vol 5 (2) ◽

pp. 81-88

Author(s):

Yaser Moaddabi ◽

◽

Alia Saberi ◽

Hamidreza Hatamian ◽

Babak Bakhshayesh ◽

...

Keyword(s):

Diabetes Mellitus ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Undiagnosed Diabetes ◽

Chi Square ◽

Cross Sectional ◽

Family History Of Diabetes ◽

Exact Test ◽

The North ◽

Undiagnosed Diabetes Mellitus

Background: Stroke is one of the common causes of disability and death in the world. Furthermore, diabetes mellitus is among the main risk factors for cerebrovascular events. However, a high percentage of individuals with diabetes mellitus are unaware of their disease. Objectives: To determine the frequency of Undiagnosed Diabetes mellitus (UD) in patients with stroke. Materials & Methods: In a descriptive cross-sectional study, all patients with stroke hospitalized in neurology ward of an academic hospital in the north of Iran were included in the study in 2016. A questionnaire was used to collect data including all demographic, laboratory and clinical factors such as high blood pressure, hypercholesterolemia and stroke type. Finally, the data were analyzed using Chi square, Fisher’s exact test and multinomial binary logistic regression in SPSS V. 21. Results: Most samples were male (53.8%) with a mean age of 69.2±10.1 years. The percentage of the UD was 21.7% based on level of HbA1c. The highest percentage of UD was observed in Subarachnoid Hemorrhage(SAH) (66.7%). The frequency of UD in patients with family history of diabetes mellitus (16.7%) was lower than that in patients without that history (27.7%). There was a significant relationship between UD and cholesterol and triglyceride levels and, in general, dyslipidemia (P<0.05). Conclusion: In this study, a large percentage of patients with stroke suffered UD. Therefore, it is recommended that extensive screening be conducted for diabetes mellitus in the community in order to prevent stroke.

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Socio-demographic correlate of knowledge and practice toward novel coronavirus among people living in Mosul-Iraq: A cross-sectional study

10.1101/2020.09.11.20192542 ◽

2020 ◽

Author(s):

Balsam Qubais ◽

Rula mudhafar Al-Shahrabi ◽

Obasanjo Afolabi Bolarinwa

Keyword(s):

Online Survey ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Demographic Characteristics ◽

World Health ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Knowledge And Practice ◽

Novel Coronavirus

Background: Since the World Health Organization (WHO) announced that the 2019 novel coronavirus (2019-nCoV) is a worldwide pandemic, as the Iraqi authorities have started responding and taking action to control the spread of the pandemic. The knowledge and practices of the public play an important role in curbing the spreading of the virus by following the health guidelines. This study aimed to assess the socio-demographic correlate of knowledge and practices of Iraqi living in Mosul-Iraq towards novel coronavirus during its rapid rise. Methods: A cross-sectional online survey of 909 participants was conducted among Mosul-Iraq between 20th June to 1st July 2020. The survey included three parts: 1) socio-demographic characteristics, 2) participants' knowledge, 3) participants' practices. T-test, ANOVA, chi-square, and binary logistic regression were used. A p-value less than 0.05 (p < 0.05) was considered statistically significant. Results: The results showed knowledge and practice mean score of (12.91\1.67) and (21.56\2.92) with cumulative knowledge and practice of 86% and 76% respectively towards 2019-nCoV. Socio-demographic characteristics such as age, marital status, gender, level of education and employment were statistically related with a higher mean score of knowledge and practice towards the virus as P<0.05. Conclusions: We concluded that the majority of the respondents demonstrate a high level of knowledge and practices towards 2019-nCoV except respondents with socio-demographic characteristics such as those who were younger, male respondents, those with lower education and those unemployed as such campaigns that will increase the knowledge and encourage adequate preventive practice towards 2019-nCoV should be targeted towards this group.

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Assessment of General Populations Knowledge, Attitude, and Perceptions Toward the Coronavirus Disease (COVID-19): A Cross-Sectional Study From Pakistan

Frontiers in Medicine ◽

10.3389/fmed.2021.747819 ◽

2021 ◽

Vol 8 ◽

Author(s):

Saadullah Khattak ◽

Maqbool Khan ◽

Tahir Usman ◽

Johar Ali ◽

Dong-Xing Wu ◽

...

