scholarly journals Análisis del modelo multicausal sobre el nivel de la anemia en niños de 6 a 35 meses en Perú

2021 ◽  
Vol 20 (4) ◽  
pp. 426-455
Author(s):  
Katherine Jenny Ortiz Romaní ◽  
Yonathan Josué Ortiz Montalvo ◽  
Josselyne Rocio Escobedo Encarnación ◽  
Luis Neyra de la Rosa ◽  
Carlos Alberto Jaimes Velásquez
Keyword(s):  
Goodness Of Fit ◽  
Mother Tongue ◽  
Secondary Analysis ◽  
Family Health ◽  
Wealth Quintile ◽  
Deficiency Anemia ◽  
Related Factors ◽  
Ordinal Regression Model ◽  
Factores De Riesgo ◽  
Weighted Values

severa. Objetivo: Determinar la prevalencia del nivel de anemia y sus factores asociados en niños menores de tres años utilizando un modelo multicausal en la población peruana. Materiales y métodos: Se realizó un estudio de nivel explicativo a través de un análisis secundario con los datos de la base de datos de la Encuesta Demográfica y de Salud Familiar del 2019. La variable principal fue el nivel de anemia utilizando el Hemocue® para su medición. Se consideraron valores ponderados; frecuencias, porcentajes, bondad de ajuste y un modelo de regresión ordinal. Resultados: Un 40.20% de niños menores de tres años presentaron anemia. Los factores como presencia de diarrea (OR=1,30), 12 meses de vida (OR: 3,33), no iniciar el control prenatal (OR:1,19), sexo masculino (OR: 1.25), madre con anemia (OR: 1.75), madre de 15 a 24 años (OR: 1.94), pozo de tierra como fuente de agua (OR: 1,53), lengua materna aymara (OR: 2,31) se asociaron al nivel de anemia. Conclusiones: Entre los factores de riesgo asociados a la anemia según el modelo multicausal resultan la diarrea en las últimas dos semanas como factor inmediato, entre los subyacentes son edad del niño, fuente de agua potable, control prenatal, anemia y edad de la mujer. Asimismo, los factores protectores corresponden al amamantamiento por alguna vez y quintil de riqueza superior. Introduction: Iron deficiency anemia in children from 6 to 35 months is a severe public health issue.Objective: to determine the prevalence of anemia level and related factors in children under three years applying multicausal model in Peruvian population.Materials and methods: To explanatory level research was carried out applying a secondary analysis with data found in the database of the 2019 Demographic and Family Health Survey. The main variable was the level of anemia in which Hemocue® test was used. Weighted values, frequencies, percentages, goodness-of- fit, and an ordinal regression model were taken into consideration.Results: 40.20% of children under three years old presented anemia. Factors as presence of diarrhea (OR = 1.30), 12 months of life (OR: 3.33), not starting prenatal control (OR: 1.19), male gender (OR: 1.25), mother with anemia (OR: 1.75), mothers who are 15 to 24 (OR: 1.94), water well as a source of water (OR: 1.53), Aymara as mother tongue (OR: 2.31) were associated with anemia level. Conclusions: Among the risk factors associated with anemia according to the multicausal model, diarrhea in the last two weeks is a determinant factor, among the underlying factors are the child's age, source of drinking water, prenatal care, anemia and the woman's age. In addition, the protective factors correspond to breastfeeding for some time and the highest wealth quintile. Introdução: a anemia ferropriva em crianças de 6 a 35 meses é um grave problema de Saúde Pública. Objetivo: determinar a prevalência do nível de anemia e seus fatores associados em crianças menores de três anos por meio de um modelo multicausal na população peruana. Materiais e métodos: foi realizado um estudo de nível explicativo por meio de uma análise secundária com os dados do banco de dados da Pesquisa Demográfica e de Saúde da Família 2019. A variável principal foi o grau de anemia utilizando o Hemocue® para sua mensuração. Valores ponderados foram considerados; frequências, porcentagens, qualidade de ajuste e um modelo de regressão ordinal. Resultados: 40,20% das crianças menores de três anos apresentavam anemia. Fatores como presença de diarreia (OR = 1,30), 12 meses de vida (OR: 3,33), não início do controle pré-natal (OR: 1,19), sexo masculino (OR: 1,25), mãe com anemia (OR: 1,75), mãe de 15 a 24 anos (OR: 1,94), terra como fonte de água (OR: 1,53), língua materna aimará (OR: 2,31) foram associados ao nível de anemia. Conclusões: entre os fatores de risco associados à anemia segundo o modelo multicausal, a diarreia nas últimas duas semanas é um fator imediato, entre os fatores subjacentes estão a idade da criança, fonte de água potável, acompanhamento pré-natal, anemia e idade da mulher. Da mesma forma, os fatores de proteção correspondem à amamentação por algum tempo e ao quintil de maior riqueza.

