Fear of pain and related cognitive variables predict the cesarean labor

2011 ◽  
Vol 26 (S2) ◽  
pp. 994-994
Author(s):  
S. Ghooshchianchoobmasjedi ◽  
M. Dehghani

IntroductionPrevalence of the cesarean labor in Iran has reported 41percent in recent studies which is really higher than expected rate compare to other countries.ObjectivesOur purpose in this research was to examine the role of “fear of pain” and related cognitive variables such as pain catastrophizing, catastrophic cognition and also childbirth attitude in prediction of the cesarean labor.AimsIn this research was to examine the role of “fear of pain” and related cognitive variables in prediction of the cesarean labor.MethodsParticipants were 300 pregnant women from two private (n = 150) and public (n = 150) hospitals who were selected using available sampling method. After informed consent provided from all participate, variables such as age, level of education, month of pregnancy, previous number of deliveries, previous number of cesarean, tendency to cesarean and type of hospital were control for using counter balancing method. Three questionnaires of fear of pain (FPQ) and catastrophic cognition (CCQ) and childbirth attitude (CAQ) as well as scale of pain catastrophizing (PCS) were administrated.ResultsA Regression Binary Logistic was revealed that month of pregnancy, previous number of cesareans and also the type of hospital could predict the tendency to cesarean. Further, a significant predictive value were also found for cognitive variables of pain catastrophizing, catastrophic cognition and childbirth attitude.ConclusionsThese results showed that increase in the month of pregnancy, pain catastrophizing, catastrophic cognition and childbirth attitude and also decrease in the previous number of cesareans and selection of private hospital, predict the cesarean delivery among women.

2011 ◽  
Vol 26 (S2) ◽  
pp. 1871-1871
Author(s):  
S. Ghooshchianchoobmasjedi ◽  
M. Dehghani

IntroductionPrevalence of the cesarean labor in Iran has reported 41percent in recent studies which is really higher than expected rate compare to other countries.ObjectivesOur purpose in this research was to examine the role of premenstrual syndrome (PMS) and psychological variables(Depression, Anxiety, Stress) in prediction of the cesarean labor.AimsMy aim was to examine the role of premenstrual syndrome and psychological variables(Depression, Anxiety, Stress) in prediction of the cesarean labor in Iran.MethodsParticipants were 300 pregnant women from two private (n = 150) and public (n = 150) hospitals who were selected using available sampling method. After informed consent provided from all participate, variables such as age, level of education, month of pregnancy, previous number of deliveries, previous number of cesarean, tendency to cesarean and type of hospital were control for using counter balancing method.Two questionnaires of Short Premenstrual Assessment Form (SPAF) and Depression, Anxiety, Stress Scale (DASS) were administrated.ResultsA Regression Binary Logistic was revealed that month of pregnancy, previous number of cesareans and also the type of hospital could predict the tendency to cesarean. No significant effect was observed for psychological variables (Depression, Anxiety, Stress) and premenstrual syndrome (PMS).ConclusionsThese results showed that increase in the month of pregnancy and also decrease in the previous number of cesareans and selection of private hospital, predict the cesarean delivery among women.


2011 ◽  
Vol 26 (S2) ◽  
pp. 993-993
Author(s):  
S. Ghooshchianchoobmasjedi ◽  
M. Dehghani ◽  
S. Makvand Hosseini

IntroductionRecent clinical reports show a sharp rise in the cesarean section rate, particularly in the private hospitals that might be affected by the cognitive variables.ObjectivesThis research was to compare fear of pain, pain catastrophizing, catastrophic cognition and also childbirth attitude in private and public hospitals.AimsThe main aim of this research was to compare fear of pain, pain catastrophizing, catastrophic cognition and also childbirth attitude in private and public hospitals.MethodsParticipants were (n = 150) pregnant women from private hospitals who were selected using available sampling method as well as (n = 150) pregnant women from public hospitals who were counter balanced on the basis of the age, education, previous number of deliveries, previous number of cesarean and type of hospital variables. Three questionnaires of fear of pain (FPQ) and catastrophic cognition (CCQ) and childbirth attitude (CAQ) as well as scale of pain catastrophizing (PCS) were administrated.ResultsMultivariate analyses of variance were shown significantly differences for two cognitive variables of “fear of pain” and “catastrophic cognition”, while no significant difference were observed for other variables.ConclusionsThese results suggested fear of pain and catastrophic cognition as important cognitive factors in the increase rate of cesarean labor in private hospitals.


