Experience in the examination of children on the pediatric ward

1986 ◽  
Vol 67 (2) ◽  
pp. 131-132
Author(s):  
T. M. Shigabutdinova
Keyword(s):  
Health Status ◽  
Clinical Examination ◽  
Pediatric Ward ◽  
The Family ◽  
One Year

There are 840 children registered at the pediatric area, including 66 children under one year of age and 140 "unorganized" children. In the course of the clinical examination, the health status of children was studied according to the data of preventive examinations, as well as materials of the district therapist on the health status of the family.

Attitudes of Psychiatric Ex-Patients toward a Study of Community Adjustment

1968 ◽  
Vol 23 (2) ◽  
pp. 567-572 ◽  
Author(s):  
Mary Helen Michaux ◽  
William W. Michaux ◽  
Eugenie K. Esser ◽  
Barbara A. Oliver
Keyword(s):  
Mental Illness ◽  
Study Participation ◽  
Community Adjustment ◽  
The Family ◽  
One Year ◽  
Research Demands

Questionnaires were presented to 73 psychiatric ex-patients to determine their retrospective attitudes toward participation in a one-year study of post-hospital adjustment. More than 50% of Ss reported that research contacts had been helpful in one or more specific respects. Attitudes toward research demands were predominantly neutral. Patients who completed 6 or more monthly interview-test sessions ( N = 53) differed from those who completed 5 or less ( N = 20) in finding research contacts more helpful, questions easier to answer and enlightening vs confusing, and study participation conducive to cohesion vs disruption in the family. Dropouts appeared to have in common wishes to deny mental illness and to forget hospitalization.

scholarly journals Content validation of the Self-perception of Family Health Status scale using the Delphi technique

2013 ◽  
Vol 21 (2) ◽  
pp. 595-603 ◽  
Author(s):  
Joaquín Salvador Lima-Rodríguez ◽  
Marta Lima-Serrano ◽  
Nerea Jiménez-Picón ◽  
Isabel Domínguez-Sánchez
Keyword(s):  
Health Status ◽  
Response Rate ◽  
Clinical Care ◽  
Descriptive Analysis ◽  
Family Health ◽  
The Self ◽  
Delphi Panel ◽  
Self Perception ◽  
Family Unit ◽  
The Family

OBJECTIVE: To ascertain the content validity of the Self-perception of Family Health Status scale. METHOD: A validation study of an instrument with an online Delphi panel using the consensus technique. Eighteen experts in the subject were intentionally selected, with a multidisciplinary origin and representing different professional fields. Each of the proposed items was assessed using a five-point scale, and open-ended questions, to modify or propose items. Descriptive analysis was performed of the sample and the items, applying criteria of validation/elimination. RESULTS: The first round had a response rate of 83.3% and validated 75 of the 96 proposed items; the second had a response rate of 80%, and validated the 21 newly created items, concluding the panel of experts. CONCLUSIONS: We present an instrument to measure self-perception of family health status, from a nursing perspective. This may be an advance in scientific knowledge, to facilitate the assessment of the state of health of the family unit, enabling detection of alterations, and to facilitate interventions to prevent consequences to the family unit and its members. It can be used in clinical care, research or teaching.

The scantness of the effect of corporate governance mechanisms on executive directors’ remuneration in small listed companies: evidence from Malaysia

2018 ◽  
Vol 14 (4) ◽  
pp. 934-949
Author(s):  
Husna Siraji Nyambia ◽  
Hamdino Hamdan
Keyword(s):  
Corporate Governance ◽  
Small Firms ◽  
Independent Directors ◽  
Executive Directors ◽  
Content Type ◽  
Power And Control ◽  
Executive Remuneration ◽  
The Family ◽  
One Year ◽  
And Control

