Effect of maternal tolerance on behavioral problems in children with enuresis

2021 ◽  
pp. 1-14
Author(s):  
Mahshameen Munawar ◽  
Aasma Yousaf
Keyword(s):  
Behavioral Problems ◽  
Linear Regression Analysis ◽  
Tertiary Care ◽  
Attention Problems ◽  
Behavioural Problems ◽  
Aggressive Behaviors ◽  
Outpatient Hospital ◽  
Study Results ◽  
Rule Breaking ◽  
Maternal Tolerance

Objective: To determine the effect of maternal tolerance on behavioral problems in children with enuresis. Method: A cross sectional descriptive study was conducted from January 2018 to November 2018 at three outpatient hospital settings in Pakistan. The sample comprised of 80 mothers (aged 23-50 years) having children with enuresis, who were recruited from one public (tertiary care) and two private (secondary care) outpatient hospital settings in Punjab. Participants were recruited after a formal diagnosis of enuresis made by the consultant pediatrician or psychiatrist. The Tolerance Scale and The Children Behavioural Questionnaire were used to assess maternal tolerance and behavioural problems in children, respectively. A demographics questionnaire with demographic details regarding the mother and the child, was also designed for the study. Results: The mean age of mothers (N=80) and their children was 34.53 ±4.89 years and 8.16 ± 2.36, respectively. Results of correlation analysis revealed that maternal intolerance was positively and significantly correlated with rule-breaking (r=.25, p=.02) and aggressive behaviors (r=.31, p=.01) in children with enuresis. In addition, linear regression analysis was carried out to observe if maternal tolerance significantly contributed to behavioural problems in children with enuresis. Maternal intolerance emerged as significant and positive predictor of rule-breaking behaviors (?=.25, p=.02), aggressive behaviors (?=.31, p=.00) and attention problems (?=.29, p=.01) in the affected children. Conclusion: The study demonstrates that maternal intolerance and hostile attitudes towards children with enuresis leads to secondary behavioural and emotional difficulties. Key Words: Enuresis, Maternal tolerance, Child health care, Continuous...

Behavioural problems of children among working and non-working Mothers

2021 ◽  
pp. 395-399
Author(s):  
Mamta Bisht
Keyword(s):  
Behavioral Problems ◽  
Working Mothers ◽  
Developmental Stages ◽  
Behavioural Problems ◽  
Full Time ◽  
Number Of Children ◽  
Functional Capabilities ◽  
Study Results ◽  
Child Behavioural Problems ◽  
And Gender

For years mothers had been doing a full time job of upbringing their children and addressing their basic needs. However, the present scenario is such that it is not feasible to make a living with just one person’s earnings. Hence, women set out to support their family and the children are taken care of by the secondary caregivers. A number of research studies have revealed that the majority of children suffer from mild to moderate behavioural problems during the early developmental stages. Keeping these changing patterns in mind, the researcher conducted a comparative study at Race Course, Dehradun to assess the behavioural problems of children among working and non-working mothers. The main objectives of the study were to assess the Behavioural problems of children among working and non-working mothers and compare the Behavioural problems of children between working and non-working mothers. Data was collected from 60 working and 60 non-working mothers with the help of non-probability purposive sampling techniques. A structured Child Behaviour Assessment Scale was developed to collect the data from the mothers of children aged 4-12 years. Reliability of the tool was found to be 0.7. The study results revealed that 60% of working mothers reported Borderline Behaviour in their children. Abnormal behaviour consisting of hyperactivity, bad habits and social problems etc. were reported by 15% of working mothers. Children among non-working mothers reported higher levels of anxiety, and conduct problems. Significant association was found between Behavioural problems of children among working mothers and type of family, number of children, age of the child, and gender of the child. Behavioural problems in childhood may lead to limited functional capabilities in children and more serious problems in adulthood. Nurses can play a major role in diminishing Behavioral problems by providing guidance and counselling for the children and their mothers. The focus should be on addressing the emotional needs of the children during the early stages of development.

scholarly journals Emotional & Behavioural Problems among Siblings of Children with Chronic Neuromuscular Illnesses

