Clinical Associated Factors Research Articles

Seborrheic Dermatitis in Black Skin: Epidemiological and Clinical Aspects, Evolution, And Associated Factors In 111 Patients with Review of the Literature

Seborrheic Dermatitis in Black Skin: Epidemiological and Clinical Aspects, Evolution, And Associated Factors In 111 Patients with Review of the Literature

Impact of biological therapy in reducing the risk of arthritis development in inflammatory bowel diseases

ObjectiveEvaluate spondyloarthritis (SpA) incidence in inflammatory bowel diseases (IBD) between patients treated with biological disease-modifying antirheumatic drugs (bDMARDs) and conventional DMARDs (cDMARDs) and define risk factors associated with SpA development.MethodsRetrospective...

Clinical Associated Factors of Tile B/C Type of Pelvic Ring Fractures; a Retrospective Cross-sectional study.

Pelvic ring fractures categorized under Tile Categories B and C denote partially and fully unstable fractures, respectively. This study aimed to identify the clinically associated factors of Tile B/C pelvic ring fractures. This retrospective cross-sectional study reviewed medical records from the Emergency Medicine department at Ramathibodi Hospital in Bangkok, Thailand. The study included individuals aged ≥ 15 who experienced accidents from 2012 to 2021. To investigate the associations between the clinical variables and three critical outcomes, including Tile B/C pelvic ring fractures, major vascular injuries, and the necessity for surgical or radiological interventions, multivariable logistic regression analysis was employed. A total of 198 patients were included in the study, among whom 34.8% were diagnosed with Tile B/C pelvic ring fractures. The analysis revealed several significant predictors of Tile B/C fractures, including the presence of pelvic tenderness (adjusted odds ratio [aOR] = 15.25, 95% confidence interval [CI] = 5.86-39.66, p < 0.001), and a shock index (SI) ≥1 (aOR = 4.2, 95% CI = 1.24-14.22, p = 0.021). Moreover, Tile B/C pelvic ring fractures were associated with an increased incidence of major vascular events and the imperative requirement for surgical or radiological interventions. Clinical findings of pelvic tenderness and an SI ≥1 are strong predictive clinical factors associated with Tile B/C pelvic fractures. Early diagnosis, application of an pelvic binder, provision of initial resuscitation, and prompt transportation to a definitive care facility are crucial components of management.

Prevalence and clinical aspects of obstructive sleep apnea in Parkinson disease: A meta-analysis.

Obstructive sleep apnea (OSA) frequently occurs in Parkinson Disease (PD), probably caused by upper airway dysfunctions or shared pathogenetic mechanisms. OSA may precede PD diagnosis or worsen throughout its course, but its relationship with clinical features and dopaminergic medication remains unclear. This meta-analysis aimed to provide a reliable estimate of OSA prevalence in the PD population (PD-OSA) and to clarify its clinical associated factors to help clinicians in understanding the underlying pathophysiological mechanisms. A systematic literature search was performed up to April 2023 using the PubMed, Scopus, and PsycINFO databases. Articles were included if they provided data on PD patients with and without OSA. Pooled prevalence for PD-OSA was calculated using the proportions of PD participants diagnosed with OSA. Demographic and clinical features associated with PD-OSA were explored by comparing PD patients with and without OSA. Seventeen studies were included in the meta-analysis. Pooled OSA prevalence was 45% of a total sample of 1448 PD patients and was associated with older age, male sex, higher body mass index (BMI), more severe motor disturbances and periodic limb movements, reduced risk of rapid eye movement sleep behavior disorder, intake of dopamine agonists, and worse excessive daytime sleepiness. No relationship emerged with cognitive functioning and neuropsychiatric manifestations. OSA affects nearly half of PD patients as a secondary outcome of predisposing factors such as older age and higher BMI in addition to PD-related motor impairment. Future studies should focus on determining the impact of both clinical features and dopaminergic medication on the development of PD-OSA.

