Tag: statistics

Trends Psychiatry Psychother. 2023 Oct 29. doi: 10.47626/2237-6089-2023-0622. Online ahead of print.

ABSTRACT

INTRODUCTION: Despite the growing recognition of gaming disorder as a mental disorder, there is still debate about how it should be best screened for. This is especially relevant in countries where prevalence studies that could support evidence-based policymaking are still to be conducted. This study aims to evaluate the psychometric properties of the Brazilian Portuguese version of the Ten-Item Internet Gaming Disorder Test (IGDT-10) and to explore its association with functional impairment.

METHODS: An online convenience sample of 805 Brazilian adults who reported playing games completed the adapted version of IGDT-10 and World Health Organization Disability Assessment Schedule 2.0, as well as the Problematic Internet Use Questionnaire, the Center for Epidemiologic Studies-Depression Scale, the Rosenberg Self Esteem Scale and socio-demographic questions.

RESULTS: The Brazilian Portuguese version of IGDT-10 demonstrated a unidimensional structure in both confirmatory and exploratory factor analysis, with satisfactory internal consistency and adequate temporal stability. Participants who scored five or more on IGDT-10 presented higher levels of functional impairment compared to those who scored positive for four symptoms or less. The difference between the two groups was statistically significant and showed a moderate effect size. Network analysis showed a direct connection between IGDT-10 and functional impairment, and identified “negative consequences” as the most relevant item connecting these variables.

CONCLUSION: The IGDT-10 is a brief, easy-to-understand, valid, and reliable instrument, proving to be a suitable candidate for screening gaming disorder in future epidemiological studies.

PMID:37898905 | DOI:10.47626/2237-6089-2023-0622

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2023 Sep;31(5):1028-1034. doi: 10.32687/0869-866X-2023-31-5-1028-1034.

ABSTRACT

Nigeria, with its low routine immunization coverage and wild poliovirus reservoir, significantly contributes to overall regional burden of vaccine-preventable diseases. Since introduction of the EPI in 1974 (which later became the National Program of Immunization), Nigeria’s immunization program suffered from declining coverage. The poor quality of immunization affects service utilization, even where they are provided for free, just as immunization services are. The quality assessment will provide both notion of degree of satisfaction of clients with services and framework for revision of program priorities, strategies and components Purpose of the study is to evaluate quality of immunization services provided to children in primary health centers in Oron, Akwa Ibom State, Nigeria. The study targets to identify strengths and weaknesses of immunization services, to evaluate level of compliance with national and international standards of immunization and to develop corresponding recommendations. The study seeks to contribute to body of knowledge about quality of children immunization services in Nigeria, particularly in context of primary health centers. The study may help to improve delivery of immunization services in the region and to ensure that more children will be vaccinated and protected against vaccine-preventable diseases. The cross-sectional descriptive study of quality of immunization services in primary health centers was carried on in Akwa Ibom State, Nigeria. The variables as indicators such as physical environment, resource availability, client satisfaction etc. were utilized and included into questionnaire. The study covered 402 caregivers and 152 medical workers in 12 primary health centers. The client questionnaire, facility staff questionnaire, facility checklist, personal observation,focus group discussion guide and client flow chart were applied. The results demonstrated that quality of immunization services was poor. The caregivers were dissatisfied both with reception by providers and too long waiting time. The attitude of health care providers was also mentioned as cause of dissatisfaction. This study demonstrated that community health extension workers constituted majority (39.4%) of immunization service providers. Out of 152 health care providers that participated in the study, 92 (60.9%) had attended in-service training on immunization within previous two years. The comparison of staff categories with attendance at in-service training established statistically significant difference (p=0.0072), suggesting that whether one attended in-service training or not depended on category of staff one belongs to. Of all staff, 112 workers (73.3%) knew proper vaccine storage temperature while 40 (26.7%) did not. The health care providers who do not know proper vaccine storage temperature may administer vaccines with compromised potency. Most of health care providers (149 or 98.0%) were aware that clients have particular rights that in overall is referred as client rights. Only by knowing rights of clients providers would be expected to respect these rights. The client right with which most of providers were agreed was right to information (105 or 70.2%). While right with which most providers were disagree (52 or 34.0%)) was right to choice of where and when access immunization services. The study conducted thorough quality assessment of children imunization services in primary health centers in Oron, Akwa Ibom State, Nigeria. The results revealed both strengths and weaknesses in delivery of immunization services to children in the region. While there were areas of average performance due to experienced and trained health care workers, there were also areas of concern with inadequate cold chain storage and insufficient record-keeping practices. The study recommends to improve quality of immunization services in the region, including strengthening cold chain system, ensuring adequate record-keeping practices and implementing regular training and supervision of medical workers. These measures are crucial to ensure that more children are vaccinated and protected against vaccine-preventable diseases. The results of the study contribute to body of knowledge on quality of children immunization services in Nigeria and emphasize importance to continue efforts improving delivery of immunization services to children. There is hope that proposed recommendations will become a basis for policy decisions making and ultimately will result in better health outcomes for children in Oron, Akwa Ibom State and beyond.

