scholarly journals Percepção de cuidadores sobre o desempenho ocupacional de crianças escolares de oito anos e seus fatores associados / Perception of the caregivers about the occupational performance of eight years old schoolchildren and their associated factors

2018 ◽  
Vol 2 (2) ◽  
pp. 432-448
Author(s):  
Camilla Oleiro da Costa ◽  
Jeronimo Costa Branco ◽  
Ricardo Azevedo da Silva
Keyword(s):  
Rio Grande ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Healthy Children ◽  
Occupational Performance ◽  
Rio Grande Do Sul ◽  
Chi Square ◽  
Cross Sectional ◽  
Canadian Occupational Performance Measure ◽  
The City

Desempenho ocupacional (DO) é a habilidade que os indivíduos têm de realizar atividades rotineiras e de desempenhar papeis e tarefas. Na infância, as crianças estão adquirindo habilidades para a realização de suas ocupações. Fatores clínicos, atrasos no desenvolvimento e o próprio ambiente são alguns dos fatores que interferem no DO, além da percepção dos cuidadores dessas crianças. Verificar os fatores associados ao baixo DO de crianças escolares de oito anos numa amostra na cidade de Pelotas, Rio Grande do Sul. Estudo transversal com 88 pares de crianças escolares de oito anos e seus cuidadores principais. Foram utilizados dois questionários sociodemográficos e a Medida Canadense de Desempenho Ocupacional. Os dados quantitativos foram analisados por média, desvio padrão e frequência absoluta e relativa. A associação das variáveis foi verificada pelo Qui-quadrado de Pearson e valores de p0,05 foram considerados estatisticamente significativos. A média de DO foi de 6,03 (+2,21) e a de satisfação de 5,99 (+2,89). Cerca de 60,2% das crianças apresentaram baixas médias de desempenho e satisfação. Morar com a mãe (p = 0,041) foi associado ao baixo DO, havendo também tendência de associação para a satisfação com o desempenho ocupacional. As médias de desempenho e satisfação encontradas foram consideradas baixas por tratarem-se de crianças saudáveis. Atividades problemáticas foram percebidas pelos cuidadores em todos os domínios avaliados. A percepção da mãe com relação ao desempenho da criança pode estar associada a expectativa e exigências exacerbadas e ao desconhecimento das capacidades dos filhos. AbstractOccupational Performance (OP) is the ability of individuals to perform routine activities and play roles and tasks. At childhood, the children are acquiring skills to perform their occupations. Clinical factors, development delays and even the environment are some factors that interfere in the OP, besides the perception of the caregivers of these children. To verify the factors associated with OP below the average of eight years old schoolchildren in a sample in the city of Pelotas, Rio Grande do Sul. Cross-sectional study with 88 pairs of schoolchildren of eight years old and their main caregivers. Two sociodemographic questionnaires and the Canadian Occupational Performance Measure (COPM) were used. The quantitative data were analyzed by average, standard deviation and absolute and relative frequency. The association of variables was verified by Chi-square of Pearson and values of p 0.05 were considered statistically significant. The average OP was 6.03 (+2.21) and the satisfaction score was 5.99 (+2.89). About 60.2% of the children presented low averages of performance and satisfaction. Live with the mother (p = 0.041) was associated with low OP, there is also a tendency of association for the satisfaction with occupational performance. The averages of performance and satisfaction found were considered low because they were healthy children. Problematic activities were perceived by caregivers in all domains evaluated. The perception of the mother with relation to child's performance may be associated to the expectation and the exacerbated requirements and the unfamiliarity capabilities' sons.Keywords: COPM; Canadian Occupational Performance Measure; Occupational Performance; Occupational Therapy.