Depressive symptoms are associated with fatigue, poorer functional status and less engagement in sports in axSpA and PsA: an analysis from the RABBIT-SpA cohort

BackgroundIn patients with axial spondyloarthritis (axSpA) or psoriatic arthritis (PsA), concomitant depression might have a negative impact on the course of disease and treatment outcomes. The aims of this analysis are to determine the prevalence of depressive symptoms in axSpA and PsA patients in a real-world cohort study and to identify sociodemographic and clinical associated factors for moderate or severe depressive symptoms in both diseases.MethodsPatients from the RABBIT-SpA cohort with an axSpA or PsA diagnosis and a valid WHO-5 Well-Being Index score at baseline were included. A descriptive analysis of baseline and outcome parameters by category of depressive symptoms was performed and factors associated with the presence of depressive symptoms (moderate or severe) were examined in a logistic regression.ResultsTwo thousand four hundred seventy patients (1,245 axSpA; 1,225 PsA) were included in the analysis. In both diagnoses, the proportion of patients with moderate depressive symptoms was 8% and 21% with severe symptoms.Patients with moderate or severe depressive symptoms were less likely to engage in sports than those with no or mild depressive symptoms, had more comorbidities and higher scores for disease activity, functional limitations, fatigue, and pain and took more analgesics.In axSpA, patients with a higher disease activity, a greater functional impairment and more severe fatigue were more likely to experience depressive symptoms, while patients with more years in education and engaging in sports for at least 1 h/week were less likely to experience depressive symptoms. PsA patients with a greater functional impairment and more severe fatigue were more likely to experience depressive symptoms while those engaging in sports for at least 1 h/week were less likely to experience depressive symptoms.ConclusionWe confirmed a high prevalence of depressive symptoms in both PsA and axSpA. Factors negatively associated with the presence of depressive symptoms were fatigue, not engaging in sports, and greater functional limitations. Depressive symptoms may affect the perception of disease activity / severity by patients. Thus, depressive symptoms are an important condition in axSpA and PsA that should be considered when evaluating disease activity and treatment outcomes.

PS-BPC04-4: PREVALENCE AND CLINICAL CHARACTERISTICS OF HYPERTENSION SUBTYPES ACCORDING TO HOME BLOOD PRESSURE CONTROL IN TREATED HYPERTENSIVE PATIENTS: A CROSS-SECTIONAL STUDY

Objective: To identify the prevalence and clinical characteristics of the different hypertension subtypes according to home blood pressure (BP) control in treated hypertensive patients. Design and method: This study was conducted in Siriraj hospital, Mahidol University, Thailand during 2019 to 2020. We included treated hypertensive patients with at least 1 antihypertensive medications and had self-home BP measurement. Hypertension subtypes were normotension (NT) (all home BPs were less than 135/85 mmHg), isolated morning hypertension (MHT)(morning BPs were only at least 135/85 mmHg), isolated evening hypertension (EHT)(evening BPs were only at least 135/85 mmHg) and sustained uncontrolled hypertension (SHT)(all home BPs were at least 135/85 mmHg). We analyzed the clinical data to evaluate blood pressure control rate and identify the associated clinical factors in the other groups. Results: Our study included 1,435 participants. The prevalence of home BP control was 55.82%, 12.61%, 7.32%, and 24.25% in NT, MHT, EHT, and SHT, respectively. Overall mean age was 63 years. There were 39.58% men. SHT group had significantly the highest body mass index, proportions of alcohol drinking and evening administration of antihypertensive medications. The participants in EHT group used the highest number of antihypertensive medication classes and chronic kidney disease was most found in this group. The multivariable analysis showed the significant association of history of CVD with MHT (OR 2.93, 95%CI (1.46 to 5.85)). The albuminuria of at least 300 mg/g was the significant associated factor of EHT (OR 3.05, 95%CI (1.23 to 7.57)) and SHT (OR 2.20, 95%CI (1.14 to 4.27)). Aging (OR 0.98, 95%CI (0.96 to 0.99)), use of thiazide diuretics (OR 3.38, 95%CI (1.03 to 11.11)), sprironolactone (OR 5.68, 95%CI (1.38 to 23.33)) and peripheral alpha1 blockers (OR 3.90, 95%CI (1.16 to 13.11)) were also strongly associated with SHT. Conclusions: BP control rate was fair. There were different clinical characteristics and independent associated factors in each subtypes.