Purpose This study extensively aims to investigate the effects of different aspects of corporate governance (CG) mechanism, including board size, executive directors’ shareholdings, Chief Executive Officer (CEO) duality, a family member as the CEO and/or chairperson of the board, independent directors in remuneration committee and number of board meeting, on executive directors’ remuneration in small firms listed on Bursa Malaysia (BM). Design/methodology/approach The sample of this study consists of 173 bottom-listed companies from Bursa Malaysia in Year 2010. The Year 2010 was chosen because the disclosure of remuneration committee activities and directors’ pay structure is required under the revised Malaysia Code of Corporate Governance, 2007. Furthermore, the period selected is after the global economic crisis (2008), which may have an effect on the remuneration structure in small firms. The ordinary least squares regression was used to estimate the relationship between remuneration as dependent variable and other independent variables. Findings A finding from this study reveals that there is a significant positive relationship between executive ownership and executive remuneration, and between board size and executive remuneration. The results provide evidence that the family members manipulate power and control remuneration in small firms. This indicates that the independent directors are not truly independent to monitor and control the firm activities, including minimizing the excessive remuneration. Research limitations/implications This study examines how the corporate governance (CG) affects remuneration among 173 small firms in Malaysia based on market capitalization, for one year, 2010. Hence, the results may not be generalizable to other periods or types of the companies. This shows the possibility of the absence of some additional variables in the research model and hence a limitation to the findings of the study. Although the study is being parsimonious in the choice of relevant variables, prior literature serves the guide in the selection of the used variables. This therefore gives room for future research using the potential omitted variables. Furthermore, the study focuses on total remuneration, such as fees, salaries, bonuses and benefits in kind, which makes aggregate directors’ remuneration. However, this study did not consider the remuneration related to stock options. Finally, this study only uses secondary data; hence, it could be interesting to use other instruments to collect data like a questionnaire to add more weight to the research. This study only uses one-year data; therefore, impact of changes between years cannot be analysed. Originality/value Results of the study provide evidence that the family members manipulate power and control remuneration in small firms. They reduce the effectiveness of non-executive directors because most of them are appointed by a family member and not socially responsible to their stakeholders.

Mating success of alternative male phenotypes and evidence for frequency-dependent selection in Chinook salmon, Oncorhynchus tshawytscha

2010 ◽  
Vol 67 (12) ◽  
pp. 1933-1941 ◽  
Author(s):  
Barry A. Berejikian ◽  
Donald M. Van Doornik ◽  
Rob C. Endicott ◽  
Timothy L. Hoffnagle ◽  
Eugene P. Tezak ◽  
...  
Keyword(s):  
Mating Success ◽  
Oncorhynchus Tshawytscha ◽  
Pacific Salmon ◽  
Adult Males ◽  
Frequency Dependent ◽  
Frequency Dependent Selection ◽  
Male Density ◽  
The Family ◽  
Breeding Groups ◽  
One Year

As with other species, frequency-dependent selection during reproduction has long been proposed as an important mechanism in maintaining alternative male reproductive phenotypes in Pacific salmon ( Oncorhynchus spp.). Jack salmon mature one year earlier than the youngest females in a population and are much smaller than older “adult” males. We tested the hypothesis that mating success of both phenotypes is consistent with the frequency-dependent selection model. By holding male density constant and varying the frequency of adults and jacks in eight separate breeding groups, we found that adult male access to females, participation in spawning events, and adult-to-fry reproductive success increased with their decreasing frequency in a breeding group. Jacks exhibited the same pattern (increasing success with decreasing frequency), although the relationships were not as strong as for adults. Overall, jack and adult males mated with a similar number of females, but jacks sired only 20% of all offspring. Observational data suggested that adult males benefited from sperm precedence associated with their ability to court females and enter the nest first at the time of spawning. Our work provides the first experimental evidence of frequency-dependent selection during mating in the family Salmonidae.

scholarly journals Knowledge of man about breastfeeding

2016 ◽  
Vol 38 (2) ◽  
pp. 153 ◽  
Author(s):  
Sâmia Jamylle Santos de Azevedo ◽  
Flávia Andrea Pereira Soares dos Santos ◽  
Caroline Evelin Nascimento Kluczynik Vieira ◽  
Larissa Soares Mariz ◽  
Aylla Nauanna da Silva ◽  
...  
Keyword(s):  
Family Health ◽  
Descriptive Study ◽  
Structured Interview ◽  
Qualitative Approach ◽  
Early Weaning ◽  
Male Participation ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
One Year

The male participation in the process of breastfeeding needs to be encouraged as it can contribute significantly to the prevention of early weaning. In this sense, this research aimed to identify a parent's knowledge about breastfeeding. This is an exploratory and descriptive study with a qualitative approach, performed in the Family Health Strategy in Bom Jesus, Rio Grande do Norte State, Brazil. Data were collected through semi-structured interview with the guiding question: what is your understanding of breastfeeding? The population was 15 men with aged over 18 years old and preserved mental faculties, who lived with his wife and the child under one year of age and performed development and growth consultations in the Family Health Strategy. The interviews were conducted in place previously defined parent. The information was organized as content analysis Bardin, giving rise to two categories and analyzed according to the symbolic interacionism. It was observed that parents of participating antenatal clinics have more knowledge about it and recognize the benefits of breastfeeding in this way can encourage their wives in order to exclusive breastfeeding.

scholarly journals Fatores relacionados à autopercepção do estado de saúde em idosos residentes no meio rural do Brasil

2018 ◽  
Vol 28 (3) ◽  
pp. 29698 ◽  
Author(s):  
Eleia De Macedo ◽  
Vivian Ulrich ◽  
Antonio Miguel Gonçalves Bós ◽  
Ângelo José Gonçalves Bós
Keyword(s):  
Health Status ◽  
Family Health ◽  
Rural Elderly ◽  
Urban Elderly ◽  
Self Perception ◽  
Rural And Urban ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Perception Of Health