Occupational performance in mothers of children with cerebral palsy

2019 ◽  
Vol 26 (4) ◽  
pp. 1-7 ◽  
Author(s):  
Naser Havaei ◽  
Mandana Rezaei ◽  
Hamid Reza Rostami ◽  
Ahmad Mohammadi ◽  
Babak Kashefimehr ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Demographic Variables ◽  
Typically Developing ◽  
Occupational Performance ◽  
Cross Sectional ◽  
Occupational Satisfaction ◽  
Canadian Occupational Performance Measure ◽  
Children With Cerebral Palsy

Background/Aims Caring for children with cerebral palsy may affect different domains in the caregiver's life. This study aimed to compare the occupational performance of mothers of a child who has cerebral palsy with mothers of a typically developing child. Methods A total of 41 mothers with a child who has cerebral palsy and 45 mothers with a typically developing child were recruited in this cross-sectional study. The age-matched mothers had only one child. The Canadian Occupational Performance Measure was used to collect data on the occupational performance and satisfaction of mothers. Findings There was a statistically significant between-group difference in maternal occupational performance and occupational satisfaction (P<0.05), with mothers of children with cerebral palsy reporting lower scores for both. There were no relationships between demographic variables and the occupational performance and satisfaction of mothers with a child with cerebral palsy (P>0.05). The age of children with cerebral palsy had a direct positive relationship with the mothers' level of occupational satisfaction (P<0.05). Conclusion Mothers who take care of a child with cerebral palsy face significant reductions in occupational performance and satisfaction compared to mothers with a typically developing child, and therefore may need help and education in performing and organising their daily activities and roles.

scholarly journals Looking into the Content of the Canadian Occupational Performance Measure (COPM): A Danish Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Anette Enemark Larsen ◽  
Sonja Wehberg ◽  
Jeanette Reffstrup Christensen
Keyword(s):  
Content Validity ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Occupational Performance ◽  
Sectional Study ◽  
Rehabilitation Centre ◽  
Community Based ◽  
Cross Sectional ◽  
Canadian Occupational Performance Measure ◽  
Community Based Rehabilitation

Purpose. To examine the content validity of the Danish version of the Canadian Occupational Performance Measure (COPM-DK). Materials and Methods. This cross-sectional study was performed in a hospital and a community rehabilitation centre. The content validity of the COPM was assessed by relating the clients’ prioritized occupational performance issues (OPIs) to the conceptual model of the Canadian Model of Occupational Performance and Engagement (CMOP-E) and the levels of the Taxonomic Code of Occupational Performance (TCOP). Six occupational therapy lecturers participated in classifying the OPIs using the TCOP. Results. A total of 112 clients from a regional and community-based rehabilitation participated. The 56% regional participants came from a hospital’s hand and knee surgery department. The remaining 44% participants came from a community-based rehabilitation centre with in- and outpatient departments. There were 44% males, with a mean age of 65.2 years. They prioritized 495 OPIs, of which 40% concerned self-care, 32% productivity, and 28% leisure. The prioritized OPIs were divided into a total of 224 different OPIs. There were significant differences in which areas were prioritized in the various population groups. Of the OPIs, 64.3% could be classified into the TCOP levels of occupation and activity, i.e., 1/3 of the OPIs were related to tasks and actions, and thus beyond the scope of the COPM. The interrater agreement of the OPI classification was only fair (kappa 0.3). Conclusion. The content validity of the COPM seems to depend on how and with which clients it is administered. Caution must be taken to secure OPIs on the higher levels of the TCOP, while maintaining the clients’ right to nominate OPI preferences. Therefore, an introductory course and on-going support are recommendable. Bearing this in mind, the COPM seems useful to identify individual clients’ prioritized OPIs in a Danish context.

scholarly journals Use of contraceptive methods by sexually active teenagers in Pelotas, Rio Grande do Sul State, Brazil

2007 ◽  
Vol 23 (12) ◽  
pp. 2862-2868 ◽  
Author(s):  
Clarissa Lisbôa Arla da Rocha ◽  
Bernardo L. Horta ◽  
Ricardo Tavares Pinheiro ◽  
Ana Laura Sica Cruzeiro ◽  
Suelen Cruz
Keyword(s):  
Urban Area ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Rio Grande ◽  
Cross Sectional Study ◽  
Rio Grande Do Sul ◽  
Contraceptive Methods ◽  
Chi Square ◽  
Cross Sectional ◽  
Increased Risk

