Factors Influencing the Quality of Life (Qol) Among Thai Older People in a Rural Area of Thailand

BACKGROUND

The population prevalence of older people has been growing worldwide. Quality of Life (QoL) among older people is a significant public health concern. Hence, this study aimed to assess level of QoL and factors influencing QoL among rural Thai older people.

METHODS

The study was undertaken in Phayao Province where is one of the top ten provinces with the highest index of Thai aging. A district in this province was purposively selected to be the study area and the quota-sampling technique was used for sample collection, totally 400 older people participated according to Taro Yamane. The WHO QoL-Old was employed to interview elderly QoL. Multivariate linear regression was performed to determine the factors influencing QoL among the older people.

RESULTS

Over two-thirds of older people (68.5%) had QoL at fair level. The vast majority (96%) had high scores for Activity Daily Living (ADL). Approximately one-fifth (20.5%) reported current smoking and 31.7% reported ever drinking during previous year. Following univariate analysis, nine factors - gender, age, education, working, income, present illness, drinking, ADL, and participating in elderly club were identified as being significantly associated with QoL (P <0.05). Multivariate analysis revealed four factors predictive of QoL among elderly: ADL, income, alcohol drinking, and present illness (P < 0.01).

CONCLUSION

Physical function, health status and financial were the predictor of QoL among elderly. Noticeably, drinking was one predictive factor of QoL but only among moderate drinkers. Hence, healthy life style should be considered as key areas in attempts to promote QoL among elderly people.

The composition, spatial patterns, and influencing factors of atmospheric wet nitrogen deposition in Chinese terrestrial ecosystems

Atmospheric nitrogen (N) deposition is an important component of the global N cycle, and is a key source of biologically available N. Understanding the spatio-temporal patterns and influencing factors of N deposition is essential to evaluate its ecological effects on terrestrial ecosystems, and to provide a scientific basis for global change research. In this study, we monitored the monthly atmospheric N deposition in rainfall at 41 stations from the Chinese Ecosystem Research Network through measuring total N (TN), total dissolved N (TDN), ammonium (NH4+-N), and nitrate (NO3--N). The results showed that the atmospheric wet deposition of TDN, NH4+-N, and NO3--N were 13.69, 7.25, and 5.93 kg N ha(-1) yr(-1), respectively. The deposition of TN and total particulate N (TPN) was 18.02 and 4.33 kg N ha(-1) yr(-1) respectively, in 2013. TPN accounted for 24% of TN, while NH4+-N and NO3--N made up 40% and 33%, respectively, confirming the assumption that atmospheric wet N deposition would be underestimated without particulate N in rainfall. The N deposition was higher in Central and Southern China, and lower in North-west, North-east, Inner Mongolia, and Qinghai-Tibet regions. Precipitation, N fertilizer use, and energy consumption were significantly correlated with wet N deposition (all p<0.01). Models that included precipitation and N fertilizer can explain 80-91% of the variability in wet N deposition. Our findings reveal, for the first time, the composition of the wet N deposition in China at different scales and highlight the importance of TPN.

Factors influencing the functional significance in intermediate coronary stenosis

OBJECTIVE

To analyze the influencing factors of the functional significance determined by fractional flow reserve (FFR) in intermediate coronary artery stenosis.

METHODS

The study enrolled 143 patients with 203 intermediate coronary lesions. Pressure-derived FFR of these lesions was gained at maximal hyperemia induced by intravenous adenosine infusion. An FFR < 0.80 was considered as abnormal functional significance. Anatomic parameters at the lesion sites were obtained by off-line quantitative coronary angiography analysis (QCA). The predictive value of the demographic characteristics and anatomic parameters for FFR in these intermediate lesions was assessed using multiple linear and binary logistic regression analysis.

RESULTS

Overall, FFR < 0.8 was found in 70 (34%) of the total 203 intermediate coronary lesions. FFR values were positively correlated with QCA-measured minimum lumen diameters (MLD, r = 0.372, P = 0.000) and the reference vessel diameters (RVD, r = 0.217, P = 0.002) were negatively correlated with percent area stenosis (AS, r = -0.251, P = 0.000) and percent diameter stenosis (DS, r = -0.210, P = 0.000). Age, MLD and the lesion location in different coronary arteries were the independent determinants of FFR < 0.8.

CONCLUSIONS

MLD can predict the functional significance of intermediate coronary stenosis, while age and the lesion location in different coronary arteries should be taken into account as important influencing factors of FFR values.