2020 ◽  
pp. 29-37
Author(s):  
Nidhi Garg ◽  
Krishna Moorthi Adhikari
Keyword(s):  
Behavioral Problems ◽  
Assessment Tool ◽  
Small Sample Size ◽  
Tertiary Care ◽  
Small Sample ◽  
Emotional And Behavioral Problems ◽  
Behavioural Problems ◽  
P Value ◽  
Care Hospital ◽  
Significant Difference

Introduction and Objective: To determine the prevalence of emotional and behavioral problems among siblings of children with chronic neuromuscular illnesses by using validated parent completed assessment tool. Method: It is a cross-sectional study conducted in a tertiary care hospital from over a period of 34 months. Siblings of children with chronic neuromuscular illnesses were serially recruited while attending pediatric OPD and IPD. Parents were interviewed and requested to fill the Strength and Difficulty Questionnaire (SDQ) to assess and analyze emotional and behavioral problems among siblings. Results: Study included 171 siblings of children with chronic neuromuscular illnesses. Of 171 siblings, 124 (72.51%) had normal scores, 25 siblings (14.62%) were in borderline range and remaining 22 (12.87%) had abnormal values. The mean ± SD of SDQ score was 12.41 ± 3.6 with median score of 11. There was no significant difference between total SDQ scores of male vs female siblings (p value= 0.229) or between birth order of the sibling or GMFCS class of the affected child to emotional and behavioural problems. Subgroup analysis was not possible because of small sample size.

scholarly journals A-059 Gender-Related Behavioral Differences in Children with Partial or Complete Agenesis of the Corpus Callosum: Exploring Attention, Rule Breaking, and Aggressive Behaviors

2020 ◽  
Vol 35 (6) ◽  
pp. 849-849
Author(s):  
Rich-Wimmer N ◽  
Tanios R ◽  
Qu Y ◽  
Andrews G
Keyword(s):  
Corpus Callosum ◽  
Social Interactions ◽  
Child Behavior Checklist ◽  
Attention Problems ◽  
Cerebral Hemispheres ◽  
Care Providers ◽  
Aggressive Behaviors ◽  
Behavioral Differences ◽  
Rule Breaking ◽  
Over Time

Abstract Objective Gender-related connectivity differences result from variability in structure of the corpus callosum in children 8 years and up (Ingalhalikar et al., 2014). However, children with complete or partial agenesis of the corpus callosum (ACC) exhibit structural differences that disrupt the connectivity of cerebral hemispheres, causing behavioral challenges (Young et al., 2019). We explored the relationship of behavioral differences across genders, partial and complete ACC diagnoses, and age. Method Initial data included the completed Child Behavior Checklist (CBCL) provided by care-providers (ages 2 to 17) diagnosed with ACC. Follow-up data was obtained four-years later from the original sample (n = 29), which included 20 males (12 complete, 8 partial) and 9 females (5 complete, 4 partial). Results A repeated measures MANOVA was conducted with attention problems, rule-breaking, and aggressive behavior for gender, age, and diagnosis (i.e., partial or complete ACC). A significant interaction diagnosis by gender interaction over time was found for each dependent variable. Conclusion Results indicate females with partial ACC exhibit worsening attention problems with age, while males with partial ACC decrease over time. Complex social interactions among females pose greater challenges due to difficulties integrating information between cerebral hemispheres. Additionally, females are at higher risk of developing internalizing problems (Eaton et al., 2012) when navigating social interactions. Nevertheless, females with partial ACC exhibited significant reductions in aggressive behaviors over time. This perhaps resulted from lower social tolerance of aggressiveness in females, as well as expectations of compliance and obedience. Consequently, mood-related difficulties decrease executive functioning skills, specifically attention and concentration (APA, 2013).

Problem Behaviors of Children from Multicultural and Mono-cultural Families in Korea: Differences in Behavior Evaluations between Parents and Teachers

2021 ◽  
pp. 60-81
Keyword(s):  
Problem Behaviors ◽  
Behavioral Problems ◽  
Child Behavior Checklist ◽  
Attention Problems ◽  
School Students ◽  
Interpersonal Difficulties ◽  
Problematic Behaviors ◽  
Korean Child ◽  
Teacher’S Report Form ◽  
Rule Breaking