This study aimed to assess the prevalence of contraceptive use by adolescents. A cross-sectional study was performed from March to September 2002 in a representative sample of adolescents 15 to 18 years of age in the urban area of Pelotas, Rio Grande do Sul State, Brazil. Multiple-stage sampling was used, and in the 448 census tracts located in the urban area, 90 were sampled and households were visited in each tract. Information was collected on sexual initiation and use of contraceptive methods. Chi-square test was used to compare proportions. The sample included 960 adolescents. 88% of subjects reported the use of any contraceptive method. Condoms were the most commonly used method (63.2%). Low adolescent schooling was the only variable associated with increased risk of non-use of contraceptives. Condom use was higher among males, adolescents whose mothers had 9 or more years of schooling, and those reporting several sexual partners in the previous year. Condoms were the most commonly used contraceptive method.

scholarly journals Cross-sectional study of the dispensation of synthetic anorectic drugs in community pharmacies in the city of Cruz Alta - State of Rio Grande do Sul

2014 ◽  
Vol 50 (4) ◽  
pp. 737-740
Author(s):  
Marcieli Maria Navarini ◽  
Viviane Cecilia Kessler Nunes Deuschle ◽  
Regis Augusto Norbert Deuschle
Keyword(s):  
Rio Grande ◽  
Cross Sectional Study ◽  
The Body ◽  
Community Pharmacies ◽  
Rio Grande Do Sul ◽  
Cross Sectional ◽  
Appetite Suppressants ◽  
High Consumption ◽  
Anorectic Drugs ◽  
The City

Obesity is defined as the excess adipose tissue in the body. Drugs responsible for inhibiting the appetite are called anorectics or appetite suppressants. Sibutramine, fenproporex and amfepramone belongs to this class, and are capable of causing physical or psychological dependence. The aim of this study was to evaluate the frequency of prescriptions for appetite suppressants in community pharmacies at Cruz Alta, State of Rio Grande do Sul, Brazil. The sales of fenproporex, amfepramone and sibutramine in the months of September, October and November 2010 and April, May and June 2011 were compared. It was observed that the most commonly dispensed anorectic in the three community pharmacies analyzed was sibutramine. In the months of September, October and November 2010, consumption was higher, with sibutramine achieving 40.3% of overall sales, amfepramone 21% and, finally, fenproporex, 7.9%. The consumption of appetite suppressants was more prevalent in females, who represented 82% of total. The results suggested the existence of high consumption of anorectics, possibly related to the current concern with aesthetic standards, which emphasizes the importance of strict control over the marketing of these substances.

scholarly journals Desempenho ocupacional de indivíduos com osteoartrite de mão /Occupational performance of individuals with hand osteoarthritis

2021 ◽  
Vol 5 (1) ◽  
pp. 17-30
Author(s):  
Adriane Sílvia Ribeiro Carvalho de Oliveira ◽  
Danielle Carneiro de Menezes Sanguinetti ◽  
Amanda Rodrigues de Paula ◽  
Stella Maízia Urbano dos Santos ◽  
Claúdia Diniz Lopes Marques ◽  
...  
Keyword(s):  
Hand Function ◽  
Self Care ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Hand Osteoarthritis ◽  
Occupational Performance ◽  
Cross Sectional ◽  
Canadian Occupational Performance Measure ◽  
Reference Hospital ◽  
The Impact