Evaluation of crop production, trade, and consumption from the perspective of water resources: a case study of the Hetao irrigation district, China, for 1960-2010

The integration of water footprints and virtual water flows allows the mapping of the links between production, trade, and consumption and could potentially help to alleviate water scarcity and improve water management. We evaluated the water footprints and virtual water flows of crop production, consumption, and trade and their influencing factors in the Hetao irrigation district in China for 1960-2010. The water footprint of crop production and the export of virtual water fluctuated but tended to increase during this period and were influenced mainly by agricultural factors such as crop yield, irrigation efficiency, and area sown. The water footprint of crop consumption and the import of virtual water increased during 1960-1979 and decreased during 1980-2010 and were influenced by socio-economic factors such as total population, the retail-price index, and the proportion of the population in urban areas. Most of the water footprint of production was exported to other areas, which added to the pressure on local water systems. The import of virtual water led to a saving of water for the Hetao irrigation district, while its share of the water footprint of consumption has decreased significantly since 1977. An increase in irrigation efficiency can alleviate water scarcity, and its application should be coupled with measures that constrain the continued expansion of agriculture. Full-cost pricing of irrigation water was an effective policy tool for its management. Re-shaping regional water-production and water-trade nexuses by changing crop structures could provide alternative opportunities for addressing the problems of local water scarcity, but the trade-offs involved should first be assessed.

A study on the influencing factors of urinary iodine concentration and the relationship between iodised salt concentration and urinary iodine concentration

The aim of the present study was to explore the influencing factors of urinary iodine concentration (UIC) and the relationship between iodised salt concentration and UIC in order to give suggestions for the surveillance of iodine nutrition status. For this purpose, a multi-stage cluster sampling technique was employed in the present cross-sectional study. Correlations between UIC and salt iodine concentration were evaluated by Spearmen's correlation analysis. Risk factors of having a lower UIC were identified by logistic regression analysis, and the equations of UIC and salt iodine concentration were fitted by curve regression analysis. The median UIC was found to be 162·0 (25th-75th percentile 98·2-248·6) μg/l. The UIC was correlated with salt iodine concentration (Spearman's ρ = 0·144, P< 0·05). The multiple logistic regression analysis found the following influencing factors for having a lower UIC: age (OR 0·98, 95% CI 0·98, 0·98, P< 0·05); sex (OR 0·81, 95% CI 0·71, 0·92, P< 0·05); education level (OR 0·87, 95% CI 0·83, 0·90, P< 0·05); status of occupation (OR 0·91, 95% CI 0·86, 0·96, P< 0·05); occupation (OR 1·03, 95% CI 1·00, 1·05, P< 0·05); pickled food (OR 1·24, 95% CI 1·08, 1·42, P< 0·05); salt iodine concentration (OR 1·03, 95% CI 1·02, 1·03, P< 0·05). The curve regression analysis found that UIC (y) and salt iodine concentration (x) could be expressed by the following equation: y= 1·5772x 1·4845. In conclusion, the median UIC of individuals in Zhejiang Province falls within optimal status as recommended by the WHO/UNICEF/International Council for Control of IDD. To maintain optimal iodine nutrition status, salt iodine concentration should be in the range of 16·4 to 34·3 mg/kg.

Factors influencing partnerships between higher education and healthcare

OBJECTIVE

The aim of this study was to describe the factors influencing partnerships between higher education and healthcare.

BACKGROUND

Partnerships have often been studied as organisations' internal processes or multi-professional team activities. However, there has been less research on the partnership as a phenomenon between organisations and, until now, the research has mainly focused on experiences in the US and the UK.

SETTING, PARTICIPANTS AND METHODS

The study was carried out in Finland. Staff from a university of applied sciences and a service unit for the elderly took part in nine focus group interviews (n=39) and produced self-evaluations based on diaries (n=13) and essays (n=24). The data were analysed by qualitative content analysis.

RESULTS

The factors influencing partnerships were: a joint development target, agreeing on collaboration, providing resources for partnership, enhancing mutual understanding, sharing operational culture, commitment and participatory change management and communication.

CONCLUSIONS

This study updates, and complements, previous reviews on factors influencing partnerships, by providing some new concepts and a new cultural perspective from Finland on a partnership between higher education and healthcare. The results provide information on factors that influence partnerships and develop and manage their sustainability.

