scholarly journals Factors Associated with Pressure to Eat as a Feeding Practice among Mothers with Infants

2020 ◽  
Vol 26 (2) ◽  
pp. 277-285
Author(s):  
Jin Suk Ra ◽  
Yeon-Hee Jeong ◽  
Soon Ok Kim
Keyword(s):  
Body Mass Index ◽  
Regression Analysis ◽  
Explanatory Power ◽  
Educational Interventions ◽  
Educational Programs ◽  
Feeding Practice ◽  
Correct Evaluation ◽  
Cross Sectional ◽  
Factors Associated ◽  
Cross Sectional Design

Purpose: This study aimed to identify factors-both infant-related and maternal-associated with pressure to eat as a feeding practice among mothers with infants. Methods: This study used a cross-sectional design and included 163 mothers of infants aged 2~12 months. Of the 180 self-reported questionnaires that were distributed, 163 (91%) were included in the data analysis. Multiple regression analysis was used to identify the factors associated with pressure to eat as a feeding practice among the mothers.Results: Infant’s temperament (β=-.17, <i>p</i>=.035), mother’s body mass index (β=-.16, <i>p</i>=.048), and concern about the infant being underweight (β=.30, <i>p</i>=.001) were associated with pressure to eat as a feeding practice among mothers. The explanatory power of these variables in the predictive model was 19.2%. Conclusion: Educational programs should be developed for improving mother’s awareness of cues from infants with difficult temperament. In addition, educational interventions regarding the correct evaluation of infant’s weight are needed to relieve mother’s concern about their infant’s being underweight. These interventions might be helpful to reduce the prevalence of pressure to eat as a feeding practice among mothers with infants.

scholarly journals Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jaffar H. Saffarini ◽  
Qais T. Ahmad ◽  
Ahmad M. Samara ◽  
Dima S. Jabri ◽  
Zaina H. Safarini ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Regression Analysis ◽  
Urinary Tract ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Cross Sectional ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

Abstract Background Women frequently complain of lower urinary tract symptoms (LUTS) during pregnancy due to multiple physiological and potentially pathological changes. Still, there is limited data on the characteristics of LUTS for pregnant women in Palestine. Therefore, this study was designed to assess LUTS among pregnant women in Palestine, in addition to identifying factors that exacerbate LUTS during pregnancy. Methods We devised a cross-sectional, questionnaire-based study that used the Urinary Distress Inventory (UDI) and the Incontinence Impact Questionnaire (IIQ) tools to assess LUTS during pregnancy in an antenatal care clinic setting. Multiple linear regressions were conducted to determine variables that significantly related to LUTS (UDI-6 and IIQ-7 scores as dependent variables). Results The study recruited 306 pregnant women. Regarding LUTS findings, the participants scored a mean of 31.9 ± 24.9 out of 100 points (6.7 ± 5.2 out of 21) for the IIQ-7 scale and a mean of 31.2 ± 19.2 out of 100 points (5.6 ± 3.4 out of 18) for the UDI-6 scale. Regression analysis showed that older women (p = 0.031), women with a higher body mass index (p < 0.001), and women in the third trimester of pregnancy (p = 0.023), were independently associated with high UDI score. Multiple linear regression analysis showed that obese and overweight patients (p = 0.006) and multiparity (p = 0.026) were independently associated with high IIQ score. Conclusions High body mass index is independently associated with both UDI and IIQ scores for LUTS. Several strategies should be arranged to raise the awareness of females of childbearing age in Palestine regarding LUTS during pregnancy and factors which may exacerbate LUTS, such as obesity and multiparity. Thus, preventive measures should be implemented, such as serial assessment of LUTS during antenatal care to respond timely to this frequent problem.

Factors associated with feelings of reward during ongoing family palliative caregiving

2014 ◽  
Vol 13 (3) ◽  
pp. 505-512 ◽  
Author(s):  
Anette Henriksson ◽  
Ida Carlander ◽  
Kristofer Årestedt
Keyword(s):  
Palliative Care ◽  
Family Caregivers ◽  
Influential Factors ◽  
Cross Sectional ◽  
Spousal Relationship ◽  
Factors Associated ◽  
Specialized Palliative Care ◽  
Cross Sectional Design ◽  
Bereaved Family ◽  
Demographic Background

