Male Family Research Articles

Factors associated with bereaved family surrogates’ satisfaction with end-of-life care in intensive care units

ObjectivesFamily satisfaction with end-of-life care in the intensive care unit constitutes an important outcome for evaluating end-of-life care quality. Research on this topic focuses on linking end-of-life care processes to family-surrogate satisfaction with the patient’s end-of-life care but has seldom examined patient- and family-surrogate-based factors. We aimed to comprehensively and simultaneously examine factors facilitating or deterring family satisfaction with end-of-life care in the intensive care unit from patient- and family-surrogate perspectives. MethodsFor this secondary-analysis study, 278 Taiwanese family surrogates were surveyed one-month post-patient death using the Family Satisfaction in the Intensive Care Unit questionnaire (FS-ICU), which measures care and decision-making. Associations between family satisfaction with end-of-life care and patient and family characteristics, patient disease severity, and length of intensive care stay were examined by multivariate, multilevel linear regression models. ResultsFemale family surrogates were more satisfied with patients’ end-of-life care than male family surrogates when patients had a higher APACHE II but a lower SOFA score. Adult-child surrogates had lower FS-ICU Care scores than other family surrogates. Higher satisfaction with ICU decision-making was associated with patients’ higher APACHE II but lower SOFA scores, longer stay and family socio-demographics, including being unmarried, educational attainment above junior high school and reported financial sufficiency to make ends meet. ConclusionPatient disease severity and family-surrogate characteristics are significantly associated with surrogates’ satisfaction with patients’ end-of-life care in the intensive care unit. Specific interventions should be tailored to the needs of high-risk family surrogates to increase their satisfaction with this care.

Impact of a birth training programme on knowledge and anxiety among expectant couples in a selected hospital, Bangalore

Pregnancy and childbirth are major event which happens in the life of a woman. Fear and anxiety are very common in couples.Feelings of protectiveness towards the partner and child also can be anxiety producing for the expectant father. Each task depicts the inherent change in both structure and function of the male's family role which is influenced by society and the family unit. A birth training programme was conducted among expectant couples and assessed their knowledge and anxiety level in a selected hospital Bangalore. By purposive sampling technique 20 couples were selected and allotted into experimental and control group. Knowledge and anxiety of mothers and their husbands were assessed. Findings revealed that there was a significant difference in knowledge between experimental and control group (p <0.001) mothers and husbands. There was a significant difference in anxiety level between experimental and control group (p<0.001) mothers and husbands. The study reveals that a training programme to be conducted for a couple in order to help them to manage and face the pregnancy period and labour process without anxiety and fear.

Differences by sex in supply, payments and clinical activity of family physicians in Ontario: a retrospective population-based cohort study.

Background:The proportion of women entering medicine has increased in recent years, and understanding the different practice patterns of female and male family physicians (FPs) will provide important information for health workforce planning. We sought to evaluate differences by sex in the supply, payments and clinical activity among FPs in Ontario.Methods:We conducted a cohort study using claims data from the Ontario Health Insurance Plan. We included all Ontario FPs who submitted claims from 1992 to 2018. We analyzed data using regression analyses for our outcomes of yearly number of FPs, payments, patient visits and distinct patients.Results:The number of practising FPs increased from 10 370 in 1992 to 14 329 in 2018, with an annual increase of 155 female FPs and 13 male FPs. In 2018, male FPs outnumbered female FPs by 1159. Among male FPs, 32.7% worked less than 1 full-time equivalent (FTE) position, 18.1% worked 1 FTE and 49.2% worked more than 1 FTE, with little change over the 27-year study period. Among female FPs, the percentage of those who worked less than 1 FTE position decreased over time (58.6% in 1998 to 48.3% in 2015), those who worked 1 FTE was stable (22.2%–24.3%) and those who worked more than 1 FTE increased (18.7% in 1998 to 28.0% in 2017). Yearly payments were higher for male FPs than female FPs by 40%–60% overall and by 10%–20% in FPs who worked more than 1 FTE. For FPs who worked 1 FTE or less than 1 FTE, both sexes had similar payment amounts (from 2005–2018). For FPs who worked 1 FTE, female FPs were less likely to receive payments from fee-for-service after 2004, and had 550 fewer visits and 121 fewer patients annually than male FPs.Interpretation:In Ontario, there are differences by sex in FP supply, payments, percentages of FTE groups, number of patient visits and number of distinct patients. Health administrators should be mindful of these differences when considering FP workforce plans to ensure a stronger primary health care system, with adequate health care delivery for the population.

