Future Quality Of Life Research Articles

Sexual dysfunction after surgery for primary sporadic cranial meningiomas: prevalence and risk factors.

Although postoperative quality of life (QoL) has been studied in relation to a variety of aspects following meningioma resection, the impact of meningiomas on sexual life has not been investigated. The aim of this study is to determine the impact of cranial meningioma surgery on patients' postoperative sexual life. A standardized questionnaire, anonymous and based on the Arizona Sexual Experiences Scale (ASEX), was sent to 87 patients who had been selected for participation in the study based on the following criteria: a postoperative Karnofsky performance of ≥ 80 and below 60 years of age at diagnosis. 53 patients (53/87; 61%) responded to the survey. The study identified eleven patients (20.8%) who reported sexual dysfunction (SD) according to ASEX criteria. Six of these patients were women (55%) and five were men (45%). Univariable analysis revealed that SD was observed with greater frequency in patients with non-skull base tumors (p = 0.006) and in those with a left-hemispheric meningioma (p = 0.046). Multivariable analysis revealed that non-skull base tumor location is the only independent factor being associated with SD (OR = 5.71, 95% CI = 1.02-31.81, p = 0.047). This first investigation of sexual functioning post-surgery for cranial meningiomas indicates that SD is a prevalent issue among non-skull base meningioma patients. Consequently, we recommend that pre- and postoperative sexual health should be further addressed in future QoL investigations of cranial meningioma patients.

A Treatment Algorithm for Free Vascularized Bone Reconstruction in Rare Large Osseous Defects Involving the Wrist.

Large bone defects of the distal radius and/or carpus following tumor resection, trauma, or infection are extremely rare. There are few case reports and series in the literature on the reconstruction approaches required in such cases. Therefore, large studies cannot be used to guide the therapeutic decisions of reconstructive plastic and hand surgeons. The objective of this study is to propose a treatment algorithm to predict the functional outcome and quality of life for the different techniques of free vascularized bone reconstruction in the interval between the distal radius, the carpus, and/or the proximal metacarpal. The algorithm was developed based on our own case studies and the few treatment approaches described in the literature. It can be applied to rare cases of massive bone defects in the wrist. The flowchart enables surgeons to develop an individualized reconstruction concept for various intervals of bone defects in the area of the distal radius and proximal metacarpal bones. Ultimately, the treatment algorithm aims to maximize future quality of life (QoL) and function of the distal upper extremity in rare cases of massive wrist-bone defects.

Perspectives in Using Multiple Flaps Reconstructions for Advanced Head and Neck Tumors (Scoping Review).

Background and Objectives: Patients with advanced head and neck tumors require salvage surgery as a last resort. These extensive surgeries pose the challenge of complex reconstructions. The head and neck surgeon undertaking such complex cases needs to master different flaps. The team managing these patients needs input from various specialists, along with otorhinolaryngologists, plastic surgeons, maxillofacial surgeons, vascular surgeons, experienced radiologists, dedicated pathologists, oncologists and radiation therapists. We focus on the optimum solution between oncologic resections and the future quality of life of patients and overall survival. Each complex case requires a personalized medicine approach. This scoping review aims to assess the efficacy and outcomes of complex reconstructions using various flaps for head and neck tumors, with a focus on free flaps and emerging techniques. Materials and Methods: A systematic search of the literature was conducted following PRISMA guidelines, resulting in the inclusion of 44 articles that met the predefined criteria in the last 10 years. Results: The included studies encompassed diverse patient populations and evaluated various surgical techniques, outcomes, complications, and advancements in head and neck reconstruction. The review identified a variety of flaps utilized in head and neck tumor reconstruction, including free flaps such as the radial forearm, anterolateral thigh, scapular tip, and myocutaneous flaps, among others. The success rates for free flap reconstructions ranged from 85% to 100%, with notable variations attributed to patient selection, tumor characteristics, and surgical expertise. Conclusions: Complications such as flap necrosis, infection, hematoma, and donor site morbidity were documented across studies, highlighting the importance of meticulous surgical planning and postoperative care. Furthermore, the review revealed emerging techniques such as computer-aided design, virtual surgery, stereolithographic models, customized implants, tissue engineering, and allotransplants, offering promising reconstructive armamentarium. Advances in surgical techniques and emerging technologies hold promise for further enhancing reconstructive outcomes, minimizing morbidity, and improving patient quality of life.

