Factors Affecting the Retention of Thai Paramedics in Emergency Medical Service

2021 ◽  
Vol 104 (12) ◽  
pp. 1947-1952
Keyword(s):  
Emergency Medical Service ◽  
Medical Service ◽  
Retention Rate ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Emergency Medical ◽  
Two Factors ◽  
The Mean

Objective: To study the factors related to the rate of retention of Thai paramedics working in emergency medical service (EMS). Materials and Methods: Data were collected from paramedics all-over Thailand who decided to renew their 5-year license and were registered with the National Institute for Emergency Medicine (NIEMS). The present study was a cross-sectional study. Questionnaires were sent out between March 1 and March 31, 2021 via email, using Google forms. Results: Three hundred eighty-two questionnaires were sent, and 281 responses (74%) were obtained. Most were female (61.9%). The average age was 26.09±4.44 years. Median employment period was two years. At present, 89% of the cohort were still working as paramedics. The majority expect to continue the job for more than 10 years (41.6%). Factors affecting the retention rate were having an income of more than 15,000 Baht per month. The retention rate for the higher earning group was 11.27 times greater (adjusted OR 11.27, 95% CI 4.37 to 29.09, p<0.001) than those earning less than 15,000 Baht per month. In addition, as the mean professionalism score increased, the retention rate increased 3.63 times (adjusted OR 3.63, 95% CI 1.53 to 8.60, p=0.003). Conclusion: Remuneration and professionalism were the two factors related to the retention of the Thai paramedics in EMS. Perceived challenges to retention include professional council establishment and the Health Profession Act. Keywords: Emergency Medical Service; Paramedics; Retention

scholarly journals The effect of COVID-19 on emergency medical service call volumes and patient acuity: a cross-sectional study in Niagara, Ontario

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Richard Ferron ◽  
Gina Agarwal ◽  
Rhiannon Cooper ◽  
Douglas Munkley
Keyword(s):  
Emergency Medical Service ◽  
Medical Service ◽  
Motor Vehicle ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Primary Objective ◽  
Major Public Health Problem ◽  
Patient Acuity ◽  
Cross Sectional ◽  
Emergency Medical

Abstract Background The COVID-19 pandemic is a major public health problem. Subsequently, emergency medical services (EMS) have anecdotally experienced fluctuations in demand, with reports across Canada of both increased and decreased demand. Our primary objective was to assess the effect of the COVID-19 pandemic on call volumes for several determinants in Niagara Region EMS. Our secondary objective was to assess changes in paramedic-assigned patient acuity scores as determined using the Canadian Triage and Acuity Scale (CTAS). Methods We analyzed data from a regional EMS database related to call type, volume, and patient acuity for January to May 2016–2020. We used statistical methods to assess differences in EMS calls between 2016 and 2019 and 2020. Results A total of 114,507 EMS calls were made for the period of January 1 to May 26 between 2016 and 2020, inclusive. Overall, the incidence rate of EMS calls significantly decreased in 2020 compared to the total EMS calls in 2016–2019. Motor vehicle collisions decreased in 2020 relative to 2016–2019 (17%), while overdoses relatively increased (70%) in 2020 compared to 2016–2019. Calls for patients assigned a higher acuity score increased (CTAS 1) (4.1% vs. 2.9%). Conclusion We confirmed that overall, EMS calls have decreased since the emergence of COVID-19. However, this effect on call volume was not consistent across all call determinants, as some call types rose while others decreased. These findings indicate that COVID-19 may have led to actual changes in emergency medical service demand and will be of interest to other services planning for future pandemics or further waves of COVID-19.

scholarly journals Body Mass Index and Other Factors Related to Mastalgia: A Cross Sectional Study

2021 ◽  
Vol 9 (B) ◽  
pp. 1586-1590
Author(s):  
Rehab Sabry ◽  
Tamer M. Kolib ◽  
Marwa Ahmed ◽  
Heba G. Elnahas
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Cross Sectional Study ◽  
Breast Pain ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Mild Pain ◽  
Significant Difference ◽  
The Mean