Keyword(s):

General Population ◽

Binary Logistic Regression ◽

Knowledge Score ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Social Media Platforms ◽

General Populations

Background: Coronavirus disease 2019 (COVID-19) is a global health threat and caused a universal psychosocial impact on the general population. Therefore, the knowledge, attitude, and perceptions (KAPs) of the general population are critical for the development and effective implementation of standard operating procedures (SOP) to contain the contagion and minimize the losses. Therefore, the current study was conducted to understand and evaluate the KAPs of Pakistani populations toward the COVID-19.Methods: An online cross-sectional study was carried out among participants from 1 May to 30 July 2020 in different areas of Pakistan. The respondents of the study were the general population with age ≥ 18 years. The poll URL was posted on several channels after a call for participation. Other social media platforms such as WeChat, WhatsApp, Facebook, Twitter, Instagram, Messenger, and LinkedIn were engaged to maximize general population engagement. The questionnaire included details about sociodemographic, knowledge about COVID-19, perceptions toward universal safety precautions of COVID-19, and beliefs attitude toward the COVID-19. The obtained data were exported into a Microsoft Excel spreadsheet and SPSS software version 21 for windows. The descriptive statistics values were presented in frequencies and percentages. Binary logistic regression, Chi-square test, and one-way ANOVA were applied to analyze the participants' socio-demographic characteristics and variables related to KAPs. P-value < 0.05 was recorded as significant.Results: A total of 1,000 participants were invited of which 734 participated in this study. The response rate was 73.4% (734/1,000). The gender, marital status, education, and residence showed a significant association with the knowledge score. The majority of the study participants were thinking that COVID-19 may be more dangerous in elderly individuals 94.5% (n = 700), and individuals with chronic diseases or severe complications 96.7% (n = 710) (p = 0.00). More than half of the participants 52.5% (n = 385) showed their concern that either they or their family members might get the infection. More than 98% (n = 703), (P-value = 0.00) of the participants held that COVID-19 would be successfully controlled in Pakistan by following the standard SOPs and government guidelines.Conclusion: This study showed that the general population of Pakistan has good awareness and reasonable attitudes and perceptions toward the full features of the COVID-19. The current study suggests that mass-level effective health education programs are necessary for developing countries to improve and limit the gap between KAP toward COVID-19.

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The Prevalence of Complementary and Alternative Medicine Use Among Dermatology Outpatients in Shiraz, Iran

Journal of Evidence-Based Complementary & Alternative Medicine ◽

10.1177/2156587217705054 ◽

2017 ◽

Vol 22 (4) ◽

pp. 731-735 ◽

Cited By ~ 3

Author(s):

Ladan Dastgheib ◽

Saman Farahangiz ◽

Zeinab Adelpour ◽

Alireza Salehi

Keyword(s):

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Binary Logistic Regression ◽

Skin Condition ◽

Cross Sectional Study ◽

Medicine Use ◽

Chi Square ◽

Related Factors ◽

Cross Sectional ◽

Complementary And Alternative

The objective of this study was to assess complementary and alternative medicine use and its related factors among Iranian dermatology outpatients. In this cross-sectional study, a self-structured questionnaire was administered to 600 dermatology outpatients. Mann-Whitney U test, chi-square test, and binary logistic regression test were used. A total of 188 (31.3%) patients had used one of complementary and alternative medicine methods. The most frequent method used was herbal medicine (89.9%). The mean years of duration of the skin condition were significantly higher in complementary and alternative medicine users compared with nonusers ( P = .037). Patients with acne and alopecia significantly used more complementary and alternative medicine (odds ratio: 2.48 and 3.19, respectively). There was a significant relationship between education and using complementary and alternative medicine ( P < .001). Complementary and alternative medicine use is prevalent among our patients and we should think of ways of educating general population about complementary and alternative medicine methods and their potential risks and benefits and encourage our health care workers to communicate these materials with their patients.

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