Relationship Between Home Caregivers and Caregivers Employed at Selected Institutions Providing Assistance to Seniors with Their Care Recipients Suffering from Dementia

Introduction: There are many difficulties connected with caring for an elderly person sufferring dementia. Symptoms such as aggression or apathy, as well as the progressive nature of the disorder, affect the attitude of both home and institutional caregivers towards the people for whom they care. An important element related to the provision of care is the relationship between a senior with dementia and those who provide the care (home and institutional caregivers). The aim of the article is to characterise and compare these relations. Material and methods: The study comprised 124 participants, 57 professional caregivers and 67 home carers. Two standardised questionnaires were used: the Neuropsychiatric Inventory Questionnaire (NPI-Q) and the Quality of Carer-Patient Relationship - QCPR Questionnaire. Additionally, the respondents provided socio-demographic data. The study was conducted via electronic media in the first quarter of 2021. Results: It was found that there is a significant difference in the relationship between home and institutional caregivers, with their charges in the dimension of "warmth and attachment" (measured by QCPR). People providing professional care have significantly higher scores in this area. There was also a significant difference between scores in the 'no conflict and criticism' dimension (measured by QCPR) for home and professional caregivers. Institutional caregivers, in relation to their care recipients, have a higher level of this indicator than home caregivers. Conclusions: Relationships between seniors with dementia and institutional or home carers differ with regard to some issues. The differences in relationships with seniors suffering dementia may be due to the time spent caring for this person and the caregiver's response to symptoms of dementia.

A descriptive study to assess the knowledge regarding post COVID complications among adults in the state of Maharashtra

A non experimental survey study was conducted to assess the satisfaction of student nurses’ worked at Covid-19 areas during pandemic situation. 116 student nurses’ have participated in this study. The non-probability convenient sampling technique was used. Data was collected by means of Google form. The tool contain two sections, demographic data and likert scale to assess satisaction level of student nurses’. Objectives of study were to assess the student nurses’ satisfaction level related to clinical posting at covid-19 areas, and to find out the association of satisfaction level with selected demographic variables. The study reveals that out of 116 student nurses’ 28 (24.13%) of them were very satisfied with the clinical posting at covid- 19 areas, 53(45.68%) of them were satisfied, whereas 30 (25.86%) of them were neither satisfied nor dissatisfied, and only 5 (4.31%) of them were dissatisfied. The study concludes most of the student nurses’ were satisfied with all the aspects but dissatisfaction was also noticed. 22(18.96%) of student nurses’ were dissatisfied with the administrative support at assigned hospital. In regard to availability of resources at the hospital and use of PPE kit during working hours 26 (22.41%) 0f student nurses’ reported as dissatisfied. 21(18.10%) of student nurses’ were dissatisfied with covid-19 screening carried out before and after clinical. Also in provision of facilities in quarantines period were reported as dissatisfied by 30(25.86%) of student nurses.

Elderly suicides in Denizli, Turkey: a retrospective study from 2011 to 2020

Background Although suicide rates and methods used may vary according to society, gender, and age there are epidemiological studies reporting that suicide rates increase with advanced age in all societies, particularly accelerating after the age of 65 years. This study aimed to investigate the demographic data and suicide characteristics—such as the location and method, among others—of the elderly suicide deaths among forensic deaths between 2011 and 2020 in Denizli, Turkey. Results It was determined that elderly suicides constituted 13.8% of all suicides and increased gradually over the years during the 10-year period. The vast majority of cases were male (82%). It has been observed that hanging is the most frequently used method. It is also noteworthy that although firearm suicide among men was the second most common method, women do not choose this method at all. The majority of elderly suicides (88.5%) in Denizli occurred in the home and its annexes. Conclusions Suicide prevention programmes should promote the elderly to benefit widely from social and health services. Therefore, there is a need to include widespread home care services and firearms regulations in prevention programmes.