Introdução: A osteoartrite de mãos pode provocar prejuízos na função manual e limitar a participação em ocupações significativas. O conhecimento desse impacto é importante para direcionar a assistência às pessoas acometidas, através de abordagens que favoreçam seu desempenho ocupacional. Objetivo: Descrever a influência da osteoartrite de mãos no desempenho ocupacional de indivíduos com a doença. Métodos: Estudo transversal e descritivo, realizado no ambulatório de reumatologia de um hospital de referência, entre novembro de 2014 e maio de 2015. Foram utilizados para a coleta de dados: ficha de avaliação inicial e Medida Canadense de Desempenho Ocupacional (COPM). Para análise dos dados utilizou-se estatística descritiva, através de medidas de tendência central e distribuição de probabilidade. Resultados: Participaram do estudo 28 pacientes. As áreas de desempenho ocupacional com maior comprometimento foram a produtividade e o autocuidado, sendo identificadas com maior frequência tarefas domésticas e do vestuário. Os participantes apresentaram média de desempenho de 3,6 e satisfação de 2,9 nas atividades relatadas. Não houve relação entre o tempo de diagnóstico e o comprometimento no desempenho ocupacional. Conclusão: O impacto da osteoartrite de mãos no desempenho ocupacional reflete prejuízos nas atividades e ocupações nas áreas da produtividade, autocuidado e lazer. AbstractIntroduction: The hand osteoarthritis may cause impairments in hand function and limit the performance of several activities, restricting participation in meaningful occupations.  The knowledge of this impact is essential to direct assistance to affected people through approaches that benefit their occupational performance. Objective:  Describe the influence of hand osteoarthritis on occupational performance of individuals with the disease. Methods: Cross-sectional study and descriptive study, held at the rheumatology outpatient clinic of a reference hospital in the period between November 2014 and May 2015. The assessments used for data collection were an initial evaluation form, and the Canadian Occupational Performance Measure (COPM). For data analysis descriptive statistics were used, through central tendency measures and probability distribution.  Results: 28 outpatients were included in the study. The occupational performance areas with greater commitment were productivity and self-care, identified most frequently activities related to household tasks and dressing. Participants showed average of 3.6 of performance, and 2.9 of satisfaction in the reported activities. There was no relationship between the time of diagnosis and the commitment on the occupational performance. Conclusion: The impact of hand osteoarthritis on occupational performance reflects impairments in activities and occupations in the areas of productivity, self-care and leisure.Keywords: Activities of Daily Living. Hand. Osteoarthritis. Occupational Therapy. ResumenIntroducción: La osteoartritis de manos puede provocar daños en la función manual y limitar la realización de diversas actividades, restringiendo la participación en ocupaciones significativas. El conocimiento de este impacto es esencial para dirigir la asistencia a las personas acometidas, a través de enfoques que favorezcan su desempeño ocupacional. Objetivo: Describir la influencia de la osteoartritis de manos en el desempeño ocupacional de los individuos con la enfermedad. Métodos: Estudio transversal y descriptivo, realizado en el ambulatorio de reumatología de un hospital de referencia, en el período entre noviembre de 2014 y mayo de 2015. Los instrumentos utilizados para la recolección de datos fueron una ficha de evaluación inicial, y la Medida Canadiense de Desempeño Ocupacional (COPM). Para el análisis de los datos se utilizó estadística descriptiva, a través de medidas de tendencia central y distribución de probabilidad. Resultados: Participaron del estudio 28 pacientes del ambulatorio. Las áreas de desempeño ocupacional con mayor compromiso fueron la productividad y el autocuidado, siendo identificadas con mayor frecuencia actividades relacionadas a las tareas domésticas y al vestuario. Los participantes presentaron un promedio de rendimiento de 3,6, y satisfacción de 2,9 en las actividades relatadas. No hubo relación entre el tiempo de diagnóstico y el compromiso en el desempeño ocupacional. Conclusión:Palabras llave: Actividades cotidianas. Mano. Osteoartritis. Terapia ocupacional. 

scholarly journals Estresse e resiliência no trabalho em servidores públicos federais

2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Tânia Solange Bosi de Souza Magnago ◽  
Gabrieli Rossato ◽  
Juliana Dal Ongaro ◽  
Emanuelli Mancio Ferreira da Luz ◽  
Luiza Dressler Sabin ◽  
...  
Keyword(s):  
Occupational Stress ◽  
Job Stress ◽  
Educational Institution ◽  
Rio Grande ◽  
Cross Sectional Study ◽  
Civil Servants ◽  
Rio Grande Do Sul ◽  
Chi Square ◽  
Cross Sectional ◽  
Stress Scale