Stress among nurses working in an acute hospital in Ireland

Stress among nurses leads to absenteeism, reduced efficiency, long-term health problems and a decrease in the quality of patient care delivered. A quantitative cross-sectional study was conducted. The study's aim was to identify perceived stressors and influencing factors among nurses working in the critical and non-critical care practice areas. A convenience sample of 200 nurses were invited to complete the Bianchi Stress Questionnaire. Information was collected on demographics and daily nursing practice. Findings indicated that perceived stressors were similar in both groups. The most severe stressors included redeployment to work in other areas and staffing levels. Results from this study suggest that age, job title, professional experience and formal post-registration qualifications had no influence on stress perception. These results will increase awareness of nurses' occupational stress in Ireland.

Distribution and transportation of polycyclic aromatic hydrocarbons (PAHs) at the Humen river mouth in the Pearl River delta and their influencing factors

Five different water samples were collected from the surface to the bottom layers at the Humen river mouth in the Pearl River delta during the flood and ebb tides in August 2011, respectively. Changes in the distribution and characteristics of polycyclic aromatic hydrocarbons (PAHs) were examined to explore their transportation process. More than 62 types of PAHs were detected in the water columns. The mean concentration of the total PAHs ranged from 849.33 to 1370.53 ng/l and from 629.21 to 2019.91 ng/l during the flood and ebb tides, respectively. Furthermore, 2-ring PAHs were the most abundant species, followed by 3-ring PAHs. There were different composition patterns of the PAHs during the flood and ebb tides. And the transportation process of PAHs was influenced by their sources and different estuarine hydrodynamics. Analysis of the sources of the PAHs indicated that the PAHs were derived from primarily petroleum and coal combustion sources.

Blood lead concentration and related factors in Korea from the 2008 National Survey for Environmental Pollutants in the Human Body

This study evaluated blood lead concentrations in the Korean general population and the correlation between various exposure sources using data from the 2008 Korea National Survey for Environmental Pollutants in the Human Body (National Institute of Environmental Research, Korea). The general and occupational characteristics were gathered from 5136 participants who were 20 years of age and older using a structured questionnaire. Blood lead concentrations were analyzed using an atomic absorption spectrophotometer. Statistical analysis was performed using multiple linear regressions of the log lead concentrations to the independent variables such as age, gender, smoke, herbal medication and drug consumption, drinking water, and living area. Geometric mean (GM) blood lead concentrations in Korean adults were 19.7 μg/l. The blood lead concentrations increased with age; the highest concentrations were found in the 50-69-year age group (p<0.001). Males were higher than in females (p<0.001). Current smokers and drinkers had higher concentrations than nonsmokers (p<0.001) and nondrinkers (p<0.001), respectively. People who took herbal medication and drug consumption were higher than those who did not (p<0.001). Education level was negatively associated with blood lead concentration (p<0.001). People living in or around industrial areas had elevated blood lead concentration (p<0.001). Family income was also negatively associated with lead concentration, but not significantly. For drinking water, the underground water (spring or well water) drinking group had higher concentrations than other types of water drinking groups, but not significantly (p=0.063). The blood lead concentrations by occupation were significant (p<0.034): the highest was in laborer and Agricultural-Fishery-Forestry and the lowest in office workers. In women, blood lead concentrations tended to decrease with increasing delivery times, but not significantly. The blood lead concentration (GM) of the general adult population in Korea has decreased over time from 45.8 μg/l (1999) to 19.7 μg/l (2008). Although it is still higher than in other countries such as the United States and Canada, it is rapidly decreasing. Gender, age, smoking and alcohol drinking status, herbal medication and drug consumption, education level, living area and occupation were significantly related to the blood lead concentrations in Korea.

Chronic disease prevalence and influencing factors among rural residents in Jiangxi, China

BACKGROUND

This study assessed the prevalence of chronic disease among rural residents in Jiangxi, China, analyzed influencing factors and provided scientific rationale for chronic disease prevention and control.

METHODS

Multi-stage stratified cluster random sampling was used to get a representative sample of rural residents in three counties across five time points from 2003 to 2012. Multivariate logistic regression and χ(2) analysis were performed to analyze the influencing factors.

RESULTS

The average prevalence of chronic disease across the five surveys was 7.9%. A declining trend in chronic disease prevalence from 9.1% in the baseline year to 6.9% in 2012 was observed. Multivariate logistic regression analysis showed that age, gender, occupation, education, marital status and employment were related to the prevalence of chronic disease.