BACKGROUND: Mastalgia is a common complaint in females aged 30–50 years. Mastalgia varies in degrees of severity. The quality of life of women may be adversely affected by severe mastalgia. It was associated with disturbance in sexual, social, and physical activities and behaviors. AIM: The main objective of this study is to investigate factors affecting mastalgia. METHODS: This is an analytical cross-sectional study. Conducted on 148 females attending the Family Medicine outpatient clinic. Mastalgia was assessed by new breast pain score. RESULTS: The mean age of patients was 32.6 and their mean body mass index (BMI) was 24.8. The majority of the cases were highly educated 48% and working 58.1%. There was a highly statistically significant difference between females with mild pain and those of moderate to severe pain regarding to BMI as the mean of BMI in patient with mild pain was 22.7 ± 2.5 while it was 27.6 ± 3.1., there was highly statistically significant difference between both groups as regards to the type of the contraception used that means females who used hormonal contraception had more pain. After logistic regression the only remaining significant factor was BMI 0.001. CONCLUSION: There are many factors affecting mastalgia as BMI, type of contraception, menstrual regularity, menstrual duration, breast pain duration, and premenstrual symptoms. But BMI is the most important factor affecting mastalgia.

scholarly journals Factors influencing age at menarche – a school based cross sectional study

2020 ◽  
Vol 32 (2) ◽  
pp. 444-446
Author(s):  
Narayan Namboothri G ◽  
Varghese Iybu Chacko ◽  
Anusha Rashmi ◽  
Shreyaswi Sathyanath ◽  
Manjula Anil
Keyword(s):  
Cross Sectional Study ◽  
Age At Menarche ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
School Based ◽  
Determining Factors ◽  
Study Population ◽  
The Mean ◽  
Age Of Menarche

Hormones, life style, animal proteins etc are factors that influence menarche. Like-wise a declining trend in age at menarche has been noticed over the past few years. This study was taken up with the objectives to study factors that are associated with menarche in our study population. Hence a school-based cross-sectional study was undertaken for the same which showed the mean age of menstruation was 12.5 years. It was significantly influenced by milk intake (p <.05). Mothers’ age at menarche was also found to be significantly associated with their daughters’ age at menarche. Conclusion: This study provides an insight into determining factors affecting age of menarche, focusing on dietary and maternal factors. Milk consumption was found to be an important factor.

Burden of Diabetic Foot Patients’ Caregivers and Affecting Factors: A Cross-Sectional Study

2021 ◽  
pp. 153473462110365
Author(s):  
Sadık Hançerlioğlu ◽  
İsmail Toygar ◽  
Ayşe Ayhan ◽  
İrem Yilmaz ◽  
Yavuz Orhan ◽  
...  
Keyword(s):  
Caregiver Burden ◽  
Diabetic Foot ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Affecting Factors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Burden Scale ◽  
The Mean

With the increase in the diabetic foot patients in recent decades, the caregivers of diabetic foot patients increase too. Most of these caregivers are informal caregivers. However, the studies examining the burden of the caregivers and affecting factors are limited. This study was conducted to determine the burden of the caregivers of diabetic foot patients and affecting factors. This cross-sectional study was conducted between the January and October 2020 in a diabetic foot council of a university hospital. Zarit Caregiver Burden Scale and a participant identification form were used for data collection. Most of the caregivers were female (75.2%) and the mean age was 51.27 ± 11.48 years. The burden of the caregivers was at moderate level in the current study. Factors affecting the caregivers’ burden were caregivers’ age, patients’ family structure, caregivers’ education level, caregivers’ income level, hours per week spending for the care of the patients, and lack of choice.

Comparison of Heffner Criteria and Light Criteria in Differentiating Exudative and Transudative Pleural Effusion

2020 ◽  
Vol 22 (3) ◽  
pp. 141-145
Author(s):  
Krishna Chandra Devkota ◽  
S Hamal ◽  
PP Panta
Keyword(s):  
Pleural Effusion ◽  
Cross Sectional Study ◽  
Pleural Space ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Medical College ◽  
The Common ◽  
The Mean ◽  
Exudative Pleural Effusion

Pleural effusion is present when there is >15ml of fluid is accumulated in the pleural space. It can be divided into two types; exudative and transudative pleural effusion. Tuberculosis and parapneumonic effusion are the common cause of exudative pleural effusion whereas heart failure accounts for most of the cases of transudative pleural effusion. This study was a hospital based cross sectional study performed at Nepal Medical College during the period of January 2016-December 2016. A total of 50 patients who fulfilled the inclusion criteria were enrolled. Pleural effusion was confirmed by clinical examination and radiology. After confirmation of pleural effusion, pleural fluid was aspirated and was analysed for protein, LDH, cholesterol. The Heffner criteria was compared with Light criteria to classify exudative or transudative pleural effusion. Among 50 patients, 30 were male and 20 were female. The mean age of patient was 45.4±21.85 years. The sensitivity and specificity of using Light criteria to detect the two type of pleural effusion was 100% and 90.9%, whereas using Heffner criteria was 94.87%, 100% respectively(P<0.01). There are variety of causes for development of pleural effusion and no one criteria is definite to differentiate between exudative or transudative effusion. In this study Light criteria was more sensitive whereas Heffner criteria was more specific to classify exudative pleural effusion. Hence a combination of criteria might be useful in case where there is difficulty to identify the cause of pleural effusion.

