Number Of Caretakers Research Articles

Anxiety, depression, and quality of life in parents of children with congenital hyperinsulinism

This study aimed to assess mental health, family burden, and quality of life (PQoL) in parents of children with persistent congenital hyperinsulinism (CHI). Forty-eight individual CHI parents (75% female) completed self-reported questionnaires and screening tools for anxiety (GAD-7), depression (PHQ-8), PQoL (ULQIE), and family burden (FaBeL). Additional data on sociodemographics, social support, and child- and disease-related data were recorded. 29.8% of parents showed major depressive symptoms and 38.3% had a probable general anxiety disorder, including 20.8% who had both. The family burden was moderate and assessment of PQoL yielded average scores. Neurological impairment in an affected child (p = .002 and p < .001, respectively) and lower working hours (p = .001 and p = .012, respectively) were the strongest predictors of worse GAD-7 and PHQ-8 scores. Furthermore, lower working hours (p = .012) and comorbidities in the affected child (p = .007) were significantly associated with lower PQoL. Mothers had worse GAD-7 scores (p = .006) and lower PQoL (p = .035) than fathers. Indication of sleep disturbance was associated with worse PHQ-8 scores (p = .003), higher family burden (p = .039), and reduced PQoL (p = .003). A higher number of caretakers besides parents was associated with decreased family burden (p = .019), improved PQoL (p < .001), and lower scores for anxiety (p = .016) and depressive (p = .021) symptoms. Conclusion: Symptoms of depression and anxiety are alarmingly prevalent in parents of children with CHI. Psychological screening of parents should be initiated to ensure early identification of psychological strains and psychosocial support should be offered as needed. A good support network and regular work activities can improve parental mental health and well-being.What is Known:• Psychosocial strains and reduced quality of life are common in parents of chronically ill children.What is New:• In this first study evaluating mental health, family burden, and quality of life in parents of children with congenital hyperinsulinism (CHI), symptoms of depression and anxiety were alarmingly prevalent.• Parents of children with CHI should receive regular psychological screening and psychosocial support should be offered as needed. A good support network and regular work activities can improve parental mental health and well-being.

Android – Based Nearby Location App For Orphanage Searches Using Google Place API Technology With Agile System Development Method

At this time the public is already aware of the value of sharing with the needy, so the search for orphanages is increasing drastically. Similarly, the use of maps on smartphones is increasing because people are aware of technology and use it in every day. But often people are troubled to know the location of the orphanage in around, as well as the condition of the orphanage which includes the number of children, the number of caretakers, and what are the needs of the orphanage without coming to the location of the orphanage. In addition, there are often overlapping scheduling problems that often make people who want to hold activities experience unilateral cancellation and there is also the issue of donations where people are confused how to give a little from their income to the orphanage without having to come to the location. With agile development systems method designed nearby location application using Google place, which is obtained the core of the problem is the difficulty of finding information orphanages and not easy to find orphanages around. Therefore, with this nearby location application is expected to help the public to find information on orphanages closest to their location, as well as be able to schedule activities that can be monitored in real time. So there is no overlap back on the activity. In addition, there is a function of giving donations, so that people can donate without having to come to the orphanage.

Factors that facilitate multigenerational exchanges in regional locations: a cross\u2010sectional study in Niigata City, Japan

BackgroundIn the process of community building, it is important to create a place for multigenerational exchanges. To promote multigenerational exchanges in regional locations, it is essential to clarify whether such exchanges are related to government infrastructure, regional characteristics, and social capital, and how these exchanges contribute to community building.MethodsA cross-sectional questionnaire study was conducted with representatives from 455 Chiiki no Cha-no-Ma (literal translation “community living room,” and hereafter “Cha-no-Ma”) in Niigata City, Japan. Responses were received from 405 representatives (response rate: 89.0 %), and 401 agreed to participate (4 declined). The survey details included basic information (e.g., date each location was established, frequency of meetings, number of caretakers and participants, qualifications of the representative), activities reflecting local culture, a social capital scale, the effects of the Cha-no-Ma implemented by the representative (12 items), challenges for management (16 items), and the implementation of multigenerational exchanges.ResultsMost of the age groups that participated in the Cha-no-Ma were elderly, and multigenerational exchanges took place in 125 locations (31.5 %). Items that had a significant connection to the implementation of multigenerational exchanges were “Frequency of meetings” (p < 0.001) and “Activities reflecting local culture” (p = 0.026). Binomial logistic regression analysis indicated that a high frequency of meetings was associated with the implementation of multigenerational exchanges (Odds ratio = 3.839).There was a significantly higher ratio of implementation of multigenerational exchanges when the effects were a “connection with the region” (p = 0.006) and “conversations with different generations” (p = 0.004), and when the challenge was “no support from residents” (p = 0.002).ConclusionsCha-no-Ma participation is low among young people. The following ideas can be considered in order to increase multigenerational exchanges in regional locations. These exchanges may be promoted by increasing the frequency of meetings with qualified personnel and by adding activities that reflect local culture, such as festivals and making local foods. This community-based study clearly indicates that implementing multigenerational exchanges is an important activity for community building because it is related to connection within the community.

