Presence Of Family Support Research Articles

Interfaces of ‘being healthy and being Ill’: how is health being perceived by individuals with non-communicable chronic conditions?

BackgroundAccommodating chronic care into the everyday lives of individuals diagnosed with non-communicable chronic conditions often poses significant challenges. Several studies in public health literature that addressed the question of non-adherence to treatment by turning their gaze towards individual’s perception of their own health restricted the use of perception exploration to visceral states and corporeality without adequately acknowledging the mutual permeance of socio-biological worlds. This study explored the socio-economic genealogies of individuals, to understand the role of structural and intermediate factors that determine health perceptions, by attempting to answer the question ‘how do individuals with non-communicable chronic conditions perceive their health as healthy or ill’?.MethodsThis study was conducted in a low-income neighbourhood called Kadugondanahalli in India using qualitative research methods. A total of 20 in-depth interviews were conducted with individuals diagnosed with non-communicable chronic conditions. Individuals were recruited through purposive and snowball sampling.ResultsThe participants predominantly perceived their health as being healthy and ill in an episodic manner while adhering to their treatment and medications for chronic conditions. This was strongly determined by the factors such as presence of family support and caregiving, changes in work and occupation, changes in lifestyle, psychological stress from being diagnosed, and care-seeking practices. This episodic perception of illness led to the non-adherence of prescribed chronic care.ConclusionsDue to the episodic manner in which the participants experienced their illness, the paper recommends considering health and illness as two different entities while researching chronic conditions. It is important for the health system to understand and fix the healthy and ill episodes, which often lead to switching between controlled and uncontrolled states of diabetes and hypertension. To do so, it is important to consider the social, economic, behavioural and psychological factors in an individual’s health outcome. The interplay between these factors has socialized health perception and various related practices from the individual to the community level. Therefore, the health system needs to re-strategize its focus from individual to community level interventions to address the determinants of health and NCD risk factors by strengthening the NCD prevention approach.

Influence of transcatheter arterial embolization on symptom distress and fatigue in liver cancer patients.

Hepatocellular carcinoma (HCC) is a prevalent malignancy, and transcatheter arterial embolization (TAE) has emerged as a pivotal therapeutic modality. However, TAE may induce symptom distress and fatigue, adversely affecting the quality of life of patients. To investigate symptom distress, fatigue, and associated factors in HCC patients undergoing TAE. We used a cross-sectional design and purposive sampling to enroll HCC patients who underwent TAE at our institution from January to December 2022. Questionnaires were utilized to collect data on symptom distress and fatigue scores from the first to the third day after TAE. Our study revealed a significant reduction in fatigue and symptom distress among patients after TAE. Pain, fatigue, insomnia, fever and abdominal distension were the most common symptoms troubling patients during the first 3 d post-TAE. Marital status, presence of family support, physical functional status, age, and symptom distress were identified as predictors of fatigue in patients. Healthcare professionals should educate HCC patients on symptom distress and fatigue, offering personalized relief strategies to lessen their psychological burden.

Faktor-Faktor yang Berhubungan dengan Tingkat Stress Remaja yang Melakukan Home Learning Selama Pandemi Covid-19

During the Covid-19 pandemic, teenage students carried out online/home learning, and most of them had problems in implementing it. The aim of this research is to identify factors related to stress levels during home learning. A correlational descriptive research design with a cross-sectional approach and a total sampling technique was carried out in April 2021. The population in this study was 322 students in class XI at SMAN 10 Bekasi with a sample of 153 respondents. Univariate results show that the majority of respondents (43.8%) have normal stress levels, 67.3% of respondents have type B personality, 68% of respondents have parental support, 38.6% of respondents experience sometimes poor internet connection, and 74.5% respondents used the blended learning method. Bivariate analysis of this research using the Chi Square and Kendall's Tau-C tests showed that there was a significant relationship between personality type (pvalue 0.002) and family support (pvalue 0.027) with stress levels, and there was no relationship between internet connection (pvalue 0.586) and learning methods (pvalue 0.539) with stress levels. Conclusion: The respondent's stress level is influenced by a person's personality type and the presence of family support. It is recommended that educational institutions know students' personality types so that they can assist them according to their characteristics and strong motivation from the family and school environment.