CONCLUSION

The prevalence of chronic disease among rural residents in Jiangxi Province was lower than the national level, and declined over the course of the study. Strengthening health services and interventions for women, farmers, those who are divorced or widowed, the unemployed, and those with a low level of education or low income will help to improve the health status of the population.

Influential factors on learning through the hidden curriculum in the perspective of undergraduate baccalaureate nursing students

INTRODUCTION

Nursing curriculum is not always overt; it can also exist covertly in the form of a hidden curriculum. This study aims to explain the factors influencing learning through the hidden curriculum in the perspective of undergraduate baccalaureate nursing students.

METHODS

This qualitative study was conducted through purposeful sampling strategy on 24 undergraduate baccalaureate nursing students studying in the first to the fourth years of their education. The data were collected using semi-structured interviews and this process continued until data saturation and categories' emergence. Inductive content analysis was used for data analysis.

RESULTS

Professional promotion as a learning factor, impact of personal characteristics on learning, educator's behavior as a learning stimulus, and feedback as a learning stimulus are the main categories emerged in this study; some of them included sub-categories as well.

CONCLUSION

Professional promotion, personal characteristics, educator's behavior and feedback were the main influencing factors on learning through the hidden curriculum in undergraduate baccalaureate nursing students. The findings of this study can be used for developing strategies to promote nursing education and as a result patient care. Further studies are recommended to identify other factors.

Frequency and severity of low back pain in nurses working in intensive care units and influential factors

Objective: The purpose of this research was to determine the frequency and severity of low back pain and influencing factors in nurses working in intensive care units.

Methods: This research was conducted as a cross-sectional study with 114 nurses working in the intensive care units in the province of Gaziantep, Turkey. Study data were collected using a questionnaire form and visual analogue scale.

Results: It was found that 84.2% of the nurses experienced low back pain, and 66.7% of the nurses evaluated this pain as “a pain with moderate severity”. It was determined that nurses who had not received any education on low back pain, who remained standing for long periods of time, who performed interventions that required bending forward, who lifted and repositioned patients, and who did not use any aiding equipment during interventions, experienced more pain and had higher average pain scores. In addition, average pain scores were higher among nurses with master’s and doctorate degrees, and those working in internal medicine and pediatric intensive care units and working in shifts.

Conclusion: It was observed that many of the nurses working in intensive care units experienced low back pain, and especially those working in internal medicine and pediatric intensive care units and working in shifts had higher average pain scores.

Production characteristics of N2O during stabilization of municipal solid waste in an intermittent aerated semi-aerobic bioreactor landfill

An intermittent aerated semi-aerobic bioreactor landfill has the advantages such as accelerating stabilization of municipal solid waste (MSW), reducing methane, and in situ nitrogen removal. However, the introduction of air into a nutrient rich environment induces nitrification and denitrification processes, as well as the potential to generate N species at intermediate oxidation states, including nitrous oxide (N2O). In this study, a simulated intermittent aerated semi-aerobic bioreactor landfill was designed and operated for 262 d in order to establish the production characteristics of N2O. The N2O concentration changed significantly with the degree of MSW stabilization, a low concentration level ranged from undetectable to 100 ppm in the initial stabilization period, then one or two orders of magnitude higher in the later stabilization period compared with the initial period. It is clear that N2O production is relevant to the biodegradable organics in leachate and refuse. Once the biodegradable carbon sources were insufficient, which limited the activity of denitrifying organisms, higher N2O production began.

Removal and factors influencing removal of sulfonamides and trimethoprim from domestic sewage in constructed wetlands

Twelve pilot-scale constructed wetlands with different configurations were set up in the field to evaluate the removal and factors that influence removal of sulfonamides (sulfadiazine, sulfapyridine, sulfacetamide, sulfamethazine and sulfamethoxazole) and trimethoprim from domestic sewage. The treatments included four flow types, three substrates, two plants and three hydraulic loading rates across two seasons (summer and winter). Most target antibiotics were efficiently removed by specific constructed wetlands; in particular, all types of constructed wetlands performed well for the degradation of sulfapyridine. Flow types were the most important influencing factor in this study, and the best removal of sulfonamides was achieved in vertical subsurface-flow constructed wetlands; however, the opposite phenomenon was found with trimethoprim. Significant relationships were observed between antibiotic degradation and higher temperature and redox potential, which indicated that microbiological pathways were the most probable degradation route for sulfonamides and trimethoprim in constructed wetlands.