"HE COULD NOT ATTEND THE FUNERAL OF HIS MOTHER. SO, WHAT IS LIFE?": THE EMOTIONAL EXPERIENCES OF THE FAMILIES OF IRREGULAR MIGRANTS LIVING BEHIND IN DISTRICT GUJRAT, PAKISTAN

The current study uses a constructivist epistemological stance and a qualitative research design. This research aims to explore the emotional experiences of the family members of irregular emigrants left behind in the rural areas of district Gujrat, Pakistan. This study is a part of a larger research project. The present research's target population comprises the male family members of the irregular emigrants in the rural areas of district Gujrat. For the present study, a snowball sampling technique has been used to select the respondents because it was complicated to identify irregular emigrants due to their hidden nature. In the first phase of the data collection, some male family members of the emigrants were contacted working in a public sector organization in district Gujrat with the principal researcher. Later on, these initial contacts facilitated the chief researcher to approach various family members of the irregular emigrants in the peripheral villages of Gujrat city. The fieldwork comprised in-depth interviews that were started with a broader discussion on the issue of irregular migration. The initial four in-depth interviews were analyzed parallel, and it led to the emergence of new themes for further interviews. A total of thirteen in-depth interviews were conducted until saturation. Three major themes emerged at the time of border crossing, family gatherings on social events and advice for the aspirants' migrants. Keywords: Irregular Migration, Emotions, Family Left Behind, Border Crossing, Pakistan.

Impact of a birth training programme on knowledge and anxiety among expectant couples in a selected hospital, Bangalore

Introduction: Pregnancy and childbirth are major event which happens in the life of a woman. Fear and anxiety are very common in couples.Feelings of protectiveness towards the partner and child also can be anxiety producing for the expectant father. Each task depicts the inherent change in both structure and function of the male's family role which is influenced by society and the family unit. A birth training programme was conducted among expectant couples and assessed their knowledge and anxiety level in a selected hospital Bangalore. Methods and materials: By purposive sampling technique 20 couples were selected and allotted into experimental and control group. Knowledge and anxiety of mothers and their husbands were assessed. Findings revealed that there was a significant difference in knowledge between experimental and control group (p <0.001) mothers and husbands. There was a significant difference in anxiety level between experimental and control group (p<0.001) mothers and husbands. Conclusion: The study reveals that a training programme to be conducted for a couple in order to help them to manage and face the pregnancy period and labour process without anxiety and fear.

Depression Symptoms among Family Members of Nyaope Users in the City of Tshwane, South Africa.

Substance abuse brings major negative social and health impacts in South Africa. Nyaope, a cocktail drug commonly used in the Tshwane townships, has been well documented to be highly addictive and very difficult to quit. The resultant difficulties include financial, social, and mental, specifically depression and anxiety. This study aims to quantify the depression levels among family members with nyaope users in Tshwane, South Africa. The study used a quantitative cross-sectional design to collect data in nine Tshwane communities. The patient health questionnaire-9 (PHQ-9) screening tool and demographic data collection questionnaires were used to collect data from a sample of 390 male and female family members who included mothers, fathers, grandparents, aunts, uncles, partners, and siblings of nyaope users, and who share a home with them. The ages of the participants ranged from 18 to 87 years, with a mean age of 47 years, while the ages of the nyaope users ranged from 17 to 55 years, with a mean age of 30 years. Depression scores ranged from 0 to 27 with a mean of 7. Depressive symptoms, as measured by the PHQ-9 scores of 5 and above, were reported by 49% of the sample. The levels of depression symptoms ranged from mild to severe, and the severity was higher among female, unemployed, and single participants. As with many others, these participants were not diagnosed and therefore were not treated. The study, therefore, identified that living with nyaope users is associated with the development of different levels of depression symptoms and has resulted in reduced quality of life among family members. The study recommends interventions that intentionally focus on families who live with individuals who are addicted to nyaope. Those interventions should focus on screening and treatment of depression and other mental disorders.