AIMS: To compare the self-perception of health status between rural and urban elderly and their possible associated factors.METHODS: The study consisted of a secondary analysis of data from the National Health Survey of 2013, conducted by the National Institute of Geography and Statistics, which included elderly who lived in rural and urban environments. The dependent variable was the self-perception of health status (evaluated as very good, good, fair, bad and very bad); and the independent variables were socio-demographic factors, clinical data, functionality of the elderly and household data. Relationships between the variables were tested by the chi-square test, and adjusted by self-perception of health status. The analysis were performed through the Epi InfoTM program version 7.2.1, accepting p<0.05 as significant.RESULTS: Rural elderly people were predominantly males, brown, married, illiterate and gainfully employed, despite having a low economic class. Among the rural elderly, self-perceived health status was more often regular or poor, the household was more often enrolled in the Family Health Strategy and most had no complementary health plan. Rural elderly also had better performance in the Basic Activities of Daily Living and worse performance in the Instrumental Activities of Daily Living, had less depressive symptoms and less multimorbidity. Rural elderly presented lower chances of self-perception of good or very good health, even adjusting for gender, race, marital status, occupation, socioeconomic class, coverage by the Family Health Strategy, depressive symptoms, multimorbidity, and performance in the Basic Activities of Daily Living.CONCLUSIONS: The rural elderly have worse self-perception of health status than the urban elderly, even controlling socio-demographic, economic, clinical and health access characteristics.

scholarly journals CARING FOR THE CAREGIVER: EXPLORING THE EXPERIENCE OF CAREGIVING FOR A CHID WITH MEDICAL COMPLEXITY

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e55-e56
Author(s):  
Jessica Teicher ◽  
Natalie Weiser ◽  
Danielle Arje ◽  
Julia Orkin
Keyword(s):  
Health Status ◽  
Social Inequalities ◽  
Qualitative Content Analysis ◽  
Qualitative Description ◽  
Medical Educator ◽  
Holistic View ◽  
The Family ◽  
Medical Complexity ◽  
The Impact ◽  
Caregiver Burnout

Abstract BACKGROUND Children with medical complexity (CMC) represent a growing population in the paediatric healthcare system. CMCs’ multiple health needs, illness severity, and fragility lead to a high degree of caregiver burnout, parental employment loss, and other social and financial consequences. Healthcare providers must consider a holistic view of the family, including consideration of social determinants of health [SDOH]: socio-economic status, employment, quality of housing, availability of social support, and access to healthcare services. This study addresses a gap in current research by exploring how caring for a CMC exacerbates social inequalities, and how these challenges may be mitigated. OBJECTIVES 1. What are the SDOH impacting CMC and their families? 2. How do families report the impact of their child’s medical complexity on their social circumstances? DESIGN/METHODS A qualitative description approach was used to enable rich data collection through semi-structured interviews until thematic saturation was reached. Nine interviews were conducted with CMC caregivers who were chosen by purposeful sampling. The interview guide was developed by expert consultation and iteratively refined. Ethics approval and written consent were obtained. Interviews were recorded and transcribed verbatim. Three team members independently coded the interviews for recurrent themes to inform qualitative content analysis. RESULTS Caregiving for a CMC is all-consuming, requiring parents to take on roles including planner, medical professional, medical educator, and advocate. Parents of CMC report three major areas negatively impacted by caregiving: 1) physical and mental health; 2) personal relationships; and 3) finances. Additionally, three themes emerged describing enablers for resiliency: 1) the CMC’s health status when well or stable in hospital; 2) acceptance of one’s limitations as a caregiver and of the family’s ‘new normal’; and 3) broad supports including medical, personal, financial, and educational. CONCLUSION The wellbeing of CMC families is impacted by medical and social factors. An interdisciplinary model of care may offset some of the caregiver’s advocacy and medical educator responsibilities. Paediatricians can support families of CMC by providing comprehensive care for all components of the child’s health status, and by including routine assessment of the family’s SDOH. Finally, explicit discussion about parental expectations and caregiver burnout helps foster a positive therapeutic relationship with the family.

scholarly journals Pathogenic Approaches To The Treatment Of Patients With Acute Pneumonia Progressing With Bronchial Obstruction

2010 ◽  
Vol 1 ◽  
Author(s):  
M Khaidarova
Keyword(s):  
Differential Treatment ◽  
Control Group ◽  
Bronchial Obstruction ◽  
Vegetative Nervous System ◽  
Differential Therapy ◽  
The Family ◽  
Acute Pneumonia ◽  
One Year ◽  
Methods Of Treatment ◽  
Vegetative Status