Medical professional values and education: a survey on italian students of the medical doctor school in medicine and surgery

Background:

The values such as participation/empathy, communication/sharing, self-awareness, moral integrity, sensitivity/trustfulness, commitment to ongoing professional development, and sense of duty linked to the practice of the medical professionalism were defined by various professional oaths.

Aims:

The aim of this study was to evaluate how these values are considered by the students of the degree course of medicine.

Materials and Methods:

Four hundred twenty three students (254 females, 169 males) taking part of the first, fourth, and fifth years of the degree course in medicine were asked to answer seven questions. Pearson's Chi-square, Wilcoxon rank sum test, and Kruskal–Wallis test were used for the statistical analysis.

Results:

The survey showed a high level of knowledge and self-awareness about the values and skills of medical profession. In particular, the respect, accountability, and the professional skills of competence were considered fundamental in clinical practice. However, the students considered that these values not sufficiently present in their educational experience.

Conclusions:

Teaching methods should be harmonized with the contents and with the educational needs to ensure a more complex patient-based approach and the classical lectures of teachers should be more integrated with learning through experience methods.

Treatment with penehyclidine hydrochloride reduces the levels of MIF in serum and AQP-5 in bronchoalveolar lavage fluid in rats with acute necrotizing pancreatitis and acute lung injury

AIM: To investigate the influence of treatment with penehyclidine hydrochloride (PHCD) on the levels of macrophage migration inhibitor factor (MIF) in serum and aquaporin-5 (AQP-5) in bronchoalveolar lavage fluid (BALF) in rats with acute necrotizing pancreatitis (ANP) and acute lung injury (ALI).

METHODS: ANP and ALI was induced in Sprague-Dawley rats by retrograde injection of 4% sodium taurocholate into the biliopancreatic duct. One hundred rats were randomly and equally divided into treatment group and non-treatment group. The treatment group received intraperitoneal injection of PHCD. Each group was further equally and randomly divided into five subgroups for testing at 6 h, 12 h, 24 h, 36 h, and 48 h. The concentrations of MIF in serum and AQP-5 in BALF were determined by enzyme-linked immunosorbent assay (ELISA). Pancreatic and pulmonary pathomorphology was recorded and compared between the two groups. The wet-to-dry weight ratio of the lung was measured and blood gas analysis was performed.

RESULTS: Compared to the non-treatment group, the treatment group had significantly decreased serum levels of MIF (χ² = 20.52, P = 0.042), the wet-to-dry weight ratio of the lung (χ² = 21.04, P = 0.000) and arterial PaCO2 (χ² = 82.83, P = 0.000), significantly increased BALF levels of AQP-5 (χ² = 17.22, P = 0.044) and arterial PaO2 (χ² = 503.48, P = 0.000), and significantly mitigated pancreatic and lung histopathological changes.

CONCLUSION: PHCD intervention has an appreciable therapeutic effect on ANP and ALI in rats.

Factors influencing the development of animal models of dextran sulphate sodium-induced colitis

The animal models of dextran sulphate sodium (DSS)-induced colitis have demonstrated several correlations with human ulcerative colitis (UC) since the first report of DSS-induced colitis in hamsters in 1985. These animal models have similarities to human UC in etiology, pathology, pathogenesis and therapeutic response, and are deemed suitable for investigating the pathogenesis and therapeutic options of UC and UC-related dysplasia-adenocarcinoma sequence. Although induction of colitis with DSS is relatively cheap and simple, the development of this model is influenced by many factors, such as DSS concentration, administration duration, DSS molecular weight and animal species. These factors are important for successful development of DSS-induced colitis. In this paper we summarize factors influencing the development of animal models of DSS-induced colitis.

The factors related with postoperative complications in benign nodular thyroid surgery

Thyroid gland is an important endocrine organ because of its functions. Although the morbidity and mortality of thyroid surgery have decreased markedly, serious complications may still occur. The aim of this retrospective study was to identify the factors influencing the complications in benign nodular thyroid surgery. A total of 332 patients who underwent thyroid surgery between April 2004 and May 2008 were evaluated retrospectively to identify the factors influencing the complications. We found that in surgery lasting more than 90 minutes the risk of permanent recurrent laryngeal nerve (RLN) injury was high, daily drainage more than 50 cc increases the risk of seroma formation, retrosternal goiter surgery have higher risk for bleeding. The flap edema rates were high found in the operations made by resident surgeon and patients with size 3-4 thyroid glands. Low complication rates can be achieved after thyroidectomy with better knowledge of the surgical anatomy of the neck, thyroid pathology and required surgical treatment.