Modern lifestyle risks associated with alcohol consumption and cigarette smoking in Ukraine

ABSTRACT Background Substance uses confer huge risks to public health in modern society. This study aimed to evaluate current factors related to alcohol drinking and tobacco smoking in the Republic of Ukraine. Methods We distributed a questionnaire to healthy volunteers in four Ukrainian regions and collected 929 responses regarding demographic information, reasons for starting substance use, substance use family history, environmental factors, use pattern (Internet, drinking, or smoking), consequences of drinking, and insomnia. Linear regression and logistic regression analyses were performed to identify factors related to alcohol drinking and cigarette smoking. Results Aging appeared to attenuate either drinking or smoking. To reduce school- or job-related stress, staying awake, peer pressure, friend-related issues, to increase sexual desire, and single parenting all would trigger drinking; male gender, family divorce, unhealthy diet, and lack of awareness about harmful consequences were the main factors leading to smoking. Logistic regression analysis suggested that education background, sleep problems, celebration events, and lengthy Internet work all could contribute to drinking. Conclusions Various real-world factors related to substance uses were identified for the public of Ukraine. A validated instrument would help to identify risk factors in patients with substance use disorders.

Donor Blood Procurement, Safety, and Clinical Utilization: A Study of Blood Transfusion Services in a Tertiary Care Hospital in Nigeria.

Background Donated blood is an essential component of the management of many diseases, and hospital-based blood banks in Nigeria are saddled with the responsibility of provision of safe blood and coordination of its appropriate utilization for patient care. Objective This study reviewed the extent to which the hospital blood transfusion service ensures adequate safe blood supply and utilization. Materials/Methods. This was a retrospective study of 2 years record of the blood bank service of Alex Ekwueme Federal University Teaching. Methods of donor blood procurement, transfusion transmissible infection status, the pattern of blood, and blood component usage across the hospital's clinical departments were evaluated. Statistical analysis was conducted using IBM SPSS, and data were presented as percentages. Fisher's tests were used to test significance, and p value <0.05 is significant. Results The highest proportion of donors was male family replacement donors aged 26–35 years (3634 (39.68%)) while total voluntary donors were 315 (2.65%). Hepatitis B had the highest seroprevalence 267 (2.22%) among blood-borne diseases screened. National Blood Transfusion Service (NBTS) supplied only 3 (0.03%) of total blood units used. The accident and emergency department had the highest proportion of persons who utilized whole blood; 4568 (99.96%). Conclusion The hospital blood bank relies heavily on family replacement donors with little or no assistance from the National Blood Transfusion Service. Family replacement donors have the highest risk of TTIs, and hepatitis B infection has the highest prevalence. The high cost of blood component therapy increases the need for whole blood.

Artefacts, Archives, and Documentation in the Relational Museum

Artefacts, Archives, and Documentation in the Relational Museum

Evaluation of the Participants’ Participation in Family Planning Program during Covid-19 Pandemic in Malang City

COVID-19 has been declared a world pandemic by WHO (WHO, 2020). And it has also been stated that the Head of the National Disaster Management Agency through Decree number 9 A of 2020 has been extended through Decree number 13 A of 2020 as the Status of Certain Emergency Disasters due to Corona Virus Disease Outbreaks in Indonesia. Then by looking at the developing situation and conditions, it was updated with Presidential Decree no. 12 of 2020 concerning the Determination of Non-Natural Disasters for the spread of COVID-19 as a National Disaster (Ministry of Health of the Republic of Indonesia, 2020). &#x0D; Based on the results of the evaluation of male and female family planning participants based on the type of contraceptive device, all experienced a decline during the covid 19 period. This was because during the covid period many family planning service officers at the Yandu Post were not as active as usual, especially with the PPKM, all family planning activity programs were stopped. . However, when viewed from the level of participation of contraceptive users, there are 7 types. For male contraceptives it is 28.57%, while the participation rate for women is 71.43%.