THE CORRELATION BETWEEN THE FAMILY SUPPORT WITH ADHERENCE TO A LOW-SALT DIET IN PEOPLE WITH HYPERTENSION AT WAY PANJI PUBLIC HEALTH CENTER IN 2022

Hypertension is one of the non-communicable diseases that is the most important health problem in Indonesia because of its high prevalence. Management of hypertension can be done by undergoing adherence to a low-salt diet. One of the factors that influence the success of a low-salt diet is the presence of family support. This study aims to determine the family support with adherence to a low-salt diet in people with hypertension at Way Panji Public Health Center, in 2022. The research method used is quantitative with cross-sectional analytic research. The population in this study were people with hypertension 20-70 years old at Way Panji Public Health Center totaling 90 people. The data collection technique used type of simple random sampling based on the inclusion criteria and obtained the number of samples as many as 73 respondents. The results showed that with a significant level of 95% or α value of 5% (0,05) the results of the Chi Square obtained p-value (0,000) < α (0,05). This show that H0 is rejected. The conclusion of the study is a the family support with adherence to a low-salt diet in people with hypertension at Way Panji Public Health Center in 2022.

Assessment of Family Tuberculosis Contact Screening Practice and its Associated Factors Among Pulmonary Tuberculosis Positive Patients in South Wollo Zone, Amhara Region, Ethiopia.

Objectives: The objective of this study was to assess the prevalence and the associated factors of family contact screening practice. Methods: An institution-based cross-sectional study was conducted among 403 randomly selected pulmonary tuberculosis index cases from 1st May to 30th June 2020. Data were collected through a face-to-face interviewer-administered questionnaire. Multivariable logistic regression was performed. Results: The prevalence of family contact screening was 55.3%, (CI: 60-50). Having family support for care and treatment (AOR = 2.21, 95% CI: 1.16-4.21), waiting time of less than 60min (AOR = 2.03, 95% CI: 1.28-3.21), receiving health education on TB prevention and treatment (AOR = 1.86), 95% CI: 1.05-3.29), and having good knowledge about TB prevention (AOR = 2.76, 95% CI: 1.77-4.294) were factors associated with family TB contact screening practice. Conclusion: This study revealed that the prevalence of family contact screening was low as compared to national and global targets. Factors associated with family contact screening practice were: the presence of family support, shorter waiting time, health education offered by healthcare workers, and a good level of knowledge of the index cases.

Relationship between family support and quality of life of breast cancer patients undergoing chemotherapy at Santa Elisabeth Hospital, Medan 2022

Introduction: The world today is not only facing the problem of communicable diseases but also non-communicable diseases whose cases are increasing and causing major deaths worldwide. One of them is cancer. Cancer is a disease in which abnormal cells grow uncontrollably, invade and move between cells and tissues. Objectives: To determine the relationship between family support and quality of life of breast cancer patients undergoing chemotherapy at Santa Elisabeth Hospital, Medan 2022. Methods: This type of research is non-experimental using a correlational research design with a Cross-Sectional approach. Results: The results of the study conducted by the researcher showed that the presence of family support can improve the patient's quality of life. Conclusions: the quality of life of breast cancer patients undergoing chemotherapy is getting more optimal. Researchers hope to improve the quality of life for breast cancer patients undergoing chemotherapy by providing positive support such as sincere care and affection, the motivation that builds the patient's spirit.

Intimate partner violence, adverse childhood experiences and prenatal substance use in South Africa.

Intimate partner violence (IPV) is one of the most pressing public health conditions among women worldwide, particularly in sub-Saharan Africa. Intimate partner violence in South Africa, along with human immunodeficiency virus (HIV), is an epidemic that is closely linked to trauma and substance use in women. This study aimed to identify factors associated with IPV among pregnant women, with a specific focus on adverse childhood experiences (ACE), prenatal substance use, and HIV status. A large public general hospital in the KwaZulu-Natal province. The sampled study participants included 223 adult postpartum women (18 - 45 years) based on convenience sampling who recently gave birth. Four separate logistic regression models were fitted to examine the role of ACE, perinatal substance abuse and HIV against threat (model 1), physical violence (model 2), sexual violence (model 3) and any IPV (model 4) outcomes (threat and/or physical and/or sexual violence). The prevalence of threat, physical violence, sexual violence and any IPV were 19.7%, 16.6%, 1.8% and 20.2%, respectively. The total ACE scores ranged from 0 to 11 (of 13 possible events) with a mean of 3.28 (standard deviation [s.d.] = 2.76), where 14.4% reported using substances during pregnancy (n = 32) as well as 47.1% (n = 105) of participants living with HIV. The authors found that the presence of family support was protective against IPV physical. It is essential that obstetric services screen and address potential risk factors along the life course pathways from early adversity to adult maternal health that drive IPV, particularly in young women who may lack family support during pregnancy. This research gives insight into the dynamics between IPV, HV, ACE and perinatal substance use facing young women in South Africa.