scholarly journals Relationship between Psychological Distress and Prolonged Sedentary Bouts in the Elderly: Four Period Analysis

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 676
Author(s):  
Yutaka Owari
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Structural Equation ◽  
Goodness Of Fit ◽  
Secondary Analysis ◽  
The Elderly ◽  
Sample Population ◽  
Elderly Individuals ◽  
Sedentary Bouts ◽  
Fit Index

Background: Too much sitting is associated with low mental health in elderly individuals. We clarified the relationship between psychological distress and the rate of prolonged sedentary bouts (PSBs) among the elderly over four periods. Methods: In a secondary analysis, a sample population of 68 adults aged 65 years or older in Japan was used. The following proxy variables were used: PSB (mental health) and the Kessler 6 scale; K6 scores (psychological distress). Results: Using the cross-lagged effects models, from “2016 K6” to “2017 PSB” (p = 0.004), from “2017 K6” to “2018 PSB” (p < 0.001), and from “2018 K6” to “2019 PSB” (p = 0.021) were all significant; however, the reverse were not all significant in one period. In four periods, from “2016 PSB” to “2019 K6” (p = 0.025) was significant; however, the reverse was not significant. Fit indices were obtained: χ2 = 7.641 (p = 0.182), goodness of fit index (GFI) = 0.891, comparative fit index (CFI) = 0.901, and root mean square error of approximation (RMSEA) = 0.121 in structural equation modelling. Conclusions: Psychological distress may affect the rate of PSB after one year, and the rate of PSB may affect the rate of psychological distress after three years in elderly individuals.

scholarly journals Using Ultrasound and Inflammation to Improve Prediction of Ischemic Stroke: A Secondary Analysis of the Multi-Ethnic Study of Atherosclerosis

2021 ◽  
pp. 37-43
Author(s):  
Hediyeh Baradaran ◽  
Alen Delic ◽  
Ka-Ho Wong ◽  
Nazanin Sheibani ◽  
Matthew Alexander ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Goodness Of Fit ◽  
Primary Outcome ◽  
Stroke Risk ◽  
Secondary Analysis ◽  
Predictor Variables ◽  
Baseline Model ◽  
Fit Statistics ◽  
Ischemic Stroke Risk

Introduction: Current ischemic stroke risk prediction is primarily based on clinical factors, rather than imaging or laboratory markers. We examined the relationship between baseline ultrasound and inflammation measurements and subsequent primary ischemic stroke risk. Methods: In this secondary analysis of the Multi-Ethnic Study of Atherosclerosis (MESA), the primary outcome is the incident ischemic stroke during follow-up. The predictor variables are 9 carotid ultrasound-derived measurements and 6 serum inflammation measurements from the baseline study visit. We fit Cox regression models to the outcome of ischemic stroke. The baseline model included patient age, hypertension, diabetes, total cholesterol, smoking, and systolic blood pressure. Goodness-of-fit statistics were assessed to compare the baseline model to a model with ultrasound and inflammation predictor variables that remained significant when added to the baseline model. Results: We included 5,918 participants. The primary outcome of ischemic stroke was seen in 105 patients with a mean follow-up time of 7.7 years. In the Cox models, we found that carotid distensibility (CD), carotid stenosis (CS), and serum interleukin-6 (IL-6) were associated with incident stroke. Adding tertiles of CD, IL-6, and categories of CS to a baseline model that included traditional clinical vascular risk factors resulted in a better model fit than traditional risk factors alone as indicated by goodness-of-fit statistics. Conclusions: In a multiethnic cohort of patients without cerebrovascular disease at baseline, we found that CD, CS, and IL-6 helped predict the occurrence of primary ischemic stroke. Future research could evaluate if these basic ultrasound and serum measurements have implications for primary prevention efforts or clinical trial inclusion criteria.