Effect of Medialization of the Trochlear Groove and Lateralization of the Tibial Tubercle on TT-TG Distance: A Cross-sectional Study of Dysplastic and Nondysplastic Knees

2021 ◽  
pp. 036354652098781
Author(s):  
Mathias Paiva ◽  
Lars Blønd ◽  
Per Hölmich ◽  
Kristoffer Weisskirchner Barfod
Keyword(s):  
Trochlear Dysplasia ◽  
Cross Sectional Study ◽  
Magnetic Resonance Images ◽  
Tibial Tubercle ◽  
Control Group ◽  
Trochlear Groove ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mean Values ◽  
The Mean

Background: Tibial tubercle–trochlear groove (TT-TG) distance is often used as a measure of lateralization of the TT and is important for surgical planning. Purpose: To investigate if increased TT-TG distance measured on axial magnetic resonance images is due to lateralization of the TT or medialization of the TG. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 84 knees (28 normal [NK], 28 with trochlear dysplasia [TD], and 28 with patellar dislocation without TD [PD]) were examined. The medial border of the posterior cruciate ligament (PCL) was chosen as the central anatomic landmark. The distance from the TT to PCL (TT-PCL) was measured to examine the lateralization of the TT. The distance from the TG to the PCL (TG-PCL) was measured to examine the medialization of the TG. Between-group differences were investigated by use of 1-way analysis of variance. Results: The mean values for TT-TG distance were 8.7 ± 3.6 mm for NK, 12.1 ± 6.0 mm for PD, and 16.7 ± 4.3 mm in the TD group ( P < .01). The mean values for TT-PCL distance were 18.5 ± 3.6 mm for NK, 18.5 ± 4.5 mm for PD, and 21.2 ± 4.2 mm in the TD group ( P = .03). The mean values for TG-PCL distance were 9.6 ± 3.0 mm for NK, 7.1 ± 3.4 mm for PD, and 5.1 ± 3.3 mm in the dysplastic group ( P < .01). Conclusion: The present results indicate that increased TT-TG distance is due to medialization of the TG and not lateralization of the TT. Knees with TD had increased TT-TG distance compared with the knees of the control group and the knees with PD. The TT-PCL distance did not differ significantly between groups, whereas the TG-PCL distance declined with increased TT-TG.

scholarly journals A cross-sectional study to identify the determinants of non-communicable diseases among fishermen in Southern India

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Akhila Doddamani ◽  
A. B. Kirthinath Ballala ◽  
Sharath P. Madhyastha ◽  
Asha Kamath ◽  
Muralidhar M. Kulkarni
Keyword(s):  
Risk Factors ◽  
Substance Use ◽  
Waist Circumference ◽  
Cross Sectional Study ◽  
Modifiable Risk Factors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Dietary Practice ◽  
The Mean

Abstract Background India is currently facing a rising epidemic of Non-Communicable Diseases (NCDs). Identification of modifiable risk factors is of paramount importance to curb this menace. Fishermen are one of the most vulnerable occupational groups with unique characteristics that make them prone to acquire NCDs, as a significant share of their life is spent at sea. Hence, this study was planned to ascertain the burden of NCDs, determine various risk factors of NCDs, and measure the association between risk factors and NCDs among fishermen of Coastal Karnataka in South India. Methods A cross-sectional study was conducted among 681 fishermen aged 18 years and above as per the semi-structured interview schedule for two years (2017–2019). A convenience sampling strategy was adopted. The data was entered and analyzed using SPSS v.15.0. The results were described in terms of proportions and their 95% confidence intervals. Continuous data were summarized using the mean and standard deviation or median and interquartile range depending on the skewness of data. Chi-square test was used to study the association between NCDs and modifiable risk factors. Multiple logistic regression was used to identify risk factors of NCDs. Results The mean (SD) age of the population was 42.5 (SD 12.5) years. The mean years involved in fishing was 19.8 years (SD 10.9). More than half (59.5%) of the study participants had severe stress and most (80.3%) were ever substance users. Advancing age, not being able to contact family while at sea, poor dietary practice, ever substance use, increasing waist circumference were significant correlates of NCDs. Conclusions The commonly prevalent risk factors of NCDs among fishermen included poor dietary practice, higher stress levels, substance use, increasing waist circumference, and inability to contact with family while at sea. Hypertension and Diabetes were the two common NCDs in the study population. There is a need for immediate attention in managing NCDs’ risk factors by promoting a healthy lifestyle by primary health care providers through a sustainable community awareness program targeting fishermen at a convenient time and location, either at the sea-port or meeting places. Harmful effects of substance use, healthy dietary practices, and the importance of physical activity outside their job need emphasis. In addition, screening programs should be organized with the help of boat owners and fishing associations at-least once a year to pick up NCDs at an early stage.