PMID:37898895 | DOI:10.32687/0869-866X-2023-31-5-1028-1034

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2023 Sep;31(5):1021-1027. doi: 10.32687/0869-866X-2023-31-5-1021-1027.

ABSTRACT

The choice of specialty by graduate of medical university can be promoted by particular social, demographic and personal characteristics. Purpose of the study is to investigate demographic, social and personal characteristics of students in residency on specialty “General Medical Practice” in the Russian Federation. The sociological, statistical and analytical methods are applied. The sampling for survey consisted of 81 respondents. The specialty “General Medical Practice” is chosen mainly by women residing in city, non-married and without children. They are not characterized by participation in public life and they are characterized by the presence of hobbies (hobbies). The choice is conditioned by multidisciplinary nature of medical care and scope of professional horizons. They are attracted by treatment work and are less interested in pedagogy and science. In perspective, 80% of female respondents are going to get another specialty. More than 70% of respondents plan to work in out-patient conditions and predominantly in state sector of health care. For women, main goals of further professional training are improvement in main and adjoining specialties and career promotion. And in educational program, internal diseases are of greatest interest. The preferred forms of training are internships and e-learning. The main direction of improving educational process is increasing of scope of practical training. The comparative analysis of study results with data of previous publications was implemented. The factors influencing commitment to specialty are revealed. The proposals increasing attractiveness of general medical practice for graduates of medical universities and keeping in specialty after residency are formulated.

PMID:37898894 | DOI:10.32687/0869-866X-2023-31-5-1021-1027

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2023 Sep;31(5):1003-1010. doi: 10.32687/0869-866X-2023-31-5-1003-1010.

ABSTRACT

The priority of state policy of the Russian Federation is to make conditions for sustainable social economic development of national regions, including the territories of the Arctic Zone. The successful solution of these tasks is possible only if there is sufficient amount of labor resources and at achieving positive dynamics of main demographic processes. The purpose of the study is to establish characteristics of both dynamics of main demographic processes and reproductive health of Northerners as exemplified by the Republic of Komi.

MATERIALS AND METHODS: The retrospective ecological epidemiological study was carried out using reports of the Federal statistical observation. To evaluate demographic processes the values of main demographic parameters were calculated. To analyze dynamics of demographic processes time series of demographic coefficients were constructed and values of growth rate indicators were calculated.

RESULTS: The number of male and female population of the Komi Republic in 1990-2023 decreased by 46.5% and 37.1%. The specific weight of people older than able-bodied age increased in males from 4.9% to 14.7% and in females from 15.7% to 31.6%. The number of females of fertile age (16-49 years) in the Komi Republic decreased by 152.602 people (-47.5%) and their general fertility rate decreased by 33.3%. The birth rate in the group of young women aged 15-19 years decreased in 1990-2021 by 80.1%; and of women aged 20-24 years decreased by 60.4%. The frequency of abortions tends to decrease, but significantly exceeds the national average values.

CONCLUSION: The replacement-level fertility is not achieved in the Komi Republic. Taking into account the peculiarities of demographic, social economic processes, it is necessary to develop and to implement regional program of reproductive health improvement.

PMID:37898891 | DOI:10.32687/0869-866X-2023-31-5-1003-1010

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2023 Sep;31(5):996-1002. doi: 10.32687/0869-866X-2023-31-5-996-1002.

ABSTRACT

The purpose of the study is to identify relationship between value orientations and safety culture of workers of medical organization. The sampling consisted of 284 workers (66 men, 218 women) of medical clinic. To identify system of personal values the “Value Orientations” questionnaire by Sch. Schwartz was applied. The mean values and ranks were calculated for each value indicator. To assess safety culture the “Safety Attitudes Questionnaire” by K. N. Tsaranov et al. was applied. The data statistical processing of the data was carried out using variance analysis and correlation analysis (Pearson coefficient). The largest differences in the indicators in the group with a low level of value-intentional coherence indicator were observed in relation to values “conformity” (rank difference 2.16), “stimulation” (1.73), “universalism” (0.9), “achievement” (0.83), “independence” (0.77), “traditions” (0.61) For other values difference was less than 0.5. The largest differences in indicators in the group with high level of value-intentional coherence indicator (IVC) were observed for values “universalism” (1.01), “stimulation” (0.64), “achievement” (0.5). For the remaining values difference was less than 0.5. Assessment of safety culture revealed that below threshold of agreement (75%) were results on the scale “Recognition (understanding) of stress” in all groups of respondents. On indicator “Working conditions” below level of agreement were results of groups with low and high levels of value-intentional consistency indicator. Below threshold of agreement (75%) were results of responses to the question about the relationship with clinical pharmacologists in all groups of respondents. The value-intentional coherence index can be applied only concerning each single worker. The qualitative analysis of IVC indicator should both include its comparison at the level of normative ideals and behavioral priorities of values and to consider the spread between ranks. The values “stimulation” and “achievement” have no effect on manifestation of attitude to safety culture of medical organization. The key personal values associated with manifestations of safety culture are “power”, “autonomy” and “conformality”.