Clinical Management of Chronic Pelvic Pain in Endometriosis Unresponsive to Conventional Therapy

Background: Although several treatments are currently available for chronic pelvic pain, 30–60% of patients do not respond to them. Therefore, these therapeutic options require a better understanding of the mechanisms underlying endometriosis-induced pain. This study focuses on pain management after failure of conventional therapy. Methods: We reviewed clinical data from 46 patients with endometriosis and chronic pelvic pain unresponsive to conventional therapies at Puerta de Hierro University Hospital Madrid, Spain from 2018 to 2021. Demographic data, clinical and exploratory findings, treatment received, and outcomes were collected. Results: Median age was 41.5 years, and median pain intensity was VAS: 7.8/10. Nociceptive pain and neuropathic pain were identified in 98% and 70% of patients, respectively. The most common symptom was abdominal pain (78.2%) followed by pain with sexual intercourse (65.2%), rectal pain (52.1%), and urologic pain (36.9%). A total of 43% of patients responded to treatment with neuromodulators. Combined therapies for myofascial pain syndrome, as well as treatment of visceral pain with inferior or superior hypogastric plexus blocks, proved to be very beneficial. S3 pulsed radiofrequency (PRF) plus inferior hypogastric plexus block or botulinum toxin enabled us to prolong response time by more than 3.5 months. Conclusion: Treatment of the unresponsive patient should be interdisciplinary. Depending on the history and exploratory findings, therapy should preferably be combined with neuromodulators, myofascial pain therapies, and S3 PRF plus inferior hypogastric plexus blockade.

Virtual user geography of library websites

The author generalizes the results of library user survey. The survey was held within the framework of the study “Webometric monitoring of libraries”. The study goal was to assess the virtual geography of library website users and to specify target audience. The user audience of 11 library websites was assessed by following criteria: geographical data (user location, probable user residence area); user demographic data (sex, age); loyalty indicators (bounce rate, visit depth, visit duration); website user desired actions (estimation of desired action conversion). Based on the findings, the author concludes that: library offline services impact website user geography; there is a close interdependence between library location and website traffic; users resident in the library region make the most loyal website users; women prevail in the library user audience. The target website user audience is identified; recommendations are offered for the further strategic development in the web-space. The study conclusions and recommendations would facilitate generated demanded content and efficient promotion of library information resources and services in the web-space.

The Nasal Microbiome of Predicting Bronchopulmonary Dysplasia in Preterm Infants

Bronchopulmonary dysplasia (BPD) is chronic lung disease of prematurity and associated with substantial long-term disabilities. To characterize and compare the nasal swabs microbiome of early stage in premature infants and determine whether microbial diversity or composition in the airway associated with BPD disease. We performed a prospective observational cohort design. Preterm neonates less than 32 weeks of gestation were recruited from NICU, Children's Hospital, Zhejiang University School of Medicine from 2019 to 2020. Sterile foam swabs were collected from anterior nares at 1 and 3 weeks of postnatal age. We used PCR amplification and 16S rDNA sequencing. Neonatal demographic data including gestational age, birth weight, medication administration history were recorded. A total of 98 nasal swabs samples were collected from 54 preterm infants, 13 developed BPD infants and 41 control infants were finally involved in the study. Birth weights ranged from 700 to 2,050 g. Gestational age ranged from 25 2/7to 31 6/7. We found increased in the expression of Prevotella, Marinomonas, Enterobacteriaceae, Weissella, Selenomonas, Oribacterium, Nubsella and Antricoccus in BPD group at two time points. Prevotella was correlated with the severity of BPD (Spearman r=0.361, P=0.000). Given possible roles for noninvasive upper airway microbiota in BPD pathobiology, the nasal microbiome in BPD is a compelling area of research to continue to expand.

Study of Effective Factors in the Tendency of Young People to Smoke Hookah in Teahouses in Deprived Areas of Zahedan in 2018 - 2019

Background: Given the increasing trend of hookah use among youth in deprived areas and the increasing number of traditional teahouses serving hookahs, it is critical to investigate the reasons for this issue. Objectives: The aim was to determine the factors affecting the tendency to use hookahs. Methods: This study was conducted in Zahedan City, the capital of Sistan and Baluchestan Province. The sampling method in this study was cluster sampling, such that among 15 traditional teahouses, 4 teahouses were randomly chosen. After referring to each of these teahouses, 1385 questionnaire forms were distributed among all youth, and 300 questionnaire forms were returned. The structured questionnaire consisted of a series of questions about demographic data, favorite flavor, duration of using a hookah, the main reason for hookah smoking, etc. The analysis of the data involved both descriptive and inferential statistics, including mean, SD, and linear regression. The obtained data were analyzed using SPSS version 23. Results: The results of linear regression showed that the duration of smoking (B = 0.30; 95% CI, 0.22-0.37) and reason for smoking were significantly associated with the rate of hookah smoking (B = 0/56; 95% CI, 0.45 - 0.68). Conclusions: As a result, there is a strong association between smoking duration and the atmosphere of traditional teahouses with the rate of hookah smoking. Thus, other places with a healthy atmosphere (such as gyms and sports clubs) should be made for youths to spend their time.

