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Relationship between Stress and Psychosomatic Complaints among Nurses in Tabarjal Hospital  [PDF]
Ibrahim Abdelrahim Ibrahim Humaida
Open Journal of Medical Psychology (OJMP) , 2012, DOI: 10.4236/ojmp.2012.13003
Abstract: This research was conducted to examine the relationship between stress and psychosomatic complaints among nurses in Tabarjal hospital. To achieve this aim, the researcher used the descriptive method and selected a sample consisting of (56) nurses working in hospital through the simple random sampling technique. The respondents were requested to complete a questionnaire for rating of stress and the most common psychosomatic diseases. The collected data were analyzed statistically by using SPSS. The results revealed that the stress was dominant among nurses in Tabarjal hospital, the prevalence of psychosomatic complaints was significantly higher in nurses, and there was significant correlation between stress and psychosomatic complaints among nurses. Conclusion: This research confirmed the effect of strains on the prevalence of psychosomatic symptoms among nurses in Tabarjal hospital. Further, implications of the results were discussed on the light of some related researches.
Seaweed Dietetic Food for the Functional Gastrointestinal Complaint Treatment  [PDF]
Juris Pokrotnieks, Aleksey Derovs, Elena Derova, Diana Zandere, Alexei Odinets, Vladimir Mishailov
Food and Nutrition Sciences (FNS) , 2013, DOI: 10.4236/fns.2013.49117

Despite the common nature of dyspeptic complaints, the treatment is still a problem. There is very little research done on the impact of dietary nutrition on the general health of the patients with dyspeptic complaints and overall nutritional safety. Study Objective: To evaluate the clinical effectiveness of the brown seaweed dietary product “Vitamarine” for the treatment of dyspepsia, as well as product safety. Material and Methods: An open, uncontrolled pilot study with questionnaires before and after the vitamarine course with the patient’s self-perception reports. Data were processed with multivariate analysis. Results: The study included 46 patients with 45 valid end result questionnaires for data processing. After 8 to 10 days use of vitamarine, 33 (76.8%) patients noted symptom disappearance or significant improvement, no improvement of symptoms or their increase was noted by 10 patients (23.2%). Complaints about weakness, fatigue and rapid tiredness significantly decreased or disappeared entirely (p = 0.04), including months long epi-gastric pain (p = 0.02) and constipation (p = 0.01). Conclusions: 1) Use of the dietetic food product “Vitamarine” with a dose of 50 - 60 g per day in two cases out of three improve the general well-being of the patients: months long dyspeptic abdominal pain and constipation disappear or significantly decrease. 2) In the first 8 - 10 days of the vitamarine course clinical effectiveness already can be noted. 3) Use of vitamarine is safe, including patients with a history of allergies to medications, elderly and patients with concomitant diseases.

Comparison of Sacral Ratio in Normal Children and Children with Urinary and/or Faecal Complaints
Abdol Mohammad Kajbaf Zadeh,Farideh Nejat,Parvin Abbaslou
Iranian Journal of Pediatrics , 2008,
Abstract: Objective: Sacral ratio (SR) measurements in children with urinary and faecal complaints is less than that in normal children.Material & Methods: We performed the current study on 401 normal and 193 children with urinary and/or faecal complaints from April 2002 to April 2003. None of the children in either group had a history of a known neurologic disease, myelodysplasia, cloacal exstrophy, Hirschprung`s disease, ureteropelvic junction obstruction, ureterovesical junction obstruction or anorectal malformation. Due to ethical and health aspects, we couldn't request radiography in completely normal children to determine SR.Findings: The normal value for SR in antero-posterior view (APSR) ranged from 0.36-1.33 with an average of 0.71. The mean APSR in patients with urinary and/or faecal signs and symptoms (case group) was 0.554. The differences of SR values between the two groups were statistically significant (P<0.05). The curve of mean APSR and age in normal group shows no obvious steepness but the curve in case group has an obvious slope with increasing age to adolescence.Conclusion: The SR is considered as a reliable tool to evaluate sacral development in patients with urinary and/or faecal complaints. It has a wide range of values and should be noted abnormal when it is less than 0.4. Age has a significant influence on SR values in children with urinary and/or faecal complaints.
