Factors Associated With Parental Consent to use D-Cycloserine for Child Anxiety

2017 ◽  
Vol 34 (1) ◽  
pp. 66-75
Author(s):  
Simon P. Byrne ◽  
Ronald M. Rapee ◽  
Naomi Sweller
Keyword(s):  
Side Effects ◽  
Child Anxiety ◽  
Parental Consent ◽  
Written Responses ◽  
Factors Associated ◽  
Factors Influencing ◽  
Perceived Benefit ◽  
Potential Benefits ◽  
Willingness To Use ◽  
Severe Anxiety

This study examined factors influencing parent willingness to use D-Cycloserine (DCS) for treating child anxiety. N = 222 parents were given information about using DCS to treat anxiety. They were then asked to rate their willingness to allow their child to take DCS/antibiotics for mild anxiety, severe anxiety, or an infection. The associations between willingness to use DCS and parental trait anxiety, demographics, as well as specific concerns regarding the medication, were examined. Parents could also provide written responses regarding their attitudes to DCS, which were analysed for themes. Parents reported concerns regarding potential side-effects from DCS. More severe anxiety was associated with more willingness to consent; however, parents were more willing to use antibiotics to treat an infection than DCS to treat their child's anxiety. The degree of perceived benefit from DCS was most strongly associated with parents’ willingness to use it. Overall, parents expressed mixed views, reporting they would consider using DCS to treat their child; however, they had significant concerns about it. Results suggest providing parents with information explaining how DCS works, its risks and potential benefits may increase its acceptability.

scholarly journals Factors influencing healthcare providers’ attitude and willingness to use information technology in diabetes management.

2020 ◽  
Author(s):  
Binyam Tariku Seboka ◽  
Tesfahun Melese Yilma ◽  
Birhanu
Keyword(s):  
Regression Analysis ◽  
Remote Monitoring ◽  
Information Technologies ◽  
Patient Management ◽  
Teaching Hospitals ◽  
Care Providers ◽  
Management Options ◽  
Factors Associated ◽  
Factors Influencing ◽  
Willingness To Use

Abstract Background: The use of information technologies could help to improve communications between patients and care providers, might improve overall patient management practice. However, the potential for implementing these patient management options in Ethiopia has not been well documented. This institution-based survey aimed to describe the attitude and willingness of care providers towards the use of information technologies for managing diabetes patients, and factors influencing their interest.Methods: A cross-sectional quantitative survey was conducted on 423 study participants from February to March 2020 at two teaching hospitals in Northwest Ethiopia, where remote monitoring patients had not been implemented. A pretested self-administered questionnaire was used to collect the required data. Other than descriptive statistics, the binary logistic regression analysis method was used to identify factors associated with attitude. Also, the negative binomial regression method was used to identify factors associated with willingness to use information technologies.Result: A total of 406 participants (69.7%, n= 283 nurses and 30.3%, n=123 physicians) were completed survey. Overall, 64% of respondents had a favorable attitude towards remote monitoring, and the majority of them were willing to use voice call (74.4%), text message (62.1%), video conference (61.3%), e-mail (60.6%), and social media (57.4%) as a source of communication to support patients. The result of regression analysis shows that having a computer (AOR=2.3, 95% CI: [1.3, 3.8]), innovativeness (AOR=2.8, 95% CI: [1.8, 4.3]), and practice of supporting patient by electronic technologies (AOR=1.7, 95% CI: [1.1, 2.6]) were significantly associated with attitude to remote monitoring. Attitude towards remote monitoring (IRR=2.3, 95% CI: 1.1- 4.7), computer use (IRR=1.3, 95% CI: 1.162- 3.023), frequently searching health-related information (IRR=1.7, 95% CI: 1.459-6.570), gender (IRR=1.2, 95% CI: 1.0-5.1), awareness towards remote monitoring (IRR=1.4, 95% CI: 1.1-2.7) were significantly associated with willingness to use information technologies.Conclusion: Improving the intention and skill of using computers should be a major point of attention for teaching hospitals who wish to improve their care providers' attitudes to remote monitoring and willingness in using information technologies. Besides, the awareness of professionals is crucial for improving willingness.

scholarly journals Factors influencing healthcare providers’ attitude and willingness to use information technology in diabetes management