PMID:37898890 | DOI:10.32687/0869-866X-2023-31-5-996-1002

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2023 Sep;31(5):984-989. doi: 10.32687/0869-866X-2023-31-5-984-989.

ABSTRACT

The actual problem of health care in many regions of Russia are cardiovascular diseases. The valuation and monitoring study of prevalence of this class of diseases was implemented in the Kamchatka Kray. The study was based on official statistic data of general morbidity of adult and children population with circulatory system diseases in 2010-2021. The application of GIS-technologies permitted to implement territorially differentiated evaluation and monitoring of prevalence of circulatory system diseases. The increase of indicators and percentage of circulatory system diseases in the structure of general morbidity of adults was established. The children population of the region is characterized by decreasing of indicators of morbidity of cardio-vascular diseases. The space-time discontinuity of prevalence of these diseases in territories of the Kamchatka Kray. The study results were visualized in series of cartograms. The situation with cardio-vascular morbidity in the Kamchatka Kray has territorial differences: increased level of morbidity in central and distant regions and decreased one south regions. The obtained information can be applied in implementation of regional project of struggle with cardio-vascular diseases.

PMID:37898888 | DOI:10.32687/0869-866X-2023-31-5-984-989

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2023 Sep;31(5):960-964. doi: 10.32687/0869-866X-2023-31-5-960-964.

ABSTRACT

The occupational safety is one of the important conditions of efficient work of physician. The purpose of the study is to analyze how physicians assess conditions of their professional activity. The sociological survey of 404 physicians working in state and commercial medical organizations of Voronezh was carried out using specially designed questionnaire. The analytical and mathematical statistical research methods were applied. The survey established that 52.6% of respondents considered their working conditions as completely safe and 35.2% considered that they were rather safe. At that, there were no significant differences in opinion on this issue among therapists and surgeons, as well as among ones working in in-patient and out-patient conditions. However, in private medical organizations, 62.5% of respondents working in-patient conditions and 33.3% working in out-patient conditions considered their work as completely safe. The main factor of possible violation of safety of their professional activities was intensity of labor process, associated, among other things, with greater responsibility for patients. The majority of respondents (89.1%) reported presence of certain stressful situations in course of their professional activities. This opinion did not depend on gender/ At that, surgeons indicated more frequently presence of these situations (63.2% and 51.3%). The surgeons more often than therapists indicated importance of such factors as personal qualities of character, level of motivation, specialty, age and work experience. The identified characteristics of assessment of working conditions by physicians are recommended to consider in development of improving measures.

PMID:37898884 | DOI:10.32687/0869-866X-2023-31-5-960-964

Asian Pac J Cancer Prev. 2023 Oct 1;24(10):3621-3628. doi: 10.31557/APJCP.2023.24.10.3621.

ABSTRACT

BACKGROUND: Tumor-infiltrating lymphocytes (TIL) are important immunological components in response to cancers. Patients with higher numbers of TIL in breast cancerous tissues, comprising T- cytotoxic and T – helper cells along with B- and rare natural killer (NK) cells, have more favorable clinical outcomes.

OBJECTIVE: To analyze the rate of the expressed surface biomarker proteins of CD20-B cells and CD56- NK cells on the infiltrative lymphocytic subpopulations in a group of breast tumorous tissues (invasive and benign) from female patients in Iraq and explore the relations to the grade of the invasive breast cancerous tissues.

PATIENTS AND METHODS: One hundred and 75 archived breast tissues were enrolled in this retrospective research: 100 archived breast from female patients with invasive breast cancers (BC) [20 well differentiated BC tissues; 48 moderately differentiated BC and 32 poorly differentiated BC tissues]; 50 tissue biopsies from female patients with benign breast tumors and 25 apparently normal individuals with healthy breast tissues (included as the control group for this study). Immunohistochemistry was achieved for the detection of the expressed surface biomarker proteins related to B cell CD20 and NK cell CD56 present on the infiltrative lymphocytic subpopulations in breast tissues by using specific primary antibodies for these proteins via utilizing an immune-enzymatic antigen detection system.