Didik Budijanto,Sudarti Sudarti
Bulletin of Health Research , 2012,
Abstract: The impact of electromagnetic field exposure on health is still controversial. Scientific evidence are very few. This study has the objective to add information about that issue. This study has been done at kecamatan Tulangan and Wonoayu Sidoarjo district in a community who live under 500 KV (Extra High Tension) transmission lines. The number of sample were 229 persons and taken by simple random sampling from a group of population between 15 - 49 years old. Electric and magnetic fields are measured using ELF (Extremely Low Frequency) survey meter, and health disorders were asked using questionnaries. The result of this study showed that for electric field exposure there are trends of increasing headache among the group of age 25-34 years and > 35 years old (p = 0,002 74; p = 0,00122) and also among male and female (p = 0,01962; p = 0,00160). Whereas magnetic field exposure gave the same impact for headache among groups age (p = 0,00305; p = 0,00381) and female (p = 0,00015). The increase of vertigo disorder happened among age group between 25 - 34 year old (p = 0,01251) and only among females (p = 0,04297) for electrical field exposure, whereas for magnetic field exposure p = 0,01173 and p = 0,0164. The increase in heart beat disorder only happened among the age group between 15 - 24 years oldfor magnetic field exposure. The conclusion of this study is that the increase of electromagnetic field exposure, so increases the prevalence of health disorders e. q headache, vertigo and heart beat.
Nocturia: Impact on quality of life in an Egyptian adult population  [PDF]
Salma M. S. El Said, Tomader Abd El Rahman, Ahmed K. Mortagy, Marian Wagieh Mansour
Advances in Aging Research (AAR) , 2013, DOI: 10.4236/aar.2013.24023

OBJECTIVE: To estimate the effects of nocturia on quality of life (QoL) and to assess the associated effects of sleep problems. Background: Nocturnal urination (nocturia) is such a commonplace occurrence in the lives of many older adults that it is frequently overlooked as a potential cause of sleep disturbance. Methods: The current study was carried out to assess the prevalence of nocturia in elderly males and its impact on sleep quality and QoL. The study enrolled 200 elderly males aged 60 years old and above. All participants were recruited from geriatric clubs in Cairo. All participants in the study were subjected to: comprehensive geriatric assessment, American Urological Association (AUA) score used to measure the severity of nocturia ,assessment of sleep quality using Pittsburgh Sleep Quality Index (PSQI) and assessment of QoL using “SF-12 Short Form Health Survey”. Results: The study showed that the prevalence of nocturia in elderly males aged ≥60 years old was 68% with significant association between nocturia and diabetes mellitus, heart failure, stroke, prostatism, recurrent UTI and diuretic use. As regard sleep quality, the current study showed that the prevalence of
poor sleep in the studied subjects is 70.5% with significant association between nocturia and poor sleep quality. Nocturia significantly affects sleep latency, sleep efficiency and daytime dysfunction, high significantly affecting sleep disturbance. Also diabetes mellitus, ischemic heart disease, heart failure, prostatism, recurrent UTI, osteoarthritis and diuretic use are significantly associated with poor sleep quality. As regard quality of life, the current study showed significant association between nocturia and physical and mental health components of HRQL in the univariate analysis. But after multivariate analysis, nocturia is not an independent risk factor for poor quality of life. Nocturia affects QoL through its effect on sleep quality which is an independent risk factor for poor physical and mental health components of QoL. Conclusion: Nocturia may lead to sleep insufficiency and consequently to a decrease in mental and physical health. Patients who consult a doctor for nocturia should thus be treated adequately. In addition, it is worthwhile for doctors to routinely check if patients’ who contact them for sleep problems also have nocturia.