AbstractObjective:Of the few studies that have paid attention to feelings of reward in family palliative caregiving, most are retrospective and examine the experiences of bereaved family caregivers. Although feeling rewarded has been described as an influence that may facilitate the way family caregivers handle the caregiving situation, no study has sought to identify the factors associated with feelings of reward while providing ongoing family palliative care. The aim of this study, therefore, was to identify influential factors in feelings of reward experienced by family palliative caregivers.Method:Our study had a correlational cross-sectional design. Family caregivers (n = 125) of patients receiving specialized palliative care were consecutively recruited from four settings. These caregivers answered a questionnaire that included the Rewards of Caregiving Scale (RCS). This questionnaire included questions about demographic background and scales to measure preparedness for caregiving, feelings of hope, perceived health, and symptoms of anxiety and depression. Correlation and regression analyses were conducted to identify factors associated with rewards.Results:The results demonstrated that the more prepared caregivers with higher levels of hope felt more rewarded, while caregivers with higher levels of anxiety and those in a spousal relationship with the patient felt less rewarded by caregiving.Significance of results:It seems reasonable that feeling rewarded can be a significant contributor to the overall experience of providing ongoing palliative care. The situation of family caregivers has been shown to be multifaceted and complex, and such covariant factors as preparedness, anxiety, hope, and being in a spousal relationship with the patient to influence this experience.

scholarly journals Factors Associated with Depression and Anxiety in Adults ≥60 Years Old during the COVID-19 Pandemic: A Systematic Review

2021 ◽  
Vol 18 (22) ◽  
pp. 11859
Author(s):  
Gianluca Ciuffreda ◽  
Sara Cabanillas-Barea ◽  
Andoni Carrasco-Uribarren ◽  
María Isabel Albarova-Corral ◽  
María Irache Argüello-Espinosa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Female Gender ◽  
Cochrane Library ◽  
Poor Sleep ◽  
Depression And Anxiety ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Factors Associated ◽  
Population Prevalence ◽  
Cross Sectional Design

COVID-19 represents a threat to public health and the mental health of the aged population. Prevalence and risk factors of depression and anxiety have been reported in previous reviews in other populations; however, a systematic review on the factors associated with depression and anxiety in older adults is not currently present in the literature. We searched PubMed, Embase, Scopus, ProQuest Psychology Database, Science Direct, Cochrane Library and SciELO databases (23 February 2021). The results were obtained by entering a combination of MeSH or Emtree terms with keywords related to COVID-19, elderly, depression and anxiety in the databases. A total of 11 studies were included in the systematic review. Female gender, loneliness, poor sleep quality and poor motor function were identified as factors associated with both depression and anxiety. Aspects related to having a stable and high monthly income represent protective factors for both depression and anxiety, and exercising was described as protective for depression. This study synthesised information and analysed the main factors associated with depression and anxiety in the older population during the COVID-19 pandemic. However, the cross-sectional design of most of the included studies does not allow a causal relationship between the factors analysed and depression or anxiety.

scholarly journals Perception of internal medicine residents regarding psychiatric patients’ care

2021 ◽  
Vol 45 (2) ◽  
Author(s):  
Paulo Roberto Oliveira Henrique Santana ◽  
Cibele Isaac Saad Rodrigues
Keyword(s):  
Internal Medicine ◽  
Mental Health ◽  
Mental Disorders ◽  
Social Relations ◽  
Psychiatric Patients ◽  
Scientific Progress ◽  
Educational Interventions ◽  
Cross Sectional ◽  
Attribution Questionnaire ◽  
Cross Sectional Design

Abstract: Introduction: Mental disorders are accountable for the segregation of patients in many diverse cultures and historical moments worldwide. The evolution of neuroscience, technologies and advances in the psychosocial sphere have not been enough to change this paradigm. Many people still fear having social relations with someone with a psychiatric disorder, despite scientific progress and efforts to reduce prejudice in recent decades. Objective: The aim of this study was to assess the training in mental health during the undergraduate course offered to residents in Internal Medicine and analyze the feelings, perceptions, and stigmas of these physicians regarding the care offered to patients with mental disorders. Method: This study has a qualitative, quantitative approach and descriptive, cross-sectional design. Thirty-two residents in Internal Medicine participated and, for comparison, the questionnaires were also answered by 8 residents in Psychiatry. Two instruments were applied: one for the characterization of the participants’ sociodemographic profile and the attribution questionnaire (AQ-26B). Qualitative data were obtained through a focus group with 14 residents and the content analysis was used for categorization. The most frequent categories were illustrated with Pareto charts. Results: The results demonstrated that residents in internal medicine showed higher indexes of stigma regarding aspects such as fear and intolerance. It was also possible to infer gaps related to training in mental health, low perception of care responsibility, in addition to the difficulty in legitimizing complaints and showing negative feelings. Conclusion: One can conclude the need for educational interventions that promote the decrease of the stigma and the search for training regarding comprehensive and empathic care for patients with mental disorders.