PENGARUH DUKUNGAN KELUARGA TERHADAP TINGKAT KEPATUHANMINUM OBATPASIEN TUBERKULOSISDI PUSKESMAS WILAYAH BANJARMASINTENGAH

Patients suffering from tuberculosis often experience failure in therapy, due to non-adherence to taking medication. An important factor in improving medication adherence is the presence of family support. The purpose of the study was to determine the relationship between family support and adherence to medication in pulmonary tuberculosis (pulmonary TB) patients at Puskesmas Se-Banjarmasin Tengah. This research is a non-experimentalresearch using the correlation method. The time of the study was carried out in June -July 2018. The sample of this study from January 2018 to April 2018 who treated pulmonary TB were 77 people. The sampling technique used was saturated sampling/total sampling, so the sample obtained was 33 people. The research instrument usinga questionnaire was analyzed using correlation analysis using the Chi-Square test (a<0.05). Based on the results of the study, it was shown that family support which was included in the low category was 19 people (57.6%) and those included in the high category were 14 people (42.4%). The level of compliance is mostly 18 people (54.5%) who do not comply and 15 people (45.4%). Correlation test results showed 0.000 <0.05. This shows that there is a strong relationship between family support and medication adherence in patients with pulmonary tuberculosis (TB) at the Public Health Center Banjarmasin Center Region

Level of compliance of patients with alcohol dependence at the stages of active treatment of alcohol misuse

The article shows that one of the causes of relapses and re-hospitalizations is low compliance of patients, or non-compliance with their therapeutic regimen, especially at the end of anti-alcohol treatment. The author has developed some definitions, which specify the specifics of the phenomenon of compliance with patients with alcohol dependence; its levels in this group of patients were determined. Social and clinical-psychological factors that contribute to or hinder the formation of compliance are identified. Factors that increase compliance include: the presence of family support; motives for alcohol consumption, which are associated with the desire to neutralize negative emotional experiences (fear, anxiety, insecurity); therapeutic attitudes to understand the hidden causes of the disease and change painful stereotypes of behavior; ergopathic type of attitude to the disease; high level of subjective control in the professional field; emotional stability, social activity, as well as practicality and the ability to adequately assess their condition. Factors that reduce compliance are: young age of the patient; frequent relapses; repeated hospitalizations; addictive motivation to drink alcohol; therapeutic facilities for obtaining a "secondary gain" from the disease; apathetic type of attitude to the disease; overall low level of subjective control; conflict, negligence, rigidity of thinking. The selected psychological factors of compliance with alcohol dependence can be considered as targets of psychoprophylactic and psychocorrectional programs aimed at optimizing the process of adherence to the therapeutic regimen of patients with this pathology, which, in turn, will help prevent relapses and maintain remissions. This work is based on the results of the experience of psychodiagnostic and psychocorrectional work with alcohol-dependent patients who were under observation in the clinical databases of the Institute of Neurology, Psychiatry and Addiction of the Academy of Medical Sciences of Ukraine.

Factors Affecting Adherence to Medications among Type2 Diabetic Patients Attending Primary Health Care Center in Cairo

Abstract Background Poor adherence to medications is a major public health problem. Non-adherence results in disease progression, reduced functional abilities, a lower quality of life, waste of medication and increase use of medical resources such as nursing homes, hospital visits and hospital admissions. Objective To measure the prevalence and factors affecting adherence to medications among T2DM patients attending primary health care center of Saraya El Quobba. To measure the agreement between MTA (Measure Treatment Adherence) and ARMS (Adherence to Refills and Medications Scale) questionnaires as a tool of measurement treatment adherence. Methods A Cross sectional study was carried out in family medicine center of Saraya El Qubba in Cairo on 130 participants who had been diagnosed T2DM at least3 months before. Patients with T1DM, Patients with known history of psychiatric illness or cognitive impairment, Patients with communication problems such as aphasia, severe hearing or visual impairment were excluded. Selection of participants was done through Systematic Random Sampling. Data about adherence was collected using structured questionnaires MTA (Measurement Treatment Adherence) and ARMS (Adherence to Refills and Medications Scale) questionnaires. Results 62.6% of our sample were females, 38.9% belonged to age group of 60 -70 years, 71.8% were married, 29% had intermediate education, 61.8% were unemployed. The level of adherence among patients attending primary health centre of Saraya El Quobba was 65.6%. Many factors were found to affect medication adherence as regular monitoring of blood glucose level (76.7%), regular follow up visit (75.9%), presence of family support (20.6), monthly income (84.2%) and educational level. There was a statistically significant strong negative correlation between the 2 measurements scores (r=-0.8644, p < 0.001). Conclusion The level of adherence was high among the participants in the current study. Many factors were found to affect medication adherence as regular monitoring of blood glucose level, regular follow up visit, presence of family support, monthly income, both high and low educational level. Agreement between to questionnaires was found.