scholarly journals Persons with disabilities, cancer screening and related factors

2013 ◽  
Vol 18 (12) ◽  
pp. 3705-3714
Author(s):  
Shamyr Sulyvan de Castro ◽  
Alarcos Cieza ◽  
Chester Luiz Galvão Cesar
Keyword(s):  
Cancer Screening ◽  
Family Health ◽  
Cross Sectional Study ◽  
Social Variables ◽  
Related Factors ◽  
Cross Sectional ◽  
Visual Disabilities ◽  
Persons With Disabilities ◽  
Family Health Program ◽  
Gender And Age

The scope of this article is to describe persons with disabilities (PwD) being subjected to cancer screening and the relationship between some social variables and inequalities in performing these tests. A cross-sectional study of cancer screening among PwD was conducted in 2007 with 333 participants interviewed in residence in 4 cities of São Paulo. Variables in the practice of cancer screening, disabilities, gender, age, income of main family breadwinner, ethnicity, use of health services, assistance required, private health insurance, and coverage by the family health program were studied. Frequencies, χ²-test, trend χ² percentages and the Odds Ratios (OR) were used for data analysis. 44% of PwD attended at least one cancer screening at the appropriate time. Persons with visual disabilities and with hearing disabilities were subjected to more screening examinations than those with mobility disabilities and women were attended in screening exams more than men. Persons between the ages of 21 and 60 reported cancer screening more frequently than those between 80 and 97 years of age. The outcomes indicate that PwD have different attitudes toward cancer screening according to the type of disability, gender, and age, which were the variables that directly influenced cancer screening exams.

scholarly journals Desnutrição infantil: experiência em uma comunidade rural

2011 ◽  
Vol 2 (3) ◽  
pp. 171-174
Author(s):  
Mirna Albuquerque Frota ◽  
Luciana Vilas Boas Polte ◽  
Ana Tereza Sá Nogueira ◽  
Ivna Silva Andrade
Keyword(s):  
Child Nutrition ◽  
Rural Families ◽  
Family Health ◽  
Structured Interview ◽  
Child Malnutrition ◽  
Related Factors ◽  
Malnourished Children ◽  
Nutrition Disorders ◽  
Cultural Care ◽  
The Subject