Acute Methanol Poisoning in Tunisia: Clinical Features, Biological and Associated Factors for Mortality

We conducted a cross-sectional study including case series of MP which took place in Kairouan. Tunisia. Cases started consulting the emergency room on a festive day (1st day of Aid el Feter) corresponding to May 24, 2021.

Clinical Profile And Associated Risk Factors In Congenital Heart Disease Patients In A Northern Indian Hill State

Clinical Profile And Associated Risk Factors In Congenital Heart Disease Patients In A Northern Indian Hill State

235.3: Allograft Vasculopathy in Kidney Transplant Patients: Clinical and Histological Associated Factors

Introduction: Allograft vasculopathy (AV) defined by arterial intimal fibrosis with mononuclear cell inflammation in fibrosis and formation of neointima is one of the main limiting factors in renal graft survival. The etiopathogenesis is multifactorial, including immune mediated mechanism (chronic active or chronic ABMR or mixed ABMR/TCMR), inmune independent factors (e.g.,donnor age) and the endothelial to mesenchymal transition (ETM).The aim of this study is to evaluate the presence of transplant vasculopathy in kidney transplant biopsies, and the risk factors associated. Methods: This retrospective study included 400 allograft biopsies for cause in 294 kidney transplant recipient from 2014 to 2018. All biopsies, with and without transplant vasculopathy, donor, recipient and transplant variables were analyzed. We classified the biopsies in Early (< 3 months) and late(> 3 months).Clinical variables of the recipient were analyzed: age, antiHLA sensitization; from the donor: age, alive -deceased; optimal-marginal and transplant process: TIF, mismatch, delayed graft function (DGF); histological features: rejections, microcirculation injury, C4d. Statistical analysis: Categorical variables are reported as percentages and continuous variables as mean ± standard deviation, median or interquartile range, according to distribution. Chi square test was used to compare categorical variables and T test for continuous variables. Logistic regression models were applied to determine the association of clinical and histological factors with vasculopathy. Odds ratios (OR) with 95% CI were estimated. A p <0.05 was considered significant. The statistical package Medcalc 3.0 was used. Results: Transplant vasculopathy was found in 51,7 % (207/400) sample biopsies, 40% in the early and 60 % in the late transplant biopsies. Recipient age 46(18-76) years, 57 % men, 11,1 % sensitized and 12,2 % hypersensitized. 19,3 % had unacceptable antigens and 16,6%(49/294) developed DSA. All patients received induction and triple immunosuppression therapy. Donor age was 46 (10-73) years, 51 % males, 54,4 % deceased donors and 16, 6%(49) met expanded criteria. Mean Ischemic time was 16,7 ± hours, MM 3.5(1.4), DGF 62,3 %. Vasculopathy in early biopsies was associated with ABMR in patients with DSA. In univariate analysis transplant vasculopathy was correlated with male recipient gender (p=0,0354), staining c4d +(p=0,029) and chronic glomerulopathy (p=0,0116). Late vasculopathy was associated with c4d + p=0,0048; MVI p=0,0018; late rejection p<0.0001 and cellular rejection p=0.03. In multivariate analysis recipient gender (p=0,04) and time of rejection(p=0,03) were statistically significant. Conclusion: Transplant vasculopathy was correlated with male recipient gender, staining c4d +, and chronic glomerulopathy. Late vasculopathy was associated with c4d +, MVI, late and cellular rejection.