A Study to Assess the Prevalence of Domestic Violence among Married Women in Selected Village Derol, Bharuch

Women are important in our society we all know every women has own job or duty in this modern society but we can’t forget that women’s life is a lot more complicated than man’s life especially married women’s’. World Health Organization has defines domestic violence as “the range of sexually, psychologically, and physically coercive acts used against married by current or farmer male intimate partners or other family member”. Objectives:1. To assess the prevalence of domestic violence are among married women.2. To assess different forms of demographic variable and identify it’ s associated factors. Methods: A descriptive research design used in study simple random sample and technique was used for the present study 300 married woman was selected from Derol village. Result:71% of women undergone emotional violence from the husband and 13% women are suffering from physical violence and 15% are suffering from sexual violence. In this present study reveals that there is a significant association between Occupation of Wife, Education of Husband and wife and type of Marriage and domestic violence. There is the highly significant association between Habits of husband and Domestic violence. Conclusion: The Study concluded that Night shift duty and over workload among staff nurses have greatly influenced in the administration of medication. The stakeholders must review the workload of staff nurses within their hospital and rectify with a possible solution. The poor knowledge of nurses can be improved by continuing nursing education and an efficient induction programme will be reduce the medication error among the nurses.

Excavating Memory: Bilge Karasu's Istanbul and Walter Benjamin's Berlin

Excavating Memory: Bilge Karasu's Istanbul and Walter Benjamin's Berlin

Tinjauan Hukum Islam Terhadap Tradisi Mammanu’-Manu’

The results of the study show that the Mammanu'-manu' tradition is the initial stage in the preparation of a Bugis Makassar traditional wedding. Mammanu'-manu' is an activity carried out by a boy's family to investigate the status of the girl he wants to marry. This activity is to determine whether the girl already has a relationship with another man or not. In addition, it is also ensuring whether the girl is in an equivalent quality with the man. Usually mammanu'-manu' is represented by women from male families who are considered capable of doing this. In the process, mammanu’-manu’ certainly has two possibilities which are important aspects of whether or not a marriage is implemented. And it has become a mutual agreement depending on the result of the mammanu’-manu’ themselves. Mammanu’-manu’ in Islamic law includes in the need for tahsiniyah, the need for tahsiniyah means the human need for things that are considered commendable in the customs of their daily life and stay away from an unfavorable atmosphere

Clinical, Genetic and Functional Characterization of a Novel AVPR2 Missense Mutation in a Woman with X-Linked Recessive Nephrogenic Diabetes Insipidus.

Nephrogenic diabetes insipidus (NDI) is a rare disorder characterized by renal unresponsiveness to the hormone vasopressin, leading to excretion of large volumes of diluted urine. Mutations in the arginine vasopressin receptor-2 (AVPR2) gene cause congenital NDI and have an X-linked recessive inheritance. The disorder affects almost exclusively male family members, but female carriers occasionally present partial phenotypes due to skewed inactivation of the X-chromosome. Here, we report a rare case of a woman affected with X-linked recessive NDI, presenting an average urinary output of 12 L/day. Clinical and biochemical studies showed incomplete responses to water deprivation and vasopressin stimulation tests. Genetic analyses revealed a novel heterozygous missense mutation (c.493G > C, p.Ala165Pro) in the AVPR2 gene. Using a combination of in-silico protein modeling with human cellular models and molecular phenotyping, we provide functional evidence for phenotypic effects. The mutation destabilizes the helical structure of the AVPR2 transmembrane domains and disrupts its plasma membrane localization and downstream intracellular signaling pathways upon activation with its agonist vasopressin. These defects lead to deficient aquaporin 2 (AQP2) membrane translocation, explaining the inability to concentrate urine in this patient.