Priority order of neonatal colonization by a probiotic or pathogenic Escherichia coli strain dictates the host response to experimental colitis.

The alarming prevalence of inflammatory bowel disease (IBD) in early childhood is associated with imbalances in the microbiome, the immune response, and environmental factors. Some pathogenic Escherichia coli (E. coli) strains have been found in IBD patients, where they may influence disease progression. Therefore, the discovery of new harmful bacterial strains that have the potential to drive the inflammatory response is of great importance. In this study, we compared the immunomodulatory properties of two E. coli strains of serotype O6: the probiotic E. coli Nissle 1917 and the uropathogenic E. coli O6:K13:H1. Using the epithelial Caco-2 cell line, we investigated the different abilities of the strains to adhere to and invade epithelial cells. We confirmed the potential of E. coli Nissle 1917 to modulate the Th1 immune response in a specific manner in an in vitro setting by stimulating mouse bone marrow-derived dendritic cells (BM-DCs). In gnotobiotic in vivo experiments, we demonstrated that neonatal colonization with E. coli Nissle 1917 achieves a stable high concentration in the intestine and protects mice from the progressive effect of E. coli O6:K13:H1 in developing ulcerative colitis in an experimental model. In contrast, a single-dose treatment with E. coli Nissle 1917 is ineffective in achieving such high concentrations and does not protect against DSS-induced ulcerative colitis in mice neonatally colonized with pathobiont E. coli O6:K13:H1. Despite the stable coexistence of both E. coli strains in the intestinal environment of the mice, we demonstrated a beneficial competitive interaction between the early colonizing E. coli Nissle 1917 and the late-arriving strain O6:K13:H1, suggesting its anti-inflammatory potential for the host. This study highlights the importance of the sequence of bacterial colonization, which influences the development of the immune response in the host gut and potentially impacts future quality of life.

Behavior Analysis and Stunting in Children: A Case-Control Study

Stunting is a significant issue that can impact a child’s future quality of life, affecting both brain and physical development, as well as adult productivity and learning capacity. Behavioral factors play a critical role in stunting prevalence. This study aims to examine how behavioral factors affect stunting in children under the age of five. A case-control study design was used, with a population of 118 stunted children. The sample consisted of 30 stunted children as the case group and 30 non-stunted children as the control group, selected through purposive sampling. Data were collected through interviews, and analysis was conducted using Odds Ratio and bivariate analysis. The results showed a significant correlation between stunting and maternal awareness (p = 0.007; OR = 4.571), a history of exclusive breastfeeding (p = 0.004; OR = 4.929), and dietary factors (p = 0.018; OR = 3.596). However, there was no significant correlation between stunting and maternal education level (p = 0.108; OR = 0.416). Children without a history of exclusive breastfeeding were nearly five times more likely to experience stunting (OR = 4.929). It is recommended that community health centers (Puskesmas) enhance health promotion efforts to prevent stunting linked to parental behavior.

Associations between pain, function and quality of life after total hip arthroplasty

ObjectivesThis study investigated patient reported outcomes, and associations with improvement in quality of life 12-months after total hip arthroplasty (THA).Materials and methods: ParticipantsAdults (n = 433) undergoing THA for osteoarthritis between January 2017 and October 2020 in a large publicly funded tertiary hospital in New Zealand. Participants completed patient reported outcome measures of pain, function and quality of life (QOL) preoperatively, 6- and 12-months following THA. ResultsClinically significant changes in domains of pain and function were associated with improved QOL, even when pre-operation scores were controlled for. The largest gains in all three domains occurred in the pre-to 6-month post-operation period. Baseline demographic variables such as gender and comorbidities were not associated with change in QOL pre-to post-operation. However, although modest, age at surgery was negatively correlated with change in QOL. ConclusionsTHA contributes to substantial improvements in QOL, pain and function outcomes, and although possibly tempered by age, these relationships are likely to be inter-related and mutually reinforcing. Future QOL outcomes research should also consider the impacts on QOL improvement of other aspects of functioning such as psychological and social wellbeing.