2021 ◽  
Vol 13 (5) ◽  
pp. 104
Author(s):  
Sitti Aizah Lawang ◽  
Idham Jayaganda ◽  
Dasril Daud

OBJECTIVE: The study aimed to investigate the role of TNFα-308 genetic polymorphism, association between TNF-α serum level and prognostic factor of mortality in pediatric sepsis. METHODS: This was a prospective cohort study. Consecutive sampling method was used and samples were obtained from septic patients diagnosed based on the IPSC 2005 criteria. Serum TNF-α and genetic polymorphism were measuread and analyzed with ELISA and PCR plus sequencing, respectively. RESULT: One hundred and seventeen samples were included, 62 were in survivor grioup and 55 in non survivor group. A very significant association was found between TNF-α serum level and mortality (p<0.001). The optimal cut off point of TNFα serum level as prognostic factor for mortality was ≥ 500 pg/mL (p<0.001 and OR 16.6) sensitivity 78.1%, specificity 82%, Positive Predictive Value (PPV) 79.6%, Negative Predictive Value (NPV) 80.9%, Area Under Curve (AUC) 0.811. Two samples showed TNFα-308A polymorphism and mutation of GG allele to heterozygote GA allele. Neither TNFα polymorphism and TNFα serum level showed any association with mortality. There was no significant association between TNFα-308 polymorphism and TNF-α serum level p=0.461(p>0.05) and mortality p=0.219 (p>0.05), all sample who had TNFα-308 genetic polymorphism were in non survivor group and had TNF-α serum level ≥ 500 pg/mL. CONCLUSION: Genetic polymorphism of TNF-α-308 showed no statistic significant on mortality, but all subjects with TNFα-308 polymorphism had higher TNF-α serum and were all in non-survivor group.


2018 ◽  
Vol 21 (14) ◽  
pp. 2595-2605 ◽  
Author(s):  
Saskia Wouters ◽  
Viviane Thewissen ◽  
Mira Duif ◽  
Rob JH van Bree ◽  
Lilian Lechner ◽  
...  

AbstractObjectiveRecent research emphasizes the importance of habit in explaining patterns of energy intake and choices of consumption. However, the nature of the association between habit strength and snacking has not been explored for all types of between-meal snacks.DesignMultilevel linear techniques were used to: (i) examine the association between habit strength and moment-to-moment energy intake (kilocalories) from snacks in daily life; and (ii) determine whether gender, age, level of education and BMI moderate the association between habit strength and moment-to-moment energy intake from snacks. A smartphone application based on the experience sampling method was used to map momentary between-meal snack intake in the context of daily life. Demographics and habit strength were assessed with an online composite questionnaire.SettingThis research was performed in the Netherlands in the natural environment of participants’ daily life.SubjectsAdults (n 269) aged 20–50 years.ResultsHabit strength was significantly associated with moment-to-moment energy intake from between-meal snacks in daily life: the higher the strength of habit to snack between meals, the higher the amount of momentary energy intake from snacks. The association between habit strength and moment-to-moment energy intake from snacks was moderated by education level. Additional analyses showed that habit strength was significantly associated with moment-to-moment energy intake from between-meal snacks in the low to middle level of education group.ConclusionsIt is recommended to address habitual between-meal snacking in future interventions targeting low- to middle-educated individuals.


Author(s):  
Oktay Erdoğan ◽  
Ela Tohumcu ◽  
Mehmet Fırat Baran ◽  
Osman Gökdoğan

The aim of the study was to determine the problems about pest management practices of almond growers in Adıyaman province, in 2016. For this purpose, according to simple random sampling method as chosen randomly 96 farmers were obtained with survey method in a total of 24 villages, randomly selected 6 villages from each of Kahta, Besni, Gölbaşı and Merkez districts and results evaluated as percent ratio. Almond growers were found to have a high level of education, mostly non-agricultural income, and their income levels above the hunger limit level. Almond growers were determined that they received support from pesticide markets and provincial directorate of agriculture in selecting pesticides and determining the dose of pesticide; pesticide brand and effective substance is an important factor in the selection of pesticides; they are not used the same pesticide for the same disease and insect; they are spraying without seeing disease and insect; they are applying exactly recommended dose; used pesticides leave residues on the product; they are careful to the waiting period between the spraying and the harvest; they are using protective clothing or mask during spraying; they have not put empty pesticide boxes on the field or roadside; they are cleaning the spraying tank, but they use the sprayer without calibrating; they are mixing the pesticides; they prefer cultural control other than chemical control and do not know the concept of biopesticide.


2010 ◽  
Author(s):  
Aja Taitano ◽  
Bradley Smith ◽  
Cade Hulbert ◽  
Kristin Batten ◽  
Lalania Woodstrom ◽  
...  

2016 ◽  
Vol 04 (01) ◽  
pp. 4-10

AbstractImmunosuppression permits graft survival after transplantation and consequently a longer and better life. On the other hand, it increases the risk of infection, for instance with cytomegalovirus (CMV). However, the various available immunosuppressive therapies differ in this regard. One of the first clinical trials using de novo everolimus after kidney transplantation [1] already revealed a considerably lower incidence of CMV infection in the everolimus arms than in the mycophenolate mofetil (MMF) arm. This result was repeatedly confirmed in later studies [2–4]. Everolimus is now considered a substance with antiviral properties. This article is based on the expert meeting “Posttransplant CMV infection and the role of immunosuppression”. The expert panel called for a paradigm shift: In a CMV prevention strategy the targeted selection of the immunosuppressive therapy is also a key element. For patients with elevated risk of CMV, mTOR inhibitor-based immunosuppression is advantageous as it is associated with a significantly lower incidence of CMV events.


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