Objetivo: Analisar a relação entre estresse e resiliência no trabalho em servidores públicos federais de uma instituição de ensino do Sul do Brasil. Método: Estudo transversal, realizado em 2018, com 526 servidores públicos federais de uma universidade do Rio Grande do Sul, Brasil. Utilizou-se questionário composto por variáveis sociodemográficas, laborais, hábitos e de saúde; e a Job Stress Scale e Resilience at Work Scale 20 - Brasil. Empregou-se análise estatística descritiva e multivariada. Para as associações, utilizaram-se os testes Qui-Quadrado de Pearson e Exato de Fisher, quando p<0,05, e a Regressão de Poisson. Foram seguidos os preceitos éticos da Resolução 466/2012. Resultados: Os servidores públicos apresentaram-se em trabalho ativo (23,5%) e com médio nível de resiliência (38,8%). Os servidores, em alta exigência (51%) e em trabalho ativo (26%), possuem prevalências mais elevadas para o baixo nível de resiliência no trabalho. Conclusão: Estar exposto a elevado estresse ocupacional pode influenciar negativamente no nível de resiliência do trabalhador.Descritores: Estresse ocupacional; Resiliência; Trabalho; Saúde do trabalhador; Enfermagem. Stress and resilience at work on federal public serversObjective: To analyze the relation between stress and resilience at work in federal civil servants of an educational institution in the south of Brazil. Method: Cross-sectional study, conducted in 2018, with 526 federal civil servants from a university in Rio Grande do Sul, Brazil. A questionnaire composed of sociodemographic, work, habits and health variables was used; Job Stress Scale and Resilience at Work Scale 20 - Brazil. Descriptive and multivariate statistical analysis was used. For associations, Pearson's Chi-Square and Fisher's Exact tests were used when p <0.05 and Poisson's Regression. The ethical principles of Resolution 466/2012 were followed. Results: Public servants presented themselves in active work (23,5%) and with a medium level of resilience (38,8%). Servants, in high demand (51%) and in active work (26%), have a higher prevalence for low level of resilience at work. Conclusion: Being exposed to high occupational stress can negatively influence the level of resilience of the worker.Descriptors: Occupational stress; Resilience; Job; Worker's health; Nursing. Estrés y resiliencia en el trabajo sobre servidores públicos federalesObjetivo: Analizar la relación entre eles trés y la resiliencia en el trabajo en funcionarios federales de una institución educativa en el sur de Brasil. Método: Estudio transversal, realizado en 2018, con 526 funcionarios federales de una universidaden Rio Grande do Sul, Brasil. Se utilizó un cuestionario compuesto por variables sociodemográficas, laborales, de hábitos y de salud; Job Stress Scale y Resilience at Work Scale 20 - Brasil. Se utilizóun análisis estadístico descriptivo y multivariado. Para las asociaciones, se utilizaron las pruebas Chi-cuadrado de Pearson y Exacto de Fisher cuando p <0.05 y la regresión de Poisson. Se siguieron los principios éticos de la Resolución 466/2012. Resultados: Los servidores públicos se presentaron en un trabajo activo (23,5%) y con un nivel medio de resiliencia (38,8%). Los sirvientes, en alta demanda (51%) y en trabajo activo (26%), tienen una mayor prevalencia de bajo nivel de resiliencia en el trabajo. Conclusión: Estar expuesto a un alto estrés laboral puede influir negativamente en el nivel de resiliência del trabajador.Descriptores: Estrés Laboral; Resiliencia Psicológica; Trabajo; Salud del trabajador; Enfermería.