Dietary practice and associated factors among type 2 diabetic patients having followed up at the University of Gondar Comprehensive specialized hospital, northwest Ethiopia, 2019

Diabetes is a chronic, metabolic disorder characterized by elevated level of blood glucose. In order to delay and prevent diabetes related complications, healthy meal planning and leading active life are very crucial. However, appropriate feeding practice among type 2 diabetic patients is low in many developing countries including Ethiopia. Therefore, the aim of this study was to assess dietary practice and associated factors among type 2 diabetic patients. Institution based cross sectional study was conducted from July to December 2019. A total of 422 type 2 diabetic patients who had follow up at the diabetes clinic of the University of Gondar Comprehensive Specialized hospital were include in the study. Logistic regression was used to see the strength of the association between dependent and independent variables. In the logistic regression, both bivariable and multivariable logistic regression analysis were computed to identify factors associated with dietary practice. The overall prevalence of good dietary practice among type 2 diabetic patients was 46.7 % [95 % CI: 41.7, 51.4]. In the multivariable logistic regression analysis attending secondary and above education [AOR = 4.08, 95 % CI: 1.76, 9.46], high wealth status [AOR = 5.34, 95 % CI: 2.72, 10.50], presence of family support [AOR = 2.54, 95 % CI: 1.40, 4.63], and absence of difficulty of choosing food [AOR = 2.27, 95 % CI: 1.47, 3.53] were significantly associated with good dietary practice. Less than half of the patients with type 2 diabetes had good dietary practice. Dietary practice was good among high economic status, presence of family support, high educational level and no difficulty of choosing food. Therefore, strengthening income generating activities, improving literacy rate of nations, developing family engagement and food choosing strategies by the health care providers, policy makers and the Government are very crucial to improve good dietary practice among type 2 diabetic patients.

Disruption of Patient and Family Centered Care Through the COVID-19 Pandemic

Disruption of Patient and Family Centered Care Through the COVID-19 Pandemic

Investigate the Challenges and Opportunities of Female Headed Households and Women Farmers in Male-Headed Households in Non-Agricultural Livelihood Diversification Strategies: The Case of Shebel Berenta District, Amhara Region, Ethiopia

It is universally accepted as the fact that agriculture sector is incapable of creating sufficient gainful employment, food security and spurring economic growth in rural areas of developing countries. Even if our country Ethiopia practice agriculture for a long period, expected outcome is not attained on a sustainable basis to the livelihood of the households and food insecurity until now a day due to limited attention for the high potential of the non-farm sector in the government policies and strategies. Similarly, the challenges and opportunities of women headed households and male headed households in non-agricultural livelihood diversification strategies still uncovered in the rural economy of Ethiopia. Therefore the purpose of this study was to explore the challenges and opportunities of women headed households and male headed households in non-agricultural livelihood diversification in case of Shebel Berenta Woreda. Qualitative research method with the case study design was employed for data collection and data analysis. Qualitative data were collected from 10 interviewees, seven key informants, 28 focus group discussants and observation and the data analyzed via thematically. The result revealed that negative outlook to handicrafts, shortage of working capital, limited market demands, the absence of institutional support, lack of skill training, absence of technology, and laws and regulation were challenges women faced to participate in NFA. While, the presence of family support, natural resources, business plan preparation and mutual support in their own association where the opportunities for women to participate in NFA. In line with the problems identified, the local government should work on awareness creation and education, provision of support, built local infrastructure, provision of credit and training

Transanal Endoscopic Microsurgery (TEMS) for Rectal Cancer: Patient Decision-making, Postoperative Experience and Quality of Life.