Epidemiological and clinical characteristics of COVID-19 mortality among healthcare workers in Saudi Arabia: A nationwide study

BackgroundHealthcare workers (HCWs) have been highly affected by COVID-19 due to their fundamental duties in diagnosing, caring, and treating the rapidly increasing number of infected patients. Thus, are facing the occupational risk of COVID-19 infection and mortality. PurposeTo investigate the COVID-19 disease clinical characteristic and associated factors among HCWs in Saudi Arabia. MethodsThis was a nationwide, retrospective analytical study conducted from 5th of March 2020–21 st of August 2021. All deceased HCWs who were diagnosed with COVID-19 were included in this study. ResultsAs of August 21, 2021, a total of 305 deaths were recorded due to COVID-19 infection among HCWs in all Saudi healthcare facilities. The case fatality rate was 0.35%. Deaths were highest among physicians (40.0%). Most of deceased HCWs acquired the infection from the community (80%). 71% of deceased HCWs had at least one chronic medical condition. Most of them were admitted to ICU before they passed away (83.6%). Three significant variables predicting ICU admission were presence of one or more comorbidities, hypertension, and chronic respiratory diseases ConclusionHCWs are at higher risk for exposure to COVID‐19 due to their occupational risk. Our study encourages future research to provide more comprehensive information regarding COVID-19 morbidity and mortality among HCWs.

Analysis of tinnitus severity and associated factors in patients with chronic otitis media in a low- to middle-income country

Objective This study aimed to describe the tinnitus severity in patients with chronic otitis media (COM) and describe the sociodemographic and clinical variables associated with tinnitus severity. Design Cross-sectional study. Two otology-referral centers in Bogotá (Colombia) were included. Sociodemographic, clinical associated factors and quality of life questionnaires were applied. Otoscopic evaluation and audiometric data were collected. Study sample About 231 adults with COM. Results Up to 51.5% of the patients reported severe tinnitus discomfort, 21.7% moderate discomfort, and 26.8% minor discomfort. Factor associated with increased tinnitus severity in patients with COM were older age (aOR: 1.02; 95% CI: 1.01–1.05), higher education (aOR: 2.24; 95% CI: 1.03–4.87), ear discharge during childhood (aOR: 1.88; 95% CI: 1.02–3.45), cholesteatoma in one ear (aOR: 2.26; 95% CI: 1.05–4.88), and pure-tone air average over 15 dB (aOR: 2.08; 95% CI: 1.28–3.36). Differences of 10-points in symptoms severity and 15-points in the total score of the “Chronic Suppurative Otitis Media Questionnaire-12” were found between the tinnitus severity groups. Conclusions Our results highlight the need for further research on the associated factors of tinnitus severity on COM patients. COM patients with higher tinnitus severity presented worse audiometric results and worse quality of life outcomes.

Clinical Incompetency and Associated Factors Among Undergraduate Nursing Students Studying in Universities of Southern Regional State of Ethiopia, 2021

Clinical Incompetency and Associated Factors Among Undergraduate Nursing Students Studying in Universities of Southern Regional State of Ethiopia, 2021

Clinical Incompetency and Associated Factors Among Undergraduate Nursing Students Studying in Universities of Southern Regional State of Ethiopia, 2021

Clinical Incompetency and Associated Factors Among Undergraduate Nursing Students Studying in Universities of Southern Regional State of Ethiopia, 2021

The occurrence of multiple treatment switches in axial spondyloarthritis. Results from five Nordic rheumatology registries