Analysis of the Low Acceptance of Male Family Planning in RT 003 RW 01 Kebagusan Pasar Minggu, South Jakarta

Family planning is an effort to help individuals or couples, among other things, to prevent unwanted births or vice versa for couples who want children, to regulate pregnancy intervals, to control the time of birth related to the age of the parents, to determine the number of children in the family. This study aims to analyze the low number of male family planning acceptors in RT 003 RW 01 Kebagusan Pasar Minggu, South Jakarta. The sampling technique was carried out by purposive sampling technique. With a total sample of 65 respondents. Data analysis was performed by Fisher's exact test. Shows that the value of p &lt;0.05 means that there is a significant relationship between the dependent and independent variables, a value of p&gt; 0.05 means that there is no significant relationship between the dependent and independent variables. Male family planning acceptors in Rt 002 Rw 01 Kebagusan Pasar Minggu, South Jakarta, totaled 13 respondents (20%). Of the 65 respondents, knowledge of male family planning acceptors who knew about male contraceptives (95%), male family planning acceptors who did not know about male contraceptives (5%), education of male family planning acceptors respondents (12%), Middle school (54%), vocational school (31%), university (3%), male family planning acceptors who receive support from their wives (44.6%), male family planning acceptors who are correct (72.3%), age of male family planning acceptor respondents 20-35 years (44.6%), 36-50 years (49.2%), male family planning acceptor respondents who received support from health personnel (43.1%), family planning acceptor respondents men who received socio-cultural support (44.6%). Factors associated with low male acceptors of Family planning are education, wife's participation, perception, age, health worker participation, and socio-culture. From each of these variables, there is a significant relationship between the dependent variable and the independent variable. The results of the research are expected to be a source of knowledge and information so that men of childbearing age who are already married participate in becoming male acceptors of Family planning

Prevalence, characteristics, and consequences of verbal and physical violence against healthcare staff in Chinese hospitals during 2010-2020.

ObjectivesThis study investigated the characteristics of workplace violence (WPV) against Chinese healthcare staff and their casualties after severe physical violence (PV).MethodsWe scrutinized medical WPV incidents reported online and analyzed information on timing, location, violence, criminal incentives, and casualties following severe PV in China from 2010 to 2020.ResultsWPVs were mostly committed by young and middle‐aged male family members of the patients, especially in the emergency department (49.1%), and mostly associated with dissatisfaction with treatment effect (28.9%) in general. High medical costs (62.5%) were the leading cause of verbal violence (VV), whereas men predominantly committed PV (OR = 4.217, 95% CI: 1.439–12.359) owing to dissatisfaction with the healthcare staff's attitude (P < 0.001). The victims were security personnel in most cases (81.1%). Nurses were generally more likely to experience PV (P < 0.05), while doctors were more likely to experience lethal PV (OR = 4.732, 95% CI: 1.42–15.772), which mostly happened in oncology (P < 0.05) and committed by visitors (P < 0.001). Slight injuries and mortality were more likely to be inflicted by being rejected for unreasonable demands and disappointed with the treatment effect (P < 0.05).ConclusionsMedical WPV has numerous reasons, locations, and diverse victims and offenders. Some severe WPVs have serious consequences. Therefore, it is recommended for the concerned authorities to adopt effective steps for appropriate legislative, security, and conflict‐resolution measures.

Effectiveness of evidence-based intervention on social skill and communication among autism spectrum disorder children.