A pilot study of early childhood teachers’ views on teaching a structured physical education curriculum: challenges and recommendations

ABSTRACT Background Early childhood physical education (ECPE) is crucial for children’s development and lifelong learning. Children need developmentally appropriate, structured, and systematic opportunities in physical education (PE) to acquire fundamental physical skills, attitudes, values, and knowledge. The curriculum is the starting point for ensuring the educational success of all children. ECPE with a structured curriculum significantly influences children’s development and future quality of life, as a high-quality ECPE curriculum brings them physical, cognitive, academic, and affective developmental benefits. Teachers determine the quality of education through curriculum implementation and effective learning. Teachers’ attitudes and views are important factors for improving the quality of education. Much of the research has suggested requirements for early childhood teachers (ECTs) in implementing the curriculum. However, few studies have been conducted based on ECTs’ views regarding the implementation of a structured ECPE curriculum. Therefore, it is necessary to learn more about ECTs’ views on curriculum implementation. Purpose The pilot study analysed challenges ECTs face and their recommendations regarding a structured PE curriculum, the ‘Know It, Do It, Love It’ (KDL) curriculum implemented in a Chinese preschool, to assess how well it worked so that adaptations can be made for future large-scale use. Methodology This was a qualitative interpretivist study. The interpretivist research paradigm was used to better understand and interpret ECTs’ views based on their beliefs, values, and experiences. Six early childhood teachers in China participated in individual semi-structured interviews, and the data were analysed inductively via individual-case and cross-case analyses using the open code method. Findings The results revealed that the participants were extremely concerned about insufficient equipment, overloaded schedules, and a lack of professional training. Occasionally, inadequate equipment negatively affected children’s safety and interest in learning. The consistent heavy workload presented a significant challenge in implementing the curriculum. Participants were concerned that they did not have a professional background in PE, which resulted in reduced confidence in teaching the curriculum. Findings suggested that the structured PE curriculum should have activities suitable for indoor environments, develop specific lesson plans with detailed instructions, and secure parental support via a summary of empirical data on the benefits resulting from the curriculum. ECTs should have professional development opportunities to obtain PE knowledge and skills and maximise their willingness to improve their abilities to teach a structured PE curriculum. PE teachers should be provided with professional development in teaching language and improve their safety awareness.

Impact on life expectancy was the most important information to clients when considering whether to take action for an overweight or obese dog.

To determine dog owner preferences for information communicated during veterinarian-client obesity-related conversations within companion animal practice. Dog owners recruited using snowball sampling. A cross-sectional online questionnaire was distributed to dog owners. A discrete choice experiment was used to determine the relative importance, to participating dog owners, of information about selected weight-related attributes that would encourage them to pursue weight management for a dog when diagnosed as overweight by a veterinarian. A total of 1,108 surveys were analyzed, with most participating dog owners residing in Canada. The most important weight-related attribute was life expectancy (relative importance, 28.56%), followed by the timeline for developing arthritis (19.24%), future quality of life (18.91%), change to cost of food (18.90%), and future mobility (14.34%). Results suggest that dog owners may consider information relating to an extension of their dog's life as the most important aspect of an obesity-related veterinary recommendation. By integrating dog owner preferences into discussions between clients and veterinary professionals about obesity, there is the potential to encourage more clients to engage in weight management efforts for their overweight or obese dog.

Information about life expectancy related to obesity is most important to cat owners when deciding whether to act on a veterinarian's weight loss recommendation.