Prevalence and Factors Associated with Stunting Among Children 6-59 Months in Pastoralist Communities of Southeast Ethiopia

2021 ◽  
Author(s):  
Tomas Tefera ◽  
Semere Sileshi Belda ◽  
Mulusew Teshome Alemayehu ◽  
Mohammedawel Abduku Hussein ◽  
Mekonnen Tegegne Haile ◽  
...  
Keyword(s):  
Drinking Water ◽  
Bottle Feeding ◽  
P Value ◽  
Stepwise Logistic Regression ◽  
Feeding Practice ◽  
Growth Monitoring ◽  
Community Based ◽  
Cross Sectional ◽  
Factors Associated ◽  
Pastoralist Communities

Abstract Background: In Ethiopia, stunting is one of the most important public health problems. It affects human capital and productivity in several dimensions like impairing learning potential, increased economic costs to health systems and families. Hence, this study was aimed to determine the prevalence and factors associated with stunting among children 6-59months in pastoralist communities of Bale Zone, south-east Ethiopia. Methods: A community- based cross-sectional study design was executed involving 657 children paired with their mothers. A structured questionnaire was administered. Anthropometry was conducted on children following standard procedures. A stepwise logistic regression with backward elimination method was used to identify factors associated stunting. Adjusted odd ratios with 95% confidence interval and p-value of ≤ 0.05 were used to assess level of significance. Results: prevalence of stunting was 43.2 (95% CI: 39.9–47.5). Male children (AOR=3.5, 95%CI, 1.59 -7.71), mothers with primary education level (AOR=8.8 ,95%CI, 7.36 -9.19), and bottle feeding practice (AOR: 3.7, 95%CI, 1.74 -7.69) were positively associated with child stunting, whereas colostrum’s feeding practice(AOR:0.14, 95% CI, 0.06 -0.32),improved source of drinking water(AOR=0.3, 95%CI: 0.11-0.71), exclusively breast feeding (AOR: 0.4 [95%CI, 0.20 -0.92), timely of complimentary feeding initiation(AOR: 0.04, 95%CI 0.00, 0.01), growth monitoring follow up (AOR=0.3 [95%CI, 0.13 -0.59), were showed negative association. Conclusion: Prevalence of stunting was high. Therefore, due attention has to be given on child nutritional education, safe drinking water supply, and promotion of community-based growth monitoring in order to in order to end stunting in children by 2030.

Changes in Burnout Among Oncology Physician Assistants Between 2015 and 2019

2021 ◽  
pp. OP.21.00051
Author(s):  
Eric D. Tetzlaff ◽  
Heather M. Hylton ◽  
Karen J. Ruth ◽  
Zachary Hasse ◽  
Michael J. Hall
Keyword(s):  
Maslach Burnout Inventory ◽  
Physician Assistants ◽  
Cross Sectional ◽  
Hours Worked ◽  
Factors Associated ◽  
Patients With Cancer ◽  
Professional Characteristics ◽  
Cross Sectional Design ◽  
The Individual

PURPOSE Burnout has significant implications for the individual provider, the oncology workforce, and the quality of care for patients with cancer. The primary aim of this study was to explore temporal changes in burnout among physician assistants (PAs) in oncology in 2019 compared with 2015. METHODS Oncology PAs were surveyed to assess for burnout using the Maslach Burnout Inventory according to the same cross-sectional design of the study performed in 2015. Comparison between oncology PAs in 2015 and 2019 in the prevalence of burnout and personal and professional characteristics was performed. RESULTS Two hundred thirty-four participants completed the full-length survey. The participants in 2015 and 2019 were similar in age (41.8 v 40.3 years), sex (88.8% v 86.3% female), number of years as a PA in oncology (9.6 v 10), and percentage involved in academic practice (55.2% v 59.2%). There was a significant increase in burnout in 2019 compared with 2015 with 48.7% of PAs reporting at least one symptom of burnout compared with 34.8% (odds ratio for burnout, 2019 v 2015 = 1.92 [95% CI, 1.40 to 2.65], P < 0.001). The odds of burnout remained higher in 2019 compared with 2015 when adjusted for age, sex, relationship status, practice setting, subspecialty, practice type, and hours worked. Factors associated with burnout in both 2015 and 2019 include the percentage of time spent on patient care, collaborative physician relationship, number of hours worked, and satisfaction with compensation. No new factors associated with burnout emerged in 2019 that were not identified in 2015. CONCLUSION The rate of burnout of oncology PAs has significantly increased. Burnout in oncology PAs is multifactorial, and the increase cannot be easily explained. Additional research is needed to better define the drivers of PA burnout.