Intra Oral Mucosal Conditions in Older Patients With and Without Complete Dentures: A Cross-sectional Study.

Objectives: To obtain baseline information on Oral Mucosal Conditions (OMCs) and its relation to age, sex, medical history and the use of complete denture in a sample of edentulous patients. Materials and methods: Edentulous patients attending a university hospital were examined for the presence of OMCs, and demographic data were recorded. Statistical analysis was carried out on SPSS software; the following statistical tests were utilized: descriptive statistics, The Mann Whitney U test, Spearman’s Rho rank correlations, and The hierarchical logistic regression analysis. Results: A total of one hundred and sixty-one participants were examined (34 females and 127 males with a mean age of 59.08 years). More than half of the participants (59.6 %) were non-denture wearers and (40.6%) were denture wearers. Longer edentulism, using dentures for longer duration, and the use of more previous dentures were associated with higher Atwood’s ridge classification. Smoking was associated with higher prevalence of OMCs, particularly hairy tongue, frictional keratosis, smokers’ palate, and leukoedema. Denture wearers had more denture stomatitis and denture induced hyperplasia, and less frictional keratosis than non-denture wearers. Participants with cardiac disease had more incidences of geographic tongue and tie tongue. Conclusion: Mucosal changes with increased age, smoking, medical conditions, and medications may be superimposed by wearing complete dentures.

Prevalence of SARS-CoV-2 IgG antibodies among dental teams in Germany

Objectives During the corona pandemic, dental practices temporarily closed their doors to patients except for emergency treatments. Due to the daily occupational exposure, the risk of SARS-CoV-2 transmission among dentists and their team is presumed to be higher than that in the general population. This study examined this issue among dental teams across Germany. Materials and methods In total, 2784 participants provided usable questionnaires and dry blood samples. Dry blood samples were used to detect IgG antibodies against SARS-CoV-2. The questionnaires were analyzed to investigate demographic data and working conditions during the pandemic. Multivariable logistic mixed-effects models were applied. Results We observed 146 participants with positive SARS-CoV-2 IgG antibodies (5.2%) and 30 subjects with a borderline finding (1.1%). Seventy-four out of the 146 participants with SARS-CoV-2 IgG antibodies did not report a positive SARS-CoV-2 PCR test (50.7%), while 27 participants without SARS-CoV-2 IgG antibodies reported a positive SARS-CoV-2 PCR test (1.1%). Combining the laboratory and self-reported information, the number of participants with a SARS-CoV-2 infection was 179 (6.5%). Though after adjustment for region, mixed-effects models indicated associations of use of rubber dams (OR 1.65; 95% CI: 1.01–2.72) and the number of protective measures (OR 1.16; 95% CI: 1.01–1.34) with increased risk for positive SARS-CoV-2 status, none of those variables was significantly associated with a SARS-CoV-2 status in fully adjusted models. Conclusions The risk of SARS-CoV-2 transmission was not higher among the dental team compared to the general population. Clinical relevance. Following hygienic regulations and infection control measures ensures the safety of the dental team and their patients.

The sustainability of indigenous lands in Amapá state

We herein assess population growth in indigenous lands (ILs) Wajãpi, Uaçá, Galibi and Juminã in Amapá State-Brazil, which has influenced deforestation increase. We assumed the hypothesis of no association between demographic density and deforestation because population density in these areas is low. We used population growth, deaths, and deforestation data by considering a historical series (2002-2018). Demographic data have shown that Uaçá and Wajãpi ILs recorded the highest population growth. The highest demographic density was observed for Galibi ILs and the lowest one for Wajãpi ILs. The highest deforestation was observed for Uaçá ILs and the lowest one for Juminã ILs. Therefore, indigenous lands in Amapá State have an essential role in forest conservation.