To determine the relative importance of information communicated to cat owners during veterinarian-client obesity-related conversations. Cat owner participants recruited via snowball sampling. A cross-sectional online questionnaire was distributed to cat owners who owned cats of any weight status. A discrete choice experiment design was used to determine the relative importance of obesity-related attributes to cat owners when receiving information from a veterinarian. A total of 1,095 questionnaires were analyzed. Participating cat owners resided primarily in Canada and the US. Impact on life expectancy was the most important attribute that would encourage participants to pursue weight management for a cat with obesity (relative importance, 32.66%), followed by change to cost of food (20.40%), future quality of life (20.38%), future mobility (14.40%), and risk of developing diabetes (12.15%). Findings suggest that cat owners consider the impact on life expectancy to be most important when considering whether to follow a veterinarian's recommendation for their cat to lose weight. When veterinary professionals are communicating about obesity in practice, there is the potential to increase owner engagement in weight management efforts for cats by emphasizing the obesity-related information owners prefer to receive.

Outcome prioritization and preferences among older adults with cancer starting chemotherapy in a randomized clinical trial.

Older adults with cancer facing competing treatments must prioritize between various outcomes. This study assessed health outcome prioritization among older adults with cancer starting chemotherapy. Secondary analysis of a randomized trial addressing vulnerabilities in older adults with cancer. Patients completed three validated outcome prioritization tools: 1) Health Outcomes Tool: prioritizes outcomes (survival, independence, symptoms) using a visual analog scale; 2) Now vs. Later Tool: rates the importance of quality of life at three times-today versus 1 or 5 years in the future; and 3) Attitude Scale: rates agreement with outcome-related statements. The authors measured the proportion of patients prioritizing various outcomes and evaluated their characteristics. A total of 219 patients (median [range] age 71 [65-88], 68% with metastatic disease) were included. On the Health Outcomes Tool, 60.7% prioritized survival over other outcomes. Having localized disease was associated with choosing survival as top priority. On the Now vs. Later Tool, 50% gave equal importance to current versus future quality of life. On the Attitude Scale, 53.4% disagreed with the statement "the most important thing to me is living as long as I can, no matter what my quality of life is"; and 82.2% agreed with the statement "it is more important to me to maintain my thinking ability than to live as long as possible". Although survival was the top priority for most participants, some older individuals with cancer prioritize other outcomes, such as cognition and function. Clinicians should elicit patient-defined priorities and include them in decision-making.

Deep margin assessment by intraoperative ultrasound in tongue cancer- dust trial

Introduction: Oral cancer ranks sixth among all cancers globally and India has the most significant number of cases, one-third of the total burden of oral cancer cases globally. The aim of the study was to conduct deep margin assessment using intraoperative ultrasound in superficial oral tongue carcinomas, ensuring adequate surgical resection for early-stage oral tongue cancer minimizing loco regional recurrence risks. Methodology: This is a prospective observational study involving 91 diagnosed tongue malignancies. The study included biopsy verified tongue cancer. During the surgical procedure and effect of general anaesthesia the tongue lesions of the patient were evaluated with intraoral sonography. An intraoral transducer probe characterized by an 8 to 10 MHz ultrasonic beam Siemens Acuson NX3 was used to assess the deep margin, tumor thickness, margins, and other findings like lingual nodes are noted. Results: A total of 91 patients that underwent resection using intraoperative USG were included in the study. The majority of the patients were in the age group 41 - 60 years. As carcinoma tongue is more common in males our study has a sex distribution of 63 male and 28 females. The mean deep margin assessed by USG - is 0.901cm and the mean deep margin assessed by the frozen section is 0.762 cm. The mean deep margin assessed by final histology is 0.748 cm. Conclusion: USG guided resection of early tongue cancers is a technique that is able to increase the frequency of free margins and decrease the close margin and positive margin frequency when compared to conventional treatment. USG being noninvasive is a very fast method in comparison to the frozen section and seems to be a promising technique. Larger studies are needed with control groups to possibly confirm a statistically significant difference in adequate deep resection margin and improvement in DSS and quality of life in future. Keywords: deep margin; tongue; carcinoma