Evidence-based intervention is an effective method for improving autism spectrum disorder (ASD) in children on socialization, behavior, and communication and may have an impact on brain activity. The aim of this study is to find the effectiveness of picture exchange communication system (PECS) and parent-implemented intervention (PII) among ASD children. Sixty ASD children who fulfilled the inclusion criteria were selected and assigned into control (n=30) and experimental (n=30) groups. The experimental group received evidence-based intervention with PECS and PII for 6 months, whereas the control group received routine care. The children were assessed for social relationship and reciprocity (SRR) and speech language communication (SLC) before and after the intervention. For the experimental group, a 3-month post-intervention was also assessed. Parametric and nonparametric statistical methods were used. The data showed that male nuclear family and birth order above 1 was more among ASD. Two-way RM ANOVA showed a significant difference among the groups and tests (P < 0.001) and interaction of groups with tests (P < 0.001). Experimental post-test-2, that is, after 6 months, showed significant improvement in SRR and SLC compared with the control group. The present study shows that the PECS and PII as a nursing strategy can improve ASD children socialization and communication.

Non-partner sexual violence victimization among female medical undergraduates.

Introduction:Sexual violence against women is a major public health problem around the world. Globally, around 7% of women have experienced sexual violence by a non-partner in their lifetime. Women who have experienced sexual violence are more likely to suffer from a sleep disorder, anxiety disorder, high blood pressure, and symptoms of depression. Sexual violence has been the predecessor of poor mental health of a woman and needs to be addressed by primary care physicians.Objectives:To assess the prevalence and associated factors of non-partner sexual violence in female medical undergraduates.Methodology:This cross-sectional study was conducted on 109 female medical undergraduates over two months. A semi-structured questionnaire was used to collect socio-demographic data and the WHO violence against women instrument Version 10 was used to assess sexual violence.Analysis:Data analyzed using SPSS version 23 (trial version) independent t test, Chi-square test, and Fisher’s exact test was applied for inferential purpose.Results:Non-partner sexual violence was reported by 8.3% of the students. It was found that in 33.3% of cases, the perpetrators were other male family members, and in 44.4% of cases male friends of the family.Conclusion:Such a high prevalence of sexual violence is alarming. It is shocking that even in non-partner sexual violence, the perpetrator is not completely unknown to the victims.

The Paternal Side of the Family within a Matrilineal Society: An Example of the Minangkabau in Indonesia

There are numerous publications about the Minangkabau society in West Sumatra. Often the focus of the anthropologists is on the matrilineal social structure. Only very few researchers look at the situation of the father and the male family members. In this article, the researchers want to consider the paternal side of the family. This view is essential as there have been many changes in the past years. The researchers used a qualitative research approach that observed the village life of one community. Various open-ended interviews were conducted. Both the traditional representatives of the matrilineages and the local population were given the opportunity to express their opinions. In addition, the local publications were analysed too. In these books, traditional scholars publish their views. In the past, there were patrilineal elements, like the kingdom, within the Minangkabau society. The historical perspective shows that such patrilineal elements were important in daily life. Furthermore, it was discovered that cognates play a crucial role in certain rites and have become more influential nowadays. Nevertheless, the matrilineal concept still plays an essential role, particularly in the rules of exogamy and inheritance.

Assessing the impact of mobile money on improving the financial inclusion of Nairobi women

ABSTRACT This paper assesses to what extent, and in what ways, mobile money has affected the financial inclusion of women in Nairobi. Women in Kenya have limited property rights and continue to require approval from their husbands or male family members to conduct financial activities. Besides, most women are concentrated in the informal economy, which has exacerbated their level of financial exclusion since they struggle to provide the documentation that financial institutions require, thus making them more dependent on informal finance. This paper demonstrates how mobile money has significantly decreased the proportion of women in Nairobi excluded from using financial services. Drawing upon survey work conducted by the author across eight areas of Nairobi, this research reveals how mobile money has enabled women to benefit from instant remittance and payment services, and has offered a means of storing money safely, which is an attribute particularly valued by younger women and those with lower levels of educational attainment and income. Although mobile money does not address many of the structural drivers of gendered financial inequality, it has improved levels of financial inclusion by increasing women’s access to various financial channels from which they were previously excluded.