A cross sectional study: The association between sleeping quality and stress among second and third medical students at the University of Jordan

2021 ◽  
pp. 009121742110112
Author(s):  
AA Toubasi ◽  
BR Khraisat ◽  
RB AbuAnzeh ◽  
HM Kalbouneh
Keyword(s):  
Logistic Regression ◽  
Medical Students ◽  
Cross Sectional Study ◽  
Regular Exercise ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
The Mean ◽  
University Of Jordan ◽  
The University

Objective Medicine is considered one if not the most stressful educational field. Thus, the aim of this study is to investigate the prevalence of stress and poor sleeping quality among medical students and the association between them. Method This cross-sectional study was conducted at the University of Jordan on second- and third-year medical students. The questionnaire consisted of: 1) Demographics; 2) The assessment tools which were Pittsburgh Quality of Sleep Index (PSQI) and Kessler Psychological Distress Status (K10). Binary logistic regression, chi-square and linear regression were used to investigate the association between PSQI, K10, and their determinants. Results The mean for PSQI score was 6.76 ± 3.32. PSQI scores interpretation revealed that 61.7% of the 282 participants of this study were poor sleepers. Logistic regression results showed that only the category of not napping at all from the napping hours variable was significantly associated with sleeping quality. Furthermore, the mean of K10 scores was 24.5 ± 8.5. K10 scores revealed that 66.3% of the participants were stressed. Logistic regression results showed that gender and regular exercise were significantly associated with psychological distress. Additionally, chi-square test, logistic regression and linear regression showed that PSQI was significantly associated with K10 (P <0.01). Conclusions Stress and poor sleeping quality in medical students at the University of Jordan were highly prevalent and strongly associated. What determined PSQI was daytime napping, and for K10 were regular exercise and gender. Further investigations into stress and sleep quality in the Arabian region are needed.

scholarly journals Ultra-processed food consumption in Barbados: evidence from a nationally representative, cross-sectional study

2021 ◽  
Vol 10 ◽  
Author(s):  
Rachel M. Harris ◽  
Angela M. C. Rose ◽  
Suzanne Soares-Wynter ◽  
Nigel Unwin
Keyword(s):  
Communicable Disease ◽  
Population Based ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Targeted Interventions ◽  
Sweetened Beverages ◽  
Group 4 ◽  
The Mean ◽  
Nationally Representative

Abstract Our objective was to describe, for the first time in an English-speaking Caribbean country, the contribution of ultra-processed foods (UPFs) to nutrients linked to non-communicable disease. Using a cross-sectional study design, dietary data were collected from two non-consecutive 24-h dietary recalls. Recorded food items were then classified according to their degree of processing by the NOVA system. The present study took place in Barbados (2012–13). A representative population-based sample of 364 adult Barbadians (161 males and 203 females) aged 25–64 years participated in the study. UPFs represented 40⋅5 % (838 kcal/d; 95 % CI 791, 885) of mean energy intake. Sugar-sweetened beverages made the largest contribution to energy within the UPF category. Younger persons (25–44 years) consumed a significantly higher proportion of calories from UPF (NOVA group 4) compared with older persons (45–64 years). The mean energy shares of UPF ranged from 22⋅0 to 58⋅9 % for those in the lowest tertile to highest tertile. Within each tertile, the energy contribution was significantly higher in the younger age group (25–44 years) compared with the older (45–64 years). One-quarter of persons consume ≥50 % of their daily calories from UPF, this being significantly higher in younger persons. The ultra-processed diet fraction contained about six times the mean of free sugars and about 0⋅8 times the dietary fibre of the non-ultra-processed fraction (NOVA groups 1–3). Targeted interventions to decrease the consumption of UPF especially in younger persons is thus of high priority to improve the diet quality of Barbadians.

Sign in / Sign up

Export Citation Format

Share Document