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Binyam Tariku Seboka ◽  
Tesfahun Melese Yilma ◽  
Abraham Yeneneh Birhanu
Keyword(s):  
Regression Analysis ◽  
Remote Monitoring ◽  
Information Technologies ◽  
Patient Management ◽  
Teaching Hospitals ◽  
Care Providers ◽  
Management Options ◽  
Factors Associated ◽  
Factors Influencing ◽  
Willingness To Use

Abstract Background The use of information technologies could help to improve communications between patients and care providers, might improve overall patient management practice. However, the potential for implementing these patient management options in Ethiopia has not been well documented. This institution-based survey aimed to describe the attitude and willingness of care providers towards the use of information technologies for managing diabetes patients, and factors influencing their interest. Methods A cross-sectional quantitative survey was conducted on 423 study participants from February to March 2020 at two teaching hospitals in Northwest Ethiopia, where remote monitoring patients had not been implemented. A pretested self-administered questionnaire was used to collect the required data. Other than descriptive statistics, the binary logistic regression analysis method was used to identify factors associated with attitude. Also, the negative binomial regression method was used to identify factors associated with willingness to use information technologies. Result A total of 406 participants (69.7%, n = 283 nurses and 30.3%, n = 123 physicians) were completed survey. Overall, 64% of respondents had a favorable attitude towards remote monitoring, and the majority of them were willing to use voice call (74.4%), text message (62.1%), video conference (61.3%), e-mail (60.6%), and social media (57.4%) as a source of communication to support patients. The result of regression analysis shows that having a computer (AOR = 2.3, 95% CI: [1.3, 3.8]), innovativeness (AOR = 2.8, 95% CI: [1.8, 4.3]), and practice of supporting patient by electronic technologies (AOR = 1.7, 95% CI: [1.1, 2.6]) were significantly associated with attitude to remote monitoring. Attitude towards remote monitoring (IRR = 2.3, 95% CI: 1.1–4.7), computer use (IRR = 1.3, 95% CI: 1.162–3.023), frequently searching health-related information (IRR = 1.7, 95% CI: 1.459–6.570), gender (IRR = 1.2, 95% CI: 1.0–5.1), awareness towards remote monitoring (IRR = 1.4, 95% CI: 1.1–2.7) were significantly associated with willingness to use information technologies. Conclusion Improving the intention and skill of using computers should be a major point of attention for teaching hospitals who wish to improve their care providers' attitudes to remote monitoring and willingness in using information technologies. Besides, the awareness of professionals is crucial for improving willingness.

scholarly journals Modelling of a Partially Loaded Road Tanker during a Braking-in-a-Turn Maneuver

Actuators ◽  
2018 ◽  
Vol 7 (3) ◽  
pp. 45 ◽  
Author(s):  
Frank Otremba ◽  
José Romero Navarrete ◽  
Alejandro Lozano Guzmán
Keyword(s):  
Road Safety ◽  
Load Transfer ◽  
Dynamic Interaction ◽  
Performance Measure ◽  
Lateral Stability ◽  
Safety Level ◽  
Factors Associated ◽  
Braking System ◽  
Factors Influencing ◽  
Fill Level

Road safety depends on several factors associated with the vehicle, to the infrastructure, as well as to the environment and experience of vehicle drivers. Concerning the vehicle factors influencing the safety level of an infrastructure, it has been shown that the dynamic interaction between the carried liquid cargo and the vehicle influences the operational safety limits of the vehicle. A combination of vehicle and infrastructure factors converge when a vehicle carrying liquid cargo at a partial fill level performs a braking maneuver along a curved road segment. Such a maneuver involves both longitudinal and lateral load transfers that potentially affect both the braking efficiency and the lateral stability of the vehicle. In this paper, a series of models are set together to simulate the effects of a sloshing cargo on the braking efficiency and load transfer rate of a partially filled road tanker. The model assumes the superposition of the roll and pitch independent responses, while the vehicle is equipped with Anti-lock braking System brakes (ABS) in the four wheels. Results suggest that cargo sloshing can affect the performance of the vehicle on the order of 2% to 9%, as a function of the performance measure considered. A dedicated ABS system could be considered to cope with such diminished performance.