Objetivou-se retratar a desnutrição em menores de 6 anos nas famílias rurais, assim como investigar fatores relacionados. Estudo exploratório descritivo com abordagem qualitativa, realizado na comunidade do Sussuí, localizada em Quixadá, CE, com quatro famílias de crianças desnutridas, utilizando a observação nas visitas domiciliares e entrevista semiestruturada. Realizou-se análise de conteúdo, resultando nas categorias: Conhecendo a Desnutrição Infantil, Prejuízos da Doença na Família e Cuidado Cultural. Concluiu-se que a desnutrição infantil é assunto abordado de forma frequente, mas com pouca resolutividade, observando-se índices elevados da doença devido à ausência de funcionalidade das políticas públicas, capazes de promover a saúde dos indivíduos.Descritores: Transtornos da Nutrição Infantil, Família, Promoção da Saúde.Child malnutrition: experience in a rural communityThe aim of this work was to portray the malnutrition among children that are less than six years old in rural families as well as to investigate related factors. That is a descriptive exploratory study with a qualitative approach, carried out in the community Sussuí, located in Quixadá, CE with four families and their malnourished children, using the observation in the home visits and semi-structured interview. We conducted content analysis, resulting the following categories: Knowing the Child Malnutrition, Disease Losses in Family and Cultural Care. It was concluded that the subject matter child malnutrition is often approached but there is no resolution, observing high rates of disease due to lack of functionality of public policies that promote the health of individuals.Descriptors: Child Nutrition Disorders, Family, Health Promotion.La desnutrición infantil: experiencia en una comunidad ruralEl objetivo era retratar la desnutrición en niños menores de seis años en los hogares rurales, así como investigar los factores relacionados. Estudio exploratorio descriptivo con enfoque cualitativo, realizado en La comunidad Sussuí, ubicada en Quixadá, CE con cuatro famílias con niños desnutridos, con la observación en las visitas domiciliarias y entrevistas semi-estructuradas. Se realizó un análisis de contenido, lo que resulta en las categorías: Conocer la desnutrición infantil, las pérdidas por enfermedades en la familia y Cuidado Cultural. Se concluyó que la desnutrición infantil es asunto frecuente, pero no hay solución para el problema observándose las altas tasas de enfermedad debido a la falta de funcionalidad de las políticas públicas que promuevan la salud de los individuos.Descriptores: Trastornos de Nutrición Infantil, Familia, Promoción de la Salud.

scholarly journals Prevalence and Determinants of Adequate Compliance with Antenatal Care in Peru

2021 ◽  
Vol 43 (06) ◽  
pp. 442-451
Author(s):  
Cesar Tello-Torres ◽  
Akram Hernández-Vásquez ◽  
Karla F. Dongo ◽  
Rodrigo Vargas-Fernández ◽  
Guido Bendezu-Quispe
Keyword(s):  
Antenatal Care ◽  
Health Care Professionals ◽  
Age Groups ◽  
Family Health ◽  
Wealth Quintile ◽  
First Trimester ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
First Trimester Of Pregnancy

Abstract Objective To determine the adequacy of compliance with antenatal care (ANC) by pregnant women in Peru and to identify the associated factors. Methods An analytical cross-sectional study of data from the 2019 Peruvian Demographic and Family Health Survey (Encuesta Demográfica y de Salud Familiar, ENDES, in Spanish) was conducted. The dependent variable was adequate compliance with ANC (provided by skilled health care professionals; first ANC visit during the first trimester of pregnancy; six or more ANC visits during pregnancy; ANC visits with appropriate content) by women aged 15 to 49 years in their last delivery within the five years prior to the survey. Crude and adjusted prevalence ratios and their 95% confidence intervals were calculated using a log-binomial regression model. Results A total of 18,386 women were analyzed, 35.0% of whom adequately complied with ANC. The lowest proportion of compliance was found with the content of ANC (42.6%). Sociodemographic factors and those related to pregnancy, such as being in the age groups of 20 to 34 years and 35 to 49 years, having secondary or higher education, belonging to a wealth quintile of the population other than the poorest, being from the Amazon region, not being of native ethnicity, having a second or third pregnancy, and having a desired pregnancy, increased the probability of presenting adequate compliance with ANC. Conclusion Only 3 out of 10 women in Peru showed adequate compliance with ANC. Compliance with the content of ANC must be improved, and strategies must be developed to increase the proportion of adequate compliance with ANC.

scholarly journals ASSESSING THE FACTORS CAUSING PROJECT COMPLETION DELAYS IN THE CONSTRUCTION SECTOR OF OMAN USING SEM-PLS

2020 ◽  
Vol 8 (3) ◽  
pp. 900-912 ◽  
Author(s):  
Iman Suleiman Al Maktoumi ◽  
Firdouse Rahman Khan ◽  
Ahmed Rashid Suwied Al Maktoumi
Keyword(s):  
Structural Equation ◽  
Construction Projects ◽  
Goodness Of Fit ◽  
Raw Materials ◽  
Equation Modeling ◽  
Related Factors ◽  
Formative Measurement ◽  
Project Completion ◽  
Measurement Models ◽  
Process Allocation