In recent years, multicultural families are increasing in Korea. In such multicultural families, there may be language and interpersonal difficulties that affect the children. Given the possibility of real problems affecting academics and the potential for bias, the perceptions of parents and teachers is of vital importance. In this study, parents' and teachers’evaluations of problem behaviors of 405 elementary school students were collected on the Korean Child Behavior Checklist and the Korean Teacher's Report Form. Studies have shown that parents in multicultural families tend to rate their children's problems more seriously than in mono cultural families in the areas of Withdrawal/Depressed, Attention Problems, and Rule-Breaking Behaviors.Teachers rated boys from multicultural families as more problematic with Withdrawal/Depressed, Attention Problems, Rule-Breaking Behaviors, and overall scores than boys from monocultural families. Parents tended to take their child's problematic behaviors more seriously than teachers.In general, younger students were found to be more vulnerable to behavioral problems. This may indicate that an intervention is needed to help the children acculturate.

scholarly journals Genetic Analyses of Teacher Ratings of Problem Behavior in 5-Year-Old Twins

2006 ◽  
Vol 9 (1) ◽  
pp. 122-130 ◽  
Author(s):  
Tinca J. C. Polderman ◽  
Daniëlle Posthuma ◽  
Leo M. J. De Sonneville ◽  
Frank C. Verhulst ◽  
Dorret I. Boomsma
Keyword(s):  
Young Children ◽  
Aggressive Behavior ◽  
Behavioral Problems ◽  
Social Problems ◽  
Attention Problems ◽  
Somatic Complaints ◽  
Genetic Analyses ◽  
Thought Problems ◽  
Sources Of Variation ◽  
Rule Breaking

AbstractBehavioral problems in young children can be assessed by asking their parents or teachers to rate their behaviors. Genetic analyses of parental ratings show relatively large heritabilities for emotional and behavioral problems in young children, but data from teachers for this age group are scarce. Sources of variation in the Teacher's Report Form (TRF) problem scales were examined. The TRF was completed for 211 Dutch 5-year-old twin pairs and 4 single twins. Twins rated by different teachers had higher means and variances than twins rated by the same teacher, in addition twin correlations were lower in this group. In both groups monozygotic (MZ) correlations were generally higher than dizygotic (DZ) correlations. A model for twin resemblance was tested that allowed for these effects. For 5 problem scales (Withdrawn, Social Problems, Aggressive Behavior, Rule Breaking Behavior and Attention Problems) a model with genetic and unique environmental sources of variation fitted best to the data. For 3 problem scales (Anxious/Depressed, Thought Problems and Somatic Complaints) there were familial influences but it was not possible to distinguish between common environmental influences or genetic influences. Heritability was 63% for Attention problems, around 45% for Withdrawn, Social Problems, Aggressive Behavior and Rule Breaking Behavior, and around 30% for Anxious/Depressed, Thought Problems and Somatic Complaints.

scholarly journals Influence of Organizational Care and Support on Emotional and Behavioral Problems of Sheltered Street Children

2015 ◽  
Vol 2 (4) ◽  
Author(s):  
Sarvani
Keyword(s):  
Behavioral Problems ◽  
Street Children ◽  
Attention Problems ◽  
Self Report ◽  
Emotional And Behavioral Problems ◽  
Youth Self Report ◽  
Care And Support ◽  
Rule Breaking ◽  
The Mean ◽  
The Government

The present study is to find out the influence of organizational care and support on emotional and behavioral problems of sheltered street children. The sample consist 444 respondents. 176 are from government shelters, and 268 are from non¬ government shelters. For this purpose of investigation Revised Youth Self Report (RYSR), which is a revised form of Youth Self Report (YSR) is an English form of age 11-18 years, devised by Achenbach and Rescorla (2001) and Organizational care and support developed by researcher were used. The data obtained were analyzed through t- test to know the mean difference between the government and non government groups. The street children in government shelters have more behavioral problems such as anxiety, withdrawal, somatic problems, social problems, thought problems, attention problems, rule breaking behavior and aggression than non government sheltered street children. Government sheltered street children have more health problems, and less social support than non government sheltered street children.

scholarly journals Relationship between trajectories of post-stroke disability and self-rated health (NeuroAdapt): protocol for a prospective observational study

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e049944
Author(s):  
Sarah K Schäfer ◽  
Robert Fleischmann ◽  
Bettina von Sarnowski ◽  
Dominic Bläsing ◽  
Agnes Flöel ◽  
...  
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Functional Health ◽  
Care Hospital ◽  
Duration Of Symptoms ◽  
Post Stroke ◽  
Self Rated Health ◽  
Modifying Factors ◽  
Study Results