scholarly journals Perspectives of Healthcare Professionals Regarding Factors Associated with Antimicrobial Resistance (AMR) and Their Consequences: A Cross Sectional Study in Eastern Province of Saudi Arabia

Antibiotics ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 878
Author(s):  
Mohamed A. Baraka ◽  
Amany Alboghdadly ◽  
Samar Alshawwa ◽  
Asim Ahmed Elnour ◽  
Hassan Alsultan ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Inappropriate Prescribing ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Key Factors ◽  
Eastern Province ◽  
Cross Sectional ◽  
Factors Associated ◽  
Factors Influencing

Factors reported in the literature associated with inappropriate prescribing of antimicrobials include physicians with less experience, uncertain diagnosis, and patient caregiver influences on physicians’ decisions. Monitoring antimicrobial resistance is critical for identifying emerging resistance patterns, developing, and assessing the effectiveness of mitigation strategies. Improvement in prescribing antimicrobials would minimize the risk of resistance and, consequently, improve patients’ clinical and health outcomes. The purpose of the study is to delineate factors associated with antimicrobial resistance, describe the factors influencing prescriber’s choice during prescribing of antimicrobial, and examine factors related to consequences of inappropriate prescribing of antimicrobial. A cross-sectional study was conducted among healthcare providers (190) in six tertiary hospitals in the Eastern province of Saudi Arabia. The research panel has developed, validated, and piloted survey specific with closed-ended questions. A value of p < 0.05 was considered to be statistically significant. All data analysis was performed using the Statistical Package for Social Sciences (IBM SPSS version 23.0). 72.7% of the respondents have agreed that poor skills and knowledge are key factors that contribute to the inappropriate prescribing of antimicrobials. All of the respondents acknowledged effectiveness, previous experience with the antimicrobial, and reading scientific materials (such as books, articles, and the internet) as being key factors influencing physicians’ choice during antimicrobial prescribing. The current study has identified comprehensive education and training needs for healthcare providers about antimicrobial resistance. Using antimicrobials unnecessarily, insufficient duration of antimicrobial use, and using broad spectrum antimicrobials were reported to be common practices. Furthermore, poor skills and knowledge were a key factor that contributed to the inappropriate use and overuse of antimicrobials, and the use of antimicrobials without a physician’s prescription (i.e., self-medication) represent key factors which contribute to AMR from participants’ perspectives. Furthermore, internal policy and guidelines are needed to ensure that the antimicrobials are prescribed in accordance with standard protocols and clinical guidelines.

scholarly journals Hydroxychloroquine and Azithromycin Treatment of Hospitalized Patients Infected with SARS-CoV-2 in Senegal from March to October 2020

2021 ◽  
Vol 10 (13) ◽  
pp. 2954
Author(s):  
Fabien Taieb ◽  
Khardiata Diallo Mbaye ◽  
Billo Tall ◽  
Ndèye Aïssatou Lakhe ◽  
Cheikh Talla ◽  
...  
Keyword(s):  
Side Effects ◽  
Clinical Characteristics ◽  
Clinical Status ◽  
Group Versus ◽  
Patient Discharge ◽  
Lower Proportion ◽  
Hospitalized Patients ◽  
African Countries ◽  
Factors Associated ◽  
High Clinical Risk

As of today, little data is available on COVID-19 in African countries, where the case management relied mainly on a treatment by association between hydroxychloroquine (HCQ) and azithromycin (AZM). This study aimed to understand the main clinical outcomes of COVID-19 hospitalized patients in Senegal from March to October 20202. We described the clinical characteristics of patients and analysed clinical status (alive and discharged versus hospitalized or died) at 15 days after Isolation and Treatment Centres (ITC) admission among adult patients who received HCQ plus AZM and those who did not receive this combination. A total of 926 patients were included in this analysis. Six hundred seventy-four (674) (72.8%) patients received a combination of HCQ and AZM. Results showed that the proportion of patient discharge at D15 was significantly higher for patients receiving HCQ plus AZM (OR: 1.63, IC 95% (1.09–2.43)). Factors associated with a lower proportion of patients discharged alive were: age ≥ 60 years (OR: 0.55, IC 95% (0.36–0.83)), having of at least one pre-existing disorder (OR: 0.61, IC 95% (0.42–0.90)), and a high clinical risk at admission following NEWS score (OR: 0.49, IC 95% (0.28–0.83)). Few side effects were reported including 2 cases of cardiac rhythmic disorders in the HCQ and AZM group versus 13 in without HCQ + AZM. An improvement of clinical status at 15 days was found for patients exposed to HCQ plus AZM combination.