Purpose: The objectives of the study were to investigate the causes of the delays to analyze the factors causing the construction delay in Oman and to investigate the effects of such delays. Design/methodology/approach: To carry out this study 210 samples were collected through a well-defined questionnaire from the construction stakeholders viz. the consultants, contractors, and the clients who were selected on a random sampling basis. Smart PLS for Structural Equation Modeling (SEM) technique was used to analyze the data to obtain the formative measurement models, the structured model, and the goodness of fit. Findings: The results of the study reveal that the client-related factors, equipment-related factors, and material related factors have a significant impact on the completion delay in construction projects. The findings of the study also revealed that the Client related factors were – Delay in providing services, Delayed decision-making process, Allocation of insufficient time. Equipment related factors were – Existing low productive equipment, Unskillful Equipment operator, Breakdown of equipment and Outdated equipment; Material related factors were – Delay in supply of raw materials, Non-availability of materials, Change of materials during construction, Non-availability of accessories and Damaged materials. Research limitations/Implications: The present study covers the stakeholders of the construction projects from selected regions only. The future studies can be extended to other projects and other regions as well. Social implications: The study suggested that the clients’ cooperation especially in providing the contractors with the necessary equipment, facilities, and sufficient time will avoid such delays of the construction projects in Oman. Originality/Value: Only very few have examined the completion delay of the construction projects in Oman using SEM-PLS and it is a first-hand study of its kind and the results will be useful to the stakeholders.

Recent advances in statistical methodology applied to the Hjort liver index time series (1859–2012) and associated influential factors

2016 ◽  
Vol 73 (2) ◽  
pp. 279-295 ◽  
Author(s):  
Gudmund H. Hermansen ◽  
Nils Lid Hjort ◽  
Olav S. Kjesbu
Keyword(s):  
Time Series ◽  
Goodness Of Fit ◽  
Length Distribution ◽  
Detailed Examination ◽  
Influential Factors ◽  
Statistical Methodology ◽  
Related Factors ◽  
Recent Advances ◽  
Winter Temperatures ◽  
Index Time Series

Certain recent advances in statistical methodology have promising potential for fruitful use in general biology and the fisheries sciences. This paper reviews and discusses some of the relevant themes, including accurate modelling via focused model selection techniques, dynamic goodness-of-fit testing of processes evolving over time, finding break points for phenomena experiencing regime shifts, prediction uncertainty, and optimal combination of information across diverse sources via confidence distributions. The methods are illustrated for the Hjort liver quality index time series. Its roots lie in the classic study by Hjort in 1914, where liver quality of the Northeast Arctic cod (Gadus morhua) for 1880–1912 was reported on and studied, along with related factors, making it one of the first teleost time series ever published. The series has been extended both backwards and forwards in time, to 1859–2012, due to comprehensive archival and calibration efforts of Kjesbu et al. in 2014, yielding one of the longest time series of marine science. Our study offers a detailed examination of this series and how it relates to and interacts with associated factors, including winter temperatures, length distribution parameters, cod mortality, and a certain index related to availability of food. We identify certain mild nonstationary aspects of the time series, show that there is a regime shift around 1990 in the ways the liver series interacts with winter temperatures, and demonstrate that mortality and food availability play important roles.

Neonatal mortality in Jordan: secondary analysis of Jordan Population and Family Health Survey (JPFHS) data

2017 ◽  
Vol 32 (2) ◽  
pp. 217-224 ◽  
Author(s):  
Nail Obeidat ◽  
Yousef Khader ◽  
Anwar Batieha ◽  
Nadin Abdel Razeq ◽  
Nihaya Al-Sheyab ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Health Survey ◽  
Secondary Analysis ◽  
Family Health

Mapping the Perceptual Structure of Rectangles through Goodness-of-Fit Ratings

Perception ◽  
10.1068/p7021 ◽  
2011 ◽  
Vol 40 (12) ◽  
pp. 1428-1446 ◽  
Author(s):  
Stephen E Palmer ◽  
Stefano Guidi
Keyword(s):  
Internal Structure ◽  
Goodness Of Fit ◽  
Local Symmetry ◽  
Alternative Interpretation ◽  
Perceived Fit ◽  
Related Factors ◽  
Additional Line ◽  
Rectangular Frame ◽  
Small Probe ◽  
Primary Determinant