IntroductionStroke is the leading neurological cause of adult long-term disability in Europe. Even though functional consequences directly related to neurological impairment are well studied, post-stroke trajectories of functional health according to the International Classification of Functioning, Disability and Health are poorly understood. Particularly, no study investigated the relationship between post-stroke trajectories of activities of daily living (ADL) and self-rated health (SRH). However, such knowledge is of major importance to identify patients at risk of unfavourable courses. This prospective observational study aims to investigate trajectories of ADL and SRH, and their modifying factors in the course of the first year after stroke.Methods and analysisThe study will consecutively enrol 300 patients admitted to a tertiary care hospital with acute ischaemic stroke or transient ischaemic attack (TIA; Age, Blood Pressure, Clinical Features, Duration of symptoms, Diabetes score ≥3). Patient inclusion is planned from May 2021 to September 2022. All participants will complete an interview assessing ADL, SRH, mental health, views on ageing and resilience-related concepts. Participants will be interviewed face-to-face 1–5 days post-stroke/TIA in the hospital; and will be followed up after 6 weeks, 3 months, 6 months and 12 months via telephone. The 12-month follow-up will also include a neurological assessment. Primary endpoints are ADL operationalised by modified Rankin Scale scores and SRH. Secondary outcomes are further measures of ADL, functional health, physical activity, falls and fatigue. Views on ageing, social support, resilience-related concepts, affect, frailty, illness perceptions and loneliness will be examined as modifying factors. Analyses will investigate the bidirectional relationship between SRH and ADL using bivariate latent change score models.Ethics and disseminationThe study has been approved by the institutional review board of the University Medicine Greifswald (Ref. BB 237/20). The results will be disseminated through scientific publications, conferences and media. Moreover, study results and potential implications will be discussed with patient representatives.Trial registration numberNCT04704635.

Fetomaternal Outcome of Pregnancy with COVID-19: An Observational Study in Tertiary Care Hospitals of Pakistan

2021 ◽  
Vol 15 (6) ◽  
pp. 1903-1906
Author(s):  
Nabila Khan ◽  
Zahra Wasim ◽  
Aesha Sadaf Rizwan ◽  
Afshan Ahmad ◽  
Muhammad Tahir ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Negative Impact ◽  
Heart Defects ◽  
Tertiary Care ◽  
World Health ◽  
Observational Research ◽  
Military Hospital ◽  
Corona Virus ◽  
Study Results ◽  
The World

Background: The new corona virus first appeared in Wuhan, China in December 2019 and has since spread around the world to other countries. The World Health Organization believes that this new CoV-19 epidemic is a public health emergency of international concern (PHEIC) on January 30, 2020Worldwide.The mortality rate of this viral infection ranges from 2% in Pakistan to 14.4% in Italy. Lympopenia, elevated transminase, proteinuria, increased LDH, and C-reactive protein levels are all common laboratory findings in the early stages of the disease. Covid patients have experienced a variety of complications, including extreme pneumonia, ARDS, heart defects, sepsis and septic shock, and respiratory tract super infection. Methodology: This retrospective observational research study was carried out at the Gynecology Unit of MardanMedical Complex, Mardan and Combined Military Hospital, Risalpur for 06 months duration from April 2020 to September 2020. In a pre-constructed data collection form, biochemical and radiological parameters of medical history, test results, symptoms, pregnancy, and neonatal outcomes were noted. Patients treated in an outpatient setting were not included in the study. Results: There were 121 patients in total, with mean age of 27 having standard deviation ± 5, having range 19-40 years. 48.3% pregnant women reported their first pregnancy(primigravida). 51.3% of SARS-Cov-2 were in their 3rd trimester while 34.7% were in their 35-40 weeks of gestational age. Common complications are gestational hypertension (PIH) (16 cases), hypothyroidism (14 cases) and gestational diabetes (GDM) 9 cases. More than half (53%) of patients are asymptomatic. Common symptoms are cough (22%) and fever (11%). The incidence of multiple organ failure was 2% as shown in table 01. Lymphopenia was common (84%). A CT scan of 24 patients showed bilateral invasion. Conclusion: COVID-19 has a negative impact on the foetus, according to our results. Although pregnant women do not seem to be more vulnerable to COVID-19 complications than non-pregnant adults, previous research has suggested that pregnant women could be at higher risk for negative pregnancy outcomes such as preterm birth, foetal pain and respiration, symptoms, and LBW in a newborn baby. Keywords: Corona virus, COVID-19, Pregnancy, Outcome.