Relationship between nomophobia and occupational performance among university students

2020 ◽  
pp. 030802262095098
Author(s):  
Berkan Torpil ◽  
Esra Ünsal ◽  
Ebru Yıldız ◽  
Serkan Pekçetin
Keyword(s):  
University Students ◽  
Self Care ◽  
Occupational Therapists ◽  
Digital Age ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Occupational Performance ◽  
Sectional Study ◽  
Cross Sectional ◽  
Canadian Occupational Performance Measure

Introduction Nomophobia is a contemporary phobia that emerged in the digital age and is becoming increasingly common. University students are at higher risk for nomophobia. This study aims to develop an understanding of nomophobic university students’ problem areas in their daily occupations. Methods This cross-sectional study was conducted with 181 university students between January and March 2020. The Nomophobia Questionnaire was used to determine the students’ level of nomophobia and they were separated into groups based on nomophobia severity. The Canadian Occupational Performance Measure was used to determine the students’ occupational performance and satisfaction in the occupations they identified as being most problematic for them. Canadian Occupational Performance Measure scores were compared between nomophobia severity groups. Results All students in the study had some degree of nomophobia (mild = 56, moderate = 95, severe = 30). Canadian Occupational Performance Measure performance and satisfaction scores were significantly lower in students with severe nomophobia compared to the mild/moderately nomophobic students ( p<.05). The occupations of greatest concern were in the areas of productivity (studying, 20.89%), self-care (sleeping, 9.87%), and leisure (doing sport, 8.23%). Conclusion This study demonstrated a relationship between nomophobia and occupational performance difficulties in university students. Occupational therapists should consider nomophobia when evaluating occupational performance difficulties in university students.

Routine use proportion and determining factors of the Canadian Occupational Performance Measure in the real-world setting: A retrospective cross-sectional study in Japan

2020 ◽  
Vol 83 (8) ◽  
pp. 538-544 ◽  
Author(s):  
Tatsunori Sawada ◽  
Kounosuke Tomori ◽  
Yumi Kimori ◽  
Moe Kato ◽  
Minori Wakabayashi ◽  
...  
Keyword(s):  
Functional Independence Measure ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Multiple Logistic Regression ◽  
Occupational Performance ◽  
Sectional Study ◽  
Cross Sectional ◽  
Canadian Occupational Performance Measure ◽  
Determining Factors

Introduction The aim of this retrospective cross-sectional study is to examine the routine use proportion and factors determining the use of the Canadian Occupational Performance Measure in the real-world subacute rehabilitation setting. Methods This study retrospectively collected data from all inpatients and occupational therapists at a single Japanese subacute rehabilitation ward during 2017, including Functional Independence Measure motor/cognitive scores, years of experience, and rate of Canadian Occupational Performance Measure administration (that is, Canadian Occupational Performance Measure proportion). Multiple logistic regression analyses were used to identify the determining factors of daily routine Canadian Occupational Performance Measure use/non-use, after which cut-off values were calculated. Results Of the 619 included clients, the Canadian Occupational Performance Measure was applied in 232 cases (37%). A multiple logistic regression analysis revealed two significant determining factors of its use: Canadian Occupational Performance Measure proportion (odds ratio, 1.06) and Functional Independence Measure cognitive item (odds ratio, 1.22). The cut-off value, sensitivity, and specificity, respectively, were 35.4%, 0.73, and 0.36 ( p < 0.0001) for the Canadian Occupational Performance Measure proportion and 25.5, 0.84, and 0.45 ( p < 0.0001) for the Functional Independence Measure cognitive score. Conclusion The client’s high-level cognitive skill and occupational therapist’s attitude may determine the use of the Canadian Occupational Performance Measure.

