Retrospective Study of Investigation of Possible Predictors for Total Fertility Rate in India|Journal of Scientific Research and Reports

The total fertility rate (TFR) is the most frequently accepted and utilised method of determining current fertility. Because TFR is based on an age-specific fertility rate, the total number of births in various age groups, as well as the age of the female, are necessary. When the population is illiterate or elderly, age information may be subject to recall bias, misreporting digit preference, and other factors, causing TFR to deviate from reality. As a result, we’ll need to use some indirect approach to get a sense of TFR estimation. In this work, the authors attempted to discover several variables that explain TFR and to recommend the optimal combination of predictors for obtaining a TFR estimate. This study’s methodology is primarily based on the regression technique. The coefficient of determination is used to identify potential predictors and to accept them. The study is based on data from the National Family Health Survey (NFHS 4) for India’s major states.

Please click here : https://journaljsrr.com/index.php/JSRR/article/view/30314

Predictors of Peripheral Artery Disease among Elderly Respondents in an Urban Hospital, Edo State Nigeria|Journal of Advances in Medicine and Medical Research

In the senior population, peripheral artery disease (PAD) can have an impact on health-related Quality of Life, Disability Adjusted Life Years (DALYs), and is a powerful predictive marker for future cardiovascular events. PAD is widespread among the elderly, although it is often misdiagnosed due to the presence of other morbidities such as osteoarthritis and accompanying muscle spasm.

Aim. The goal of this study was to look at the socio-demographic and clinical variables of older people to see if they could predict PAD.

Methods. From September to November 2017, a cross-sectional hospital-based study was conducted among 370 patients aged 60 and up who were attending a Tertiary Hospital. A method of systematic random sampling was used. Data on socio-demographic characteristics, lifestyle variables, and medical history were collected using a structured questionnaire. PAD was diagnosed using the Ankle Brachial Index (ABI). The Chi-square test and logistic regression were used in the analysis.

Results. The average age of the respondents was 69.37 years, with 76.5 percent of them being female. Half of the respondents were married, while 47 percent were widowed. The multi-logistic regression revealed that only individuals with aberrant pedal pulse were more likely to present with PAD than those with normal pedal pulse (OR=10.634, 95 percent CI=2.4-47.121, p=0.002).

Conclusion. Because aberrant pedal pulses were found to be major predictors of PAD in this study, it is recommended that elderly people undergo regular screening (clinical foot examination and ABI) in order to diagnose PAD early and receive quick treatment.

Please click here : https://www.journaljammr.com/index.php/JAMMR/article/view/30853

Predictors of Transannular Patch Enlargement in Tetralogy of Fallot Repair; a Single Center Experience|Cardiology and Angiology: An International Journal

Introduction: Tetralogy of Fallot (ToF) is the most common cyanotic heart condition after the neonatal period, accounting for 5% to 10% of all congenital heart disorders (CHD). Surgical repair of the right ventricular outflow tract obstruction (RVOTO) has developed through time, from the common use of transannular patch enlargement (TAPE) of the pulmonary valve annulus (PVA) to the more recent trend of valve-sparing surgical procedures to preserve the PVA. To avoid serious and escalating difficulties associated with TAPE, the latter approach is preferred. Other parameters have been proposed and some have been determined to be better predictors of TAPE in ToF surgeries. The decision on TAPE is primarily based on the PVA z-score, which is subject to variability across different surgeons and centres; as a result, other parameters have been proposed and some have been determined to be better predictors of TAPE in ToF surgeries.

The goal of this study was to find out whether factors predict transannular patch growth in ToF procedures at a CHD specialty facility.

Methods: Between July 2018 and April 2019, all patients with ToF who presented to a major CHD centre – the Sri Sathya Sai Sanjeevani Hospital (SSSSH) in Raipur, India – were studied retrospectively. Patients’ demographics, anthropometry, and echocardiographic characteristics were among the parameters sought and collected. The z-scores and other variables that could be calculated were calculated and placed into a database. SPSS was used to conduct the analysis. Continuous variables were represented in means, medians, and ranges using descriptive statistics, while categorical variables were represented in bar chats. The means of the groups were subjected to analysis of variance.

There were 135 patients, ranging in age from 7 months to 199 months, with 89 males (65.9 percent ). TAPE took 36 hours to complete (26.7 percent ). The TAPE group had significantly reduced aortic valve diameter (18.3 vs 20mm, p=0.037), pulmonary valve diameter (10.1 vs 12.0mm, P=0.003), and pulmonary valve Z-score (-2.48 vs -1.47, p=0.011). The great artery ratio (PVA/AoV) did not predict TAPE usage in a univariate study. A GA ratio of 0.54 was, however, substantially related with a greater risk of TAPE (odds ratio 2.37). (CI: 1.47 to 3.9). The multivariate logistic model for TAPE usage in TOF properly predicted 70.8 percent of the children with TOF who received TAPE and explained 15% (R2) of the variance in TAPE use. The area under the curve for who received TAPE was 65 percent (95 percent) predictability. CI ranges from 53.5 percent to 76.6 percent.