Abstract Objectives In axial spondyloarthritis (axSpA), switching between multiple biologic or targeted synthetic (b/ts-) DMARDs might indicate difficult-to-treat disease. We aimed to explore the occurrence of multiple switching in routine care axSpA patients using various definitions, and to identify associated clinical characteristics upon start of first b/tsDMARD (baseline). Methods Observational cohort study including patients with axSpA starting a first-ever b/tsDMARD 2009–2018 based on data from five biologic registries (Denmark/Sweden/Finland/Norway/Iceland). Comorbidities and extra-articular manifestations were identified through linkage to national registries. Multi-switching was defined in overlapping categories according to b/tsDMARD treatment history: treatment with ≥3, ≥4 or ≥5 b/tsDMARDs during follow-up. We explored the cumulative incidence of patients becoming multi-switchers with ≥3 b/tsDMARDs stratified by calendar-period (2009–2011, 2012–2013, 2014–2015, 2016–2018). In the subgroup of patients starting a first b/tsDMARD 2009–2015, baseline characteristics associated with multi-switching (within 3 years’ follow-up) were explored using multiple logistic regression analyses. Results Among 8398 patients included, 6056 patients (63% male, median age 42 years) started a first b/tsDMARD in 2009–2015, whereof proportions treated with ≥3, ≥4 or ≥5 b/tsDMARDs within 3 years’ follow-up were 8%, 3% and 1%, respectively. Calendar-period did not affect the cumulative incidence of multi-switching. Baseline characteristics associated with multi-switching (≥3 b/tsDMARDs) were female gender, shorter disease duration, higher patient global score, comorbidities and having psoriasis but not uveitis. Conclusion In this large Nordic observational cohort of axSpA patients, multiple switching was frequent with no apparent time-trend. Clinical associated factors included gender, but also previous comorbidities and extra-articular manifestations illustrating the ongoing challenge of treating this patient group.

Demoralisation in Cancer Patients: The Association with Distress, Depression and Positive Emotion

Cancer patients experience a high level of distress and depression. The understanding of its psychological correlates such as demoralisation and positive emotion helps in the management of these conditions. The study objectives are to examine the correlation between demoralisation and positive emotion, defined as discrete pleasant emotions, such as joy, pride, contentment or love, with depression and distress in cancer patients. The sociodemographic and clinical associated factors are also studied. This cross-sectional study recruited 178 cancer patients from a local university hospital. They were assessed using the Malay versions of the Demoralization Scales (DS-M), Positive Emotion Rating Scale (PERS), Centre for Epidemiologic Studies Depression (CESD) Scale, and Distress Thermometer. The mean age of the subjects was 53.6 + 16.51 years old, with 24% of them were in the advanced stage of cancer. Almost 38% of the subject were demoralised. Of them, 61.2% were depressed, 52.2% had low positive emotion, and 68.7% were distressed. Demoralisation was positively correlated with depression (r=0.78, p&lt;0.01) and distress level (r=0.64, p&lt;0.01) but negatively correlated with positive emotion (r=-0.69, p&lt;0.01). In conclusion, demoralisation was highly prevalent and strongly associated with depression and distress in cancer patients. Assessment and early detection of demoralisation among cancer patients should receive more attention. Future studies on the management of this condition are needed.

Effective Clinical Teaching Practice and Associated Factors Among Midwifery Educators in Public Universities of Ethiopia: Institution-Based Cross-Sectional Study.

BackgroundAlthough effective clinical teaching realistically improves learners to be competent, in Ethiopia only 31.6% of midwifery graduates have passed the national proficiency standard for graduation. Likewise, research evidence is lacking on effective clinical teaching practice of midwifery educators in Ethiopia.ObjectiveThis study aimed to assess effective clinical teaching practice and associated factors among midwifery educators in public universities of Ethiopia.MethodsInstitution-based cross-sectional study was conducted in April 2019 on 424 midwifery educators selected by simple random sampling technique. Data were collected through email by using a semi-structured, pretested, self-administered questionnaire, entered into Epi-data version 4.2, and analyzed by SPSS version 23. Bivariate and multivariable logistic regression analyses were done to test the association. The odds ratio at 95% confidence interval (CI) and P-value <0.05 were used to ascertain statistical significance.ResultsOnly 178 (47.3%) of participants had effective clinical teaching practice. Clinical teaching experience (AOR= 4.72; 95% CI=1.97, 11.29), training on higher diploma in teaching profession (AOR=2.78; 95% CI=1.61, 4.82), clinical teaching workshop (AOR=4; 95% CI=1.98, 8.05), students per clinical unit (AOR= 3.71; 95% CI= 1.66, 8.26), giving objectives of clinical learning for students (AOR= 4.74; 95% CI=2.43, 9.25), using performance-based assessment tool (AOR =1.82; 95% CI=1.04, 3.16) and having good interest in clinical teaching (AOR=8.63; 95% CI=2.91, 25.56) were factors positively associated with effective clinical teaching practice.ConclusionLess than half of midwifery educators of Ethiopian Public Universities had effective clinical teaching practice. The educators’ clinical teaching experience, training, and adherence to clinical teaching standards were identified to affect effective clinical teaching positively. Therefore, educators should adhere to the standards for effective clinical teaching and receive training on effective teaching.