Three experiments were carried out to investigate the internal structure of a rectangular frame to test Arnheim's (1974 Art and Visual Perception, 1988 The Power of the Center) proposals about its ‘structural skeleton’. Observers made subjective ratings of how well a small probe circle fit within a rectangle at different interior positions. In experiment 1, ratings of 77 locations were highest in the center, decreased with distance from the center, greatly elevated along vertical and horizontal symmetry axes, and somewhat elevated along the local symmetry axes. A linear regression model with six symmetry-related factors accounted for 95% of the variance. In experiment 2 we measured perceived fit along local symmetry axes versus global diagonals near the corners to determine which factor was relevant. 2AFC probabilities were elevated only along the local symmetry axes and were higher when the probe was closer to the vertex. In experiment 3 we examined the effect of dividing a rectangular frame into two rectangular ‘subframes’ using an additional line. The results show that the primary determinant of good fit is the position of the target circle within the local subframes. In general, the results are consistent with Arnheim's proposals about the internal structure of a rectangular frame, but an alternative interpretation is offered in terms of the Gestalt concept of figural goodness.

Poor risk assessment in the elderly receiving cloretazine induction for AML or MDS

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 18562-18562
Author(s):  
R. Geller ◽  
D. Rizzieri ◽  
N. Vey ◽  
S. O’Brien ◽  
B. Johnson ◽  
...  
Keyword(s):  
The Elderly ◽  
Myelogenous Leukemia ◽  
Common Disease ◽  
Cell Transplant ◽  
Significant Activity ◽  
Related Factors ◽  
Related Data ◽  
Poor Risk ◽  
Comorbidity Index ◽  
Weighted Values

18562 Background: Elderly patients (pts) ≥60 years with acute myelogenous leukemia (AML) have lower response rates, and higher morbidity and mortality than younger pts when treated with cytotoxic induction therapy. Common disease-related factors that predict poor response in the elderly are adverse cytogenetics and secondary leukemia (following antecedent hematologic disorder or exposure to chemotherapy). Pt-related factors such as ECOG performance status (PS) and organ dysfunction affect treatment decisions due to poor tolerability and early death. Cloretazine, a novel alkylating agent has significant activity in AML and MDS with a favorable safety profile. A Phase II study of monotherapy induction was conducted in elderly pts with AML or high risk MDS (N = 105, median age 72, range 60–88), with a 31% complete response rate and minimal non-hematologic toxicity. To describe the pts in this study considered “unfit” for 7+3 induction, disease-related and pt-related information was obtained. The Hematopoietic Cell Transplantation Comorbidity Index (Sorrer et al, 2005) (HCT-CI) is a modification of the Charlson Comorbidity Index (Charlson et al.1987), for pts considered for stem cell transplant. Seventeen medical conditions are included with weighted values predicting non-relapse mortality (NRM). Methods: Baseline demographic and pt-related data was obtained from case report forms. In addition to disease-related prognostic indicators, pt-related data was scored by the HCT-CI. Pts were grouped in risk categories for NRM by HCT-CI scores (low = 0, intermediate = 1 or 2; high ≥3). Results: Either or both disease-related poor risk factors were present in 68 pts (65%): 42 pts (40%) had unfavorable cytogenetics and 45 pts (43%) had secondary AML. No pt had favorable cytogenetics. Ninety-four (89%) pts had at least one HCT-CI comorbidity. The most common were cardiac (46%), psychiatric (28%); hepatic (25%) and controlled infection (24%). By HCT-CI, the risk for NRM was low in 10%, intermediate in 32%, and high in 57% of pts. Conclusions: The majority of these elderly pts were poor-risk by disease-related criteria or comorbidities measured by the HCT-CI. This index warrants further testing for determining NRM risk of induction regimens for elderly pts with AML. [Table: see text]

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