Conclusion: TAPE is predicted by PVA diameter, Aortic valve diameter, and PVA z-score. TAPE is more likely if the GA ratio is less than 0.54. Clinical parameters are ineffective as TAPE predictors.

Please click here : https://www.journalca.com/index.php/CA/article/view/30153

Retrospective Study of Investigation of Possible Predictors for Total Fertility Rate in India | Journal of Scientific Research and Reports

The total fertility rate (TFR) is the most frequently accepted and utilised method of determining current fertility. Because TFR is based on an age-specific fertility rate, the total number of births in various age groups, as well as the age of the female, are necessary. When the population is illiterate or elderly, age information may be subject to recall bias, misreporting digit preference, and other factors, causing TFR to deviate from reality. As a result, we’ll need to use some indirect approach to get a sense of TFR estimation. In this work, the authors attempted to discover several variables that explain TFR and to recommend the optimal combination of predictors for obtaining a TFR estimate. This study’s methodology is primarily based on the regression technique. The coefficient of determination is used to identify potential predictors and to accept them. The study is based on data from the National Family Health Survey (NFHS 4) for India’s major states.

Please see the link :- https://www.journaljsrr.com/index.php/JSRR/article/view/30314

Improving Diagnostic Approaches to Predicting Stroke Complications | ournal of Advances in Medicine and Medical Research

Introduction: This article provides a brief description of the possibility of using reversible cerebral vasoconstriction syndrome as a possible predictor of stroke development. As you know, the main subtypes of ischemic stroke are: atherothrombotic. Cardiogenic embolic, lacunar, hemodynamic, hemorheological. To date, the pathophysiological mechanisms of the development of stroke have not been fully studied, so the search for new diagnostic criteria that expand the clinical diagnosis of acute circulatory disorders remains an urgent issue in clinical neurology.

 Materials and Methods: 36 patients aged 30 to 77 years (mean age 53.5 ± 11.4 years) were examined at the Department of Neurology of the ASMI. The diagnosis was made based on anamnestic information, the results of the clinical and neurological examination and MRI data in the T-1, T-2, T2-FLAIR, MPA modes.

Results: According to the results of the study, a mild stroke (NIHSS less than 7 points, Bartel index more than 75 points, mRS less than 2 points) was observed in 36% of subjects, moderate severity (NIHSS 7-14 points, Bartel index 70-60 points, mRS 2-3 points) in 52% of patients with severe severity (NIHSS more than 14 points, Barthel index less than 50 points, mRS – 4 points) in 12% of patients. In neurological status, in all patients, motor (contralateral hemiparesis or monoparesis and sensory disturbances in combination with impaired innervation of the facial and sublingual nerve were determined to vary degrees. Speech disorders in the form of aphasia and dysarthria, slightly expressed disorders of gnosis and praxis were also detected.

Conclusion: The most significant factors affecting the course and outcome of the disease in patients with stroke can be considered the presence of cerebral angiospasm.

Please see the link :-  https://www.journaljammr.com/index.php/JAMMR/article/view/30343

School Type and Leadership Pattern of Principals as Predictors of Science Teachers’ Job Performance in Rivers State Nigeria

This study, investigated the effect of school type (public and private) and leadership pattern of principal on teachers’ job performance in Rivers State Nigeria. The design for the study was survey.  The target population for this study comprises of all the Senior Secondary School Three (SS 3) students and their teachers in public and private Schools in Rivers State Nigeria. Simple random sampling technique was used to select 370 ‘respondents (60 teachers and 310 students) and, stratified random sampling was used to select twelve (12) secondary schools. Data were collected using Students’ Perception of Teachers’ Job Performance Questionnaire (SPTJPQ) and Teachers’ Perception of School Type and Principals’ Leadership Style Questionnaire (TPSTPLSQ) with 0.74 and 0.92 reliability coefficients respectively using Cronbach Alpha statistic. Three research questions guided the study, and Pearson Product Moment Correlation and Multiple Regressions were the statistical tools used for data analysis with the aid of Statistical Package for Social Science (SPSS) version 20. This study showed relationships among and between variables in terms of their direction and strength. All the variables considered in this study have relationships with the criterion variable at varying strengths. While the school type (r = -.008 p>0,05), autocratic leadership style (r = -.112 p<0.05) and laissez faire leadership style (r = -.008 p>0.05) are negatively correlated; only the autocratic leadership style had significant relationship with the criterion. The study therefore, concluded that all the variables of the study are correlated at varying strength and different direction.

Biography of author(s)

Pepple Tamunosisi Furo
Department of Chemistry, Ignatius Ajuru University of Education, Rumuolumeni, Port Harcourt, Nigeria.

Stanley Ndimele
Institute of Education, University of Ibadan, Ibadan, Nigeria.

Please read full article : – http://www.journaljesbs.com