Clinical Competence and Associated Factors Among Nurses working in Selected Health Institutions of Ilu AbaBor Zone, South-West Ethiopia: A Cross Sectional Study

Introduction: Clinical competence is fundamental element in the provision of nursing care and now a day it is the concern and the centre of attention for managers and the healthcare systems. Higher level of clinical competence has a positive impact on patient’s health outcome and nurse’s job performance and satisfaction. However, there is limited information on clinical competence of nurse in Ethiopia. Objective: The objective of this study was to assess clinical competency and associated factors among nurses working in selected health institutions of Illubabor zone, oromia regional state, north-west Ethiopia, 2019. Methods: Institution based cross-sectional study was employed on 160 nurses in two hospitals and 20 health centres. Simple random sampling technique was employed to select study participants. Structured self-administered questionnaire was used to collect data. Independent t-test and analysis of variance (ANOVA) were used to identify factors associated with clinical competence. The statistical significance was set at p<0.05. Results: Out 160 recruited, 156 participants were responded the questionnaire, making the response rate of 97.5%. The overall clinical competence of participants was 2.23 (SD=0.6) which indicates moderate level of clinical competence. Participants had higher competence score on Legal/ethical dimension and lower competence score on teaching coaching dimension. Age, marital status, level of education, work experience, type of health facility, average income, and current position, retrieval of newly published information, previous training, and frequency of trainings, having guideline/manual and using guideline/manual currently were the identified factors association with clinical competence of nurses. Conclusion: In the current rapidly changing healthcare environment, the need for clinical competence among nurses is continually increasing. However, clinical competence of nurses in the current study was inadequate in which the overall score of participants was almost only half of total score. It is recommended that health policy makers should set strategies to assess the clinical competence of nurses on a periodic basis in order to assure quality nursing service.

Associated factors, health-related quality of life, and reported costs of chronic otitis media in adults at two otologic referral centers in a middle-income country.

Despite the high prevalence of chronic otitis media (COM) in low to middle-income countries, there are few studies regarding its associated factors, health-related quality of life, and treatment costs. This study aimed to identify associated factors of COM, assess its impact on the quality of life as well as estimate the patients' reported costs of COM treatment in Colombia. Cross-sectional study. Two otology-referral centers in Bogotá (Colombia) were included. Questionnaires focusing on sociodemographic and clinical associated factors, quality of life, and patients' reported costs were administered to 200 adults with COM diagnosis and 144 control adults. Otoscopic evaluation and audiometric data were collected. The mean age was 42.2 years (SD: 14.44). The median length of COM was 26.13 years (SD: 17.06), and 79.5% of the COM patients reported otorrhea during childhood (P-value: 0.01). The most frequently reported allergic disease among our study population was allergic rhinitis (26.5%). COM was less frequent in patients with a medium-high socioeconomic status (PR: 0.54; 95% CI: 0.39-0.72), and more frequent in patients who reported increased ear discharge due to upper respiratory tract infections (PR: 1.69; 95% CI: 1.68-1.70). The global score of the "Chronic Suppurative Otitis Media Questionnaire-12" showed a difference of 9 points between patients with active and inactive COM (P < 0.001). Patients spent between 12.07% to 60.37% of their household income on expenses related to COM. Associated factors found in this study are consistent with previous reports. COM has a significant financial impact and affects patients' quality of life. Worldwide research addressing these issues in poor-resource countries is scarce, further studies are needed.