Factors associated with HIV care and treatment cascade in Rio Grande do Sul, Brazil, 2014–2017: A cross-sectional study

2021 ◽  
pp. 095646242097594
Author(s):  
Guilherme B Shimocomaqui ◽  
Craig S Meyer ◽  
Maria L Ikeda ◽  
Elson Romeu Farias ◽  
Tonantzin R Gonçalves ◽  
...  
Keyword(s):  
Viral Load ◽  
Rio Grande ◽  
Undetectable Viral Load ◽  
Cross Sectional Study ◽  
Hiv Care ◽  
Rio Grande Do Sul ◽  
Sectional Study ◽  
Cross Sectional ◽  
Treatment Cascade ◽  
Care And Treatment

In 2018, Rio Grande do Sul (RS) had some of the highest HIV/AIDS rates in Brazil, and we did not find any studies about the HIV care and treatment cascade (HCTC) related to this state. We aimed to estimate the indicators of HCTC of RS, Brazil, and associated factors. A cross-sectional study with all people living with HIV (PLWH) in RS between 1 January 2014 and 31 December 2017 was conducted using a national database which registers all HIV notifications, CD4 and viral load laboratory data and antiretroviral therapy (ART) usage in the public health system. We considered sex, age, education, race, year of HIV diagnosis, and health region as predictor factors, and defined linkage to care, retention to care, being on ART, and having undetectable viral load as the HCTC indicators. Descriptive analysis and multivariable logistic regression were performed using Stata 15.2. A total of 116,121 PLWH were diagnosed, 79,959 were linked to care, 72,117 retained in care, 69,219 on ART, and 54,857 had undetectable viral load from 2014 to 2017. We observed greatest attrition for younger age, non-white, and lower education in all HCTC indicators. Women are more likely to have undetectable viral load (OR = 1.04, 95% CI: 1.01–1.07), even though they are less likely to be retained to care (OR = 0.92; 95% CI: 0.89–0.96) and on ART (OR = 0.82; 95% CI: 0.78–0.86). Although all HCTC indicators have increased over the period and the “test and treat” policy indicates improvements in ART and in undetectable viral load outcomes, evidence suggests specific attrition and disparities such as those related to HIV healthcare facilities should be addressed. These findings may be used by researchers, health professionals, and policymakers in order to investigate and implement interventions to better engage PLWH across the HCTC.

scholarly journals Fecal calprotectin and its association with functional dyspepsia in children

2020 ◽  
Vol 60 (2) ◽  
pp. 72-6
Author(s):  
Jeanette Manoppo ◽  
Rizal Somali ◽  
PITIKA ASPR
Keyword(s):  
Digestive Tract ◽  
Functional Dyspepsia ◽  
Calcium Binding ◽  
Fecal Calprotectin ◽  
Cross Sectional Study ◽  
Healthy Children ◽  
Chi Square ◽  
Cross Sectional ◽  
Healthy Group ◽  
North Sulawesi

Background Calprotectin is a calcium-binding protein found normally in small amounts within the digestive tract. Fecal calprotectin measurement is used as a biomarker to identify digestive tract inflammation. Functional dyspepsia is one of the most common health issues in children, occurring in 3-27%, and accounts for considerable quality of life impairment and health care expenses. Objective To determine fecal calprotectin concentration in generally healthy children as well as to assess for a possible association between fecal calprotectin and functional dyspepsia. Methods This cross-sectional study was conducted from February to April 2019 in primary school-aged children in Manado, North Sulawesi. Subjects consisted of 38 children aged 6–12 years. Fecal calprotectin was measured in subjects’ stool specimens, and considered to be normal if fecal calprotectin concentration of < 50 μg/g. Diagnosis of functional dyspepsia was defined using the parent-filled Rome IV questionnaire form. Data were analyzed with Chi-square and Phi-coefficient correlation tests. Results Thirty-eight subjects, 22 boys and 16 girls, were grouped according to fecal calprotectin concentration (normal vs. elevated) and functional dyspepsia diagnosis. Mean fecal calprotectin concentration was 312.45 μg/g in the functional dyspepsia group and 20.89 μg/g in the healthy group. Elevated fecal calprotectin was found in 55.6% of the functional dyspepsia group and 10.3% of the healthy group. There was a positive correlation between fecal calprotectin elevation and functional dyspepsia (r=0.471; P=0.004). Conclusion Current fecal calprotectin physiological cut-off level of 50 μg/g seems valid for children aged 6–12 years. Elevated fecal calprotectin is associated with functional dyspepsia in children.

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