RESULTS: The detection of IHC reactions for the expressed B cell CD20 – cell surface ( CD) biomarker proteins were observed in 53 out of 100 (53.0%) BC tissues, and in 24 out of 50 (48.0%) benign breast tumorous tissues, while CD20- positive cell surface markers was detected in apparently healthy breast tissues of the control group in a percentage of 32.0% (8 out of 25 tissues). Statistical significant differences (P<0.05) between both groups of malignant and benign breast tumors and the control group were found. However, between breast malignant and benign tumor groups, no significant difference was found ( p >0.05). Detection of CD56- IHC reactions revealed in 14% (14 out of 100 BC tissues), in 16% (8 out of 50 benign breast tissues) and none of control breast tissues revealed CD56- IHC reactions. Among all the enrolled groups, no significant differences (P>0.05) were detected.

CONCLUSIONS: The observed significant rates that showed highly significant differences between both studied groups of breast malignant and benign tumor in comparison to the control group indicate that the CD20- positive infiltrative B cell- lymphocytic subpopulations might contributed in the defense against these subsets of benign and malignant breast tumors. However, the observed rates of NK cell CD56 present on the lymphocytic subpopulations infiltrating the examined malignant and benign breast tumorous tissues seeming to play irrelevant roles in the defense against these studied breast tumor groups.

PMID:37898871 | DOI:10.31557/APJCP.2023.24.10.3621

Asian Pac J Cancer Prev. 2023 Oct 1;24(10):3537-3542. doi: 10.31557/APJCP.2023.24.10.3537.

ABSTRACT

OBJECTIVE: The objective of this study was to evaluate the impact of an in-service training program on nurses’ performance in minimizing chemotherapy extravasation.

METHOD: Quasi-experimental (Pre /Posttest) research design was utilized to conduct this study. The study was conducted at the internal medical oncology departments at South Egypt Cancer Institute. A convenience sample was used to select all available nurses working in medical oncology departments (40) nurses. Data was collected by using a pre/post questionnaire sheet for nurses’ knowledge, Pre/post observation checklist for nurses’ practice, and an in-service nursing training program on nurses’ knowledge and practice for minimizing chemotherapy extravasation.

RESULTS: The majority of nurses have attained any training program related to chemotherapy extravasation in their last 10 years of educational and professional training, There was a Positive correlation between nurses’ knowledge scores pre and post-implementation of in-service training program with ±SD mean 23.77±.97 and with P. value <0.001** There were highly statistical significant differences between total score checklist nurses’ practice pre/ post implementation of in-service training program on nurses to minimize chemotherapy extravasation through mean 234.97± .15 and Value < 0.001**.

CONCLUSION: The In-service training program had statistically significant improvement on totally nurses’ knowledge and practice on minimizing chemotherapy extravasation.

PMID:37898860 | DOI:10.31557/APJCP.2023.24.10.3537

Asian Pac J Cancer Prev. 2023 Oct 1;24(10):3487-3494. doi: 10.31557/APJCP.2023.24.10.3487.

ABSTRACT

PURPOSE: High-grade gliomas are highly fatal disease with poor prognosis despite multimodality management. Inflammatory biomarkers are widely used for prognostication in various solid malignancies to stratify high risk patients. The current research was conducted to investigate whether any change in neutrophil-lymphocyte ratio (NLR) during adjuvant chemoradiotherapy has any prognostic significance in high-grade glioma patients.

MATERIALS AND METHODS: Seventy-three biopsy proven high-grade glioma patients treated with adjuvant chemoradiotherapy were enrolled in this study. Haematological parameters were collected before treatment, weekly during treatment, and at 4th week after chemoradiotherapy along with baseline characteristics. Overall survival (OS) was determined using Kaplan-Meier curve. Variables found statistically significant in univariate analysis by Cox regression model were subjected to final multivariable analysis.

RESULTS: The median follow-up was around 17 months with a median OS of 17.2 months (95%CI 14.7-23). The best prognosis was seen in patients who had a baseline NLR< 3.5 with decline in NLR during treatment achieving a 1-year survival of 100% and median overall survival of 36.5 months. Patients who had baseline NLR ≥3.5 without a decline in NLR had worst prognosis with a 1-year survival of 25% (95%CI 9.4%-66.6%) and median OS of 7.1 months. On multivariate analysis, age [HR 1.025, p=0.040)], ECOG performance status≤1 [HR 0.089, p<0.001], extent of surgery [HR 0.305, p=0.001] and decline in NLR during treatment [HR 0.452, p=0.026] were found to be significant predictors of OS.

CONCLUSION: This study demonstrated that NLR is a cost-effective biomarker that has prognostic significance in predicting overall survival for high-grade glioma patients.

PMID:37898854 | DOI:10.31557/APJCP.2023.24.10.3487