Pendampingan Digital Entrepreneurship Melalui Incubation Process Pada Warga Binaan Pemasyarakatan Perempuan Kelas IIA Kota Medan

The Women's Correctional Institution Class IIA Medan City is one of the prisons that carries out the debriefing process during the rehabilitation stage for its prisoners. Various coaching activities help prisoners improve their skills to become more independent and have the skills to face a new life. Based on the hearing with partners regarding the problems faced by the Prisoners of Correction (WBP) Class IIA Medan Women's Prison. Then the solution to the problem is the need for a program that can increase the knowledge and skills of digital business for WBP in developing their abilities and developing products of Class IIA Medan Women's Prison. Therefore, a digital entrepreneurship mentoring program was created through an incubation process approach for WBP of Class IIA Medan Women's Prison as an effort to improve the future quality of life of former WBP with the ability to do digital business. The service activities were carried out from July to September 2023. At the end of the service, it was found that (1) the knowledge of WBP about Digital Business (Cognitive) increased by 90%, the enthusiasm for Digital Business (Affective) increased by 97%, and Digital Business Skills (Psychomotor) increased by 94%.

The Impact of the Emotional Responses of Korean Students Participating in School Sports.

Physical education in schools improves students' health, physical strength, and lifelong physical engagement. Therefore, participation must be encouraged. This study aimed to investigate the relationship between emotional responses and participation satisfaction, word-of-mouth (WOM) praise, and WOM activity in students participating in school sports. Few studies have considered WOM praise and activity separately. This study addresses this gap in the literature. In 2023, a survey of total of 345 students in Gyeonggi-do, Korea, was conducted using convenience sampling. Data processing included factor analysis to verify validity and reliability, correlation analysis, confirmatory factor analysis, and structural equation modeling to test the hypotheses. The results confirmed a relationship between the emotional responses of students and satisfaction with participation. The emotional responses (ventilation [P<0.001], sense of dominance [P<0.001]) significantly affected participation satisfaction, and the latter had a possible causal relationship with WOM praise (P<0.001) and activity (P<0.001). The emotional responses of school sports participants were related to participation satisfaction, WOM praise, and WOM activity. Participation satisfaction significantly affected WOM praise and WOM activity. Therefore, to contribute to students' lifelong health, school sports programs should be developed and implemented to induce positive emotional responses, ensure students' participation in school sports, and improve their future quality of life.

Modeling of Sports Training Simulation Based on Energy Harvesting in Wireless Sensor Networks

For patients with limb motor dysfunction, the effect of physical exercise is directly related to their future quality of life. This article combines the physical training plan of rehabilitation therapists with the training of rehabilitation robots, which can effectively improve the training performance of existing lower limb rehabilitation robots. Therefore, a teaching and training method and a wireless data acquisition system based on energy acquisition wireless network sensor are proposed. Based on wireless wearable technology, wireless network sensors, PCs and electronic devices are used to monitor the activity information of human walking and standing in real time, and the physical fitness is tested by means of mean, variance, and standard deviation. Through the analysis of rehabilitation health, this article consists of two parts: power module and physical exercise. Finally, experiments show that the accuracy of wireless network sensors based on SVM algorithm is the most accurate under physical training. It provides a good means for wireless body area network technology.

Is well-becoming important for children and young people? Evidence from in-depth interviews with children and young people and their parents

PurposeThis study explores how important well-becoming factors appear to be to children during childhood. We define well-becoming as the indicators which predict children and young people’s future wellbeing and opportunities. The priority for this work was to explore whether well-becoming might be an important factor to include in outcome measures for children and young people. The inclusion of well-becoming indicators could ensure that opportunities to invest in promoting wellbeing in children’s futures are not missed.MethodsIn-depth, qualitative interviews (N = 70) were undertaken with children and young people aged 6–15 years and their parents. Analysis used constant comparison and framework methods to investigate whether well-becoming factors were considered important by informants to children and young people’s current wellbeing.ResultsThe findings of the interviews suggested that children and young people and their parents are concerned with future well-becoming now, as factors such as future achievement, financial security, health, independence, identity, and relationships were identified as key to future quality of life. Informants suggested that they considered it important during childhood to aspire towards positive outcomes in children and young people’s futures.ConclusionThe study findings, taken alongside relevant literature, have generated evidence to support the notion that future well-becoming is important to current wellbeing. We have drawn on our own work in capability wellbeing measure development to demonstrate how we have incorporated a well-becoming attribute into our measures. The inclusion of well-becoming indicators in measures could aid investment in interventions which more directly improve well-becoming outcomes for children and young people.