Factors Associated with Overweight and Obesity among Kuwaiti College Women

1998 ◽  
Vol 12 (4) ◽  
pp. 227-233 ◽  
Author(s):  
Abdulwahab Naser Al-Isa
Keyword(s):  
Body Mass Index ◽  
Regression Analysis ◽  
Chronic Disease ◽  
College Women ◽  
Associated Factors ◽  
Family Income ◽  
Occupation Number ◽  
Overweight And Obesity ◽  
The Body ◽  
Factors Associated

A random sample of 585 Kuwaiti college women was studied in 1997 for factors associated with overweight and obesity. Weight and height were measured. The index of adiposity used was the body mass index (BMI), which is the weight in kilograms divided by the height squared (W/H2). The women were classified as overweight or obese (BMI > 25 or > 30 Kg/m2). The associated factors obtained through questionnaires included age, marital status, area of residence, number of siblings, (brothers, sisters, total), suffering from a chronic disease, obesity among parents, parents' education and occupation, number of major meals eaten, eating between meals, family income, number of servants, number of people living at home, exercising, last dental and physical checkup, dieting, year of study, highest desired degree, countries prefer visiting, and socioeconomic status (SES). The results of the study revealed that 27.2 and 7.2% of the students were overweight (BMI > 25 Kg/m2) and obese (BMI > 30 Kg/m2), respectively. Factors that were found to be significantly associated with overweight and obesity among the women included number of brothers, having a chronic disease, obesity among parents, dieting and countries prefer visiting. Logistic regression analysis of significant associated factors revealed that the same factors contributed to the development of overweight and obesity except number of brothers and having a chronic disease.

scholarly journals Prevalence and associated factors of prelacteal feeding among neonates admitted to neonatal intensive care units, North central Ethiopia, 2019

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Wubet Alebachew Bayih ◽  
Demewoz Kefale Mekonen ◽  
Solomon Demis Kebede
Keyword(s):  
Intensive Care ◽  
Associated Factors ◽  
Neonatal Intensive Care ◽  
Home Delivery ◽  
Plain Water ◽  
Feeding Practice ◽  
Prelacteal Feeding ◽  
Cross Sectional ◽  
Factors Associated ◽  
Prelacteal Feeds

Abstract Background Prelacteal feeding compromises the benefits of exclusive breastfeeding, thereby increasing neonatal malnutrition, infection and mortality. About 26% of the Ethiopian neonates are given prelacteal feeds and nearly 48% of whom are attributed to Amhara region. Besides, prior Ethiopian studies have shown significance of the problem at different community settings in the country. However, the prevalence and associated factors of prelacteal feeding among neonatal admissions has been overlooked in the country in general and in the study area in particular. Therefore, this study was aimed to assess the prevalence and associated factors of prelacteal feeding among neonatal admissions in the study setting. Methods A cross-sectional study was conducted among 321 mother-neonate pairs admitted to Neonatal Intensive Care Unit (NICU) of Debre Tabor General Hospital between September 2018 and February 2019. Every fourth mother neonate pair was included to the study. Multivariable logistic regressions were fitted to find out adjusted odds ratios (AORs) of factors associated with pre-lacteal feeding. Results The prevalence of prelacteal feeding was 20.2% [95% CI: 15.31–26.75%]. Plain water was the most common prelacteal food (32.3%). Factors associated with prelacteal feeding include rural residence (AOR = 4.07, 95% CI: 1.30, 12.81), primiparity (AOR = 4.50, 95% CI: 1.30–12.81), less than four ANC visits (AOR = 4.71, 95% CI: 1.23–17.84), spousal accompany to ANC (AOR = 0.20, 95% CI: 0.05–0.75), home delivery (AOR = 5.94, 95% CI: 1.80–19.67), having twin newborns (AOR = 6.69, 95% CI: 1.25, 35.91) and maternal belief on the purported advantages of prelacteal feeding (AOR = 2.74, 95% CI: 2.09–25.39). Conclusion and recommendation One out of five sick neonates was given prelacteal feeds. Twin neonates, home delivered neonates, rural neonates, neonates born to primiparous mothers, neonates delivered from mothers who had less than four ANC visits, neonates born to mothers who weren’t accompanied by their spouse during ANC and those born to mothers who believe on the purported advantages of prelacteal feeding had higher odds of receiving prelacteal feeds. Therefore, mothers of these vulnerable neonates should be provided with more emphasis about counseling of infant and young child feeding practice during their stay at NICU.