scholarly journals Acceptance and Intake of COVID-19 Vaccines among Older Germans

2021 ◽  
Vol 10 (7) ◽  
pp. 1388
Author(s):  
Marta Malesza ◽  
Erich Wittmann
Keyword(s):  
Side Effects ◽  
Long Term Effects ◽  
Negative Side ◽  
Factors Influencing ◽  
Vaccination Acceptance ◽  
Negative Side Effects

The main aim of this study was to investigate the various factors influencing COVID-19 vaccination acceptance and actual intake among older Germans aged over 75 years old (n = 1037). We found that the intention to get vaccinated or intake of the COVID-19 vaccine were positively related to the perceptions of becoming infected, perceptions of the severity of the potential long-term effects, the vaccine’s efficacy, and the benefits of vaccination. Meanwhile, the intention to get the vaccine or vaccine intake were decreased by perceptions of the negative side-effects and the general impediments to vaccination.

Chronic Asthma: An Update

1996 ◽  
Vol 17 (4) ◽  
pp. 111-117
Author(s):  
Kathi J. Kemper
Keyword(s):  
Side Effects ◽  
Alternative Therapies ◽  
Herbal Remedies ◽  
Chronic Asthma ◽  
Case Scenario ◽  
Mineral Supplements ◽  
Current Medication ◽  
Ma Huang ◽  
Potential Benefits ◽  
Routine Physical Examination

Case Scenario Having just changed insurance carriers, a mother brings her 13-year-old son to your office for a routine physical examination. He has no current complaints except for chronic asthma. His past medical history is significant for several hospitalizations for asthma. His only current medication is an albuterol inhaler that he uses two to three times daily. Further questioning about home remedies reveals that in an effort to cut down on his chronic use of medication, he recently started taking the herbal remedies Ma huang and Dong quai as well as vitamin and mineral supplements. He wants to know how safe and effective these therapies are and if you have any other suggestions to help him with his symptoms and avoid another hospitalization. Because of its severity and complexity, asthma and its treatment are often frustrating for patients, families, and clinicians. Out of desperation, many patients and families turn to alternative therapies, such as nutrition, herbs, and Chinese medicine. With the growing interest in and use of alternative therapies, practitioners would do well to become familiar with them, their side effects, and potential benefits. Traditional medical management also has changed; modern therapy emphasizes anti-inflammatory rather than bronchodilator medication. This review focuses on modern management of chronic asthma symptoms and highlights recent evidence about the effectiveness and side effects of alternative treatments.

How adolescents perceive that community-based exercise improves their well-being

2017 ◽  
Vol 25 (5) ◽  
pp. 456-459
Author(s):  
Kevin Rourke ◽  
Coralie J Wilson
Keyword(s):  
New South ◽  
Well Being ◽  
Parental Consent ◽  
Community Based ◽  
Team Games ◽  
South Wales ◽  
Perceived Benefit ◽  
The Mean ◽  
Mental Well Being ◽  
Energy Survey

Objectives: To determine if adolescents perceive community-based exercise as beneficial to their well-being and in what ways. Methods: A New South Wales Police Citizens Youth Club ran a four-week fitness course. The classes involved: 1) sports including basketball and soccer, 2) non-contact boxing drills, and 3) games, both team games such as dodgeball and non-team games such as line tag. Parental consent to offer a survey at the completion of the course was requested during registration. The survey was the Warwick Edinburgh Mental Well-being Scale; it was minimally modified to measure perceived benefit to mental well-being instead of actual benefit. Results: Thirty-one high school adolescents, ages 13–18, completed the survey. As a group, participants reported that they believed their well-being had improved after the course. The mean score for each survey item showed an improvement in every area of mental well-being for this sample of adolescents. Thirty-two per cent of adolescents reported having less energy. Survey scores indicated a statistically significant improvement in perceived well-being ( p<0.0001). Conclusions: The results of this study suggest that four weeks of community-based exercise improves perceived mental well-being in adolescent participants.

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