Predicting academic achievement from the collaborative influences of executive function, physical fitness, and demographic factors among primary school students in China: ensemble learning methods

BackgroundElevated levels of executive function and physical fitness play a pivotal role in shaping future quality of life. However, few studies have examined the collaborative influences of physical and mental health on academic achievement. This study aims to investigate the key factors that collaboratively influence primary school students' academic achievement from executive function, physical fitness, and demographic factors. Additionally, ensemble learning methods are employed to predict academic achievement, and their predictive performance is compared with individual learners.MethodsA cluster sampling method was utilized to select 353 primary school students from Huai'an, China, who underwent assessments for executive function, physical fitness, and academic achievement. The recursive feature elimination cross-validation method was employed to identify key factors that collaboratively influence academic achievement. Ensemble learning models, utilizing eXtreme Gradient Boosting and Random Forest algorithms, were constructed based on Bagging and Boosting methods. Individual learners were developed using Support Vector Machine, Decision Tree, Logistic Regression, and Linear Discriminant Analysis algorithms, followed by the establishment of a Stacking ensemble learning model.ResultsOur findings revealed that sex, body mass index, muscle strength, cardiorespiratory function, inhibition, working memory, and shifting were key factors influencing the academic achievement of primary school students. Moreover, ensemble learning models demonstrated superior predictive performance compared to individual learners in predicting academic achievement among primary school students.ConclusionsOur results suggest that recognizing sex differences and emphasizing the simultaneous development of cognition and physical well-being can positively impact the academic development of primary school students. Ensemble learning methods warrant further attention, as they enable the establishment of an accurate academic early warning system for primary school students.

Exploring factors associated with self-rated health in individuals with diabetes and its impact on quality of life: Evidence from the Survey of Health, Ageing, and Retirement in Europe.

Self-rated health (SRH), a measure of self-reported general health, is a robust predictor of morbidity and mortality in various populations, including people with diabetes. Diabetes is negatively associated with SRH and quality of life (QoL). Little is known about how people with diabetes rate their health and which aspects influence the rating. Also, the predictive value of SRH on future QoL has not yet been evaluated. We analyzed data from 46 592 participants of the Survey of Health, Ageing and Retirement in Europe (SHARE). Using linear regression, we aimed to determine which sociodemographic, socioeconomic, medical, social, mental, and health behavior factors determine SRH in people with diabetes. In addition, we analyzed the predictive value of SRH on future QoL using the generalized estimating equations procedure. We determined that country, current job situation, hospitalization, pain, polypharmacy, memory, eyesight, activities of daily living, number of chronic diseases, and depression are all linked to SRH. Together these variables explained 38% of the SRH's variance, whereas depression, pain, and memory had the greatest influence on SRH of people with diabetes. We also found that SRH independently predicted future QoL, supported by a regression coefficient of β = -1.261 (Wald chi-square test, χ2 = 22.097, df = 1, p < .05). As SRH is linked to future QoL, we conclude that incorporating SRH assessment into medical evaluations can help health care professionals gaining a more comprehensive understanding of an individual's health trajectory and supporting patients to enhance their QoL.