Como gerar valor para os clientes por meio dos Servi?os de Atendimento ao Consumidor: o que mostram as pesquisas
Chauvel, Marie Agnes;Goulart, Vania Cianni;
Cadernos EBAPE.BR , 2007, DOI: 10.1590/S1679-39512007000400003
Abstract: during the 1990s, the number of customer service departments (csds) in operation in brazil grew significantly. such departments have since been studied in researches that focused essentially two topics: customers satisfaction with the management of complaints and the performance of customer service departments in the organization. the objective of this paper is to review the results of these studies seeking for recommendations that could help organizations in the management of csds. as a result, the paper suggests several aspects that should be taken in consideration in order to improve the relationship between the csd, the customers and the firm and contribute for a more strategic use of this tool in the task of offering more value to customers.
Prevalence of somatoform pain complaints in the German population
Hessel, Aike,Beutel, Manfred,Geyer, Michael,Schumacher, J?rg
GMS Psycho-Social-Medicine , 2005,
Abstract: The prevalence of somatoform pain complaints was assessed in a representative sample of 2050 persons in Germany in the age range from 18 to 92 years by the Screening for Somatoform Symptoms questionnaire [57]. A high percentage of the study participants turned out to complain of serious somatoform pains. Most frequently, back pain (30.5%), joint pain, pain in the arms and/or legs (19.9%) and headache or facial pain (19.5%) were reported. Women complained of more somatoform pain symptoms than men. Pain was higher with an increasing age, lower education, lower income, rural residency, and residency in Eastern Germany. While the prevalence of somatoform pain is high, the majority of patients does not receive adequate psychotherapeutic care but is inadequately treated by somatic treatments.
Widersprüchliche Verpflichtungen: Rollenkonflikte im Beschwerdenmanagement des britischen Gesundheitswesens Conflicting Obligations: Role Conflict among Health Care Complaints Managers Las obligaciones en conflicto: el conflicto de rol entre directivos que atienden quejas en atención sanitaria
Clare Xanthos
Forum : Qualitative Social Research , 2008,
Abstract: Dieser Artikel besch ftigt sich mit ausgew hlten Ergebnissen aus einer Untersuchung zu Konflikten und Spannungen, die mit der T tigkeit im Beschwerdenmanagements des britischen National Health Service (NHS) einhergehen. Es wird angenommen, dass die Balance zwischen der Loyalit t zum Gesundheitswesen einerseits und den Bedürfnissen der Kl ger(innen) andererseits zu einem inh renten Widerspruch im Aufgabenfeld Beschwerdenmanagement führt. Diese Annahme wird gestützt durch vorliegende Literatur zu Konfliktmanagement, Administration und sozialen Akteuren im Bereich der Forschung zur Sozialgesetzgebung, zu ffentlicher Verwaltung und durch soziologische/sozialpsychologische Ans tze. In der Studie, die zwischen 1999 und 2002 im Gro raum London und im Südosten von England durchgeführt wurde, kamen qualitative Verfahren zum Einsatz, insbesondere ausführliche Telefoninterviews mit 30 im NHS-Beschwerdenmanagement t tigen Personen. Im Fokus dieses Beitrags stehen diejenigen 21 Interviews, die mit Besch ftigten in NHS-Krankenh usern geführt wurden (die übrigen waren im Bereich der ambulanten Versorgung t tig). Die Befunde der Untersuchung betreffen vor allem drei Themenfelder: 1. Besch ftigte im Beschwerdenmanagement sind Widersprüchen ausgesetzt, die aus ihrer Berufsrolle resultieren; 2. aus diesen Widersprüchen folgen wiederum sehr unterschiedliche Reaktionen, mit denen sich die Mitarbeiter(innen) dann auseinandersetzen müssen; 3. die Art der Auseinandersetzung h ngt mit unterschiedlichen Typen von Besch ftigten in diesem Berufsfeld zusammen. In dem hier pr sentierten Beitrag geht es insbesondere um das erstgenannte Themenfeld, also um Rollenwidersprüche, die aus der T tigkeit im Beschwerdenmanagement resultieren. URN: urn:nbn:de:0114-fqs080187 This article draws on selected findings from a study which explored the conflicts and tensions inherent in the role of UK National Health Service (NHS) complaints managers. It is argued that balancing loyalties to the complained about health service organisation against the needs of complainants leads to an inherent contradiction in the role of the complaints manager. This proposition is supported by theoretical literature on complaints handlers, administrators and social actors drawn from three social science disciplines: socio-legal studies, public administration and sociology/social psychology. The study was conducted between 1999 and 2002 in the London/South East region of the UK and uses a qualitative approach. It is based on in-depth telephone interviews recorded with thirty NHS complaints managers. The focus here is
