Past Issue | Volume | Volume 8,Issue 1,Jan,2022
RISK FACTORS FOR THE DEVELOPMENT OF CHRONIC PURULENT OTITIS MEDIA IN CHILDREN.
Ruzikulova Nilufar Ravshanovna
Abstract:-
Introduction: Chronic suppurative otitis media (CSOM) is the result of an initial episode of acute otitis media and is characterized by persistent discharge from the middle ear.
Purpose: To establish the role of various risk factors for the development of chronic suppurative otitis media among children who received treatment on the basis of the ENT department of the children's multidisciplinary medical clinical center and the 1-family polyclinic of the Samarkand city.
Methods: Using a case-control study design, 78 sick children with chronic suppurative otitis media and 156 relatively healthy children in the control group were compared to determine various common risk factors for the development of the disease. We examined the following risk factors: gender, age, socioeconomic status (SES), diet, passive smoking, snoring, persistent rhinorrhea, positive throat culture, seasonal and allergic rhinitis. Multiple logistic regression analysis was performed by including variables with p <0.30 knowledge in the bi-variant analysis.
Results: According to the results of the study, case control, socio-demographic factors (gender, age, SES) among patients of the main and control groups were statistically comparable. The main risk factors for chronic suppurative otitis media identified by bi-variant analysis included persistent rhinorrhea, snoring, and seasonal rhinitis. In multiple logistic regression analysis, persistent rhinorrhea (p <0.01, CR(chance ratio) = 4.8, 95% CI(confidence index) 2.74-8.76), snoring (p = 0.01, CR = 3.41, 95% CI 1.91-6 , 01), seasonal rhinitis (p = 0.001, CR = 5.8, 95% CI = 3.1-10.5) and passive smoking (p <0.19, CR = 1.4, 95% CI 0.82 - 2.48) were recognized as important risk factors for chronic suppurative otitis media. Age, gender, SES, parental education, seasonal or allergic rhinitis, inadequate nutrition, and exposure to household smoke were not significant risk factors.
Conclusions: Snoring, persistent rhinorrhea, seasonal rhinitis and passive smoking are risk factors for the development of chronic suppurative otitis media. Eliminating these risk factors can significantly reduce the risk of developing chronic suppurative otitis media among the child population.
Abstract:-
Background:Stress is inevitable to human and the reactions vary from individual to individual. During nursing education and training, students are frequently exposed to stressors which may affect their performance. Dance therapy has positive impact on stress.
Aim: A quasi-experimental study was conducted in selected nursing colleges of Shimla, (H.P) with objective to assess the effectiveness of dance therapy on the level of stress.
Methodology: The study adopted quasi-experimental design. Convenience sampling technique was used to select 60 Nursing students. Modified Perceived Stress Scale was used to assess the level of stress before and after the dance therapy.
Result:The present study findings have shown that in pre- test, majority of nursing students 80% were in moderate level of stress in experimental group and 87% of nursing students were in moderate level of stress in control group. In post- test, 60% of nursing students were in low level of stress in experimental group. On the other hand, 73.3% of nursing students were in moderate level of stress in control group. Significant association was found between age and level of stress in experimental group. Dance therapy is more effective in age >20 years than in age <20 years as nursing students of age group >20 had shown decreased level of stress after dance therapy as compared to nursing students of age group <20.
Need PHD Research Writing Help?