Infants with 4-5 years after intrauterine exposition to zika virus have risk of neurodevelopmental alterations

Background: During 2016-2020, 12,955 cases of Zika virus (ZIKV) infections were reported in México, where Yucatán was the second state with high prevalence. However, the neurological development of children with gestational exposure to these viruses has been poorly studied. Aim: We aim to describe the neurodevelopmental status of infants exposed to ZIKV during pregnancy in Yucatán, México. Methods: Infants aged 4-5 years exposed in utero to ZIKV were first evaluated with the Child Development Assessment 2nd version test (EDI-ll) and later with the Battelle Inventory 2nd version test (IDB-ll). The anthropometric characteristics were evaluated using the Intergrowth 21st Calculator application, the Body Mass Index calculator developed by the CDC, and the WHO head circumference chart. Results: Fifty infants without microcephaly were included, median age of 54.42 + 3.14 months; 28% presented lag and 14% showed a risk of delay. The Fine Motor and Communication areas were the most affected (24% and 20% respectively), followed by Language (16%), Social (12%), and Gross Motor (8%). At reassessment, 64.3% were reclassified as normal and 14.3% remained at risk of delay. The IDB-II test identified neurodevelopmental lags of 10 to 20 months to chronological ages, with a greater lag in the Expressive area and a smaller lag in the Cognitive area. A higher frequency of neurodevelopmental disorders was found in the second trimester of pregnancy. However, exposure during the first trimester of pregnancy coincided with a higher frequency of risk of delay. Conclusion: Our results emphasize the need to evaluate the neurodevelopment of infants with antenatal exposition to ZIKV, during the first 5 years of life from birth to improve their future quality of life.

Тактика ведения и принципы нутритивной терапии недоношенных детей на педиатрическом участке

The advancement of perinatal care and neonatal technologies has led to an increase in the premature infant survival rate, including those with very low (birth weight less than 1500 g) and extremely low birth weight (birth weight less than 1000 g). At the same time, multiple organ dysfunction syndrome and a number of chronic diseases, that worsen the future life quality, form in premature infants in the neonatal period. Such diseases in premature infants as bronchopulmonary dysplasia, cerebral ischemia, intraventricular hemorrhages, retinopathy of prematurity, hearing disorders are accompanied by early and long-term complications and require multidisciplinary specialized care at all stages of child development. The disability risk in extremely premature infants reaches 50% and largely depends not only on therapeutic measures in the neonatal period but also on medical and rehabilitation care in infancy. The premature infant management after hospital discharge at the pediatric department is the most important stage of nursing, which continues after two in-patient stages (Intensive Care Unit and Department of Pathology of Premature Infants). KEYWORDS: premature infants, extremely low birth weight, very low birth weight, intraventricular hemorrhages, periventricular leukomalacia, bronchopulmonary dysplasia, cerebral palsy, nutritional therapy, formula for premature infants, pediatric department, outpatient follow-up stage. FOR CITATION: Fedorova L.A. Patient management and principles of nutritional therapy in premature infants at the pediatric department. Russian Journal of Woman and Child Health. 2024;7(1):64–70 (in Russ.). DOI: 10.32364/2618-8430-2024-7-1-10.

Examining the Impact of Paternal Control Behavior on Exclusive Breastfeeding: A Cross-Sectional Study in Bogor, Indonesia

Infants who are not exclusively breastfed often have the potential to experience implications for their future quality of life. Furthermore, the extent of this impact is influenced by the concerted efforts of both the father and mother in promoting and implementing exclusive breastfeeding. Several studies have also shown that father’s proactive support is an essential factor in its successful implementation. Therefore, this study aims to determine the relationship between paternal control behavior and exclusive breastfeeding. A quantitative cross-sectional method was used and the sample population comprised 326 fathers with children aged &lt; 2 years old. The procedures were carried out in the working area of the Situ Udik Health Center in July 2023. The sample size was calculated using the Slovin size formula, followed by the selection of 77 respondents based on the random sampling technique. The data obtained were then analyzed using the chi-square test to assess the association between the variables. The results showed that there was a significant relationship between father's knowledge (p=0.001), attitude (0.006), and trust (p=000.0) with exclusive breastfeeding. Meanwhile, breastfeeding fathers (0.339) and intention (0.341) had no significant influence. Based on these results, father played an essential role in providing support during this practice&#x0D;