Transylvanian Review of Administrative Sciences , 2009,
Abstract: In recent years a lot of attention has been paid to enhancing and strengthening the role of the Ombudsman in complaints procedures; an equal (or larger) amount of attention has been given to lowering the threshold of formal – administrative or judicial – appeal procedures or to simply creating more and broader legal protection mechanisms. From a legal point of view a strict distinction has always been made between the complaint of a citizen against ‘unfair’ treatment by the government and the appeal lodged by the citizen against an ‘illegal’ administrative decision. In this context it’s surprisingly easy to think of ‘complaints’ and ‘appeals’ as ‘black’ and ‘white’ categories thereby leaping over the grey area in-between. But it’s exactly this grey area which is of particular interest not only to the citizen – who very often finds such legal distinctions incomprehensible – but also to the legal community – whose primary interest should be fair adjudication.This paper has a dual focus: on the one hand we wish to study effective adjudication in administrative proceedings, on the other hand we want to examine the position of the Ombudsman vis-à-vis these administrative proceedings. Problems as described above are common to most countries that have well-developed (or over-developed) legal protection mechanisms. Complaints and appeal procedures are not – contrary to popular belief – parallel tracks but rather are separate tracks of legal protection which can and do intersect at some points in time.
Sexual violence and pregnancy-related physical symptoms
Mirjam Lukasse, Lena Henriksen, Siri Vangen, Berit Schei
BMC Pregnancy and Childbirth , 2012, DOI: 10.1186/1471-2393-12-83
Abstract: A population-based national cohort study conducted by The Norwegian Mother and Child Cohort study (MoBa) collected data from pregnant women through postal questionnaires at 17 and 32?weeks gestation. Three levels of sexual violence were measured: 1) mild (pressured into sexual relations), 2) moderate (forced with violence into sexual relation) and 3) severe (rape). Differences between women reporting and not reporting sexual violence were assessed using Pearson’s X2 test and multiple logistic regression analyses.Of 78 660 women, 12.0% (9 444) reported mild, 2.8% (2 219) moderate and 3.6% (2 805) severe sexual violence. Sexual violence was significantly associated with increased reporting of pregnancy-related physical symptoms, both measured in number of symptoms and duration/degree of suffering. Compared to women not reporting sexual violence, the probability of suffering from ≥8 pregnancy-related symptoms estimated by Adjusted Odds Ratio (AOR) was 1.49 (1.41–1.58) for mild sexual violence, 1.66(1.50–1.84) for moderate and 1.78 (1.62–1.95) for severe. Severe sexual violence both previously and recently had the strongest association with suffering from ≥8 pregnancy-related symptoms, AOR 6.70 (2.34–19.14).A history of sexual violence is associated with increased reporting of pregnancy-related physical symptoms. Clinicians should consider the possible role of a history of sexual violence when treating women who suffer extensively from pregnancy-related symptoms.Sexual violence comprises a wide range of sexual violent acts. According to the World Health Organization (WHO) sexual violence includes any sexual act or attempt to obtain a sexual act using coercion [1]. Coercion may involve physical force, psychological intimidation and threats [1]. Sexual violence includes rape, traditionally defined as vaginal, anal or oral sexual intercourse obtained through force or threat of force [1,2]. However, more recently the recognition has developed that coercion may not always be
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