Effect of pharmacist-led task force to reduce opioid prescribing in the emergency department

2019 ◽  
Vol 76 (22) ◽  
pp. 1853-1861
Author(s):  
Nicole M Acquisto ◽  
Rachel F Schult ◽  
Sandra Sarnoski-Roberts ◽  
Jaclyn Wilmarth ◽  
Courtney M C Jones ◽  
...  
Keyword(s):  
Emergency Department ◽  
Task Force ◽  
Care Center ◽  
Linear Regression Analysis ◽  
Tertiary Care ◽  
Interrupted Time Series Analysis ◽  
Opioid Use ◽  
Entire Study ◽  
Opioid Prescribing ◽  
Reduction Program

Abstract Purpose Results of a study to determine the effect of a pharmacist-led opioid task force on emergency department (ED) opioid use and discharge prescriptions are presented. Methods An observational evaluation was conducted at a large tertiary care center (ED volume of 115,000 visits per year) to evaluate selected opioid use outcomes before and after implementation of an ED opioid reduction program by interdisciplinary task force of pharmacists, physicians, and nurses. Volumes of ED opioid orders and discharge prescriptions were evaluated over the entire 25-month study period and during designated 1-month preimplementation and postimplementation periods (January 2017 and January 2018). Opioid order trends were evaluated using linear regression analysis and further investigated with an interrupted time series analysis to determine the immediate and sustained effects of the program. Results From January 2017 to January 2018, ED opioid orders were reduced by 63.5% and discharge prescriptions by 55.8% from preimplementation levels: from 246.8 to 90.1 orders and from 85.3 to 37.7 prescriptions per 1,000 patient visits, respectively. Over the entire study period, there were significant decreases in both opioid orders (β, –78.4; 95% confidence interval [CI], –88.0 to –68.9; R2, 0.93; p < 0.0001) and ED discharge prescriptions (β, –24.4; 95% CI, –27.9 to –20.9; R2, 0.90; p < 0.001). The efforts of the task force had an immediate effect on opioid prescribing practices; results for effect sustainability were mixed. Conclusion A clinical pharmacist–led opioid reduction program in the ED was demonstrated to have positive results, with a more than 50% reduction in both ED opioid orders and discharge prescriptions.

scholarly journals Halitosis: Its Aetiology and Psychosocial Impact- A Hospital Based Study

2021 ◽  
Vol 29 (2) ◽  
pp. 145-150
Author(s):  
Gopika Kalsotra ◽  
Monica Manhas ◽  
Sachin Gupta ◽  
Heemani Bhardwaj ◽  
Parmod Kalsotra ◽  
...  
Keyword(s):  
Social Life ◽  
Laryngopharyngeal Reflux ◽  
Systemic Disease ◽  
Tertiary Care ◽  
Neck Surgery ◽  
Psychosocial Impact ◽  
Care Hospital ◽  
Female Ratio ◽  
Study Results ◽  
A Prospective Study

Introduction Halitosis means bad or unpleasant odour from oral cavity. It causes embarrassment to the patients and affects their social life and communication. This study aims to find the causes of halitosis and to assess its psychosocial impact. Materials and Methods A prospective study was conducted in the department of Otorhinolaryngology and Head Neck Surgery in a tertiary care hospital. It included 165 patients, presenting to the ENT OPD with chief complains of oral malodour for at least 3 months. The patients in the age above 15 years and below 75 years, irrespective of gender, were included in the study. Results The age of the patients ranged from 15 to 75 years with a mean age of 52.24 ± 15.67 with male: female ratio of 7:10. The most common cause of halitosis in the present study included chronic rhinosinusitis (38.7%), gingivitis/periodontitis (19.39%), tonsillitis (4.84%), laryngopharyngeal reflux (2%), deep neck space infections (1.2%). In 23.56%, the halitosis was a symptom of an underlying malignancy. Conclusion Halitosis from an extra oral origin can be the sign of an underlying systemic disease or malignancy. The consultation should be done with the periodontist, ENT specialist and a physician.

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