Transanal endoscopic microsurgery (TEMS) is a form of minimally invasive surgery for selected rectal cancers. The aim of this study was to explore the factors affecting patients' decision-making concerning the choice of surgical treatment as well as to measure the Quality of Life (QoL) post-TEMS. Thirty-four patients with rectal cancer stage T1/T2-N0-M0 that underwent TEMS were studied. The questionnaires used included the Short Form SF12v2, Wexner Score (CCF-FIS) and the Sexual Function Questionnaire (SFQ). The patients' views on experience and treatment decision were obtained with a custom-designed questionnaire. Questionnaires were completed at a mean of 6.9 years following treatment. The factors that influenced the patients' decisions were: experience satisfaction (p=0.003), postoperative bowel function (p<0.001), lower incontinence score (p=0.020) and agreement of TEMS experience with preoperative information (p=0.049). Treatment experience satisfaction was associated with family support (p=0.034) and agreement with preoperative information (p=0.047), better bowel function (p=0.026) and mental QoL (MCS) (p=0.003). factors important to patients when reflecting on treatment experience are adequate and reliable information, a good QoL and the presence of family support. Clinicians should incorporate those parameters in their practice when assisting patients in making a surgical treatment choice and provide informed consent on TEMS for rectal cancer.

Management Practices and Employee Engagement in the Workplace: A Qualitative-Phenomenological Study

The purpose of this phenomenological study was to understand the experiences of the employees in terms of job engagement as a result of their management practices in the workplace. It also described their coping mechanisms on the challenges posed by management practices to remain engaged in the organization. The qualitative-phenomenological research design was utilized where 6 rank and file employees of the medium enterprises in General Santos City were picked to undergo an in-depth interview. The results of the interview were transcribed, translated, and coded to produce themes. As regards to experiences to management practices, the following were the themes: trusting employees, clear communication, teamwork and collaboration, the inconsistency of policy implementation, and lack of recognition. As to their coping mechanisms to remain engage in the job, the themes include acceptance of organizational culture, presence of family support, proactive thinking and self-motivation, and job focus and commitment. As to their insights for having highly engaged employees, the themes generated were valuing employee, leadership by example, a proper channel of communication, and authentic management recognition.

The stability of care preferences following acute illness: a mixed methods prospective cohort study of frail older people

BackgroundPatient preferences are integral to person-centred care, but preference stability is poorly understood in older people, who may experience fluctuant illness trajectories with episodes of acute illness. We aimed to describe, and explore influences on the stability of care preferences in frail older people following recent acute illness.MethodsMixed-methods prospective cohort study with dominant qualitative component, parallel data collection and six-month follow up. Study population: age ≥ 65, Rockwood Clinical Frailty score ≥ 5, recent acute illness requiring acute assessment/hospitalisation. Participants rated the importance of six preferences (to extend life, improve quality of life, remain independent, be comfortable, support ‘those close to me’, and stay out of hospital) at baseline, 12 and 24 weeks using a 0–4 scale, and ranked the most important. A maximum-variation sub-sample additionally contributed serial in-depth qualitative interviews. We described preference stability using frequencies and proportions, and undertook thematic analysis to explore influences on preference stability.Results90/192 (45%) of potential participants consented. 82/90 (91%) answered the baseline questionnaire; median age 84, 63% female. Seventeen undertook qualitative interviews. Most participants consistently rated five of the six preferences as important (range 68–89%). ‘Extend life’ was rated important by fewer participants (32–43%). Importance ratings were stable in 61–86% of cases. The preference ranked most important was unstable in 82% of participants.Preference stability was supported by five influences: the presence of family support; both positive or negative care experiences; preferences being concordant with underlying values; where there was slowness of recovery from illness; and when preferences linked to long term goals. Preference change was related to changes in health awareness, or life events; if preferences were specific to a particular context, or multiple concurrent preferences existed, these were also more liable to change.ConclusionsPreferences were largely stable following acute illness. Stability was reinforced by care experiences and the presence of family support. Where preferences were unstable, this usually related to changing health awareness. Consideration of these influences during preference elicitation or advance care planning will support delivery of responsive care to meet preferences. Obtaining longer-term data across diverse ethnic groups is needed in future research.