At the analysis of clinical efficiency of differential therapy inthe  patients  with  AP  with  BO  the  type  vegetative  nervous system is defined. In the patients with hypersympathicotonic VR  (group  II)  and  asympathycotonic  VR  (III  group).during differential treatment there was noted reduction in duration of dyspnea, pulmonary cyanosis,  moist pulmonary rales . In  the  patients  with  AP  with  BO  alongside  with  changes biochemical, immune and vegetative status there was found wrong  attitude    of  the  family  to  the  child,  and  also the psychological behavioral deviations in the child as increasd anxiety,  aggression;  on  a  background  of  complex  therapywere  performed  psychological  correctional  methods  oftreatment:  musictherapy,  psychogymnastics,  gameexercises. At  catamnestic  observation  within  one  year  of  40  childrenwho  have  received  on  a  background  of  other  methods  of treatment psychocorrection, repeated bronchial obstructionwas  observed  only  at  15  %  observable  children.  In  control group  already  through  3  months  45  %  of  children  have addressed  with  repeated  episodes  BO  at  pneumonia  and

scholarly journals One year follow-up and exploratory analysis of a patient-centered interdisciplinary care intervention for multimorbidity

2021 ◽  
Vol 11 ◽  
pp. 263355652110397
Author(s):  
Martin Fortin ◽  
Moira Stewart ◽  
José Almirall ◽  
Djamal Berbiche ◽  
Mathieu Bélanger ◽  
...  
Keyword(s):  
Health Status ◽  
Healthy Eating ◽  
Chronic Conditions ◽  
Health Behaviours ◽  
Lower Number ◽  
Self Management ◽  
Patient Centered ◽  
Younger Patients ◽  
Subgroup Analyses ◽  
One Year

Context Interventions for people with multimorbidity have obtained mixed results. We aimed to document the long-term effect of an intervention for people with multimorbidity. Methods 284 patients (18–80 years) presenting three or more chronic conditions were recruited from seven family medicine groups in the Saguenay-Lac St-Jean region, Quebec, Canada. The patient-centered intervention was based on motivational approach and self-management support. Outcomes were evaluated in a one-year pre-post study design with questionnaires that included the Health Education Questionnaire (heiQ), the Self-Efficacy for Managing Chronic Diseases, the Veteran RAND-12 Health Survey (VR-12), the EuroQoL 5-Domains questionnaire, the Kessler six item Psychological Stress Scale, and measures of smoking habit, physical activity, healthy eating and alcohol consumption. Subgroup analyses by age, number of conditions, sex, and income were also conducted. Results The heiQ domain of emotional wellbeing improved significantly. Improvement was also observed for the VR-12 and the K6. Among the health behaviours, only healthy eating was improved. Subgroup analyses in this exploratory study suggest that younger patients, those with lower number of chronic conditions or higher incomes may respond better in relation to self-management, health status and health behaviours. Conclusion One year after the intervention, participants significantly improved a variety of outcomes. Subgroup analyses suggest that younger patients, those with lower number of chronic conditions or higher incomes may respond better in relation to self-management, health status and health behaviours. This suggests that future interventions should be tailored to patients’ characteristics including age, sex, income and number of conditions.

scholarly journals Increasing Water Intake of Children and Parents in the Family Setting: A Randomized, Controlled Intervention Using Installation Theory

2015 ◽  
Vol 66 (Suppl. 3) ◽  
pp. 26-30 ◽  
Author(s):  
Saadi Lahlou ◽  
Sabine Boesen-Mariani ◽  
Bradley Franks ◽  
Isabelle Guelinckx
Keyword(s):  
Water Consumption ◽  
Developed Countries ◽  
Plain Water ◽  
Children And Parents ◽  
Dietary Record ◽  
The Family ◽  
One Year ◽  
Family Setting ◽  
The Impact ◽  
Consumption Habits

On average, children and adults in developed countries consume too little water, which can lead to negative health consequences. In a one-year longitudinal field experiment in Poland, we compared the impact of three home-based interventions on helping children and their parents/caregivers to develop sustainable increased plain water consumption habits. Fluid consumption of 334 children and their caregivers were recorded over one year using an online specific fluid dietary record. They were initially randomly allocated to one of the three following conditions: Control, Information (child and carer received information on the health benefits of water), or Placement (in addition to information, free small bottles of still water for a limited time period were delivered at home). After three months, half of the non-controls were randomly assigned to Community (child and caregiver engaged in an online community forum providing support on water consumption). All conditions significantly increased the water consumption of children (by 21.9-56.7%) and of adults (by 22-89%). Placement + Community generated the largest effects. Community enhanced the impact of Placement for children and parents, as well as the impact of Information for parents but not children. The results suggest that the family setting offers considerable scope for successful installation of interventions encouraging children and caregivers to develop healthier consumption habits, in mutually reinforcing ways. Combining information, affordances, and social influence gives the best, and most sustainable, results.

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