送信信号デューティ比変更法による超音波レーダ型離床検知装置の非干渉化

The decline in the quality of patient's safety control is a problem, because the number of caretakers is reduced by the acceleration of demographic aging in an elder care facility. Especially, the detection of getting up from the bed is very important for preventing patients from falling and wandering unbreakable. In our previous study, we have developed the getting up detection device with an ultrasonic radar, which is safe, cheap, and break-proof. However, if there are many patients in a ward, it is difficult to use some ultrasonic radars. The reason is that if some ultrasonic radars, which have the same frequency, are used in same ward, the ultrasonic signals are coherent with each other. To solve this problem, we propose a novel incoherent method. This method is achieved by improving the software in the device at a low cost.

Relationship between psychological factors and arthralgia in patients with rheumatoid arthritis

Various factors were assessed in terms of their contribution to arthralgia in a rheumatoid arthritis patient. Eighty-two outpatients (62 women and 20 men) with rheumatoid arthritis (RA) were examined with respect to the subjective degree of arthralgia, age, disease duration, dysfunction, steroid dose, steroid period, depression, anxiety, extroversion, neurotic disorder, and number of caretakers. The results were explained on the basis of stepwise regression analysis and psychological and clinical data. We analyzed results of a correlation coefficient test on the mutual relationship between variables. Stepwise regression analysis was performed to assess factors of arthralgia in terms of "depression," "mean activity," "morning stiffness," and "steroid dose." Depression is a factor of arthralgia as shown in this study, but it is clear that other factors are also involved. Anxiety was a factor distinct from the activity of RA. The factor contributing most to arthralgia was found to be depression, whereas anxiety had no effect.

Effects of court-ordered substance abuse treatment in child protective services cases.

Courts often play active roles in the lives of families supervised by child protective services (CPS). Judges adjudicate dependency, mandate services, determine placements of children, and order continued supervision or termination of parental rights or services. This study examined the effects of court orders in preventing recurrence of substance abuse in the cases of 447 children in kinship care while under CPS supervision. In addition, the effects of court orders on duration of service and on numbers of placements were studied. Results suggested that court interventions had mixed outcomes. Levels of compliance with mandated substance abuse and mental health treatment did not appear to influence rates of reabuse or duration of service. Court orders appeared to affect both the number of caretakers and placements the children experienced. Children adjudicated dependent were more likely to have multiple caretakers than those under voluntary supervision.

Health care utilization by people with multiple sclerosis in The Netherlands: results of two separate studies

Purpose : For chronically ill persons it is assumed that they make heavy demands on health care services. In the literature one hardly finds any publications to substantiate or refute this assumption. The main purpose of our study is to describe the health care utilization of people with multiple sclerosis (MS) in the Netherlands and its relationships with severity and duration of the disease. Methods : Two different samples of persons with MS were used. In the first sample (University Hospital Groningen) severity of MS was based on medical judgement, while in the second sample (Dutch Multiple Sclerosis Society) severity was self-reported. In both samples, use of health care facilities was assessed with a mail questionnaire. Results : The methods for determining severity resulted in different distributions for severity of MS. However, the results were quite similar with respect to health care utilization. It appeared that the severity of MS was related to the number of professional caretakers MS-patients had contact with during one year. Duration of MS seemed not to be related to the number of caretakers. Only for specific caretakers, most notably GP, physiotherapist, home help and ergotherapist, the contact frequency increased with severity of MS. No such relationship was found between the frequency of contact with the neurologist and severity of MS. Conclusions : People with MS do not make a heavy demand on health care facilities in general but only on certain health care provisions. This is in contrast with the general notion that all chronically ill make a heavy demand on health care facilities in general.

Flying, Peanuts, and Crying Babies

To the Editor.— Guidelines from the American Academy of Pediatrics for injury prevention state that "physicians caring for children should counsel parents in age-appropriate, season-appropriate, locality-appropriate strategies which reduce common serious injuries".1 In keeping with this philosophy, many pediatricians educate parents about foods that may be unsafe for their child at a given age. Yet, there seems to be a substantial number of caretakers whom we obviously have not reached, judging by my observations of travelers feeding peanuts to toddlers on airplanes.

Genetic antecedents of altruistic behavior in Passeriformes.

On the basis of a theory for the establishment and increase of altruistic genes in animal populations a relationship was hypothesized to exist in an avian order between clutch averages (which were considered an index of "genetic investment") and prosocial behavior. The order Passeriformes was used, as clutch sizes were found to vary from one to 11 among the species, and the number of caretakers was also found to vary, falling into four categories: female only, female and male, both plus intraspecies helpers, and interspecies altruists. The positive correlations found in this research tend to support this theory.