Exploring perceptions, attitudes and beliefs of Thai patients with type 2 diabetes mellitus as they relate to medication adherence at an out-patient primary care clinic in Chiang Mai, Thailand

BackgroundWithin the sphere of diabetes self-management, much emphasis has been placed on medication adherence. There has been a shift in thinking about medication adherence, moving from “compliance” and historically paternalistic models of care, to seeking better ways of characterizing dynamic and complex relationships that determine medication adherence and diabetes control. This study sought to understand the relationship between patient’s attitudes and medication adherence for oral anti-diabetics in Thailand.MethodsIn-depth interviews of patients with type 2 diabetes mellitus, taking oral anti-diabetic drugs, at the out-patient clinic run by the Department of Family Medicine, Chiang Mai University between May and December 2016. Thematic analysis followed the WHO framework for medication adherence in chronic disease to explore patient’s attitudes and their influence on medication compliance.ResultsOf 24 patients, 9 were men. The mean age was 62 years (SD 8.9 years). 67% had high compliance. Four themes were identified as important factors related to medication adherence: attitudes toward disease, attitudes toward treatment, attitudes toward family support and attitudes toward health care team. Specifically, symptoms at diagnosis, understanding and acceptance in taking medication, the presence of family support and the perception of concern by the doctor relate to improved medication compliance.ConclusionsMedication adherence in Thai patients with diabetes requires support from both the health care providers and the family. The patient’s perception of the doctor’s concern creates greater patient trust in the health care team. This trust, along with family support, helps deepen patients’ understanding of the disease, accept the chronic nature of their disease, and engenders a positive attitude towards taking medication that can improve medication adherence.

Factors shaping at-risk individuals' decisions to undergo genetic testing for cancer in Asia.

This study aims to enrich our understanding of factors influencing medically indicated at-risk individuals' decisions to take genetic tests (or not) in the context of cancer treatment and prevention. While previous studies have explored this topic in communities in Europe and the United States, we know relatively little about the situation in Asia. In this study, we conducted in-depth interviews with 24 women who underwent genetic testing for hereditary breast and ovarian cancer syndromes in Singapore. Grounded theory with thematic analysis was applied.Six encouraging and three discouraging factors are identified in the analysis. The six encouraging factors are: desire to create awareness for self and family; perceived benefits for self and family; strong family history of cancer; presence of family support; medical professional recommendation and adequate amount of time to consider undertaking the test. The three discouraging factors are: high costs of tests; perceived lack of ability to cope with test results; and insufficient information about genetic testing. Taken together, the findings in this study add to the current literature by providing empirical evidence regarding the importance of holding family included pre-test counselling and providing adequate time for patients to decide to undergo genetic testing for hereditary cancer syndromes.

Physician Well-being.

1. Paria M. Wilson, MD, MEd* 2. Maneesh Batra, MD, MPH† 3. Kathi J. Kemper, MD, MPH‡ 4. John D. Mahan, MD‡,§ 5. Betty B. Staples, MD¶ 6. Janet R. Serwint, MD** 1. *Division of Emergency Medicine, Children’s Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, PA 2. †Department of Pediatrics, Division of Neonatology, Seattle Children’s Hospital and the University of Washington, Seattle, WA 3. ‡The Ohio State University, Columbus, OH 4. §Department of Pediatrics, Division of Nephrology, Nationwide Children’s Hospital and The Ohio State University, Columbus, OH 5. ¶Department of Pediatrics, Duke University Medical Center, Durham, NC 6. **Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD * Abbreviations: EHR: : electronic health record OR: : odds ratio SMART: : Stress Management and Resiliency Training > Every once in a while in Pediatrics in Review , Editors-in-Chief Bob Haggerty and Larry Nazarian would advise readers to care for themselves. They offered commentaries on such subjects as how to transition to retirement or part-time practice, taking time to reflect on the joy of pediatrics, and stepping out of the office to partake in community events. In the spirit of Dr Haggerty’s and Dr Nazarian’s hope that readers take care of themselves, Pediatrics in Review offers the following review. > > —JZ Clinicians and trainee physicians should be aware of the components of wellness and how to foster them in their daily practice. Interventions have been aimed at the individual and organizational levels. After …

What Will Keep Me Coming Back to the Clinic: Factors Identified by Filipino Colorectal Cancer Patients Seen at a National Academic Referral Center.

Health-care decisions in the Philippines are widely affected by various factors such as family, community, health-care access, and educational attainment. We designed a questionnaire to evaluate patient views at the University of the Philippines–Philippine General Hospital colorectal multidisciplinary clinic to identify factors that contribute to continued follow-up at the colorectal multidisciplinary clinic. A total of 128 patients, 62% of whom were being treated with curative intent participated in the study. We found that trust in their physicians, presence of family support, and affordability of treatment were factors highly valued by patients consulting at the clinic.