scholarly journals Hospitalization costs among immobile patients with hemorrhagic or ischemic stroke in China: a multicenter cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hongpeng Liu ◽  
Chen Zhu ◽  
Jing Cao ◽  
Jing Jiao ◽  
Baoyun Song ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Ischemic Stroke ◽  
Linear Regression ◽  
Average Length ◽  
Linear Regression Analysis ◽  
Hospital Charges ◽  
Hospital Level ◽  
Cross Sectional ◽  
Factors Associated ◽  
Hospitalization Costs

Abstract Background In this study, we aimed to analyze the hospitalization costs for immobile patients with hemorrhagic stroke (IHS) or ischemic stroke (IIS) in China and to determine the factors associated with hospitalization costs. Methods We evaluated patients with IHS and IIS hospitalized between November 2015 and July 2016 in six provinces or municipality cities of China. Linear regression analysis was used to examine the association with hospitalization costs and predictors. Results In total, 1573 patients with IHS and 3143 with IIS were enrolled and analyzed. For IHS and IIS, the average length of stay (LoS) was 17.40 ± 12.3 and 14.47 ± 11.55 days. The duration of immobility was 12.11 ± 9.98 and 7.36 ± 9.77 days, respectively. Median hospitalization costs were RMB 47000.68 (interquartile range 19,827.37, 91,877.09) for IHS and RMB 16578.44 (IQR 7020.13, 36,357.65) for IIS. In both IHS and IIS groups, medicine fees accounted for more than one-third of hospitalization costs. Materials fees and medical service fees accounted for the second and third largest proportions of hospital charges in both groups. Linear regression analysis showed that LoS, hospital level, and previous surgery were key determinants of hospitalization costs in all immobile patients with stroke. Subgroup analysis indicated that hospital level was highly correlated with hospitalization costs for IHS whereas pneumonia and deep vein thrombosis were key factors associated with hospitalization costs for IIS. Conclusions We found that hospitalization costs were notably higher in IHS than IIS, and medicine fees accounted for the largest proportion of hospitalization costs in both patient groups, perhaps because most patients ended up with complications such as pneumonia thereby requiring more medications. LoS and hospital level may greatly affect hospitalization costs. Increasing the reimbursement ratio of medical insurance for patients with IHS is recommended. Decreasing medicine fees and LoS, preventing complications, and improving treatment capability may help to reduce the economic burden of stroke in China.

scholarly journals Prevalence of disability and associated factors in the elderly

2015 ◽  
Vol 24 (2) ◽  
pp. 521-529 ◽  
Author(s):  
Jair Sindra Virtuoso Júnior ◽  
Cristiane Alves Martins ◽  
Liliane Beatriz Roza ◽  
Thais Reis Silva de Paulo ◽  
Maria da Conceição Lopes Ribeiro ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Disability ◽  
The Elderly ◽  
Performance Tests ◽  
Cross Sectional ◽  
Factors Associated ◽  
Instrumental Activities ◽  
Multigenerational Family ◽  
Cross Sectional Design

The aim of this study was to estimate the prevalence and factors associated with functional disability in the elderly. The cross-sectional design was used with a sample of 624 individuals, between 60 and 96 years of age. In the assessment of the elderly interviews and physical performance tests were used. In the inferential data analysis, the Poisson regression was used, p≤0.05. The prevalence of disability was 17.6% for Basic Activities of Daily Living and 46.3% for Instrumental Activities of Daily Living. Functional disability for Basic Activities of Daily Living was associated with increasing age, alcohol consumption, depressive symptoms and frailty; the Instrumental Activities of Daily Living were associated with increasing age, illiteracy, multigenerational family arrangement, hospitalization and fragility. The variables that remained in the explanatory model for the decline of functional capacity should be emphasized in proposals for public policies to promote the health of the elderly.

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