Prevalence and determinants of perinatal depression among labour migrant and refugee women on the Thai-Myanmar border: a cohort study

BackgroundPerinatal depression is a significant contributor to maternal morbidity and mortality globally. Migrant women, particularly those living in low- and middle-income settings, represent a particularly vulnerable group due to stressors experienced before, during and after migration. The vast majority of global migration flows occurring within and between low- and middle-income regions, yet existing evidence focuses predominantly on migrants in high-income destinations. This study aimed to redress this significant gap in the evidence by determining the prevalence and determinants of perinatal depression among migrant women on the Thai-Myanmar border.MethodsA cohort of labour migrant and refugee women was followed-up from the first trimester of pregnancy to one month post-partum. Depression status was assessed in the first, second and third trimesters of pregnancy and at one month post-partum using the Structured Clinical Interview for the Diagnosis of DSM-IV Disorders. Women diagnosed with depression had immediate access to care. Data on potential demographic, social and clinical associated factors was collected using a questionnaire. Prevalence and incidence of any depressive disorder and moderate-severe depressive disorder was calculated. Univariable and multivariable logistic regression using complete case analysis was used to estimate odds ratios (OR) of association between exposure variables and depression status.ResultsFive hundred sixty-eight women participated. Period prevalence (from first trimester of pregnancy to one month post-partum) of moderate-severe perinatal depression was 18.5% (95% CI 15.4–21.9%). Overall, 15.4% (95% CI 11.8–19.6%) of women developed new-onset moderate-severe depression during the study period. Forty-two participants received treatment for depression. Risk factors were interpersonal violence (OR 4.5; 95% CI 1.9–11.1); history of trauma (OR 2.4; 95% CI 1.4–4.3); self-reported history of depression (OR 2.3; 95% CI 1.2–4.2); labour migrant status (OR 2.1; 95% CI 1.1–4.0); low social support (OR 2.1; 95% CI 1.1–3.7); and maternal age (OR 1.1 per year; 95% CI 1.0–1.1). Limitations of the study include that culturally specific manifestations of depression may have been missed.ConclusionsPerinatal depression represents a significant burden among migrant women on the Thai-Myanmar border. Programmes to address the determinants along with early case identification and effective treatment and referral systems are key to addressing perinatal depression in this low-resource setting.

Perceived Clinical Practice Competency and Associated Factors Among Undergraduate Students of Medicine and Health Science Collage in Dilla University, SNNPR, Ethiopia.

BackgroundThe dynamic and uncertain nature of the healthcare environment requires competent health professionals to manage the changing environment. However, globally and regionally there is a shortage of competent health professionals. Understanding the causes of poor performance of healthcare is crucial to provide high-quality healthcare service. So this study aims to assess perceived clinical competence and associated factors among undergraduate medicine and health science students at Dilla University, medical and health Science College.MethodsInstitutional-based cross-sectional study was conducted among 267 students. Initially, departments were stratified, then simple random sample was used to select students. A 2 days of training was given for data collectors and supervisors. Data were entered into Epi-info version 7 and analyzed using Stata version 12. Logistic regression analysis was used to assess associated factors of clinical competency.ResultsA total of 267 students participated in this study. The majority of students were males 197 (73.8%) and more than half of the participants 186 (69.7%) were in the age group of 20 to 24 years. The study found only 39.3%, 95% CI (33.3, 44.9) of the participants perceived themselves as clinically competent. This study also identified instructor provided constructive feedback (AOR= 2.12, 95% CI =1.164–3.861), instructor orientation about assessment method (AOR=1.855 95% CI =1.03–3.408) and staff encouragement during clinical practice (AOR= 2.608, 95% CI= 1.425–4.77) were statistically significant factors.Conclusion and RecommendationIn this study, perceived clinical competency was 39%. Teachers should give constructive feedback to their students to boost their confidence and ability. Furthermore, nationally there should be standard and clear assessment methods in which teachers, school administrators and responsible stakeholders should briefly explain assessment methods to their students and it also needs an action to improve the interaction between staff and students.